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Comparison and Evaluation of Efficacy and Safety of Sitagliptin and Linagliptin in Adults With Type 2 Diabetes Mellitus: A Bayesian Network Meta-Analysis - PubMed

10 hours ago
  • #DPP-4 Inhibitors
  • #Type 2 Diabetes
  • #Network Meta-Analysis
  • A Bayesian network meta-analysis of 87 RCTs with 64,517 participants compares sitagliptin 100 mg/day and linagliptin 5 mg/day for adults with type 2 diabetes mellitus.
  • Both drugs significantly reduce HbA1c and fasting plasma glucose compared to placebo, with no significant differences in efficacy between them.
  • Safety profiles show no significant increase in adverse events for either drug versus placebo, and no significant differences in most safety outcomes between them.
  • The analysis included a primary analysis of 61 RCTs (28,715 participants) at 24-54 weeks, using Bayesian random-effects models and assessing bias and evidence certainty.
  • Conclusions indicate equivalent efficacy and safety for both drugs, with neither significantly superior to other included antidiabetic drugs for glycemic control.