Evidence mapPaperPMID 26137940Full record

Observational studyBMC endocrine disorders2015

Two-year assessment of the efficacy and safety of sitagliptin in elderly patients with type 2 diabetes: Post hoc analysis of the ASSET-K study.

Shinichi Umezawa, Akira Kubota, Hajime Maeda, Akira Kanamori, Kiyokazu Matoba, Yasuyuki Jin, Fuyuki Minagawa, Mitsuo Obana, Kotaro Iemitsu, Shogo Ito and 22 more

Abstract readObservational Study
In one paragraph

Observational study in BMC endocrine disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
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  5. Review
  6. 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

32 authors.

Shinichi UmezawaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. umecli@mta.biglobe.ne.jp.
Akira KubotaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. kubota@sj8.so-net.ne.jp.
Hajime MaedaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. nrcbd536@ybb.ne.jp.
Akira KanamoriStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. rankana@kanamori-cl.jp.
Kiyokazu MatobaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. matoba-clinic@po1.dti2.ne.jp.
Yasuyuki JinStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. jin-clinic@nifty.com.
Fuyuki MinagawaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. fminagawa-endo@umin.ac.jp.
Mitsuo ObanaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. UIH45876@nifty.com.
Kotaro IemitsuStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. e36m3kotaro@nifty.com.
Shogo ItoStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. sksym-1404@nifty.com.
Hikaru AmamiyaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. QYF11710@nifty.com.
Mizuki KaneshiroStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. kaneshiro-diabetes-c@jcom.home.ne.jp.
Masahiko TakaiStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. markune@ka2.so-net.ne.jp.
Hideaki KaneshigeStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. kaneshi@rf6.so-net.ne.jp.
Kazuhiko HoshinoStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. hoshinocl@pure.ocn.ne.jp.
Masashi IshikawaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. miya1@space.ocn.ne.jp.
Nobuaki MinamiStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. nminami@gmail.com.
Tetsuro TakumaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. mjob9949-mnet@yahoo.co.jp.
Nobuo SasaiStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. nsasai@d3.dion.ne.jp.
Sachio AoyagiStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. kmyajp@yahoo.co.jp.
Takehiro KawataStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. t2kawata@marianna-u.ac.jp.
Atsuko MokuboStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. mokubo@mokubo-clinic.jp.
Yukiko MiyairiStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. miyairinaka@feel.ocn.ne.jp.
Hiroshi TakedaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. h_takeda@ka2.so-net.ne.jp.
Shin HondaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. s.honda@silverwing.jp.
Hideo MachimuraStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. qq3966cd@etude.ocn.ne.jp.
Tetsuya MotomiyaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. moto-cli@za2.so-net.ne.jp.
Manabu WasedaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. inaho474@ab.auone-net.jp.
Yoshikazu NakaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. naka@tomei.or.jp.
Yasushi TanakaDivision of Metabolism and Endocrinology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan. y2tanaka@marianna-u.ac.jp.
Yasuo TerauchiDepartment of Endocrinology and Diabetes, Yokohama City University Medical Center, Yokohama, Japan. terauchi@yokohama-cu.ac.jp.
Ikuro MatsubaStudy Group of the Diabetes Committee, Kanagawa Physicians Association, Yokohama, Japan. ikuro@matsuba-web.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have only been a few reports about use of dipeptidyl peptidase 4 (DPP-4) inhibitors in elderly patients with type 2 diabetes mellitus (T2DM), suggesting that the safety of these agents has not been sufficiently demonstrated. We performed a comparative review of the efficacy and safety of sitagliptin for Japanese patients with T2DM managed in the real-world clinical setting.

methodsAn age-stratified analysis was performed of 831 patients who were treated with sitagliptin for 2 years. Parameters assessed included the hemoglobin A1c (HbA1c), body weight, serum creatinine, and adverse events. HbA1c and the incidence of hypoglycemia were also evaluated in patients treated with sitagliptin and a sulfonylurea (SU), who were divided into three age groups (<65 years, 65-74 years, and ≥75 years).

resultsComparison of glycemic control parameters, laboratory values, and adverse events revealed significant improvement of HbA1c, casual postprandial plasma glucose, and fasting plasma glucose in each age group with no change in body weight. Serum creatinine increased significantly in all age groups. Hypoglycemia only occurred in patients who received combined treatment with an SU and sitagliptin, and there was no age-related difference in its incidence.

conclusionsHbA1c was improved by 2 years of sitagliptin therapy in all three age groups, and age did not seem to influence the incidence of hypoglycemic events. These results confirm the efficacy and safety of sitagliptin in patients ≥ 75 years old, suggesting that it is also useful for treating elderly patients with T2DM.

Indexed as

AgedCohort StudiesCreatinineDiabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsDrug Therapy, CombinationFemaleGlycated HemoglobinHumansHypoglycemiaHypoglycemic AgentsJapanMaleMiddle AgedRetrospective StudiesSitagliptin PhosphateCreatinineDipeptidyl-Peptidase IV InhibitorsGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsSitagliptin PhosphateSulfonylurea Compounds

Identifiers

PMID26137940
PMCPMC4490678

What Socratic holds

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LicenceCC BY
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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 Socratic graph.