Evidence mapPaperPMID 31523339Full record

ArticleJournal of clinical medicine research2019

Efficacy and Safety of Alogliptin in Elderly Patients With Type 2 Diabetes Mellitus.

Hiroshi Takeda, Nobuo Sasai, Shogo Ito, Mitsuo Obana, Tetsuo Takuma, Masahiko Takai, Hideaki Kaneshige, Hideo Machimura, Akira Kanamori, Ikuro Matsuba

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Article in Journal of clinical medicine research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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field-weighted citation impact
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

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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

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No citing paper in PubMed yet.

4 · The record

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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

10 authors.

Hiroshi TakedaDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Nobuo SasaiDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Shogo ItoDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Mitsuo ObanaDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Tetsuo TakumaDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Masahiko TakaiDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Hideaki KaneshigeDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Hideo MachimuraDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Akira KanamoriDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.
Ikuro MatsubaDiabetes Committee Study Group, Kanagawa Physicians Association, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Japan, with increasing age of the population, diabetic patients often become in need of hemodialysis due to diabetic nephropathy, and thus there is a demand for development of diabetic treatments that take into account renal effects in the elderly. No previous studies of alogliptin had focused on Japanese elderly subjects; we therefore assessed the effects of alogliptin in elderly individuals using available data.

methodsLaboratory data were compiled for 1 year at intervals of 3 months following the start of alogliptin treatment. The subjects were divided into three groups by age: < 65 years (n = 110), 65 - 74 years (n = 87), and ≥ 75 years (n = 93). Laboratory values in comparison with baseline were compared within groups at various time points, and changes from baseline were compared among the different groups.

resultsHemoglobin A1c (HbA1c) levels decreased significantly from baseline values in all groups at and after month 3: the change at month 12 was -0.74±1.45% for the age group < 65, -0.47±1.02% for the age group 65 - 74, and -0.42±1.11% for the age group ≥ 75. The 12-month change in estimated glomerular filtration rate (eGFR) was -6.5 ± 12.0 for the age group < 65, -2.0 ± 8.4 for the age group 65 - 74, and -1.5 ± 10.0 for the age group ≥ 75; the reduction in the age group < 65 was significant, whereas the reduction in the age groups ≥ 65 was not.

conclusionsAlogliptin significantly lowers HbA1c levels in the elderly and can be used without posing any safety issues, including renal effects, thus contributing to safe blood glucose control in clinical practice.

Indexed as

AlogliptinDipeptidyl peptidase-4 inhibitoreGFRElderlyType 2 diabetes

Identifiers

PMID31523339
PMCPMC6731051

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