Evidence mapPaperPMID 33564423Full record

ArticleClinical kidney journal2021

Effect of linagliptin versus placebo on cardiovascular and kidney outcomes in nephrotic-range proteinuria and type 2 diabetes: the CARMELINA randomized controlled trial.

Christoph Wanner, Mark E Cooper, Odd Erik Johansen, Robert Toto, Julio Rosenstock, Darren K McGuire, Steven E Kahn, Egon Pfarr, Sven Schnaidt, Maximilian von Eynatten and 7 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Comparative Efficacy of Novel Antidiabetic Drugs on Albuminuria Outcomes in Type 2 Diabetes: A Systematic Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
  7. Article
  8. Mineralocorticoid Receptor Antagonists in Diabetic Kidney Disease.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 12 institutions in 6 countries.

Christoph WannerDepartment of Medicine, Division of Nephrology, Würzburg University Clinic, Würzburg, Germany.
Mark E CooperDepartment of Diabetes, Central Clinical School, Monash University, Melbourne, Australia.
Odd Erik JohansenBoehringer Ingelheim Norway KS, Asker, Norway.
Robert TotoUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Julio RosenstockDallas Diabetes Research Center at Medical City, Dallas, TX, USA.
Darren K McGuireUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Steven E KahnDepartment of Medicine, Division of Metabolism, Endocrinology and Nutrition, Puget Sound Health Care System and University of Washington, Seattle, WA, USA.
Egon PfarrBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Sven SchnaidtBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Maximilian von EynattenBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Jyothis T GeorgeBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany.
Nicholas D GollopBoehringer Ingelheim Pharma GmbH & Co., Bracknell, UK.
Nikolaus MarxDepartment of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
John H AlexanderDuke Clinical Research Institute, Duke Health, Durham, NC, USA.
Bernard ZinmanLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada.
Vlado PerkovicFaculty of Medicine, The George Institute for Global Health, University of New South Wales, Sydney, Australia.
CARMELINA investigators
Boehringer Ingelheim (Germany) · DEThe University of Texas Southwestern Medical Center · USBoehringer Ingelheim (Norway) · NOBoehringer Ingelheim (United Kingdom) · GBClinical Research Institute · USDallas Diabetes Research Center · USLunenfeld-Tanenbaum Research Institute · CAMonash University · AUUniversitätsklinikum Aachen · DEUniversity of Washington · USUniversity of Würzburg · DEUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNephrotic-range proteinuria (NRP) is associated with rapid kidney function loss and increased cardiovascular (CV) disease risk. We assessed the effects of linagliptin (LINA) on CV and kidney outcomes in people with Type 2 diabetes (T2D) with or without NRP.

methodsCardiovascular and renal microvascular outcome study with LINA randomized participants with T2D and CV disease and/or kidney disease to LINA 5 mg or placebo (PBO). The primary endpoint [time to first occurrence of 3-point major adverse cardiac events (3P-MACE)], and kidney outcomes, were evaluated by NRP status [urinary albumin:creatinine ratio (UACR) ≥2200 mg/g] at baseline (BL) in participants treated with one or more dose of study medication.

resultsNRP was present in 646/6979 [9.3% (LINA/PBO

conclusionsIndividuals with T2D and NRP have a high disease burden. LINA reduces their albuminuria burden and HbA1c, without affecting CV or kidney risk.

Indexed as

albuminuriaDPP-4 inhibitorHbA1ckidney diseaselinagliptinrenal impairmentType 2 diabetes

Identifiers

PMID33564423
PMCPMC7857804
OpenAlexW3123953428

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.