Evidence map›Paper›PMID 30003642›Full record

SynthesisDiabetes, obesity & metabolism2018

Glycaemic control and hypoglycaemia benefits with insulin glargine 300 U/mL extend to people with type 2 diabetes and mild-to-moderate renal impairment.

F Javier Escalada, Serge Halimi, Peter A Senior, Mireille Bonnemaire, Anna M G Cali, Lydie Melas-Melt, Janaka Karalliedde, Robert A Ritzel

Abstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Clinical Use of Insulin Glargine 300 U/mL in Adults with Type 2 Diabetes: Hypothetical Case Studies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Efficacy and Safety of Switching Patients Inadequately Controlled on Basal Insulin to Insulin Glargine 300 U/mL: The TRANSITION 2 Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
  14. Article
  15. How Similar Are Biosimilars? What Do Clinicians Need to Know About Biosimilar and Follow-On Insulins?Clinical diabetes : a publication of the American Diabetes Association · 2017
    Article
  16. Insulin glargine 300 U/mL for basal insulin therapy in type 1 and type 2 diabetes mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2017
    Review
  17. rDNA insulin glargine U300 - a critical appraisal.Diabetes, metabolic syndrome and obesity : targets and therapy · 2016
    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

8 authors.

F Javier EscaladaDepartment of Endocrinology and Nutrition, Clínic University of Navarra, Pamplona, Spain.ORCID 0000-0001-5877-9465
Serge HalimiDepartment of Diabetology, Endocrinology and Nutrition, Grenoble University Hospital Center, Grenoble, France.
Peter A SeniorDivision of Endocrinology, University of Alberta, Edmonton, Canada.
Mireille BonnemaireSanofi, Paris, France.
Anna M G CaliSanofi, Paris, France.
Lydie Melas-MeltIVIDATA, Levallois-Perret, France.
Janaka KarallieddeCardiovascular Division, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID 0000-0002-2617-8320
Robert A RitzelDivision of Endocrinology and Diabetes Klinikum Schwabing, Städtisches Klinikum München GmbH, Munich, Germany.ORCID 0000-0001-5417-4135

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the impact of renal function on the safety and efficacy of insulin glargine 300 U/mL (Gla-300) and insulin glargine 100 U/mL (Gla-100). MATERIALS AND

methodsA meta-analysis was performed using pooled 6-month data from the EDITION 1, 2 and 3 trials (N = 2496). Eligible participants, aged ≥18 years with a diagnosis of type 2 diabetes (T2DM), were randomized to receive once-daily evening injections of Gla-300 or Gla-100. Pooled results were assessed by two renal function subgroups: estimated glomerular filtration rate (eGFR) <60 and ≥60 mL/min/1.73 m

resultsThe decrease in glycated haemoglobin (HbA1c) after 6 months and the proportion of individuals with T2DM achieving HbA1c targets were similar in the Gla-300 and Gla-100 groups, for both renal function subgroups. There was a reduced risk of nocturnal (12:00-5:59 am) confirmed (≤3.9 mmol/L [≤70 mg/dL]) or severe hypoglycaemia with Gla-300 in both renal function subgroups (eGFR <60 mL/min/1.73 m

conclusionsGla-300 provided similar glycaemic control to Gla-100, while indicating a reduced overall risk of confirmed (≤3.9 and <3.0 mmol/L [≤70 and <54 mg/dL]) or severe hypoglycaemia, with no significant difference between renal function subgroups.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesHypoglycemiaHypoglycemic AgentsInsulin GlargineAgedClinical Trials, Phase III as TopicFemaleGlomerular Filtration RateHumansKidneyMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicTreatment OutcomeHypoglycemic AgentsInsulin Glarginebasal insulinglycaemic controlhypoglycaemiainsulin analoguesmeta-analysistype 2 diabetes

Identifiers

PMID30003642
PMCPMC6282564

What OpenQuestion holds

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LicenceCC BY-NC
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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.