DPP4 and pancreatitis: Acute pancreatitis occurred slightly more often in the treatment groups than with placebo when employing saxagliptin (SAVOR-TIMI), sitagliptin (TECOS), alogliptin (EXAMINE) or lixisenatide (ELIXA), and even when no significant differences between groups could be found, a meta-analysis on trials on DPP-4 inhibitors showed a marginally higher risk of pancreatitis associated with DPP-4 treatment [56].