Evidence map›Paper›PMID 32648108›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2020

Effects of Ertugliflozin on Liver Enzymes in Patients with Type 2 Diabetes: A Post-Hoc Pooled Analysis of Phase 3 Trials.

Silvina Gallo, Roberto A Calle, Steven G Terra, Annpey Pong, Lisa Tarasenko, Annaswamy Raji

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

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01958671. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT01958671 phase3completed

A Phase 3, Randomized, Double-blind, Placebo-controlled, 26-week Multicenter Study With a 26-Week Extension to Evaluate the Efficacy and Safety of Ertugliflozin Monotherapy in the Treatment of Subjects With Type 2 Diabetes Mellitus and Inadequate Glycemic Control Despite Diet and Exercise

Ran2013Enrolled461Registered outcomes12Posted comparisons18ConditionsType 2 Diabetes MellitusArmsErtugliflozin 10 mg, Ertugliflozin 5 mg, Glimepiride, Metformin, Placebo to Ertugliflozin
PMID 28116776other papers from this trial
Open the trial in the graph
NCT01999218 phase3completed

A Phase III, Multicenter, Randomized, Double-Blind, Active-Comparator-Controlled Clinical Trial to Study the Safety and Efficacy of the Addition of Ertugliflozin (MK-8835/PF-04971729) Compared With the Addition of Glimepiride in Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin

Ran2013Enrolled1,326Registered outcomes6Posted comparisons12ConditionsType 2 Diabetes MellitusArmsErtugliflozin 10 mg, Ertugliflozin 5 mg, Glimerpiride, Metformin, Placebo to Ertugliflozin
PMID 30760125other papers from this trial
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NCT02033889 phase3completed

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, 26-Week Multicenter Study With a 78-Week Extension To Evaluate The Efficacy And Safety Of Ertugliflozin In Subjects With Type 2 Diabetes Mellitus And Inadequate Glycemic Control On Metformin Monotherapy.

Ran2013Enrolled621Registered outcomes49Posted comparisons42ConditionsType 2 Diabetes MellitusArmsBasal Insulin, Ertugliflozin 15 mg, Ertugliflozin 5 mg, Glimepiride, Metformin
PMID 28857451other papers from this trial
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NCT02036515 phase3completed

A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Clinical Trial to Evaluate the Safety and Efficacy of Ertugliflozin (MK-8835/PF-04971729) in the Treatment of Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin and Sitagliptin

Ran2014Enrolled464Registered outcomes24Posted comparisons40ConditionsType 2 Diabetes MellitusArmsErtugliflozin 15 mg, Ertugliflozin 5 mg, Glimepiride, Insulin, Metformin
PMID 28921862other papers from this trial
Open the trial in the graph
NCT02099110 phase3completed

A Phase III, Randomized, Double-Blind, Multicenter Study to Evaluate the Efficacy and Safety of the Combination of Ertugliflozin (MK-8835/PF-04971729) With Sitagliptin Compared With Ertugliflozin Alone and Sitagliptin Alone, in the Treatment of Subjects With T2DM With Inadequate Glycemic Control on Metformin Monotherapy

Ran2014Enrolled1,233Registered outcomes8Posted comparisons28ConditionsType 2 Diabetes MellitusArmsErtugliflozin 10 mg, Ertugliflozin 5 mg, Glimepiride Rescue Medication, Insulin Glargine Rescue Medication, Matching Placebo to Ertugliflozin 10 mg
PMID 29266675other papers from this trial
Open the trial in the graph
NCT01986855 phase3completednot on this map

A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy and Safety of Ertugliflozin (MK-8835/PF-04971729) in Subjects With Type 2 Diabetes Mellitus With Stage 3 Chronic Kidney Disease Who Have Inadequate Glycemic Control on Background Antihyperglycemic Therapy

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2013 to 2016Enrolled468ConditionsType 2 Diabetes MellitusArmsErtugliflozin 5 mg, Placebo 5 mg, Ertugliflozin 10 mg, Placebo 10 mg
NCT02226003 phase3completednot on this map

A Phase III, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Clinical Trial to Evaluate the Efficacy and Safety of the Initial Combination of Ertugliflozin (MK-8835/PF-04971729) With Sitagliptin in the Treatment of Subjects With T2DM With Inadequate Glycemic Control on Diet and Exercise

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2014 to 2016Enrolled291ConditionsType 2 Diabetes MellitusArmsErtugliflozin, Sitagliptin, Placebo to Ertugliflozin, Placebo to Sitagliptin, Glimepiride
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. 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 3 institutions in 2 countries.

Silvina GalloPfizer Pharma GmbH, Berlin, Germany.
Roberto A CallePfizer Inc., Cambridge, MA, USA.
Steven G TerraPfizer Inc., Andover, MA, USA.
Annpey PongMerck & Co., Inc., Kenilworth, NJ, USA.
Lisa TarasenkoPfizer Inc., New York, NY, USA.
Annaswamy RajiMerck & Co., Inc., Kenilworth, NJ, USA. annaswamy.raji@merck.com.ORCID http://orcid.org/0000-0002-2430-8160
Pfizer (United States) · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USPfizer (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis post hoc exploratory analysis examined the effects of ertugliflozin on liver enzymes in patients with type 2 diabetes mellitus (T2DM).

methodsData were pooled from seven randomized, double-blind VERTIS phase 3 trials that evaluated ertugliflozin (5 mg and 15 mg) versus non-ertugliflozin (placebo, glimepiride, or sitagliptin) treatment in patients with T2DM. Change from baseline at week 52 of treatment in alanine and aspartate aminotransferase (ALT and AST, respectively) serum levels (overall and categorized into tertiles by baseline ALT and AST), Fibrosis-4 Index (FIB-4), glycated hemoglobin (HbA1c), and body weight were evaluated, along with the association between changes in ALT and AST and changes in HbA1c and body weight by treatment.

resultsBaseline characteristics were balanced across treatment groups (ertugliflozin 5 mg, n = 1716; ertugliflozin 15 mg, n = 1693; non-ertugliflozin, n = 1450). At week 52 of treatment, serum levels of ALT and AST were reduced in patients in the ertugliflozin treatment groups (5 and 15 mg, respectively) compared with those in the non-ertugliflozin group. The comparator-adjusted mean (95% confidence interval [CI]) difference in change from baseline at week 52 for ALT was - 3.35 (- 4.40, - 2.31) IU/L for ertugliflozin 5 mg and - 4.08 (- 5.13, - 3.03) IU/L for ertugliflozin 15 mg; for AST, the respective values were - 1.81 (- 2.50, - 1.11) IU/L and - 2.12 (- 2.82, - 1.42) IU/L. The effects of ertugliflozin were detected across all baseline ALT and AST tertiles, with the highest tertile showing the greatest treatment differences. No meaningful differences were observed between treatment groups for FIB-4. Changes in ALT and AST showed a weak but statistically significant association with changes in HbA1c and body weight in all treatment groups.

conclusionsTreatment with ertugliflozin resulted in a reduction in the levels of hepatic transaminases compared with the non-ertugliflozin group after 52 weeks of treatment. Changes in body weight and HbA1c contributed at least in part to the effects of ertugliflozin on liver enzymes.

trial registrationClinicaltrials.gov registry numbers: NCT02033889, NCT01958671, NCT02036515, NCT01986855, NCT02099110, NCT02226003, NCT01999218.

Indexed as

Alanine aminotransferaseAspartate aminotransferaseBody weightErtugliflozinFibrosis-4 indexHbA1cLiver enzymesSGLT2 inhibitorType 2 diabetes mellitus

Identifiers

PMID32648108
PMCPMC7376773
OpenAlexW3041726941

What OpenQuestion holds

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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.