Xie Zeyu, Hu Jia, Li Mengting, Hu Xiao, Chen Jisheng
Key Specialty of Clinical Pharmacy, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, People's Republic of China.
Risk Manag Healthc Policy. 2024 Apr 23;17:1053-1067. doi: 10.2147/RMHP.S455897. eCollection 2024.
This study provides a reference for healthcare organizations in the selection and rational use of glucagon-like peptide-1 receptor agonists (GLP-1RAs), based on the Rapid Guide for Drug Evaluation and Selection in Chinese Medical Institutions (Second Edition).
According to the Rapid Guide for Drug Evaluation and Selection in Chinese Medical Institutions (Second Edition) released in 2023, relevant databases such as PubMed, Cochrane, and Embase, drug labels, and clinical guidelines were searched for drug information. We systematically evaluated 7 GLP-1RAs marketed in China for safety, efficacy, economy, pharmacological properties, and other attributes using a percentage scoring method.
The final assessment result scores from highest to lowest were semaglutide (71.5 points), dulaglutide (68.9 points), liraglutide (68.7 points), exenatide (62.5 points), lixisenatide (59.9 points), polyethylene glycol loxenatide (55.9 points), and benaglutide (45.1 points).
When a healthcare organization introduces GLP-1RAs to their hospital, they can refer to the assessment results and use the top three recommended medications: semaglutide, dulaglutide, and liraglutide.
本研究基于《中国医疗机构药品评价与遴选快速指南(第二版)》,为医疗机构在选择和合理使用胰高血糖素样肽-1受体激动剂(GLP-1RAs)方面提供参考。
根据2023年发布的《中国医疗机构药品评价与遴选快速指南(第二版)》,检索PubMed、Cochrane、Embase等相关数据库、药品标签及临床指南以获取药物信息。我们采用百分制评分法,对在中国上市的7种GLP-1RAs的安全性、有效性、经济性、药理特性及其他属性进行了系统评价。
最终评估结果得分从高到低依次为司美格鲁肽(71.5分)、度拉糖肽(68.9分)、利拉鲁肽(68.7分)、艾塞那肽(62.5分)、利司那肽(59.9分)、聚乙二醇洛塞那肽(55.9分)、贝那鲁肽(45.1分)。
医疗机构在医院引入GLP-1RAs时,可参考评估结果,选用推荐排名前三的药物:司美格鲁肽、度拉糖肽和利拉鲁肽。