Evidence mapPaperPMID 28674957Full record

ReviewAdvances in therapy2017

A Review of the Long-Term Efficacy, Tolerability, and Safety of Exenatide Once Weekly for Type 2 Diabetes.

Stefano Genovese, Edoardo Mannucci, Antonio Ceriello

Open access · hybridAbstract readReview
In one paragraph

Review in Advances in therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 13% 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.

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

16 citing papers in PubMed, 29 citations in OpenAlex.

  1. Once-Weekly Exenatide in Youth With Type 2 Diabetes.Diabetes care · 2022 · on this map
    Trial
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  6. Review
  7. Review
  8. Article
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  10. Exenatide Once Weekly for Management of Type 2 Diabetes: A Review.Clinical pharmacology : advances and applications · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
  15. Article
  16. Role of Disulfide Bonds in Activity and Stability of Tigerinin-1R.International journal of molecular sciences · 2018
    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

3 authors at 2 institutions in 2 countries.

Stefano GenoveseDiabetes Endocrine and Metabolic Diseases Unit, IRCCS MultiMedica, Sesto San Giovanni (MI), Italy. stefano.genovese@multimedica.it.
Edoardo MannucciDiabetology, Careggi Hospital, University of Florence, Florence, Italy.
Antonio CerielloDiabetes Endocrine and Metabolic Diseases Unit, IRCCS MultiMedica, Sesto San Giovanni (MI), Italy.
MultiMedica · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExenatide once weekly (ExeOW, Bydureon

methodsData concerning treatment of T2D with ExeOW are reviewed with special reference to its long-term efficacy, tolerability, and safety. Relevant literature was identified through the PubMed database from inception to January 2015.

resultsIn randomized clinical trials ExeOW, as add-on to oral antidiabetics, achieved significantly improved glycemic control compared to maximum recommended doses of exenatide twice daily, sitagliptin, pioglitazone, and insulin glargine, as measured by HbA1c. In drug-naïve patients ExeOW was superior to sitagliptin and non-inferior to metformin, whereas non-inferiority to pioglitazone and liraglutide was not proven. In different trials reductions in HbA1c ranged from -1.1% to -2.0%. ExeOW therapy over 6 months was also associated with a mean weight loss of -2 to -4 kg, improved systolic blood pressure and lipid profile, and no hypoglycemia unless associated to sulfonylurea. ExeOW long-term therapy up to 3-6 years allowed persistent glycemic control (HbA1c -1.6%), sustained decreases in blood pressure (-2 mmHg), and improvements of lipid profile. ExeOW tolerability was comparable to that of the other GLP-1 receptor agonists, with better gastrointestinal tolerability when direct comparison was done (namely liraglutide and exenatide BID), but higher incidence of injection site reactions and few treatment discontinuations mainly due to gastrointestinal events.

conclusionExeOW is a well-tolerated and convenient option for long-term treatment of T2D allowing significant and persistent glycemic control with moderate weight loss and low risk of hypoglycemia unless associated with sulfonylureas.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2ExenatideFemaleGlycated HemoglobinHumansHypoglycemiaHypoglycemic AgentsMaleMiddle AgedPeptidesTime FactorsTreatment OutcomeVenomsBlood GlucoseExenatideGlycated HemoglobinHypoglycemic AgentsPeptidesVenomsDiabetesExenatide long-acting releaseExenatide once weeklyGlucagon-like peptide 1Type 2 diabetes

Identifiers

PMID28674957
PMCPMC5565650
OpenAlexW2727832032

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.