Effect of Saroglitazar on Glycemic Status: A Meta-analysis
Sandhiya Selvarajan1, Anandabaskar Nishanthi2, Ilanthamizhan Jayakumar3
1Clinical Pharmacology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, IND.
Saroglitazar significantly reduces HbA1c, fasting blood sugar, and post-prandial blood sugar in patients with type 2 diabetes or prediabetes and dyslipidemia. This meta-analysis confirms its efficacy in managing glycemic control and lipid profiles.
Area of Science:
- Endocrinology
- Pharmacology
- Metabolic Diseases
Background:
- Diabetic dyslipidemia is a common complication of type 2 diabetes and prediabetes.
- Effective management of glycemic and lipid profiles is crucial for reducing cardiovascular risk in these patients.
Purpose of the Study:
- To systematically review and meta-analyze the glycemic effects of saroglitazar.
- To assess saroglitazar's impact on HbA1c, fasting blood sugar (FBS), and post-prandial blood sugar (PPBS) levels.
- To evaluate changes in lipid profiles and adverse drug reactions associated with saroglitazar treatment.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials and observational studies.
- Searched PubMed and Google Scholar databases up to December 2023.
- Assessed risk of bias using ROB2.
- Analyzed primary outcomes (glycemic parameters) and secondary outcomes (lipid profile).
Main Results:
- Saroglitazar treatment led to significant reductions in FBS (-30.16), PPBS (-69.09), and HbA1c (-0.93).
- Significant reductions were observed in total cholesterol, low-density lipoprotein, and very-low-density lipoprotein levels.
- High-density lipoprotein levels showed improvement with saroglitazar treatment.
Conclusions:
- Saroglitazar effectively reduces HbA1c, FBS, and PPBS levels in patients with diabetic dyslipidemia.
- The drug demonstrates a positive impact on lipid profiles, improving overall cardiovascular risk factors.
- The findings support saroglitazar as a beneficial therapeutic option for managing type 2 diabetes or prediabetes with dyslipidemia.
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