Trial reportDiabetes care2016

Safety and Efficacy of Liraglutide in Patients With Type 2 Diabetes and End-Stage Renal Disease: An Investigator-Initiated, Placebo-Controlled, Double-Blind, Parallel-Group, Randomized Trial.

Thomas Idorn, Filip K Knop, Morten B Jørgensen, Tonny Jensen, Marsela Resuli, Pernille M Hansen, Karl B Christensen, Jens J Holst, Mads Hornum, Bo Feldt-Rasmussen

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Diabetes care, 2016. The graph read 1 number from its abstract, feeding 1 cell of the map, but none could be read as for or against, so it casts no vote. It is linked to trial NCT04529278 (Efficacy and Tolerance of Liraglutide for Weight Loss in Obese Type 2 Diabetic Hemodialysis Patients), which is not on this map. Cited by 49 papers, 7 of them syntheses that pooled it.

1number the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 7 pooled it
4.0field-weighted citation impact, top 6% 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

Kidney outcomesdirection of benefit for this outcome is not defined · against placebo · obesity, t2dfeeds one cell of the map
increase 49.06.00 to 109P = 0.02
Dose-corrected plasma trough liraglutide concentration at the final visit was increased by 49% (95% CI 6-109, P = 0.02) in the group with ESRD compared with the control group.

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.

GLP-1 receptor agonists×kidney outcomes

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

7 readable studies in this cell: 3 favour the treatment, 3 find no difference, 1 favour the comparator.

Belief with this paper
0.50contested · 2 families support, 1 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
1 · no effect
NCT011790489,341 enrolled · 2010
HR 0.780.67 to 0.92
NCT038191533,533 enrolled · 2019
HR 0.760.66 to 0.88
NCT017204463,297 enrolled · 2013
Treatment ratio 0.780.68 to 0.89
NCT01620489279 enrolled · 2012
Estimated treatment ratio 0.980.94 to 1.02
NCT04865770106 enrolled · 2021
Treatment ratio 0.980.96 to 1.01

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.

NCT04529278 phase2unknown statusstarted 2021, after this paper: background citation

Efficacy and Tolerance of Liraglutide for Weight Loss in Obese Type 2 Diabetic Hemodialysis Patients

Ran2021Enrolled18Registered outcomes8Posted comparisons0ConditionsDiabetes Mellitus, Type 2, Hemodialysis, ObeseArmsliraglutide
Open the trial in the graph
5 · Its place in the literature

Who cites it

49 citing papers in PubMed, 7 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Safety of Liraglutide in Type 2 Diabetes and Chronic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2020
    Trial
  9. Article
  10. Review
  11. Observational
  12. Review
  13. Article
  14. Article
  15. How to individualize renoprotective therapy in obese patients with chronic kidney disease: a commentary by the Diabesity Working Group of the ERA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  16. Article
  17. Obesity and Metabolic Health in CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Review
  18. Review
  19. Diabetes and Glucose Management in People on Hemodialysis.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  20. Article
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

10 authors at 4 institutions in 1 country.

Thomas IdornDepartment of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark thomas.idorn@regionh.dk.
Filip K KnopCenter for Diabetes Research, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark The Novo Nordisk Foundation Center for Basic Metabolic Research and Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Morten B JørgensenDepartment of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Tonny JensenDepartment of Endocrinology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Marsela ResuliDepartment of Internal Medicine, Hillerød Hospital, University of Copenhagen, Hillerød, Denmark.
Pernille M HansenDepartment of Internal Medicine, Hillerød Hospital, University of Copenhagen, Hillerød, Denmark.
Karl B ChristensenSection of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Jens J HolstThe Novo Nordisk Foundation Center for Basic Metabolic Research and Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Mads HornumDepartment of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Bo Feldt-RasmussenDepartment of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DKRigshospitalet · DKCapital Region of Denmark · DKGentofte Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

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

objectiveTo evaluate parameters related to safety and efficacy of liraglutide in patients with type 2 diabetes and dialysis-dependent end-stage renal disease (ESRD). RESEARCH DESIGN AND

methodsTwenty-four patients with type 2 diabetes and ESRD and 23 control subjects with type 2 diabetes and normal kidney function were randomly allocated to 12 weeks of double-blind liraglutide (titrated to a maximum dose of 1.8 mg) or placebo treatment (1:1) injected subcutaneously once daily as add on to ongoing antidiabetic treatment. Dose-corrected plasma trough liraglutide concentration was evaluated at the final trial visit as the primary outcome measure using a linear mixed model.

resultsTwenty patients with ESRD (1:1 for liraglutide vs. placebo) and 20 control subjects (1:1) completed the study period. Dose-corrected plasma trough liraglutide concentration at the final visit was increased by 49% (95% CI 6-109, P = 0.02) in the group with ESRD compared with the control group. Initial and temporary nausea and vomiting occurred more frequently among liraglutide-treated patients with ESRD compared with control subjects (P < 0.04). Glycemic control tended to improve during the study period in both liraglutide-treated groups as assessed by daily blood glucose measurements (P < 0.01), and dose of baseline insulin was reduced in parallel (P < 0.04). Body weight was reduced in both liraglutide-treated groups (-2.4 ± 0.8 kg [mean ± SE] in the group with ESRD, P = 0.22; -2.9 ± 1.0 kg in the control group, P = 0.03).

conclusionsPlasma liraglutide concentrations increased during treatment in patients with type 2 diabetes and ESRD, who experienced more gastrointestinal side effects. Reduced treatment doses and prolonged titration period may be advisable.

Indexed as

AgedBlood GlucoseBody WeightDiabetes Mellitus, Type 2Double-Blind MethodFemaleGlycated HemoglobinHumansHypoglycemic AgentsInsulinKidney Failure, ChronicLiraglutideMaleMiddle AgedRenal Insufficiency, ChronicBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinLiraglutide

Identifiers

PMID26283739
OpenAlexW1934604330

What Socratic holds

Texttitle and abstract
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.