Meta-Analysis on Safety of Dapagliflozin in Patients with Type 2 Diabetes Mellitus

• 作者: Hongyan Wu Lili She
• 来源期刊: 长江医药(英文)
• 学科: 医学
• 关键词: DAPAGLIFLOZIN Type 2 DIABETES MELLITUS RANDOMIZED Controlled TRIAL META-ANALYSIS
• 年，卷（期）: cjyyyw_2018,（3）
• 页码范围: 129-145
• 页数: 17页
• 分类号: R5

摘要

Objective: To evaluate the safety of dapagliflozin for Type 2 Diabetes Mellitus (T2DM). Methods: A systematic search of Pubmed, Embase, Cochrance Library, Web of Science, CNKI, Wanfang Data and VIP database for randomized controlled trials (RCTs) comparing dapagliflozin with placebo was performed up to February 2018. The index words included dapagliflozin, type 2 diabetes mellitus and randomized controlled trial. Results: A total of 19 RCTs involving 7704 participants were incorporated into the study. Compared with placebo, dapagliflozin did not increase the risk of hypoglycemia [OR = 1.14, 95%CI (0.95, 1.36), P = 0.17] and hypotension [OR = 1.43, 95%CI (0.94, 2.17), P = 0.10], but significantly increased the incidences of renal adverse events [OR = 1.57, 95%CI (1.17, 2.09), P = 0.002], genital tract infection [OR = 3.65, 95%CI (2.93, 4.56), P Conclusions: Generally, dapagliflozin had no risk of hypoglycemia and hypotension in patients with T2DM, but there were risks of renal adverse events and urogenital tract infection. Due to the limitations of this study, larger samples and RCTs with long-term follow-up are needed for further verification.