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Diabetes

Metformin — a cardiovascular moderator of DPP4 inhibitors?

Three cardiovascular outcome trials failed to show superiority of DPP4 inhibitors compared with placebo in patients with type 2 diabetes mellitus and high cardiovascular risk, a rather disappointing finding. Now, a post hoc subgroup analysis suggests that patients treated with metformin at baseline might benefit from DPP4 inhibitors in contrast with metformin non-users.

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Correspondence to André J. Scheen.

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The author declares that no competing interests are directly relevant to the content of this manuscript. A.J.S. has received lecturer,scientific adviser and clinical investigator fees from AstraZeneca, Boehringer Ingelheim, Eli Lilly, Janssen, Merck Sharp & Dohme, NovoNordisk, Sanofi and Servier. A.J.S. was a clinical investigator in the TECOS, LEADER, EMPA-REG OUTCOME and CANVAS-R trials.

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Scheen, A. Metformin — a cardiovascular moderator of DPP4 inhibitors?. Nat Rev Endocrinol 14, 8–9 (2018). https://doi.org/10.1038/nrendo.2017.154

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