Evidence mapPaperPMID 38017482Full record

Trial reportCardiovascular diabetology2023

Effects of dapagliflozin and dapagliflozin-saxagliptin on erythropoiesis, iron and inflammation markers in patients with type 2 diabetes and chronic kidney disease: data from the DELIGHT trial.

Akihiko Koshino, Brendon L Neuen, Niels Jongs, Carol Pollock, Peter J Greasley, Eva-Marie Andersson, Ann Hammarstedt, Cecilia Karlsson, Anna Maria Langkilde, Takashi Wada and 1 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular diabetology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02547935. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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.

NCT02547935 phase2 / phase3completed

An Exploratory Phase II/III, Randomized, Double-blind, Placebo Controlled, Parallel Design Study to Evaluate the Efficacy, Safety and Pharmacodynamics of Dapagliflozin and Dapagliflozin in Combination With Saxagliptin in CKD Patients With Type 2 Diabetes Mellitus and Albuminuria Treated With ACEi or ARB

Ran2015Enrolled459Registered outcomes8Posted comparisons14ConditionsType 2 Diabetes Mellitus, CKD and AlbuminuriaArmsDapagliflozin 10 mg, Matching Placebo for Dapagliflozin 10 mg and Saxagliptin 2.5mg, Saxagliptin 2.5 mg
Open the trial in the graph
NCT06820567 phase3not yet recruitingstarted 2025, after this paper: background citation

English Title of Research Project: Effects of Dapagliflozin on Inflammatory Markers, Erythropoiesis and Iron Metabolism in Patients With Type 2 Diabetes and CKD

Ran2025Enrolled210Registered outcomes1Posted comparisons0ConditionsChronic Kidney Diseases, Diabetes Type 2ArmsDapagliflozin (DAPA), Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Canagliflozin and iron metabolism in the CREDENCE trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025 · on this map
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  4. KDIGO 2026 Clinical Practice Guideline for Anemia in Chronic Kidney Disease (CKD): a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
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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

11 authors at 5 institutions in 4 countries.

Akihiko KoshinoDepartment of Clinical Pharmacy and Pharmacology, University of Groningen, Groningen, the Netherlands.
Brendon L NeuenThe George Institute for Global Health, UNSW Sydney, Sydney, Australia.
Niels JongsDepartment of Clinical Pharmacy and Pharmacology, University of Groningen, Groningen, the Netherlands.
Carol PollockKolling Institute of Medical Research, Sydney Medical School, University of Sydney, Sydney, Australia.
Peter J GreasleyBioPharmaceuticals Research and Development, AstraZeneca, Gothenburg, Sweden.
Eva-Marie AnderssonBioPharmaceuticals Research and Development, AstraZeneca, Gothenburg, Sweden.
Ann HammarstedtBioPharmaceuticals Research and Development, AstraZeneca, Gothenburg, Sweden.
Cecilia KarlssonBioPharmaceuticals Research and Development, AstraZeneca, Gothenburg, Sweden.
Anna Maria LangkildeBioPharmaceuticals Research and Development, AstraZeneca, Gothenburg, Sweden.
Takashi WadaDepartment of Nephrology and Laboratory Medicine, Kanazawa University, Ishikawa, Japan.
Hiddo J L HeerspinkDepartment of Clinical Pharmacy and Pharmacology, University of Groningen, Groningen, the Netherlands. h.j.lambers.heerspink@umcg.nl.
AstraZeneca (Sweden) · SEKanazawa University · JPThe George Institute for Global Health · AURoyal North Shore Hospital · AUUniversity of Groningen · NL

Funding

The Netherlands Organisation for Scientific Research VIDI (917.15.306)
6 · The paper itself

Abstract

backgroundThis post-hoc analysis of the DELIGHT trial assessed effects of the SGLT2 inhibitor dapagliflozin on iron metabolism and markers of inflammation.

methodsPatients with type 2 diabetes and albuminuria were randomized to dapagliflozin, dapagliflozin and saxagliptin, or placebo. We measured hemoglobin, iron markers (serum iron, transferrin saturation, and ferritin), plasma erythropoietin, and inflammatory markers (urinary MCP-1 and urinary/serum IL-6) at baseline and week 24.

results360/461 (78.1%) participants had available biosamples. Dapagliflozin and dapagliflozin-saxagliptin, compared to placebo, increased hemoglobin by 5.7 g/L (95%CI 4.0, 7.3; p < 0.001) and 4.4 g/L (2.7, 6.0; p < 0.001) and reduced ferritin by 18.6% (8.7, 27.5; p < 0.001) and 18.4% (8.7, 27.1; p < 0.001), respectively. Dapagliflozin reduced urinary MCP-1/Cr by 29.0% (14.6, 41.0; p < 0.001) and urinary IL-6/Cr by 26.6% (9.1, 40.7; p = 0.005) with no changes in other markers.

conclusionsDapagliflozin increased hemoglobin and reduced ferritin and urinary markers of inflammation, suggesting potentially important effects on iron metabolism and inflammation.

trial registrationClinicalTrials.gov NCT02547935.

Indexed as

Diabetes Mellitus, Type 2Renal Insufficiency, ChronicAdamantaneBenzhydryl CompoundsDipeptidesDouble-Blind MethodErythropoiesisFerritinsGlucosidesHemoglobinsHumansHypoglycemic AgentsInflammationInterleukin-6IronAdamantaneBenzhydryl CompoundsdapagliflozinDipeptidesFerritinsGlucosidesHemoglobinsHypoglycemic AgentsInterleukin-6IronsaxagliptinAnemiaFerritinHematopoiesisInterleukin-6Iron metabolismMonocyte chemoattractant protein-1Sodium glucose co-transporter 2 inhibitorsTransferrin

Identifiers

PMID38017482
PMCPMC10685512
OpenAlexW4389082254

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.