Metformin × glycemic control

SynthesisEuropean journal of clinical pharmacology2016

Efficacy and safety of empagliflozin as add-on to metformin for type 2 diabetes: a systematic review and meta-analysis.

Xiaoyan Zhong et al.PubMed ↗Publisher ↗

  • Empagliflozin 10 mg as add-on to metforminlooks good hereLower long-term blood sugar, no clear effect on long-term blood sugar.Randomised, large.
  • Empagliflozin 25 mg as add-on to metforminlooks good hereLower long-term blood sugar.Randomised, large.

What the trial testedrandomised · 4,256 people · 2016

Randomised vs placebo as add-on to metformin

Lowered long-term blood sugar

−0.57percentage points−0.65 to −0.49

empagliflozin 10 mg as add-on to metformin vs placebo as add-on to metformin

As reported

difference −0.57 %, 95% CI −0.65 to −0.49 · the paper's word: glycated haemoglobin (HbA1c)

Randomised vs placebo as add-on to metformin

Lowered long-term blood sugar

−0.65−0.72 to −0.57

empagliflozin 25 mg as add-on to metformin vs placebo as add-on to metformin

As reported

difference −0.65, 95% CI −0.72 to −0.57 · the paper's word: glycated haemoglobin (HbA1c)

Randomised vs active comparators (sitagliptin, linagliptin, glimepiride) as add-on to metformin

Lowered long-term blood sugar

−0.13percentage points−0.20 to −0.06

empagliflozin 25 mg as add-on to metformin vs active comparators (sitagliptin, linagliptin, glimepiride) as add-on to metformin

As reported

difference −0.13 %, 95% CI −0.20 to −0.06 · the paper's word: HbA1c

Range includes no effect

No clear effect on long-term blood sugar

−0.10percentage points−0.23 to +0.03

empagliflozin 10 mg as add-on to metformin vs active comparators (sitagliptin, linagliptin, glimepiride) as add-on to metformin

As reported

difference −0.10 %, 95% CI −0.23 to 0.03 · the paper's word: HbA1c

Who was studied, and how

4,256people with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

empagliflozin 10 mg as add-on to metformin
placebo as add-on to metformin

Lowered long-term blood sugar−0.57

randomised

The trial randomly assignedassigned by chance

empagliflozin 10 mg as add-on to metformin
active comparators (sitagliptin, linagliptin, glimepiride) as add-on to metformin

No clear effect on long-term blood sugar−0.10

randomised

the abstract, start to end

[10 mg: weighted mean difference (WMD) -0.57 %; 95 % confidence interval (CI) -0.65 to -0.49 %, P < 0.00001; 25 mg:

a similar reduction in HbA1c [WMD -0.10 %; 95 % CI -0.23 to 0.03 %, P = 0.13], while 25 mg of EMPA provided a significantly greater reduction in HbA1c [WMD -0.13 %; 95 % CI -0.20 to -0.06 %,

← favours treatmentfavours comparator →
could be chance
Glycated haemoglobin (HbA1c)empagliflozin 10 mg as add-on to metformin vs placebo as add-on to metformin
−0.57−0.65 to −0.49
HbA1cempagliflozin 10 mg as add-on to metformin vs active comparators (sitagliptin, linagliptin, glimepiride) as add-on to metformin
−0.10−0.23 to 0.03
Glycated haemoglobin (HbA1c)empagliflozin 25 mg as add-on to metformin vs placebo as add-on to metformin
−0.65−0.72 to −0.57
HbA1cempagliflozin 25 mg as add-on to metformin vs active comparators (sitagliptin, linagliptin, glimepiride) as add-on to metformin
−0.13−0.20 to −0.06
MetforminSGLT2 inhibitorsGlycemic controlAdverse events & safety

Metformin × adverse events & safetyharms?mixed

unlikelylikely
0.27not counted

SGLT2 inhibitors × adverse events & safetyharms?mixed

unlikelylikely
0.00not counted
← favours treatmentfavours comparator →
more certainless certain
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