Thiazolidinediones × adverse events & safety

TrialDiabetes, obesity & metabolism2026

Lobeglitazone improves glycaemic control as add-on therapy to empagliflozin plus metformin in patients with type 2 diabetes mellitus: A double-blind, randomised, placebo-controlled trial.

Da Hea Seo et al.PubMed ↗Full text ↗Publisher ↗

  • Lobeglitazone 0.5 mg/daylooks good hereLower long-term blood sugar.Weak evidence: one subgroup.

What the trial testedrandomised · 2026

One subgroup

May have lowered long-term blood sugar in background empagliflozin dose (Study 1: ≥1000 mg/day metformin and empagliflozin 10 mg/day)

−0.71percentage points−0.88 to −0.55

lobeglitazone 0.5 mg/day vs placebo, in background empagliflozin dose (Study 1: ≥1000 mg/day metformin and empagliflozin 10 mg/day)

As reported

difference −0.71 %, 95% CI −0.88 to −0.55 · the paper's word: change from baseline in glycated haemoglobin (HbA1c) at 24 weeks

One subgroup

May have lowered long-term blood sugar in background empagliflozin dose (Study 2: ≥1000 mg/day metformin and empagliflozin 25 mg/day)

−0.62percentage points−0.79 to −0.45

lobeglitazone 0.5 mg/day vs placebo, in background empagliflozin dose (Study 2: ≥1000 mg/day metformin and empagliflozin 25 mg/day)

As reported

difference −0.62 %, 95% CI −0.79 to −0.45 · the paper's word: change from baseline in glycated haemoglobin (HbA1c) at 24 weeks

Who was studied, and how

people with type 2 diabetes, in this paper

Among background empagliflozin dose (Study 1: ≥1000 mg/day metformin and empagliflozin 10 mg/day), the trial randomly assignedassigned by chance

lobeglitazone 0.5 mg/day
placebo

May have lowered long-term blood sugar−0.71

randomised · one subgroup

Among background empagliflozin dose (Study 2: ≥1000 mg/day metformin and empagliflozin 25 mg/day), the trial randomly assignedassigned by chance

lobeglitazone 0.5 mg/day
placebo

May have lowered long-term blood sugar−0.62

randomised · one subgroup

the abstract, start to end

of the background empagliflozin dose (-0.71%; 95% confidence interval, -0.88 to -0.55; p < 0.001 in Study 1 and -0.62%; -0.79 to -0.45; p < 0.001 in

← favours treatmentfavours comparator →
could be chance
Change from baseline in glycated haemoglobin (HbA1c) at 24 weekslobeglitazone 0.5 mg/day vs placebo, in background empagliflozin dose (Study 1: ≥1000 mg/day metformin and empagliflozin 10 mg/day)
−0.71−0.88 to −0.55
Change from baseline in glycated haemoglobin (HbA1c) at 24 weekslobeglitazone 0.5 mg/day vs placebo, in background empagliflozin dose (Study 2: ≥1000 mg/day metformin and empagliflozin 25 mg/day)
−0.62−0.79 to −0.45
ThiazolidinedionesAdverse events & safety

Thiazolidinediones × adverse events & safetyharms?mixed

unlikelylikely
0.000.00 without it
← favours treatmentfavours comparator →
this papermore certainless certain
1 / 6

2 papers cite it

2026
this papertrialcites it
Full record →Abstract, authors, funding and every citing paper · PMID 41236870