Evidence mapPaperPMID 37696925Full record

Trial reportInternational journal of obesity (2005)2023

Laparoscopic adjustable gastric banding with liraglutide in adults with obesity and type 2 diabetes (GLIDE): a pilot randomised placebo controlled trial.

Claudia Coelho, Laurence J Dobbie, James Crane, Abdel Douiri, Annastazia E Learoyd, Olanike Okolo, Spyros Panagiotopoulos, Dimitri J Pournaras, Sasindran Ramar, Francesco Rubino and 4 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of obesity (2005), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 5 pooled it
3.4field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 5 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  5. Pooled it
  6. Review
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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

14 authors at 7 institutions in 3 countries.

Claudia CoelhoDepartment of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Laurence J DobbieDepartment of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
James CraneDepartment of Endocrinology, King's College Hospital NHS Foundation Trust, London, UK.
Abdel DouiriSchool of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King College London, London, UK.
Annastazia E LearoydSchool of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King College London, London, UK.ORCID 0000-0001-6964-9041
Olanike OkoloDepartment of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Spyros PanagiotopoulosDepartment of Minimal Access Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Dimitri J PournarasDepartment of Upper GI and Bariatric/Metabolic Surgery, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Sasindran RamarDepartment of Minimal Access Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Francesco RubinoDepartment of Diabetes, School of Life Course Sciences, King's College London, London, UK.
Rishi SinghalUpper GI Unit at Heart of England, NHS Foundation Trust, Birmingham, UK.
Carel W le RouxDiabetes Complications Research Centre, University College Dublin, Dublin, Ireland, UK.ORCID 0000-0001-5521-5445
Shahrad TaheriDepartment of Medicine, Weill Cornell Medicine Qatar, Doha, Qatar.
Barbara McGowanDepartment of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK. Barbara.McGowan@gstt.nhs.uk.ORCID 0000-0003-2015-726X
Guy's and St Thomas' NHS Foundation Trust · GBKing's College Hospital NHS Foundation Trust · GBKing's College London · GBHeart of England NHS Foundation Trust · GBNorth Bristol NHS Trust · GBUniversity College Dublin · IEWeill Cornell Medical College in Qatar · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity drives type 2 diabetes (T2DM) development. Laparoscopic adjustable gastric banding (LAGB) has lower weight reduction than other bariatric procedures. Liraglutide, a GLP-1 receptor agonist, improves weight and glycaemic control in patients with T2DM. This study aimed to determine the efficacy and safety of liraglutide 1.8 mg in participants undergoing LAGB.

methodsGLIDE, a pilot randomised, double-blind, placebo-controlled trial, evaluated LAGB with either liraglutide 1.8 mg or placebo in participants with T2DM and obesity. Participants were randomised (1:1) to 6-months therapy post-LAGB, with further 6 months off-treatment follow-up. The primary outcome was change in HbA1c from randomisation to the end of treatment, secondary outcomes included body weight change. A sample size of 58 (29 per group) had 80% power to detect a 0.6% difference in HbA1c between groups.

resultsTwenty-seven participants were randomised to liraglutide (n = 13) or placebo (n = 14). Multivariate analysis showed no difference between placebo and liraglutide arms in HbA1c at 6 months (HbA1c:0.2 mmol/mol, -11.3, 11.6, p = 0.98) however, at 12 months HbA1c was significantly higher in the liraglutide arm (HbA1c:10.9 mmol/mol, 1.1, 20.6, p = 0.032). There was no difference between arms in weight at 6 months (BW:2.0 kg, -4.2, 8.1, p = 0.50), however, at 12 months weight was significantly higher in the liraglutide arm (BW:8.2 kg, 1.6, 14.9, p = 0.02). There were no significant differences in adverse events between groups.

conclusionsOur pilot data suggest no additional improvement in glycaemic control or BW with LAGB and liraglutide therapy. However, this trial was significantly underpowered to detect a significant change in the primary or secondary outcomes. Further trials are needed to investigate whether GLP-1 agonists, and particularly with more effective weekly agents (i.e. semaglutide or tirzepatide), are of benefit following metabolic surgery. CLINICAL

trial registrationEudraCT number 2015-005402-11.

Indexed as

Diabetes Mellitus, Type 2GastroplastyLaparoscopyAdultDouble-Blind MethodGlycated HemoglobinHumansHypoglycemic AgentsLiraglutideObesityPilot ProjectsTreatment OutcomeGlycated HemoglobinHypoglycemic AgentsLiraglutide

Identifiers

PMID37696925
PMCPMC10599987
OpenAlexW4386601776

What Socratic holds

Texttitle and abstract
LicenceCC BY
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.