Evidence map›Paper›PMID 34386735›Full record

ArticleEClinicalMedicine2021

Acute effects of dapagliflozin on renal oxygenation and perfusion in type 1 diabetes with albuminuria: A randomised, double-blind, placebo-controlled crossover trial.

Jens Christian Laursen, Niels Søndergaard-Heinrich, Joana Mendes Lopes de Melo, Bryan Haddock, Ida Kirstine Bull Rasmussen, Farzaneh Safavimanesh, Christian Stevns Hansen, Joachim Størling, Henrik Bo Wiberg Larsson, Per-Henrik Groop and 3 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

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  18. Oxidative Stress in Kidney Injury and Hypertension.Antioxidants (Basel, Switzerland) · 2024
    Review
  19. Review
  20. How can inhibition of glucose and sodium transport in the early proximal tubule protect the cardiorenal system?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    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

13 authors at 4 institutions in 3 countries.

Jens Christian LaursenSteno Diabetes Center Copenhagen, Denmark.
Niels Søndergaard-HeinrichSteno Diabetes Center Copenhagen, Denmark.
Joana Mendes Lopes de MeloSteno Diabetes Center Copenhagen, Denmark.
Bryan HaddockDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Copenhagen University Hospital, Denmark.
Ida Kirstine Bull RasmussenSteno Diabetes Center Copenhagen, Denmark.
Farzaneh SafavimaneshSteno Diabetes Center Copenhagen, Denmark.
Christian Stevns HansenSteno Diabetes Center Copenhagen, Denmark.
Joachim StørlingSteno Diabetes Center Copenhagen, Denmark.
Henrik Bo Wiberg LarssonDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Copenhagen University Hospital, Denmark.
Per-Henrik GroopFolkhälsan Research Center, Helsinki, Finland.
Marie Frimodt-MøllerSteno Diabetes Center Copenhagen, Denmark.
Ulrik Bjørn AndersenSteno Diabetes Center Copenhagen, Denmark.
Peter RossingSteno Diabetes Center Copenhagen, Denmark.
Steno Diabetes Centers · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DKUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInhibitors of the sodium-glucose cotransporter 2 (SGLT2) slow the progression of diabetic kidney disease, possibly by reducing the proximal tubule transport workload with subsequent improvement of renal oxygenation. We aimed to test this hypothesis in individuals with type 1 diabetes and albuminuria.

methodsA randomised, double-blind, placebo-controlled, crossover trial with a single 50 mg dose of the SGLT2 inhibitor dapagliflozin and placebo in random order, separated by a two-week washout period. Magnetic resonance imaging (MRI) was used to assess renal R

findingsBetween February 3, 2020 and October 23, 2020, 31 individuals were screened, and 19 eligible individuals were randomised. Three dropped out before receiving any of the interventions and one dropped out after receiving only placebo. We included 15 individuals (33% female) in the per-protocol analysis with a mean age of 58 (SD 14) years, median urinary albumin creatinine ratio of 46 [IQR 21-58] mg/g and an eGFR of 73 (32) ml/min/1·73m

interpretationA single dose of 50 mg dapagliflozin acutely improved renal cortical R

Indexed as

Diabetic kidney diseaseHypoxiaSGLT2 inhibitors

Identifiers

PMID34386735
PMCPMC8343250
OpenAlexW3175775647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.