Evidence map›Paper›PMID 32803900›Full record

ArticleDiabetes, obesity & metabolism2020

Effect of once-weekly exenatide on estimated glomerular filtration rate slope depends on baseline renal risk: A post hoc analysis of the EXSCEL trial.

Annemarie B van der Aart-van der Beek, Lindsay E Clegg, Robert C Penland, David W Boulton, C David Sjöström, Robert J Mentz, Rury R Holman, Hiddo J L Heerspink

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Trial
  7. GLP-1-based therapeutics for cardiorenal protection in metabolic diseases.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Review
  8. Article
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  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Observational
  19. Exenatide Once Weekly for Management of Type 2 Diabetes: A Review.Clinical pharmacology : advances and applications · 2022
    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 5 institutions in 7 countries.

Annemarie B van der Aart-van der BeekClinical Pharmacy and Pharmacology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-1473-3259
Lindsay E CleggClinical Pharmacology & Quantitative Pharmacology, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Gaithersburg, Maryland, USA.ORCID 0000-0001-8558-9341
Robert C PenlandClinical Pharmacology & Quantitative Pharmacology, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Boston, Massachusetts, USA.ORCID 0000-0003-2706-8913
David W BoultonClinical Pharmacology & Quantitative Pharmacology, Clinical Pharmacology & Safety Sciences, R&D, AstraZeneca, Gaithersburg, Maryland, USA.
C David SjöströmLate-Stage Development CVRM, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Robert J MentzDuke University and Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Rury R HolmanDiabetes Trials Unit, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-1256-874X
Hiddo J L HeerspinkClinical Pharmacy and Pharmacology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-3126-3730
AstraZeneca (Poland) · PLUniversity Medical Center Groningen · NLAstraZeneca (Sweden) · SEDuke University · USUniversity of Oxford · GB

Funding

AstraZeneca
6 · The paper itself

Abstract

The effects of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on renal outcomes in patients with type 2 diabetes at high cardiovascular risk are modest or neutral. However, GLP-1RAs may confer clinical benefits in those at high risk of progressive renal function loss. We examined the effects of once-weekly exenatide (EQW) on estimated glomerular filtration rate (eGFR) slope and urinary albumin:creatinine ratio (UACR) as a function of baseline UACR in 3503 EXSCEL participants (23.7%) with eGFR data available and 2828 participants (19.2%) with UACR change data available. EQW improved eGFR slope assessed via mixed model repeated measures, compared with placebo, in participants with baseline UACR >100 mg/g (0.79 mL/min/1.73 m

Indexed as

Diabetes Mellitus, Type 2ExenatideGlomerular Filtration RateHumansKidneyKidney Function TestsExenatidediabetic kidney diseaseexenatideGLP-1RAglucagon-like peptide-1 receptor agonistspooled analysis

Identifiers

PMID32803900
PMCPMC7756541
OpenAlexW3049628134

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.