Evidence map›Paper›PMID 31364269›Full record

Trial reportDiabetes, obesity & metabolism2019

Durability of glycaemic control with dapagliflozin, an SGLT2 inhibitor, compared with saxagliptin, a DPP4 inhibitor, in patients with inadequately controlled type 2 diabetes.

Clifford J Bailey, Stefano Del Prato, Cheryl Wei, Daniel Reyner, Gabriela Saraiva

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00121667. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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.

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
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
Open the trial in the graph
NCT01606007 phase3completed

A Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Add-On Therapy With Saxagliptin and Dapagliflozin Added to Metformin Compared to Add-On Therapy With Saxagliptin in Combination With Metformin or Dapagliflozin in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin Alone.

Ran2012Enrolled1,282Registered outcomes5Posted comparisons9ConditionsType 2 DiabetesArmsdapagliflozin, Metformin XR, Placebo matching with Dapagliflozin, Placebo matching with Saxagliptin, Saxagliptin
PMID 25352655other papers from this trial
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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. An Overview of the Cardiorenal Protective Mechanisms of SGLT2 Inhibitors.International journal of molecular sciences · 2022
    Review
  4. Article
  5. 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

5 authors at 3 institutions in 4 countries.

Clifford J BaileySchool of Life and Health Sciences, Aston University, Birmingham, UK.ORCID 0000-0002-6998-6811
Stefano Del PratoSection of Metabolic Diseases and Diabetes, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0002-5388-0270
Cheryl WeiAstraZeneca, R&D Bio Pharmaceuticals, Late CVRM, Gaithersburg, Maryland.
Daniel ReynerAstraZeneca, R&D Bio Pharmaceuticals, Late CVRM, Gaithersburg, Maryland.
Gabriela SaraivaAstraZeneca, R&D Bio Pharmaceuticals, Late CVRM, Gaithersburg, Maryland.
AstraZeneca (Finland) · FIAston University · GBUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dapagliflozin is associated with greater reductions in HbA1c and weight than saxagliptin in management of type 2 diabetes mellitus (T2DM). The present post hoc analyses compared the durability of these effects over short- and long-term follow-up in patients with T2DM who were inadequately controlled with metformin (≥1500 mg/day) and who were receiving either dapagliflozin (10 mg/day) or saxagliptin (5 mg/day). Failure of glycaemiccontrol was assessed using the slope of the change in HbA1c from baseline-over-time regression line (coefficient of failure [CoF]). CoF was compared directly (dapagliflozin vs saxagliptin) over the short term (NCT01606007, 24 weeks) and indirectly (placebo-adjusted) over the long term (NCT00528879 and NCT00121667, 102 weeks). A low CoF value indicated greater durability. CoF was lower for dapagliflozin versus saxagliptin over 18-24 weeks (-1.38%/year; 95% CI, -2.41 to -0.35; P = .009) and 20-102 weeks (-0.37%/year; 95% CI, -0.73 to -0.02; P = .04). Fewer dapagliflozin-treated patients versus saxagliptin-treated patients required rescue medication or discontinued the study because of failure to achieve glycaemic control at 24 weeks (3.4% vs 9.4%; P = .0191). In patients with T2DM who were inadequately controlled with metformin, dapagliflozin was associated with greater durability of glycaemic control than saxagliptin over 18-24 and 20-102 weeks.

Indexed as

AdamantaneBenzhydryl CompoundsBlood GlucoseDiabetes Mellitus, Type 2DipeptidesDipeptidyl-Peptidase IV InhibitorsGlucosidesHumansSodium-Glucose Transporter 2 InhibitorsAdamantaneBenzhydryl CompoundsBlood GlucosedapagliflozinDipeptidesDipeptidyl-Peptidase IV InhibitorsGlucosidessaxagliptinSodium-Glucose Transporter 2 Inhibitorscoefficient of failureCoFdapagliflozinDPP4 inhibitordurabilityglycaemic controlsaxagliptinSGLT2 inhibitorT2DMtype 2 diabetes mellitus

Identifiers

PMID31364269
PMCPMC6851837
OpenAlexW2964360322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.