Evidence mapPaperPMID 31608552Full record

ArticleDiabetes, obesity & metabolism2020

Impact of baseline characteristics and beta-cell function on the efficacy and safety of subcutaneous once-weekly semaglutide: A patient-level, pooled analysis of the SUSTAIN 1-5 trials.

Vanita R Aroda, Matthew S Capehorn, Louis Chaykin, Juan P Frias, Nanna L Lausvig, Stanislava Macura, Jörg Lüdemann, Sten Madsbad, Julio Rosenstock, Omur Tabak and 2 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2020. 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
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

16 citing papers in PubMed.

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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

12 authors.

Vanita R ArodaBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-7706-4585
Matthew S CapehornRotherham Institute for Obesity, Clifton Medical Centre, Rotherham, UK.
Louis ChaykinMeridien Research, Bradenton, Florida.
Juan P FriasNational Research Institute, Los Angeles, California.ORCID 0000-0001-9486-1255
Nanna L LausvigNovo Nordisk A/S, Søborg, Denmark.
Stanislava MacuraNovo Nordisk A/S, Søborg, Denmark.
Jörg LüdemannDiabetes-Falkensee, Diabetes-Centre and Centre for Clinical Studies, Falkensee, Germany.
Sten MadsbadHvidovre Hospital, Hvidovre, Denmark.
Julio RosenstockDallas Diabetes Research Center at Medical City, Dallas, Texas.ORCID 0000-0001-8324-3275
Omur TabakIstanbul Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.
Sayeh TadayonNovo Nordisk A/S, Søborg, Denmark.
Stephen C BainDiabetes Research Unit Cymru, Swansea University Medical School, Swansea, UK.ORCID 0000-0001-8519-4964

Funding

Novo Nordisk
6 · The paper itself

Abstract

aimTo evaluate the impact of relevant patient-level characteristics on the efficacy and safety of subcutaneous, once-weekly semaglutide in subjects with type 2 diabetes. MATERIALS AND

methodsExploratory post hoc analyses of pooled SUSTAIN 1-5 (phase 3a) randomized, controlled trials examined the change from baseline in HbA1c and body weight (BW), and the proportions of subjects achieving the composite endpoint (HbA1c < 7.0% [53 mmol/mol]), without weight gain or severe/blood glucose-confirmed symptomatic hypoglycaemia at week 30 with semaglutide (0.5/1.0 mg) across clinically relevant patient subgroups: baseline HbA1c (≤7.5%, >7.5%-8.0%, >8.0%-8.5%, >8.5%-9.0% and > 9.0%), background medications, diabetes duration and pancreatic beta-cell function.

resultsMean HbA1c (% point) reductions increased from lowest to highest HbA1c subgroups (-0.9%, -1.2%,-1.5%, -1.7% and -2.3% [effect of subgroup within treatment: P = 0.247] for semaglutide 0.5 mg, and -1.1%, -1.4%, -1.9%, -2.1% and -2.7% [P = 0.045] for semaglutide 1.0 mg), with mean HbA1c ranges at week 30 of 6.3%-7.3% and 6.1%-6.9%, respectively. The corresponding BW reductions generally decreased with increasing baseline HbA1c (-4.4, -3.9, -3.9, -3.3 and -2.9 kg [P = 0.004], and -6.4, -5.9, -5.2, -4.5 and -4.8 kg [P < 0.001], respectively). HbA1c and BW reductions were consistently greater for semaglutide 1.0 mg versus 0.5 mg across background medication, diabetes duration and pancreatic beta-cell function subgroups. Adverse events with semaglutide were consistent with the glucagon-like peptide-1 receptor agonist class, with gastrointestinal events the most common.

conclusionsSemaglutide was consistently efficacious across the continuum of diabetes care in a broad spectrum of patient subgroups with a range of clinical characteristics.

Indexed as

Diabetes Mellitus, Type 2Blood GlucoseGlucagon-Like PeptidesGlycated HemoglobinHumansHypoglycemic AgentsSemaglutideBlood GlucoseGlucagon-Like PeptidesGlycated HemoglobinHypoglycemic AgentsSemaglutideantidiabetic drugglucagon-like peptide-1glucagon-like peptide-1 analogueglycaemic controltype 2 diabetesweight control

Identifiers

PMID31608552
PMCPMC7065219

What Socratic holds

Texttitle and abstract
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.