Evidence mapPaperPMID 34448033Full record

Trial reportDiabetologia2021

Effects of canagliflozin compared with placebo on major adverse cardiovascular and kidney events in patient groups with different baseline levels of HbA

Tamara K Young, Jing-Wei Li, Amy Kang, Hiddo J L Heerspink, Carinna Hockham, Clare Arnott, Brendon L Neuen, Sophia Zoungas, Kenneth W Mahaffey, Vlado Perkovic and 4 more

Open access · hybridFull text readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  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

14 authors at 5 institutions in 4 countries.

Tamara K YoungThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.ORCID 0000-0003-2727-8347
Jing-Wei LiThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Amy KangThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Hiddo J L HeerspinkThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Carinna HockhamThe George Institute for Global Health, Imperial College London, London, UK. chockham@georgeinstitute.org.uk.
Clare ArnottThe George Institute for Global Health, UNSW, Sydney, NSW, Australia. carnott@georgeinstitute.org.au.
Brendon L NeuenThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Sophia ZoungasThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Kenneth W MahaffeyStanford Center for Clinical Research, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Vlado PerkovicThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Dick de ZeeuwDepartment of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, Groningen, the Netherlands.
Greg FulcherUniversity of Sydney, Sydney, NSW, Australia.
Bruce NealThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
Meg JardineThe George Institute for Global Health, UNSW, Sydney, NSW, Australia.
UNSW Sydney · AUThe University of Sydney · AUCenter for Clinical Research (United States) · USThe George Institute for Global Health · GBUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisType 2 diabetes mellitus can manifest over a broad clinical range, although there is no clear consensus on the categorisation of disease complexity. We assessed the effects of canagliflozin, compared with placebo, on cardiovascular and kidney outcomes in the CANagliflozin cardioVascular Assessment Study (CANVAS) Program over a range of type 2 diabetes mellitus complexity, defined separately by baseline intensity of treatment, duration of diabetes and glycaemic control.

methodsWe performed a post hoc analysis of the effects of canagliflozin on major adverse cardiovascular events (MACE) according to baseline glucose-lowering treatments (0 or 1, 2 or 3+ non-insulin glucose-lowering treatments, or insulin-based treatment), duration of diabetes (<10, 10 to 16, >16 years) and HbA

resultsAt study initiation, 5095 (50%) CANVAS Program participants were treated with insulin, 2100 (21%) had an HbA CONCLUSIONS/

interpretationIn people with type 2 diabetes mellitus at high cardiovascular risk, there was no evidence that cardiovascular and renal protection with canagliflozin differed across subgroups defined by baseline treatment intensity, duration of diabetes or HbA

Indexed as

AgedCanagliflozinCardiovascular DiseasesDiabetes Mellitus, Type 2Double-Blind MethodFemaleGlomerular Filtration RateGlycated HemoglobinHumansHypoglycemic AgentsInsulinKidney DiseasesMaleMiddle AgedPlacebosProportional Hazards ModelsCanagliflozinGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinPlacebosSodium-Glucose Transporter 2 InhibitorsBaseline HbA1cComplicationsDisease durationTreatment intensityType 2 diabetes complexity

Identifiers

PMID34448033
PMCPMC8494676
OpenAlexW3193910622

What Socratic holds

Textfull text, public
LicenceCC BY
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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.