DPP-4 inhibitors × glycemic control

TrialDiabetes & metabolism journal2023

Efficacy and Safety of Evogliptin Add-on Therapy to Dapagliflozin/Metformin Combinations in Patients with Poorly Controlled Type 2 Diabetes Mellitus: A 24-Week Multicenter Randomized Placebo-Controlled Parallel-Design Phase-3 Trial with a 28-Week Extension.

Jun Sung Moon et al.PubMed ↗Full text ↗Publisher ↗

  • Evogliptin add-on to DAPA/MET therapylooks good hereLower HbA1c reduction at week 24, lower HbA1c reduction at week 52.Randomised, small.
  • Evogliptinlooks bad hereHigher homeostatic model assessment of β-cell function.Randomised, small.

What the trial testedrandomised · 283 people · 2023

Randomised vs placebo

Probably lowered HbA1c reduction at week 24

−0.65percentage points−0.79 to −0.51

evogliptin add-on to DAPA/MET therapy vs placebo

As reported

difference −0.65 %, 95% CI −0.79 to −0.51

Randomised vs placebo

Probably lowered HbA1c reduction at week 52

−0.55percentage points−0.71 to −0.39

evogliptin add-on to DAPA/MET therapy vs placebo

As reported

difference −0.55 %, 95% CI −0.71 to −0.39

Randomised comparison

Probably lowered glycemic control

−0.55percentage points−0.79 to −0.51

As reported

difference −0.55 %, 95% CI −0.79 to −0.51

Randomised comparison

Probably raised homeostatic model assessment of β-cell function

+9.04+1.86 to +16.2

evogliptin

As reported

difference 9.04, 95% CI 1.86–16.2

Who was studied, and how

283people with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

evogliptin add-on to DAPA/MET therapy
placebo

Probably lowered HbA1c reduction at week 24−0.65

Probably lowered HbA1c reduction at week 52−0.55

randomised

The trial randomly assignedassigned by chance

evogliptin
the rest

Probably raised homeostatic model assessment of β-cell function+9.04

randomised

the abstract, start to end

52 (least square [LS] mean difference, -0.65% and -0.55%; 95% confidence interval [CI],

of β-cell function (LS mean difference, 9.04; 95% CI, 1.86 to 16.21;

← favours treatmentfavours comparator →
could be chance
HbA1c reduction at week 24evogliptin add-on to DAPA/MET therapy vs placebo
−0.65−0.79 to −0.51
HbA1c reduction at week 52evogliptin add-on to DAPA/MET therapy vs placebo
−0.55−0.71 to −0.39
Glycemic control
−0.55−0.79 to −0.51
Homeostatic model assessment of β-cell functionevogliptin
9.041.86–16.2
MetforminSGLT2 inhibitorsDPP-4 inhibitorsGlycemic control

DPP-4 inhibitors × glycemic controlhelps?replicated

unlikelylikely
0.820.82 without it

SGLT2 inhibitors × glycemic controlhelps?replicated

unlikelylikely
0.920.92 without it

Metformin × glycemic controlhelps?replicated

unlikelylikely
0.840.84 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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2 papers cite it

2023
2024
2025
this paperpooled itcites it

The trial

Full record →Abstract, authors, funding and every citing paper · PMID 37750183