Evidence mapPaperPMID 34234490Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2021

Efficacy of a Combination of Metformin and Vildagliptin in Comparison to Metformin Alone in Type 2 Diabetes Mellitus: A Multicentre, Retrospective, Real-World Evidence Study.

Viswanathan Mohan, Abdul Zargar, Manoj Chawla, Ameya Joshi, Usha Ayyagari, Bipin Sethi, Kumar Gaurav, Usha Rani H Patted, Seema Vikas Bhagat, Amey Ishwara Mane

Open access · goldAbstract read
In one paragraph

Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

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  5. Isolation and Quantification of Palmatine fromDrug design, development and therapy · 2024
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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

10 authors at 6 institutions in 1 country.

Viswanathan MohanDepartment of Diabetes, Madras Diabetes Research Foundation & Dr Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu, India.ORCID 0000-0001-5038-6210
Abdul ZargarDepartment of Diabetes and Endocrine Care, Centre for Diabetes and Endocrine Care, Srinagar, Jammu and Kashmir, India.
Manoj ChawlaDepartment of Diabetes, Lina Diabetes Care Mumbai Diabetes Research Centre, Mumbai, India.ORCID 0000-0003-0436-3266
Ameya JoshiDepartment of Endocrinology, Bhaktivedanta Hospital and Research Institute, Thane, India.ORCID 0000-0002-3671-2312
Usha AyyagariDepartment of Endocrinology, Apollo Sugar Clinics, Apollo Speciality Hospital OMR, Chennai, Tamil Nadu, India.ORCID 0000-0002-5169-9208
Bipin SethiDepartment of Endocrinology, Care Hospitals, Hyderabad, Telangana, India.
Kumar GauravDepartment of Medical Affairs, Dr Reddy's Laboratories Ltd, Hyderabad, Telangana, India.ORCID 0000-0003-1056-7855
Usha Rani H PattedDepartment of Medical Affairs, Dr Reddy's Laboratories Ltd, Hyderabad, Telangana, India.ORCID 0000-0002-4815-3300
Seema Vikas BhagatDepartment of Medical Affairs, Dr Reddy's Laboratories Ltd, Hyderabad, Telangana, India.ORCID 0000-0003-0517-2664
Amey Ishwara ManeDepartment of Medical Affairs, Dr Reddy's Laboratories Ltd, Hyderabad, Telangana, India.ORCID 0000-0002-2902-4693
Dr. Reddy's Laboratories (India) · INDiabetes Care and Research Foundation · INApollo Hospitals · INBhaktivedanta Hospital & Research Institute · INCARE Hospitals · INMadras Diabetes Research Foundation · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly use of combination therapy in diabetes patients may lead to sustained glycemic control and thereby reduce the progression of diabetic complications. Given the limitation of the traditional stepwise intensification strategy, early combination therapy can be an effective approach. Therefore, this study aims to assess the real-world efficacy of a combination of metformin and vildagliptin in comparison to metformin alone in type 2 diabetes mellitus (T2DM) patients in India.

methodsThis was an observational, retrospective, non-interventional study based on electronic medical records (EMRs) of 2740 T2DM patients, retrieved from 2010 onwards from 22 diabetes centres across India. Adult drug naïve patients with a 5-year history of T2DM treated with either metformin or a combination of metformin and vildagliptin for at least 3 months were considered for this study. Efficacy assessment was done to evaluate the post-treatment HbA1c levels and patients requiring additional oral antidiabetic drugs (OADs) at the time of follow-up visit. Patients were also analyzed for the occurrence of adverse events.

resultsOut of the total, 2452 patients were in metformin only arm, and 288 patients were in metformin plus vildagliptin treatment arm. A more significant reduction in HbA1c level was observed in metformin plus vildagliptin arm than metformin only arm (median: -0.5% vs 0%, respectively;

conclusionThe findings of this EMR-based real-world study emphasizes the need for early initiation of combination therapy (metformin plus vildagliptin) over metformin monotherapy for achieving better glycemic control.

Indexed as

electronic medical recordsmetforminreal-world studytype-2 diabetesvildagliptin

Identifiers

PMID34234490
PMCPMC8254563
OpenAlexW3176227937

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.