Evidence mapPaperPMID 37898577Full record

ArticleDrugs - real world outcomes2024

Effectiveness of Dapagliflozin as Add-On to Metformin with or without Other Oral Antidiabetic Drugs in Type 2 Diabetes Mellitus: A Multicentre, Retrospective, Real-World Database Study.

Bipin Sethi, Rakesh Sahay, Mangesh Tiwaskar, Vijay Negalur, Rajnish Dhediya, Kumar Gaurav, Rahul Rathod, Bhavesh Kotak, Gauri Dhanaki, Snehal Shah

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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 4 institutions in 1 country.

Bipin SethiDepartment of Endocrinology, Care Hospitals, Hyderabad, Telangana, India.
Rakesh SahayDepartment of Endocrinology, Osmania Medical College, Hyderabad, Telangana, India.
Mangesh TiwaskarDepartment of Diabetology, Shilpa Medical Research Centre, Mumbai, India.
Vijay NegalurDr. Negalur's Diabetes and Thyroid Specialty Centre, Gloria Chambers, Thane, India.
Rajnish DhediyaDepartment of Medical Affairs, Dr. Reddy's Laboratories Ltd, Hyderabad, Telangana, India. rajnishd@drreddys.com.ORCID http://orcid.org/0000-0002-6423-7993
Kumar GauravDepartment of Medical Affairs, Dr. Reddy's Laboratories Ltd, Hyderabad, Telangana, India.
Rahul RathodDepartment of Medical Affairs, Dr. Reddy's Laboratories Ltd, Hyderabad, Telangana, India.
Bhavesh KotakDepartment of Medical Affairs, Dr. Reddy's Laboratories Ltd, Hyderabad, Telangana, India.
Gauri DhanakiDepartment of Medical Affairs, Dr. Reddy's Laboratories Ltd, Hyderabad, Telangana, India.
Snehal ShahDepartment of Clinical Insights, HealthPlix Technologies, Bengaluru, India.
Dr. Reddy's Laboratories (India) · INCARE Hospitals · INOsmania Medical College · INShilpa (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-world Indian studies evaluating effectiveness of dapagliflozin as an add-on to other oral antidiabetic drugs (OAD) in patients with type 2 diabetes mellitus (DM) are scarce.

methodsAn electronic medical record (EMR)-based, retrospective, multicentre study was conducted to evaluate the effectiveness of dapagliflozin as add-on therapy in adult patients with inadequately controlled DM on metformin with or without other OAD. Baseline characteristics (visit 1: metformin or metformin plus OAD treatment for at least 30 days) and treatment-related outcomes (visit 2: follow-up) considered between 60 and 140 days after adding/switching dapagliflozin [glycated haemoglobin (HbA1c), body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP)] were analysed.

resultsA total of 3616 patients were screened from 478 centres. Most patients had received dapagliflozin (D) + metformin (M) + at least one other OAD [D + M + OAD, n = 2907 (80.4%), 408 followed-up with HbA1c reported], while 709 patients (19.6%, 138 followed-up with HbA1c reported) received dapagliflozin + metformin (D + M). Treatment with dapagliflozin as an add-on therapy resulted in significant change in HbA1c (-1.1 ± 1.44%; p < 0.05 for HbA1c subgroup ≥ 7.5%; -1.6 ± 1.41%; p < 0.05 for HbA1c subgroup ≥ 8%) at visit 2 compared with visit 1. Significant change in body weight (-1.4 ± 3.31 kg; p < 0.05 for HbA1c subgroup ≥ 7.5%; - 1.5 ± 3.22 kg; p < 0.05 for HbA1c subgroup ≥ 8%) was observed at visit 2. Similarly, a significant change in BMI was noted for the HbA1c subgroup ≥ 7.5% (-1.0 ± 8.38 kg/m

conclusionsDapagliflozin showed significant improvement in glycemic parameter, BMI and BP when added to metformin, with or without other OADs in a real-world scenario.

Identifiers

PMID37898577
PMCPMC10928049
OpenAlexW4388000049

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.