Review Article

Effects of Newer Antidiabetic Drugs on Endothelial Function and Arterial Stiffness: A Systematic Review and Meta-Analysis

Table 1

Summary characteristics of studies included in the analysis.

AuthorClassAgentStudy designNDurationFMD (%)PWV (m/s)
(days)BaselinePostBaselinePost

Ayaori et al. [31]DPP-4iSitagliptinRCT42427.2 ± 5.94.4 ± 5.9
Alogliptin6.9 ± 6.34.4 ± 6.2
Baltzis et al. [32]DPP-4iLinagliptinRCT19846.5 ± 2.17.2 ± 2.5
de Boer et al. [33]DPP-4iLinagliptinRCT221828.7 ± 1.68.3 ± 1.3
Dell’Oro et al. [34]DPP-4iSaxagliptinRCT163603.6 ± 0.37.4 ± 0.8
Duvnjak et al. [49]DPP-4iSitagliptin/vildagliptinOpen label (NR)51908.6 ± 0.38.4 ± 0.3
Gurkan et al. [35]GLP-1 RAExenatideRCT171826.4 ± 5.78.6 ± 4.7
Hong et al. [50]GLP-1 RAExenatideSingle arm (NR)32907.2 ± 2.25.1 ± 0.1
Hopkins et al. [51]GLP-1 RAExenatide/liraglutideSingle arm (NR)111806.2 ± 2.35.1 ± 2.7
Ida et al. [52]DPP-4iTrelagliptinSingle arm (NR)27842.4 ± 2.72.7 ± 3.816.3 ± 2.415.6 ± 2.2
Irace et al. [36]GLP-1 RAExenatideRCT101121.6 ± 2.99.1 ± 3.6
Nakamura et al. [24]DPP-4iSitagliptinRCT24905.4 ± 2.36.2 ± 2.0
Kim et al. [37]DPP-4iVildagliptinRCT17849.4 ± 5.07.9 ± 4.3
Kitao et al. [38]DPP-4iVildagliptinRCT48845.5 ± 2.05.1 ± 2.3
Kubota et al. [53]DPP-4iSitagliptinSingle arm (NR)40904.1 ± 1.55.1 ± 1.6
Lambadiari et al. [39]GLP-1 RALiraglutideRCT301808.9 ± 3.013.2 ± 6.011.8 ± 2.510.3 ± 3.3
Leung et al. [40]DPP-4iSitagliptin/vildagliptinRCT253652.4 ± 1.67.3 ± 1.6
Li et al. [41]DPP-4iSaxagliptinRCT14849.3 ± 4.714.3 ± 4.3
Nomoto et al. [42]DPP-4iSitagliptinRCT481825.6 ± 2.85.6 ± 2.8
Nomoto et al. [43]GLP-1 RALiraglutideRCT16986.0 ± 2.65.6 ± 1.6
Shigiyama et al. [44]SGLT-2iDapagliflozinRCT371124.8 ± 1.95.7 ± 2.1
Shigiyama et al. [45]DPP-4iLinagliptinRCT291124.9 ± 2.76.3 ± 2.7
Solini et al. [46]SGLT-2iDapagliflozinRCT1622.8 ± 2.34.0 ± 2.110.1 ± 1.68.9 ± 1.6
Suzuki et al. [25]DPP-4iSitagliptinRCT12903.7 ± 2.35.4 ± 2.2
Maruhashi et al. [23]DPP-4iSitagliptinRCT177204.3 ± 2.64.4 ± 2.3
Widlansky et al. [47]DPP-4iSaxagliptinRCT16565.6 ± 2.35.8 ± 2.3
Zografou et al. [48]DPP-4iVildagliptinRCT321808.6 ± 2.18.3 ± 1.5

DPP-4i: dipeptidyl peptidase-4 inhibitor; FMD: flow-mediated dilation; GLP-1 RA: glucagon-like peptide-1 receptor agonist; NR: nonrandomized; RCT: randomized clinical trial; SGLT-2i: sodium-glucose cotransporter-2 inhibitor; PWV: pulse wave velocity. N refers to the active treatment group. The full list of references of the studies included in the table is provided in the supplementary material. Measured as brachial-ankle PWV.