Evidence map›Paper›PMID 34567919›Full record

ArticleDiabetology international2021

Comprehensive efficacy of ipragliflozin on various conditioned type 2 diabetes compared with dipeptidyl peptidase-4 inhibitors and with both agents, based on a real-world multicenter trial.

Fumio Sawano, Nozomu Kamei, Mitsue Miyahara, Kyoko Kobuke, Shuhei Nakanishi, Chihiro Nagano, Hideki Nojima, Shusaku Maeda, Hiroshi Watanabe, Rui Kishimoto and 9 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

19 authors at 10 institutions in 1 country.

Fumio SawanoSawano Thyroid and Diabetes Specialized Clinic, 3-8-5 Oote-machi, Naka-ku, Hiroshima, 730-0051 Japan.ORCID 0000-0002-3981-4146
Nozomu KameiDepartment of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, Hiroshima, Japan.
Mitsue MiyaharaDepartment of Diabetes and Endocrinology, Hiroshima Prefectural Hospital, Hiroshima, Japan.
Kyoko KobukeOotemachi Kobuke Medical Clinic, Hiroshima, Japan.
Shuhei NakanishiDepartment of Diabetes, Metabolism and Endocrinology, Kawasaki Medical School, Kurashiki, Okayama Japan.
Chihiro NaganoDepartment of Endocrinology and Diabetes, Hiroshima University Hospital, Hiroshima, Japan.
Hideki NojimaNojima Internal Medicine Clinic, Hiroshima, Japan.
Shusaku MaedaMaeda Medical Clinic, Hiroshima, Japan.
Hiroshi WatanabeDepartment of Endocrinology, Tsuchiya General Hospital, Hiroshima, Japan.
Rui KishimotoDepartment of Internal Medicine, Chugoku Rosai Hospital, Kure, Hiroshima, Japan.
Mami YamashitaDepartment of Endocrinology and Diabetes, Hiroshima University Hospital, Hiroshima, Japan.
Aya HamaokaDiabetes Center, Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan.
Kana MukaiHarada Hospital, Hiroshima, Japan.
Tomoko TsuboiDepartment of Endocrinology and Diabetes, Hiroshima University Hospital, Hiroshima, Japan.
Hisayoshi MochizukiDepartment of Diabetes and Endocrinology, Hiroshima Prefectural Hospital, Hiroshima, Japan.
Reiko NakashimaSenda Medical Clinic, Hiroshima, Japan.
Yu SakashitaDepartment of Internal Medicine, Yoshijima Hospital, Hiroshima, Japan.
Hisaaki MorishitaDepartment of Diabetes, Hiroshima Kyoritsu Hospital, Hiroshima, Japan.
Tadahiro KitamuraMetabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Maebashi, Gunma Japan.
Hiroshima University Hospital · JPHiroshima General Hospital · JPHiroshima Prefectural Hospital · JPChugoku Rosai Hospital · JPGunma University · JPHiroshima City Asa Citizens Hospital · JPHiroshima Kyoritsu Hospital · JPHiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital · JPKawasaki Medical School · JPSendai Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe effects of ipragliflozin, the first sodium-glucose co-transporter 2 inhibitors (SGLT2i) launched in Japan in 2014, and with dipeptidyl peptidase-4 inhibitors (DPP-4i) on glycemic control and metabolic changes were investigated comprehensively on various conditioned type 2 diabetes (T2DM) by evaluating various clinical parameters in a real-world setting. MATERIALS AND

methodsA total of 101 patients with T2DM aged 20-80 years with 7.0% ≤ HbA1c < 10.0% were followed in this 52-week, open-label, prospective, real-world, multicenter study.

resultsHbA1c decreased significantly in all groups. In ipragliflozin using groups, body weight, waist circumference, blood pressure, HOMA-IR, AST, ALT, γ-GTP, uric acid and leptin levels decreased, in contrast, HDL-cholesterol, total ketone bodies, blood urea nitrogen, creatinine, RBC, hemoglobin and hematocrit levels increased, however, in DPP-4i sole group, no significant trends were observed in these parameters. Change in leptin positively correlated with insulin, while change in total ketone bodies inversely correlated with ALT in ipragliflozin using groups. Fasting active gastric inhibitory polypeptide levels decreased in ipragliflozin sole group. Glucagon showed no changes. No significant safety concerns were observed in this study.

conclusionsIpragliflozin is useful and safe, showing some contrastive effects on several clinical parameters which are not shown with DPP-4i, resulting several clinical benefits. The co-administration of ipragliflozin and a DPP-4i has a better clinical outcome than either single-agent therapy.

Indexed as

Dipeptidyl-peptidase-4 inhibitorsIpragliflozinObese type 2 diabetesReal-world multicenter clinical trial

Identifiers

PMID34567919
PMCPMC8413408
OpenAlexW3130470410

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.