Evidence mapPaperPMID 39292166Full record

Trial reportJournal of diabetes investigation2024

Multicenter, open label, randomized controlled superiority trial for availability to reduce nocturnal urination frequency: The TOP-STAR study.

Hanako Nakajima, Hiroshi Okada, Akinori Kogure, Takafumi Osaka, Takeshi Tsutsumi, Masayoshi Onishi, Kazuteru Mitsuhashi, Noriyuki Kitagawa, Shinichi Mogami, Akane Kitamura and 6 more

Abstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Journal of diabetes investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

16 authors.

Hanako NakajimaDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID https://orcid.org/0000-0002-3209-1790
Hiroshi OkadaDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Akinori KogureDepartment of Diabetes and Metabolic Medicine, Kyoto City Hospital, Kyoto, Japan.
Takafumi OsakaDepartment of Endocrinology and Diabetology, Ayabe City Hospital, Ayabe, Japan.
Takeshi TsutsumiDepartment of Endocrinology and Metabolism, Kyoto Yamashiro General Medical Center, Kidugawa, Japan.
Masayoshi OnishiDepartment of Diabetes and Metabolism, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.
Kazuteru MitsuhashiDepartment of Diabetes and Internal Medicine, Fukuchiyama City Hospital, Fukuchiyama, Japan.
Noriyuki KitagawaDepartment of Diabetology, Kameoka Municipal Hospital, Kameoka, Japan.ORCID https://orcid.org/0000-0003-3263-9469
Shinichi MogamiDepartment of Endocrinology, Metabolism, and Diabetes, Saiseikai Suita Hospital, Osaka, Japan.
Akane KitamuraDepartment of Diabetology, Nagitsuji Hospital, Kyoto, Japan.
Michiyo IshiiDepartment of Internal Medicine, Otsu City Hospital, Otsu, Japan.
Naoto NakamuraDivision of Diabetes, Saiseikai Kyoto Hospital, Kyoto, Japan.
Akio KishiDepartment of Diabetes, Kyoto Okamoto Memorial Hospital, Kyoto, Japan.
Sato EikoAshikaga University, Tochigi, Japan.
Masahide HamaguchiDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID https://orcid.org/0000-0002-8651-4445
Michiaki FukuiDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Funding

Kowa Company
6 · The paper itself

Abstract

aimNocturia impairs the quality of life in patients with type 2 diabetes mellitus. Although sodium glucose co-transporter 2 inhibitors (SGLT2i) such as tofogliflozin increase urine volume, their impact on nocturia, in conjunction with dietary salt restriction, is less clear. MATERIALS AND

methodsThis multicenter, open-label, randomized, parallel-group trial included 80 subjects with type 2 diabetes and nocturia. The patients were divided into two groups: one receiving tofogliflozin, the shortest half-life, without salt restriction, and the other receiving both tofogliflozin and dietary salt restriction. The primary endpoint was nocturia frequency at 12 weeks. The secondary outcomes included changes in daytime urination frequency, urine volume, and home blood pressure.

resultsAt 12 weeks, there were no significant differences in nocturia changes between both groups. Nocturia frequency did not change in the tofogliflozin without salt restriction group from 1.5 ± 0.8 to 1.3 ± 1.1 times per night (P = 0.297), and significantly decreased from 1.6 ± 1.0 to 1.3 ± 0.7 times per night in the tofogliflozin and dietary salt restriction group (P = 0.049). There was a trend toward increased urine volume and frequency during the daytime in the group with salt restriction, indicating a time-shift effect of the short half-life tofogliflozin and salt restriction on urinary time.

conclusionsThe frequency of nocturia after tofogliflozin did not increase. Tofogliflozin reduced nocturia when combined with salt restriction. Furthermore, daytime urine volume and frequency showed an increasing trend, suggesting a shift in urine production to daytime hours due to the short half-life of tofogliflozin. Dietary modifications can enhance the therapeutic benefits of tofogliflozin in managing nocturia in people with type 2 diabetes.

Indexed as

Benzhydryl CompoundsDiabetes Mellitus, Type 2GlucosidesNocturiaAgedFemaleHumansMaleMiddle AgedQuality of LifeSodium-Glucose Transporter 2 InhibitorsTreatment OutcomeUrination6-((4-ethylphenyl)methyl)-3',4',5',6'-tetrahydro-6'-(hydroxymethyl)spiro(isobenzofuran-1(3H),2'-(2H)pyran)-3',4',5'-triolBenzhydryl CompoundsGlucosidesSodium-Glucose Transporter 2 InhibitorsNocturiaSalt restrictionSGLT2 inhibitor

Identifiers

PMID39292166
PMCPMC11615697

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.