Evidence mapPaperPMID 39950245Full record

Trial reportDiabetes, obesity & metabolism2025

Fixed dose combination of dapagliflozin, glimepiride and extended-release metformin tablets in patients with type 2 diabetes poorly controlled by metformin and glimepiride: A phase III, open label, randomized clinical study in India.

Rakesh Sahay, Dinesh Gangwani, Manish Singh, Sandeep Gupta, Narendra Kale, Manoj Srivastava, Prakash Kurmi, Jayesh Ambaliya, Nilesh Lomte, Sandip Gofne and 14 more

Abstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. 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

24 authors.

Rakesh SahayDepartment of Endocrinology, Osmania Medical College & Osmania General Hospital, Hyderabad, India.
Dinesh GangwaniDepartment of General Medicine, Priyadarshani Nursing Home, Virar, India.
Manish SinghDepartment of General Medicine, Maya Hospital and Maternity Centre, Kanpur, India.
Sandeep GuptaDepartment of General Medicine, M. V. Hospital and Research Centre, Lucknow, India.
Narendra KaleDepartment of General Medicine, PCMC'S PGI Yashwantrao Chavan Memorial Hospital, Pune, India.
Manoj SrivastavaDepartment of General Medicine, Om Surgical Centre & Maternity Home, Varanasi, India.
Prakash KurmiDepartment of General Medicine, Shivam Hospital, Ahmedabad, India.
Jayesh AmbaliyaDepartment of General Medicine, Pagarav Hospital and ICU, Gandhinagar, India.
Nilesh LomteDepartment of General Medicine, Hormone Care, Aurangabad, India.
Sandip GofneDepartment of Medicine, District Civil Hospital, Aurangabad, India.
Saurabh AgarwalDepartment of Medicine, GSVM Medical College, Kanpur, India.
Priyanka KashidDepartment of Medicine, Lifepoint Multispecialty Hospital, Pune, India.
Vikas AgarwalDepartment of Medicine, Surya Super Speciality Hospital, Varanasi, India.
Pradeep RaiDepartment of Medicine, Opal Hospital Private Limited, Varanasi, India.
Surendra SharmaDepartment of Medicine, Diabetes Thyroid & Endocrine Centre, Jaipur, India.
L Sreenivasa MurthyDepartment of Medicine, Life Care Hospital & Research Centre, Bangalore, India.
Mandodari RajurkarSun Pharma Laboratories Limited, Mumbai, India.ORCID 0000-0002-5513-0545
Shruti SahaSun Pharma Laboratories Limited, Mumbai, India.
Piyush PatelSun Pharma Laboratories Limited, Mumbai, India.
Dipak PatilSun Pharma Laboratories Limited, Mumbai, India.
Pravin GhadgeSun Pharma Laboratories Limited, Mumbai, India.
Lalit LakhwaniSun Pharma Laboratories Limited, Mumbai, India.
Suyog MehtaSun Pharma Laboratories Limited, Mumbai, India.
Sadhna J JoglekarSun Pharmaceutical Industries Limited, Mumbai, India.

Funding

Sun Pharma Laboratories Limited, Mumbai, India
6 · The paper itself

Abstract

aimTo evaluate the efficacy and safety of a triple fixed-dose combination (FDC) therapy of dapagliflozin + glimepiride + metformin hydrochloride extended-release (DAPA + GLIM + MET ER) tablets in Indian patients with type 2 diabetes mellitus (T2DM) inadequately controlled by combination of GLIM + MET. MATERIALS AND

methodsA phase III, randomized, open-label, active-controlled study was conducted for a maximum 30 weeks (primary treatment [16 weeks]; uptitration [12 weeks] and follow-up [2 weeks]). Eligible patients were randomized in a 1:1 ratio to receive either the FDC of DAPA + GLIM + MET ER or the FDC of GLIM + MET prolonged-release (PR) once-daily. The primary efficacy endpoint was a change in glycated haemoglobin (HbA1c) from baseline to week 16.

resultsThe mean reduction in HbA1c from baseline to week 16 was significantly greater with the FDC of DAPA + GLIM + MET ER compared to the FDC of GLIM + MET PR (-1.98% ± 1.01% vs. -1.64% ± 0.86%, p = 0.0047). The mean reduction in HbA1c from baseline to week 12 was significantly greater with the FDC of DAPA + GLIM + MET ER versus dual FDC (p < 0.0001). The proportion of patients achieving HbA1c <7.0% was significantly greater with the FDC of DAPA + GLIM + MET ER versus dual FDC at week 12 (19.1% vs. 6.5%; p = 0.0002) and week 16 (52.6% vs. 36.7%; p = 0.0015). A significant decrease in HbA1c, fasting and post-prandial blood glucose from baseline to weeks 12, 16, and 28 was observed in both arms. The incidence of TEAEs was similar across both arms.

conclusionThis study demonstrated that the FDC of DAPA + GLIM + MET ER tablets once daily was significantly better than dual FDC in achieving glycaemic control in patients with poorly controlled T2DM. Both treatments were well-tolerated.

trial registrationCTRI/2022/03/041424, registered on 28 March 2022.

Indexed as

Benzhydryl CompoundsDiabetes Mellitus, Type 2GlucosidesHypoglycemic AgentsMetforminSulfonylurea CompoundsAdultAgedBlood GlucoseDelayed-Action PreparationsDrug CombinationsDrug Therapy, CombinationFemaleGlycated HemoglobinHumansIndiaBenzhydryl CompoundsBlood GlucosedapagliflozinDelayed-Action PreparationsDrug CombinationsglimepirideGlucosidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetforminSulfonylurea CompoundsTabletsdapagliflozinfixed‐dose combinationglycaemic profilemetforminSGLT2 inhibitortype 2 diabetes

Identifiers

PMID39950245
PMCPMC11885079

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.