Evidence mapPaperPMID 37231200Full record

SynthesisReviews in endocrine & metabolic disorders2023

Effects of GLP-1 receptor agonists on neurological complications of diabetes.

Natalia García-Casares, Guillermo González-González, Carlos de la Cruz-Cosme, Francisco J Garzón-Maldonado, Carmen de Rojas-Leal, María J Ariza, Manuel Narváez, Miguel Ángel Barbancho, Juan Antonio García-Arnés, Francisco J Tinahones

Registry-linked trialOpen access · hybridFull text readSystematic Review
In one paragraph

Synthesis in Reviews in endocrine & metabolic disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07030621 (Efficacy of Semaglutide in Improving Neurological Outcomes After Endovascular Thrombectomy for Acute Ischemic Stroke), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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.

NCT07030621 phase3not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Semaglutide in Improving Neurological Outcomes After Endovascular Thrombectomy for Acute Ischemic Stroke: A Randomized Double-Blind Controlled Trial

TypeinterventionalSponsorRenJi HospitalRan2025 to 2028Enrolled436ConditionsAcute Ischemic StrokeArmsSemaglutide 0.5 mg, Normal Saline
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  10. Gut microbiota mediates semaglutide attenuation of diabetes-associated cognitive decline.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
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  20. Current Perspectives in Pre- and Diabetic Peripheral Neuropathy Diagnosis and Management: An Expert Statement for the Gulf Region.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    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

10 authors at 4 institutions in 1 country.

Natalia García-CasaresFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain. Nagcasares@uma.es.
Guillermo González-GonzálezFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
Carlos de la Cruz-CosmeInstituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain.
Francisco J Garzón-MaldonadoInstituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain.
Carmen de Rojas-LealFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
María J ArizaFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
Manuel NarváezFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
Miguel Ángel BarbanchoFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
Juan Antonio García-ArnésFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
Francisco J TinahonesFacultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain. fjtinahones@hotmail.com.
Universidad de Málaga · ESInstituto de Investigación Biomédica de Málaga · ESHospital Clínico Universitario Virgen de la Victoria · ESInstituto de Investigación Sanitaria de Santiago · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence suggests that treatment with glucagon-like peptide-1 receptor agonists (GLP-1 RAs) could be an interesting treatment strategy to reduce neurological complications such as stroke, cognitive impairment, and peripheral neuropathy. We performed a systematic review to examine the evidence concerning the effects of GLP-1 RAs on neurological complications of diabetes. The databases used were Pubmed, Scopus and Cochrane. We selected clinical trials which analysed the effect of GLP-1 RAs on stroke, cognitive impairment, and peripheral neuropathy. We found a total of 19 studies: 8 studies include stroke or major cardiovascular events, 7 involve cognitive impairment and 4 include peripheral neuropathy. Semaglutide subcutaneous and dulaglutide reduced stroke cases. Liraglutide, albiglutide, oral semaglutide and efpeglenatide, were not shown to reduce the number of strokes but did reduce major cardiovascular events. Exenatide, dulaglutide and liraglutide improved general cognition but no significant effect on diabetic peripheral neuropathy has been reported with GLP-1 RAs. GLP-1 RAs are promising drugs that seem to be useful in the reduction of some neurological complications of diabetes. However, more studies are needed.

Indexed as

Cardiovascular DiseasesDiabetes ComplicationsDiabetes Mellitus, Type 2StrokeGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHumansHypoglycemic AgentsLiraglutideGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHypoglycemic AgentsLiraglutideAlzheimer’s diseaseCardiovascular diseaseCognitive impairmentPeripheral neuropathyStroke

Identifiers

PMID37231200
PMCPMC10404567
OpenAlexW4378349085

What Socratic holds

Textfull text, public
LicenceCC BY
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.