Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · §4

Prediabetes and progression to type 2 diabetes — compounds assessed

The 3 compounds the Institute assesses in prediabetes and progression to type 2 diabetes.

Document identifier
CEI-IN-08/4
Series
Indication assessment
Version
2.0
Published
16 Mar 2023
Last reviewed
16 Mar 2023
Next review
16 Mar 2025
Identifier
10.71829/cei.ind.8
Certainty
Not rated
Cycle
2023 Q1
ICD-11
5A40
Category
Metabolic

§4Compounds assessed

Compounds the Institute assesses in this indication, with the class of each and its overall certainty. A compound appears here whether or not the evidence supports its use, because recording that a compound has been studied and found wanting is as much part of the assessment as recording that one has not.

  • GLP-1 receptor agonist (acylated, once-daily)1 contributing trialfull monograph

    Time to onset of type 2 diabetes over 160 weeks: hazard ratio 0.21 — Downgraded for the confounding effect of treatment on the diagnostic measure itself.

    Moderate
  • Dual GIP and GLP-1 receptor agonist (acylated)1 contributing trialfull monograph

    Progression to type 2 diabetes at 176 weeks reduced by 94 % in the prediabetes cohort — Prespecified extension of one trial; the very large effect partly reflects glycaemic masking during treatment, which the Institute notes explicitly.

    Moderate
  • GLP-1 receptor agonist (acylated, long-acting)2 contributing trialsfull monograph

    Reversion to normoglycaemia in 84.1 % of participants with prediabetes at baseline versus 47.8 % with placebo (STEP 1) — Exploratory subgroup analysis; no incident-diabetes outcome trial has reported.

    Low

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Pi-Sunyer X, Astrup A, Fujioka K, Greenway F, Halpern A, Krempf M, Lau DCW, le Roux CW, Violante Ortiz R, Jensen CB, Wilding JPH. A randomized, controlled trial of 3.0 mg of liraglutide in weight management. New England Journal of Medicine 2015;373(1):11–22. doi:10.1056/NEJMoa1411892 · PMID 26132939

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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