Evidence map›Paper›PMID 40948240›Full record

Trial reportJournal of diabetes2025

Sitagliptin, a DPP-4 Inhibitor, Effectively Promotes the Healing of Diabetic Foot Ulcer: A Randomized Controlled Trial.

Wei Gao, Dawei Chen, Hua He, Nenggang Jiang, Lihong Chen, Xingwu Ran

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  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

6 authors.

Wei GaoDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.
Dawei ChenDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.
Hua HeDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.
Nenggang JiangDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.
Lihong ChenDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.
Xingwu RanDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0002-6634-1241

Funding

1.3.5 Project for Disciplines of Excellence, West China Hospital of Sichuan University ZYGD240051.3.5 Project of Center for High Altitude Medicine, West China Hospital, Sichuan University GYYX24002Health Commission of Sichuan Province 23LCYJ042Science and Technology Bureau of Sichuan Province 2019YFS0306Science and Technology Bureau of Sichuan Province 2024NSFSC1622Science and Technology Bureau of Sichuan Province 2024YFFK0290
6 · The paper itself

Abstract

backgroundThis randomized controlled trial (RCT) was designed to evaluate the effects of sitagliptin on diabetic foot ulcers (DFUs).

methodsThis was a randomized, open-label clinical trial. The participants were assigned to either the control group, which received standard conventional therapy alone, or the sitagliptin treatment group, which received an oral administration of sitagliptin (100 mg once daily) in conjunction with standard conventional therapy. The primary endpoints were the ulcer healing rate and adverse reactions. The secondary endpoints included the time to ulcer healing, peripheral blood CD34+ endothelial progenitor cells (EPCs) count, serum levels of stromal cell-derived factor-1α (SDF-1α), and glycosylated hemoglobin A1c (HbA1c).

resultsA total of 62 subjects were enrolled in this trial, with 31 individuals assigned to each group. One participant from each group was lost to follow-up. Posttrial analysis revealed that, compared with the control group, the sitagliptin group demonstrated a significantly greater reduction in ulcer area and improved efficacy in terms of ulcer healing (p < 0.05). Although not statistically significant (p = 0.071), the sitagliptin group also tended to have a shorter ulcer healing time. Additionally, the sitagliptin group presented significantly greater numbers of CD34+ EPCs and higher SDF-1α levels compared to the control group (p < 0.05). No statistically significant difference in HbA1c levels was observed between the two groups (p > 0.05). No adverse events associated with sitagliptin treatment were reported.

conclusionsThe DPP-4 inhibitor sitagliptin may facilitate the healing of DFUs independent of its glucose-lowering effects, potentially by enhancing the mobilization of CD34 + EPCs in peripheral blood.

trial registrationRegistration number: ChiCTR 2000029230, Approval date: 2020/01/19.

Indexed as

Diabetes Mellitus, Type 2Diabetic FootDipeptidyl-Peptidase IV InhibitorsSitagliptin PhosphateWound HealingAgedChemokine CXCL12Endothelial Progenitor CellsFemaleGlycated HemoglobinHumansMaleMiddle AgedTreatment OutcomeChemokine CXCL12Dipeptidyl-Peptidase IV InhibitorsGlycated HemoglobinSitagliptin Phosphatediabetic foot ulcerdipeptidyl peptidase‐4 (DPP‐4) inhibitorsrandomized controlled trial (RCT)sitagliptintherapy

Identifiers

PMID40948240
PMCPMC12434403

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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.