Trial reportJournal of diabetes and its complications2017

Effect of weight reductions on estimated kidney function: Post-hoc analysis of two randomized trials.

Bernt Johan von Scholten, Melanie J Davies, Frederik Persson, Tine W Hansen, Sten Madsbad, Lars Endahl, Cecilie H Jepsen, Peter Rossing

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of diabetes and its complications, 2017. The graph read 9 numbers from its abstract, feeding 2 cells of the map, but it casts no vote: it is a later paper about NCT01272219, whose primary report (PMID 26132939) speaks for the trial. It reports registered trial NCT01272219. Cited by 3 papers, 1 of them a synthesis that pooled it.

9numbers the graph read from it
0cells of the map it votes in
3citing 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.

Read, but not usablea number the graph found but could not read as for or against

Weight loss (baseline to week 56)liraglutide 3.0mg vs placebono interval or p-value · obesity, t2dfeeds one cell of the map
Δ -8.00
RESULTS: In SCALE Obesity and Prediabetes, mean (±SD) weight loss (baseline to week 56) with liraglutide was 8.0±6.7% (2.6±6.9% with placebo); baseline creatinine with liraglutide was 76±15μmol/L and 74±15μmol/L after 56weeks (similar across treatment groups).
Weight loss (baseline to week 56)placebo vs liraglutide 3.0mgno interval or p-value · obesity, t2dfeeds one cell of the map
Δ -2.60
RESULTS: In SCALE Obesity and Prediabetes, mean (±SD) weight loss (baseline to week 56) with liraglutide was 8.0±6.7% (2.6±6.9% with placebo); baseline creatinine with liraglutide was 76±15μmol/L and 74±15μmol/L after 56weeks (similar across treatment groups).
Baseline creatinineplacebodescribes a change within one group, not a comparison · obesity, t2dfeeds one cell of the map
Δ 77.0
In SCALE Diabetes, weight loss with liraglutide was 5.9±5.5% (2.0±4.3% with placebo); baseline creatinine was 79±19μmol/L (77±16μmol/L, placebo) and 79±20μmol/L after 56weeks (76±15μmol/L, placebo).
Weight lossplacebo vs liraglutide 3.0mgno interval or p-value · obesity, t2dfeeds one cell of the map
Δ -2.00
In SCALE Diabetes, weight loss with liraglutide was 5.9±5.5% (2.0±4.3% with placebo); baseline creatinine was 79±19μmol/L (77±16μmol/L, placebo) and 79±20μmol/L after 56weeks (76±15μmol/L, placebo).
Weight lossliraglutide 3.0mg vs placebono interval or p-value · obesity, t2dfeeds one cell of the map
Δ -5.90
In SCALE Diabetes, weight loss with liraglutide was 5.9±5.5% (2.0±4.3% with placebo); baseline creatinine was 79±19μmol/L (77±16μmol/L, placebo) and 79±20μmol/L after 56weeks (76±15μmol/L, placebo).
Creatinine after 56 weeksliraglutide 3.0mgdescribes a change within one group, not a comparison · obesity, t2dfeeds one cell of the map
Δ 74.0
RESULTS: In SCALE Obesity and Prediabetes, mean (±SD) weight loss (baseline to week 56) with liraglutide was 8.0±6.7% (2.6±6.9% with placebo); baseline creatinine with liraglutide was 76±15μmol/L and 74±15μmol/L after 56weeks (similar across treatment groups).
Baseline creatinineliraglutide 3.0mgdescribes a change within one group, not a comparison · obesity, t2dfeeds one cell of the map
Δ 76.0
RESULTS: In SCALE Obesity and Prediabetes, mean (±SD) weight loss (baseline to week 56) with liraglutide was 8.0±6.7% (2.6±6.9% with placebo); baseline creatinine with liraglutide was 76±15μmol/L and 74±15μmol/L after 56weeks (similar across treatment groups).
Creatinine after 56 weeksplacebodescribes a change within one group, not a comparison · obesity, t2dfeeds one cell of the map
Δ 76.0
In SCALE Diabetes, weight loss with liraglutide was 5.9±5.5% (2.0±4.3% with placebo); baseline creatinine was 79±19μmol/L (77±16μmol/L, placebo) and 79±20μmol/L after 56weeks (76±15μmol/L, placebo).
Baseline creatinineliraglutide 3.0mgdescribes a change within one group, not a comparison · obesity, t2dfeeds one cell of the map
Δ 79.0
In SCALE Diabetes, weight loss with liraglutide was 5.9±5.5% (2.0±4.3% with placebo); baseline creatinine was 79±19μmol/L (77±16μmol/L, placebo) and 79±20μmol/L after 56weeks (76±15μmol/L, placebo).

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×body weight & composition

No readable resultOpen on the map →What to test next →

40 readable studies in this cell: 74 favour the treatment, 15 find no difference, 10 favour the comparator.

Belief with this paper
0.91replicated · 59 families support, 6 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect
This paper’s trial, registry resultNCT01272219 · 3,731 enrolled · 2011
Δ -5.39-5.82 to -4.95
This paper’s trial, registry resultNCT01272232 · 846 enrolled · 2011
Treatment contrast -3.97-4.84 to -3.11
Δ -17.3-18.1 to -16.6
NCT017204463,297 enrolled · 2013
Δ -2.95-3.47 to -2.44
NCT035489351,961 enrolled · 2018
Δ -12.4-13.4 to -11.5
NCT039879191,879 enrolled · 2019
Δ -1.70-2.60 to -0.70
NCT026078651,864 enrolled · 2016
Δ -2.50-3.00 to -2.00
NCT056467061,407 enrolled · 2023
Δ -14.8-16.2 to -13.4
NCT018365231,398 enrolled · 2013
Δ -4.90-5.65 to -4.16
NCT035527571,210 enrolled · 2018
Δ -6.21-7.28 to -5.15
NCT007344741,202 enrolled · 2008
Δ -1.50-2.08 to -0.92
Δ -10.4-11.2 to -9.50
NCT020581471,170 enrolled · 2014
Δ 14.38.37 to 20.3
NCT003184611,091 enrolled · 2006
Δ -1.29-2.16 to -0.41

GLP-1 receptor agonists×kidney outcomes

No readable resultOpen on the map →What to test next →

7 readable studies in this cell: 3 favour the treatment, 3 find no difference, 1 favour the comparator.

Belief with this paper
0.50contested · 2 families support, 1 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
1 · no effect
NCT011790489,341 enrolled · 2010
HR 0.780.67 to 0.92
NCT038191533,533 enrolled · 2019
HR 0.760.66 to 0.88
NCT017204463,297 enrolled · 2013
Treatment ratio 0.780.68 to 0.89
NCT01620489279 enrolled · 2012
Estimated treatment ratio 0.980.94 to 1.02
NCT04865770106 enrolled · 2021
Treatment ratio 0.980.96 to 1.01

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

NCT01272219 phase3completed

Effect of Liraglutide on Body Weight in Non-diabetic Obese Subjects or Overweight Subjects With Co-morbidities: A Randomised, Double-blind, Placebo Controlled, Parallel Group, Multi-centre, Multinational Trial With Stratification of Subject to Either 56 or 160 Weeks of Treatment Based on Pre-diabetes Status at Randomisation

Ran2011Enrolled3,731Registered outcomes12Posted comparisons4ConditionsMetabolism and Nutrition Disorder, ObesityArmsliraglutide, Placebo
Open the trial in the graph
NCT01272232 phase3completed

Effect of Liraglutide on Body Weight in Overweight or Obese Subjects With Type 2 Diabetes: A 56 Week Randomised, Double-blind, Placebo-controlled, Three Armed Parallel Group, Multi-centre, Multinational Trial With a 12 Week Observational Follow-up Period

Ran2011Enrolled846Registered outcomes12Posted comparisons27ConditionsMetabolism and Nutrition Disorder, ObesityArmsliraglutide, Placebo
Open the trial in the graph
5 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

8 authors.

Bernt Johan von ScholtenSteno Diabetes Center Copenhagen, Region H, Copenhagen, Denmark. Electronic address: BJOS@novonordisk.com.
Melanie J DaviesDiabetes Research Centre, University of Leicester, Leicester, UK. Electronic address: melanie.davies@uhl-tr.nhs.uk.
Frederik PerssonSteno Diabetes Center Copenhagen, Region H, Copenhagen, Denmark. Electronic address: frederik.ivar.persson@regionh.dk.
Tine W HansenSteno Diabetes Center Copenhagen, Region H, Copenhagen, Denmark. Electronic address: Tine.Willum.Hansen@regionh.dk.
Sten MadsbadHvidovre University Hospital, Denmark. Electronic address: Sten.Madsbad@regionh.dk.
Lars EndahlNovo Nordisk, Søborg, Denmark. Electronic address: LAEN@novonordisk.com.
Cecilie H JepsenNovo Nordisk, Søborg, Denmark. Electronic address: CCEJ@novonordisk.com.
Peter RossingSteno Diabetes Center Copenhagen, Region H, Copenhagen, Denmark; University of Copenhagen, Copenhagen, Denmark; Aarhus University, Aarhus, Denmark. Electronic address: peter.rossing@regionh.dk.

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

aimsWeight loss-induced serum creatinine reduction may increase creatinine-based estimated glomerular filtration rate (eGFR) producing incorrect estimates of kidney function. We investigated whether weight changes in the SCALE program with liraglutide 3.0mg were associated with changes in serum creatinine.

methodsPost hoc analysis of two 56-week, randomized, double-blind trials: SCALE Obesity and Prediabetes (n=3731, without type 2 diabetes [T2D], randomized [2:1] to liraglutide 3.0mg [n=2487] or placebo [n=1244]); SCALE Diabetes (n=846 with T2D, randomized [2:1:1] to liraglutide 3.0mg [n=423], 1.8mg [n=211, excluded from this analysis] or placebo [n=212]). NCT01272219/NCT01272232.

resultsIn SCALE Obesity and Prediabetes, mean (±SD) weight loss (baseline to week 56) with liraglutide was 8.0±6.7% (2.6±6.9% with placebo); baseline creatinine with liraglutide was 76±15μmol/L and 74±15μmol/L after 56weeks (similar across treatment groups). In SCALE Diabetes, weight loss with liraglutide was 5.9±5.5% (2.0±4.3% with placebo); baseline creatinine was 79±19μmol/L (77±16μmol/L, placebo) and 79±20μmol/L after 56weeks (76±15μmol/L, placebo). No association between changes in weight and changes in serum creatinine was observed (P≥0.05, both trials, all tests).

conclusionsModerate gradual body weight reductions observed in the SCALE program were not associated with changes in serum creatinine.

Indexed as

AdultAnti-Obesity AgentsBiomarkersBody Mass IndexCombined Modality TherapyCreatinineDiabetes Mellitus, Type 2Diabetic NephropathiesDouble-Blind MethodFemaleGlomerular Filtration RateGlycated HemoglobinHumansHypoglycemic AgentsKidneyLiraglutideAnti-Obesity AgentsBiomarkersCreatinineGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsLiraglutideEstimated glomerular filtration rateKidney functionLiraglutideObesitySerum creatinine

Identifiers

What OpenQuestion holds

Texttitle and abstract
Read underepoch 390

Registered trials

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.