Evidence mapPaperPMID 38512540Full record

Observational studyAdvances in therapy2024

Real-World Outcomes of Individualized Targeted Therapy with Insulin Glargine 300 Units/mL in Insulin-Naïve Korean People with Type 2 Diabetes: TOBE Study.

Eun-Gyoung Hong, Kyung-Wan Min, Jung Soo Lim, Kyu-Jeung Ahn, Chul Woo Ahn, Jae-Myung Yu, Hye Soon Kim, Hyun Jin Kim, Won Kim, Dong Han Kim and 1 more

Open access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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 8 institutions in 1 country.

Eun-Gyoung HongDepartment of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, South Korea.ORCID 0000-0003-3390-5706
Kyung-Wan MinDepartment of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Daejeon, South Korea.ORCID 0000-0003-2266-9795
Jung Soo LimDepartment of Internal Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, South Korea.ORCID 0000-0003-4856-3462
Kyu-Jeung AhnDivision of Endocrinology and Metabolism, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, South Korea.ORCID 0000-0002-4648-3605
Chul Woo AhnDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0003-3733-7486
Jae-Myung YuDepartment of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.ORCID 0000-0001-9179-1554
Hye Soon KimDivision of Endocrinology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, South Korea.ORCID 0000-0001-6298-3506
Hyun Jin KimDepartment of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, South Korea.ORCID 0000-0002-6760-4963
Won KimMedical Department, Sanofi Korea, Seoul, South Korea.ORCID 0000-0003-4067-8767
Dong Han KimMedical Department, Sanofi Korea, Seoul, South Korea.ORCID 0000-0002-4507-2038
Hak Chul JangDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 82, Gumi-ro, 173-Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea. janghak@snu.ac.kr.ORCID 0000-0002-4188-6536
Chungnam National University Hospital · KRSanofi (South Korea) · KRYonsei University · KREulji University · KRHallym University Dongtan Sacred Heart Hospital · KRHallym University Kangnam Sacred Heart Hospital · KRKyung Hee University Hospital at Gangdong · KRSeoul National University Bundang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe TOujeo BEyond glucose control (TOBE) study evaluated clinical outcomes with insulin glargine 300 units/mL (Gla-300) in insulin-naïve Korean people with type 2 diabetes mellitus (T2DM) in a real-world setting.

methodsThis 24-week, prospective, non-interventional, multicenter, open-label, single-arm, observational study included adults aged ≥ 20 years with T2DM suboptimally controlled with oral hypoglycemic agents and/or glucagon-like peptide 1 receptor agonists who require basal insulin. Eligible participants were assigned to either general target glycated hemoglobin (HbA1c < 7%) or individualized target groups as per physician's discretion considering guidelines and participants' characteristics. The primary endpoint was the proportion of participants achieving the HbA1c target (individualized or general) at 24 weeks.

resultsAmong 369 participants, 19.5% (72/369) of participants achieved the HbA1c target at week 24; 37.5% (33/88) in the individualized and 13.9% (39/281) in the general target group. In both target groups, similar reductions in fasting plasma glucose and body weight were observed, with low incidence of hypoglycemia, and T2DM duration was significantly shorter in participants who did versus those who did not achieve the target HbA1c (individualized target group: 9.6 ± 8.0 versus 13.1 ± 8.4 years, P = 0.0454; general target group: 10.2 ± 8.6 versus 12.8 ± 7.4 years, P = 0.0378).

conclusionsThis study showed that initiation of insulin therapy with Gla-300 in people with T2DM using an individualized approach is more effective in achieving an HbA1c target. Moreover, earlier initiation of insulin therapy in people with suboptimally controlled T2DM may increase the success rate of glycemic control. A graphical abstract is available with this article.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2Glycated HemoglobinHypoglycemic AgentsInsulin GlargineAdultAgedFemaleHumansHypoglycemiaMaleMiddle AgedPrecision MedicineProspective StudiesRepublic of KoreaTreatment OutcomeBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin GlargineEffectivenessHypoglycemiaInsulin glargine U-300Insulin therapyObservational studyReal-world evidenceType 2 diabetes mellitus

Identifiers

PMID38512540
PMCPMC11052798
OpenAlexW4393046271

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.