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Table 2 Network meta-analysis of efficacy and safety outcomes of new antidiabetic drug classes using random-effects model

From: Cardiovascular outcomes in trials of new antidiabetic drug classes: a network meta-analysis

MACE

 GLP-1 RA

1.01 (0.92–1.12)

1.14 (1.04–1.26)

1.14 (1.07–1.22)

 0.99 (0.89–1.09)

SGLT-2 inhibitor

1.13 (1.02–1.25)

1.13 (1.05–1.22)

 0.88 (0.80–0.96)

0.89 (0.80–0.98)

DPP-4 inhibitor

1.00 (0.94–1.07)

 0.87 (0.82–0.93)

0.88 (0.82–0.95)

1.00 (0.93–1.07)

Placebo

Nonfatal myocardial infarction

 GLP-1 RA

1.04 (0.88–1.23)

1.13 (0.97–1.32)

1.11 (1.00–1.24)

 0.96 (0.81–1.13)

SGLT-2 inhibitor

1.08 (0.91–1.29)

1.07 (0.94–1.22)

 0.88 (0.78–1.04)

0.92 (0.77–1.10)

DPP-4 inhibitor

0.98 (0.88–1.11)

 0.90 (0.81–1.00)

0.94 (0.82–1.07)

1.02 (0.90–1.14)

Placebo

Nonfatal stroke

 GLP-1 RA

1.17 (0.98–1.41)

1.12 (0.93–1.35)

1.14 (1.01–1.29)

 0.85 (0.71–1.02)

SGLT-2 inhibitor

0.95 (0.79–1.16)

0.97 (0.85–1.11)

 0.89 (0.74–1.08)

1.05 (0.87–1.27)

DPP-4 inhibitor

1.02 (0.89–1.18)

 0.88 (0.77–0.99)

1.03 (0.90–1.17)

0.98 (0.85–1.13)

Placebo

Cardiovascular mortality

 GLP-1 RA

0.93 (0.78–1.11)

1.11 (0.93–1.33)

1.13 (0.99–1.28)

 1.08 (0.90–1.29)

SGLT-2 inhibitor

1.20 (1.01–1.42)

1.22 (1.08–1.38)

 0.90 (0.75–1.07)

0.83 (0.70–0.99)

DPP-4 inhibitor

1.02 (0.90–1.15)

 0.89 (0.78–1.01)

0.82 (0.73–0.93)

0.98 (0.87–1.11)

Placebo

All-cause mortality

 GLP-1 RA

0.93 (0.82–1.06)

1.13 (0.99–1.28)

1.11 (1.02–1.22)

 1.07 (0.94–1.22)

SGLT-2 inhibitor

1.20 (1.06–1.37)

1.19 (1.09–1.30)

 0.89 (0.78–1.01)

0.83 (0.73–0.94)

DPP-4 inhibitor

0.99 (0.91–1.08)

 0.90 (0.82–0.99)

0.84 (0.77–0.92)

1.01 (0.93–1.10)

Placebo

Hospitalisation for heart failure

 GLP-1 RA

0.79 (0.69–0.90)

1.22 (1.08–1.37)

1.15 (1.08–1.22)

 1.27 (1.11–1.45)

SGLT-2 inhibitor

1.55 (1.33–1.81)

1.46 (1.30–1.64)

 0.82 (0.73–0.92)

0.64 (0.55–0.75)

DPP-4 inhibitor

0.94 (0.85–1.04)

 0.87 (0.82–0.93)

0.68 (0.61–0.77)

1.06 (0.96–1.18)

Placebo

Renal composite outcome

 GLP-1 RA

0.69 (0.59–0.80)

1.16 (1.03–1.31)

1.16 (1.06–1.27)

 1.46 (1.25–1.70)

SGLT-2 inhibitor

1.69 (1.46–1.96)

1.70 (1.50–1.91)

 0.86 (0.76–0.98)

0.59 (0.51–0.69)

DPP-4 inhibitor

1.00 (0.92–1.09)

 0.86 (0.78–0.94)

0.59 (0.52–0.67)

1.00 (0.92–1.08)

Placebo

  1. DPP-4: dipeptidyl peptidase-4; GLP-1: glucagon-like peptide-1; MACE: major adverse cardiovascular events (defined as the composite of cardiovascular mortality, nonfatal myocardial infarction and nonfatal stroke); RA: receptor agonist; SGLT-2: sodium-glucose co-transporter 2
  2. Comparisons should be read from left to right. Results are the odds ratios (95% confidence interval) in the column-defining therapy compared with the odds ratios in the row-defining therapy. For efficacy and safety, odds ratio < 1 favours the column-defining therapy. Significant results are shown in italic