Evidence map›Paper›PMID 25425297›Full record

Trial reportDiabetes, obesity & metabolism2015

Single-dose new insulin glargine 300 U/ml provides prolonged, stable glycaemic control in Japanese and European people with type 1 diabetes.

M Shiramoto, T Eto, S Irie, A Fukuzaki, L Teichert, J Tillner, Y Takahashi, M Koyama, R Dahmen, T Heise and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Insulin depot absorption modeling and pharmacokinetic simulation with insulin glargine 300 U/mL
.International journal of clinical pharmacology and therapeutics · 2019
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Pharmacokinetics and Safety of iGlarLixi in Healthy Chinese Participants: Results of a Phase 1 Randomized Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
  11. Article
  12. Review
  13. Review
  14. Challenges of Diabetes Care in Older People With Type 2 Diabetes and the Role of Basal Insulin.Clinical diabetes : a publication of the American Diabetes Association · 2019
    Article
  15. Use of Insulin Glargine 100 U/mL for the Treatment of Type 2 Diabetes Mellitus in East Asians: A Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019
    Review
  16. Article
  17. Improved Glycemic Control with Insulin Glargine 300 U/mL (ToujeoDiabetes therapy : research, treatment and education of diabetes and related disorders · 2018
    Article
  18. Article
  19. Observational
  20. Clinical Challenges With Concentrated Insulins: Setting the Record Straight.Diabetes spectrum : a publication of the American Diabetes Association · 2017
    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

11 authors at 4 institutions in 2 countries.

M ShiramotoHakata Clinic, LTA Clinical Pharmacology Center, Fukuoka, Japan.
T Eto
S Irie
A Fukuzaki
L Teichert
J Tillner
Y Takahashi
M Koyama
R Dahmen
T Heise
R H A Becker
Sanofi (Germany) · DESanofi (Japan) · JPSOUSEIKAI Global Clinical Research Center · JPProfil Institute for Metabolic Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTwo single-dose studies were conducted in Japan and Europe to compare the pharmacokinetic (PK) and pharmacodynamic (PD) profiles of new insulin glargine 300 U/ml (Gla-300) and insulin glargine 100 U/ml (Gla-100) in people with type 1 diabetes mellitus.

methodsIn two double-blind, randomized, crossover studies, 18 Japanese participants (aged 20-65 years) and 24 European participants (aged 18-65 years) with glycated haemoglobin levels ≤9.0% (≤75 mmol/mol) received single subcutaneous doses of Gla-300, 0.4, 0.6 and 0.9 U/kg (0.9 U/kg in the European study only), and Gla-100, 0.4 U/kg. A 36-h euglycaemic clamp procedure was performed after each dosing.

resultsThe serum insulin glargine concentration (INS) and glucose infusion rate (GIR) developed more gradually into more constant and prolonged profiles with Gla-300 than with Gla-100. In support of this, the times to 50% of glargine exposure and insulin activity were longer for all Gla-300 doses than for Gla-100 during the 36-h clamp period, indicating a more evenly distributed exposure and metabolic effect beyond 24 h. Exposure to insulin glargine and glucose utilization were lower with the 0.4 and 0.6 U/ml Gla-300 doses in both studies compared with the 0.4 U/ml Gla-100 dose. Glucose-lowering activity was detected for up to 36 h with all doses of Gla-300.

conclusionsSingle-dose injections of Gla-300 present more constant and prolonged PK and PD profiles compared with Gla-100, maintaining blood glucose control for up to 36 h in euglycaemic clamp settings in Japanese and European participants with type 1 diabetes.

Indexed as

AdolescentAdultAgedAsian PeopleBlood GlucoseCross-Over StudiesDiabetes Mellitus, Type 1Double-Blind MethodFemaleGlucose Clamp TechniqueGlycated HemoglobinHumansHypoglycemic AgentsInfusions, SubcutaneousInsulin GlargineInsulin, Long-ActingBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulin GlargineInsulin, Long-Actinginsulin analoguespharmacodynamicspharmacokineticstype 1 diabetes

Identifiers

PMID25425297
PMCPMC4342764
OpenAlexW2065510740

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Registered trials

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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.