Evidence map›Paper›PMID 38252809›Full record

ArticleDiabetes care2024

Impact of Canagliflozin on Kidney and Cardiovascular Outcomes by Type 2 Diabetes Duration: A Pooled Analysis of the CANVAS Program and CREDENCE Trials.

Sheldon W Tobe, Thomas A Mavrakanas, Harpreet S Bajaj, Adeera Levin, Navdeep Tangri, April Slee, Brendon L Neuen, Vlado Perkovic, Kenneth W Mahaffey, Wally Rapattoni and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Research progress on the effects of sodium-glucose linked transporter 2 inhibitors on multiple metabolic disorders in metabolic syndrome.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2024
    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

11 authors at 7 institutions in 3 countries.

Sheldon W TobeSunnybrook Research Institute, Toronto, Ontario, Canada.ORCID 0000-0001-7848-3872
Thomas A MavrakanasDivision of Nephrology, Department of Medicine, McGill University Health Centre and Research Institute, Montreal, Quebec, Canada.
Harpreet S BajajLMC Healthcare, Brampton, Ontario, Canada.ORCID 0000-0002-1461-1465
Adeera LevinDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Navdeep TangriChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.ORCID 0000-0002-5075-6370
April SleeNew Arch Consulting, Seattle, WA.
Brendon L NeuenThe George Institute for Global Health, University of New South Wales Sydney, Sydney, New South Wales, Australia.
Vlado PerkovicThe George Institute for Global Health, University of New South Wales Sydney, Sydney, New South Wales, Australia.
Kenneth W MahaffeyStanford Center for Clinical Research, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Wally RapattoniJanssen, Inc., Toronto, Ontario, Canada.
Fernando G AngJanssen, Inc., Toronto, Ontario, Canada.
Royal North Shore Hospital · AUCARE Canada · CACenter for Clinical Research (United States) · USMcGill University Health Centre · CASeven Oaks General Hospital · CASunnybrook Health Science Centre · CAUniversity of British Columbia · CA

Funding

CIHRJanssen Canada Inc.
6 · The paper itself

Abstract

objectiveThe study was undertaken because it was unknown whether the duration of type 2 diabetes modifies the effects of sodium-glucose cotransporter 2 inhibitor canagliflozin on cardiovascular (CV) and kidney outcomes. RESEARCH DESIGN AND

methodsThis post hoc analysis of the Canagliflozin Cardiovascular Assessment Study (CANVAS) Program (N = 10,142) and Evaluation of the Effects of Canagliflozin on Renal and Cardiovascular Outcomes in Participants With Diabetic Nephropathy (CREDENCE) trial (N = 4,401) evaluated hazard ratios and 95% CIs using Cox proportional hazards for the effects of canagliflozin on CV and kidney outcomes, including progression and regression of albuminuria over 5-year intervals of disease duration.

resultsCanagliflozin had ranges of benefit across intervals of diabetes duration, with no heterogeneity for major adverse CV events, CV death or heart failure hospitalization, and kidney failure requiring therapy or doubling serum creatinine. Furthermore, canagliflozin reduced albuminuria progression and increased albuminuria regression with no interaction across all diabetes duration subgroups.

conclusionsOur findings suggest that earlier treatment with canagliflozin confers consistent cardiorenal benefits to individuals with type 2 diabetes.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Sodium-Glucose Transporter 2 InhibitorsAlbuminuriaCanagliflozinHumansKidneyCanagliflozinSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID38252809
PMCPMC10909678
OpenAlexW4391092121

What Socratic holds

Texttitle and abstract
Read underepoch 390

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.