Evidence mapPaperPMID 39592158Full record

ArticleBMJ open2024

Effects of canagliflozin on brain natriuretic peptide levels in patients with type 2 diabetes on peritoneal dialysis in Japan: protocol for a multicentre, prospective, randomised controlled trial (CARD-PD trial).

Naoko Matsuoka, Daigo Nakazawa, Saori Nishio, Kyu Yong Cho, Tomochika Maoka, Nobuharu Kaneshima, Rie Yamamoto, Junya Yamamoto, Mamiko Shimamoto, Minoru Makita and 9 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Naoko MatsuokaDepartment of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.ORCID http://orcid.org/0009-0000-0789-317X
Daigo NakazawaDepartment of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan daigo-na@med.hokudai.ac.jp.
Saori NishioDepartment of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Kyu Yong ChoDepartment of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Tomochika MaokaDivision of Nephrology, Department of Medicine, Sapporo Medical Center NTT EC, Sapporo, Hokkaido, Japan.
Nobuharu KaneshimaDivision of Nephrology, Department of Medicine, Sapporo Medical Center NTT EC, Sapporo, Hokkaido, Japan.
Rie YamamotoDivision of Nephrology, Department of Medicine, Sapporo Medical Center NTT EC, Sapporo, Hokkaido, Japan.
Junya YamamotoDivision of Nephrology, Department of Medicine, Japan Community Health Care Organisation Hokkaido Hospital, Sapporo, Hokkaido, Japan.
Mamiko ShimamotoDivision of Nephrology, Department of Medicine, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Minoru MakitaDivision of Nephrology, Department of Medicine, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Satoko IriudaDivision of Nephrology, Department of Medicine, Kin-ikyo Chuo Hospital, Sapporo, Hokkaido, Japan.
Kento IgarashiDivision of Nephrology, Department of Medicine, Kin-ikyo Chuo Hospital, Sapporo, Hokkaido, Japan.
Yosuke ItoNirenomori (Elm Grove) Clinic, Sapporo, Hokkaido, Japan.
Akiko KatoDepartment of Medicine, Kushiro Red Cross Hospital, Kushiro, Hokkaido, Japan.
Junpei YoshikawaDepartment of Medicine, Kushiro Red Cross Hospital, Kushiro, Hokkaido, Japan.
Takashi KudoDepartment of Medicine, Kushiro Red Cross Hospital, Kushiro, Hokkaido, Japan.
Takahiro NagashimaDepartment of Medicine, Kitami Red Cross Hospital, Kitami, Hokkaido, Japan.
Yoichi M ItoData Science Center, Promotion Unit, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Tatsuya AtsumiDepartment of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with type 2 diabetes (T2D) undergoing dialysis exhibit a higher mortality rate compared with those with other conditions, primarily due to vascular complications including coronary artery disease, heart failure and stroke. Sodium-glucose cotransporter 2 (SGLT2) inhibitors, a type of drug for T2D, have reportedly decreased cardiovascular and renal events in patients with heart failure and chronic kidney disease, irrespective of diabetes presence. Nevertheless, the evidence supporting the use of SGLT2 inhibitors in patients undergoing dialysis has been limited. Our study aims to evaluate the impact of SGLT2 inhibitors on cardiovascular disease in individuals with T2D undergoing peritoneal dialysis (PD). METHODS AND ANALYSIS: The CARD-PD study is a multicentre, prospective, randomised, open-label comparison trial of canagliflozin treatment in patients diagnosed with T2D undergoing PD. Eligible patients meeting the criteria for participation will be randomly assigned to either the canagliflozin treatment group (100 mg/day) or the control group (delayed-start canagliflozin group) for a duration of 6 months. We set a target of 18 participants in each group (a total of 36) based on sample size calculations from a previous report. Randomisation is performed using a web-based system, wherein patients are stratified by age, sex and plasma brain natriuretic peptide (BNP) concentrations at the baseline. The primary outcome measure is the plasma BNP levels after 6-month period. Following this initial phase, patients from both groups will continue to receive canagliflozin treatment (100 mg/day) in the following manner: (1) patients in the canagliflozin group will continue canagliflozin treatment for an additional 6 months, while (2) patients initially in the placebo arm will transition to canagliflozin treatment for an additional 12 months. ETHICS AND DISSEMINATION: The Ethics Review Board of Hokkaido University Hospital (CRB no. 1180001) has approved the CARD-PD study protocol. The results will be disseminated in peer-reviewed journals and summaries will be presented at scientific conferences. TRIAL REGISTRATION NUMBER: Japan Registry of Clinical Trials (jRCT1011210022); pre-results.

Indexed as

CanagliflozinDiabetes Mellitus, Type 2Natriuretic Peptide, BrainPeritoneal DialysisSodium-Glucose Transporter 2 InhibitorsFemaleHumansJapanMaleMiddle AgedMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicCanagliflozinNatriuretic Peptide, BrainSodium-Glucose Transporter 2 InhibitorsCardiovascular DiseaseDialysisNephrology

Identifiers

PMID39592158
PMCPMC11590846

What Socratic holds

Texttitle and abstract
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.