LivingGLP1
Network meta-analysis

Body weight change in kilograms (diabetes)

Type 2 diabetes (adults); background therapy: one or more non insulin glucose lowering drugs

weeks 20 to 36 (target week 26)Not stated by the trialsDoses of a drug pooledMean difference
50
Randomized trials
28
Treatments
20,644
Participants
111
Trial arms

In plain language

Across 50 trials with 20,644 participants, 7 of 27 treatments had a clearly better result than placebo on body weight change in kilograms (diabetes), 8 a clearly worse one, and for 12 the evidence could not tell them apart from placebo. The most favorable estimate was for Polyethylene glycol loxenatide injection: mean difference -11.69 kg (95% credible interval -15.59 to -7.78).

Lower values favor the treatment. "Clearly" means the 95% credible interval excludes no difference. These are averages across trials; they do not say how any one person will respond. Not medical advice.

Network of trials

Each circle is a treatment; each line joins treatments that were randomized against each other in at least one trial.
BEIN_SCCOTA_SCDULA_SCEXENER_SCEXENROSI_SCEXEN_SCGLIMEPIRIDEGLP1RE_SCIDEGLIRA_SCIGLARLIXI_SCINS_DEGLUDECINS_DETEMIRINS_GLARGINEINS_PREMIXLIRA_SCLIXI_SCOTHER_ACTIVE_sulfonylureaOTHER_ACTIVE_testosteronePEGLOX_SCPIOGLITAZONEPLACEBOROSIGLITAZONESEMA_SCSITAGLIPTINSTANDARD_CARETASP_SCTIRZ_SCVISEPE_SC
Node area shows participants; line width shows trials comparing two treatments directly. Blue: GLP-1 receptor agonist containing treatments; grey: comparators. Hover over or tab to a node or line for details.

Effects compared with Placebo

Mean difference in kg. Lower values favor the treatment.
-15-10-50510← favors treatmentfavors reference →Polyethylene glycol loxenatide i…Tirzepatide injectionSemaglutide injectionBeinaglutide injectionGLP-1 receptor agonist (liraglut…Cotadutide injectionExenatide injectionLiraglutide injectionTaspoglutide injectionLixisenatide injectionExenatide extended release injec…Dulaglutide injectionVisepegenatide injectionExenatide and rosiglitazone inje…SitagliptinInsulin glargine with lixisenati…Insulin degludec with liraglutid…Standard care or no added treatm…Insulin glargineGlimepirideInsulin degludecPremixed insulinInsulin detemirSulfonylureaRosiglitazoneTestosteronePioglitazone
Versus Placebo. Blue: Bayesian random effects posterior median with 95% credible interval (thick) and 95% prediction interval (dashed). Amber diamond: frequentist estimate with 95% confidence interval. Hover over or tab to a row for its values.
Effects of each treatment versus Placebo
TreatmentBayesian MD (95% CrI)95% prediction intervalFrequentist MD (95% CI)Verdict
Polyethylene glycol loxenatide injection
PEGLOX_SC
-11.69 (-15.59 to -7.78)-16.10 to -7.26-11.99 (-15.92 to -8.06)Better
Tirzepatide injection
TIRZ_SC
-9.53 (-12.38 to -6.61)-12.98 to -5.96-9.72 (-12.54 to -6.90)Better
Semaglutide injection
SEMA_SC
-4.31 (-5.60 to -3.09)-6.73 to -1.95-4.35 (-5.55 to -3.16)Better
Beinaglutide injection
BEIN_SC
-2.78 (-8.92 to 3.27)-9.21 to 3.57-3.82 (-10.13 to 2.49)Unclear
GLP-1 receptor agonist (liraglutide, exenatide, exenatide ER, albiglutide or dulaglutide) injection
GLP1RE_SC
-2.32 (-5.21 to 0.66)-5.84 to 1.32-2.32 (-5.21 to 0.57)Unclear
Cotadutide injection
COTA_SC
-2.24 (-4.14 to -0.26)-5.12 to 0.69-2.25 (-4.11 to -0.38)Better
Exenatide injection
EXEN_SC
-1.47 (-2.41 to -0.55)-3.74 to 0.75-1.52 (-2.42 to -0.61)Better
Liraglutide injection
LIRA_SC
-1.27 (-2.05 to -0.52)-3.50 to 0.91-1.27 (-2.01 to -0.54)Better
Taspoglutide injection
TASP_SC
-1.23 (-2.78 to 0.27)-3.86 to 1.33-1.28 (-2.76 to 0.20)Unclear
Lixisenatide injection
LIXI_SC
-1.16 (-2.72 to 0.47)-3.76 to 1.54-1.15 (-2.71 to 0.40)Unclear
Exenatide extended release injection
EXENER_SC
-0.98 (-2.01 to -0.03)-3.38 to 1.26-1.00 (-1.94 to -0.05)Better
Dulaglutide injection
DULA_SC
-0.66 (-2.25 to 0.89)-3.28 to 1.91-0.64 (-2.12 to 0.84)Unclear
Visepegenatide injection
VISEPE_SC
0.11 (-1.97 to 2.19)-2.81 to 3.020.11 (-1.87 to 2.09)Unclear
Exenatide and rosiglitazone injection
EXENROSI_SC
0.12 (-2.53 to 2.76)-3.29 to 3.470.08 (-2.47 to 2.64)Unclear
Sitagliptin
SITAGLIPTIN
0.27 (-0.64 to 1.21)-2.00 to 2.610.27 (-0.62 to 1.17)Unclear
Insulin glargine with lixisenatide injection
IGLARLIXI_SC
0.79 (-1.30 to 2.84)-2.21 to 3.650.78 (-1.23 to 2.79)Unclear
Insulin degludec with liraglutide injection
IDEGLIRA_SC
1.09 (-0.25 to 2.40)-1.36 to 3.531.11 (-0.13 to 2.35)Unclear
Standard care or no added treatment
STANDARD_CARE
1.60 (-1.46 to 4.62)-2.09 to 5.381.66 (-1.31 to 4.63)Unclear
Insulin glargine
INS_GLARGINE
2.13 (1.25 to 3.02)-0.09 to 4.362.13 (1.28 to 2.98)Worse
Glimepiride
GLIMEPIRIDE
2.29 (0.41 to 4.15)-0.54 to 5.052.30 (0.50 to 4.10)Worse
Insulin degludec
INS_DEGLUDEC
2.32 (0.31 to 4.39)-0.55 to 5.292.36 (0.43 to 4.30)Worse
Premixed insulin
INS_PREMIX
2.47 (0.23 to 4.55)-0.67 to 5.342.27 (0.22 to 4.32)Worse
Insulin detemir
INS_DETEMIR
2.50 (0.04 to 5.00)-0.80 to 5.712.50 (0.13 to 4.87)Worse
Sulfonylurea
OTHER_ACTIVE_sulfonylurea
2.63 (0.42 to 4.86)-0.44 to 5.722.67 (0.51 to 4.83)Worse
Rosiglitazone
ROSIGLITAZONE
2.81 (0.20 to 5.39)-0.42 to 6.122.78 (0.23 to 5.34)Worse
Testosterone
OTHER_ACTIVE_testosterone
3.33 (-2.47 to 9.23)-2.79 to 9.523.58 (-2.41 to 9.57)Unclear
Pioglitazone
PIOGLITAZONE
3.94 (1.78 to 6.08)1.05 to 6.853.97 (1.96 to 5.97)Worse

Ranking

How likely each treatment is to be among the best. Rankings ignore the size of differences and their certainty, so read them with the effects above.

League table

Every treatment against every other: mean difference of the row treatment versus the column treatment, posterior median and 95% credible interval. Green: row clearly better; red: row clearly worse.
Every treatment in a row compared with every treatment in a column
Row versus columnPLACEBOPEGLOX_SCTIRZ_SCSEMA_SCBEIN_SCGLP1RE_SCCOTA_SCEXEN_SCLIRA_SCTASP_SCLIXI_SCEXENER_SCDULA_SCVISEPE_SCEXENROSI_SCSITAGLIPTINIGLARLIXI_SCIDEGLIRA_SCSTANDARD_CAREINS_GLARGINEGLIMEPIRIDEINS_DEGLUDECINS_PREMIXINS_DETEMIROTHER_ACTIVE_sulfonylureaROSIGLITAZONEOTHER_ACTIVE_testosteronePIOGLITAZONE
PLACEBOPLACEBO11.69
7.78 to 15.59
9.53
6.61 to 12.38
4.31
3.09 to 5.60
2.78
-3.27 to 8.92
2.32
-0.66 to 5.21
2.24
0.26 to 4.14
1.47
0.55 to 2.41
1.27
0.52 to 2.05
1.23
-0.27 to 2.78
1.16
-0.47 to 2.72
0.98
0.03 to 2.01
0.66
-0.89 to 2.25
-0.11
-2.19 to 1.97
-0.12
-2.76 to 2.53
-0.27
-1.21 to 0.64
-0.79
-2.84 to 1.30
-1.09
-2.40 to 0.25
-1.60
-4.62 to 1.46
-2.13
-3.02 to -1.25
-2.29
-4.15 to -0.41
-2.32
-4.39 to -0.31
-2.47
-4.55 to -0.23
-2.50
-5.00 to -0.04
-2.63
-4.86 to -0.42
-2.81
-5.39 to -0.20
-3.33
-9.23 to 2.47
-3.94
-6.08 to -1.78
PEGLOX_SC-11.69
-15.59 to -7.78
PEGLOX_SC-2.21
-6.99 to 2.77
-7.38
-11.44 to -3.20
-8.91
-15.94 to -1.67
-9.37
-14.07 to -4.61
-9.47
-13.82 to -5.11
-10.22
-14.21 to -6.19
-10.43
-14.36 to -6.41
-10.47
-14.63 to -6.24
-10.58
-14.75 to -6.31
-10.70
-14.72 to -6.61
-11.05
-15.18 to -6.80
-11.80
-16.17 to -7.30
-11.81
-16.40 to -7.12
-11.97
-15.95 to -7.92
-12.46
-16.76 to -8.15
-12.81
-16.84 to -8.66
-13.34
-18.18 to -8.30
-13.84
-17.80 to -9.80
-13.98
-18.29 to -9.64
-13.99
-18.40 to -9.65
-14.18
-18.46 to -9.59
-14.20
-18.86 to -9.55
-14.33
-18.77 to -9.87
-14.51
-19.16 to -9.80
-15.04
-22.14 to -8.03
-15.63
-20.11 to -11.16
TIRZ_SC-9.53
-12.38 to -6.61
2.21
-2.77 to 6.99
TIRZ_SC-5.16
-7.97 to -2.34
-6.70
-13.22 to 0.02
-7.21
-11.36 to -3.03
-7.25
-10.81 to -3.85
-8.01
-11.04 to -5.05
-8.24
-11.16 to -5.27
-8.27
-11.45 to -5.07
-8.37
-11.60 to -5.18
-8.52
-11.50 to -5.50
-8.85
-12.12 to -5.60
-9.62
-13.10 to -6.05
-9.64
-13.52 to -5.74
-9.78
-12.71 to -6.84
-10.32
-13.74 to -6.71
-10.59
-13.75 to -7.44
-11.13
-15.26 to -6.98
-11.64
-14.56 to -8.72
-11.80
-15.15 to -8.37
-11.87
-15.33 to -8.37
-11.93
-15.45 to -8.38
-12.00
-15.78 to -8.18
-12.11
-15.81 to -8.47
-12.31
-16.09 to -8.48
-12.86
-19.24 to -6.52
-13.46
-16.94 to -9.89
SEMA_SC-4.31
-5.60 to -3.09
7.38
3.20 to 11.44
5.16
2.34 to 7.97
SEMA_SC-1.56
-7.67 to 4.65
-2.03
-5.29 to 1.07
-2.09
-4.39 to 0.17
-2.85
-4.30 to -1.41
-3.05
-4.34 to -1.78
-3.10
-5.04 to -1.18
-3.17
-5.19 to -1.24
-3.35
-4.78 to -1.88
-3.68
-5.57 to -1.79
-4.41
-6.88 to -1.98
-4.41
-7.30 to -1.63
-4.60
-6.03 to -3.16
-5.10
-7.55 to -2.74
-5.41
-7.14 to -3.67
-5.95
-9.10 to -2.66
-6.46
-7.79 to -5.17
-6.59
-8.86 to -4.42
-6.64
-9.03 to -4.34
-6.79
-9.08 to -4.39
-6.82
-9.50 to -4.13
-6.96
-9.45 to -4.55
-7.12
-9.94 to -4.30
-7.66
-13.36 to -1.94
-8.26
-10.63 to -5.88
BEIN_SC-2.78
-8.92 to 3.27
8.91
1.67 to 15.94
6.70
-0.02 to 13.22
1.56
-4.65 to 7.67
BEIN_SC-0.50
-7.32 to 6.21
-0.54
-7.04 to 5.74
-1.34
-7.38 to 4.70
-1.53
-7.63 to 4.49
-1.54
-7.78 to 4.64
-1.63
-7.93 to 4.61
-1.82
-7.93 to 4.25
-2.13
-8.47 to 4.01
-2.93
-9.38 to 3.53
-2.86
-9.49 to 3.54
-3.06
-9.24 to 3.01
-3.58
-10.05 to 2.75
-3.86
-10.12 to 2.24
-4.44
-11.27 to 2.42
-4.93
-11.08 to 1.15
-5.02
-11.55 to 1.26
-5.13
-11.39 to 1.16
-5.27
-10.90 to 0.63
-5.28
-11.78 to 1.21
-5.45
-12.07 to 0.95
-5.56
-12.28 to 0.91
-6.15
-14.65 to 2.13
-6.72
-13.13 to -0.36
GLP1RE_SC-2.32
-5.21 to 0.66
9.37
4.61 to 14.07
7.21
3.03 to 11.36
2.03
-1.07 to 5.29
0.50
-6.21 to 7.32
GLP1RE_SC-0.06
-3.59 to 3.46
-0.83
-3.87 to 2.22
-1.03
-4.00 to 1.98
-1.09
-4.35 to 2.24
-1.18
-4.10 to 1.80
-1.34
-4.30 to 1.74
-1.70
-4.83 to 1.71
-2.44
-5.94 to 1.12
-2.41
-6.26 to 1.43
-2.58
-5.61 to 0.45
-3.09
-5.25 to -0.92
-3.40
-6.55 to -0.14
-3.92
-8.03 to 0.40
-4.45
-7.32 to -1.48
-4.60
-8.03 to -1.11
-4.63
-8.11 to -1.16
-4.77
-8.29 to -1.04
-4.84
-8.48 to -0.94
-4.96
-8.63 to -1.25
-5.09
-9.06 to -1.32
-5.62
-12.16 to 0.81
-6.24
-9.80 to -2.65
COTA_SC-2.24
-4.14 to -0.26
9.47
5.11 to 13.82
7.25
3.85 to 10.81
2.09
-0.17 to 4.39
0.54
-5.74 to 7.04
0.06
-3.46 to 3.59
COTA_SC-0.78
-2.83 to 1.37
-0.96
-2.87 to 1.00
-0.99
-3.44 to 1.42
-1.08
-3.59 to 1.44
-1.26
-3.30 to 0.85
-1.60
-4.06 to 0.95
-2.37
-5.18 to 0.54
-2.34
-5.60 to 0.94
-2.52
-4.57 to -0.41
-3.02
-5.76 to -0.17
-3.33
-5.61 to -1.01
-3.86
-7.35 to -0.26
-4.36
-6.46 to -2.28
-4.51
-7.17 to -1.79
-4.54
-7.28 to -1.84
-4.70
-7.46 to -1.69
-4.74
-7.81 to -1.56
-4.87
-7.67 to -1.98
-5.05
-8.21 to -1.80
-5.61
-11.84 to 0.55
-6.19
-8.95 to -3.35
EXEN_SC-1.47
-2.41 to -0.55
10.22
6.19 to 14.21
8.01
5.05 to 11.04
2.85
1.41 to 4.30
1.34
-4.70 to 7.38
0.83
-2.22 to 3.87
0.78
-1.37 to 2.83
EXEN_SC-0.20
-1.21 to 0.78
-0.25
-1.74 to 1.33
-0.33
-2.13 to 1.46
-0.49
-1.48 to 0.55
-0.82
-2.56 to 0.96
-1.58
-3.89 to 0.69
-1.58
-4.00 to 0.84
-1.75
-2.82 to -0.65
-2.25
-4.43 to -0.07
-2.56
-4.07 to -1.04
-3.11
-6.22 to 0.05
-3.60
-4.61 to -2.60
-3.77
-5.77 to -1.71
-3.79
-6.03 to -1.60
-3.94
-5.83 to -1.93
-3.99
-6.41 to -1.49
-4.10
-6.43 to -1.78
-4.29
-6.77 to -1.87
-4.83
-10.73 to 1.06
-5.42
-7.54 to -3.27
LIRA_SC-1.27
-2.05 to -0.52
10.43
6.41 to 14.36
8.24
5.27 to 11.16
3.05
1.78 to 4.34
1.53
-4.49 to 7.63
1.03
-1.98 to 4.00
0.96
-1.00 to 2.87
0.20
-0.78 to 1.21
LIRA_SC-0.03
-1.60 to 1.55
-0.12
-1.85 to 1.56
-0.29
-1.23 to 0.67
-0.61
-2.26 to 1.03
-1.38
-3.60 to 0.82
-1.38
-4.04 to 1.26
-1.54
-2.33 to -0.76
-2.07
-4.18 to 0.07
-2.37
-3.70 to -0.98
-2.89
-5.90 to 0.22
-3.40
-4.26 to -2.54
-3.56
-5.45 to -1.68
-3.59
-5.57 to -1.58
-3.75
-5.81 to -1.48
-3.78
-6.22 to -1.31
-3.91
-6.00 to -1.80
-4.08
-6.69 to -1.50
-4.60
-10.55 to 1.11
-5.22
-7.19 to -3.09
TASP_SC-1.23
-2.78 to 0.27
10.47
6.24 to 14.63
8.27
5.07 to 11.45
3.10
1.18 to 5.04
1.54
-4.64 to 7.78
1.09
-2.24 to 4.35
0.99
-1.42 to 3.44
0.25
-1.33 to 1.74
0.03
-1.55 to 1.60
TASP_SC-0.10
-2.29 to 2.08
-0.23
-1.92 to 1.40
-0.59
-2.69 to 1.59
-1.36
-3.94 to 1.22
-1.34
-4.29 to 1.49
-1.52
-3.07 to 0.09
-2.02
-4.52 to 0.52
-2.32
-4.31 to -0.33
-2.86
-6.20 to 0.54
-3.37
-5.00 to -1.78
-3.52
-5.84 to -1.18
-3.55
-6.09 to -1.09
-3.72
-6.10 to -1.16
-3.74
-6.59 to -0.84
-3.88
-6.50 to -1.20
-4.05
-7.02 to -1.23
-4.60
-10.68 to 1.42
-5.19
-7.67 to -2.71
LIXI_SC-1.16
-2.72 to 0.47
10.58
6.31 to 14.75
8.37
5.18 to 11.60
3.17
1.24 to 5.19
1.63
-4.61 to 7.93
1.18
-1.80 to 4.10
1.08
-1.44 to 3.59
0.33
-1.46 to 2.13
0.12
-1.56 to 1.85
0.10
-2.08 to 2.29
LIXI_SC-0.16
-1.92 to 1.68
-0.48
-2.63 to 1.74
-1.25
-3.89 to 1.36
-1.25
-4.34 to 1.75
-1.42
-3.20 to 0.44
-1.94
-3.97 to 0.13
-2.23
-4.16 to -0.15
-2.77
-6.13 to 0.62
-3.28
-4.84 to -1.65
-3.44
-5.82 to -1.00
-3.46
-5.99 to -0.92
-3.63
-6.20 to -0.87
-3.67
-6.54 to -0.65
-3.79
-6.57 to -1.03
-3.96
-7.01 to -0.94
-4.48
-10.63 to 1.57
-5.08
-7.72 to -2.44
EXENER_SC-0.98
-2.01 to -0.03
10.70
6.61 to 14.72
8.52
5.50 to 11.50
3.35
1.88 to 4.78
1.82
-4.25 to 7.93
1.34
-1.74 to 4.30
1.26
-0.85 to 3.30
0.49
-0.55 to 1.48
0.29
-0.67 to 1.23
0.23
-1.40 to 1.92
0.16
-1.68 to 1.92
EXENER_SC-0.33
-2.05 to 1.41
-1.10
-3.47 to 1.17
-1.10
-3.75 to 1.54
-1.26
-2.27 to -0.22
-1.77
-3.90 to 0.46
-2.07
-3.62 to -0.57
-2.60
-5.68 to 0.51
-3.11
-4.11 to -2.18
-3.27
-5.34 to -1.27
-3.31
-5.49 to -1.16
-3.45
-5.54 to -1.24
-3.48
-5.78 to -1.20
-3.61
-5.96 to -1.31
-3.82
-6.50 to -1.17
-4.31
-10.29 to 1.49
-4.93
-6.92 to -2.91
DULA_SC-0.66
-2.25 to 0.89
11.05
6.80 to 15.18
8.85
5.60 to 12.12
3.68
1.79 to 5.57
2.13
-4.01 to 8.47
1.70
-1.71 to 4.83
1.60
-0.95 to 4.06
0.82
-0.96 to 2.56
0.61
-1.03 to 2.26
0.59
-1.59 to 2.69
0.48
-1.74 to 2.63
0.33
-1.41 to 2.05
DULA_SC-0.78
-3.41 to 1.85
-0.78
-3.82 to 2.24
-0.94
-2.66 to 0.80
-1.45
-3.92 to 1.08
-1.73
-3.73 to 0.24
-2.27
-4.87 to 0.34
-2.79
-4.35 to -1.24
-2.95
-5.34 to -0.57
-2.98
-5.53 to -0.51
-3.15
-5.65 to -0.36
-3.16
-6.00 to -0.25
-3.28
-6.01 to -0.58
-3.43
-6.49 to -0.49
-4.01
-10.10 to 2.07
-4.61
-7.07 to -2.01
VISEPE_SC0.11
-1.97 to 2.19
11.80
7.30 to 16.17
9.62
6.05 to 13.10
4.41
1.98 to 6.88
2.93
-3.53 to 9.38
2.44
-1.12 to 5.94
2.37
-0.54 to 5.18
1.58
-0.69 to 3.89
1.38
-0.82 to 3.60
1.36
-1.22 to 3.94
1.25
-1.36 to 3.89
1.10
-1.17 to 3.47
0.78
-1.85 to 3.41
VISEPE_SC0.01
-3.40 to 3.30
-0.17
-2.44 to 2.12
-0.67
-3.59 to 2.31
-0.98
-3.47 to 1.51
-1.50
-5.09 to 2.23
-2.04
-4.27 to 0.25
-2.16
-5.00 to 0.58
-2.20
-5.16 to 0.77
-2.38
-5.24 to 0.71
-2.39
-5.57 to 0.92
-2.51
-5.64 to 0.55
-2.71
-6.00 to 0.70
-3.27
-9.43 to 2.95
-3.85
-6.77 to -0.82
EXENROSI_SC0.12
-2.53 to 2.76
11.81
7.12 to 16.40
9.64
5.74 to 13.52
4.41
1.63 to 7.30
2.86
-3.54 to 9.49
2.41
-1.43 to 6.26
2.34
-0.94 to 5.60
1.58
-0.84 to 4.00
1.38
-1.26 to 4.04
1.34
-1.49 to 4.29
1.25
-1.75 to 4.34
1.10
-1.54 to 3.75
0.78
-2.24 to 3.82
-0.01
-3.30 to 3.40
EXENROSI_SC-0.16
-2.83 to 2.52
-0.67
-3.88 to 2.70
-0.97
-3.84 to 1.84
-1.50
-5.47 to 2.53
-2.02
-4.64 to 0.65
-2.16
-5.39 to 0.96
-2.19
-5.49 to 1.08
-2.38
-5.43 to 0.82
-2.37
-5.86 to 1.09
-2.51
-5.87 to 0.83
-2.71
-5.15 to -0.27
-3.25
-9.57 to 3.15
-3.80
-7.10 to -0.61
SITAGLIPTIN0.27
-0.64 to 1.21
11.97
7.92 to 15.95
9.78
6.84 to 12.71
4.60
3.16 to 6.03
3.06
-3.01 to 9.24
2.58
-0.45 to 5.61
2.52
0.41 to 4.57
1.75
0.65 to 2.82
1.54
0.76 to 2.33
1.52
-0.09 to 3.07
1.42
-0.44 to 3.20
1.26
0.22 to 2.27
0.94
-0.80 to 2.66
0.17
-2.12 to 2.44
0.16
-2.52 to 2.83
SITAGLIPTIN-0.54
-2.69 to 1.74
-0.82
-2.29 to 0.70
-1.34
-4.40 to 1.75
-1.85
-2.88 to -0.83
-2.01
-4.00 to 0.02
-2.04
-4.23 to 0.04
-2.19
-4.34 to 0.07
-2.22
-4.71 to 0.22
-2.37
-4.62 to -0.09
-2.54
-5.23 to 0.09
-3.10
-8.97 to 2.73
-3.68
-5.66 to -1.64
IGLARLIXI_SC0.79
-1.30 to 2.84
12.46
8.15 to 16.76
10.32
6.71 to 13.74
5.10
2.74 to 7.55
3.58
-2.75 to 10.05
3.09
0.92 to 5.25
3.02
0.17 to 5.76
2.25
0.07 to 4.43
2.07
-0.07 to 4.18
2.02
-0.52 to 4.52
1.94
-0.13 to 3.97
1.77
-0.46 to 3.90
1.45
-1.08 to 3.92
0.67
-2.31 to 3.59
0.67
-2.70 to 3.88
0.54
-1.74 to 2.69
IGLARLIXI_SC-0.31
-2.66 to 2.07
-0.82
-4.41 to 2.84
-1.34
-3.36 to 0.62
-1.51
-4.23 to 1.24
-1.55
-4.43 to 1.29
-1.69
-4.61 to 1.30
-1.72
-4.82 to 1.47
-1.86
-4.94 to 1.16
-2.01
-5.39 to 1.17
-2.52
-8.75 to 3.57
-3.16
-6.03 to -0.27
IDEGLIRA_SC1.09
-0.25 to 2.40
12.81
8.66 to 16.84
10.59
7.44 to 13.75
5.41
3.67 to 7.14
3.86
-2.24 to 10.12
3.40
0.14 to 6.55
3.33
1.01 to 5.61
2.56
1.04 to 4.07
2.37
0.98 to 3.70
2.32
0.33 to 4.31
2.23
0.15 to 4.16
2.07
0.57 to 3.62
1.73
-0.24 to 3.73
0.98
-1.51 to 3.47
0.97
-1.84 to 3.84
0.82
-0.70 to 2.29
0.31
-2.07 to 2.66
IDEGLIRA_SC-0.53
-3.72 to 2.72
-1.05
-2.39 to 0.32
-1.19
-3.48 to 1.05
-1.24
-3.27 to 0.76
-1.40
-3.76 to 1.15
-1.42
-4.12 to 1.31
-1.55
-4.02 to 0.99
-1.73
-4.54 to 1.14
-2.27
-8.17 to 3.57
-2.86
-5.21 to -0.42
STANDARD_CARE1.60
-1.46 to 4.62
13.34
8.30 to 18.18
11.13
6.98 to 15.26
5.95
2.66 to 9.10
4.44
-2.42 to 11.27
3.92
-0.40 to 8.03
3.86
0.26 to 7.35
3.11
-0.05 to 6.22
2.89
-0.22 to 5.90
2.86
-0.54 to 6.20
2.77
-0.62 to 6.13
2.60
-0.51 to 5.68
2.27
-0.34 to 4.87
1.50
-2.23 to 5.09
1.50
-2.53 to 5.47
1.34
-1.75 to 4.40
0.82
-2.84 to 4.41
0.53
-2.72 to 3.72
STANDARD_CARE-0.52
-3.55 to 2.46
-0.66
-4.21 to 2.81
-0.69
-4.40 to 2.74
-0.88
-4.44 to 2.92
-0.88
-4.79 to 2.98
-1.03
-4.74 to 2.70
-1.20
-5.13 to 2.69
-1.73
-8.54 to 4.75
-2.33
-6.02 to 1.37
INS_GLARGINE2.13
1.25 to 3.02
13.84
9.80 to 17.80
11.64
8.72 to 14.56
6.46
5.17 to 7.79
4.93
-1.15 to 11.08
4.45
1.48 to 7.32
4.36
2.28 to 6.46
3.60
2.60 to 4.61
3.40
2.54 to 4.26
3.37
1.78 to 5.00
3.28
1.65 to 4.84
3.11
2.18 to 4.11
2.79
1.24 to 4.35
2.04
-0.25 to 4.27
2.02
-0.65 to 4.64
1.85
0.83 to 2.88
1.34
-0.62 to 3.36
1.05
-0.32 to 2.39
0.52
-2.46 to 3.55
INS_GLARGINE-0.16
-2.15 to 1.82
-0.18
-2.32 to 1.89
-0.33
-2.43 to 1.91
-0.37
-2.82 to 2.11
-0.50
-2.80 to 1.80
-0.68
-3.35 to 1.95
-1.19
-7.14 to 4.61
-1.81
-3.94 to 0.31
GLIMEPIRIDE2.29
0.41 to 4.15
13.98
9.64 to 18.29
11.80
8.37 to 15.15
6.59
4.42 to 8.86
5.02
-1.26 to 11.55
4.60
1.11 to 8.03
4.51
1.79 to 7.17
3.77
1.71 to 5.77
3.56
1.68 to 5.45
3.52
1.18 to 5.84
3.44
1.00 to 5.82
3.27
1.27 to 5.34
2.95
0.57 to 5.34
2.16
-0.58 to 5.00
2.16
-0.96 to 5.39
2.01
-0.02 to 4.00
1.51
-1.24 to 4.23
1.19
-1.05 to 3.48
0.66
-2.81 to 4.21
0.16
-1.82 to 2.15
GLIMEPIRIDE-0.04
-2.75 to 2.71
-0.19
-2.93 to 2.69
-0.23
-3.18 to 2.85
-0.35
-3.16 to 2.45
-0.54
-3.65 to 2.65
-1.09
-7.17 to 4.97
-1.66
-4.32 to 1.10
INS_DEGLUDEC2.32
0.31 to 4.39
13.99
9.65 to 18.40
11.87
8.37 to 15.33
6.64
4.34 to 9.03
5.13
-1.16 to 11.39
4.63
1.16 to 8.11
4.54
1.84 to 7.28
3.79
1.60 to 6.03
3.59
1.58 to 5.57
3.55
1.09 to 6.09
3.46
0.92 to 5.99
3.31
1.16 to 5.49
2.98
0.51 to 5.53
2.20
-0.77 to 5.16
2.19
-1.08 to 5.49
2.04
-0.04 to 4.23
1.55
-1.29 to 4.43
1.24
-0.76 to 3.27
0.69
-2.74 to 4.40
0.18
-1.89 to 2.32
0.04
-2.71 to 2.75
INS_DEGLUDEC-0.17
-2.91 to 2.86
-0.17
-3.28 to 3.02
-0.30
-3.16 to 2.63
-0.47
-3.71 to 2.77
-1.06
-7.21 to 5.16
-1.62
-4.40 to 1.26
INS_PREMIX2.47
0.23 to 4.55
14.18
9.59 to 18.46
11.93
8.38 to 15.45
6.79
4.39 to 9.08
5.27
-0.63 to 10.90
4.77
1.04 to 8.29
4.70
1.69 to 7.46
3.94
1.93 to 5.83
3.75
1.48 to 5.81
3.72
1.16 to 6.10
3.63
0.87 to 6.20
3.45
1.24 to 5.54
3.15
0.36 to 5.65
2.38
-0.71 to 5.24
2.38
-0.82 to 5.43
2.19
-0.07 to 4.34
1.69
-1.30 to 4.61
1.40
-1.15 to 3.76
0.88
-2.92 to 4.44
0.33
-1.91 to 2.43
0.19
-2.69 to 2.93
0.17
-2.86 to 2.91
INS_PREMIX-0.05
-3.23 to 3.05
-0.16
-3.24 to 2.70
-0.34
-3.50 to 2.68
-0.91
-7.13 to 5.23
-1.48
-4.40 to 1.35
INS_DETEMIR2.50
0.04 to 5.00
14.20
9.55 to 18.86
12.00
8.18 to 15.78
6.82
4.13 to 9.50
5.28
-1.21 to 11.78
4.84
0.94 to 8.48
4.74
1.56 to 7.81
3.99
1.49 to 6.41
3.78
1.31 to 6.22
3.74
0.84 to 6.59
3.67
0.65 to 6.54
3.48
1.20 to 5.78
3.16
0.25 to 6.00
2.39
-0.92 to 5.57
2.37
-1.09 to 5.86
2.22
-0.22 to 4.71
1.72
-1.47 to 4.82
1.42
-1.31 to 4.12
0.88
-2.98 to 4.79
0.37
-2.11 to 2.82
0.23
-2.85 to 3.18
0.17
-3.02 to 3.28
0.05
-3.05 to 3.23
INS_DETEMIR-0.12
-3.40 to 3.11
-0.32
-3.80 to 3.17
-0.90
-7.30 to 5.47
-1.44
-4.45 to 1.53
OTHER_ACTIVE_sulfonylurea2.63
0.42 to 4.86
14.33
9.87 to 18.77
12.11
8.47 to 15.81
6.96
4.55 to 9.45
5.45
-0.95 to 12.07
4.96
1.25 to 8.63
4.87
1.98 to 7.67
4.10
1.78 to 6.43
3.91
1.80 to 6.00
3.88
1.20 to 6.50
3.79
1.03 to 6.57
3.61
1.31 to 5.96
3.28
0.58 to 6.01
2.51
-0.55 to 5.64
2.51
-0.83 to 5.87
2.37
0.09 to 4.62
1.86
-1.16 to 4.94
1.55
-0.99 to 4.02
1.03
-2.70 to 4.74
0.50
-1.80 to 2.80
0.35
-2.45 to 3.16
0.30
-2.63 to 3.16
0.16
-2.70 to 3.24
0.12
-3.11 to 3.40
OTHER_ACTIVE_sulfonylurea-0.19
-3.51 to 3.26
-0.69
-6.96 to 5.35
-1.32
-4.21 to 1.64
ROSIGLITAZONE2.81
0.20 to 5.39
14.51
9.80 to 19.16
12.31
8.48 to 16.09
7.12
4.30 to 9.94
5.56
-0.91 to 12.28
5.09
1.32 to 9.06
5.05
1.80 to 8.21
4.29
1.87 to 6.77
4.08
1.50 to 6.69
4.05
1.23 to 7.02
3.96
0.94 to 7.01
3.82
1.17 to 6.50
3.43
0.49 to 6.49
2.71
-0.70 to 6.00
2.71
0.27 to 5.15
2.54
-0.09 to 5.23
2.01
-1.17 to 5.39
1.73
-1.14 to 4.54
1.20
-2.69 to 5.13
0.68
-1.95 to 3.35
0.54
-2.65 to 3.65
0.47
-2.77 to 3.71
0.34
-2.68 to 3.50
0.32
-3.17 to 3.80
0.19
-3.26 to 3.51
ROSIGLITAZONE-0.54
-6.89 to 5.72
-1.13
-4.34 to 2.10
OTHER_ACTIVE_testosterone3.33
-2.47 to 9.23
15.04
8.03 to 22.14
12.86
6.52 to 19.24
7.66
1.94 to 13.36
6.15
-2.13 to 14.65
5.62
-0.81 to 12.16
5.61
-0.55 to 11.84
4.83
-1.06 to 10.73
4.60
-1.11 to 10.55
4.60
-1.42 to 10.68
4.48
-1.57 to 10.63
4.31
-1.49 to 10.29
4.01
-2.07 to 10.10
3.27
-2.95 to 9.43
3.25
-3.15 to 9.57
3.10
-2.73 to 8.97
2.52
-3.57 to 8.75
2.27
-3.57 to 8.17
1.73
-4.75 to 8.54
1.19
-4.61 to 7.14
1.09
-4.97 to 7.17
1.06
-5.16 to 7.21
0.91
-5.23 to 7.13
0.90
-5.47 to 7.30
0.69
-5.35 to 6.96
0.54
-5.72 to 6.89
OTHER_ACTIVE_testosterone-0.56
-6.74 to 5.63
PIOGLITAZONE3.94
1.78 to 6.08
15.63
11.16 to 20.11
13.46
9.89 to 16.94
8.26
5.88 to 10.63
6.72
0.36 to 13.13
6.24
2.65 to 9.80
6.19
3.35 to 8.95
5.42
3.27 to 7.54
5.22
3.09 to 7.19
5.19
2.71 to 7.67
5.08
2.44 to 7.72
4.93
2.91 to 6.92
4.61
2.01 to 7.07
3.85
0.82 to 6.77
3.80
0.61 to 7.10
3.68
1.64 to 5.66
3.16
0.27 to 6.03
2.86
0.42 to 5.21
2.33
-1.37 to 6.02
1.81
-0.31 to 3.94
1.66
-1.10 to 4.32
1.62
-1.26 to 4.40
1.48
-1.35 to 4.40
1.44
-1.53 to 4.45
1.32
-1.64 to 4.21
1.13
-2.10 to 4.34
0.56
-5.63 to 6.74
PIOGLITAZONE

Heterogeneity, fit and convergence

Bayesian random effects (primary)

Heterogeneity (tau)
1.009 (95% CrI 0.731 to 1.403)
Residual deviance
114.2 for 110 data points
DIC
215.3 (pD 101.1)
Largest R-hat
1.002
Smallest ESS
bulk 2,043, tail 3,196
Divergent transitions
0
Convergence
All criteria met
Priors
PR01 N(0, 25^2); PR03 N(0, 12.5^2); PR07 half normal(0, 2.5^2) on tau

Frequentist check (netmeta)

Method
inverse variance, REML, MD
Tau
0.990
I squared
85%
Q (total)
225.09 on 34 df, P = 0.000
Q (between designs)
159.52, P = 0.000

Inconsistency

Do trials comparing two treatments directly agree with the indirect evidence through other treatments?

No comparison here has both direct and indirect evidence, so inconsistency cannot be checked by node splitting; the between designs Q above is the global check.

Small study effects

A comparison adjusted funnel plot: each point is one trial comparison, centered on its own network estimate. Asymmetry can signal that small trials with unfavorable results are missing.

Fewer than ten trial comparisons, too few to judge funnel plot asymmetry.

Baseline characteristics of the trials

The baseline value of each effect modifier or prognostic factor that applies here, per trial: mean or percent over arms, weighted by the number randomized. A note under a value names a stand in (a median for a mean, 100 minus the male share, Asian subgroup rows, an all Asian site list); "not reported" means no source of the trial prints it.
Baseline effect modifiers and prognostic factors per trial
TrialBaseline BMI or body weight (kg/m2)
effect modifier, prognostic factor; 43 of 50
Sex (percent female)
effect modifier, prognostic factor; 46 of 50
Background glucose lowering therapy (stratum S0 to S4)
effect modifier, prognostic factor; 50 of 50
Asian ancestry or region (percent Asian)
effect modifier, prognostic factor; 36 of 50
Kidney function (eGFR) (mL/min/1.73 m2)
prognostic factor, effect modifier; 6 of 50
Treatment duration (weeks)
effect modifier; 50 of 50
Lifestyle co-intervention intensity (none standard intensive)
effect modifier, prognostic factor; 50 of 50
NCT00754988
S000027
32.4744.91S18.82not reported156none
SEMAT
S000079
35.85
median
not reportedS1not reportednot reported24standard
NCT01296412
S000080
32.6545
100 minus male share
S1not reportednot reported26standard
DUAL™ I China
S000081
26.7540.67S1100
region: all sites in Asia
not reported26not_reported
DUAL™IV
S000164
31.4747.81S116.56not reported26standard
NCT03235050
S000257
not reported53.72S10.72not reported54not_reported
NCT01029886
S000352
32.345.49S112not reported26not_reported
NCT00637273
S000402
32.3348.02S124not reported26not_reported
NCT00717457
S000414
33.4746.98
100 minus male share
S1not reportednot reported52not_reported
SUSTAIN 9
S000483
31.941.72S123.5195.230not_reported
SUSTAIN 10
S000584
body weight 96.9 kg
43.33S11.3992.430not_reported
NCT03951753
S000593
31.3326.5S10not reported28not_reported
NCT00935532
S000632
body weight 70.5 kg
32.08S1100
region: all sites in Asia
not reported26not_reported
NCT02008682
S000650
27.2540.35S1100
region: all sites in Asia
not reported26not_reported
NCT00577824
S000752
25.4831.49S1100
region: all sites in Asia
not reported24not_reported
NCT01149421
S000784
32.9648.08S19.14
eGFR below 60: 6.8 percent
26not_reported
NCT00434954
S000790
33.1530.36S1not reportednot reported26not_reported
EXENDA
S000796
31.3433.35S1not reportednot reported24not_reported
NCT00395746
S000862
24.8736S1100
region: all sites in Asia
not reported52not_reported
NCT00135330
S000943
32.548.91S1not reportednot reported20not_reported
LIRA-Ramadan™
S000963
30.850.75S145.14not reported30not_reported
D-LIFT
S000993
29.7530S1100not reported24standard
LIRA-SWITCH™
S001119
31.9540.5S1not reportednot reported26not_reported
LixiLan-G
S001125
32.8547.47S11.3687.526not_reported
DUAL™ VIII
S001131
not reported45.16S111.36not reported104not_reported
DURATION-NEO-2
S001157
31.8347.12S13.85not reported28not_reported
NCT00701935
S001193
not reported47.5S1not reportednot reported26.07not_reported
LixiLan-O
S001199
31.7249.44S11.54not reported30not_reported
SUSTAIN™ 4
S001219
33not reportedS1not reported96.130not_reported
NCT04504396
S001230
26.4839.7S1100
region: all sites in Asia
104.9824standard
NCT00877890
S001308
body weight 95.7 kg
42.13S1not reportednot reported24not_reported
NCT00360334
S001323
34.1531.49S1not reportednot reported26not_reported
NCT01003184
S001355
33.732.88S14not reported26not_reported
AWARD-CHN2
S001404
26.7744.77S181.52not reported52not_reported
NCT00917267
S001437
26.55not reportedS1100
region: all sites in Asia
not reported26not_reported
LEAD-2
S001502
3141.77S19not reported26not_reported
LIGHT-ON
S001525
29.830.67S1100
region: all sites in Asia
not reported26standard
GETGOAL-F1
S001563
32.5355.59S17.45not reported24not_reported
NCT00603239
S001737
not reported40.61S1not reportednot reported26not_reported
NCT00641056
S001768
3245.61S16not reported84not_reported
LEAD-5
S002098
30.5443.38S1not reportednot reported26not_reported
LEAD-6
S002230
32.948.06S10.86not reported26not_reported
NCT00700817
S002361
32.7747.07S11.65not reported26not_reported
S002928
S002928
53.83
median
32.37S1100
region: all sites in Asia
not reported24standard
S002969
S002969
36.76
median
77.78S1not reportednot reported26standard
S003004
S003004
26.97not reportedS1100
region: all sites in Asia
not reported26.07not_reported
S003006
S003006
26.535S1100
region: all sites in Asia
76.5524not_reported
S003044
S003044
23.7443.16S1100
region: all sites in Asia
not reported24standard
S003071
S003071
25.8834.35S1100
region: all sites in Asia
not reported24none
S003086
S003086
27.3345.29
100 minus male share
S1100
region: all sites in Asia
not reported24not_reported

Comparability of the trials

Checked across designs (the set of treatments each trial compares) for eligibility, outcome definition and assessment, and the baseline factors above. Flags point to possible intransitivity; notes describe variation that is not tied to design.
  • FlagBaseline, Baseline BMI or body weight: design means range from 25.5 (EXEN_SC vs PLACEBO) to 53.8 (PEGLOX_SC vs PLACEBO) kg/m2; threshold 3
  • FlagBaseline, Sex: design means range from 26.5 (PLACEBO vs SEMA_SC vs TIRZ_SC) to 56.9 (LIRA_SC vs PLACEBO) percent female; threshold 15
  • FlagBaseline, Asian ancestry or region: not reported by 14 of 50 trials
  • FlagBaseline, Asian ancestry or region: design means range from 0.0 (PLACEBO vs SEMA_SC vs TIRZ_SC) to 100.0 (BEIN_SC vs INS_PREMIX) percent Asian; threshold 30
  • FlagBaseline, Kidney function (eGFR): not reported by 44 of 50 trials
  • FlagBaseline, Kidney function (eGFR): design means range from 76.5 (INS_GLARGINE vs LIRA_SC) to 105.0 (PLACEBO vs VISEPE_SC) mL/min/1.73 m2; threshold 15
  • FlagBaseline, Treatment duration: design means range from 20.0 (EXEN_SC vs EXENROSI_SC vs ROSIGLITAZONE) to 156.0 (PLACEBO vs SITAGLIPTIN vs TASP_SC) weeks; threshold 26
  • FlagEligibility, bmi entry range: a design requires bmi 50 or more while another admits only 35 or less
  • NoteOutcome assessment, time point: selected time points span 20 to 30 weeks
  • NoteOutcome assessment, analysis set: mixed: completers 5, full_analysis 17, modified_itt 21, other 2, per_protocol 1, randomized 4
  • NoteOutcome assessment, definition: mixed: Body weight at week 28, LS mean 1, change from baseline in HbA1c, LS mean ANCOVA, LOCF 1, HbA1c after 24 weeks 1, HbA1c change from baseline to endpoint, last observation on treatment carried forward 1, HbA1c change from baseline, ITT 1, LS mean body weight change baseline to week 24, ANCOVA 1, not stated 44
  • NoteRisk of bias, blinding: mixed: double_blind 19, not_reported 2, open_label 28, single_blind 1
  • NoteRisk of bias, funding: mixed: industry 41, mixed 2, non_industry 7
  • NoteData handling, input conversions: arms_combined 12, median_converted 4, n_randomized 2
Comparability items per trial
Trialtime weeksanalysis setdefinitioninstrumentadjudicatedproportion methodintercurrent events (discontinuation)blindingintercurrent events (rescue)fundingstart yearEligibility
NCT0075498824modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2008age 18 to 75; HbA1c 7.0 to 10.0 percent; BMI 25 (23 Asian) to 45; metformin at least 1500 mg
SEMAT24randomizednot statednot statednot statednot statednot statedopen_labelnot statednon_industry2020men 18 to 65; type 2 diabetes on oral agents; BMI above 30; functional hypogonadism with testosterone below 11 nmol/L
NCT0129641226completersnot statednot statednot statednot statednot statedopen_labelnot statedindustry2011age 18 to 79; HbA1c 7.0 to 11.0 percent on metformin 1500 mg or more; eGFR 60 or more
DUAL™ I China26full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2017Chinese adults 18 y or older; HbA1c 7.0 to 10.0; BMI 40 or less; metformin with or without one OAD
DUAL™IV26full_analysisnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2012adults 18 or older; HbA1c 7.0 to 9.0 percent; BMI 40 or less; SU with or without metformin; insulin and GLP-1 RA naive
NCT0323505026full_analysisnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2017age 18 or older; BMI 25 or higher; HbA1c 7.0 to 10.5 percent; on metformin
NCT0102988626modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2010adults 18 or older with type 2 diabetes on oral agents, HbA1c 7.1 to 11.0 percent, BMI 45 or less
NCT0063727326modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2008age 18 or older; HbA1c 7.1 to 11.0 percent; BMI 25 to 45; stable metformin
NCT0071745724modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2008age 18 to 75; HbA1c 7 to 10 percent; BMI 25 to 45 (above 23 for Asians); metformin with or without TZD
SUSTAIN 930full_analysisnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2017adults 18 or older (20 in Japan); HbA1c 7.0 to 10.5 percent; stable SGLT2i with or without metformin or SU
SUSTAIN 1030full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2017adults with T2D, HbA1c 7.0 to 11.0 percent on 1 to 3 oral drugs
NCT0395175328modified_ittBody weight at week 28, LS meannot statednot statednot statednot stateddouble_blindnot statedindustry2019age 20 to 74; BMI 25 to 45; metformin with or without one other oral agent
NCT0093553226full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2009type 2 diabetes on biguanide with or without thiazolidinedione
NCT0200868226full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2013Chinese adults 18 to 80; HbA1c 7.0 to 10.0 on metformin; BMI 45 or lower
NCT0057782424full_analysisHbA1c change from baseline to endpoint, last observation on treatment carried forwardnot statednot statednot statednot stateddouble_blindnot statedindustry2008age 20 to 75; HbA1c 7.0 to 10.0 percent JDS; weight 50 kg or more; sulfonylurea based oral therapy
NCT0114942126modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2010adults 18 or older; HbA1c 7 to 9.5 percent; stable oral agents
NCT0043495426full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2007adults with T2D on metformin, HbA1c 6.5 to 10.0 percent
EXENDA24randomizednot statednot statednot statednot statednot stateddouble_blindnot statedindustry2017age 18 to 75; BMI 25 or more; HbA1c 6.5 to 11 percent; metformin 1000 mg or more
NCT0039574624full_analysisnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2006age 20 or older; HbA1c 7.4 to 10.4 on one sulfonylurea
NCT0013533020modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2005age 18 to 75; BMI 25 to 40; HbA1c 6.8 to 10.0 percent; stable metformin only
LIRA-Ramadan™26full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2014age 18 to 80; HbA1c 7 to 10 percent; BMI 20 or more; metformin plus sulfonylurea; intent to fast in Ramadan
D-LIFT24per_protocolnot statednot statednot statednot statednot statedopen_labelnot statednon_industry2019age over 20; type 2 diabetes HbA1c 7.0 to 10.0; MRI-PDFF liver fat 6 percent or more
LIRA-SWITCH™26full_analysisnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2013age 18 or more; HbA1c 7.5 to 9.5 percent; BMI 20 or more; on sitagliptin 100 mg and metformin for 90 days or more
LixiLan-G26othernot statednot statednot statednot statednot statedopen_labelnot statedindustry2016T2D 1 year or more; HbA1c 7 to 9 percent; BMI over 20 to 40; maximum tolerated GLP-1 RA plus metformin
DUAL™ VIII26full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2016adults with type 2 diabetes uncontrolled on oral drugs, insulin naive
DURATION-NEO-228modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2013age 18 or older; HbA1c 7.1 to 11.0 percent; BMI 45 or lower; metformin 1500 mg or more
NCT0070193526.07modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2008adults with T2D on metformin
LixiLan-O30modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2014adults; HbA1c 7.5 to 10% on metformin or 7 to 9% on metformin plus second OAD; 7 to 10% after run in
SUSTAIN™ 430full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2014adults with T2D, insulin naive, on metformin with or without SU; HbA1c 7.0 to 10.0 percent
NCT0450439624full_analysisnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2020age 18 to 75; HbA1c 7.0 to 10.5 percent; BMI 40 or lower; eGFR 60 or higher; metformin monotherapy at least 1000 mg
NCT0087789024modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2009age 18 or older; HbA1c 7.1 to 11.0 percent; BMI 25 to 45
NCT0036033426full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2006BMI above 27; HbA1c 7.5 to 10.0 percent; 2 or 3 oral drugs; at least one CV risk factor
NCT0100318426modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2009age 18 or older; HbA1c 7.1 to 10.0 percent; BMI 25 to 45; metformin with or without SU
AWARD-CHN226modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2012age 18 or older; BMI 19 to 35 kg/m2; HbA1c 7.0 to 11.0 percent on metformin and/or sulfonylurea
NCT0091726726modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2009Asian adults 20 or older; HbA1c 7 to 11; BMI 21 to 35; on oral drugs
LEAD-226modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2006age 18 to 80; HbA1c 7 to 11 percent on one OAD or 7 to 10 on combination; BMI 40 or less; no recent insulin
LIGHT-ON26randomizednot statednot statednot statednot statednot statedopen_labelnot statedmixed2014age 30 to 75, HbA1c 6.5 to 10 percent on metformin, NAFLD with MRI-PDFF over 10 percent, BMI 20 to 35
GETGOAL-F124modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2008adults with T2D on metformin
NCT0060323926modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2008type 2 diabetes on a thiazolidinedione with or without metformin
NCT0064105626modified_ittnot statednot statednot statednot statednot statedopen_labelnot statedindustry2008age 18 or older; HbA1c 7.1 to 11.0 percent; BMI 25 to 45; metformin with or without sulfonylurea
LEAD-526modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2006age 18 to 80; HbA1c 7.5 to 10 on monotherapy or 7 to 10 on combination; BMI 45 or lower
LEAD-626modified_ittchange from baseline in HbA1c, LS mean ANCOVA, LOCFnot statednot statednot statednot statedopen_labelnot statedindustry2007age 18 to 80; HbA1c 7.0 to 11.0 percent; BMI 45 or less; stable metformin, sulfonylurea or both
NCT0070081726full_analysisnot statednot statednot statednot statednot statedopen_labelnot statedindustry2008age 18 to 80; HbA1c 7.5 to 10%; BMI 45 or less; metformin 1500 mg/day or more for 3 months
S00292824completersLS mean body weight change baseline to week 24, ANCOVAnot statednot statednot statednot statedsingle_blindnot statednon_industry2022age 18 to 65; BMI 50 or more; type 2 diabetes
S00296926.07modified_ittnot statednot statednot statednot statednot stateddouble_blindnot statedindustry2018age 18 to 70; BMI 30 to 50; HbA1c 48 to below 97 mmol/mol; T2DM under 10 years; undergoing LAGB
S00300426.07completersnot statednot statednot statednot statednot statednot_reportednot statednon_industry2020age 18 to 65; BMI 22 to 40; HbA1c 7 to 10 percent on metformin alone
S00300624completersnot statednot statednot statednot statednot statedopen_labelnot statednon_industry2013Japanese adults 20 or older; HbA1c 7.0 to below 10 on DPP-4 inhibitor based oral therapy
S00304424completersHbA1c after 24 weeksnot statednot statednot statednot statednot_reportednot statedmixed2015HbA1c 7.0 to <10.0%; BMI 18.5 to <25; waist >85 cm men, >80 cm women; stable oral agents
S00307124othernot statednot statednot statednot statednot statedopen_labelnot statednon_industry2010age 18 to under 80; HbA1c 6.9 to 9.4 percent NGSP; BMI 35 or less; on sulfonylurea
S00308624randomizedHbA1c change from baseline, ITTnot statednot statednot statednot stateddouble_blindnot statednon_industry2017age 18 to 65; HbA1c 6.5 percent or more; BMI 24 or more; SBP 90 to 130 mmHg

Trial data

What each trial contributes. Arm rows give the arm value with its standard error, or events over participants; contrast rows give the mean difference on the analysis scale against the trial's first row. Flags mark converted, combined or approximated inputs.
Trial data entering this analysis
TrialArmTreatmentWeekDataValueSEEvents / NFlagsSource
NCT00754988A1PLACEBO24arm, change-0.5000.40090R0022521:Results
NCT00754988A2+A3TASP_SC24arm, change-2.2050.213369arms_combinedR0022521:Results
NCT00754988A4SITAGLIPTIN24arm, change-0.9000.300177R0022521:Results
SEMATA1SEMA_SC24arm, change-7.6672.67113median_convertedR0019948:Table 1
SEMATA2OTHER_ACTIVE_testosterone24arm, change0.2670.91912median_convertedR0019948:Table 1
NCT01296412A1SITAGLIPTIN26arm, change-0.4000.204285R0026295:Table 4
NCT01296412A2LIRA_SC26arm, change-2.8000.230262R0026295:Table 4
DUAL™ I ChinaA1IDEGLIRA_SC26arm, change0.2000.146341registry:outcomes
DUAL™ I ChinaA2INS_DEGLUDEC26arm, change1.3000.209167registry:outcomes
DUAL™ I ChinaA3LIRA_SC26arm, change-2.5000.220151registry:outcomes
DUAL™IVA1IDEGLIRA_SC26arm, change0.5000.182289registry:outcomes
DUAL™IVA2PLACEBO26arm, change-1.0000.215146registry:outcomes
NCT03235050A1PLACEBO26arm, change-1.2000.439112registry:outcomes
NCT03235050A2LIRA_SC26arm, change-3.9000.444110registry:outcomes
NCT03235050A3+A4+A5COTA_SC26arm, change-4.1580.191612arms_combinedregistry:outcomes
NCT01029886A1EXENER_SC26arm, change-2.6800.180404R0016299:Table 2
NCT01029886A2LIRA_SC26arm, change-3.5700.180398R0016299:Table 2
NCT00637273A1EXENER_SC26arm, change-2.3100.323160registry:outcomes
NCT00637273A2SITAGLIPTIN26arm, change-0.7700.322163registry:outcomes
NCT00637273A3PIOGLITAZONE26arm, change2.7900.320165registry:outcomes
NCT00717457A1+A2TASP_SC24arm, change-1.9540.283776arms_combinedR0013639:Results
NCT00717457A3EXEN_SC24arm, change-2.3000.400373R0013639:Results
SUSTAIN 9A1SEMA_SC30arm, change-4.7000.350151registry:outcomes
SUSTAIN 9A2PLACEBO30arm, change-1.0000.252151registry:outcomes
SUSTAIN 10A1SEMA_SC30arm, change-5.8000.276290registry:outcomes
SUSTAIN 10A2LIRA_SC30arm, change-2.0000.242287registry:outcomes
NCT03951753A1TIRZ_SC28arm, final83.4000.86041R0014677:Figure 1
NCT03951753A2SEMA_SC28arm, final87.7000.86043R0014677:Figure 1
NCT03951753A3PLACEBO28arm, final94.6001.10024R0014677:Figure 1
NCT00935532A1EXENER_SC26arm, change-1.6700.170214registry:outcomes
NCT00935532A2INS_GLARGINE26arm, change0.3400.170212registry:outcomes
NCT02008682A1LIRA_SC26contrast, md-2.1000.339R0025836:Results
NCT02008682A2SITAGLIPTIN26contrast, mdR0025836:Results
NCT00577824A1PLACEBO24arm, change-0.4700.39035R0018881:Results
NCT00577824A2+A3EXEN_SC24arm, change-0.9690.200143arms_combinedR0018881:Results
NCT01149421A1+A2DULA_SC26arm, change-1.3520.160505arms_combinedregistry:outcomes
NCT01149421A3PLACEBO26arm, change-0.0800.220250registry:outcomes
NCT00434954A1EXEN_SC26arm, change-4.1000.220181registry:outcomes
NCT00434954A2INS_PREMIX26arm, change1.0200.220173registry:outcomes
EXENDAA1EXENER_SC24arm, change-7.3401.28816R0025594:Table 3
EXENDAA2PLACEBO24arm, change-4.5701.42114R0025594:Table 3
NCT00395746A1+A2LIRA_SC24arm, final65.5550.167174arms_combinedregistry:outcomes
NCT00395746A3PLACEBO24arm, final64.5900.23088registry:outcomes
NCT00135330A1EXEN_SC20arm, change-2.8000.50045R0027805:Table 1
NCT00135330A2EXENROSI_SC20arm, change-1.2000.50047R0027805:Table 1
NCT00135330A3ROSIGLITAZONE20arm, change1.5000.50045R0027805:Table 1
LIRA-Ramadan™A1LIRA_SC26arm, change-5.4000.221165registry:outcomes
LIRA-Ramadan™A2OTHER_ACTIVE_sulfonylurea26arm, change-1.4600.214168registry:outcomes
D-LIFTA1STANDARD_CARE24arm, change-2.0000.70025R0016566:Table 3
D-LIFTA2DULA_SC24arm, change-4.3000.50027R0016566:Table 3
LIRA-SWITCH™A1LIRA_SC26arm, change-3.3200.226192registry:outcomes
LIRA-SWITCH™A2SITAGLIPTIN26arm, change-1.8000.210200registry:outcomes
LixiLan-GA1IGLARLIXI_SC26arm, change1.7000.284189R0006249:Table 2
LixiLan-GA2GLP1RE_SC26arm, change-1.4000.244162R0006249:Table 2
DUAL™ VIIIA1IDEGLIRA_SC26arm, change0.5000.147506registry:outcomes
DUAL™ VIIIA2INS_GLARGINE26arm, change2.2000.160506registry:outcomes
DURATION-NEO-2A1EXENER_SC28arm, change-1.1000.300181R0010641:Table 2
DURATION-NEO-2A2SITAGLIPTIN28arm, change-1.2000.300122R0010641:Table 2
DURATION-NEO-2A3PLACEBO28arm, change0.2000.50061R0010641:Table 2
NCT00701935A1EXEN_SC26.07arm, change-2.5400.57042registry:outcomes
NCT00701935A2PLACEBO26.07arm, change-0.3300.72033registry:outcomes
LixiLan-OA1IGLARLIXI_SC30arm, change-0.3000.200467R0013783:Supplement Table S2
LixiLan-OA2INS_GLARGINE30arm, change1.1000.200465R0013783:Supplement Table S2
LixiLan-OA3LIXI_SC30arm, change-2.3000.300233R0013783:Supplement Table S2
SUSTAIN™ 4A1+A2SEMA_SC30arm, change-4.3180.173722arms_combinedregistry:outcomes
SUSTAIN™ 4A3INS_GLARGINE30arm, change1.1500.230360registry:outcomes
NCT04504396A1VISEPE_SC24arm, change-0.5600.149310R0009432:Results
NCT04504396A2PLACEBO24arm, change-0.6700.139310R0009432:Results
NCT00877890A1EXENER_SC24arm, change-2.3300.369128registry:outcomes
NCT00877890A2EXEN_SC24arm, change-1.3700.386120registry:outcomes
NCT00360334A1EXEN_SC26arm, change-2.7300.310100R0024925:Table 2
NCT00360334A2INS_GLARGINE26arm, change2.9800.310104R0024925:Table 2
NCT01003184A1EXENER_SC26arm, change-2.7000.300111R0027663:Table 1
NCT01003184A2INS_DETEMIR26arm, change0.8000.400105R0027663:Table 1
AWARD-CHN2A1+A2DULA_SC26arm, change-1.1760.140515arms_combinedR0023722:Results
AWARD-CHN2A3INS_GLARGINE26arm, change0.9700.197253R0023722:Results
NCT00917267A1EXENER_SC26arm, change-1.6300.160309registry:outcomes
NCT00917267A2EXEN_SC26arm, change-2.4500.160265registry:outcomes
LEAD-2A1+A2+A3LIRA_SC26arm, change-2.3980.116719arms_combinedR0019848:Results
LEAD-2A4GLIMEPIRIDE26arm, change1.0000.200237R0019848:Results
LEAD-2A5PLACEBO26arm, change-1.5000.300121R0019848:Results
LIGHT-ONA1LIRA_SC26arm, change-3.6001.00024R0024860:Table 2
LIGHT-ONA2SITAGLIPTIN26arm, change-1.7000.55827R0024860:Table 2
LIGHT-ONA3INS_GLARGINE26arm, change-1.2000.85724R0024860:Table 2
GETGOAL-F1A1PLACEBO24arm, change-1.6300.385158registry:outcomes
GETGOAL-F1A2+A3LIXI_SC24arm, change-2.6550.273313arms_combinedregistry:outcomes
NCT00603239A1EXEN_SC26arm, change-1.4300.610111registry:outcomes
NCT00603239A2PLACEBO26arm, change-0.7500.70054registry:outcomes
NCT00641056A1EXENER_SC26arm, change-2.6300.200207registry:outcomes
NCT00641056A2INS_GLARGINE26arm, change1.4200.200209registry:outcomes
LEAD-5A1LIRA_SC26arm, change-1.8000.330230R0027336:Results
LEAD-5A2PLACEBO26arm, change-0.4200.390114R0027336:Results
LEAD-5A3INS_GLARGINE26arm, change1.6000.330232R0027336:Results
LEAD-6A1LIRA_SC26arm, change-3.2400.330231registry:outcomes
LEAD-6A2EXEN_SC26arm, change-2.8700.330229registry:outcomes
NCT00700817A1+A2LIRA_SC26arm, change-3.1190.191429arms_combinedregistry:outcomes
NCT00700817A3SITAGLIPTIN26arm, change-0.9600.270215registry:outcomes
S002928A1PLACEBO24arm, change-6.7501.40835R0007034:Table 2
S002928A2+A3PEGLOX_SC24arm, change-18.7401.03170arms_combinedR0007034:Table 2
S002969A1LIRA_SC26.07arm, change-2.7672.03112median_convertedR0010852:Table 2
S002969A2PLACEBO26.07arm, change-3.0332.83513median_convertedR0010852:Table 2
S003004A1BEIN_SC26.07arm, final79.3001.84649R0016204:Table 2
S003004A2INS_PREMIX26.07arm, final85.3902.21052R0016204:Table 2
S003006A1INS_GLARGINE24arm, change0.5000.51026R0010916:Results
S003006A2LIRA_SC24arm, change-2.2000.37129R0010916:Results
S003044A1EXEN_SC24arm, final64.5301.64640R0023353:Table 2
S003044A2INS_PREMIX24arm, final62.2401.09941R0023353:Table 2
S003071A1LIRA_SC24arm, change-0.6000.40736R0023696:Table 3
S003071A2SITAGLIPTIN24arm, change0.2900.33338R0023696:Table 3
S003086A1EXEN_SC24arm, change-5.3880.93879n_randomizedR0019483:Table 2
S003086A2INS_GLARGINE24arm, change-0.6580.66180n_randomizedR0019483:Table 2

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