Evidence map›Paper›PMID 28379519›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2017

The Effect of a Subcutaneous Infusion of GLP-1, OXM, and PYY on Energy Intake and Expenditure in Obese Volunteers.

Tricia Tan, Preeshila Behary, George Tharakan, James Minnion, Werd Al-Najim, Nicolai J Wewer Albrechtsen, Jens J Holst, Stephen R Bloom

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Long-acting PYYObesity (Silver Spring, Md.) · 2025
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Effects of Glucagon-Like Peptide-1 Receptor Agonists (Mono and Combination Therapy) on Energy Expenditure: A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Discordance between gut-derived appetite hormones and energy intake in humans.medRxiv : the preprint server for health sciences · 2023
    Article
  18. The postprandial secretion of peptide YYClinical endocrinology · 2023
    Article
  19. Review
  20. Article
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

8 authors at 4 institutions in 2 countries.

Tricia TanDivision of Diabetes, Endocrinology, and Metabolism, Hammersmith Hospital, Imperial College London, London W12 0HS, United Kingdom.
Preeshila BeharyDivision of Diabetes, Endocrinology, and Metabolism, Hammersmith Hospital, Imperial College London, London W12 0HS, United Kingdom.
George TharakanDivision of Diabetes, Endocrinology, and Metabolism, Hammersmith Hospital, Imperial College London, London W12 0HS, United Kingdom.
James MinnionDivision of Diabetes, Endocrinology, and Metabolism, Hammersmith Hospital, Imperial College London, London W12 0HS, United Kingdom.
Werd Al-NajimDivision of Diabetes, Endocrinology, and Metabolism, Hammersmith Hospital, Imperial College London, London W12 0HS, United Kingdom.
Nicolai J Wewer AlbrechtsenDepartment of Biochemical Sciences and Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Jens J HolstDepartment of Biochemical Sciences and Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Stephen R BloomDivision of Diabetes, Endocrinology, and Metabolism, Hammersmith Hospital, Imperial College London, London W12 0HS, United Kingdom.
Hammersmith Hospital · GBImperial College London · GBNovo Nordisk Foundation · DKUniversity of Copenhagen · DK

Funding

Biotechnology and Biological Sciences Research CouncilMedical Research Council G0802390Medical Research Council G1000474Medical Research Council MR/J010731/1Medical Research Council MR/K02115X/1Wellcome Trust
6 · The paper itself

Abstract

Background: Roux-en-Y gastric bypass (RYGB) surgery is currently the most effective treatment of obesity, although limited by availability and operative risk. The gut hormones Glucagon-like peptide-1 (GLP-1), Peptide YY (PYY), and Oxyntomodulin (OXM) are elevated postprandially after RYGB, which has been postulated to contribute to its metabolic benefits. Objective: We hypothesized that infusion of the three gut hormones to achieve levels similar to those encountered postprandially in RYGB patients might be effective in suppressing appetite. The aim of this study was to investigate the effect of a continuous infusion of GLP-1, OXM, and PYY (GOP) on energy intake and expenditure in obese volunteers. Methods: Obese volunteers were randomized to receive an infusion of GOP or placebo in a single-blinded, randomized, placebo-controlled crossover study for 10.5 hours a day. This was delivered subcutaneously using a pump device, allowing volunteers to remain ambulatory. Ad libitum food intake studies were performed during the infusion, and energy expenditure was measured using a ventilated hood calorimeter. Results: Postprandial levels of GLP-1, OXM, and PYY seen post RYGB were successfully matched using 4 pmol/kg/min, 4 pmol/kg/min, and 0.4 pmol/kg/min, respectively. This dose led to a mean reduction of 32% in food intake. No significant effects on resting energy expenditure were observed. Conclusion: This is, to our knowledge, the first time that an acute continuous subcutaneous infusion of GOP, replicating the postprandial levels observed after RYGB, is shown to be safe and effective in reducing food intake. This data suggests that triple hormone therapy might be a useful tool against obesity.

Indexed as

AdultAnalysis of VarianceArea Under CurveBody Mass IndexCross-Over StudiesEnergy MetabolismFemaleFollow-Up StudiesGastric BypassGlucagon-Like Peptide 1HumansInfusions, SubcutaneousMaleMiddle AgedObesity, MorbidOxyntomodulinGlucagon-Like Peptide 1OxyntomodulinPeptide YY

Identifiers

PMID28379519
PMCPMC5505203
OpenAlexW2604119137

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.