Medicine

Comparing how well and how safely different glucagon-like peptide 1 drugs treat type 2 diabetes

Updated

Abstract

Evidence from 12 studies involving 6213 patients indicates varying efficacy of glucagon-like peptide 1 receptor agonists (GLP-1RAs) on glycemic control.

  • Once-weekly GLP-1 receptor agonists significantly reduced hemoglobin A1c levels compared to placebo.
  • Semaglutide 2.0mg demonstrated the greatest glucose-lowering effect among the GLP-1RA regimens.
  • Other effective regimens included Semaglutide 1.0mg, Dulaglutide 4.5mg, and several lower doses of Semaglutide and Dulaglutide.
  • The GLP-1RA treatments showed a comparable safety profile regarding hypoglycemia.
  • All long-acting GLP-1RAs, except PEX168, had lower rates of gastrointestinal events like diarrhea, nausea, and vomiting compared to placebo.

Simplified

Key numbers

−0.74%
Reduction with Semaglutide 2.0 mg
Standardized mean difference compared to placebo.
−5.51 kg
Weight Loss with Semaglutide 2.0 mg
Standardized mean difference compared to placebo.
3.91
Incidence of Hypoglycemia
Odds ratio compared to placebo.

Full Text

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