PMID- 37777375 OWN - NLM STAT- MEDLINE DCOM- 20240116 LR - 20240416 IS - 1879-114X (Electronic) IS - 0149-2918 (Linking) VI - 45 IP - 12 DP - 2023 Dec TI - Dorzagliatin for Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Phase II/III Trials. PG - 1277-1283 LID - S0149-2918(23)00356-9 [pii] LID - 10.1016/j.clinthera.2023.09.011 [doi] AB - PURPOSE: Dorzagliatin is a glucokinase agonist with effects on type 2 diabetes mellitus (T2DM). This study included a meta-analysis on the efficacy and safety of dorzagliatin in the treatment of T2DM. METHODS: The Cochrane Central Registry of Controlled Trials, PubMed, and Embase were searched from inception to July 25, 2022. A total of 3 studies including 1333 patients were identified in this meta-analysis. FINDINGS: Overall, the meta-analysis showed that dorzagliatin remarkably reduced glycated hemoglobin levels versus placebo by 0.66%. The results of the meta-analysis showed a significant reduction in fasting plasma glucose of 6.77 mg/dL between dorzagliatin and placebo. In addition, dorzagliatin reduced 2-hour postprandial glucose (2h-PPG) by 43.87 mg/dL compared with placebo. Furthermore, the meta-analysis of available data revealed a significant reduction in the Homeostasis Model Assessment of Insulin Resistance of 0.07 between dorzagliatin and placebo. The risk of adverse events was slightly higher with dorzagliatin than with placebo. IMPLICATIONS: Dorzagliatin significantly reduced glycated hemoglobin levels, fasting plasma glucose levels, 2h-PPG, and homeostasis model assessment 2 of insulin resistance in patients with T2DM. It was well tolerated and had good liver and kidney safety profiles. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Lin, Fei AU - Lin F AD - Department of Pharmacy, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China; Clinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China. FAU - He, Rong AU - He R AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China; Clinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China. FAU - Ling, Baodong AU - Ling B AD - School of Pharmacy, Chengdu Medical College, Chengdu, China. FAU - Wang, Lin AU - Wang L AD - Department of Pharmacy, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China. FAU - Jiang, Ting AU - Jiang T AD - Department of Pharmacy, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China; Clinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China. FAU - Yu, Bin AU - Yu B AD - Department of Pharmacy, Mianyang Central Hospital, Mianyang, China; School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China. Electronic address: medicine2134@163.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20230929 PL - United States TA - Clin Ther JT - Clinical therapeutics JID - 7706726 RN - 0 (Blood Glucose) RN - X59W6980E8 (Dorzagliatin) RN - 0 (Glycated Hemoglobin) RN - 0 (Hypoglycemic Agents) SB - IM MH - Humans MH - Blood Glucose MH - Clinical Trials, Phase II as Topic MH - *Diabetes Mellitus, Type 2/drug therapy MH - Glycated Hemoglobin MH - Hypoglycemic Agents/adverse effects MH - *Insulin Resistance MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - Dorzagliatin OT - Efficacy OT - Glucokinase agonists OT - Systematic review OT - Type 2 diabetes mellitus COIS- Declaration of Competing Interest None declared. EDAT- 2023/10/01 04:44 MHDA- 2023/12/17 09:42 CRDT- 2023/09/30 21:54 PHST- 2023/04/05 00:00 [received] PHST- 2023/06/27 00:00 [revised] PHST- 2023/09/13 00:00 [accepted] PHST- 2023/12/17 09:42 [medline] PHST- 2023/10/01 04:44 [pubmed] PHST- 2023/09/30 21:54 [entrez] AID - S0149-2918(23)00356-9 [pii] AID - 10.1016/j.clinthera.2023.09.011 [doi] PST - ppublish SO - Clin Ther. 2023 Dec;45(12):1277-1283. doi: 10.1016/j.clinthera.2023.09.011. Epub 2023 Sep 29.