Table 4.
Importance of attributes of GLP1 RA treatments determined in DCEs conducted in patients with T2DM
Attribute importance | ||||||||
---|---|---|---|---|---|---|---|---|
1 (most important) | 2 | 3 | 4 | 5 | 6 | 7 | 8 (least important) | |
Gelhorn et al18 (injectable-naïve) | Dose frequency | Type of device | Nausea | Weight change | Change in HbAlc | Hypoglycemia | ||
Gelhorn et al19 (injectable-naïve) | Dose frequency | Type of device | Nausea | Hypoglycemia | Weight change | Change in HbAlc | ||
Hauber et al20,a | ||||||||
Exenatide QW users | Dose frequency | Injection-site reactions | Needle size | Type of device | Storage | |||
Liraglutide QD users | Dose frequency | Type of device | Needle size | Injection-site reaction | Storage | |||
Insulin-only users | Dose frequency | Needle size | Type of device | Injection-site reaction | Storage | |||
Injectable-naïve | Dose frequency | Needle size | Storage | Injection-site reaction | Type of device | |||
Polster et al22 (injectable-experienced and -naïve) | Change in HbAlc | Nausea | Hypoglycemia | Dose frequency | ||||
Qin et al15 (injectable-naïve) | AE profile | Change in HbAlc | Dose frequency | Long-term efficacy/safety | Titration | Injection preparation | Type of device | Needle size |
Qin et al23 (injectable-experienced) | AE profile | Change in HbAlc | Dose frequency | Injection preparation | Long-term efficacy/safety | Type of device | Needle size | Titration |
Notes: For type of device, levels evaluated included SUP and MUP (Gelhorn et al);18,19 SUP, MUP, and vial and syringe (Hauber et al);20 and SUP, MUP, vial and syringe, and autoinjector (Qin et al).15,23
Importance rankings for QD dosing. Attributes were less important when dosing was QW, although ranking remained the same. Efficacy held constant in all DCE pairs.
Abbreviations: AE, adverse event; DCEs, discrete-choice experiments; HbAlc, glycated hemoglobin; MUP, multiuse pen; QD, quaque die (once daily); QW, once weekly; SUP, single-use pen; RAs, receptor agonists; T2DM, type 2 diabetes mellitus.