Table 1.
Pharmacoepidemiologic screening: summary of case characteristics and results
| Glimepiride | Glipizide | Glyburide | Nateglinide | Repaglinide | Metformin | |
|---|---|---|---|---|---|---|
| Cases | ||||||
| Number | 1,270 | 1,755 | 1,698 | 77 | 118 | 1,885 |
| Female (%) | 57.3 | 57.7 | 55.8 | 42.9 | 42.4 | 54 |
| Median age (years) | 72.6 | 72.8 | 72.9 | 73.8 | 73.4 | 68.8 |
| Observed person-days | 266,196 | 392,760 | 347,411 | 7,415 | 11,800 | 302,616 |
| Number of events | 2,244 | 2,832 | 2,903 | 106 | 183 | 2,707 |
| Cases (%) receiving prescription(s) for antidiabetics other than the secretagogues in the 30 days prior to events | ||||||
| Nonea | 56.4 | 53 | 47.3 | 54.7 | 44.8 | 14.9 |
| Metformin only | 14.5 | 17.5 | 28.9 | 8.5 | 17.5 | 46.4 |
| Insulin only | 9.5 | 12.3 | 6.2 | 16 | 17.5 | 3.9 |
| Other antidiabeticsb | 9.8 | 7.1 | 6.5 | 4.7 | 6.5 | 0.4 |
| Insulin + metformin | 2.8 | 3.5 | 3.4 | 1 | 4.4 | 20.8 |
| Metformin + other antidiabetics | 5.3 | 4.1 | 5.3 | 2.8 | 4.4 | 8.2 |
| Insulin + other antidiabetics | 1.2 | 1.7 | 0.8 | 11.3 | 2.7 | 0.3 |
| Insulin + metformin + other antidiabetics | 0.5 | 0.8 | 1.6 | 1 | 2.2 | 5.1 |
| RRSB estimates | ||||||
| Number of precipitants examined | 218 | 222 | 228 | 39 | 69 | 220 |
| Geometric mean ± SD | 1.27 ± 1.54 | 1.28 ± 1.50 | 1.26 ± 1.53 | 1.11 ± 1.37 | 1.39 ± 1.72 | 1.16 ± 1.37 |
| Range | 0.42 – 4.74 | 0.31 – 5.03 | 0.40 – 5.61 | 0.44 – 1.77 | 0.38 – 3.74 | 0.50 – 2.61 |
| Number of statistically significant RRSB >1 | 47 | 41 | 43 | 0 | 9 | 30 |
| Metformin adjusted RRSB estimates | ||||||
| Number of precipitants examined | 181 | 187 | 191 | 38 | 67 | N/A |
| Geometric mean ± SD | 1.07 ± 1.83 | 1.06 ± 1.86 | 1.03 ± 1.87 | 1.09 ± 1.87 | 1.41 ± 2.33 | |
| Range | 0.2 – 5.53 | 0.15 – 6.75 | 0.22 – 5.57 | 0.28 – 3.39 | 0.24 – 15.62 | |
| Number of statistically significant RRSB >1 | 16 | 18 | 17 | 0 | 10 | |
Include patients who filled prescriptions for the study secretagogues or metformin earlier than 30 days prior to events and had active prescription during the 30 days according to day’s supply.
Other antidiabetics included thiazolidinediones, sulfonylureas other than glyburide, glipizide and glimepiride, glucagon-like peptide-1 agonists, dipeptidyl peptidase-4 inhibitor, alpha-glucosidase inhibitors, sodium/glucose cotransporter 2 inhibitors, and amylin analogs.