Evidence mapPaperPMID 29078817Full record

Trial reportTrials2017

Long-term Effects of high-doSe pitavaStatin on Diabetogenicity in comparison with atorvastatin in patients with Metabolic syndrome (LESS-DM): study protocol for a randomized controlled trial.

Jun-Bean Park, Ji-Hyun Jung, Yeonyee E Yoon, Hack-Lyong Kim, Seung-Pyo Lee, Hyung-Kwan Kim, Yong-Jin Kim, Goo-Yeong Cho, Dae-Won Sohn

Registry-linked trialOpen access · goldFull text readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02940366. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT02940366 phase4unknown status

the Long-term Effects of High-doSe pitavaStatin on Diabetogenicity in Comparison With Atorvastatin in Patients With Metabolic Syndrome (LESS-DM) Randomized Clinical Trial

Ran2016Enrolled500Registered outcomes1Posted comparisons0ConditionsMetabolic SyndromeArmsAtorvastatin 20 mg orally daily, Pitavastatin 4 mg orally daily
Open the trial in the graph
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Effects of Pitavastatin on Insulin Sensitivity and Liver Fat: A Randomized Clinical Trial.The Journal of clinical endocrinology and metabolism · 2018
    Trial
  2. Trial
  3. Review
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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

9 authors at 3 institutions in 1 country.

Jun-Bean ParkDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Ji-Hyun JungDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Yeonyee E YoonDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Hack-Lyong KimDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Seung-Pyo LeeDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Hyung-Kwan KimDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea. hkkim73@snu.ac.kr.
Yong-Jin KimDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Goo-Yeong ChoDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Dae-Won SohnDivision of Cardiology, Seoul National University College of Medicine, Seoul, South Korea.
Seoul National University Hospital · KRSeoul National University · KRSeoul National University Bundang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe diabetogenic action of statins remains a concern, particularly in patients at high risk for diabetes receiving intensive statin therapy. Despite the risk of diabetes with statin use being considered a potential class effect, recent studies have suggested that pitavastatin exerts neutral or favorable effects on diabetogenicity. However, no randomized trial has compared the long-term effects of pitavastatin with those of other statins on glycemic control in populations at high risk for diabetes. Hence, we aim to assess the long-term effects of pitavastatin in comparison with atorvastatin on glucose metabolism in patients with metabolic syndrome (MetS). METHODS/

designThe Long-term Effects of high-doSe pitavaStatin on Diabetogenicity in comparison with atorvastatin in patients with Metabolic syndrome (LESS-DM) trial is a prospective, randomized, open-label, active control clinical trial of patients with MetS. We plan to randomize 500 patients with MetS (1:1) to receive high-dose pitavastatin (4 mg) or atorvastatin (20 mg) daily for 24 months. The primary endpoint will be the change in hemoglobin A1c after statin treatment. Secondary endpoints will include the following: (1) changes in biochemical markers, including insulin, C-peptide, homeostasis model assessment of insulin resistance and insulin secretion, and adiponectin; (2) changes in imaging parameters, including carotid elasticity metrics and indices of cardiac function; and (3) the incidence of clinical events, including new-onset diabetes and cardiovascular disease. DISCUSSION: In this trial, we will explore whether pitavastatin 4 mg does not disturb glucose metabolism in patients with MetS. It will also provide mechanistic information on statin type-dependent diabetogenic effects and surrogate data regarding vascular and cardiac changes achieved by intensive statin therapy.

trial registrationClinicalTrials.gov, NCT02940366 . Registered on 19 October 2016.

Indexed as

AtorvastatinBiomarkersBlood GlucoseCardiovascular DiseasesClinical ProtocolsC-PeptideDiabetes MellitusGlycated HemoglobinHumansHydroxymethylglutaryl-CoA Reductase InhibitorsInsulinMetabolic SyndromeProspective StudiesQuinolinesRepublic of KoreaResearch DesignAtorvastatinBiomarkersBlood GlucoseC-PeptideGlycated Hemoglobinhemoglobin A1c protein, humanHydroxymethylglutaryl-CoA Reductase InhibitorsInsulinpitavastatinQuinolinesAdiponectinCardiac functionCarotid elasticityGlucose metabolismMetabolic syndromeStatin

Identifiers

PMID29078817
PMCPMC5659042
OpenAlexW2765128051

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.