Table 1.
Long-term glycaemic and lipidaemic effects of combined sulfonylurea and thiazolidinedione therapy in patients with type 2 diabetes
Study | Comparator groups | N | Duration | Glycaemic effects | Lipidaemic effects |
---|---|---|---|---|---|
Comaschi et al., 2006 (23) | Pioglitazone + sulfonylurea | 6 months | Significant and comparable improvementsin HbA1c at 12 months (p = 0.0001) | Significant improvement across alllipid parameters | |
Pioglitazone + metformin | |||||
Torre et al., 2006 (79) | Pioglitazone + sulfonylurea | 77 | 6 months | Not reported | Significant decrease in triglyceridelevels in the pioglitazone + sulfonylurea group only Significant improvement inHDL-cholesterol levels |
Pioglitazone + metformin | 103 | ||||
Derosa et al., 2004 (85) | Glimepiride + pioglitazone | 45 | 1 year | Significant and comparable improvementsin HbA1c at 12 months (p < 0.01) | Significant improvement across alllipid parameters |
Glimepiride + rosiglitazone | 44 | Worsening of multiple lipid parameters | |||
Ginis et al., 2006 (24) | Pioglitazone + sulfonylurea | 791 | 1 year | Significant improvement in both groupsfrom baseline Pioglitazone + sulfonylurea: 6.65% Pioglitazone + metformin: 6.61% | Triglycerides decreased significantlyin both groups (p < 0.0001) Overall reduction of 12.8% for bothgroups combined for total cholesterol Significant improvement in HDL- andLDL-cholesterol levels in both groups |
Pioglitazone + metformin | 705 | ||||
PROactive Charbonnel and Scheen,2006 (22); Spanheimeret al., 2006 (78) | Pioglitazone + sulfonylurea | 508 | 3 years | Significantly greater improvements overtime in HbA1c vs. placebo (p < 0.001at final visit) | Significant improvement in triglycerideand HDL-cholesterol levels vs. placebo |
Placebo + sulfonylurea | 493 | ||||
Quartet Charbonnel et al., 2005 (21) | Pioglitazone + sulfonylurea | 319 | 2 years | HbA1c reduced by 1.03% | Significant reduction in triglyceridesand greater increase inHDL-cholesterol (p ≤ 0.001) vs.metformin + sulfonylurea |
Metformin + sulfonylurea | 320 | HbA1c reduced by 1.16% |