Evidence map›Paper›PMID 27402391›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2016

Saxagliptin Efficacy and Safety in Patients With Type 2 Diabetes and Moderate Renal Impairment.

Shira Perl, William Cook, Cheryl Wei, Nayyar Iqbal, Boaz Hirshberg

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

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00121641. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-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.

NCT00121641 phase3completed

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial to Evaluate the Efficacy and Safety of Saxagliptin (BMS-477118) as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise

Ran2005Enrolled1,035Registered outcomes38Posted comparisons12ConditionsDiabetes Mellitus, Type 2ArmsMetformin, Placebo matching Metformin, Placebo matching Saxagliptin, Saxagliptin
PMID 19650754other papers from this trial
Open the trial in the graph
NCT00121667 phase3completed

"A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase III Trial to Evaluate the Efficacy and Safety of BMS-477118 in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin Alone"

Ran2005Enrolled1,462Registered outcomes22Posted comparisons12ConditionsDiabetes Mellitus, Type 2ArmsPioglitazone, Placebo + Metformin, Saxagliptin + Metformin
PMID 19478198other papers from this trial
Open the trial in the graph
NCT00295633 phase3completed

A Multicenter, Randomized, Double Blind, Placebo Controlled, Phase III Trial to Evaluate the Efficacy and Safety of Saxagliptin (BMS477118) in Combination With Thiazolidinedione Therapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Thiazolidinedione Therapy Alone

Ran2006Enrolled565Registered outcomes4Posted comparisons0ConditionsDiabetes Mellitus, Type 2ArmsMetformin, Pioglitazone, Placebo, Rosiglitazone, Saxagliptin
PMID 19864452other papers from this trial
Open the trial in the graph
NCT00313313 phase3completed

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

Ran2006Enrolled768Registered outcomes4Posted comparisons0ConditionsDiabetesArmsglyburide, Metformin, Placebo, Saxagliptin
PMID 19614786other papers from this trial
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NCT00316082 phase3completed

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

Ran2006Enrolled365Registered outcomes5Posted comparisons0ConditionsDiabetesArmsMetformin, Placebo, Saxagliptin
Open the trial in the graph
NCT00661362 phase3completed

A 24-Week International, Multi-centre, Randomized, Parallel-group, Double-blind, Placebo-Controlled, Phase III Study to Evaluate the Efficacy and Safety of Saxagliptin in Combination With Metformin in Adult Patients With Type 2 Diabetes Who Have Inadequate Glycaemic Control on Metformin Therapy

Ran2008Enrolled570Registered outcomes6Posted comparisons6ConditionsType 2 DiabetesArmsMetformin, Placebo, Saxagliptin
Open the trial in the graph
NCT00698932 phase3completednot on this map

A 24-Week International, Multi-centre, Randomized, Parallel-group, Double-blind, Placebo-controlled, Phase III Study to Evaluate the Efficacy and Safety of Saxagliptin in Adult Patients With Type 2 Diabetes Who Have Inadequate Glycaemic Control With Diet and Exercise.

TypeinterventionalSponsorAstraZenecaRan2008 to 2009Enrolled568ConditionsType 2 DiabetesArmsSaxagliptin, Placebo
NCT00757588 phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Phase 3 Trial to Evaluate the Efficacy and Safety of Saxagliptin Added to Insulin Monotherapy or to Insulin in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Insulin Alone or on Insulin in Combination With Metformin

TypeinterventionalSponsorAstraZenecaRan2008 to 2010Enrolled455ConditionsType 2 DiabetesArmsSaxagliptin, 5 mg + insulin, Placebo + insulin
NCT00918879 phase3completednot on this map

A 24-Week National, Multi-centre, Randomized, Parallel-group, Double-blind, Placebo-controlled, Phase IIIb Study in India to Evaluate the Efficacy and Safety of Saxagliptin in Adult Patients With Type 2 Diabetes Who Have Inadequate Glycaemic Control With Diet and Exercise

TypeinterventionalSponsorAstraZenecaRan2009 to 2010Enrolled213ConditionsType 2 DiabetesArmsSaxagliptin, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Shira PerlAstraZeneca, One Medimmune Way, Gaithersburg, MD, USA. shira.perl@astrazeneca.com.
William CookMedImmune, LLC, Gaithersburg, MD, USA.
Cheryl WeiAstraZeneca, One Medimmune Way, Gaithersburg, MD, USA.
Nayyar IqbalAstraZeneca, One Medimmune Way, Gaithersburg, MD, USA.
Boaz HirshbergMedImmune, LLC, Gaithersburg, MD, USA.
AstraZeneca (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType 2 diabetes (T2D) is the leading cause of chronic kidney disease (CKD). The recommended dose of the dipeptidyl peptidase-4 inhibitor saxagliptin is 2.5 mg in patients with moderate or severe renal impairment (creatinine clearance ≤50 mL/min). In this post hoc analysis, we assessed the effect of saxagliptin 2.5 and 5 mg/day versus placebo on glycemic measures in patients with T2D and estimated glomerular filtration rate 45-60 mL/min/1.73 m(2).

methodsEfficacy and safety data were pooled from nine 24-week, randomized, placebo-controlled clinical trials.

resultsThe majority (56-61%) of patients were women aged <65 years with glycated hemoglobin (A1C) 8.1-8.2%; half of the patients had a T2D duration ≥5 years. Mean change from baseline in A1C was significantly greater with saxagliptin 2.5 (-0.6%, P = 0.036 vs placebo) and 5 mg/day (-0.9%, P < 0.001 vs placebo) compared with placebo (-0.2%). There were numerically greater reductions in fasting plasma glucose and 2-h postprandial glucose, and a significantly greater proportion of patients achieved A1C <7% with saxagliptin 5 mg/day (44.8%) compared with placebo (20.0%, P = 0.004 vs placebo). The incidence of hypoglycemia was not significantly different across groups (16.2% in the saxagliptin 5-mg/day, 12.2% in the saxagliptin 2.5-mg/day, and 11.3% in the placebo groups).

conclusionThese results suggest that saxagliptin 2.5 and 5 mg/day improve glycemic control and are generally well tolerated in patients with T2D and moderate CKD.

trial registrationClinicalTrials.gov identifier, NCT00121641, NCT00316082, NCT00698932, NCT00918879, NCT00121667, NCT00661362, NCT00313313, NCT00295633, NCT00757588.

fundingAstraZeneca, Gaithersburg, MD, USA.

Indexed as

Chronic kidney diseaseDipeptidyl peptidase-4 inhibitorEstimated glomerular filtration rateSaxagliptinType 2 diabetes

Identifiers

PMID27402391
PMCPMC5014790
OpenAlexW2466462025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 3 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.