Evidence mapPaperPMID 32323437Full record

Trial reportDiabetes, obesity & metabolism2020

Impact of disease duration and β-cell reserve on the efficacy of switching to iGlarLixi in adults with type 2 diabetes on glucagon-like peptide-1 receptor agonist therapy: Exploratory analyses from the LixiLan-G trial.

Stefano Del Prato, Juan Pablo Frias, Lawrence Blonde, Vanita R Aroda, Niam Shehadeh, Aramesh Saremi, Terry Dex, Elisabeth Niemoeller, Elisabeth Souhami, Minzhi Liu and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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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

11 authors at 8 institutions in 3 countries.

Stefano Del PratoUniversity of Pisa, Pisa, Italy.ORCID 0000-0002-5388-0270
Juan Pablo FriasNational Research Institute, Los Angeles, California, USA.ORCID 0000-0001-9486-1255
Lawrence BlondeOchsner Medical Center, New Orleans, Louisiana, USA.ORCID 0000-0003-0492-6698
Vanita R ArodaBrigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-7706-4585
Niam ShehadehThe Rambam Academic Hospital, Haifa, Israel.
Aramesh SaremiSanofi, Bridgewater, New Jersey, USA.
Terry DexSanofi, Bridgewater, New Jersey, USA.
Elisabeth NiemoellerSanofi, Bridgewater, New Jersey, USA.
Elisabeth SouhamiSanofi, Bridgewater, New Jersey, USA.
Minzhi LiuBDM Consulting Inc., Somerset, New Jersey, USA.
Julio RosenstockDallas Diabetes Research Center, Dallas, Texas, USA.ORCID 0000-0001-8324-3275
Sanofi (United States) · USBrigham and Women's Hospital · USDallas Diabetes Research Center · USNational Research Institute · USOchsner Medical Center · USRambam Health Care Campus · ILSomerset Medical Center · USUniversity of Pisa · IT

Funding

Sanofi NA
6 · The paper itself

Abstract

aimTo evaluate the efficacy of iGlarLixi by C-peptide levels and duration of diabetes in an exploratory analysis of the LixiLan-G study.

methodsLixiLan-G was a 26-week, randomized, open-label study in adults with type diabetes (T2D) inadequately controlled while on a glucagon-like peptide-1 receptor agonist (GLP-1 RA), with metformin, with or without pioglitazone and/or a sodium-glucose co-transporter-2 inhibitor. This analysis investigated the efficacy of switching to iGlarLixi by fasting baseline quartile C-peptide levels and baseline quartile of duration of T2D compared with continued GLP-1 RA use.

resultsChange in glycated hemoglobin (HbA1c) from baseline to week 26 was significantly greater with iGlarLixi compared with continued GLP-1 RAs across all fasting C-peptide quartiles (-1.00% to -1.06% vs. -0.23% to -0.54% range, respectively) and irrespective of all T2D duration quartiles (-0.94% to -1.07% vs. -0.25% to -0.50% range). A significantly greater proportion of participants in the iGlarLixi arm achieved an HbA1c of <7% across all C-peptide quartiles (51%-73% range) than in the GLP-1 RA arm (19%-32% range). The greatest reductions in HbA1c in participants receiving iGlarLixi were observed in those with the shortest duration of disease, although consistently greater than reductions observed with continued GLP-1 RAs. Reductions in HbA1c were comparable across C-peptide quartiles within the iGlarLixi arm.

conclusionsThe results of this study suggest that iGlarLixi is an effective treatment option, irrespective of C-peptide levels or duration of diabetes, in adults with insufficiently controlled T2D receiving GLP-1 RAs.

Indexed as

Diabetes Mellitus, Type 2AdultBlood GlucoseDrug CombinationsGlucagon-Like Peptide-1 ReceptorGlycated HemoglobinHumansHypoglycemic AgentsInsulin GlarginePeptidesBlood GlucoseDrug CombinationsGlucagon-Like Peptide-1 ReceptorGlycated HemoglobinHypoglycemic AgentsInsulin GlarginePeptidesbeta cell function, clinical trials, GLP-1, randomized trial, type 2 diabetes

Identifiers

PMID32323437
PMCPMC7754453
OpenAlexW3019310121

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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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.