Trial reportLipids in health and disease2015

A randomized, double-blind, placebo-controlled study of the effect of ezetimibe on glucose metabolism in subjects with type 2 diabetes mellitus and hypercholesterolemia.

Itori Saito, Kyoichi Azuma, Taro Kakikawa, Nobuyuki Oshima, Mary E Hanson, Andrew M Tershakovec

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

Trial report in Lipids in health and disease, 2015. The graph read 3 numbers from its abstract, feeding 2 cells of the map: it finds no clear difference in 1. It is linked to trial NCT01611883 (Examination of the Effect of Ezetimibe on Glucose Metabolism - Randomized, Double-blind, Placebo-controlled Study in Type 2 Diabetes Mellitus Patients With Hypercholesterolemia - Phase 4, Protocol No. 367), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

3numbers the graph read from it
1cell of the map it votes in
6citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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.

← favours the treatmentfavours the comparator →
-0.070.230 · no effect
Glycemic controlno clear difference · against placebo · t2d, dyslipidemiafeeds one cell of the map
Δ 0.08-0.07 to 0.23
From baseline to 24 weeks, HbA1c significantly increased in both the ezetimibe and placebo groups (between-treatment difference 0.08 [95% CI: -0.07 to 0.23]).

Read, but not usablea number the graph found but could not read as for or against

Glycemic controldescribes a change within one group, not a comparison · against placebo · t2d, dyslipidemiafeeds one cell of the map
Δ 0.00-0.47 to 0.47
At 24 weeks, the mean change from baseline in glycoalbumin levels (between-treatment differences 0.00 [95% CI: -0.47, 0.47]) and fasting plasma glucose (between-treatment differences -4.8 [95% CI: -12.1, 2.1]) were similar in both treatment groups.
Glycemic controldescribes a change within one group, not a comparison · against placebo · t2d, dyslipidemiafeeds one cell of the map
Δ -4.80-12.1 to 2.10
At 24 weeks, the mean change from baseline in glycoalbumin levels (between-treatment differences 0.00 [95% CI: -0.47, 0.47]) and fasting plasma glucose (between-treatment differences -4.8 [95% CI: -12.1, 2.1]) were similar in both treatment groups.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

Other lipid agents×glycemic control

InconclusiveOpen on the map →What to test next →

4 readable studies in this cell: 1 favour the treatment, 2 find no difference, 1 favour the comparator.

Belief with this paper
0.40contested · 1 family supports, 1 contradict · against placebo
Without it
0.40This paper does not move the number.
← favours the treatmentfavours the comparator →
0 · no effect
This paper · 2015
Δ 0.08-0.07 to 0.23
NCT03531905242 enrolled · 2018
Δ -0.30-3.90 to 3.30

Diet, exercise & lifestyle×glycemic control

No readable resultOpen on the map →What to test next →

5 readable studies in this cell: 4 favour the treatment, 1 find no difference, 0 favour the comparator.

Belief with this paper
0.99replicated · 2 families support, 0 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

NCT01611883 phase4completednot on this map

Examination of the Effect of Ezetimibe on Glucose Metabolism - Randomized, Double-blind, Placebo-controlled Study in Type 2 Diabetes Mellitus Patients With Hypercholesterolemia - Phase 4, Protocol No. 367 (Also Known as SCH 58235, P06541)

TypeinterventionalSponsorOrganon and CoRan2012 to 2014Enrolled152ConditionsHypercholesterolemiaArmsEzetimibe, Placebo
5 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. HDL metabolism and function in diabetes mellitus.Nature reviews. Endocrinology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Itori SaitoMSD KK, Japan development, Clinical research, Kitanomaru Square, 1-13-12 Kudan-kita, Chiyoda-ku, 102-8667, Tokyo, Japan. itori.saito@merck.com.
Kyoichi AzumaMSD KK, Japan development, Clinical research, Kitanomaru Square, 1-13-12 Kudan-kita, Chiyoda-ku, 102-8667, Tokyo, Japan. kyoichi_azuma@merck.com.
Taro KakikawaMSD KK, Japan development, Clinical research, Kitanomaru Square, 1-13-12 Kudan-kita, Chiyoda-ku, 102-8667, Tokyo, Japan. taro.kakikawa@merck.com.
Nobuyuki OshimaMSD KK, Japan development, Clinical research, Kitanomaru Square, 1-13-12 Kudan-kita, Chiyoda-ku, 102-8667, Tokyo, Japan. nobuyuki.oshima@merck.com.
Mary E HansonMerck & Co., Inc, Kenilworth, NJ, USA. mary.hanson@merck.com.
Andrew M TershakovecMerck & Co., Inc, Kenilworth, NJ, USA. andrew.tershakovec@merck.com.
MSD K.K. (Japan) · JPMerck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

backgroundRecent evidence points to an increased incidence of new-onset diabetes and a negative impact on glucose parameters with statin use. This study examined the safety of ezetimibe vs placebo for change from baseline to week 24 in HbA1c (primary endpoint), glycoalbumin, and fasting plasma glucose (secondary endpoints) in Japanese subjects with type 2 diabetes and hypercholesterolemia.

methodsThis was a randomized, double-blind, placebo-controlled, parallel-group, multi-site trial. Adults with type 2 diabetes and hypercholesterolemia whose LDL-C measured <140 mg/dl (subjects receiving lipid-lowering drugs) or <160 mg/dl (subjects not receiving lipid-lowering drugs) at the start of the screening phase, were randomized after a 5-week wash-out period to ezetimibe 10 mg or placebo (1:1) for 24 weeks. Changes in HbA1c, glycoalbumin and fasting plasma glucose from baseline to week 24 were evaluated. The non-inferiority margin was set at 0.5% for HbA1c.

resultsOverall, 152 subjects were randomized (75 to ezetimibe and 77 to placebo). From baseline to 24 weeks, HbA1c significantly increased in both the ezetimibe and placebo groups (between-treatment difference 0.08 [95% CI: -0.07 to 0.23]). Ezetimibe was statistically non-inferior to placebo. At 24 weeks, the mean change from baseline in glycoalbumin levels (between-treatment differences 0.00 [95% CI: -0.47, 0.47]) and fasting plasma glucose (between-treatment differences -4.8 [95% CI: -12.1, 2.1]) were similar in both treatment groups.

conclusionsThese results suggest that ezetimibe 10 mg does not result in dysregulation of glucose metabolism in Japanese patients with type 2 diabetes and hypercholesterolemia over 24 weeks of treatment.

trial registrationClinicalTrials.gov identifier NCT01611883 .

Indexed as

Anticholesteremic AgentsBlood GlucoseDiabetes Mellitus, Type 2Double-Blind MethodEzetimibeFemaleGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedHumansHypercholesterolemiaMaleMiddle AgedSerum AlbuminTriglyceridesAnticholesteremic AgentsBlood GlucoseEzetimibeGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, Advancedhemoglobin A1c protein, humanSerum AlbuminTriglycerides

Identifiers

PMID25929253
PMCPMC4450465
OpenAlexW2085515275

What Socratic holds

Textfull text, public
LicenceCC BY
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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 Socratic graph.