Evidence mapPaperPMID 40796776Full record

ArticleNature communications2025

A retrospective analysis of combination therapy with GLP-1 receptor agonists and SGLT2 inhibitors versus SGLT2 inhibitor monotherapy in patients with MASLD.

Jheng-Yan Wu, Wan-Hsuan Hsu, Chia-Chih Kuo, Ya-Wen Tsai, Ting-Hui Liu, Po-Yu Huang, Min-Hsiang Chuang, Kuo-Chuan Hung, Tsung Yu, Chih-Cheng Lai

Abstract readComparative Study
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Jheng-Yan Wu *Department of Nutrition, Chi Mei Medical Center, Tainan, Taiwan.ORCID http://orcid.org/0000-0002-3290-1909
Wan-Hsuan Hsu *Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Chia-Chih KuoDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Ya-Wen TsaiDivision of Preventive Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Ting-Hui LiuDepartment of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan.
Po-Yu HuangDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Min-Hsiang ChuangDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Kuo-Chuan HungDepartment of Anesthesiology, Chi Mei Medical Center, Tainan, Taiwan.
Tsung YuDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chih-Cheng LaiDepartment of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan. dtmed141@gmail.com.ORCID http://orcid.org/0000-0002-6334-2388

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of adding glucagon-like peptide-1 receptor agonists (GLP-1RAs) to sodium-glucose co-transporter-2 inhibitors (SGLT2is) for metabolic dysfunction-associated steatotic liver disease (MASLD) is unclear. This retrospective study compared the effect of GLP-1RA plus SGLT2i versus SGLT2i alone for MASLD. Combination therapy was associated with a lower risk of primary composite outcomes of all-cause hospitalization, all-cause mortality, major adverse cardiovascular events (MACE), major adverse kidney events (MAKE), and major adverse liver outcomes (MALO) (hazard ratio [HR], 0.87; 95% confidence interval [CI], 0.84-0.91). Combination therapy also showed lower risks for all-cause hospitalization (HR, 0.86; 95% CI, 0.82-0.90), all-cause mortality (HR, 0.45; 95% CI, 0.38-0.53), MAKE (HR, 0.72; 95% CI, 0.60-0.89), and MALO (HR, 0.61; 95% CI, 0.53-0.69). In contrast, compared to GLP-1RA monotherapy, combination therapy did not confer additional benefit except for all-cause mortality. Overall, combination therapy with GLP-1RA plus SGLT2i was associated with better clinical outcomes of MASLD, compared to SGLT2i monotherapy.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsSodium-Glucose Transporter 2 InhibitorsAgedDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleHospitalizationHumansHypoglycemic AgentsMaleMiddle AgedRetrospective StudiesTreatment OutcomeGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID40796776
PMCPMC12343782

What Socratic holds

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LicenceCC BY-NC-ND
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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.