Evidence mapPaperPMID 27817208Full record

ArticleCurrent medical research and opinion2017

Liraglutide 3.0 mg for weight management: weight-loss dependent and independent effects.

Harold Bays, Xavier Pi-Sunyer, Joanna Uddén Hemmingsson, Birgitte Claudius, Christine B Jensen, Luc Van Gaal

4 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Current medical research and opinion, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00781937. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 8% 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.

NCT00781937 phase3completed

Effect of Liraglutide on Long-term Weight Maintenance and Additional Weight Loss Induced by a 4 to 12 Week Low Calorie Diet in Obese Subjects; A 56 Week Randomised, Double-blind, Placebo Controlled, Parallel Group, Multicentre Trial With a 12 Week Follow-up Period

Ran2008Enrolled422Registered outcomes26Posted comparisons24ConditionsMetabolism and Nutrition Disorder, ObesityArmsliraglutide, Placebo
Open the trial in the graph
NCT01272219 phase3completed

Effect of Liraglutide on Body Weight in Non-diabetic Obese Subjects or Overweight Subjects With Co-morbidities: A Randomised, Double-blind, Placebo Controlled, Parallel Group, Multi-centre, Multinational Trial With Stratification of Subject to Either 56 or 160 Weeks of Treatment Based on Pre-diabetes Status at Randomisation

Ran2011Enrolled3,731Registered outcomes12Posted comparisons4ConditionsMetabolism and Nutrition Disorder, ObesityArmsliraglutide, Placebo
Open the trial in the graph
NCT01272232 phase3completed

Effect of Liraglutide on Body Weight in Overweight or Obese Subjects With Type 2 Diabetes: A 56 Week Randomised, Double-blind, Placebo-controlled, Three Armed Parallel Group, Multi-centre, Multinational Trial With a 12 Week Observational Follow-up Period

Ran2011Enrolled846Registered outcomes12Posted comparisons27ConditionsMetabolism and Nutrition Disorder, ObesityArmsliraglutide, Placebo
Open the trial in the graph
NCT01557166 phase3completed

Effect of Liraglutide in Obese Subjects With Moderate or Severe Obstructive Sleep Apnoea. A 32 Week Randomised, Double-blind, Placebo-controlled, Parallel Group, Multi-centre and Multinational Trial

Ran2012Enrolled359Registered outcomes4Posted comparisons1ConditionsMetabolism and Nutrition Disorder, Obesity, Obstructive Sleep ApnoeaArmsliraglutide, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  14. The association of weight loss from anti-obesity medications or bariatric surgery and apnea-hypopnea index in obstructive sleep apnea.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024
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  20. Ten things to know about ten cardiovascular disease risk factors - 2022.American journal of preventive cardiology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Harold Baysa Louisville Metabolic and Atherosclerosis Research Center , Louisville , KY , USA.
Xavier Pi-Sunyerb New York Obesity Research Center, Columbia University , New York , NY , USA.
Joanna Uddén Hemmingssonc Capio St Goran's Hospital/Karolinska Institutet , Stockholm , Sweden.
Birgitte Claudiusd Novo Nordisk A/S , Søborg , Denmark.
Christine B Jensend Novo Nordisk A/S , Søborg , Denmark.
Luc Van Gaale Department of Endocrinology, Diabetology and Metabolism, Faculty of Medicine , Antwerp University Hospital , Edegem , Belgium.
Novo Nordisk (Denmark) · DKAntwerp University Hospital · BEColumbia University · USKarolinska Institutet · SELouisville Metabolic and Atherosclerosis Research Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAs an adjunct to a reduced-calorie diet and increased physical activity, treatment with liraglutide 3.0 mg for weight management provides a statistically significant and clinically meaningful weight loss of 5.7%-8.0% compared to 1.6%-2.6% with placebo. The objective of this post hoc analysis was to quantify the relative contribution of weight loss to the treatment effects of liraglutide 3.0 mg on key efficacy endpoints.

methodsThe analysis utilized data from 4725 participants across three randomized, placebo-controlled, double-blind trials that evaluated the efficacy and safety of liraglutide 3.0 mg versus placebo, as an adjunct to a reduced-calorie diet and increased physical activity (ClinicalTrials.gov identifiers: NCT01272219, NCT01272232 and NCT01557166). The duration of two of the trials was 56 weeks; one trial was of 32 weeks' duration. A mediation analysis was performed, which ranked the relative contribution of weight loss to the treatment effects of liraglutide 3.0 mg on key cardiometabolic efficacy endpoints, Apnea-Hypopnea Index (AHI) and health-related quality of life (QoL). A limitation of this type of analysis is that it cannot conclusively prove a causal relationship.

resultsIn individuals without type 2 diabetes mellitus (T2DM), endpoints predominantly driven by liraglutide-induced weight loss included waist circumference, diastolic blood pressure, triglycerides, high density lipoprotein cholesterol, AHI, and Impact of Weight on Quality of Life-Lite total and physical function scores. Endpoints predominantly independent of weight loss included the glycemic endpoints hemoglobin A1c and fasting plasma glucose in individuals with and without T2DM. Regardless of the degree of dependence on weight loss according to the mediation analysis, greater weight loss was associated with greater improvement in all endpoints.

conclusionTreatment with liraglutide 3.0 mg contributes to improved cardiometabolic parameters, AHI and health-related QoL through both weight-loss dependent and weight-loss independent mechanisms.

Indexed as

AdultAgedBlood GlucoseBlood PressureBody WeightDiabetes Mellitus, Type 2Double-Blind MethodFemaleGlycated HemoglobinHumansHypoglycemic AgentsLiraglutideMaleMiddle AgedQuality of LifeRandomized Controlled Trials as TopicBlood GlucoseGlycated HemoglobinHypoglycemic AgentsLiraglutideAntiobesity medicationsGLP-1 receptor agonistliraglutideobesity therapyrandomized clinical trial

Identifiers

PMID27817208
OpenAlexW2547039088

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.