Evidence mapPaperPMID 26767505Full record

Trial reportTrials2016

Dipeptidyl peptidase-4 inhibition and narrow-band ultraviolet-B light in psoriasis (DINUP): study protocol for a randomised controlled trial.

Maeve Lynch, Tomás B Ahern, Irene Timoney, Cheryl Sweeney, Genevieve Kelly, Rosalind Hughes, Anne-Marie Tobin, Donal O'Shea, Brian Kirby

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

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02347501 (Dipeptidyl Peptidase-4 Inhibition and Narrow-band Ultraviolet-B Light in Psoriasis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

NCT02347501 phase2completednot on this map

Dipeptidyl Peptidase-4 Inhibition and Narrow-band Ultraviolet-B Light in Psoriasis (DINUP): A Randomised Clinical Trial

TypeinterventionalSponsorUniversity College DublinRan2013 to 2016Enrolled118ConditionsPsoriasisArmsSitagliptin (Januvia)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

9 authors at 2 institutions in 1 country.

Maeve LynchDermatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. lynchmaeve@yahoo.ie.
Tomás B AhernEndocrinology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. tomasbahern@physicians.ie.
Irene TimoneyDermatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. irenetimoney@gmail.com.
Cheryl SweeneyDermatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. chsweene@tcd.ie.
Genevieve KellyDermatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. gkellywinter@gmail.com.
Rosalind HughesDermatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. rossiehughes@gmail.com.
Anne-Marie TobinDermatology Department, Adelaide and Meath Hospital Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. tobin.annemarie@gmail.com.
Donal O'SheaEndocrinology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. info@dosheaendo.ie.
Brian KirbyDermatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. b.kirby@st-vincents.ie.
St. Vincent's University Hospital · IETallaght University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundModerate to severe psoriasis is a systemic inflammatory disease associated with insulin resistance, obesity and type 2 diabetes (T2DM). Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor that improves glycaemia and has a marketing authorisation for the treatment of T2DM. Non-immunosuppressive therapies that are effective for psoriasis and its associated comorbidities would be a significant advance in the treatment of this chronic disease. METHODS/

designThis is a single centre, 39-week, prospective, randomised, open label, clinical trial of oral sitagliptin (Januvia(®)) in psoriasis patients who are due to undergo a course of narrow-band ultraviolet-B (NB-UVB) phototherapy. We plan to enrol 120 participants and allocate participants on a random and 1:1 basis to receive sitagliptin 100 mg daily for 24 weeks combined with NB-UVB or NB-UVB monotherapy. Participants will be followed up for 12 weeks after sitagliptin therapy is discontinued. The primary endpoint is the change in Psoriasis Area and Severity Index (PASI) 24 weeks after treatment initiation. Secondary endpoints include cumulative NB-UVB dose, number of NB-UVB treatments required to clear psoriasis, proportions of participants who achieve PASI-50 (50 % reduction in PASI from baseline), PASI-75, PASI-90 and the proportion of participants who relapse in each group. We will also analyse changes in cardiovascular disease risk factors, serum cytokine and hormone levels and peripheral blood mononuclear expression of immune proteins at 24 and 36 weeks. A subgroup of participants will have skin biopsies taken and analysed for skin levels and expression of immune cells, receptors, hormones and immune proteins. The genetic or epigenetic profile that predicts best response to DPP-4 inhibitor therapy will be analysed. The safety endpoints include the rate and severity of adverse events. DISCUSSION: This is the first randomised clinical trial assessing dipeptidyl peptidase-4 inhibition therapy in psoriasis. We hypothesise that sitagliptin therapy in combination with NB-UVB improves psoriasis severity compared to NB-UVB monotherapy.

trial registrationClinicalTrials.gov Identifier NCT02347501 (Date of registration: 27 January 2015).

Indexed as

Clinical ProtocolsDipeptidyl-Peptidase IV InhibitorsHumansProspective StudiesPsoriasisQuality ControlSample SizeSitagliptin PhosphateUltraviolet TherapyDipeptidyl-Peptidase IV InhibitorsSitagliptin Phosphate

Identifiers

PMID26767505
PMCPMC4714444
OpenAlexW2237803098

What Socratic holds

Textmetadata
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.