Evidence map›Paper›PMID 39806375›Full record

Trial reportCardiovascular diabetology2025

Echocardiographic phenotypes of diabetic myocardial disorder: evolution over 15 months follow-up in the ARISE-HF trial.

Thomas H Marwick, Carolyn Lam, Yuxi Liu, Stefano Del Prato, Julio Rosenstock, Javed Butler, Justin Ezekowitz, Nasrien E Ibrahim, W H Wilson Tang, Faiez Zannad and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04083339 (Aldose Reductase Inhibition for Stabilization of Exercise Capacity in Heart Failure), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT04083339 phase3active not recruitingnot on this map

Aldose Reductase Inhibition for Stabilization of Exercise Capacity in Heart Failure (ARISE-HF): A Multicenter, Randomized, Placebo-Controlled Study to Evaluate the Safety and Efficacy of AT-001 in Patients With Diabetic Cardiomyopathy

TypeinterventionalSponsorApplied Therapeutics, Inc.Ran2019 to 2025Enrolled675ConditionsDiabetic CardiomyopathiesArmsAT-001, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Thomas H MarwickBaker Heart and Diabetes Institute, Melbourne and Menzies Institute for Medical Research, Hobart, Australia. tom.marwick@baker.edu.au.
Carolyn LamNational Heart Centre Singapore and Duke-National University of Singapore, Singapore, Singapore.
Yuxi LiuCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Stefano Del PratoInterdisciplinary Research Center "Health Science", Sant'Anna School of Advanced Studies, Pisa, Italy.
Julio RosenstockSouthwestern Medical Center, Velocity Clinical Research at Medical City and University of Texas, Dallas, TX, USA.
Javed ButlerBaylor Scott and White Research Institute, Dallas, TX, USA.
Justin EzekowitzCanadian VIGOUR Centre, University of Alberta, Edmonton, AB, Canada.
Nasrien E IbrahimCardiology Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
W H Wilson TangDepartment of Cardiovascular Medicine, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.
Faiez ZannadApplied Therapeutics Inc., New York, NY, USA.
Riccardo PerfettiCIC Inserm and CHRU Nancy, Université de Lorraine, Metz, France.
James L JanuzziCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Funding

Investigator Grant from the National Health and Medical Research Council of Australia Investigator grant 2008129Massachussetts General Hospital Adolph Hutter ProfessorshipNational Medical Research Council of Singapore Clinician Scientist Award
6 · The paper itself

Abstract

backgroundDiabetic myocardial disorder (DbMD, evidenced by abnormal echocardiography or cardiac biomarkers) is a form of stage B heart failure (SBHF) at high risk for progression to overt HF. SBHF is defined by abnormal LV morphology and function and/or abnormal cardiac biomarker concentrations.

objectiveTo compare the evolution of four DbMD groups based on biomarkers alone, systolic and diastolic dysfunction alone, or their combination.

methodsThe Aldose Reductase Inhibition for Stabilization of Exercise Capacity in Heart Failure (ARISE-HF) trial was a Phase 3 randomised trial of an aldose reductase inhibitor in patients with well-controlled type 2 diabetes mellitus (T2DM). The 1858 potential participants (age 67 ± 7 years; 50% women) were screened for SBHF based on abnormal echocardiography or biomarkers (N-terminal pro-B-type natriuretic peptide ≥ 40 ng/L or high sensitivity cardiac troponin T ≥ 10 ng/L [women] and ≥ 16 ng/L [men]). Exercise capacity (peak VO

resultsThe 1463 (79%) participants with DbMD were allocated to four clusters; 907 (49%) showed isolated elevation of cardiac biomarkers, 301 (16%) with systolic dysfunction/hypertrophy, 162 (9%) with diastolic dysfunction and 93 (5%) comprised an overlap cluster (combined diastolic, systolic or LV geometric abnormalities). Reduced VO

conclusionsAmong individuals with T2DM and SBHF, reduced functional capacity is most prevalent in those with multiple physiological disturbances. However, there was no difference between phenogroups in the evolution of exercise intolerance.

trial registrationARISE-HF, NCT04083339.

Indexed as

Diabetes Mellitus, Type 2Diabetic CardiomyopathiesHeart FailureVentricular Dysfunction, LeftVentricular Function, LeftAgedAldehyde ReductaseBiomarkersDisease ProgressionExercise ToleranceFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsAldehyde ReductaseBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Troponin TBiomarkersDiabetic myocardial disorderDiastolic dysfunctionSystolic dysfunction

Identifiers

PMID39806375
PMCPMC11730511

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Registered trials

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.