Evidence mapPaperPMID 31038562Full record

Trial reportClinics (Sao Paulo, Brazil)2019

Efficacy and safety of sitagliptin added to metformin and insulin compared with voglibose in patients with newly diagnosed type 2 diabetes.

Chunhong Shi, Ru Zhang, Ran Bai, Dan Liu, Yongbo Wang, Xueyang Zhang, Hao Wang, Jianling Du

Open access · goldFull text readRandomized Controlled Trial
In one paragraph

Trial report in Clinics (Sao Paulo, Brazil), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Developmental origins of immunometabolic health.Immunometabolism (Cobham, Surrey) · 2026
    Review
  3. Article
  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

8 authors at 1 institution in 1 country.

Chunhong ShiDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0002-2647-9297
Ru ZhangDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0003-2710-0477
Ran BaiDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0002-7910-0930
Dan LiuDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0002-2821-4540
Yongbo WangDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0003-1685-9453
Xueyang ZhangDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0002-7718-7219
Hao WangDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0002-2706-8721
Jianling DuDepartment of Endocrinology, The First Affiliated Hospital of Dalian Medical University, Dalian, PR China.ORCID 0000-0001-9042-6969
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the efficacy and safety of sitagliptin compared with voglibose added to combined metformin and insulin in patients with newly diagnosed type 2 diabetes (T2DM).

methodsIn this 12-week prospective, randomized, parallel trial, 70 newly diagnosed T2DM patients with glycosylated hemoglobin (HbA1c) ≥9% and/or fasting plasma glucose (FPG) ≥11.1 mmol/L were randomized (1:1) to receive sitagliptin 100 mg per day + metformin + insulin glargine or voglibose 0.2 mg three times daily + metformin + insulin glargine. Change in HbA1c at week 12 was the primary endpoint.

resultsThe mean baseline HbA1c was 11.0% in the patients. The changes in HbA1c from baseline were -6.00% in the sitagliptin group and -3.58% in the voglibose group, and the between-group difference was -2.42% (95% CI -1.91 to -2.93, p=0.02). The differences in FPG and homeostatic model assessment of β-cell function (HOMA-β) and the change in body weight between groups from baseline were -2.95 mmol/L (p=0.04), 43.91 (p=0.01) and -2.23 kg (p=0.01), respectively. One patient (2.9%) in the sitagliptin group and three patients (8.6%) in the voglibose group exhibited hypoglycemia.

conclusionsSitagliptin added to combined metformin and insulin therapy showed greater efficacy and good safety regarding hypoglycemia in patients with newly diagnosed T2DM compared with voglibose.

Indexed as

AdultAgedDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsInositolMaleMetforminMiddle AgedProspective StudiesSitagliptin PhosphateTreatment OutcomeHypoglycemic AgentsInositolMetforminSitagliptin Phosphatevoglibose

Identifiers

PMID31038562
PMCPMC6474317
OpenAlexW2953001830

What Socratic holds

Textfull text, public
LicenceCC BY
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.