Evidence map›Paper›PMID 21270182›Full record

Trial reportDiabetes care2011

The DURAbility of Basal versus Lispro mix 75/25 insulin Efficacy (DURABLE) trial: comparing the durability of lispro mix 75/25 and glargine.

John B Buse, Bruce H R Wolffenbuttel, William H Herman, Stephen Hippler, Sherry A Martin, Honghua H Jiang, Sylvia K Shenouda, Jessie L Fahrbach

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Observational
  6. Comparative evaluation of biphasic insulin with metformin and triple oral hypoglycemic agents (OHA) in type 2 diabetes patients.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
    Article
  7. Review
  8. Insulin Matters: A Practical Approach to Basal Insulin Management in Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018
    Article
  9. EADSG Guidelines: Insulin Therapy in Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018
    Article
  10. Article
  11. Article
  12. Article
  13. Hypoglycemia Event Rates: A Comparison Between Real-World Data and Randomized Controlled Trial Populations in Insulin-Treated Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2016
    Article
  14. Early Glycemic Response Predicts Achievement of Subsequent Treatment Targets in the Treatment of Type 2 Diabetes: A Post hoc Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2015
    Article
  15. Practical Guidance on the Use of Premix Insulin Analogs in Initiating, Intensifying, or Switching Insulin Regimens in Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2015
    Article
  16. Review
  17. Evidence-based clinical use of insulin premixtures.Diabetology & metabolic syndrome · 2013
    Article
  18. Update on insulin therapy for type 2 diabetes.The Journal of clinical endocrinology and metabolism · 2012
    Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

John B BuseUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. jbuse@med.unc.edu
Bruce H R Wolffenbuttel
William H Herman
Stephen Hippler
Sherry A Martin
Honghua H Jiang
Sylvia K Shenouda
Jessie L Fahrbach
Eli Lilly (United States) · USOSF Saint Francis Medical Center · USUniversity Medical Center Groningen · NLUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study compared the durability of glycemic control of twice-daily insulin lispro mix 75/25 (LM75/25: 75% insulin lispro protamine suspension/25% lispro) and once-daily insulin glargine, added to oral antihyperglycemic drugs in type 2 diabetes patients. RESEARCH DESIGN AND

methodsDuring the initiation phase, patients were randomized to LM75/25 or glargine. After 6 months, patients with A1C ≤ 7.0% advanced to the maintenance phase for ≤ 24 months. The primary objective was the between-group comparison of duration of maintaining the A1C goal.

resultsOf 900 patients receiving LM75/25 and 918 patients receiving glargine who completed initiation, 473 and 419, respectively, had A1C ≤ 7.0% and continued into maintenance. Baseline characteristics except age were similar in this group. Median time of maintaining the A1C goal was 16.8 months for LM75/25 (95% CI 14.0-19.7) and 14.4 months for glargine (95% CI 13.4-16.8; P = 0.040). A1C goal was maintained in 202 LM75/25-treated patients (43%) and in 147 glargine-treated patients (35%; P = 0.006). No differences were observed in overall, nocturnal, or severe hypoglycemia. LM75/25 patients had higher total daily insulin dose (0.45 ± 0.21 vs. 0.37 ± 0.21 units/kg/day) and more weight gain (5.4 ± 5.8 vs. 3.7 ± 5.6 kg) from baseline. Patients taking LM75/25 and glargine with lower baseline A1C levels were more likely to maintain the A1C goal (P = 0.043 and P < 0.001, respectively).

conclusionsA modestly longer durability of glycemic control was achieved with LM75/25 compared with glargine. Patients with lower baseline A1C levels were more likely to maintain the goal, supporting the concept of earlier insulin initiation.

Indexed as

Administration, OralAdultAgedAged, 80 and overDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleGlycated HemoglobinGlycemic IndexHumansHypoglycemic AgentsInsulinInsulin GlargineInsulin LisproInsulin, Long-ActingMaleGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinInsulin GlargineInsulin LisproInsulin, Long-Acting

Identifiers

PMID21270182
PMCPMC3024329
OpenAlexW2091229445

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.