Other glucose-lowering × cardiovascular events

SynthesisThe Cochrane database of systematic reviews2018

Alpha-glucosidase inhibitors for prevention or delay of type 2 diabetes mellitus and its associated complications in people at increased risk of developing type 2 diabetes mellitus.

Suzanne Vl Moelands et al.PubMed ↗Full text ↗Publisher ↗

What the trial testedrandomised · 11,814 people · 2018

Randomised comparison

Reduced cardiovascular events

−69%−86% to −31%

Bigger than almost all for cardiovascular events

As reported

RR 0.31, 95% CI 0.14–0.69

Randomised comparison

Reduced cardiovascular events

−90%−98% to −47%

Bigger than almost all for cardiovascular events

As reported

RR 0.1, 95% CI 0.02–0.53

Randomised comparison

Raised adverse events & safety

+4%+1% to +6%

Bigger than 2 in 10 for adverse events & safety

As reported

RR 1.04, 95% CI 1.01–1.06

Range includes no effect

No clear effect on deaths

−2%−18% to +18%

Bigger than 1 in 10 for all-cause mortality

As reported

RR 0.98, 95% CI 0.82–1.18 · the paper's word: All-cause mortality

+4 more in the walkthrough ↓

Eight numbers in the abstract

the abstract, start to end

in the no-intervention groups (RR 0.31, 95% CI 0.14 to 0.69; P = 0.004; 2 trials; 140 participants; very low-certainty evidence).Acarbose compared to placebo did not reduce or increase the risk of all-cause mortality (RR 0.98, 95% CI 0.82 to 1.18; P = 0.86; 3 trials; 8069 participants; very low-certainty evidence), cardiovascular mortality (RR 0.88; 95% CI 0.71 to 1.10; P = 0.26; 3 trials; 8069 participants; very low-certainty evidence), serious adverse events (RR 1.12, 95% CI 0.97 to 1.29; P = 0.13; 2 trials; 6625 participants; low-certainty evidence), non-fatal stroke (RR 0.50, 95% CI 0.09 to 2.74; P = 0.43; 1 trial; 1368 participants; very low-certainty evidence) or congestive heart failure (RR of 0.87; 95% CI 0.63 to 1.12; P = 0.40;

infarction: one out of 742 participants (0.1%) in the acarbose groups had a

people (93.3%) in the placebo groups (RR 1.04; 95% CI 1.01 to 1.06; P =

← favours treatmentfavours comparator →
could be chance
Cardiovascular events
RR 0.310.14–0.69
All-cause mortality
RR 0.980.82–1.18
Cardiovascular events
RR 0.880.71–1.10
Cardiovascular events
RR 1.120.97–1.29
Cardiovascular events
RR 0.500.09–2.74
Cardiovascular events
RR 0.870.63–1.12
Cardiovascular events
RR 0.10.02–0.53
Adverse events & safety
RR 1.041.01–1.06
Other glucose-loweringCardiovascular eventsAll-cause mortalityAdverse events & safety

Other glucose-lowering × all-cause mortalityhelps?mixed

unlikelylikely
0.00not counted

Other glucose-lowering × adverse events & safetyharms?one trial

unlikelylikely
0.50not counted
← favours comparatorfavours treatment →
more certainless certain
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The trial

Full record →Abstract, authors, funding and every citing paper · PMID 30592787