Glucagon-like peptide-1 receptor agonists and risk of acute pancreatitis in patients with type 2 diabetes
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Glucagon-like peptide-1 receptor agonists and risk of acute pancreatitis in patients with type 2 diabetes. / Storgaard, Heidi; Cold, Frederik; Gluud, Lise L; Lauritsen, Tina Vilsbøll; Knop, Filip K.
I: Diabetes, Obesity and Metabolism, Bind 19, Nr. 6, 06.2017, s. 906-908.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Glucagon-like peptide-1 receptor agonists and risk of acute pancreatitis in patients with type 2 diabetes
AU - Storgaard, Heidi
AU - Cold, Frederik
AU - Gluud, Lise L
AU - Lauritsen, Tina Vilsbøll
AU - Knop, Filip K
N1 - © 2017 John Wiley & Sons Ltd.
PY - 2017/6
Y1 - 2017/6
N2 - Glucagon-like peptide-1 receptor agonist (GLP-1RAs) labels warn about acute pancreatitis (AP) and impose upon doctors the obligation to inform patients about symptoms of AP. Here we systematically reviewed the risk of AP in randomized placebo-controlled trials (RCTs) investigating the effect of GLP-1RAs in type 2 diabetes. We performed a systematic review with meta-analysis of long-term (minimum 24 months), placebo-controlled GLP-1RA RCTs in which AP was a predefined adverse event and adjudicated by blinded and independent adjudicating committees. Three high-quality RCTs included a total of 9347 GLP-1RA-treated and 9353 placebo-treated patients with type 2 diabetes. Compared to placebo, treatment with GLP1-RA was not associated with increased risk of AP (Peto odds ratio 0.745 [95% CI, 0.47-1.17]). Trial Sequential Analysis suggested that additional evidence is needed. In conclusion, this review found no evidence that treatment with GLP-1RA increases the risk of AP in patients with type 2 diabetes.
AB - Glucagon-like peptide-1 receptor agonist (GLP-1RAs) labels warn about acute pancreatitis (AP) and impose upon doctors the obligation to inform patients about symptoms of AP. Here we systematically reviewed the risk of AP in randomized placebo-controlled trials (RCTs) investigating the effect of GLP-1RAs in type 2 diabetes. We performed a systematic review with meta-analysis of long-term (minimum 24 months), placebo-controlled GLP-1RA RCTs in which AP was a predefined adverse event and adjudicated by blinded and independent adjudicating committees. Three high-quality RCTs included a total of 9347 GLP-1RA-treated and 9353 placebo-treated patients with type 2 diabetes. Compared to placebo, treatment with GLP1-RA was not associated with increased risk of AP (Peto odds ratio 0.745 [95% CI, 0.47-1.17]). Trial Sequential Analysis suggested that additional evidence is needed. In conclusion, this review found no evidence that treatment with GLP-1RA increases the risk of AP in patients with type 2 diabetes.
KW - Journal Article
U2 - 10.1111/dom.12885
DO - 10.1111/dom.12885
M3 - Journal article
C2 - 28105738
VL - 19
SP - 906
EP - 908
JO - Diabetes, Obesity and Metabolism
JF - Diabetes, Obesity and Metabolism
SN - 1462-8902
IS - 6
ER -
ID: 174430923