Table 2. Comparisons included in trials with triple therapy.
Intervention | Trials | Durationc | N | HbA1c | BW | AE | SAE | HypoG | Definition of hypoglycaemia |
---|---|---|---|---|---|---|---|---|---|
MET+ SU vs MET+ SU+ DPP-4-i | Hermansen et al. (2007) a | 24 | 441 | x | x | x | x | x | ND |
Owens et al. (2011) | 24 | 1,055 | x | x | x | x | x | ND | |
Lukashevich et al. (2014) | 24 | 318 | x | x | x | x | x | Symptoms suggestive of hypoglycaemia and a self-monitored plasma glucose measurement <3.1 mmol/l | |
MET + SU + TZD | Moses et al. (2014) | 24 | 257 | x | x | x | x | x | Symptomatic hypoglycaemia ± glucose measurement |
Dailey et al. (2004) | 24 | 365 | x | x | x | x | Symptomatic episodes with an associated fingerstick blood glucose ≤ 50 mg/dL | ||
MET + SU + GLP-1-RA | Kendall et al. (2005) | 30 | 733 | x | x | x | x | x | Symptoms consistent with hypoglycaemia ± a documented plasma glucose concentration of <3.33 mmol/l |
MET+ SU+ SGLT2-i | Russell-Jones et al. (2009) b | 26 | 581 | x | x | x | x | x | Plasma glucose of <56 mg/dL (3.1 mmol/l) |
Wilding et al. (2013) | 52 | 469 | x | x | x | x | x | Symptomatic episodes with an associated fingerstick or plasma glucose ≤ 3.9 mmol/l | |
MET+ SU+ INS | Russell-Jones et al. (2009) b | 26 | 581 | x | x | x | x | x | Plasma glucose of <56 mg/dL (3.1 mmol/l) |
SU+ DPP-4-i | a Hermansen et al. (2007) | 24 | 441 | x | x | x | x | x | ND |
MET+ SU+ INS vs MET+ SU+ GLP-1-RA | Russell-Jones et al. (2009) b | 26 | 581 | x | x | x | x | x | Plasma glucose of <56 mg/dL (3.1 mmol/L) |
Bergenstal et al. (2009) | 24 | 372 | x | x | x | x | x | Plasma glucose of <56 mg/dL (3.1 mmol/L) | |
Heine et al. (2005) | 26 | 549 | x | x | x | x | Plasma glucose of <56 mg/dL (3.1 mmol/L) | ||
Nauck et al. (2007) | 52 | 501 | x | x | x | x | x | Any time a patient experienced a sign or symptom of hypoglycaemia or noted a blood glucose level <60 mg/dL (3.4 mmol/L). | |
MET+ SU+ TZD | Rosenstock et al. (2006) | 24 | 216 | x | x | x | x | x | Event with clinical symptoms consistent with hypoglycaemia, confirmed with a meter reading. |
MET+ TZD+ DPP-4-i vs | |||||||||
MET+ TZD | Bosi et al. (2011) | 52 | 803 | x | x | x | x | x | Blood glucose of <3.33 mmol/L with symptoms, or <2.78 mmol/L regardless of symptoms |
DeFronzo et al. (2012) | 26 | 1,554 | x | x | x | x | |||
MET+ SU+ TZD | Derosa et al. (2013) | 52 | 453 | x | x | NR | |||
MET+ SU+ DPP-4-i vs MET+ SU+ SGLT2-i | Schernthaner et al. (2013) | 52 | 755 | x | x | x | x | x | Symptomatic episodes with fingerstick glucose ≤ 3.9 mmol/l |
MET+ SU+ TZD | Liu et al. (2013) | 24 | 119 | x | x | x | x | x | ND |
Notes.
- AE
- adverse event
- BW
- body weight
- DPP-4-i
- dipeptidyl peptidase-4 inhibitor
- GLP-1-RA
- glucagon-like peptide-1 receptor agonist
- HbA1c
- glycated haemoglobin
- HypoG
- hypoglycaemic event
- INS
- insulin
- MET
- metformin
- ND
- not defined
- NR
- not reported
- SAE
- serious adverse event
- SGLT2-i
- sodium glucose co-transporter 2 inhibitor
- SU
- sulfonylurea
- TZD
- thiazolidinedione
One trial included three treatment arms (MET+ SU+ DPP4-i, MET+ SU and SU+ DPP4-i) and provided information for those comparisons.
One trial included three treatment arms (MET+ SU+ GLP-1-RA, MET+ SU and MET+ SU+ INS) and provided information for those comparisons.
Duration in months.