Evidence map›Paper›PMID 25160589›Full record

Trial reportThe AAPS journal2014

A semi-mechanistic model for the effects of a novel glucagon receptor antagonist on glucagon and the interaction between glucose, glucagon, and insulin applied to adaptive phase II design.

Joanna Z Peng, William S Denney, Bret J Musser, Rong Liu, Kuenhi Tsai, Lanyan Fang, Marc L Reitman, Matthew D Troyer, Samuel S Engel, Lei Xu and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The AAPS journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Mathematical modeling of the glucagon challenge test.Journal of pharmacokinetics and pharmacodynamics · 2019
    Article
  4. Article
  5. Article
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

13 authors at 3 institutions in 1 country.

Joanna Z PengDepartment of Modeling & Simulation, Merck & Co., Inc., Rahway, New Jersey, USA, ocean.peng@gmail.com.
William S Denney
Bret J Musser
Rong Liu
Kuenhi Tsai
Lanyan Fang
Marc L Reitman
Matthew D Troyer
Samuel S Engel
Lei Xu
Aubrey Stoch
Julie A Stone
Ken G Kowalski
Merck & Co., Inc., Rahway, NJ, USA (United States) · USAmgen (United States) · USUnited States Military Academy · US

Funding

Pharmacologic approaches to the treatment of obesityZIADK075062 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI REITMAN, MARC L · 2012 to 2025
$5.5M
6 · The paper itself

Abstract

A potent novel compound (MK-3577) was developed for the treatment of type 2 diabetes mellitus (T2DM) through blocking the glucagon receptor. A semi-mechanistic model was developed to describe the drug effect on glucagon and the interaction between glucagon, insulin, and glucose in healthy subjects (N = 36) during a glucagon challenge study in which glucagon, octreotide (Sandostatin), and basal insulin were infused for 2 h starting from 3, 12, or 24 h postdose of a single 0-900 mg MK-3577 administration. The drug effect was modeled by using an inhibitory E max model (I max = 0.96 and IC50 = 13.9 nM) to reduce the ability of glucagon to increase the glucose production rate (GPROD). In addition, an E max model (E max = 0.79 and EC50 = 575 nM) to increase glucagon secretion by the drug was used to account for the increased glucagon concentrations prechallenge (via compensatory feedback). The model adequately captured the observed profiles of glucagon, glucose, and insulin pre- and postchallenge. The model was then adapted for the T2DM patient population. A linear model to correlate fasting plasma glucose (FPG) to weighted mean glucose (WMG) was developed and provided robust predictions to assist with the dose adjustment for the interim analysis of a phase IIa study.

Indexed as

Models, BiologicalAdultBlood GlucoseCross-Over StudiesDiabetes Mellitus, Type 2Double-Blind MethodDrug Administration ScheduleDrug InteractionsFemaleGlucagonGlucoseHumansHypoglycemic AgentsInsulinMaleMiddle AgedBlood GlucoseGlucagonGlucoseHypoglycemic AgentsInsulinReceptors, Glucagon

Identifiers

PMID25160589
PMCPMC4389739
OpenAlexW2058811087

What OpenQuestion holds

Textmetadata
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.