SGLT2 inhibitors × adverse events & safety

SynthesisBMC pharmacology & toxicology2017

Adverse drug events observed in patients with type 2 diabetes mellitus treated with 100 mg versus 300 mg canagliflozin: a systematic review and meta-analysis of published randomized controlled trials.

Pravesh Kumar Bundhun et al.PubMed ↗Full text ↗Publisher ↗

  • 300 mg canagliflozinno clear effectNo clear effect on urinary tract infections, no clear effect on postural dizziness, no clear effect on hypoglycemia.Nothing cleared the noise.

What the trial testedas reported · 5,394 people · 2017

Range includes no effect

No clear effect on urinary tract infections

−7%−30% to +23%

300 mg canagliflozin vs 100 mg canagliflozin

Bigger than 3 in 10 for adverse events & safety

As reported

OR 0.93, 95% CI 0.70–1.23

Range includes no effect

No clear effect on postural dizziness

1.5×0.4× to 5.4×

300 mg canagliflozin vs 100 mg canagliflozin

Bigger than 7 in 10 for adverse events & safety

As reported

OR 1.51, 95% CI 0.42–5.37

Range includes no effect

No clear effect on hypoglycemia

−4%−19% to +13%

300 mg canagliflozin vs 100 mg canagliflozin

Bigger than 1 in 10 on the map

As reported

OR 0.96, 95% CI 0.81–1.13

Range includes no effect

No clear effect on deaths

1.1×0.4× to 2.9×

300 mg canagliflozin vs 100 mg canagliflozin

Bigger than 4 in 10 for all-cause mortality

As reported

OR 1.13, 95% CI 0.43–2.94 · the paper's word: death

+2 more in the walkthrough ↓

Who was studied, and how

5,394people with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

300 mg canagliflozin
100 mg canagliflozin

No clear effect on urinary tract infections−7%

No clear effect on postural dizziness1.5×

No clear effect on hypoglycemia−4%

randomised

the abstract, start to end

were also similarly manifested, with OR: 0.93, 95% CI: 0.70-1.23; P = 0.61, OR: 1.51, 95% CI: 0.42-5.37; P = 0.53 and OR: 0.96, 95% CI: 0.81-1.13; P = 0.60

100 or 300 mg canagliflozin with OR: 1.13, 95% CI: 0.43-2.94; P = 0.80.

this unequal follow-up period with OR: 1.35, 95% CI: 1.06-1.72; P = 0.01,

by 300 mg canagliflozin, with OR: 1.01, 95% CI: 0.79-1.29; P = 0.93.

← favours treatmentfavours comparator →
could be chance
Urinary tract infections300 mg canagliflozin vs 100 mg canagliflozin
OR 0.930.70–1.23
Postural dizziness300 mg canagliflozin vs 100 mg canagliflozin
OR 1.510.42–5.37
Hypoglycemia300 mg canagliflozin vs 100 mg canagliflozin
OR 0.960.81–1.13
Death300 mg canagliflozin vs 100 mg canagliflozin
OR 1.130.43–2.94
Drug discontinuation due to AEs300 mg canagliflozin vs 100 mg canagliflozin
OR 1.351.06–1.72
Serious AEs300 mg canagliflozin vs 100 mg canagliflozin
OR 1.010.79–1.29
SGLT2 inhibitorsAll-cause mortalityAdverse events & safetyHypoglycaemia
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Full record →Abstract, authors, funding and every citing paper · PMID 28411624