دورية أكاديمية

Risk of diarrhea in patients with type 2 diabetes mellitus treated with sitagliptin: a meta-analysis of 30 randomized clinical trials

التفاصيل البيبلوغرافية
العنوان: Risk of diarrhea in patients with type 2 diabetes mellitus treated with sitagliptin: a meta-analysis of 30 randomized clinical trials
المؤلفون: Zhao QW, Hong DS, Zheng DS, Xiao Y, Wu BH
المصدر: Drug Design, Development and Therapy, Vol 2014, Iss default, Pp 2283-2294 (2014)
بيانات النشر: Dove Medical Press, 2014.
سنة النشر: 2014
المجموعة: LCC:Therapeutics. Pharmacology
مصطلحات موضوعية: Therapeutics. Pharmacology, RM1-950
الوصف: Qingwei Zhao,1 Dongsheng Hong,1 Dongsheng Zheng,1 Yao Xiao,2 Baohua Wu11Department of Pharmacy, First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 2College of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, People’s Republic of ChinaBackground: Sitagliptin is an important drug used for diabetes treatment and is used as a monotherapy in diabetic patients. However, there are also reported cases of diarrhea with sitagliptin use. Unfortunately, data concerning the relationship of diarrhea with sitagliptin use in various conditions have yet to be identified. Therefore, the overall incidence and risk of diarrhea with sitagliptin use have not been well defined. Methods: We conducted searches on Embase, PubMed, and the Cochrane Library databases for relevant randomized controlled trials. Registered relevant trials at the clinical trials registration website were also searched. Statistical analyses were conducted to calculate the overall incidence, odds ratios, and 95% confidence intervals (CI) by using either random-effects or fixed-effect models according to the heterogeneity of the included studies. Results: A total of 8,891 subjects with diabetes from 30 randomized clinical trials were included in the meta-analysis. The overall incidence of sitagliptin-associated diarrhea was 4.48% (95% CI: 3.59%–5.58%). Compared with the controls, the use of sitagliptin was not associated with a significantly increased risk of diarrhea with an odds ratio of 1.10 (95% CI: 0.78%–1.55%; P=0.58). No evidence of publication bias was observed. Conclusion: Our study has shown that there is no difference in diarrhea risk between sitagliptin and controlled therapies. Moreover, sitagliptin is not a medicine that potentially increases the risk of diabetic diarrhea. More studies are recommended to further investigate this association.Keywords: dipeptidyl peptidase-4 inhibitors, adverse reaction, odds ratio, incidence, subgroup analysis, data analysis
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1177-8881
Relation: http://www.dovepress.com/risk-of-diarrhea-in-patients-with-type-2-diabetes-mellitus-treated-wit-peer-reviewed-article-DDDT; https://doaj.org/toc/1177-8881
URL الوصول: https://doaj.org/article/c46730b75ddd4cbf8e610e42fd9ee6ba
رقم الأكسشن: edsdoj.46730b75ddd4cbf8e610e42fd9ee6ba
قاعدة البيانات: Directory of Open Access Journals