Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus

Abstract. Background:. Dipeptidyl-peptidase IV inhibitor (DPP-4i) is a common hypoglycemic medication in treating type 2 diabetes millitus. It has become widely utilized in clinical practice due to its ability to effectively manage blood glucose while posing a low risk of hypoglycemia and weight gai...

Full description

Bibliographic Details
Main Authors: Fan Yang, MD, Youzi Dong, MD, Baohua Li, MD, Bobiao Ning, MD, Quanlin Zhao, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2022-04-01
Series:Medicine
Online Access:http://journals.lww.com/10.1097/MD.0000000000029154
_version_ 1828283523524460544
author Fan Yang, MD
Youzi Dong, MD
Baohua Li, MD
Bobiao Ning, MD
Quanlin Zhao, PhD
author_facet Fan Yang, MD
Youzi Dong, MD
Baohua Li, MD
Bobiao Ning, MD
Quanlin Zhao, PhD
author_sort Fan Yang, MD
collection DOAJ
description Abstract. Background:. Dipeptidyl-peptidase IV inhibitor (DPP-4i) is a common hypoglycemic medication in treating type 2 diabetes millitus. It has become widely utilized in clinical practice due to its ability to effectively manage blood glucose while posing a low risk of hypoglycemia and weight gain. However, there is no consensus on DPP-4i's pancreatic safety due to a paucity of clinical evidence. The safe event appears to be easily overlooked. This review aims to evaluate the pancreatic safety of DPP-4i in patients with type 2 diabetes mellitus using the standard pairwise and network meta-analysis methods. Methods:. MEDLINE, Embase, PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials will be used to search for published literature on the pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus, and clinical trial registries will be used to look for unpublished trials. Two independent reviewers will screen literature for eligibility, extract available data, and assess the risk of bias. All divergences will be resolved after rechecking the source papers and further discussion among the reviewers with a complete consensus before inclusion. The risk of bias will be assessed by the Cochrane bias risk tool, and the quality of evidence will be interpreted by the GRADE Working Group approach. We will use STATA16.0 and WinBUGS1.4.3 for paired meta-analysis and Bayesian network meta-analysis. Results:. This study will evaluate the pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus. Conclusion:. This systematic review and network meta-analysis will evaluate the pancreatic safety of DPP-4i in patients with type 2 diabetes millitus. The findings of this study may supplement the evidence-based information on DPP-4i, improve existing understanding of this issue, and assist patients and clinicians in making better treatment decisions by raising their awareness of the problem. Protocol registration number:. INPLASY202230014.
first_indexed 2024-04-13T08:45:21Z
format Article
id doaj.art-47c1d1fe03994fe4b7c50306a370ee61
institution Directory Open Access Journal
issn 0025-7974
1536-5964
language English
last_indexed 2024-04-13T08:45:21Z
publishDate 2022-04-01
publisher Wolters Kluwer
record_format Article
series Medicine
spelling doaj.art-47c1d1fe03994fe4b7c50306a370ee612022-12-22T02:53:40ZengWolters KluwerMedicine0025-79741536-59642022-04-0110117e2915410.1097/MD.0000000000029154202204290-00015Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitusFan Yang, MDYouzi Dong, MDBaohua Li, MDBobiao Ning, MDQuanlin Zhao, PhDAbstract. Background:. Dipeptidyl-peptidase IV inhibitor (DPP-4i) is a common hypoglycemic medication in treating type 2 diabetes millitus. It has become widely utilized in clinical practice due to its ability to effectively manage blood glucose while posing a low risk of hypoglycemia and weight gain. However, there is no consensus on DPP-4i's pancreatic safety due to a paucity of clinical evidence. The safe event appears to be easily overlooked. This review aims to evaluate the pancreatic safety of DPP-4i in patients with type 2 diabetes mellitus using the standard pairwise and network meta-analysis methods. Methods:. MEDLINE, Embase, PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials will be used to search for published literature on the pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus, and clinical trial registries will be used to look for unpublished trials. Two independent reviewers will screen literature for eligibility, extract available data, and assess the risk of bias. All divergences will be resolved after rechecking the source papers and further discussion among the reviewers with a complete consensus before inclusion. The risk of bias will be assessed by the Cochrane bias risk tool, and the quality of evidence will be interpreted by the GRADE Working Group approach. We will use STATA16.0 and WinBUGS1.4.3 for paired meta-analysis and Bayesian network meta-analysis. Results:. This study will evaluate the pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus. Conclusion:. This systematic review and network meta-analysis will evaluate the pancreatic safety of DPP-4i in patients with type 2 diabetes millitus. The findings of this study may supplement the evidence-based information on DPP-4i, improve existing understanding of this issue, and assist patients and clinicians in making better treatment decisions by raising their awareness of the problem. Protocol registration number:. INPLASY202230014.http://journals.lww.com/10.1097/MD.0000000000029154
spellingShingle Fan Yang, MD
Youzi Dong, MD
Baohua Li, MD
Bobiao Ning, MD
Quanlin Zhao, PhD
Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus
Medicine
title Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus
title_full Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus
title_fullStr Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus
title_full_unstemmed Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus
title_short Pancreatic safety of DPP-4 inhibitors in type 2 diabetes millitus
title_sort pancreatic safety of dpp 4 inhibitors in type 2 diabetes millitus
url http://journals.lww.com/10.1097/MD.0000000000029154
work_keys_str_mv AT fanyangmd pancreaticsafetyofdpp4inhibitorsintype2diabetesmillitus
AT youzidongmd pancreaticsafetyofdpp4inhibitorsintype2diabetesmillitus
AT baohualimd pancreaticsafetyofdpp4inhibitorsintype2diabetesmillitus
AT bobiaoningmd pancreaticsafetyofdpp4inhibitorsintype2diabetesmillitus
AT quanlinzhaophd pancreaticsafetyofdpp4inhibitorsintype2diabetesmillitus