Evidence mapPaperPMID 40288809Full record

Trial reportBMJ open diabetes research & care2025

Glycemic and non-glycemic benefits of initial triple therapy versus sequential add-on therapy in patients with new-onset diabetes: results from the EDICT study.

Muhammad Abdul-Ghani, Curtiss Puckett, Siham Abdelgani, Aurora Merovci, Olga Lavrynenko, John Adams, Curtis Triplitt, Ralph A DeFronzo

Registry-linked trialAbstract readClinical Trial, Phase IVComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open diabetes research & care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01107717. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT01107717 phase4completed

Durability of Early Initial Combination Therapy With Exenatide/Pioglitazone/Metformin vs Conventional Therapy in New Onset Type 2 Diabetes

Ran2009Enrolled318Registered outcomes3Posted comparisons0ConditionsDiabetesArmsmetformin, glyburide and glargine, metformin\pioglitazone\exenatide
PMID 33273042other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. 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

8 authors.

Muhammad Abdul-GhaniDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA abdulghani@uthscsa.edu.ORCID http://orcid.org/0000-0003-4556-1787
Curtiss PuckettDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.
Siham AbdelganiDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.
Aurora MerovciDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.
Olga LavrynenkoDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.
John AdamsDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.
Curtis TriplittDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.
Ralph A DeFronzoDiabetes Division, UT Health San Antonio, San Antonio, Texas, USA.ORCID http://orcid.org/0000-0003-3839-1724

Funding

SGLT2 Inhibitors, Ketogenesis, and KetoacidosisR01DK024092 · NIDDK · YALE UNIVERSITY · 1986 to 2025
$3.6M
NIDDK NIH HHS R01 DK024092
6 · The paper itself

Abstract

introductionTo compare carotid intima-media thickness (cIMT) and liver fat content in subjects who maintained good glycemic control for 6 years on initial triple therapy with metformin/exenatide/pioglitazone versus sequential add-on therapy with metformin followed with glipizide and basal insulin in subjects with new-onset diabetes. RESEARCH DESIGN AND

methodsLiver fat content and cIMT were compared among patients with T2DM who received initial triple therapy with metformin/pioglitazone/exenatide (n=29) versus metformin, followed by stepwise addition of glipizide and then insulin glargine (n=26) and who maintained HbA1c<6.5% for 6 years in Efficacy and Durability of Initial Combination Therapy for Type 2 Diabetes.

resultsAfter 6 years in subjects receiving initial triple therapy with metformin/pioglitazone/exenatide and subjects receiving sequential addition of metformin followed by glipizide and insulin glargine had a mean HbA1c of 5.7% vs 6.0%, respectively, p=NS. Nonetheless, subjects receiving sequential add-on therapy experienced a greater increase in cIMT and manifested greater liver fat content and fibrosis than subjects receiving initial triple therapy.

conclusionsIncluding pioglitazone plus exenatide in the glucose-lowering regimen slows the progression of cIMT and was associated with lower hepatic fat content and fibrosis compared with subjects receiving sequential add-on therapy without pioglitazone and exenatide despite comparable optimal glycemic control. TRIAL REGISTRATION NUMBER: NCT01107717.

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsAgedBiomarkersBlood GlucoseCarotid Intima-Media ThicknessDrug Therapy, CombinationFemaleFollow-Up StudiesGlipizideGlycated HemoglobinGlycemic ControlHumansInsulin GlargineMaleMetforminBiomarkersBlood GlucoseGlipizideGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin GlargineMetforminPioglitazoneDiabetes Mellitus, Type 2Disease ManagementGlucagon-Like Peptide 1Thiazolidinediones

Identifiers

PMID40288809
PMCPMC12035423

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.