Evidence map›Paper›PMID 28138980›Full record

Trial reportBritish journal of clinical pharmacology2017

Dynamic population pharmacokinetic-pharmacodynamic modelling and simulation supports similar efficacy in glycosylated haemoglobin response with once or twice-daily dosing of canagliflozin.

Willem de Winter, Adrian Dunne, Xavier Woot de Trixhe, Damayanthi Devineni, Chyi-Hung Hsu, Jose Pinheiro, David Polidori

Abstract readComparative StudyRandomized Controlled TrialValidation Study
In one paragraph

Trial report in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. 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.

Willem de WinterSanofi-Aventis, Frankfurt am Main, Germany.
Adrian DunneJanssen Research and Development, Beerse, Belgium.
Xavier Woot de TrixheJanssen Research and Development, Beerse, Belgium.
Damayanthi DevineniJanssen Research and Development, LLC, NJ, USA.
Chyi-Hung HsuJanssen Research and Development, LLC, NJ, USA.
Jose PinheiroJanssen Research and Development, LLC, NJ, USA.
David PolidoriJanssen Research and Development, LLC, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCanagliflozin is an SGLT2 inhibitor approved for the treatment of type-2 diabetes. A dynamic population pharmacokinetic-pharmacodynamic (PK/PD) model relating 24-h canagliflozin exposure profiles to effects on glycosylated haemoglobin was developed to compare the efficacy of once-daily and twice-daily dosing.

methodsData from two clinical studies, one with once-daily, and the other with twice-daily dosing of canagliflozin as add-on to metformin were used (n = 1347). An established population PK model was used to predict full 24-h profiles from measured trough concentrations and/or baseline covariates. The dynamic PK/PD model incorporated an E

resultsInternal and external model validation demonstrated that the model adequately predicted HbA1c-lowering for canagliflozin once-daily and twice-daily dosing regimens. The differences in HbA1c reduction between the twice-daily and daily mean profiles were minimal (at most 0.023% for 100 mg total daily dose [TDD] and 0.011% for 300 mg TDD, up to week 26, increasing with time and decreasing with TDD) and not considered clinically meaningful.

conclusionsSimulations using this model demonstrated the absence of clinically meaningful between-regimen differences in efficacy, supported the regulatory approval of a canagliflozin-metformin immediate release fixed-dose combination tablet and alleviated the need for an additional clinical study.

Indexed as

Models, BiologicalAdultAgedAged, 80 and overCanagliflozinDiabetes Mellitus, Type 2Drug Administration ScheduleDrug Therapy, CombinationFemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMetforminMiddle AgedSodium-Glucose Transporter 2CanagliflozinGlycated HemoglobinHypoglycemic AgentsMetforminSLC5A2 protein, humanSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 InhibitorsCanagliflozindiabetes mellitusmodellingpharmacodynamicspharmacokineticssimulation

Identifiers

PMID28138980
PMCPMC5401970

What OpenQuestion holds

Texttitle and abstract
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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.