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N/A N=241,981

Comparison of Type 2 Diabetes Pharmacotherapy Regimens

Type 2 Diabetes Mellitus · Cardiovascular Diseases

Enrolled (actual)
241,981
Serious AEs
Results posted
Nov 2025
Primary outcome: Primary: Incidence of 3-point Major Adverse Cardiovascular Events (MACE) — 11,348; 393; 424; 296 Participants

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
SU (Drug); DPP4 (Drug); SGLT2i (Drug); GLP-1RA (Drug); SGLT2i or GLP-1RA (Drug); Linagliptin (DPP4) (Drug); Exenatide (GLP-1RA) (Drug); Liraglutide (GLP-1RA) (Drug); Empagliflozin (SGLT2i) (Drug); Glimepiride (SU) (Drug); Glipizide (SU) (Drug); Glimepiride (SU) or Glipizide (SU) (Drug); SU or DPP4 (excluding saxagliptin and alogliptin) (Drug); Exenatide (GLP-1RA) or Liraglutide (GLP-1RA) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Kaiser Permanente
Primary completion
Dec 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Incidence of 3-point Major Adverse Cardiovascular Events (MACE)
11,348; 393; 424; 296

Summary

This study is designed to help patients with type 2 diabetes and their clinicians: (a) identify which glucose lowering medications have the most favorable effects on heart health and other patient-important outcomes, (b) inform the timing of medication initiation, and (c) identify whether medication benefits apply equally to all adults with type 2 diabetes, or may be different based on age, sex, race/ethnicity, baseline heart health status, baseline renal function, or other factors.

Eligibility Criteria

  • Dispensing of either of the set of drugs being compared
  • No prior dispensing of nor contraindication for any of the drugs compared
  • Evidence of Type 2 Diabetes Mellitus diagnosis
  • Age 18 or older
  • Not currently pregnant
  • No evidence of dementia or short-term life expectancy from prior cancer diagnoses
  • History of ≥2 years of continuous health plan membership
  • ≥1 A1c test in the past 18 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05073692). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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