Table 2 The results of efficacy and safety in meta-analysis.
Outcomes | Subgroup | Studies (n) | Participants | I2 | Effect estimate | P value |
|---|---|---|---|---|---|---|
HbA1c | Dulaglutide 0.75 mg Dulaglutide 1.5 mg | 4 4 | 2052 2052 | 5 67 | − 0.20 [− 0.28, − 0.11] − 0.49 [− 0.67, − 0.30] | < 0.0001 < 0.0001 |
FPG | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 4 | 2052 1701 | 89 83 | 0.17 [− 0.34, 0.69] 0.31 [-0.85, 0.24] | 0.51 0.27 |
Body Weight | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 4 | 2052 1701 | 94 76 | − 1.43 [− 2.38, − 0.48] − 2.12 [− 2.71, − 1.53] | 0.003 < 0.0001 |
Systolic blood pressure | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 3 | 1680 1331 | 52 30 | 0.75 [− 2.39, 3.90] − 0.74 [− 2.88, 1.40] | 0.64 0.50 |
Diastolic blood pressure | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 3 | 1680 1331 | 0 0 | 0.25 [− 0.74, 1.23] − 0.19 [− 1.59, 1.22] | 0.62 0.79 |
HbA1c ≤ 6.5% | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 3 | 2052 1641 | 79 84 | 1.34 [1.05, 1.71] 1.67 [1.21, 2.31] | 0.02 0.002 |
Adverse events | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 3 | 2052 1641 | 19 80 | 1.09 [1.01, 1.18] 1.12 [0.94, 1.35] | 0.02 0.21 |
Serious adverse events | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 3 | 2052 1641 | 0 0 | 1.35 [0.77, 2.36] 2.03 [1.17, 3.53] | 0.29 0.01 |
Hypoglycemic episodes | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 3 | 2052 1641 | 90 89 | 0.35 [0.16, 0.75] 0.35 [0.18, 0.67] | 0.007 0.002 |
Nasopharyngitis | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1270 851 | 0 0 | 1.09 [0.74, 1.61] 1.19 [0.69, 2.04] | 0.67 0.53 |
Decreased appetite | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 3 | 2052 11,641 | 84 0 | 9.66 [2.18, 42.82] 21.56 [6.79, 68.50] | 0.16 < 0.0001 |
Diarrhoea | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 3 | 2052 1641 | 0 0 | 2.63 [1.78, 3.88] 5.16 [3.46, 7.69] | < 0.0001 < 0.0001 |
Nausea | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 4 | 2052 1701 | 73 83 | 3.31 [0.92, 11.91] 7.20 [1.44, 36.09] | 0.07 0.02 |
Abdominal distension | dulaglutide 0.75 mg dulaglutide 1.5 mg | 4 4 | 2052 1641 | 73 50 | 2.11 [0.52, 8.62] 6.80 [3.51, 13.16] | 0.30 < 0.0001 |
Renal and urinary disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 0 0 | 1.01 [0.59, 1.70] 1.14 [0.63, 2.07] | 0.98 0.66 |
Psychiatric disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 0 0 | 0.39 [0.13, 1.15] 1.15 [0.42, 3.13] | 0.09 0.79 |
Eye disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 45 71 | 0.65 [0.31, 1.37] 0.81 [0.35, 1.91] | 0.26 0.63 |
Cardiac disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 0 88 | 1.36 [0.76, 2.43] 0.75 [0.07, 8.32] | 0.29 0.81 |
Endocrine disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 0 0 | 1.73 [0.37, 8.02 2.17 [0.49, 9.59] | 0.48 0.31 |
Nervous system disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 0 0 | 1.04 [0.70, 1.53] 1.32 [0.82, 2.13] | 0.86 0.26 |
Reproductive system disorders | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 20 0 | 4.06 [1.29, 12.80] 4.97 [0.58, 42.35] | 0.02 0.14 |
Neoplasms | dulaglutide 0.75 mg dulaglutide 1.5 mg | 3 2 | 1289 876 | 59 0 | 0.97 [0.07, 13.99] 5.93 [0.71, 49.31] | 0.98 0.26 |