Evidence map›Paper›PMID 37148170›Full record

ArticleJournal of veterinary internal medicine

Safety and effectiveness of the sodium-glucose cotransporter inhibitor bexagliflozin in cats newly diagnosed with diabetes mellitus.

Michael J Hadd, Stephen E Bienhoff, Susan E Little, Samuel Geller, Jennifer Ogne-Stevenson, Thomas J Dupree, J Catharine Scott-Moncrieff

Open access · goldAbstract readClinical Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Pharmacokinetics of Bexagliflozin After Intravenous and Oral Administration in Cats.Journal of veterinary pharmacology and therapeutics · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Spectrum of veterinary care in feline diabetes mellitus.Journal of feline medicine and surgery · 2026
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. SGLT2 inhibitor use in the management of feline diabetes mellitus.Journal of veterinary pharmacology and therapeutics · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. JFMS open reports
    Article
  20. 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

7 authors at 5 institutions in 3 countries.

Michael J HaddIncreVet, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-0579-7587
Stephen E BienhoffArgenta, New Brunswick, New Jersey, USA.
Susan E LittleBytown Cat Hospital, Ottawa, Ontario, Canada.
Samuel GellerQuakertown Veterinary Clinic, Quakertown, Pennsylvania, USA.
Jennifer Ogne-StevensonArgenta, New Brunswick, New Jersey, USA.
Thomas J DupreeIncreVet, Boston, Massachusetts, USA.
J Catharine Scott-MoncrieffDepartment of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA.ORCID https://orcid.org/0000-0002-4736-6873
Argentine Antarctic Institute · ARDepartment of Conservation and Recreation · USBytown Cat Hospital · CAPurdue University West Lafayette · USSignPath Pharma (United States) · US

Funding

IncreVet, Inc.
6 · The paper itself

Abstract

backgroundBexagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor. A pilot study has shown that bexagliflozin can decrease dependence on exogenous insulin in cats with diabetes mellitus (DM).

objectiveTo evaluate the safety and effectiveness of bexagliflozin as a monotherapy for DM in previously untreated cats. ANIMALS: Eighty-four client-owned cats.

methodsHistorically controlled prospective open-label clinical trial. Cats were dosed PO with 15 mg bexagliflozin once daily for 56 days, with a 124-day extension to evaluate safety and treatment effect durability. The primary endpoint was the proportion of cats experiencing a decrease in hyperglycemia and improvement in clinical signs of hyperglycemia from baseline on day 56.

resultsOf 84 enrolled cats, 81 were evaluable on day 56, and 68 (84.0%) were treatment successes. Decreases in mean serum glucose, fructosamine, and β-hydroxybutyrate (β-OHB) concentrations were observed, and investigator assessments of cat neurological status, musculature, and hair coat quality improved. Owner evaluations of both cat and owner quality of life were favorable. The fructosamine half-life in diabetic cats was found to be 6.8 days. Commonly observed adverse events included emesis, diarrhea, anorexia, lethargy, and dehydration. Eight cats experienced serious adverse events, 3 of which led to death or euthanasia. The most important adverse event was euglycemic diabetic ketoacidosis, diagnosed in 3 cats and presumed present in a fourth. CONCLUSION AND CLINICAL IMPORTANCE: Bexagliflozin decreased hyperglycemia and observed clinical signs in cats newly diagnosed with DM. As a once-daily PO medication, bexagliflozin may simplify management of DM in cats.

Indexed as

Cat DiseasesDiabetes MellitusDiabetic KetoacidosisHyperglycemiaAnimalsBlood GlucoseCatsFructosamineGlucoseHypoglycemic AgentsPilot ProjectsProspective StudiesPyransQuality of LifeSodiumbexagliflozinBlood GlucoseFructosamineGlucoseHypoglycemic AgentsPyransSodiumfelinefield studyfructosamine half-lifehyperglycemiaSGLT2

Identifiers

PMID37148170
PMCPMC10229323
OpenAlexW4375856027

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.