Cardiometabolic & kidney

Effect of Obicetrapib on Glycaemia and New-Onset Diabetes: Pooled Analysis of BROADWAY/BROOKLYN and an Updated Meta-analysis of Cholesteryl Ester Transfer Protein (CETP) Inhibitor Trials

Eur J Prev CardiolPublished Pooled analysis of individual participant data from phase 3 trials and systematic review and meta-analysis

Pooled result · HbA1cResult — go to the resultLSMD −0.02% 95% CI −0.04 to 0.00

Authors' conclusion

Obicetrapib did not adversely affect glycaemia and was associated with a numerically lower risk of NoD, consistent with a CETP inhibitor class signal of a modestly lower risk. The PREVAIL trial will provide larger-longer evidence about obicetrapib and NoD.

Study context

Population
Participants without diabetes at baseline in the BROADWAY and BROOKLYN trialspooled BROADWAY and BROOKLYN participants without diabetes at baseline, meta-analysis of six eligible trials reporting new-onset diabetes (NoD) · normoglycaemic 899 · prediabetes 801
Participants
1,700 participants
Comparison
Obicetrapib 10 mg or placebo; CETP inhibition in meta-analysis
Outcome
HbA1c
Follow-up
Week 52
Methodological detailsrandomised 2:1, PRISMA-compliant, PROSPERO-registered, Mantel-Haenszel fixed-effect models, prespecified subgroup analyses, trial-level meta-regression
  • Randomised 2:1
  • PRISMA-compliant
  • PROSPERO-registered
  • Mantel-Haenszel fixed-effect models
  • Prespecified subgroup analyses
  • Trial-level meta-regression

Pooled result

As reported in the abstract

LSMD

−0.02%

95% CI −0.04 to 0.00

Obicetrapib vs placebo
LSMD −0.02% (95% CI −0.04 to 0.00)

Further pooled results

OutcomeObicetrapibPlaceboAdjusted OR (95% CI)
NoDDirectionally consistent across glycaemic strata6.4%8.5%0.69 (0.47–1.03)

NoD, meta-analysis of CETP inhibition

ComparisonRR (95% CI)
CETP inhibition16% lower risk; I2 = 0%0.84 (0.79–0.90)

Restricted cubic spline analyses of NoD risk

Associations between HDL-C, apoA1 and Lp(a) changes and NoD risk, but not HbA1c change

Original publication

Effect of Obicetrapib on Glycaemia and New-Onset Diabetes: Pooled Analysis of BROADWAY/BROOKLYN and an Updated Meta-analysis of CETP Inhibitor Trials. Eur J Prev Cardiol. Published 24 October 2026. doi:10.1093/eurjpc/zwag551

Summarised from the published abstract; every number is checked against it

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