Evidence mapPaperPMID 31455298Full record

Trial reportCardiovascular diabetology2019

Improved home BP profile with dapagliflozin is associated with amelioration of albuminuria in Japanese patients with diabetic nephropathy: the Yokohama add-on inhibitory efficacy of dapagliflozin on albuminuria in Japanese patients with type 2 diabetes study (Y-AIDA study).

Sho Kinguchi, Hiromichi Wakui, Yuzuru Ito, Yoshinobu Kondo, Kengo Azushima, Uru Osada, Tadashi Yamakawa, Tamio Iwamoto, Jun Yutoh, Toshihiro Misumi and 19 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Cardiovascular diabetology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The Effects of SGLT2 Inhibitors on Blood Pressure and Other Cardiometabolic Risk Factors.International journal of molecular sciences · 2024 · on this map
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Nephrons, podocytes and chronic kidney disease: Strategic antihypertensive therapy for renoprotection.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  9. Review
  10. Review
  11. Latest hypertension research to inform clinical practice in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. SGLT2i: beyond the glucose-lowering effect.Cardiovascular diabetology · 2020
    Review
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

29 authors at 6 institutions in 2 countries.

Sho KinguchiDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Hiromichi WakuiDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan. hiro1234@yokohama-cu.ac.jp.
Yuzuru ItoDepartment of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Yoshinobu KondoDepartment of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Kengo AzushimaCardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, Singapore, Singapore.
Uru OsadaDepartment of Diabetes and Endocrinology, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Tadashi YamakawaDepartment of Endocrinology and Diabetes, Yokohama City University Center Hospital, Yokohama, Japan.
Tamio IwamotoDepartment of Nephrology and Hypertension, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Jun YutohDepartment of Nephrology and Hypertension, Yokohama Minami Kyousai Hospital, Yokohama, Japan.
Toshihiro MisumiDepartment of Biostatistics and Epidemiology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kazutaka AokiDepartment of Internal Medicine, Kanagawa Dental University, Yokosuka, Japan.
Gen YasudaDepartment of Nephrology and Hypertension, Yokohama City University Center Hospital, Yokohama, Japan.
Taishi YoshiiDepartment of Endocrinology and Metabolism, Yokohama Minami Kyousai Hospital, Yokohama, Japan.
Takayuki YamadaDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Syuji OnoDepartment of Nephrology and Hypertension, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Tomoko Shibasaki-KuritaDepartment of Nephrology and Hypertension, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Saho HosokawaDepartment of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Kazuki OrimeDepartment of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Masaaki HanaokaDepartment of Nephrology and Hypertension, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Hiroto SasakiDepartment of Diabetes and Endocrinology, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Kohji InazumiDepartment of Diabetes and Endocrinology, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Taku YamadaDepartment of Diabetes and Endocrinology, Saiseikai Yokohama South Hospital, Yokohama, Japan.
Ryu KobayashiDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Kohji OhkiDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Kotaro HaruharaDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Yusuke KobayashiDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Takeharu YamanakaDepartment of Biostatistics and Epidemiology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yasuo TerauchiDepartment of Endocrinology and Metabolism, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan. terauchi@yokohama-cu.ac.jp.
Kouichi TamuraDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan. tamukou@med.yokohama-cu.ac.jp.
Yokohama City University · JPSaiseikai Yokohama Eastern Hospital · JPYokohama Minami Kyosai Hospital · JPDuke-NUS Medical School · SGKanagawa Dental University · JPYokohama City University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Y-AIDA study was designed to investigate the renal- and home blood pressure (BP)-modulating effects of add-on dapagliflozin treatment in Japanese individuals with type 2 diabetes mellitus (T2DM) and albuminuria.

methodsWe conducted a prospective, multicenter, single-arm study. Eighty-six patients with T2DM, HbA1c 7.0-10.0%, estimated glomerular filtration rate (eGFR) ≥ 45 mL/min/1.73 m

resultsBaseline median UACR was 181.5 mg/gCr (interquartile range 47.85, 638.0). Baseline morning, evening, and nocturnal home systolic/diastolic BP was 137.6/82.7 mmHg, 136.1/79.3 mmHg, and 125.4/74.1 mmHg, respectively. After 24 weeks, the logarithm of UACR decreased by 0.37 ± 0.73 (P < 0.001). In addition, changes in morning, evening, and nocturnal home BP from baseline were as follows: morning systolic/diastolic BP - 8.32 ± 11.42/- 4.18 ± 5.91 mmHg (both P < 0.001), evening systolic/diastolic BP - 9.57 ± 12.08/- 4.48 ± 6.45 mmHg (both P < 0.001), and nocturnal systolic/diastolic BP - 2.38 ± 7.82/- 1.17 ± 5.39 mmHg (P = 0.0079 for systolic BP, P = 0.0415 for diastolic BP). Furthermore, the reduction in UACR after 24 weeks significantly correlated with an improvement in home BP profile, but not with changes in other variables, including office BP. Multivariate linear regression analysis also revealed that the change in morning home systolic BP was a significant contributor to the change in log-UACR.

conclusionsIn Japanese patients with T2DM and diabetic nephropathy, dapagliflozin significantly improved albuminuria levels and the home BP profile. Improved morning home systolic BP was associated with albuminuria reduction. Trial registration The study is registered at the UMIN Clinical Trials Registry (UMIN000018930; http://www.umin.ac.jp/ctr/index-j.htm ). The study was conducted from July 1, 2015 to August 1, 2018.

Indexed as

AdultAgedAlbuminuriaBenzhydryl CompoundsBiomarkersBlood GlucoseBlood PressureBlood Pressure Monitoring, AmbulatoryCircadian RhythmDiabetes Mellitus, Type 2Diabetic NephropathiesFemaleGlomerular Filtration RateGlucosidesGlycated HemoglobinHumansBenzhydryl CompoundsBiomarkersBlood GlucosedapagliflozinGlucosidesGlycated Hemoglobinhemoglobin A1c protein, humanSodium-Glucose Transporter 2 InhibitorsAlbuminuriaBlood pressureDiabetic nephropathySGLT2 inhibitorType 2 diabetes mellitus

Identifiers

PMID31455298
PMCPMC6710883
OpenAlexW2970983021

What Socratic holds

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Registered trials

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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.