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Metformin and N-terminal pro B-type natriuretic peptide in type 2 diabetes patients, a post-hoc analysis of a randomized controlled trial

Plain-language guide to PMID 33830998 (2021): placebo-controlled randomized controlled trial study of BNP (Nesiritide).

Key Facts

PMID
33830998
Journal
PloS one
Year
2021
Study type
Randomized Controlled Trial
Authors
Top WMC et al. (5 authors)
DOI
10.1371/journal.pone.0247939

What This Study Did, in Plain Language

What Was Tested

The paper reports a study of BNP (Nesiritide), published as a randomized controlled trial.

Patients with type 2 diabetes often have an elevated plasma level of N-terminal pro B-type as a marker of (sub) clinical cardiovascular disease.

Who Took Part

The age groups tagged for this paper are middle-aged adults and older adults, both men and women.

In a secondary analysis the researchers assessed a possible immediate treatment effect post baseline.

How the Study Was Run

The design is described as randomized and placebo-controlled.

Because people in this BNP (Nesiritide) study were split into groups at random, differences between the groups are less likely to reflect who happened to join each one.

A placebo (an inactive look-alike) gave the BNP (Nesiritide) group a baseline to be compared against.

Plasma samples were drawn at baseline, 4, 17, 30, 43 and 52 months.

In a post-hoc analysis the researchers analyzed the change in NT-proBNP in both groups.

The researchers used a longitudinal mixed model analysis adjusting for age, sex and prior cardiovascular disease.

What Was Measured

Patients with type 2 diabetes often have an elevated plasma level of N-terminal pro B-type as a marker of (sub) clinical cardiovascular disease.

PubMed files the paper under topics including Cardiovascular Diseases, Diabetes Mellitus, Type 2, Metformin, Natriuretic Peptide, Brain and Peptide Fragments.

What This Means in Plain Language

The paper is a randomized and placebo-controlled study of BNP (Nesiritide).

Results are reported in around 4 sentences of the abstract; we leave them to the paper itself rather than summarise them.

The publication is from 2021 (PloS one), a journal based in United States.

More context: the BNP (Nesiritide) compound page, all human trials.

Our Notes on the Compound

BNP (Nesiritide): B-type natriuretic peptide, a 32-amino-acid heart hormone; nesiritide (Natrecor) is a recombinant form used in acute heart failure.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.