Evidence map›Paper›PMID 26543510›Full record

ArticleCurrent therapeutic research, clinical and experimental2015

Early Clinical Detection of Pharmacologic Response in Insulin Action in a Nondiabetic Insulin-Resistant Population.

Sudha S Shankar, R Ravi Shankar, Radha A Railkar, Chan R Beals, Helmut O Steinberg, David E Kelley

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% 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.

NCT01115712 phase1completednot on this map

A Randomized Clinical Trial to Measure the Effect of Pioglitazone on Insulin Sensitivity in Healthy Overweight and Obese Males

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2010 to 2010Enrolled35ConditionsHealthy, Overweight, ObesityArmsPlacebo, Comparator: Pioglitazone, Comparator: Hyperinsulinemic Euglycemic Clamp
NCT03234751 phase1completednot on this mapstarted 2017, after this paper: background citation

Effect of Nesiritide Infusion on Insulin Sensitivity in Healthy Obese Insulin Resistant Subjects

TypeinterventionalSponsorAdventHealth Translational Research InstituteRan2017 to 2020Enrolled6ConditionsDiabetesArmsContinous IV infusion of Nesiritide, Hyperinsulinemic euglycemic clamp, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. 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

6 authors at 1 institution in 1 country.

Sudha S ShankarMerck Research Laboratories, Merck & Co., Inc., Kenilworth, NJ.
R Ravi ShankarMerck Research Laboratories, Merck & Co., Inc., Kenilworth, NJ.
Radha A RailkarMerck Research Laboratories, Merck & Co., Inc., Kenilworth, NJ.
Chan R BealsMerck Research Laboratories, Merck & Co., Inc., Kenilworth, NJ.
Helmut O SteinbergMerck Research Laboratories, Merck & Co., Inc., Kenilworth, NJ.
David E KelleyMerck Research Laboratories, Merck & Co., Inc., Kenilworth, NJ.
Merck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsulin resistance heightens the risk for type 2 diabetes mellitus and cardiovascular disease. Amelioration of insulin resistance may reduce this risk. The thiazolidinedone class of insulin sensitizers improves insulin action in individuals with insulin-resistant diabetes and nondiabetic individuals. However, there are few reports on the time of onset of such effects independent of reversal of glucotoxicity.

objectiveThe goal of our study was to test whether the thiazolidinedione pioglitazone has prominent early metabolic effects that can be detected in an obese, nondiabetic, insulin-resistant population.

methodsWe conducted a randomized, double-blind, placebo-controlled, parallel-group trial in men with nondiabetic insulin resistance using a hyperinsulinemic euglycemic clamp technique (at low and high doses of insulin at 10 and 40 mU/m(2)/min, respectively). The patients were given 30 mg daily oral pioglitazone or placebo for 28 days. Patients underwent a baseline clamp before initiation of treatment, and again at 14 and 28 days of treatment.

resultsCompared with placebo, under high-dose hyperinsulinemia, pioglitazone led to significant increases in glucose disposal rates (GDR) of 1.29 mg/kg/min (90% CI, 0.43-2.15; 39%; P=0.008) that were detectable at 2 weeks of treatment and persisted at 4 weeks of treatment. Under low-dose hyperinsulinemia, significant increases in GDR of 0.40 mg/kg/min (90% CI, 0.17-0.62; 95%; P=0.003) were observed at 4 weeks of treatment. These responses were accompanied by robust suppression of free fatty acids under hyperinsulinemic conditions, and by significant increases in circulating basal total adiponectin at 2 and 4 weeks of treatment.

conclusionsSignificant changes in insulin action across multiple insulin-sensitive tissues can be detected within 2 weeks of initiation of insulin-sensitizing therapy with pioglitazone in obese patients with nondiabetic insulin resistance. ClinicalTrials.gov identifier: NCT01115712.

Indexed as

free fatty acidsglucose clampinsulin resistanceinsulin sensitivitynondiabeticpioglitazone

Identifiers

PMID26543510
PMCPMC4589823
OpenAlexW1613595072

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.