PMID- 33607862 OWN - NLM STAT- MEDLINE DCOM- 20210301 LR - 20230905 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 7 DP - 2021 Feb 19 TI - The efficacy and safety of glucokinase activators for the treatment of type-2 diabetes mellitus: A protocol for systematic review and meta-analysis. PG - e24873 LID - 10.1097/MD.0000000000024873 [doi] LID - e24873 AB - BACKGROUND: Glucokinase activators are a novel family of glucose-lowering agents used for the treatment of type-2 diabetes mellitus (T2DM). Glucokinase activators blind to GK activate the enzyme allosterically. Treatment with different GKAs has been shown to reduce fasting and postprandial glucose in patients with type 2 diabetes. We compared the efficacy/safety of glucokinase activators in T2DM patients through a meta-analysis. METHODS: We searched PubMed, Excerpt Medica Database, and Cochrane Central Register of Controlled Trials databases for articles published before December 30, 2020. Two independent reviewers extracted the information from article. The quality of articles were assessed by 2 independent reviewers using the 5 items of scale proposed by Jadad. We computed the weighted mean difference and 95% confidence interval (CI) for a change from baseline to the study endpoint for glucokinase activators vs placebo. Egger test and Begg test were used to assess the possible publication bias caused by the tendency of published studies to be positive. RESULTS: The present meta-analysis will compare the efficacy and safety of glucokinase activators and placebo for the treatment of T2DM. CONCLUSIONS: This meta-analysis will provide advanced evidence on the efficacy and safety of glucokinase activators for the treatment of T2DM. ETHICS AND DISSEMINATION: Ethical approval and patient consent are not required because this study is a literature-based study. This systematic review and meta-analysis will be published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42021220364. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Gao, Qian AU - Gao Q AD - Affiliated Hospital of Shaoxing University of Edocrine and Metabolism Department, Zhejiang, China. FAU - Zhang, Wenjun AU - Zhang W FAU - Li, Tingting AU - Li T FAU - Yang, Guojun AU - Yang G FAU - Zhu, Wei AU - Zhu W FAU - Chen, Naijun AU - Chen N FAU - Jin, Huawei AU - Jin H LA - eng GR - grant NO.2018KY838/Medical and health projects in Zhejiang Province/ PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Blood Glucose) RN - 0 (Enzyme Activators) RN - 0 (Hypoglycemic Agents) RN - 0 (Placebos) RN - EC 2.7.1.2 (Glucokinase) SB - IM MH - Blood Glucose/analysis/drug effects MH - Case-Control Studies MH - Data Management MH - Diabetes Mellitus, Type 2/*drug therapy MH - Enzyme Activators/*pharmacology/therapeutic use MH - Fasting/blood MH - Glucokinase/*drug effects/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Placebos/administration & dosage MH - Randomized Controlled Trials as Topic MH - Safety MH - Treatment Outcome MH - Meta-Analysis as Topic MH - Systematic Review as Topic PMC - PMC7899907 COIS- The authors have no conflicts of interests to disclose. EDAT- 2021/02/21 06:00 MHDA- 2021/03/02 06:00 PMCR- 2021/02/19 CRDT- 2021/02/20 01:01 PHST- 2021/01/29 00:00 [received] PHST- 2021/02/02 00:00 [accepted] PHST- 2021/02/20 01:01 [entrez] PHST- 2021/02/21 06:00 [pubmed] PHST- 2021/03/02 06:00 [medline] PHST- 2021/02/19 00:00 [pmc-release] AID - 00005792-202102190-00101 [pii] AID - MD-D-21-00414 [pii] AID - 10.1097/MD.0000000000024873 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Feb 19;100(7):e24873. doi: 10.1097/MD.0000000000024873.