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A comparative safety review between GLP-1 receptor agonists and SGLT2 inhibitors for diabetes treatment.

Expert opinion on drug safety
March 1, 2018
Agostino Consoli et al. (4 authors)
Comparative StudyJournal ArticleReviewHuman Study
Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Glucagon-like peptide-1 receptor agonists (GLP-1RA)
decrease
HbA1c
patients with type 2 diabetes
-
efficacy in reducing
#1
Glucagon-like peptide-1 receptor agonists (GLP-1RA)
decrease
body weight
patients with type 2 diabetes
-
positive effects on
#2
Glucagon-like peptide-1 receptor agonists (GLP-1RA)
decrease
blood pressure
patients with type 2 diabetes
-
positive effects on
#3
Glucagon-like peptide-1 receptor agonists (GLP-1RA)
neutral
cardiovascular risk
patients with type 2 diabetes
-
effects on
#4
Glucagon-like peptide-1 receptor agonists (GLP-1RA)
neutral
nephroprotection
patients with type 2 diabetes
-
effects on
#5
Sodium glucose cotransporter 2 inhibitors (SGLT2i)
decrease
HbA1c
patients with type 2 diabetes
-
efficacy in reducing
#6
Sodium glucose cotransporter 2 inhibitors (SGLT2i)
decrease
body weight
patients with type 2 diabetes
-
positive effects on
#7
Sodium glucose cotransporter 2 inhibitors (SGLT2i)
decrease
blood pressure
patients with type 2 diabetes
-
positive effects on
#8
Sodium glucose cotransporter 2 inhibitors (SGLT2i)
neutral
cardiovascular risk
patients with type 2 diabetes
-
effects on
#9
Sodium glucose cotransporter 2 inhibitors (SGLT2i)
neutral
nephroprotection
patients with type 2 diabetes
-
effects on
#10
GLP-1RA and SGLT2i
no change
safety profile
-
-
share a 'similar' safety profile
#11
GLP-1RA and SGLT2i
increase
ease of handling
-
-
are both drugs relatively easy to handle
#12
molecules of both classes
increase
cardio and nephroprotective effects
-
-
demonstrated cardio and nephroprotective effects
#13
Abstract

INTRODUCTION: Glucagon-like peptide-1 receptor agonists (GLP-1RA) and sodium glucose cotransporter 2 inhibitors (SGLT2i) are of particular interest in type 2 diabetes treatment strategies, due to their efficacy in reducing HbA1c with a low risk of hypoglycaemia, to their positive effects on body weight and blood pressure and in light of their effects on cardiovascular risk and on nephroprotection emerged from the most recent cardiovascular outcome trials. Since it is therefore very likely that GLP-1RA and SGLT2i use will become more and more common, it is more and more important to gather and discuss information about their safety profile. AREAS COVERED: Adverse events and the safety concerns most often emerged in trials with GLP-1RA namely, exenatide long acting release (LAR), dulaglutide, liraglutide, semaglutide, lixisenatide or SGLT2i, namely empagliflozin, dapagliflozin, canagliflozin and SGLT2i with an attempt at comparing the safety profiles of molecules of these two classes. EXPERT OPINION: GLP-1RA and SGLT2i, although each associated with different specific side effects, share a 'similar' safety profile and are both drugs relatively easy to handle. The potentially complementary mechanisms of action, the cardio and nephroprotective effects demonstrated by molecules of both classes, make these drugs potentially useful even in add on to each other.

Medical Subject Headings (MeSH)
Diabetes Mellitus, Type 2Glycated HemoglobinHumansHypoglycemiaHypoglycemic AgentsSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 InhibitorsGlucagon-Like Peptide-1 Receptor Agonists
Study Links
PubMed ID29334278
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A comparative safety review between GLP-1 receptor agonists ... | Panacea Index