Evidence mapPaperPMID 22672501Full record

Trial reportCardiovascular diabetology2012

Effects of a vildagliptin/metformin combination on markers of atherosclerosis, thrombosis, and inflammation in diabetic patients with coronary artery disease.

Robert Klempfner, Jonathan Leor, Alexander Tenenbaum, Enrique Z Fisman, Ilan Goldenberg

Registry-linked trialOpen access · goldFull text readRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular diabetology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03693560 (The Effect of Adding Vildagliptin Versus Glimepiride to Metformin on Markers of Inflammation, Thrombosis, and Atherosclerosis in Diabetic Patients With Symptomatic Coronary Artery Diseases), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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.

NCT03693560 phase4completedstarted 2018, after this paper: background citation

The Effect of Adding Vildagliptin Versus Glimepiride to Metformin on Markers of Inflammation, Thrombosis, and Atherosclerosis in Diabetic Patients With Symptomatic Coronary Artery Diseases

Ran2018Enrolled80Registered outcomes7Posted comparisons0ConditionsCoronary Artery Disease, Diabetes Mellitus, Type 2ArmsGlimepiride upto 4 mg Oral Tablet, Metformin 1000 mg Oral Tablet, Vildagliptin 50 mg Oral Tablet
Open the trial in the graph
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
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  7. Article
  8. Review
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  11. Article
  12. Cardiovascular effects of gliptins.Nature reviews. Cardiology · 2013
    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

5 authors at 2 institutions in 1 country.

Robert KlempfnerCardiac Rehabilitation Institute, Leviev Heart Center, Sheba Medical Center, 52621, Tel Hashomer, Israel. Robert.Klemper@sheba.health.gov.il
Jonathan Leor
Alexander Tenenbaum
Enrique Z Fisman
Ilan Goldenberg
Sheba Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic patients present with an accelerated atherosclerotic process and an increased risk for future cardiovascular events. In addition to the risk imposed by the disease itself, pharmacological treatment adds also a sizable risk, especially if certain classes of antidiabetic drugs are employed. Animal evidence indicates that dipeptidyl peptidase-4 inhibitors have anti-atherosclerotic effects, yet clinical data are scarcely available.

designWe plan to prospectively investigate the effects of dipeptidyl peptidase-4 inhibition with vildagliptin on a number of atherothrombotic markers and adipokines in patients with proven atherosclerosis and type 2 diabetes. The selected markers are: interleukin-6, high sensitivity C reactive protein, interleukin 1-beta, total adiponectin levels, matrix metallo-proteinase 9 and platelet reactivity testing. Sixty eligible patients will be randomized in a 2:1 ratio to vildagliptin/metformin or metformin only treatment, for a 3-month duration treatment. Blood sampling for the proposed investigations will be taken at enrollment and immediately after completion of the study period. DISCUSSION: Demonstrating antiatherothrombotic properties of dipeptidyl peptidase-4 inhibitors on proven markers is of substantial clinical significance. Coupled with their proven good safety profile these findings could translate into a significant clinical benefit.

Indexed as

Research DesignAdamantaneAdiponectinAtherosclerosisBiomarkersC-Reactive ProteinDiabetes Mellitus, Type 2Diabetic AngiopathiesDipeptidyl-Peptidase IV InhibitorsDrug CombinationsHumansHypoglycemic AgentsInflammationInflammation MediatorsInterleukin-1betaInterleukin-6AdamantaneAdiponectinADIPOQ protein, humanBiomarkersC-Reactive ProteinDipeptidyl-Peptidase IV InhibitorsDrug CombinationsHypoglycemic AgentsIL6 protein, humanInflammation MediatorsInterleukin-1betaInterleukin-6Matrix Metalloproteinase 9MetforminNitrilesPyrrolidinesVildagliptin

Identifiers

PMID22672501
PMCPMC3403890
OpenAlexW2151683258

What Socratic holds

Textfull text, public
LicenceCC BY
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.