Evidence mapPaperPMID 22320349Full record

Trial reportBritish journal of clinical pharmacology2012

Investigation of the haemodynamic effects of exenatide in healthy male subjects.

Buddhike Mendis, Elizabeth Simpson, Ian MacDonald, Peter Mansell

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01046721 (Investigation of the Cardiovascular Effects of Exenatide in Healthy Male Subjects), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
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.

NCT01046721 nacompletednot on this map

Investigation of the Cardiovascular Effects of Exenatide in Healthy Male Subjects

TypeinterventionalSponsorUniversity of NottinghamRan2009 to 2012Enrolled8ConditionsType 2 DiabetesArmsExenatide, Saline
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  8. The effects of glucagon-like peptide-1 receptor agonists on sympathetic neuron activity.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Safety of Semaglutide.Frontiers in endocrinology · 2021 · on this map
    Review
  16. Review
  17. Article
  18. GLP-1 Is a Coronary Artery Vasodilator in Humans.Journal of the American Heart Association · 2018
    Article
  19. Gastrointestinal-Renal Axis: Role in the Regulation of Blood Pressure.Journal of the American Heart Association · 2017
    Review
  20. 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

4 authors at 3 institutions in 1 country.

Buddhike MendisSchool of Biomedical Sciences, Medical School, University of Nottingham, UK. buddhike@doctors.org.uk
Elizabeth Simpson
Ian MacDonald
Peter Mansell
University of Nottingham · GBNottingham University Hospitals NHS Trust · GBQueen's Medical Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn clinical studies of glucagon-like peptide-1 (GLP-1) agonists used in the management of patients with type 2 diabetes, there is often a small accompanying fall in blood pressure. The mechanism underlying this effect is not known, although exenatide, a GLP-1 mimetic, has acute regional vasodilator properties in rats. We have therefore studied the haemodynamic effects of exenatide in healthy male volunteers.

methodsWe compared the effects of a single 10 µg subcutaneous injection of exenatide with placebo in a double-blind, randomized, crossover study. For 2 h after dosing, haemodynamic measurements were made using a Finometer, venous occlusion plethysmography and Doppler ultrasound. The urine sodium : creatinine excretion ratio was determined.

resultsAt the end of the study when exenatide was compared with placebo, heart rate had risen by a mean of 8.2 (95% CI 4.2, 12.2, P < 0.01) beats min(-1) , cardiac output by a mean of 1.2 (95% CI 0.42, 20.3, P < 0.05) l min(-1) and total peripheral resistance had fallen by 120 (95% CI -8, -233, P < 0.05) dyn s cm(-5) .There were no differences in blood pressure. The urinary sodium : creatinine ratio was increased by mean 12.4 (95% CI 4.6, 20.2, P < 0.05) mmol mmol(-1) when exenatide was compared with placebo.

conclusionsExenatide has significant haemodynamic effects in healthy volunteers. The results of this study are consistent with exenatide having both vasodilator and natriuretic properties. The vascular changes may contribute to the hypotensive effect of exenatide when used chronically in patients with diabetes.

Indexed as

AdultBlood PressureCardiac OutputCreatinineCross-Over StudiesDouble-Blind MethodExenatideGlucagon-Like Peptide 1Heart RateHemodynamicsHumansHypoglycemic AgentsInjections, SubcutaneousMalePeptidesPlethysmographyCreatinineExenatideGlucagon-Like Peptide 1Hypoglycemic AgentsPeptidesSodiumVenoms

Identifiers

PMID22320349
PMCPMC3477345
OpenAlexW1483014275

What Socratic holds

Textmetadata
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.