Evidence map›Paper›PMID 40585887›Full record

ArticleJournal of the Endocrine Society2025

A Comparison of SGLT2 or DPP-4 Inhibitor Monotherapy vs Placebo for Type 2 Diabetes in Adolescents vs Young Adults.

Lori M Laffel, Thomas Danne, Georgeanna J Klingensmith, Elke Schueler, Igor Tartakovsky, Laurieann Nessralla, Philip Zeitler, Steven Willi

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. 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. 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

8 authors.

Lori M LaffelHarvard Medical School, Joslin Diabetes Center, Boston, MA 02215, USA.ORCID https://orcid.org/0000-0002-9675-3001
Thomas DanneDiabetes Centre for Children and Adolescents, Auf der Bult Kinder- und Jugendkrankenhaus, Hannover 30173, Germany.
Georgeanna J KlingensmithBarbara Davis Center, University of Colorado, Aurora, CO 80045, USA.
Elke Schuelermainanalytics GmbH, Sulzbach 65843, Germany.
Igor TartakovskyClinical Development & Medical Affairs, Boehringer Ingelheim International GmbH, Ingelheim 55218, Germany.
Laurieann NessrallaGlobal Patient Safety and Pharmacovigilence, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT 06877, USA.
Philip ZeitlerChildren's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Steven WilliDiabetes Center for Children, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

Context: There is an unmet need for type 2 diabetes (T2D) treatments in addition to metformin and insulin for adolescents. This is due to the challenges of monotherapy in youth with T2D and need for treatment escalation to maintain glycemic control in youth generally more so than in young adults. Objective: We assessed the efficacy and safety of sodium-glucose co-transporter-2 (SGLT2) or dipeptidyl peptidase-4 (DPP-4) inhibitor monotherapies in adolescents and young adults with T2D not on active therapy. Methods: Drug-naïve adolescents and those not on active therapy received the SGLT2 inhibitor empagliflozin, the DPP-4 inhibitor linagliptin, or placebo for 26 weeks; young adults with no antidiabetic background therapy received empagliflozin, the DPP-4 inhibitor sitagliptin, or placebo for 24 weeks. The primary endpoint was treatment failure occurrence. Secondary outcomes assessed glycated hemoglobin A1c (HbA1c), fasting plasma glucose, and weight. Results: Treatment failure rates were similar for empagliflozin and linagliptin vs placebo in adolescents, but significantly reduced with empagliflozin in young adults ( Conclusion: Empagliflozin reduced HbA1c in adolescents and young adults; however, these results highlight the challenges of monotherapy for youth with T2D and need for further studies.

Indexed as

adolescents/childrenDPP inhibitorempagliflozinmonotherapySGLT2 inhibitortype 2 diabetes

Identifiers

PMID40585887
PMCPMC12206083

What Socratic holds

Textmetadata
LicenceCC BY
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.