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. 2020 Dec 12;12(1):389–418. doi: 10.1007/s13300-020-00975-y

Table 1.

PICOTS for the systematics literature review

Criterion Description
Patient population T2DM (adults, ≥ 18 years), uncontolled HbA1c (HbA1c > 7.0%), being managed with metformin
Interventions

Approved doses of the following oral therapies and their combinations (dose reported as once daily if not otherwise specified):

Metformin + SGLT-2i (ertugliflozin 5 mg/15 mg, canagliflozin 100 mg/300 mg, dapagliflozin 5 mg/10 mg, empagliflozin 10 mg/25 mg)

Metformin + DPP-4i (saxagliptin 2.5 mg/5 mg, linagliptin 5 mg, alogliptin 25 mg, sitagliptin 100 mg, vildagliptin 50 mg twice per day)

Metformin + DPP-4i + SGLT-2i (DPP-4i: saxagliptin 2.5 mg/5 mg, linagliptin 5 mg, alogliptin, vildagliptin, sitagliptin 100 mg; SGLT-2i: ertugliflozin 5 mg/15 mg, canagliflozin 100 mg/300 mg, dapagliflozin 5 mg/10 mg, empagliflozin 10 mg/25 mg)

Metformin + oral GLP-1 RA (semaglutide 7 mg/14 mg)

Comparators Same as interventions, and metformin + placebo (dosing studies that only included metformin were excluded)
Outcomes

Continuous outcomes—Changes in HbA1c (%), weight (kg), SBP (mmHg), DBP (mmHg)

Binary outcomes—HbA1c within target range (exploratory outcome: expected range defined as: HbA1c < 7.0%)

Time No date restriction
Study design RCT
Restrictions

Trial duration: Outcomes reported at 24 ± 2 weeks (trials longer than 24 weeks were reviewed to capture any interim reporting at the 24 to 26-week target timeframe)

Language: English

Country: any

Exclusions in addition to not meeting PICOTS criteria

Patients receiving insulin at study entry

Insulin as a comparator treatment

Non-human

Type 1 diabetes

Children (age < 18 years)

DBP diastolic blood pressure, DPP-4i dipeptidyl peptidase-4 inhibitor, GLP-1 RA glucagon-like peptide-1 receptor agonist, HbA1c glycated hemoglobin, RCT randomized clinical trial, SBP systolic blood pressure, SGLT-2i sodium–glucose co-transporter 2 inhibitor