Evidence mapPaperPMID 22925173Full record

SynthesisInternational journal of clinical practice2012

Exenatide once weekly for the treatment of type 2 diabetes: effectiveness and tolerability in patient subpopulations.

R Pencek, A Blickensderfer, Y Li, S C Brunell, S Chen

Abstract readMeta-Analysis
In one paragraph

Synthesis in International journal of clinical practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Sex Differences of the Diabetic Heart.Frontiers in physiology · 2021
    Review
  11. Article
  12. Article
  13. Consensus Recommendations on GLP-1 RA Use in the Management of Type 2 Diabetes Mellitus: South Asian Task Force.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Observational
  19. Exenatide extended-release: a once weekly treatment for patients with type 2 diabetes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2014
    Review
  20. 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

5 authors.

R PencekAmylin Pharmaceuticals, Inc., San Diego, CA 92121, USA. richard.pencek@amylin.com
A Blickensderfer
Y Li
S C Brunell
S Chen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatient numbers in individual diabetes trials are often too limited to assess the effect of a treatment by different patient characteristics, and meta-analyses often do not include patient-level data. The purpose of this pooled analysis was to evaluate the efficacy and tolerability of exenatide once weekly (EQW) in patients with type 2 diabetes grouped into subpopulations by key demographic characteristics.

methodsThis post hoc analysis included data from patients who received EQW in seven randomised, controlled phase 3 trials that were 24-30 weeks in duration. Patients were classified into subpopulations on the basis of their baseline age (< 65 or ≥ 65 years), gender (male or female), race (White, Black, Asian, Hispanic), duration of diabetes (< 10 years, ≥ 10 years) and body mass index (BMI; < 25, ≥ 25 to < 30, ≥ 30 to < 35, ≥ 35 to < 40 or ≥ 40 kg/m(2)).

resultsA total of 1719 patients were included in this analysis of patient subpopulations. All subpopulations experienced significant improvements from baseline in haemoglobin A1C, fasting glucose and body weight. Most subpopulations experienced significant improvements in blood pressure and lipid parameters. Overall, the most common AEs were hypoglycaemia (16.4% overall; 2.3% in patients not on concomitant sulfonylurea), nausea (14.7%), diarrhoea (10.9%) and nasopharyngitis (7.2%).

conclusionThese results show that the treatment of type 2 diabetes with EQW for 24-30 weeks was associated with significant improvements in glycaemic control and body weight, irrespective of age, gender, race, duration of diabetes or BMI. The most common adverse events were gastrointestinal in nature.

Indexed as

Blood GlucoseBlood PressureBody Mass IndexClinical Trials, Phase III as TopicDiabetes Mellitus, Type 2DiarrheaDrug Administration ScheduleExenatideFemaleGlycated HemoglobinHumansHypoglycemiaHypoglycemic AgentsLipid MetabolismMaleMiddle AgedBlood GlucoseExenatideGlycated HemoglobinHypoglycemic AgentsPeptidesVenoms

Identifiers

PMID22925173
PMCPMC3506736

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.