Table 2.
INCRETIN AGENT AND COMBINATION | COMPARATOR | N | DURATION, WK | MEAN CHANGE IN HBA1C, %* |
---|---|---|---|---|
Sitagliptin | ||||
• Monotherapy35,38–43 | Placebo | 2389 | 12–24 | −0.44 to −0.66 |
• Metformin35,40,44 | Placebo | 1437 | 24 | −0.67 to −1.90 |
• Metformin15,35 | Glipizide | 1172 | 52 | −0.67 |
• Glimepiride with or without metformin35,45 | Placebo | 441 | 24 | −0.45 |
• Pioglitazone35,46 | Placebo | 353 | 24 | −0.85 |
• Metformin47 | Exenatide | 61 | 2 | NA |
Vildagliptin | ||||
• Monotherapy35,48–53 | Placebo | 2253 | 12–52 | −0.20 to −0.92 |
• Metformin54,55 | Placebo | 651 | 12–24 | −0.60 to −0.90 |
• Insulin56 | Placebo | 296 | 24 | −0.50 |
• Metformin16 | Pioglitazone | 576 | 24 | −0.88 |
• Pioglitazone57 | Placebo | 463 | 24 | −1.00 |
• Various59 | Vildagliptin vs pioglitazone vs vildagliptin and pioglitazone | 607 | 24 | −1.1 |
Exenatide | ||||
• Sulfonylurea24 | Placebo | 377 | 30 | −0.86 |
• Metformin25 | Placebo | 336 | 30 | −0.8 |
• Metformin and sulfonylurea26 | Placebo | 733 | 30 | −0.75† |
• TZD with or without metformin27 | Placebo | 233 | 16 | −0.89 |
• Metformin and sulfonylurea20,21 | Insulin glargine | 689 | 26–32 | −1.36 to −1.16 |
• Metformin and sulfonylurea22 | Biphasic insulin | 501 | 52 | −1.04 |
• Monotherapy31 | Placebo | 232 | 24 | −0.9 |
• Metformin, sulfonylurea, or both28 | None | 314 | 82 | −1.1 |
• Metformin, sulfonylurea, or both59 | Placebo | 217 | 156 | −1.0 |
Liraglutide | ||||
• Monotherapy (LEAD-3)18 | Glimepiride | 746 | 52 | −0.84 to −1.14 |
• Metformin (LEAD-2)33 | Placebo or glimepiride | 1091 | 26 | −1.0 |
• Glimepiride (LEAD-1)32 | Placebo or rosiglitazone | 1041 | 26 | −1.1 |
• Metformin and rosiglitazone (LEAD-4)34 | Placebo | 533 | 26 | −1.5 |
• Metformin and sulfonylurea (LEAD-5)23 | Insulin glargine | 581 | 26 | −1.33 |
• Previous oral antihyperglycemics (LEAD-6)60 | Exenatide plus previous oral antihyperglycemics | 464 | 26 | −1.12 |
HbA1c—glycated hemoglobin A1c, LEAD—Liraglutide Effect and Action in Diabetes, NA—not applicable, TZD—thiazolidinedione.
Reported mean change from baseline in patients treated with incretin agents. Where several values are provided (eg, different doses of the study drug), either in a single report or in multiple reports, the range of reported mean values is shown.
Precise value not reported; reduction in HbA1c levels was shown in a figure.