Evidence map›Paper›PMID 24843781›Full record

ArticleJournal of diabetes investigation2014

Comparison of the efficacy of sitagliptin and glimepiride dose-up in Japanese patients with type 2 diabetes poorly controlled by sitagliptin and glimepiride in combination.

Seiya Shimoda, Shinsuke Iwashita, Taiji Sekigami, Noboru Furukawa, Yasuto Matsuo, Shinji Ichimori, Rieko Goto, Takako Maeda, Eiichiro Watanabe, Tatsuya Kondo and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

14 authors at 4 institutions in 1 country.

Seiya ShimodaDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Shinsuke IwashitaDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Taiji SekigamiKumamoto Social Insurance General Hospital Kumamoto Japan.
Noboru FurukawaDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Yasuto MatsuoSaiseikai Kumamoto Hospital Kumamoto Japan.
Shinji IchimoriUeki Hospital Kumamoto Japan.
Rieko GotoDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Takako MaedaDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Eiichiro WatanabeKumamoto Chuo Hospital Kumamoto Japan.
Tatsuya KondoDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Takeshi MatsumuraDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Hiroyuki MotoshimaDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Kenro NishidaMinamata City Hospital and Medical Center Kumamoto Japan.
Eiichi ArakiDepartment of Metabolic Medicine Faculty of Life Sciences Kumamoto University Kumamoto Japan.
Kumamoto University · JPKumamoto City Hospital · JPKumamoto Orthopedic Surgery Hospital · JPSaiseikai Kumamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionThe goal of the study was to examine the effects of sitagliptin dose-up or glimepiride dose-up in Japanese patients with type 2 diabetes who were controlled inadequately by sitagliptin and glimepiride in combination. MATERIALS AND

methodsA multicenter, prospective, randomized, open-label study was carried out in 50 patients with type 2 diabetes treated with sitagliptin and low-dose glimepiride. The patients were randomly assigned to receive the addition of 50 mg/day sitagliptin or 0.5 mg/day glimepiride. The primary end-point was the percentage change in glycated hemoglobin (HbA1c).

resultsDuring a follow-up period, the difference in the percentage changes in HbA1c between the two groups was not significant (P = 0.13). However, HbA1c was significantly decreased by glimepiride dose-up (P < 0.01 vs baseline), but not by sitagliptin dose-up (P = 0.74). Univariate linear regression analyses showed that the percentage change in HbA1c was significantly associated with the serum level of arachidonic acid (AA) in both groups.

conclusionsThere was no significant difference in the HbA1c-lowering effects between the two groups. However, a significant HbA1c-lowering effect from baseline of glimepiride dose-up was found, and the AA level showed a negative correlation with the decrease in HbA1c in the sitagliptin dose-up group, but a positive correlation in the glimepiride dose-up group. These findings suggest that the AA level is associated with HbA1c reduction in response to dose-up with these drugs in patients with type 2 diabetes in a combination therapy with sitagliptin and glimepiride. This trial was registered with UMIN (no. 000009544).

Indexed as

Arachidonic acidGlimepirideSitagliptin

Identifiers

PMID24843781
PMCPMC4020337
OpenAlexW2000551141

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.