Evidence mapPaperPMID 30136384Full record

Observational studyJournal of diabetes investigation2019

Effect of switching to teneligliptin from other dipeptidyl peptidase-4 inhibitors on glucose control and renoprotection in type 2 diabetes patients with diabetic kidney disease.

Munehiro Kitada, Yoshio Ogura, Kyoko Nitta, Mizue Fujii, Keizo Kanasaki, Kazunori Konishi, Yasuo Iida, Atsushi Nakagawa, Daisuke Koya

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of diabetes investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 20% 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.

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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Renoprotective Effects of DPP-4 Inhibitors.Antioxidants (Basel, Switzerland) · 2021
    Review
  4. Article
  5. Article
  6. 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 at 1 institution in 1 country.

Munehiro KitadaDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.ORCID http://orcid.org/0000-0002-3854-1385
Yoshio OguraDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Kyoko NittaDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Mizue FujiiDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Keizo KanasakiDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.ORCID http://orcid.org/0000-0002-9563-502X
Kazunori KonishiDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Yasuo IidaDivision of Mathematics, Department of General Education-Natural Sciences, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Atsushi NakagawaDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Daisuke KoyaDepartment of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Kanazawa Medical University · JP

Funding

Mitsubishi Tanabe Pharma
6 · The paper itself

Abstract

AIMS/

introductionThe objective of the present study was to elucidate the effect of switching to teneligliptin from other dipeptidyl peptidase-4 (DPP-4) inhibitors on glucose control and renoprotection in type 2 diabetes mellitus patients with diabetic kidney disease. MATERIALS AND

methodsThe present study was a single-arm, open-label, observational study. A total of 23 patients, who had urinary albumin/creatinine ratios (UACR) ≥30 mg/gCr in their first urine in the early morning, and received other DPP-4 inhibitors and renin-angiotensin system inhibitors, switched to teneligliptin 20 mg/day. After switching to teneligliptin for 24 weeks, we evaluated changes in glycated hemoglobin (HbA1c), fasting plasma glucose levels, plasma DPP-4 activity and UACR.

resultsHbA1c, fasting plasma glucose and UACR values showed no significant change after 24 weeks compared with baseline. However, plasma DPP-4 activity was significantly reduced after 24 weeks (0.57 ± 0.26 nmol/min/mL, P = 0.012, vs baseline), compared with baseline (1.49 ± 1.73 nmol/min/mL), and there was a positive relationship between the change rate of plasma DPP-4 activity (Δ%DPP-4) for 24 weeks and the levels of plasma DPP-4 activity (r = -0.5997, P = 0.0025) and fasting plasma glucose (r = -0.4235, P = 0.0440) at baseline. Additionally, the Δ%DPP-4 for 24 weeks was significantly correlated to the change rate of UACR (r = 0.556, P = 0.0059). However, there was no relationship between Δ%DPP-4 and ΔHbA1c (amount of HbA1c change).

conclusionsSwitching to teneligliptin from other DPP-4 inhibitors for 24 weeks reduces plasma DPP-4 activity, which is associated with a reduction in albuminuria, independent of the change in glucose levels, in type 2 diabetes mellitus patients with diabetic kidney disease.

Indexed as

AgedBiomarkersBlood GlucoseCase-Control StudiesDiabetes Mellitus, Type 2Diabetic NephropathiesDipeptidyl-Peptidase IV InhibitorsFemaleFollow-Up StudiesGlycated HemoglobinHumansHypoglycemiaIncidenceJapanMalePrognosis3-(4-(4-(3-methyl-1-phenyl-1H-pyrazol-5-yl)piperazin-1-yl)pyrrolidin-2-ylcarbonyl)thiazolidineBiomarkersBlood GlucoseDipeptidyl-Peptidase IV InhibitorsGlycated Hemoglobinhemoglobin A1c protein, humanPyrazolesThiazolidinesDiabetic kidney diseasePlasma DPP-4 activityTeneligliptin

Identifiers

PMID30136384
PMCPMC6497591
OpenAlexW2888503065

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.