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Table 8 Final classification of 11 interventions, based on NMA of interventions for patients with T2DM and CKD

From: Network meta-analysis on the effects of finerenone versus SGLT2 inhibitors and GLP-1 receptor agonists on cardiovascular and renal outcomes in patients with type 2 diabetes mellitus and chronic kidney disease

Certainty of the evidence

Category

Intervention

Intervention vs placebo

RR (95% CI)

Surface under the cumulative ranking curve

MACE

High certainty (moderate to high certainty evidence)

Category 2: among the most effective

Liraglutide

0.69 (0.58,0.82)

0.904

Category 1: inferior to the most effective, or superior to the least effective

Efpeglenatide

0.70 (0.53,0.93)

0.850

 

Sotagliflozin

0.76 (0.66,0.87)

0.773

 

Canagliflozin

0.78 (0.68,0.89)

0.732

 

Finerenone

0.88 (0.80,0.97)

0.484

Category 0: among the least effective

Semaglutide

0.83 (0.60,1.13)

0.589

 

Empagliflozin

0.58 (0.25,1.36)

0.456

 

Dapagliflozin

0.92 (0.77,1.11)

0.381

 

Albiglutide

0.93 (0.73,1.18)

0.374

 

Exenatide

1.03 (0.89,1.20)

0.151

 

Ertugliflozin

1.09 (0.87,1.38)

0.107

Low certainty (low to very low certainty evidence)

Category 0/1: might be among the most/least effective

–

–

–

Renal outcome

High certainty (moderate to high certainty evidence)

Category 2: among the most effective

Dapagliflozin

0.59 (0.48,0.74)

0.941

 

Empagliflozin

0.65 (0.55,0.78)

0.847

 

Canagliflozin

0.70 (0.58,0.83)

0.765

Category 1: inferior to the most effective, or superior to the least effective

Finerenone

0.86 (0.79,0.93)

0.437

Category 0: among the least effective

Sotagliflozin

0.82 (0.57,1.18)

0.489

 

Liraglutide

0.87 (0.71,1.08)

0.386

 

Dulaglutide

0.90 (0.77,1.16)

0.321

 

Exenatide

0.98 (0.70,1.37)

0.216

Low certainty (low to very low certainty evidence)

Category 0/1: might be among the most/least effective

–

–

–

HHF

High certainty (moderate to high certainty evidence)

Category 2: among the most effective

Ertugliflozin

0.51 (0.34,0.76)

0.863

Category 1: inferior to the most effective, or superior to the least effective

Empagliflozin

0.59 (0.40,0.88)

0.702

 

Dapagliflozin

0.56 (0.41,0.76)

0.785

 

Canagliflozin

0.60 (0.48,0.75)

0.703

 

Sotagliflozin

0.67 (0.52,0.85)

0.557

 

Liraglutide

0.73 (0.56,0.97)

0.427

 

Finerenone

0.79 (0.67,0.92)

0.327

Category 0: among the least effective

Exenatide

1.10 (0.83,1.46)

0.040

Low certainty (low to very low certainty evidence)

Category 0/1: might be among the most/least effective

–

–

–

ACD

High certainty (moderate to high certainty evidence)

Category 1: among the most effective

Liraglutide

0.76 (0.62,0.93)

0.872

 

Dapagliflozin

0.81 (0.66,0.98)

0.769

Category 0: among the least effective

Canagliflozin

0.83 (0.69,1.02)

0.700

 

Empagliflozin

0.85 (0.58,1.42)

0.624

 

Finerenone

0.90 (0.80,1.00)

0.553

 

Sotagliflozin

0.99 (0.83,1.17)

0.315

 

Exenatide

1.01 (0.84,1.22)

0.258

 

Ertugliflozin

1.16 (0.75,1.79)

0.156

Low certainty (low to very low certainty evidence)

Category 0/1: might be among the most/least effective

–

–

–

CVD

High certainty (moderate to high certainty evidence)

Category 1: among the most effective

Liraglutide

0.69 (0.52,0.90)

0.907

Category 0: among the least effective

Empagliflozin

0.78 (0.55,1.11)

0.704

 

Dapagliflozin

0.85 (0.65,1.13)

0.565

 

Canagliflozin

0.87 (0.71,1.05)

0.554

 

Finerenone

0.88 (0.76,1.02)

0.510

 

Ertugliflozin

0.88 (0.66,1.18)

0.507

 

Sotagliflozin

0.89 (0.72,1.10)

0.484

 

Exenatide

1.10 (0.87,1.39)

0.091

Low certainty (low to very low certainty evidence)

Category 0/1: might be among the most/least effective

–

–

–