Evidence mapPaperPMID 33318068Full record

Trial reportBMJ open diabetes research & care2020

Long-term efficacy and safety of oral semaglutide and the effect of switching from sitagliptin to oral semaglutide in patients with type 2 diabetes: a 52-week, randomized, open-label extension of the PIONEER 7 trial.

John B Buse, Bruce W Bode, Ann Mertens, Young Min Cho, Erik Christiansen, Christin L Hertz, Morten A Nielsen, Thomas R Pieber, PIONEER 7 investigators

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02849080. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
2.3field-weighted citation impact, top 10% 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.

NCT02849080 phase3completed

Efficacy and Safety of Oral Semaglutide Using a Flexible Dose Adjustment Based on Clinical Evaluation Versus Sitagliptin in Subjects With Type 2 Diabetes Mellitus

Ran2016Enrolled504Registered outcomes69Posted comparisons8ConditionsDiabetes, Diabetes Mellitus, Type 2Armssemaglutide, Sitagliptin
PMID 31189520PMID 35373893other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Review
  8. Review
  9. Article
  10. Suitability and Usefulness of a Flexible Dosing Timing of Oral Semaglutide to Maximize Benefit in Clinical Practice: An Expert Panel.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  11. Article
  12. Article
  13. Effectiveness and safety of semaglutide in overweight/obese adults with or without type 2 diabetes: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. A Peptide in a Pill - Oral Semaglutide in the Management of Type 2 Diabetes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
  18. Review
  19. Review
  20. Peptidyl and Non-Peptidyl Oral Glucagon-Like Peptide-1 Receptor Agonists.Endocrinology and metabolism (Seoul, Korea) · 2021
    Review
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

9 authors at 6 institutions in 5 countries.

John B BuseDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA jbuse@med.unc.edu.ORCID 0000-0002-9723-3876
Bruce W BodeAtlanta Diabetes Associates, Atlanta, Georgia, USA.
Ann MertensClinical and Experimental Endocrinology, Department of Chronic Diseases, Metabolism and Aging (CHROMETA), KU Leuven, Leuven, Belgium.
Young Min ChoDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Erik ChristiansenNovo Nordisk A/S, Søborg, Denmark.
Christin L HertzNovo Nordisk A/S, Søborg, Denmark.
Morten A NielsenNovo Nordisk A/S, Søborg, Denmark.
Thomas R PieberDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria.
PIONEER 7 investigators
Novo Nordisk (Denmark) · DKAtlanta Diabetes Associates · USKU Leuven · BEMedical University of Graz · ATSeoul National University · KRUniversity of North Carolina at Chapel Hill · US

Funding

Pilot & Feasibility ProgramP30DK124723 · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$1.6M
NCATS NIH HHS UL1 TR002489NIDDK NIH HHS P30 DK124723
6 · The paper itself

Abstract

introductionThe PIONEER 7 trial demonstrated superior glycemic control and weight loss with once-daily oral semaglutide with flexible dose adjustment versus sitagliptin 100 mg in type 2 diabetes. This 52-week extension evaluated long-term oral semaglutide treatment and switching from sitagliptin to oral semaglutide. RESEARCH DESIGN AND

methodsA 52-week, open-label extension commenced after the 52-week main phase. Patients on oral semaglutide in the main phase continued treatment (n=184; durability part); those on sitagliptin were rerandomized to continued sitagliptin (n=98) or oral semaglutide (n=100; initiated at 3 mg) (switch part). Oral semaglutide was dose-adjusted (3, 7, or 14 mg) every 8 weeks based on glycated hemoglobin (HbA

resultsIn the durability part, mean (SD) changes in HbA

conclusionsLong-term oral semaglutide with flexible dose adjustment maintained HbA TRIAL REGISTRATION NUMBER: NCT02849080.

Indexed as

Diabetes Mellitus, Type 2Sitagliptin PhosphateAdministration, OralGlucagon-Like PeptidesHumansHypoglycemic AgentsSemaglutideGlucagon-Like PeptidesHypoglycemic AgentsSemaglutideSitagliptin Phosphatedipeptidyl peptidase 4glucagon-like peptide 1treatment outcome

Identifiers

PMID33318068
PMCPMC7737050
OpenAlexW3113844163

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.