Trial reportCardiovascular diabetology2014

Liraglutide decreases carotid intima-media thickness in patients with type 2 diabetes: 8-month prospective pilot study.

Manfredi Rizzo, Manisha Chandalia, Angelo Maria Patti, Vittoria Di Bartolo, Ali A Rizvi, Giuseppe Montalto, Nicola Abate

2 registry-linked trialsOpen access · goldFull text readClinical Trial
In one paragraph

Trial report in Cardiovascular diabetology, 2014. The graph read 2 numbers from its abstract, feeding 2 cells of the map, but none could be read as for or against, so it casts no vote. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.

2numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 2% 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.

Read, but not usablea number the graph found but could not read as for or against

Glycemic controlcomparator not stated · ascvd, t2dfeeds one cell of the map
decrease -1.90p < 0.01
RESULTS: After 8 months, fasting glucose decreased by 2.1 mmol/l and HbA1c by 1.9% (p < 0.01 for all).
Lipidscomparator not stated · ascvd, t2dfeeds one cell of the map
increase 18.0p < 0.01
Liraglutide reduced total-cholesterol and triglycerides by 10%, and LDL-cholesterol by 19%, whereas HDL-cholesterol increased by 18% (p < 0.01 for all lipid changes).

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

Diet, exercise & lifestyle×glycemic control

No readable resultOpen on the map →What to test next →

5 readable studies in this cell: 4 favour the treatment, 1 find no difference, 0 favour the comparator.

Belief with this paper
0.99replicated · 2 families support, 0 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

GLP-1 receptor agonists×lipids

No readable resultOpen on the map →What to test next →

9 readable studies in this cell: 2 favour the treatment, 7 find no difference, 0 favour the comparator.

Belief with this paper
0.50one trial · 1 family supports, 0 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect
NCT00676338820 enrolled · 2008
Δ -0.01-0.18 to 0.15
NCT00781937422 enrolled · 2008
Treatment Contrast -0.11-0.20 to -0.01
Δ -29.2-55.8 to 2.65
NCT04019197108 enrolled · 2019
β coefficient -7.17-22.2 to 7.85
NCT0488111060 enrolled · 2021
Δ -4.80-32.6 to 22.9
NCT0062028249 enrolled · 2008
Least squares mean -2.24-17.8 to 13.4
NCT0331578012 enrolled · 2017
Δ -15.4-118 to 87.6

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

NCT03377335 phase4unknown statusstarted 2017, after this paper: background citation

Effect of Dapagliflozin on Cardio-Metabolic Risk Factors in Patients With Type-2 Diabetes

Ran2017Enrolled186Registered outcomes6Posted comparisons0ConditionsType 2 Diabetes MellitusArmsDapagliflozin 10mg, Metformin
Open the trial in the graph
NCT01715428 completednot on this map

Effects of Liraglutide on Cardio-Metabolic Risk Markers

TypeobservationalSponsorUniversity of PalermoRan2012 to 2015Enrolled300ConditionsType-2 Diabetes
5 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Manfredi Rizzo
Manisha Chandalia
Angelo Maria Patti
Vittoria Di Bartolo
Ali A Rizvi
Giuseppe Montalto
Nicola AbateDivision of Endocrinology, The University of Texas Medical Branch, 8,138 Medical Research Building, 301 University Boulevard, 77555-1060 Galveston, TX, USA. niabate@utmb.edu.
University of Palermo · ITThe University of Texas Medical Branch at Galveston · USUniversity of South Carolina · US

Funding

NCATS NIH HHS UL1TR000071
8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

backgroundLiraglutide, a long-acting glucagon-like peptide-1 (GLP-1) analog, has several non- glycemic properties, but its effect on carotid intima-media thickness (IMT), a recognized marker of subclinical atherosclerosis, is still unknown.

methodsA prospective study of 8 months duration in 64 patients with type-2 diabetes and no prior history of coronary artery disease evaluated whether adding liraglutide to metformin affects carotid IMT, measured by color doppler ultrasound.

resultsAfter 8 months, fasting glucose decreased by 2.1 mmol/l and HbA1c by 1.9% (p < 0.01 for all). Liraglutide reduced total-cholesterol and triglycerides by 10%, and LDL-cholesterol by 19%, whereas HDL-cholesterol increased by 18% (p < 0.01 for all lipid changes). Carotid IMT decreased from 1.19 ± 0.47 to 0.94 ± 0.21 mm (p < 0.01). Yet, changes in carotid IMT did not correlate with changes in any other variable studied.

conclusionsLiraglutide decreases carotid IMT after 8 months treatment independently of its effect on plasma glucose and lipids concentrations.

trial registrationClinicalTrials.gov: NCT01715428.

Indexed as

Carotid Intima-Media ThicknessAgedDiabetes Mellitus, Type 2FemaleGlucagon-Like Peptide 1HumansHypoglycemic AgentsLiraglutideMaleMiddle AgedPilot ProjectsProspective StudiesGlucagon-Like Peptide 1Hypoglycemic AgentsLiraglutide

Identifiers

PMID24559258
PMCPMC3948058
OpenAlexW2112912403

What Socratic holds

Textfull text, public
LicenceCC BY
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.