Evidence map›Paper›PMID 34277971›Full record

ArticleEndocrinology, diabetes & metabolism2021

Canagliflozin, serum magnesium and cardiovascular outcomes-Analysis from the CANVAS Program.

Katherine M Wang, JingWei Li, Vivek Bhalla, Meg J Jardine, Bruce Neal, Dick de Zeeuw, Greg Fulcher, Vlado Perkovic, Kenneth W Mahaffey, Tara I Chang

Open access · goldFull text read
In one paragraph

Article in Endocrinology, diabetes & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
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  6. 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

10 authors at 6 institutions in 5 countries.

Katherine M WangDivision of Nephrology Stanford University School of Medicine Stanford CA USA.ORCID 0000-0002-8326-1112
JingWei LiThe George Institute for Global Health University of New South Wales Sydney NSW Australia.
Vivek BhallaDivision of Nephrology Stanford University School of Medicine Stanford CA USA.ORCID 0000-0002-5420-9657
Meg J JardineThe George Institute for Global Health University of New South Wales Sydney NSW Australia.ORCID 0000-0002-0160-2375
Bruce NealThe George Institute for Global Health University of New South Wales Sydney NSW Australia.ORCID 0000-0002-0490-7465
Dick de ZeeuwDepartment of Clinical Pharmacy and Pharmacology University Medical Center Groningen University of Groningen Groningen The Netherlands.ORCID 0000-0003-3434-7777
Greg FulcherKolling Institute Royal North Shore Hospital and University of Sydney Sydney NSW Australia.
Vlado PerkovicThe George Institute for Global Health University of New South Wales Sydney NSW Australia.ORCID 0000-0002-4257-7620
Kenneth W MahaffeyStanford Center for Clinical Research Stanford University School of Medicine Stanford CA USA.
Tara I ChangDivision of Nephrology Stanford University School of Medicine Stanford CA USA.ORCID 0000-0002-4691-1681
Stanford University · USThe University of Sydney · AUCenter for Clinical Research (United States) · USRoyal North Shore Hospital · AUUniversity Medical Center Groningen · NLUNSW Sydney · AU

Funding

TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007357 · NIDDK · STANFORD UNIVERSITY · PI CHERTOW, GLENN MATTHEW · 1986 to 2022
$4.8M
NIDDK NIH HHS T32 DK007357
6 · The paper itself

Abstract

backgroundPatients with type 2 diabetes (T2D) are predisposed to derangements in serum Magnesium (Mg), which may have implications for cardiometabolic events and outcomes. In clinical trials, participants with T2D randomized to sodium-glucose co-transporter 2 (SGLT2) inhibitors have shown mild to moderate increases in serum Mg from baseline levels. This post hoc analysis assesses the relation between serum Mg with cardiovascular outcomes in 10,140 participants of the Canagliflozin Cardiovascular Assessment Study (CANVAS) Program.

methodsWe evaluated the association of baseline serum Mg with the primary composite end point of death from cardiovascular causes, non-fatal myocardial infarction, and non-fatal stroke, and tested whether this association is modified by baseline serum Mg. Using mediation analysis, we determined whether change in serum Mg post-randomization mediates the beneficial effect of canagliflozin on cardiovascular outcomes.

resultsMean serum Mg levels at baseline were 0.77 ± 0.09 mmol/L in both canagliflozin group and placebo groups. The canagliflozin group experienced an average increase in serum Mg by 0.07 mmol/L (95% CI, 0.065-0.072 mmol/L;

conclusionsIn participants of the CANVAS Program, baseline and post-randomization serum Mg levels are not associated with cardiovascular outcomes.

Indexed as

Cardiovascular SystemDiabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsCanagliflozinHumansMagnesiumRandomized Controlled Trials as TopicCanagliflozinMagnesiumSodium-Glucose Transporter 2 Inhibitorscanagliflozincardiovascular outcomesmagnesiumtype 2 diabetes

Identifiers

PMID34277971
PMCPMC8279612
OpenAlexW3136716587

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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.