Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials

The objective of this meta-analysis study was to evaluate the comparative efficacy of empagliflozin (25 mg) with placebo in the treatment and management of type 1 diabetes mellitus. This study is a meta-analysis, so an ethical statement is not required. Different databases and individual journal web...

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Main Authors: Gillani Syed Wasif, Azhar Anam, Gulam Shabaz Mohiuddin, Gebreigziabher Fithawit Bahran, Rathore Hassaan Anwer
Format: Article
Language:English
Published: Sciendo 2021-09-01
Series:Current Issues in Pharmacy and Medical Sciences
Subjects:
Online Access:https://doi.org/10.2478/cipms-2021-0024
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author Gillani Syed Wasif
Azhar Anam
Gulam Shabaz Mohiuddin
Gebreigziabher Fithawit Bahran
Rathore Hassaan Anwer
author_facet Gillani Syed Wasif
Azhar Anam
Gulam Shabaz Mohiuddin
Gebreigziabher Fithawit Bahran
Rathore Hassaan Anwer
author_sort Gillani Syed Wasif
collection DOAJ
description The objective of this meta-analysis study was to evaluate the comparative efficacy of empagliflozin (25 mg) with placebo in the treatment and management of type 1 diabetes mellitus. This study is a meta-analysis, so an ethical statement is not required. Different databases and individual journal websites like SCOPUS, Science direct, Cochrane review library etc. were used. The articles were evaluated based on the search and eligibility criteria. A total of five RCTs were incorporated in this meta-analysis. These studies contained a total of 1058 patients, including 526 patients with placebo (or control-treated patients), and 532 patients with empagliflozin (25 mg) treated combination. The mean follow-up time ranged from 7 days to 6 months. Overall, mean reduction in placebo was -0.50% and empa-treated was -0.85%, while the pooled WMD was 3.82 995% CI 1.20 – 5.88, p=0.0001). Regarding urinary glucose excretion, that the pooled WMD was 6.67 (95% CI 4.87-10.14, p=0.001) indicated a significant increase in empa-arm compared to placebo. No heterogeneity was found (I2 – 15.03%). This meta-analysis underlined the therapeutic benefit of empagliflozin as an adjunctive therapy for patients with type 1 diabetes.
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spelling doaj.art-3c3b254bd1ef487aaed0f63d553cfbe42022-12-21T19:30:41ZengSciendoCurrent Issues in Pharmacy and Medical Sciences2300-66762021-09-0134312312910.2478/cipms-2021-0024Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trialsGillani Syed Wasif0Azhar Anam1Gulam Shabaz Mohiuddin2Gebreigziabher Fithawit Bahran3Rathore Hassaan Anwer4Department of Pharmacy Practice, College of Pharmacy Gulf Medical University, Ajman, United Arab EmiratesPharm D candidates, College of Pharmacy Gulf Medical University, Ajman, United Arab EmiratesDepartment of Pharmacy Practice, College of Pharmacy Gulf Medical University, Ajman, United Arab EmiratesDepartment of Pharmacy Practice, College of Pharmacy Gulf Medical University, Ajman, United Arab EmiratesCollege of Pharmacy, Qatar University, Doha, QatarThe objective of this meta-analysis study was to evaluate the comparative efficacy of empagliflozin (25 mg) with placebo in the treatment and management of type 1 diabetes mellitus. This study is a meta-analysis, so an ethical statement is not required. Different databases and individual journal websites like SCOPUS, Science direct, Cochrane review library etc. were used. The articles were evaluated based on the search and eligibility criteria. A total of five RCTs were incorporated in this meta-analysis. These studies contained a total of 1058 patients, including 526 patients with placebo (or control-treated patients), and 532 patients with empagliflozin (25 mg) treated combination. The mean follow-up time ranged from 7 days to 6 months. Overall, mean reduction in placebo was -0.50% and empa-treated was -0.85%, while the pooled WMD was 3.82 995% CI 1.20 – 5.88, p=0.0001). Regarding urinary glucose excretion, that the pooled WMD was 6.67 (95% CI 4.87-10.14, p=0.001) indicated a significant increase in empa-arm compared to placebo. No heterogeneity was found (I2 – 15.03%). This meta-analysis underlined the therapeutic benefit of empagliflozin as an adjunctive therapy for patients with type 1 diabetes.https://doi.org/10.2478/cipms-2021-0024meta-analysistype 1 diabetesempagliflozinplaceboevidence-based practice
spellingShingle Gillani Syed Wasif
Azhar Anam
Gulam Shabaz Mohiuddin
Gebreigziabher Fithawit Bahran
Rathore Hassaan Anwer
Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials
Current Issues in Pharmacy and Medical Sciences
meta-analysis
type 1 diabetes
empagliflozin
placebo
evidence-based practice
title Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials
title_full Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials
title_fullStr Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials
title_full_unstemmed Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials
title_short Comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus: a meta-analysis of randomized controlled trials
title_sort comparative efficacy of empagliflozin versus placebo in the treatment of type 1 diabetes mellitus a meta analysis of randomized controlled trials
topic meta-analysis
type 1 diabetes
empagliflozin
placebo
evidence-based practice
url https://doi.org/10.2478/cipms-2021-0024
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