Evidence mapPaperPMID 32306296Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2020

Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease.

Cristian Guja, Juan P Frías, Lisa Suchower, Elise Hardy, Galina Marr, C David Sjöström, Serge A Jabbour

Erratum issued 8 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It reports registered trial NCT00676338. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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.

NCT00676338 phase3completed

Safety and Efficacy of Exenatide Once Weekly Injection Versus Metformin, Dipeptidyl Peptidase-4 Inhibitor, or Thiazolidinedione as Monotherapy in Drug-Naive Patients With Type 2 Diabetes

Ran2008Enrolled820Registered outcomes11Posted comparisons27ConditionsType 2 Diabetes MellitusArmsexenatide once weekly, Metformin, Pioglitazone, Sitagliptin
Open the trial in the graph
NCT02229396 phase3completed

A 28-week, Multicenter, Randomized, Double-Blind, Active-Controlled, Phase 3 Study With a 24-week Extension Phase Followed by a 52-week Extension Phase to Evaluate the Efficacy and Safety of Simultaneous Administration of Exenatide Once Weekly 2 mg and Dapagliflozin Once Daily 10 mg Compared to Exenatide Once Weekly 2 mg Alone and Dapagliflozin Once Daily 10 mg Alone in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin

Ran2014Enrolled695Registered outcomes8Posted comparisons16ConditionsDiabetes MellitusArmsdapagliflozin, Exantide with Dapagliflozin, Exentide
Open the trial in the graph
NCT00637273 phase3completednot on this map

A Randomized, Double-Blind, Parallel-Group, Multicenter Study to Compare the Glycemic Effects, Safety, and Tolerability of Exenatide Long-Acting Release(Once Weekly) to Those of Sitagliptin and a Thiazolidinedione in Subjects With Type 2 Diabetes Mellitus Treated With Metformin

TypeinterventionalSponsorAstraZenecaRan2008 to 2009Enrolled514ConditionsType 2 Diabetes MellitusArmsexenatide once weekly, sitagliptin, pioglitazone, placebo tablet, placebo once weekly
NCT00641056 phase3completednot on this map

Efficacy of Once-Weekly Exenatide Long-Acting Release and Once-Daily Insulin Glargine in Patients With Type 2 Diabetes Treated With Metformin Alone or in Combination With Sulfonylurea

TypeinterventionalSponsorAstraZenecaRan2008 to 2009Enrolled467ConditionsType 2 Diabetes MellitusArmsExenatide Once Weekly, Insulin Glargine
NCT00935532 phase3completednot on this map

Parallel Group Study to Evaluate the Efficacy and Safety of Exenatide Once-Weekly Injection Compared to Once-Daily Insulin in Type 2 Diabetes Mellitus Treated With Oral Antidiabetic(s)

TypeinterventionalSponsorAstraZenecaRan2009 to 2011Enrolled427ConditionsType 2 Diabetes MellitusArmsexenatide once weekly, insulin glargine
NCT01003184 phase3completednot on this map

Efficacy of Once-Weekly Exenatide Versus Once or Twice Daily Insulin Detemir in Patients With Type 2 Diabetes Treated With Metformin Alone or in Combination With Sulphonylurea

TypeinterventionalSponsorAstraZenecaRan2009 to 2011Enrolled222ConditionsType 2 Diabetes MellitusArmsexenatide once weekly, insulin detemir
NCT01652729 phase3completednot on this map

A Randomized, Long-Term, Open-Label, 3-Arm, Multicenter Study to Compare the Glycemic Effects, Safety, and Tolerability of Exenatide Once Weekly Suspension to Sitagliptin and Placebo in Subjects With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAstraZenecaRan2013 to 2014Enrolled365ConditionsDiabetes Type 2ArmsExenatide once weekly suspension, Sitagliptin, Placebo
NCT02229383 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Once Weekly Exenatide Therapy Added to Titrated Basal Insulin Glargine Compared to Placebo Added to Titrated Basal Insulin Glargine in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Basal Insulin Glargine With or Without Metformin

TypeinterventionalSponsorAstraZenecaRan2014 to 2016Enrolled464ConditionsDiabetes MellitusArmsExenatide, Exenatide matching placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Tirzepatide: A New Generation Therapeutic for Diabetes Type 2.Endocrine, metabolic & immune disorders drug targets · 2023
    Review
  4. Treatment of Type 2 Diabetes WithKidney international reports · 2022
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Cristian Guja"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. cristian.guja@b.astral.ro.
Juan P FríasNational Research Institute, Los Angeles, CA, USA.
Lisa SuchowerKelly Services, Gaithersburg, MD, USA.
Elise HardyAstraZeneca, Gaithersburg, MD, USA.
Galina MarrAstraZeneca, Gaithersburg, MD, USA.
C David SjöströmAstraZeneca, Gothenburg, Sweden.
Serge A JabbourThomas Jefferson University, Philadelphia, PA, USA.
AstraZeneca (United States) · USAstraZeneca (Sweden) · SECarol Davila University of Medicine and Pharmacy · ROKelly Services (United States) · USNational Research Institute · USThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe safety and efficacy of exenatide once weekly (EQW) is overall well established. EQW is primarily renally eliminated. In this study, the efficacy and renal and gastrointestinal tolerability of EQW were summarised in participants with type 2 diabetes and chronic kidney disease stage 3 (CKD3; moderate renal impairment; estimated glomerular filtration rate [eGFR] ≥ 30 to < 60 mL/min/1.73 m

methodsData on participants with type 2 diabetes and baseline CKD3 or CKD2 from eight phase 3, double-blind or open-label studies with 26- or 28-week controlled treatment periods were pooled. Participants received EQW or a placebo/non-glucagon-like peptide-1 receptor agonist comparator (sitagliptin, metformin, pioglitazone, dapagliflozin and insulin).

resultsParticipants with baseline CKD3 (N = 182) or CKD2 (N = 772) receiving EQW differed in a number of baseline characteristics, such as age < 65 years, race, mean body mass index and mean type 2 diabetes duration, whereas mean blood pressure and glycated haemoglobin (HbA

conclusionExenatide once weekly was well tolerated and demonstrated similar efficacy in participants with type 2 diabetes with mild and moderate renal impairment.

trial registrationClinicalTrials.gov identifiers: NCT00637273, NCT00676338, NCT02229383, NCT02229396, NCT00641056, NCT01652729, NCT00935532, NCT01003184.

Indexed as

Chronic renal insufficiencyCKD2CKD3ExenatideGlucagon-like peptide 1Pooled analysisSafetyType 2 diabetes mellitus

Identifiers

PMID32306296
PMCPMC7324446
OpenAlexW3016810014

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 2 more above

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.