Evidence map›Paper›PMID 31606880›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2019

Safety of Ipragliflozin in Patients with Type 2 Diabetes Mellitus: Pooled Analysis of Phase II/III/IV Clinical Trials.

Atsunori Kashiwagi, Marina V Shestakova, Yuichiro Ito, Masahiro Noguchi, Wim Wilpshaar, Satoshi Yoshida, John P H Wilding

12 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01071850. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT01071850 phase2completed

A Phase 2, Double-Blind, Randomized, Placebo and Active-Controlled Dose-Finding Study to Assess the Efficacy, Safety and Tolerability of Multiple Oral Doses of ASP1941 in Patients With Type 2 Diabetes Mellitus

Ran2010Enrolled412Registered outcomes4Posted comparisons0ConditionsDiabetes Mellitus, Type 2Armsipragliflozin, Metformin, Placebo
Open the trial in the graph
NCT01117584 phase2completed

Phase 2b, Double-Blind, Randomized, Multicenter, Parallel Group, Placebo-Controlled, Dose-Finding Study to Evaluate the Efficacy, Safety and Tolerability of a 12-Week Treatment With ASP1941 in Combination With Metformin in Patients With Type 2Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone

Ran2010Enrolled343Registered outcomes4Posted comparisons0ConditionsType 2 Diabetes MellitusArmsipragliflozin, Metformin, Placebo
Open the trial in the graph
NCT01135433 phase3completed

A Phase 3 Study to Assess the Efficacy and Safety of ASP1941 in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone

Ran2010Enrolled168Registered outcomes4Posted comparisons0ConditionsType 2 Diabetes MellitusArmsipragliflozin, Metformin, Placebo
Open the trial in the graph
NCT01505426 phase3completed

A Phase III, Double-Blind, Randomized, Placebo-Controlled Study to Assess the Efficacy and Safety of ASP1941 in Combination With Metformin in Asian Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone

Ran2011Enrolled171Registered outcomes6Posted comparisons0ConditionsType II Diabetes MellitusArmsASP1941, Metformin, Placebo
Open the trial in the graph
NCT02794792 phase3completed

A Phase 3, Double-blind, Randomized Study to Assess the Efficacy and Safety of Ipragliflozin in Combination With Metformin Compared to Metformin Plus Placebo in Subjects in Russia With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin

Ran2016Enrolled268Registered outcomes15Posted comparisons0ConditionsType 2 Diabetes MellitusArmsIpragliflozin L-proline, Metformin, Placebo
Open the trial in the graph
NCT00621868 phase2completednot on this map

ASP1941 Phase II Clinical Study - A Double-blind, Placebo-controlled, Parallel-group, Dose-response Study in Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAstellas Pharma IncRan2008 to 2009Enrolled361ConditionsDiabetes MellitusArmsipragliflozin, Placebo
NCT01057628 phase3completednot on this map

Phase III Study of ASP1941 -A Phase III, Randomized, Double-Blind, Placebo-controlled, Monotherapy Study to Assess the Efficacy, Safety, and Tolerability of ASP1941 in Japanese Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAstellas Pharma IncRan2010 to 2010Enrolled130ConditionsType 2 Diabetes MellitusArmsipragliflozin, placebo
NCT01225081 phase3completednot on this map

A Phase III Study to Assess the Efficacy, Safety and Tolerability of ASP1941 in Combination With Pioglitazone in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Pioglitazone Alone

TypeinterventionalSponsorAstellas Pharma IncRan2010 to 2012Enrolled152ConditionsType 2 Diabetes MellitusArmsipragliflozin, Placebo, Pioglitazone
NCT01242215 phase3completednot on this map

A Phase III Study to Assess the Efficacy, Safety and Tolerability of ASP1941 in Combination With Sulfonylurea in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Sulfonylurea Alone

TypeinterventionalSponsorAstellas Pharma IncRan2010 to 2012Enrolled243ConditionsType 2 Diabetes MellitusArmsipragliflozin, Placebo, Sulfonylurea
NCT01316094 phase3completednot on this map

Long-term Study of ASP1941 - Long-term Study in Patients With Type 2 Diabetes Mellitus With Decreased Renal Function (Japanese)

TypeinterventionalSponsorAstellas Pharma IncRan2011 to 2012Enrolled165ConditionsType 2 Diabetes MellitusArmsASP1941, placebo
NCT02175784 phase4completednot on this map

Postmarketing Clinical Study of Ipragliflozin - Double-blind, Parallel-group Study in Combination With Insulin in Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAstellas Pharma IncRan2014 to 2015Enrolled262ConditionsType 2 Diabetes MellitusArmsipragliflozin, placebo
NCT02452632 phase3completednot on this map

A Phase 3, Multicenter, Double-Blind, Randomized, Parallel-group, Placebo-Controlled Study to Assess the Efficacy and Safety of ASP1941 in Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin and Sitagliptin

TypeinterventionalSponsorAstellas Pharma Korea, Inc.Ran2015 to 2017Enrolled143ConditionsType 2 Diabetes MellitusArmsASP1941, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. 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

7 authors at 5 institutions in 4 countries.

Atsunori KashiwagiKusatsu General Hospital, Kusatsu, Shiga, Japan. kashiwagi@kusatsu-gh.or.jp.
Marina V ShestakovaEndocrinology Research Centre, Diabetes Institute, Moscow, Russia.
Yuichiro ItoAstellas Pharma Inc., Tokyo, Japan.
Masahiro NoguchiAstellas Pharma Inc., Tokyo, Japan.
Wim WilpshaarAstellas Pharma Europe B.V., Leiden, The Netherlands.
Satoshi YoshidaAstellas Pharma Inc., Tokyo, Japan.
John P H WildingObesity and Endocrinology Research, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK.
Astellas Pharma (Japan) · JPAstellas Pharma (Netherlands) · NLEndocrinology Research Center · RUTokatsu Hospital · JPUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIpragliflozin is a selective sodium-glucose cotransporter 2 (SGLT2) inhibitor approved for the treatment of type 2 diabetes mellitus (T2DM). The objective of this pooled analysis was to characterise the safety profile of ipragliflozin based on safety data from published randomised controlled trials.

methodsSafety data from 12 randomised, phase II/III/IV placebo-controlled, parallel group, comparative studies of ipragliflozin in patients with T2DM were pooled. Treatment-emergent adverse events (TEAEs) were analysed for patients who had received at least one dose of ipragliflozin 50 mg (n = 1209) or placebo (n = 796) in studies lasting for up to 24 weeks. TEAEs of special interest and serious adverse events (SAEs) were assessed, as well as abnormal laboratory test and vital sign measurements.

resultsThe overall incidences of TEAEs and SAEs between the ipragliflozin and placebo groups were similar, 63.8% vs 59.3% and 2.5% vs 3.3%, respectively. The incidence of TEAEs leading to permanent discontinuation was lower for ipragliflozin (3.6%) than placebo (6.5%). The incidences of TEAEs of special interest including those related to urinary tract infection, cardiovascular events, renal disorder, fracture, malignant tumours and hypoglycaemia were also similar between the groups. Genital infections were more frequent with ipragliflozin (2.4%) than placebo (0.6%), as were pollakiuria/polyuria (6.0% vs 2.0%), volume depletion (4.9% vs 1.8%) and skin/subcutaneous tissue disorders (7.7% vs 4.4%). There were no reported cases of diabetic ketoacidosis, fractures, lower-limb amputation or Fournier's gangrene in ipragliflozin-treated patients across the 12 studies.

conclusionIn randomised, placebo-controlled trials of patients with T2DM, ipragliflozin was well tolerated, with a similar overall incidence of TEAEs to placebo. No new safety signals were observed. TRIAL REGISTRATION NUMBERS: NCT01071850, NCT00621868, NCT01057628, NCT01117584, NCT01135433, NCT01225081, NCT01242215, NCT02175784, NCT01505426, NCT02452632, NCT02794792, NCT01316094.

fundingAstellas Pharma Inc.

Indexed as

IpragliflozinPooled analysisSafetySodium-glucose cotransporter 2 inhibitorType 2 diabetes mellitus

Identifiers

PMID31606880
PMCPMC6848447
OpenAlexW2979918021

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 6 more above

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.