Evidence mapPaperPMID 31743569Full record

Trial reportJournal of diabetes investigation2020

Long-term (52-week) efficacy and safety of ipragliflozin add-on therapy to insulin in Japanese patients with type 1 diabetes mellitus: An uncontrolled, open-label extension of a phase III study.

Kohei Kaku, Hiroyuki Isaka, Taishi Sakatani, Junko Toyoshima

Open access · goldAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. The emergence of obesity in type 1 diabetes.International journal of obesity (2005) · 2024
    Review
  5. Review
  6. Article
  7. 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

4 authors at 2 institutions in 1 country.

Kohei KakuDepartment of Medicine, Kawasaki Medical School, Okayama, Japan.ORCID https://orcid.org/0000-0003-1574-0565
Hiroyuki IsakaJapan/Asia Clinical Development, Astellas Pharma Inc., Tokyo, Japan.
Taishi SakataniData Science, Astellas Pharma Inc., Tokyo, Japan.
Junko ToyoshimaClinical Pharmacology and Exploratory Development, Astellas Pharma Inc., Tokyo, Japan.
Astellas Pharma (Japan) · JPKawasaki Medical School · JP

Funding

Astellas Pharma Inc. N/A
6 · The paper itself

Abstract

introductionThe aim of the present study was to assess the long-term (52-week) efficacy and safety of ipragliflozin in insulin-treated Japanese patients with type 1 diabetes mellitus and inadequate glycemic control. MATERIALS AND

methodsIn this 28-week, open-label extension of a multicenter, randomized, placebo-controlled, 24-week phase III study, ipragliflozin recipients continued treatment (50 mg, once daily), and placebo recipients were switched to once-daily 50 mg ipragliflozin at the start of the extension period. The ipragliflozin dose could be increased to 100 mg if warranted. The primary end-point was change in glycated hemoglobin; secondary end-points were change in insulin dose and bodyweight. Safety outcomes were monitored as treatment-emergent adverse events.

resultsA total of 53 (placebo switched to ipragliflozin) and 108 (ipragliflozin) patients completed the open-label extension (treatment period 2), with 24 and 44 patients, respectively, receiving dose increases. From baseline to end of treatment, the overall mean change (standard deviation [SD]) in glycated hemoglobin was -0.33% (0.72; -3.7 mmol/mol [7.9]), with changes in basal, bolus and total insulin doses of -3.76 IU (SD 3.85 IU), -2.51 IU (SD 7.08 IU) and -6.27 IU (SD 8.16 IU), respectively. No serious drug-related treatment-emergent adverse events or deaths were reported. Treatment-emergent adverse events leading to study discontinuation occurred in zero and three (2.6%) patients in the placebo switched to ipragliflozin and ipragliflozin groups, respectively; all were considered drug-related. There were no cases of severe hypoglycemia or diabetic ketoacidosis, and no safety concerns related to dose increase.

conclusionsThe efficacy and safety of 50 mg, once-daily ipragliflozin in insulin-treated type 1 diabetes mellitus patients were confirmed in this long-term, open-label extension study. No safety concerns were attributed to a dose increase to 100 mg.

Indexed as

AgedAsian PeopleDiabetes Mellitus, Type 1Double-Blind MethodDrug Therapy, CombinationFemaleGlucosidesHumansInsulinJapanMaleSodium-Glucose Transporter 2 InhibitorsThiophenesTrans-ActivatorsTreatment OutcomeGlucosidesInsulinipragliflozinMor protein, Enterobacteria phage MuSodium-Glucose Transporter 2 InhibitorsThiophenesTrans-ActivatorsInsulinSodium-glucose cotransporter 2 inhibitorsType 1 diabetes mellitus

Identifiers

PMID31743569
PMCPMC7232286
OpenAlexW2991307278

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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.