Evidence map›Paper›PMID 26894924›Full record

Trial reportJournal of nephrology2016

The effect of dapagliflozin on renal function in patients with type 2 diabetes.

Donald Elliott Kohan, Paola Fioretto, Kristina Johnsson, Shamik Parikh, Agata Ptaszynska, Lisa Ying

12 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00263276. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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.

NCT00263276 phase2completed

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 2 Trial to Evaluate the Safety and Efficacy of BMS-512148 as Monotherapy in Subjects With Type 2 Diabetes Mellitus Who Are Treatment Naive And Have Inadequate Glycemic Control on Diet and Exercise

Ran2005Enrolled389Registered outcomes2Posted comparisons0ConditionsType 2 DiabetesArmsdapagliflozin, Metformin, Placebo
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NCT00357370 phase2 / phase3completed

A Pilot Study of the Efficacy and Safety of BMS-512148 on Glycemic Control in Subjects With Type 2 Diabetes Treated Aggressively But Not Controlled on Combination Antihyperglycemic Therapy With Metformin and/or Thiazolidinedione (TZD) and Insulin.

Ran2006Enrolled163Registered outcomes6Posted comparisons6ConditionsType 2 DiabetesArmsdapagliflozin, Placebo
PMID 19528367other papers from this trial
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NCT00528372 phase3completed

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise

Ran2007Enrolled1,067Registered outcomes17Posted comparisons54ConditionsType 2 DiabetesArmsdapagliflozin, Dapagliflozin placebo, Metformin
PMID 25381876PMID 20566676other papers from this trial
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NCT00528879 phase3completed

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin Alone

Ran2007Enrolled915Registered outcomes15Posted comparisons27ConditionsType 2 DiabetesArmsdapagliflozin, Metformin, Placebo
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NCT00643851 phase3completed

A Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Metformin as Initial Therapy as Compared With Dapagliflozin Monotherapy and Metformin Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control

Ran2008Enrolled994Registered outcomes6Posted comparisons12ConditionsType 2 DiabetesArmsdapagliflozin, Metformin XR
PMID 22413962other papers from this trial
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NCT00673231 phase3completed

A 24-week International, Randomized, Parallel-group, Double-blind, Placebo-controlled Phase III Study With a 80-week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin Therapy When Added to the Therapy of Patients With Type 2 Diabetes With Inadequate Glycaemic Control on Insulin

Ran2008Enrolled1,240Registered outcomes6Posted comparisons15ConditionsType 2 DiabetesArmsdapagliflozin, Placebo
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NCT00680745 phase3completed

A 24-Week,Int.,Rand.,Double-blind,Parallel-group,Multi-centre, Plac.-Controlled Phase III Study With a 24-Wk Ext.Per.to Eval.the Efficacy and Safety of Dapagliflozin in Comb.With Glimepiride (a Sulphonylurea) in Subjects With Type2 Diab.Who Have Inadeq. Glycaemic Control on Glimepiride Therapy Alone

Ran2008Enrolled597Registered outcomes6Posted comparisons18ConditionsType 2 DiabetesArmsdapagliflozin, Glimepiride, Metformin hydrochloride, pioglitazone hydrochloride, Rosiglitazone
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NCT00683878 phase3completed

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Thiazolidinedione Therapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Thiazolidinedione Therapy Alone

Ran2008Enrolled972Registered outcomes7Posted comparisons14ConditionsType 2 DiabetesArmsdapagliflozin, Placebo matching Dapagliflozin, Thiazolidinedione (Pioglitazone)
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NCT00736879 phase3completed

A Multicenter, Randomized, Double-Blind, Placebo Controlled, Parallel Group, Phase III Trial to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise

Ran2008Enrolled497Registered outcomes12Posted comparisons18ConditionsType 2 Diabetes MellitusArmsdapagliflozin, Placebo
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NCT00855166 phase3completed

A 24-week,Multi-centre,Int.,Double-blind,Rand.,Parallel-group,Plac.-Controlled,Phase III Study With a 78-week Ext.Per. to Evaluate the Effect of Dapagliflozin in Combination With Metformin on Body Weight in Subjects With Type2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone

Ran2009Enrolled182Registered outcomes7Posted comparisons7ConditionsType 2 Diabetes MellitusArmsdapagliflozin, Metformin, Placebo, Sitagliptin
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NCT00859898 phase3completed

A Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin 10 mg in Combination With Metformin as Initial Therapy as Compared With Dapagliflozin 10 mg Monotherapy and Metformin Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control

Ran2009Enrolled1,093Registered outcomes12Posted comparisons14ConditionsType 2 Diabetes MellitusArmsdapagliflozin, dapagliflozin matching Placebo, metformin HCl Modified Release matching Placebo, Metformin XR
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NCT00972244 phase2completed

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 2 Trial to Evaluate the Efficacy and Safety of Dapagliflozin as Monotherapy in Japanese Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control

Ran2009Enrolled417Registered outcomes3Posted comparisons12ConditionsType 2 Diabetes MellitusArmsdapagliflozin, Placebo
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3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Renoprotective Effects of SGLT2 Inhibitors.Heart failure clinics · 2022
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Glucose transporters in the kidney in health and disease.Pflugers Archiv : European journal of physiology · 2020
    Review
  19. SGLT2i: beyond the glucose-lowering effect.Cardiovascular diabetology · 2020
    Review
  20. 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

6 authors at 5 institutions in 3 countries.

Donald Elliott KohanDepartment of Internal Medicine, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
Paola FiorettoDepartment of Medicine, University of Padua, Padua, Italy.
Kristina JohnssonGlobal Medical Affairs, AstraZeneca, Mölndal, Sweden.
Shamik ParikhGlobal Medical Affairs, AstraZeneca, Wilmington, DE, USA.
Agata PtaszynskaBristol-Myers Squibb, Research and Development, Route 206 and Provinceline Road, Princeton, NJ, 08543, USA. agata.ptaszynska@bms.com.
Lisa YingBristol-Myers Squibb, Research and Development, Route 206 and Provinceline Road, Princeton, NJ, 08543, USA.
Bristol-Myers Squibb (United States) · USAstraZeneca (Sweden) · SEAstraZeneca (United States) · USUniversity of Padua · ITUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDapagliflozin's antihyperglycemic effects are mediated by inhibition of renal sodium-glucose cotransporter-2; therefore, renal safety of dapagliflozin was assessed.

methodsTwelve double-blind, placebo-controlled, randomized clinical trials were analyzed up to 24 weeks (N = 4545). Six of the 12 studies included long-term data for up to 102 weeks (N = 3036). Patients with type 2 diabetes with normal or mildly impaired renal function [estimated glomerular filtration rate (eGFR) 60 to <90 mL/min/1.73 m(2)] were treated with dapagliflozin (2.5, 5, or 10 mg/day) or placebo. Renal adverse events (AEs) were assessed.

resultsMean eGFR showed small transient reductions with dapagliflozin at week 1, but returned to near baseline values by week 24 and remained stable to week 102. Mean eGFR changes were not very different for dapagliflozin 2.5, 5 and 10 mg versus placebo at 102 weeks: -0.74, 2.52 and 1.38 versus 1.31 mL/min/1.73 m(2), respectively. Renal AEs were similar in frequency to placebo through 24 weeks (1.4, 1.3, 0.9, and 0.9 %, respectively) and 102 weeks (2.4, 1.8, 1.9 and 1.7 %, respectively). Few were serious (0.2, 0.1, 0 and 0.3 %, respectively, over 102 weeks). The most common renal event was serum creatinine increase. In sub-group analyses in patients ≥65 years of age or those with moderate renal impairment (eGFR 30 to <60 mL/min/1.73 m(2)), renal AEs occurred more frequently with dapagliflozin than placebo. No events of acute tubular necrosis were reported.

conclusionIn patients with normal or mildly impaired renal function, dapagliflozin is not associated with increased risk of acute renal toxicity or deterioration of renal function. All trials included in this analysis are registered at ClinicalTrials.gov: NCT00263276, NCT00972244, NCT00528372, NCT00736879, NCT00528879, NCT00855166, NCT00357370, NCT00680745, NCT00683878, NCT00673231, NCT00643851, NCT00859898.

Indexed as

AdultAgedBenzhydryl CompoundsBlood PressureDiabetes Mellitus, Type 2Double-Blind MethodFemaleGlomerular Filtration RateGlucosidesHumansHypoglycemic AgentsKidneyMaleMiddle AgedBenzhydryl CompoundsdapagliflozinGlucosidesHypoglycemic AgentsDapagliflozinRenalSafetySGLT2

Identifiers

PMID26894924
OpenAlexW2282647732

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 6 more above

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.