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PLOS ONEResearch HighlightsOpen Access

Early potential safety signals for gliptins and gliflozins using real-world pharmacy data compared to spontaneous reporting

25 Jun 20264 min read0 viewsJournal Feed

GIST (Key Takeaways)

  • by Maria-Isabel Jimenez-Serrania, Sara-Maria Martinez-Gonzalez, Javier Herradon-Muñoz, Carlos Treceño-Lobato Background Dipeptidyl peptidase 4 inhibitors (DPP4i, gliptins) and sodium-glucose co-transporter 2 inhibitors (SGLT2i, gliflozins) are two oral antidiabetic drug classes that have been widely used in recent decades. Their pharmacological actions have led to the identification of new adverse drug reactions and contraindications.
  • In this context, ambulatory real-world data (RWD) analysis has the potential to detect early signals of suspected adverse drug reactions (ADR) that complement or anticipate risk events. Methods We conducted an exploratory pharmacovigilance study based on a multicentre observational cross-sectional survey with retrospective 6-month recall in community pharmacies among patients treated with DPP4i or SGLT2i, using metformin as a control.
  • Candidate drug–event signals identified in the pharmacy dataset collected in 2021 were compared with spontaneous reporting data from the Spanish Agency of Medicines and Medical Devices repository in 2022 and 2024. A validated adaptation of the Bayesian Confidence Propagation Neural Network (BCPNN) methodology was applied in all analyses.

Clinical Editorial

Summary

PLOS ONE (Medicine) published a clinical update in Research Highlights on 25 Jun 2026.

The item focuses on Early potential safety signals for gliptins and gliflozins using real-world pharmacy data compared to spontaneous reporting.

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