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Incidence of Inflammatory Bowel Disease Following Dipeptidyl Peptidase-4 (DPP-4) Inhibitor Use in Patients with Type 2 Diabetes Mellitus: An Inverse Probability of Treatment Weighting Analysis

    Basic Details
    Date Posted
    Status
    In progress
    Medical Product
    dipeptidyl peptidase-4 (DPP-4) inhibitors
    Health Outcome(s)
    inflammatory bowel disease (IBD)
    Description

    In this analysis, we compared the risk of inflammatory bowel disease (IBD) among new users of dipeptidyl peptidase-4 inhibitors (DPP-4i) versus new users of sodium-glucose costransporter-2 inhibitors (SGLT2i) and sulfonylureas (SU), separately, in the Sentinel Distributed Database (SDD).

    We identified individuals with new use of DPP-4i or SGLT2i/SU and evaluated the occurrence of incident IBD during exposure episodes among a cohort who were at least 18 years of age and had evidence of type 2 diabetes mellitus. We then conducted a Propensity Score Analysis (PSA) comparing the two exposure groups after inverse probability weighting on the propensity score. 

    We distributed this request to six Sentinel Data Partners on March 17, 2025. The study period includes data from March 29, 2013, through August 31, 2024.

    The analytic package associated with this analysis can be found externally in Sentinel's Git Repository located here. The Git Repository serves as Sentinel's version control tracking system for analytic packages and technical documentation.

    Additional Details
    FDA Center
    CDER
    Time Period
    March 29, 2013 - August 31, 2024
    Analysis Type
    Retrospective Inferential
    Population / Cohort
    Individuals aged 18 years or older with evidence of type 2 diabetes mellitus
    Data Sources
    Sentinel Distributed Database (SDD)