Evidence map›Paper›PMID 33479584›Full record

ArticleDiabetology international2021

Effect of linagliptin, a dipeptidyl peptidase-4 inhibitor, compared with the sulfonylurea glimepiride on cardiovascular outcomes in Asians with type 2 diabetes: subgroup analysis of the randomized CAROLINA® trial.

Takashi Kadowaki, Guang Wang, Julio Rosenstock, Daisuke Yabe, Yongde Peng, Keizo Kanasaki, Yiming Mu, Michaela Mattheus, Annett Keller, Tomoo Okamura and 2 more

Open access · greenAbstract read
In one paragraph

Article in Diabetology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
2.0field-weighted citation impact, top 12% 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Comparison of gliclazideWorld journal of diabetes · 2022
    Article
  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

12 authors at 11 institutions in 5 countries.

Takashi KadowakiToranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470 Japan.
Guang WangDepartment of Endocrinology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Julio RosenstockDallas Diabetes Research Center at Medical City and University of Texas Southwestern Medical Center, Dallas, TX USA.
Daisuke YabeDepartment of Diabetes and Endocrinology, Gifu University Graduate School of Medicine, Gifu, Japan.
Yongde PengDepartment of Endocrinology and Metabolism, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Keizo KanasakiInternal Medicine 1, Faculty of Medicine, Shimane University, Shimane, Japan.
Yiming MuDepartment of Endocrinology, Chinese People's Liberation Army General Hospital, Beijing, China.
Michaela MattheusBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Annett KellerBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Tomoo OkamuraNippon Boehringer Ingelheim Co., Ltd, Tokyo, Japan.
Odd Erik JohansenBoehringer Ingelheim Norway KS, Asker, Norway.
Nikolaus MarxDepartment of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Japan) · JPBoehringer Ingelheim (Norway) · NOCapital Medical University · CNChinese People's Liberation Army · CNKanazawa Medical University · JPKobe University · JPShanghai Jiao Tong University · CNThe University of Texas Southwestern Medical Center · USToranomon Hospital · JPUniversitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLinagliptin, a dipeptidyl peptidase-4 inhibitor, recently demonstrated cardiovascular (CV) safety versus placebo in Asians with advanced type 2 diabetes mellitus (T2DM) in the CARMELINA

methodsBased on prespecified and post hoc subgroup analyses of the multinational CAROLINA

resultsOf the 6033 participants, 933 (15.5%) were from Asia. During a median follow-up of 6.2 years, 3P-MACE occurred in 9.5% and 11.1% of the linagliptin and glimepiride groups, respectively (hazard ratio [HR] 0.85; 95% confidence interval [CI] 0.57-1.26]), consistent with the overall population (HR 0.98; 95% CI 0.84-1.13;

conclusionsIn Asian patients, linagliptin demonstrated similar CV safety to glimepiride with a markedly lower rate of hypoglycemia and modestly lower weight.

Indexed as

CardiovascularDiabetes mellitus, type 2

Identifiers

PMID33479584
PMCPMC7790983
OpenAlexW3037244176

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.