Evidence mapPaperPMID 12351470Full record

Trial reportDiabetes care2002

A diabetes outcome progression trial (ADOPT): an international multicenter study of the comparative efficacy of rosiglitazone, glyburide, and metformin in recently diagnosed type 2 diabetes.

Giancarlo Viberti, Steven E Kahn, Douglas A Greene, William H Herman, Bernard Zinman, Rury R Holman, Steven M Haffner, Daniel Levy, John M Lachin, Rhona A Berry and 3 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Diabetes care, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00279045. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 1% 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.

NCT00279045 phase3completed

A Randomized, Double-Blind Study to Compare the Durability of Glucose Lowering and Preservation of Pancreatic Beta-Cell Function of Rosiglitazone Monotherapy Compared to Metformin or Glyburide/Glibenclamide in Patients With Drug-Naive, Recently Diagnosed Type 2 Diabetes Mellitus

Ran2000Enrolled4,426Registered outcomes2Posted comparisons0ConditionsDiabetes Mellitus, Type 2Armsglyburide, Metformin, Rosiglitazone
Open the trial in the graph
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 270 citations in OpenAlex.

  1. Metformin for preventing the progression of chronic kidney disease.The Cochrane database of systematic reviews · 2024 · on this map
    Pooled it
  2. Metformin monotherapy for adults with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2020 · on this map
    Pooled it
  3. Pooled it
  4. Rosiglitazone for type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2007
    Pooled it
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  10. Renal function in type 2 diabetes with rosiglitazone, metformin, and glyburide monotherapy.Clinical journal of the American Society of Nephrology : CJASN · 2011
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  13. Review
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  18. Observational
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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

13 authors at 9 institutions in 3 countries.

Giancarlo VibertiGuy's, King's, and St. Thomas' School of Medicine, King's College, London, U.K. giancarlo.viberti@kcl.ac.uk
Steven E Kahn
Douglas A Greene
William H Herman
Bernard Zinman
Rury R Holman
Steven M Haffner
Daniel Levy
John M Lachin
Rhona A Berry
Mark A Heise
Nigel P Jones
Martin I Freed
GlaxoSmithKline (United States) · USGeorge Washington University · USMount Sinai Hospital · CANational Cancer Institute · USOxford Centre for Diabetes, Endocrinology and Metabolism · GBThe University of Texas Health Science Center at San Antonio · USUniversity of Michigan–Ann Arbor · USUniversity of Washington · USVA Puget Sound Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTherapies with metformin, sulfonylureas, or insulin improve glycemic control in the short term but do not prevent progressive islet beta-cell failure or long-term deterioration in glycemia. Our goal was to evaluate, in patients recently diagnosed with type 2 diabetes (<3 years), the long-term efficacy of monotherapy with rosiglitazone on glycemic control and on the progression of pathophysiological abnormalities associated with type 2 diabetes as compared with metformin or glyburide monotherapy. RESEARCH DESIGN AND

methodsA Diabetes Outcome Progression Trial (ADOPT) is a randomized, double-blind, parallel-group study consisting of a screening visit, a 4-week placebo run-in, a 4-year treatment period, and an observational follow-up of approximately 3,600 drug-naïve patients with type 2 diabetes diagnosed within the previous 3 years. After run-in, patients will be randomized to rosiglitazone, glyburide, or metformin titrated to the maximum effective daily doses (8 mg rosiglitazone, 15 mg glyburide, or 2 g metformin). The primary outcome is time to monotherapy failure, defined as the time following titration to the maximal effective or tolerated dose when fasting plasma glucose exceeds 180 mg/dl (10 mmol/l). Secondary outcomes include measures of islet beta-cell function, insulin sensitivity, dyslipidemia, changes in urinary albumin excretion, plasminogen activator inhibitor-1 antigen, fibrinogen, and C-reactive protein. Safety and tolerability will also be evaluated. Patient-reported outcomes and resource utilization data will be collected and analyzed.

conclusionsADOPT will provide data on the effect of mechanistically differing treatment options on metabolic control, beta-cell function, and markers of macrovascular disease risk in type 2 diabetes.

Indexed as

ThiazolidinedionesAlbuminuriaBlood GlucoseDiabetes Mellitus, Type 2Disease ProgressionDouble-Blind MethodGlyburideHumansHypoglycemic AgentsMetforminResearch DesignRosiglitazoneSafetyThiazolesTime FactorsTreatment FailureBlood GlucoseGlyburideHypoglycemic AgentsMetforminRosiglitazoneThiazolesThiazolidinediones

Identifiers

PMID12351470
OpenAlexW2134315188

What Socratic holds

Texttitle and abstract
Read underepoch 390

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 Socratic graph.