Evidence map›Paper›PMID 27181576›Full record

Trial reportJournal of diabetes investigation2016

Efficacy and safety of ipragliflozin in Japanese patients with type 2 diabetes stratified by body mass index: A subgroup analysis of five randomized clinical trials.

Atsunori Kashiwagi, Satoshi Yoshida, Ichiro Nakamura, Kenichi Kazuta, Eiji Ueyama, Hideyuki Takahashi, Hayato Satomi, Yoshinori Kosakai, Kosei Kawamuki

5 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01135433. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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.

NCT01135433 phase3completed

A Phase 3 Study to Assess the Efficacy and Safety of ASP1941 in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone

Ran2010Enrolled168Registered outcomes4Posted comparisons0ConditionsType 2 Diabetes MellitusArmsipragliflozin, Metformin, Placebo
Open the trial in the graph
NCT00621868 phase2completednot on this map

ASP1941 Phase II Clinical Study - A Double-blind, Placebo-controlled, Parallel-group, Dose-response Study in Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAstellas Pharma IncRan2008 to 2009Enrolled361ConditionsDiabetes MellitusArmsipragliflozin, Placebo
NCT01057628 phase3completednot on this map

Phase III Study of ASP1941 -A Phase III, Randomized, Double-Blind, Placebo-controlled, Monotherapy Study to Assess the Efficacy, Safety, and Tolerability of ASP1941 in Japanese Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAstellas Pharma IncRan2010 to 2010Enrolled130ConditionsType 2 Diabetes MellitusArmsipragliflozin, placebo
NCT01225081 phase3completednot on this map

A Phase III Study to Assess the Efficacy, Safety and Tolerability of ASP1941 in Combination With Pioglitazone in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Pioglitazone Alone

TypeinterventionalSponsorAstellas Pharma IncRan2010 to 2012Enrolled152ConditionsType 2 Diabetes MellitusArmsipragliflozin, Placebo, Pioglitazone
NCT01242215 phase3completednot on this map

A Phase III Study to Assess the Efficacy, Safety and Tolerability of ASP1941 in Combination With Sulfonylurea in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Sulfonylurea Alone

TypeinterventionalSponsorAstellas Pharma IncRan2010 to 2012Enrolled243ConditionsType 2 Diabetes MellitusArmsipragliflozin, Placebo, Sulfonylurea
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Ipragliflozin Reduces Epicardial Fat Accumulation in Non-Obese Type 2 Diabetic Patients with Visceral Obesity: A Pilot Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Article
  15. Review
  16. Article
  17. Article
  18. Observational
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.

Atsunori KashiwagiKusatsu General Hospital, Shiga, Japan.
Satoshi YoshidaAstellas Pharma Inc, Tokyo, Japan.
Ichiro NakamuraAstellas Pharma Inc, Tokyo, Japan.
Kenichi KazutaAstellas Pharma Inc, Tokyo, Japan.
Eiji UeyamaAstellas Pharma Inc, Tokyo, Japan.
Hideyuki TakahashiAstellas Pharma Inc, Tokyo, Japan.
Hayato SatomiAstellas Pharma Inc, Tokyo, Japan.
Yoshinori KosakaiAstellas Pharma Inc, Tokyo, Japan.
Kosei KawamukiAstellas Pharma Inc, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionThe influence of overweight/obesity on the clinical efficacy and safety of sodium-glucose co-transporter 2 inhibitors is unclear. We carried out a pooled analysis to examine the impact of body mass index on the efficacy and safety of ipragliflozin. MATERIALS AND

methodsPatient-level data were pooled for five Japanese double-blind trials (NCT00621868, NCT01057628, NCT01135433, NCT01225081 and NCT01242215) in which patients were randomized to ipragliflozin or a placebo as monotherapy, or in combination with metformin, pioglitazone or a sulfonylurea. Outcomes included the changes in hemoglobin A1c, fasting plasma glucose, bodyweight and treatment-emergent adverse events. Patients were divided into four body mass index categories.

resultsHemoglobin A1c, fasting plasma glucose and bodyweight decreased significantly in the ipragliflozin group compared with the placebo group in all body mass index categories, and in the total cohort (all P < 0.001). Hemoglobin A1c did not improve in 11.2 and 69.2% of patients in the ipragliflozin and placebo groups, respectively. The change in hemoglobin A1c was weakly correlated with the change in bodyweight in all patients (r = 0.136, P = 0.002). Regarding laboratory variables, the placebo-subtracted difference tended to be greater in patients with higher body mass index for aspartate aminotransferase, alanine aminotransferase, γ-glutamyl transpeptidase and uric acid. The incidences of treatment-emergent adverse events were similar between the ipragliflozin and placebo groups in all patients combined and in the four body mass index categories.

conclusionsThese results show that the efficacy and safety of ipragliflozin are not influenced by obesity/overweight in Japanese patients.

Indexed as

Asian PeopleBlood GlucoseBody Mass IndexDiabetes Mellitus, Type 2Double-Blind MethodDrug Therapy, CombinationFemaleGlucosidesGlycated HemoglobinHumansHypoglycemic AgentsJapanMaleMetforminMiddle AgedPioglitazoneBlood GlucoseGlucosidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsipragliflozinMetforminPioglitazoneSLC5A2 protein, humanSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 InhibitorsSulfonylurea CompoundsThiazolidinedionesThiophenesBody mass indexIpragliflozinSodium-glucose co-transporter 2

Identifiers

PMID27181576
PMCPMC4931205

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC
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.