Trial | UKPDS33 | UKPDS34 | PROactive | ADVANCE | ACCORD | HEART2D | VADT | RECORD | BARI2D | ADDITION | SAVOR-TIMI53 | EXAMINE | DIGAMI1 | AleCardio | TECOS |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Intervention | Intensive policy with a sulphonylura or insulin vs conventional policy with diet | intensive blood-glucose control policy with metformin vs diet alone | Addition of pioglitazone or placebo to usual diabetes therapy | Intensive (glicazide plus other drugs) vs standard glucose control | Intensive therapy vs standard therapy | Prandial vs basal strategy | Intensive or standard glucose control | Addition of rosiglitazone or combination of metformin and sulfonylurea | Insulin sensitization vs insulin provision therapy | Routine vs intensive treatment of multiple risk factors | Addition of Saxagliptin vs placebo to usual diabetes therapy | Addition of Alogliptin vs placebo to usual diabetes therapy | Intensified insulin-based glycaemic control vs conventional glucose-lowering treatment | Aleglitazar 150 μg or placebo daily | Add sitagliptin or placebo to existing therapy |
Publication year | 1998 | 1998 | 2005 | 2008 | 2008 | 2009 | 2009 | 2009 | 2009 | 2011 | 2013 | 2013 | 2014 | 2015 | 2015 |
Location | 23 centers in England | 15 centers in England | 321 centers in 19 countriesa | 215 centers in 20 countriesb | 77 centers in USA | 105 centers in 17 countriesc | 20 centers in USA | 364 centers in 25 countriesd | 49 centers in 6 countriese | 334 practices in Denmark, Netherlands, and UK | 788 sites in 26 countriesf | 898 sites in 48 countriesg | 19 hospitals in Swedish | 720 hospitals in 26 countriesh | 673 sites in 38 countriesi |
Study design | Randomized, Open label | Randomized, Open label | Randomized, Placebo-controlled | Factoria randomized trial | Randomized, 2 × 2 factorial design | Randomized, open label | Open label, permuted-block design | Randomized, open label | Randomized, 2by2 factorial design | Cluster-randomized, parallel-group trial | Randomized, double-blind, placebo-controlled | Randomized, double-blind | Randomized, open-label | Randomized, double blind, placebo controlled trial | Randomized, double blind, placebo controlled, event driven trial |
Number of patients | 3867 | 1704 | 5238 | 11,140 | 10,251 | 1115 | 1791 | 4447 | 2368 | 3055 | 16,492 | 5380 | 1240 | 7226 | 14,671 |
Duration of diabetes | Newly diagnosed | Newly diagnosed | 8 ± 6 | 8 ± 6† | 10 | 9 ± 7.2† | 11.5 ± 7.5† | 7 ± 4.8† | 10.4 ± 8.7 | Screened diabetes | 10.3 ± 2.8† | 7.2 ± 2.8† | 10.5 ± 5.4† | 8.6 ± 7.7 | 9.4 ± 2.6* |
Population | Newly diagnosed T2DM | Newly diagnosed T2DM | T2DM with macrovascular disease | T2DM, history of macrovascular or microvascular disease or at least one other CV risk factor | T2DM with established CVD or additional CV risk factors | T2DM after acute MI | T2DM | T2DM | T2DM and heart disease | Screen detected T2DM | T2DM with history of CV event or at risk for | T2DM with ACS within 15–90 before randomization | T2DM and acute MI | Type 2 diabetes with hospitalized for ACS | Type 2 diabetes with established cardiovascular disease |
Average follow up (years) | 10.1 | 10.7 | 2.9 | 5.0 | 3.5 | 2.6 | 5.6 | 5.5 | 5.3 | 5.3 | 2.1 | 18 months | 3.4 | 104 weeks | 3 |
Age | 54 (48–60)* | 53 ± 8.6† | 62 ± 8 | 66 ± 6 | 62 ± 7 | 61 ± 9.7 | 60 ± 9 | 58 ± 8 | 62 ± 9 | 60 ± 6.8 | 65 ± 8.5 | 61 | 67.5 ± 9.4 | 61 ± 10 | 66.0 ± 8.0 |
BMI (kg/m2) | 27.5 ± 5.2 | 31.7 ± 4.9† | 31 ± 5 | 28 ± 5 | 32 ± 6 | 29.1 ± 4.8† | 31 ± 4 | 31.5 ± 4.7† | 31.7 ± 6.0 | 31.6 ± 5.6 | 31.1 ± 5.6 | 28.7 ± 11.6 | 27.1 ± 4.3 | 28.6 ± 1.7 | 30.2 ± 5.7 |
HbA1c at baseline (100 %) | 7.1 ± 1.5 | 7.2 ± 1.5† | 7.9 ± 1.4 | 7.5 ± 1.6 | 8.3 ± 1.1 | 8.3 ± 1.5 | 9.4 ± 2.0 | 7.9 ± 0.7 | 7.7 ± 1.6 | 7.0 ± 1.6 | 8.0 ± 1.4 | 8.0 ± 1.1 | 8.0 ± 1.9 | 7.8 ± 1.7† | 7.3 ± 0.7 |
Intervention group | 7.0 ± 1.5* | 8.3 | 7.0 | 6.5 ± 0.99 | 6.4 ± 0.6 | 7.7 ± 0.1 | 6.9 ± 0.6* | 7.5 | 7.0 ± 1.2 | 6.6 ± 0.95 | 7.7 | 7.7 | 7.3 ± 1.9 | 7.03 | 7.1 |
Conventional group | 7.9 ± 1.4* | 8.8 | 7.6 | 7.2 ± 1.4 | 7.5 ± 0.7 | 7.8 ± 0.1 | 8.4 ± 1.1* | 7.8 | 7.5 ± 1.4 | 6.7 ± 0.95 | 7.9 | 8.0 | 7.6 | 7.77 | 7.5 |
Change in HbA1c‡ | 0.1 | −1.1 | 0.9 | 1.0 | 1.9 | 0.6 | 1.5 | 0.4 | 0.7 | 0.4 | 0.3 | 0.3 | 0.7 | 0.8 | 0.2 |