DPP-4 inhibitors × glycemic control

TrialDiabetes, obesity & metabolism2018

Efficacy and safety of ipragliflozin as an add-on therapy to sitagliptin and metformin in Korean patients with inadequately controlled type 2 diabetes mellitus: A randomized controlled trial.

Kyung-Ah Han et al.PubMed ↗Full text ↗Publisher ↗

  • Ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptinlooks good hereLower long-term blood sugar.Randomised, small.

What the trial testedrandomised · 143 people · 2018

Randomised vs placebo as add-on therapy to metformin and sitagliptin

Probably lowered long-term blood sugar

−0.83percentage points−1.07 to −0.59

ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin

As reported

difference −0.83 %, 95% CI −1.07 to −0.59 · the paper's word: change in glycated haemoglobin (HbA1c) from baseline to end of treatment (EOT)

No range given

Reported lower fasting blood sugar, no range given

−1.64mmol/L

ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin

As reported

difference −1.64 mmol/L, no interval · the paper's word: Fasting plasma glucose

No range given

Reported lower body weight, no range given

−1.72kg

ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin

As reported

difference −1.72 kg, no interval

No range given

Reported lower homeostatic model assessment of insulin resistance, no range given

−0.99

ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin

As reported

difference −0.99, no interval

+1 more in the walkthrough ↓

Who was studied, and how

143people with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin
placebo as add-on therapy to metformin and sitagliptin

Probably lowered long-term blood sugar−0.83

Reported lower fasting blood sugar, no range given−1.64

Reported lower fasting serum insulin, no range given−1.50

randomised

the abstract, start to end

ipragliflozin (adjusted mean difference -0.83% [95% CI -1.07 to -0.59]; P <

ipragliflozin (adjusted mean difference -1.64 mmol/L, -1.50 μU/mL, -1.72 kg, and -0.99, respectively; P < .05 for

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Change in glycated haemoglobin (HbA1c) from baseline to end of treatment (EOT)ipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin
−0.83−1.07 to −0.59
Fasting plasma glucoseipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin
−1.64
Fasting serum insulinipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin
−1.50
Body weightipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin
−1.72
Homeostatic model assessment of insulin resistanceipragliflozin 50 mg/day as add-on therapy to metformin and sitagliptin vs placebo as add-on therapy to metformin and sitagliptin
−0.99
MetforminSGLT2 inhibitorsDPP-4 inhibitorsGlycemic controlBody weight & compositionAdverse events & safety

DPP-4 inhibitors × glycemic controlhelps?replicated

unlikelylikely
0.820.82 without it

Metformin × glycemic controlhelps?replicated

unlikelylikely
0.840.84 without it

SGLT2 inhibitors × glycemic controlhelps?replicated

unlikelylikely
0.920.92 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 29862619