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Table 2 Comparative table of clinical trials investigating the efficacy of therapies based on glitazones versus gliptins

From: Comparative analysis of therapeutic efficiency and costs (experience in Bulgaria) of oral antidiabetic therapies based on glitazones and gliptins

Reference

N

Treatment

Baseline values for HbA1c [%]

Results

Statistical significance

Glycated hemoglobin HbA1c [%]

Fasting plasma glucose (FPG) [mmol/L]

Pérez-Monteverde et al., 2011 [20]

492

SIT 100 mg

 

−1.0

−1.48

 

PIO 15 mg (30 mg)

−0.9

−1.56

Russell-Jones et al., 2012 [18]

248

EQW 2 mg

Ranging from 8.0 to 8.6 across treatment groups

−1.53

−2.3

SS

246

MET 2000 mg

−1.48

−2.0

163

PIO 45 mg

−1.63

−2.6

p < 0.001

163

SIT 100 mg

−1.15

−1.1

Rosenstock et al., 2007 [19]

161

PIO 30 mg

8.7 ± 1.0

−1.4 ± 0.1

−1.9 ± 0.2

SS

154

VIL 100 mg

8.6 ± 1.0

−1.1 ± 0.1

−1.3 ± 0.2

144

PIO + VIL 15/50 mg

8.8 ± 0.9

−1.7 ± 0.1

−2.4 ± 0.2

p < 0.001

148

PIO + VIL 30/100 mg

8.8 ± 0.9

−1.9 ± 0.1

−2.8 ± 0.2

Chawla et al., 2013 [25]

52

SIT + MET 100/>1500 mg

8.076 ± 0.722

−0.656 ± 0.21

−1.1

NS P = 0.268 for the between group difference

PIO + MET 30/>1500 mg

8.228 ± 0.822

−0.748 ± 0.35

−1.7

Liu et al., 2013 [26]

60

SIT + MET + SU 100/≥1500/ half maximal dose

 

−0.71 ± 0.12

−1.27 ± 0.22

NS p = 0.16 between group difference for HbA1c

59

PIO + MET + SU 30/≥1500/ half maximal dose

−0.94 ± 0.12

−1.98 ± 0.22

Bergenstal et al., 2010 [27]

170

EQW 2 mg + MET

8.5

−1.5

 

SS p < 0.0001 for EQW vs. SIT; p = 0.0165 for EQW vs. PIO

172

PIO 45 mg + MET

−1.2

172

SIT 100 mg + MET

−0.9

Lee et al., 2013 [28]

31

MET + gliclazide or glimepiride

8.9

−2.5

From 9.24 to 5.71

SS p < 0.001 for difference in HbA1cfrom baseline for all groups

30

MET + PIO 15 mg

8.8

−2.8

From 9.66 to 6.16

38

MET + SIT 100 mg

9.4

−2.7

From 9.60 to 5.86

Blonde et al., 2009 [29]

1653

MET + VIL ≥1000/100 mg

 

−0.68 ± 0.02

 

SS

825

MET + TZDs ≥1000 mg

−0.57 ± 0.03

p = 0.001

Bolli et al., 2008, 2009 [30, 31]

295

MET + VIL > 1500/100 mg

8.4 ± 1.0

−0.88 ± 0.5

−1.4 ± 0.1

SS

p < 0.001 for all treatment groups at week 52 vs. baseline

281

MET + PIO > 1500/30 mg

8.4 ± 0.9

−0.98 ± 0.06

−2.1 ± 0.1

Kaur M. et al., 2014 [32]

30

MET + VIL 500/50 mg

8.43 ± 0.75

−0.75

−1.75

SS

p < 0.001 for all treatment groups vs. baseline

30

MET + PIO 500/15 mg

8.55 ± 0.84

−0.85

−1.85

30

VIL + PIO 50/15 mg

8.56 ± 0.69

−1.35

−2.6

Jindal et al., 2015 [1]

30

MET + PIO 1000/30 mg

 

No values, the authors comment that there are not statistically significant differences in the reduction of HbA1c between the two groups

No values, the authors comment that there are not statistically significant differences in the reduction of FPG between the two groups

SS

p < 0.001 for all treatment groups vs. baseline

30

MET + VIL 1000/100 mg

Kaur K. et al., 2014 [33]

25

PIO 30 mg + MET + SU

10.93 ± 2.9

−1.65

−2.83

SS

p < 0.001 for all treatment groups vs. baseline

25

VIL 50 mg + MET + SU

11.3 ± 0.6

−1.23

−3.35

  1. EQW exenatide, MET metformin, PIO pioglitazone, SIT sitagliptin, VIL vildagliptin, SU sulphonylurea, TZDs Thiazolidinediones, PLB placebo, SS statistically singnificant, SN statistically non-significant