Evidence map›Paper›PMID 40055713›Full record

Trial reportJournal of translational medicine2025

Unveiling the benefits of Vitamin D3 with SGLT-2 inhibitors for hypertensive obese obstructive sleep apnea patients.

Huai Heng Loh, Siow Phing Tay, Ai Jiun Koa, Mei Ching Yong, Asri Said, Chee Shee Chai, Natasya Marliana Abdul Malik, Anselm Ting Su, Bonnie Bao Chee Tang, Florence Hui Sieng Tan and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06690723 (Exploring the Synergistic Effect of Vitamin D and SGLT-2 Inhibitor on Cardio-metabolic Markers and the Renin Angiotensin Aldosterone System in CPAP-naive Obstructive Sleep Apnea Population), 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.

NCT06690723 phase3completednot on this map

Exploring the Synergistic Effect of Vitamin D and SGLT-2 Inhibitor on Cardio-metabolic Markers and the Renin Angiotensin Aldosterone System in CPAP-naive Obstructive Sleep Apnea Population

TypeinterventionalSponsorUniversity Malaysia SarawakRan2022 to 2024Enrolled160ConditionsObstructive Sleep ApneaArmsDapagliflozin (Forxiga), Vitamin D3 ( Colecalciferol), Vitamin D3 plus Dapagliflozin, Lifestyle modification
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Improved hemodynamic and cardiorespiratory instability with vitamin D supplementation in an obstructive sleep apnea rat models.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    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

11 authors.

Huai Heng LohDepartment of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000, Kuala Lumpur, Malaysia. hhloh@unimas.my.ORCID 0000-0002-6818-469X
Siow Phing TayFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Ai Jiun KoaFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Mei Ching YongDepartment of Medicine, Sarawak General Hospital, 93586, Kuching, Sarawak, Malaysia.
Asri SaidFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Chee Shee ChaiFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Natasya Marliana Abdul MalikFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Anselm Ting SuFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Bonnie Bao Chee TangFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 93350, Kota Samarahan, Sarawak, Malaysia.
Florence Hui Sieng TanDepartment of Medicine, Sarawak General Hospital, 93586, Kuching, Sarawak, Malaysia.
Norlela SukorDepartment of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000, Kuala Lumpur, Malaysia.

Funding

Universiti Kebangsaan Malaysia FF-2022-066Universiti Malaysia Sarawak F05/IMPACT/2122/2021
6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) is associated with poorer quality of life (QoL) and increased cardiovascular risks, which may be exacerbated by hypovitaminosis D. Sodium glucose transporter-2 inhibitor (SGLT2i) provides cardiovascular benefits beyond glycemic control. As vitamin D3 and SGLT2i act through different pathways with similar mechanisms in improving cardio-metabolic health, this study aimed to investigate the synergistic effects of this combination therapy in improving these parameters and QoL in hypertensive obese OSA patients.

methodsPatients who fulfilled the study criteria were randomized to receive: (i) Dapagliflozin, (ii) vitamin D3, (iii) Dapagliflozin plus vitamin D3, or (iv) no treatment, for 16 weeks. The parameters evaluated included anthropometric measurements, uric acid, HbA1c, lipid profile, steatotic liver disease grade, plasma aldosterone concentration, plasma renin concentration, ultrasound flow-mediated dilatation of brachial artery, hsCRP, heart rate variability (HRV), Epworth Sleepiness Scale (ESS), and QoL scores.

resultsA total of 163 patients were recruited and 153 completed the study. The combination of vitamin D3 and Dapagliflozin treatment led to significant improvements in metabolic parameters and nocturnal heart rates, and prevented deterioration of HRV, with healthier HRV at the end of study visit compared to the control group. Only the combination group exhibited improvements in both ESS and QoL scores.

conclusionsThis is the first study to demonstrate beneficial effects of combining vitamin D3 and SGLT2i in cardio-metabolic outcomes and QoL in hypertensive obese OSA patients. These findings highlight the potential of this combination therapy in addressing the cardio-metabolic challenges and QoL in this patient population. TRIALS REGISTRATION: NCT06690723. Registered 10 October 2024-Retrospectively registered, https://register. CLINICALTRIALS: gov/prs/beta/studies/S000EWGF00000085/recordSummary.

Indexed as

CholecalciferolHypertensionObesitySleep Apnea, ObstructiveSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsDrug Therapy, CombinationFemaleGlucosidesHumansMaleMiddle AgedQuality of LifeTreatment OutcomeBenzhydryl CompoundsCholecalciferoldapagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsCardiovascularDapagliflozinEndothelial functionEpworth Sleepiness ScaleHeart rate variability

Identifiers

PMID40055713
PMCPMC11889775

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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.