Evidence map›Paper›PMID 40828352›Full record

Trial reportAdvances in therapy2025

Efficacy and Safety of Triple Fixed Dose Combination of Dapagliflozin + Sitagliptin + Metformin IR in Indian Patients with Type 2 Diabetes Mellitus: A Randomized, Phase 3 Study in Comparison with Dual FDC Sitagliptin + Metformin IR.

Mahendra Pal Singh, Sandeep Gupta, Manish Singh, C Ambrish, Prakash Kurmi, Dinesh Kumar Gangwani, J Naganna, Ravikumar Sethuraman, Vrindavani Dhumal, Sapan Behera and 6 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIComparative Study
In one paragraph

Trial report in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Mahendra Pal SinghGSVM Medical College, Kanpur, India.
Sandeep GuptaM. V. Hospital & Research Centre, Lucknow, India.
Manish SinghMaya Hospital and Maternity Centre, Kanpur, India.
C AmbrishMedstar Speciality Hospital, Bangalore, India.
Prakash KurmiShivam Hospital, Ahmedabad, India.
Dinesh Kumar GangwaniPriyadarshani Nursing Home, Virar, Dist. Palghar, India.
J NagannaGandhi Hospital, Secunderabad, India.
Ravikumar SethuramanLevin's Diabetes and Dental Specialty Hospital, Madurai, India.
Vrindavani DhumalIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India.
Sapan BeheraIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India.
Piyush M PatelIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India.
Dipak M PatilIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India. Dipak.Patil1@sunpharma.com.ORCID http://orcid.org/0009-0008-8690-3302
Lalit K LakhwaniIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India.
Pravin S GhadgeIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India.
Suyog C MehtaIndia Clinical Research, Sun Pharma Laboratories Limited, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, India.
Sadhna J JoglekarSun Pharmaceutical Industries Limited, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to evaluate the efficacy and safety of a triple fixed-dose combination (FDC) of dapagliflozin, sitagliptin, and immediate-release metformin (DAPA + SITA + MET IR) compared to dual FDCs in patients with type 2 diabetes mellitus (T2DM).

methodsThis Phase 3, randomized, open-label study included eligible patients with T2DM who were randomly assigned in a 1:1 ratio to receive either a triple FDC of DAPA + SITA + MET IR (5 + 50 + 500/1000 mg) or a dual FDC of sitagliptin and MET IR (SITA + MET IR; 50 + 500/1000 mg), administered twice daily for 16 weeks. The primary endpoint was the mean change in glycated haemoglobin (HbA1c) from baseline to Week 16.

resultsThe mean baseline HbA1c was ~ 9% in both arms. Adjusted mean reduction in HbA1c from baseline to Week 16 was significantly greater in triple FDC of DAPA + SITA + MET IR (- 2.08%) versus dual FDC of SITA + MET IR  (- 1.38%) P < 0.0001. A significantly greater reduction in HbA1c was observed with triple FDC compared to the dual FDC at Week 12 (P < 0.0001). At Week 16, a significantly higher proportion of patients achieved HbA1c < 7% with triple FDC than with dual FDC (48.9% versus 31.1%; P = 0.0029). Both treatments were well tolerated.

conclusionTriple FDC of DAPA + SITA + MET IR demonstrated superior efficacy in achieving glycaemic control in patients with T2DM compared to dual FDC. There were no major safety concerns. CLINICAL TRIAL REGISTRATION NUMBER: CTRI/2022/04/041817.

Indexed as

Benzhydryl CompoundsDiabetes Mellitus, Type 2GlucosidesHypoglycemic AgentsMetforminSitagliptin PhosphateAdultAgedDrug CombinationsDrug Therapy, CombinationFemaleGlycated HemoglobinHumansIndiaMaleMiddle AgedBenzhydryl CompoundsdapagliflozinDrug CombinationsGlucosidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetforminSitagliptin PhosphateDapagliflozinMetforminSitagliptinSodium-glucose co-transporter-2 (SGLT2) inhibitorType 2 Diabetes Mellitus

Identifiers

PMID40828352
PMCPMC12474733

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
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Registered trials

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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.