Evidence mapPaperPMID 28539618Full record

Trial reportScientific reports2017

Effect of exenatide after short-time intensive insulin therapy on glycaemic remission maintenance in type 2 diabetes patients: a randomized controlled trial.

Xiulin Shi, Yalin Shi, Ning Chen, Mingzhu Lin, Weijuan Su, Huijie Zhang, Changqin Liu, Haiqu Song, Fangsen Xiao, Peiying Huang and 10 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

20 authors.

Xiulin ShiDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Yalin ShiDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Ning ChenDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Mingzhu LinDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Weijuan SuDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Huijie ZhangDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Changqin LiuDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Haiqu SongDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Fangsen XiaoDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Peiying HuangDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Liying WangDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Wei LiuDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Jinyang ZengDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Bing YanXiamen Diabetes Institute, Xiamen, China.
Qi LiuSchool of Medicine, Xiamen University, Xiamen, China.
Suhuan LiuXiamen Diabetes Institute, Xiamen, China.
Shuyu YangDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Xiaoying LiDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Zhibin LiXiamen Diabetes Institute, Xiamen, China. zhibinli33@hotmail.com.
Xuejun LiDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China. xmlixuejun@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early short-term intensive insulin (STII) therapy can induce drug-free glycemic remission for up to 1 year in half of newly diagnosed type 2 diabetic mellitus (T2DM) patients. Whether exenatide following STII therapy will induce higher long-term glycaemic remission is currently unknown. To assess the effect of STII+ exenatide therapy, compared with STII only, on maintenance of glycaemic remission in newly diagnosed T2DM patients. In this randomized, parallel-group, open-label, controlled trial, 129 patients (66 in STII+ exenatide group and 63 in STII only group) firstly completed 3-week STII therapy, then STII+ exenatide group was treated with exenatide for 12 weeks further. The cumulative probabilities of 1-year and 2-year glycaemic remission in STII+ exenatide group were 68.2 ± 5.7% and 53.0 ± 6.1%, which were significantly higher than STII only group (36.5 ± 6.1% and 31.8 ± 5.9%) (p-values < 0.001). Patients in STII+ exenatide group, compared with STII only group, showed significantly decreased levels of waist (82.2 (81.0, 83.5) cm v.s. 84.2 (82.7, 85.7) cm, p = 0.048) and HbA1c (5.83 (5.60, 6.06)% v.s. 6.49 (6.20, 6.77)%, p < 0.001) after 12-week exenatide treatment, but these differences disappeared after 1-year and 2-year follow-up. As conclusions, Improved effect of sequential exenatide after STII therapy on maintenance of glycaemic remission only occurred during exenatide treatment and lost upon treatment cessation.

Indexed as

AdultAgedBlood GlucoseDiabetes Mellitus, Type 2ExenatideFemaleFollow-Up StudiesGlycated HemoglobinHumansHypoglycemic AgentsInsulinMaleMiddle AgedRemission InductionTime FactorsWaist CircumferenceBlood GlucoseExenatideGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin

Identifiers

PMID28539618
PMCPMC5443840

What Socratic holds

Textmetadata
LicenceCC BY
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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.