Evidence mapPaperPMID 36443769Full record

Trial reportBMC endocrine disorders2022

Safety and efficacy of Empagliflozin in Pakistani Muslim patients with type 2 diabetes (SAFE-PAK); a randomized clinical trial.

Azizul Hasan Aamir, Umar Yousaf Raja, Faisal Masood Qureshi, Ali Asghar, Saeed Ahmed Mahar, Ibrar Ahmed, Tahir Ghaffar, Jamal Zafar, Mohammad Imtiaz Hasan, Amna Riaz and 4 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC endocrine disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT04665284. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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.

NCT04665284 phase4completed

Safety And Efficacy Of Empagliflozin In Pakistani Muslim Population With Type Ii Diabetes Mellitus

Ran2019Enrolled244Registered outcomes9Posted comparisons0ConditionsType II Diabetes MellitusArmsempagliflozin, Usual care group
Open the trial in the graph
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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 10 institutions in 1 country.

Azizul Hasan AamirDepartment of Diabetes, Endocrinology and Metabolic Diseases, Khyber Girls Medical College, Hayatabad Medical Complex, Peshawar, Pakistan. drahaamir@gmail.com.
Umar Yousaf RajaShifa International Hospital, Islamabad, Pakistan.
Faisal Masood QureshiAl-Khaliq Hospital, Multan, Pakistan.
Ali AsgharFatimiyah Hospital, Karachi, Pakistan.
Saeed Ahmed MaharNational Institute of Cardiovascular Diseases, Karachi, Pakistan.
Ibrar AhmedLady Reading Hospital, Peshawar, Pakistan.
Tahir GhaffarDepartment of Diabetes, Endocrinology and Metabolic Diseases, Khyber Girls Medical College, Hayatabad Medical Complex, Peshawar, Pakistan.
Jamal ZafarHanif Medical Center, Rawalpindi, Pakistan.
Mohammad Imtiaz HasanDiabetes Institute of Pakistan, Lahore, Pakistan.
Amna RiazJinnah Hospital, Lahore, Pakistan.
Syed Abbas RazaNational Defense Center, Lahore, Pakistan.
Irshad Ahmed KhosaBalochistan Medical Center, Quetta, Pakistan.
Jahanzeb KhanDow University of Health Sciences, Karachi, Pakistan.
Jaffer Bin BaqarUniversity of Karachi, Karachi, Pakistan.
Hayatabad Medical Complex · PKDow University of Health Sciences · PKHoly Family Hospital · PKJinnah Postgraduate Medical Center · PKLady Reading Hospital · PKNational Institute of Cardiovascular Diseases · PKRawalpindi Medical University · PKShifa International Hospital · PKUniversity of Balochistan · PKUniversity of Karachi · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-Glucose-Co-Transporter 2 (SGLT2) inhibitor (Empagliflozin) is an effective drug in controlling blood glucose through predominantly glycosuria. Glycosuria increases the risk of genitourinary infections in diabetes. This study was aimed to establish the safety and efficacy of Empagliflozin (Group-A) versus standard care (Group-B) in Pakistani Muslim individuals with type 2 diabetes.

methodsA multicenter, randomized clinical trial was conducted in five cities across Pakistan from July 2019 to August 2020. Patients of both genders aged 18-75 years, body mass index (BMI) ≤ 45 kg/m

resultsOut of 745 screened patients, 333 met the eligibility criteria, and a total of 244 (73.3%) patients were enrolled. More hypoglycemic events were reported in the standard care group, whereas positive urine culture, fungal infection, dehydration, and hypotension occurrence were comparable between the two groups. The 6 months mean HbA1c reduction was significant in both groups; (Group-A: 0.91 ± 0.15; p < 0.001 vs. Group-B2: 0.79 ± 0.14; p < 0.001). Efficacy comparison at 6 months revealed a significant reduction in weight and systolic blood pressure (SBP) in Group A only (Group-A: 1.4 ± 0.4 kg; p < 0.002 vs. Group-B: 0.01 ± 0.5 kg; p < 1.00), (Group-A: 5.1 ± 1.7 mmHg; p < 0.012 vs. Group-B: 2.3 ± 1.7 mmHg; p < 0.526).

conclusionsEmpagliflozin was a safe drug compared to standard care in Pakistani Muslim patients with diabetes. It was as effective as standard care in the clinical setting but achieved glycemic control by reducing weight and SBP in type 2 diabetes patients.

trial registrationThis study was registered in the NIH US National Library of Medicine clinical trials registry at Clinicaltrials.gov with the registration number: NCT04665284 on 11/12/2020.

Indexed as

Diabetes Mellitus, Type 2GlycosuriaSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsFemaleGlucosidesGlycated HemoglobinHumansIslamMalePakistanUnited StatesBenzhydryl CompoundsempagliflozinGlucosidesGlycated HemoglobinSodium-Glucose Transporter 2 InhibitorsEfficacyHbA1cMuslimsPakistaniSafetySLT2 inhibitors

Identifiers

PMID36443769
PMCPMC9703399
OpenAlexW4310032311

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.