Metformin / Sitagliptin: 6 agencies, 2008–2022

This page collects every recorded health technology assessment decision for one molecule across the agencies in our archive, and compares them. The comparison is the point: each agency publishes its own verdict, none publishes how that verdict sits against the others.

What the record shows

The file has been open for more than a decade: 14.4 years separate the first record, 6 May 2008 at AWMSG (Wales), from the most recent, 12 Oct 2022 at HAS (France).

SMC (Scotland) changed its position: restricted on 10 May 2010, recommended by 13 Jan 2014.

No assessment is on file from PBAC (Australia) and CIPM (Spain), each among the eight highest-volume agencies here.

The programme is broad: 9 distinct indication wordings are recorded for metformin / sitagliptin by the agencies that label one in English (AWMSG and SMC).

AWMSG (Wales) was first to assess metformin / sitagliptin, on 6 May 2008; PHARMAC (New Zealand) did not open a file until 21 Feb 2019 — an unusually long tail of 10.8 years between the earliest and latest system to look at it.

The record arrives in waves: 9 separate years each carry two or more decisions, spread across 12 years in total.

Restriction is doing real work here: 4 of 15 decisive outcomes narrowed metformin / sitagliptin to a subgroup rather than accepting or refusing it outright, at SMC (Scotland) and TLV (Sweden).

5 of the 6 agencies here assessed metformin / sitagliptin more than once, HAS (France) most often at 16 entries — repeat review is the norm for this molecule rather than the exception.

6 of the 18 agencies in this archive hold a record for metformin / sitagliptin.

The full ledger for metformin / sitagliptin reads 10 recommended, 8 other, 5 not assessed and 4 no benefit, with 5 in other categories.

Decisions on file

AgencyDateIndication as recorded OutcomeSource
HAS (France)12 Oct 2022Listing (Transparency Committee)SMR moderate · ASMR Vsource
PHARMAC (New Zealand)21 Feb 2019Diabetes - Type 2PTAC advice: No Formal Recommendation · decision reachedsource
G-BA (Germany)1 Feb 2018Komboglyze — benefit assessment §35aadded benefit: not provensource
AWMSG (Wales)7 Jan 2014In combination with a sulphonylurea (i.e., triple combination therapy) as an adjunct to diet and exercise to improve gly…outside AWMSG criteriasource
SMC (Scotland)10 Jun 2013Adjunct to diet and exercise to improve glycaemic control in adult patients aged 18 years and older with type 2 diabetes mellitus inadequately controlled on their maximal…accepted (restricted)source

27 further decisions for metformin / sitagliptin, across 5 agencies, are not shown here. They link to 18 further source documents.

Related molecules

Coverage: 32 decisions for metformin / sitagliptin from 6 agencies, 2008 to 2022. Data to 7 Sep 2026. ATC class A10B — Diabetes. How this page is produced. Compiled by Altima Partners; queries: sales@altimapartners.co.uk.

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