TABLE 2

Effects of glucagon-like peptide-1 receptor agonistson major adverse cardiovascular events in clinical trials

TrialNumber of patientsMedian follow-upCardiovascular disease at baselineaTreatmentNumber needed to treatb
REWIND159,9015.4 years31.5%Dulaglutide 1.5 mg subcutaneously weekly323
SUSTAIN-6163,2972.1 years2.1 years 60.5%Semaglutide 0.5 or 1 mg subcutaneously weekly83
LEADER179,3403.8 years81.3%Liraglutide 1.6 mg subcutaneously daily200
ELIXA186,0682.1 years100%Lixisenatide 10 or 20 μg subcutaneously dailyNo benefit
EXSCEL1914,7523.2 years70%Exenatide extended-release 2 mg subcutaneously weeklyNo benefit
PIONEER-6213,1831.3 years85%Semaglutide 14 mg by mouth dailyNo benefit
  • a All patients had longstanding type 2 diabetes and also either had a history of cardiovascular disease or were at risk of it.

  • b Number of patients needed to be treated for 1 year to prevent 1 major adverse cardiovascular event (myocardial infarction, stroke, or death from cardiovascular causes, plus, in the ELIXA trial, hospitalization for heart failure), calculated as the inverse of the absolute risk reduction.

  • ELIXA = Lixisenatide in Patients With Type 2 Diabetes and Acute Coronary Syndrome; EXSCEL = Effects of Once-Weekly Exenatide on Cardiovascular Outcomes in Type 2 Diabetes; LEADER = Liraglutide Effect and Action in Diabetes: Evaluation of Cardiovascular Outcome Results; PIONEER-6 = Oral Semaglutide and Cardiovascular Outcomes in Patients With Type 2 Diabetes; REWIND = Researching Cardiovascular Events With a Weekly Incretin in Diabetes; SUSTAIN-6 = Semaglutide and Cardiovascular Outcomes in Patients With Type 2 Diabetes