Article

Impact of glucagon-like peptide-1 receptor agonists on nasopharyngitis and upper respiratory tract infection among patients with type 2 diabetes: a network meta-analysis

  • LI Zhi-xia ,
  • WU Shan-shan ,
  • YANG Zhi-rong ,
  • ZHAN Si-yan ,
  • SUN Feng
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  • (1. Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing 100191, China; 2. National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China; 3. Primary Care Unit, University of Cambridge, Cambridge CB21TN, UK)

Online published: 2016-06-18

Supported by

Supported by National Natural Science Foundation of China (81302508)

Abstract

Objective:To systematically review the effects of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on two common respiratory system adverse events (RSAE: nasopharyngitis and upper respiratory tract infection) among type 2 diabetes (T2DM).Methods: Medline, Embase, Clinical trials and Cochrane library were searched from inception through May 2015 to identify randomized clinical trials(RCTs) assessed safety of GLP-1RAs versus placebo or other antidiabetic drugs in T2DM. Network meta-analysis within a Bayesian framework was performed to calculate odds ratios for the incidence of RSAE. Results: In the study, 50 RCTs were included, including 13 treatments: 7 GLP-1RAs (exenatide, exenatide-long-release-agent, liraglutide, lixisenatide, taspoglutide, albiglutide and dulaglutide), placebo and 5 traditional anti-diabetic drugs(insulin, metformin, sulfonylureas, sitagliptin and thiazolidinediones ketones). Compared with insulin, taspoglutide significantly decreased the incidence of nasopharyngitis (OR=0.67, 95%CI: 0.46-0.96). Significant lowering effects on upper respiratory tract infection were found when taspoglutide versus placebo (OR=0.57, 95%CI: 0.34-0.99) and insulin (OR=0.39, 95%CI: 0.23-0.73). The result from the network meta-analysis based on Bayesian theory could be used to rank all the treatments included, which showed that taspoglutide ranked last with minimum risk on nasopharyngitis and upper respiratory tract infection.Conclusion: Taspoglutide was associated with significantly lowering effect on RSAE.

Cite this article

LI Zhi-xia , WU Shan-shan , YANG Zhi-rong , ZHAN Si-yan , SUN Feng . Impact of glucagon-like peptide-1 receptor agonists on nasopharyngitis and upper respiratory tract infection among patients with type 2 diabetes: a network meta-analysis[J]. Journal of Peking University(Health Sciences), 2016 , 48(3) : 454 -459 . DOI: 10.3969/j.issn.1671-167X.2016.03.014

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