Evidence map›Paper›PMID 30578607›Full record

SynthesisDiabetes, obesity & metabolism2019

Comparative effectiveness of exenatide once-weekly versus liraglutide in routine clinical practice: A retrospective multicentre study and meta-analysis of observational studies.

Gian Paolo Fadini, Bendetta Maria Bonora, Annunziata Lapolla, Bruno Fattor, Paola Silvia Morpurgo, Natalino Simioni, Angelo Avogaro, DARWIN-T2D Network

Abstract readComparative StudyMeta-AnalysisMulticenter Study
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. IDegLira for the Real-World Treatment of Type 2 Diabetes in Italy: Protocol and Interim Results from the REX Observational Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Article
  4. Article
  5. Review
  6. Article
  7. 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.

Gian Paolo FadiniDepartment of Medicine, University of Padova, Padova, Italy.ORCID 0000-0002-6510-2097
Bendetta Maria BonoraDepartment of Medicine, University of Padova, Padova, Italy.
Annunziata LapollaDepartment of Medicine, University of Padova, Padova, Italy.
Bruno FattorDiabetology Service, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy.
Paola Silvia MorpurgoFatebenefratelli Hospital, Endocrinology and Diabetology, Milan, Italy.
Natalino SimioniInternal Medicine and Diabetology, Cittadella, Italy.
Angelo AvogaroDepartment of Medicine, University of Padova, Padova, Italy.ORCID 0000-0002-1177-0516
DARWIN-T2D Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this study, we retrospectively compared the effectiveness of exenatide once-weekly (ExeOW) versus liraglutide in non-insulin treated patients with type 2 diabetes followed under routine care. We also present a meta-analysis of similar observational studies available in the literature. In our multicentre retrospective study, patients initiating ExeOW (n = 204) or liraglutide (n = 410) had similar baseline clinical characteristics. Change in HbA1c at 6 months was superimposable in the two groups (-0.7% ± 1.0%), and changes in body weight were also similar (ExeOW -2.2 ± 3.7 kg; liraglutide -2.5 ± 4.3 kg; p = 0.457). Discontinuation rates were numerically but not significantly lower for ExeOW versus liraglutide. Pooling these data with those of observational studies available in the literature yielded superimposable effects between the two groups for the change in HbA1c and body weight, with a higher risk of discontinuation (mainly based on pharmacy refill rates) for ExeOW. We conclude that, in patients under routine care, initiation of ExeOW provides similar benefits on HbA1c and body weight as initiation of liraglutide. These data help view the results of randomized controlled trials from the perspective of their application in routine clinical practice.

Indexed as

AdultBlood GlucoseDiabetes Mellitus, Type 2Drug Administration ScheduleExenatideFemaleGlycated HemoglobinHumansHypoglycemic AgentsLiraglutideMaleObservational Studies as TopicPrimary Health CareRetrospective StudiesTreatment OutcomeBlood GlucoseExenatideGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsLiraglutideantidiabetic drugcohort studyexenatideliraglutidetype 2 diabetes

Identifiers

PMID30578607
PMCPMC6590315

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.