Evidence map›Paper›PMID 41992023›Full record

SynthesisDiabetes, obesity & metabolism2026

Cardiometabolic Profiles of Oral and Subcutaneous Glucagon-Like Peptide-1 Receptor Mono-Agonists in Adults With Overweight or Obesity: A Systematic Review and Network Meta-Analysis.

Ying Lu, Jiajie Chen, Yuqing Guo, Hao Ding, Yu-Lun Liu, Michelle A Van Name, Mona Sharifi, Yuan Lu, Yong Chen

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Observational
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.

Ying LuIvidence Inc, Newark, Delaware, USA.
Jiajie ChenIvidence Inc, Newark, Delaware, USA.
Yuqing GuoIvidence Inc, Newark, Delaware, USA.
Hao DingIvidence Inc, Newark, Delaware, USA.
Yu-Lun LiuUT Southwestern Medical Center, Peter O'Donnell Jr. School of Public Health, Dallas, Texas, USA.
Michelle A Van NamePediatric Endocrinology, Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
Mona SharifiSection of General Pediatrics, Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
Yuan LuSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Yong ChenThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0835-0788

Funding

Eli Lilly and Company
6 · The paper itself

Abstract

aimsTo characterize the cardiometabolic profiles of oral and subcutaneous glucagon-like peptide-1 (GLP-1) receptor mono-agonists in adults with overweight or obesity, with or without type 2 diabetes (T2D), using network meta-analysis (NMA). MATERIALS AND

methodsPubMed, Embase and CENTRAL were searched (January 2014-November 2025) for randomized controlled trials (RCTs) evaluating GLP-1 receptor mono-agonists (semaglutide, liraglutide and orforglipron) in adults with overweight or obesity. The primary outcome was the cardiometabolic efficacy index (CEI), a ranking-based composite (0 to 1) summarizing performance across seven cardiometabolic endpoints: total body weight loss percentage, triglycerides, HDL cholesterol-C, LDL-C, waist circumference, HbA1c and systolic blood pressure. Secondary outcomes included treatment effects for each individual CEI component.

resultsNineteen RCTs (N = 13 117) were analysed. Semaglutide 7.2 mg achieved the highest CEI (0.86), followed by orforglipron 36 mg (bioequivalent to Foundayo 17.2 mg tablet) (0.68) and semaglutide 2.4 mg (0.66), all exhibiting placebo-adjusted weight reductions ≥ 10%. CEI rankings were generally consistent across T2D and non-T2D subgroups. Among oral formulations in non-T2D adults, OFG 36 mg showed a CEI comparable to oral semaglutide 25 mg (0.67 vs 0.63).

conclusionsHigher-dose GLP-1 receptor mono-agonists, particularly semaglutide 7.2 mg and orforglipron 36 mg (Foundayo 17.2 mg tablet), demonstrated the most consistent multidimensional cardiometabolic improvements, although domain-specific differences were observed across agents.

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsObesityOverweightAdministration, OralAdultFluorine CompoundsGlycated HemoglobinHumansInjections, SubcutaneousLiraglutideOxadiazolesRandomized Controlled Trials as TopicSemaglutideFluorine CompoundsGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHypoglycemic AgentsLiraglutideorforglipronOxadiazolesSemaglutideantiobesity drugGLP‐1 analoguenetwork meta‐analysisweight management

Identifiers

PMID41992023
PMCPMC13243969

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.