Evidence map›Paper›PMID 26040429›Full record

Trial reportDiabetes, obesity & metabolism2015

Fixed ratio dosing of pramlintide with regular insulin before a standard meal in patients with type 1 diabetes.

M C Riddle, K C J Yuen, T W de Bruin, K Herrmann, J Xu, P Öhman, O G Kolterman

Open access · hybridAbstract readLetterRandomized 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Mediators of Amylin Action in Metabolic Control.Journal of clinical medicine · 2022
    Review
  3. Article
  4. Review
  5. Article
  6. Pharmacological Treatment in Diabetes Mellitus Type 1 - Insulin and What Else?International journal of endocrinology and metabolism · 2018
    Review
  7. Future of Automated Insulin Delivery Systems.Diabetes technology & therapeutics · 2017
    Review
  8. 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

7 authors at 4 institutions in 1 country.

M C RiddleDepartment of Medicine, Oregon Health & Science University, Portland, OR, USA.
K C J YuenSwedish Pituitary Center, Seattle, WA, USA.
T W de BruinAstraZeneca, Gaithersburg, MD, USA.
K HerrmannAstraZeneca, San Diego, CA, USA.
J XuAstraZeneca, Gaithersburg, MD, USA.
P ÖhmanAstraZeneca, Gaithersburg, MD, USA.
O G KoltermanConsultant, La Jolla, CA, USA.
AstraZeneca (United States) · USLa Jolla Alcohol Research · USOregon Health & Science University · USSwedish Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amylin is co-secreted with insulin and is therefore lacking in patients with type 1 diabetes. Replacement with fixed ratio co-administration of insulin and the amylin analogue pramlintide may be superior to separate dosing. This concept was evaluated in a ratio-finding study. Patients with type 1 diabetes were enrolled in a randomized, single-masked, standard breakfast crossover study using regular human insulin injected simultaneously with pramlintide 6, 9 or 12 mcg/unit insulin or placebo. Insulin dosage was reduced by 30% from patients' usual estimates. Plasma glucose, glucagon and pramlintide and adverse events were assessed. All ratios reduced 0-3-h glucose and glucagon increments by >50%. No hypoglycaemia occurred. Adverse events were infrequent and generally mild. All pramlintide/insulin ratios markedly and safely reduced glycaemic excursions and suppressed glucagon secretion in the immediate postprandial state. Further study using one of these ratios to explore the efficacy and safety of longer-term meal-time and basal hormone replacement is warranted.

Indexed as

AdultBlood GlucoseCross-Over StudiesDiabetes Mellitus, Type 1Drug Therapy, CombinationFemaleGlucagonHumansHypoglycemiaHypoglycemic AgentsInsulinIslet Amyloid PolypeptideMaleMealsMiddle AgedPostprandial PeriodBlood GlucoseGlucagonHypoglycemic AgentsInsulinIslet Amyloid Polypeptidepramlintideamylinpramlintidetype 1 diabetes

Identifiers

PMID26040429
PMCPMC4758401
OpenAlexW2100779570

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.