Evidence map›Paper›PMID 38110660›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2024

Evaluating the Clinical Effectiveness and Safety of Semaglutide in Individuals with Uncontrolled Type 2 Diabetes. Real-World Evidence from Saudi Arabia: The Observational, Multicenter, 15-Month EVOLUTION Study.

Abdulrahman Alsheikh, Ali Alshehri, Saad Alzahrani, Anwar A Jammah, Fahad Alqahtani, Metib Alotaibi, Raed Aldahash, Amani M Alhozali, Fahad Alsabaan, Mohammed Almehthel and 9 more

Abstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
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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

19 authors.

Abdulrahman AlsheikhKing Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Ali AlshehriKing Fahad Medical City, Riyadh, Saudi Arabia.
Saad AlzahraniKing Fahad Medical City, Riyadh, Saudi Arabia.
Anwar A JammahKing Saud University Medical City, Riyadh, Saudi Arabia.
Fahad AlqahtaniTadawi Medical Center, Abha, Saudi Arabia.
Metib AlotaibiAlhammadi Hospital, Riyadh, Saudi Arabia.
Raed AldahashDr Suliman Alhabeeb Hospital, Alolya, Riyadh, Saudi Arabia.
Amani M AlhozaliKing Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Fahad AlsabaanSecurity Forces Hospital, Riyadh, Saudi Arabia.
Mohammed AlmehthelKing Fahad Medical City, Riyadh, Saudi Arabia.
Naser AljuhaniEast Jeddah Hospital, Jeddah, Saudi Arabia.
Ali AldabeisSecurity Forces Hospital, Riyadh, Saudi Arabia.
Moneer AlamriSouthern Armed Forces Hospital, Khamis Mushait, Saudi Arabia.
Waleed MaghawryAlnahda Polyclinic, Jeddah, Saudi Arabia.
Naweed AlzamanDepartment of Medicine, College of Medicine, Taibah University, Madinah, Saudi Arabia.
Alshaima AlshaikhKing Abdallah Medical City, National Guard, Jeddah, Saudi Arabia.
Omar M AlnozhaDepartment of Medicine, College of Medicine, Taibah University, Madinah, Saudi Arabia.
Emad R IssakDepartment of Internal Medicine, Ain Shams University, Cairo, Egypt. dr.emad.r.h.issak@gmail.com.ORCID http://orcid.org/0000-0003-4150-649X
Saud AlsifriAlhada Armed Forces Hospital, Taif, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to assess the safety and effectiveness of semaglutide, administered either by weekly subcutaneous (SC) injection or orally, in real-life practice in Saudi Arabia in individuals with type 2 diabetes mellitus (T2DM).

methodsA retrospective chart review study was conducted at 18 Saudi Arabia centers. An accredited centralized institutional review board approved the study. Medical records were included for individuals of any age ≥ 18 years with uncontrolled T2DM. The primary outcome measure was the laboratory glycated hemoglobin (HbA1c) level. Secondary measures included fasting blood glucose (FBG), weight, and hypoglycemia. All variables were checked after 6 and 12 months of semaglutide initiation.

resultsThe analysis of this study included 1223 patients with uncontrolled T2DM (HbA1c > 7%). The mean (SD) baseline HbA1c was 10.02% (1.17). HbA1c was reduced by an average of 3.02% (0.84) and 3.17% (0.84) at 6 and 12 months, respectively. Results of a repeated measure analysis of variance (ANOVA) indicated significant differences in HbA1c (p value < 0.001). HbA1c levels at 6 and 12 months were significantly lower, 7.00% (0.70) and 6.85% (0.69), than at baseline, 10.02% (1.17). About 193 patients (56.4%) of the 295 patients having HbA1c < 9% achieved HbA1c of 5.7% or less. The frequency of hypoglycemia events was 4.60 (1.10) in the 3 months before semaglutide was initiated. The frequency of hypoglycemia events in the last 3 months was 2.30 (0.80) events and 0.80 (0.50) events at 6-month and 12-month follow-up visits, respectively. The percent reduction in body mass index (BMI) was an average of 13.07% (1.53) and 19.89% (4.07) at 6 and 12 months, respectively. Lipid profile and blood pressure were improved at 6 and 12 months.

conclusionSemaglutide, administered either by SC injection or orally, provided substantial glycemic and weight-loss benefits in adults with T2DM.

Indexed as

HbA1cHypoglycemiaSemaglutideType 2 diabetesWeight reduction

Identifiers

PMID38110660
PMCPMC10838866

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.