Evidence map›Paper›PMID 32975890›Full record

ArticleInternational journal of clinical practice2021

Switching between GLP-1 receptor agonists in clinical practice: Expert consensus and practical guidance.

Akshay B Jain, Amar Ali, Juan J Gorgojo Martínez, Irene Hramiak, Ketan Kavia, Sten Madsbad, Louis Potier, Ben D Prohaska, Jodi L Strong, Tina Vilsbøll

Abstract readConsensus Statement
In one paragraph

Article in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Observational
  15. Article
  16. Article
  17. Observational
  18. Semaglutide for the treatment of overweight and obesity: A review.Diabetes, obesity & metabolism · 2023 · on this map
    Review
  19. Special Report: Potential Strategies for Addressing GLP-1 and Dual GLP-1/GIP Receptor Agonist Shortages.Clinical diabetes : a publication of the American Diabetes Association · 2023
    Article
  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

10 authors.

Akshay B JainUniversity of British Columbia, Surrey, BC, Canada.ORCID https://orcid.org/0000-0001-8515-5359
Amar AliOakenhurst Medical Practice, Blackburn, UK.
Juan J Gorgojo MartínezDepartment of Endocrinology and Nutrition, Hospital Universitario Fundacion Alcorcón, Alcorcón, Spain.ORCID https://orcid.org/0000-0002-8679-0968
Irene HramiakWestern University, London, ON, Canada.
Ketan KaviaManor Park Medical Practice, Leicester, UK.
Sten MadsbadDepartment of Endocrinology, Hvidovre Hospital, Hvidovre, Denmark.ORCID https://orcid.org/0000-0002-5017-1815
Louis PotierBichat Hospital, APHP, Université de Paris, Paris, France.
Ben D ProhaskaNorthern Nevada Endocrinology, Reno, NV, USA.
Jodi L StrongAscension Medical Group, Stevens Point, WI, USA.
Tina VilsbøllSteno Diabetes Center Copenhagen, Copenhagen, Denmark.

Funding

Novo Nordisk
6 · The paper itself

Abstract

backgroundGlucagon-like peptide-1 receptor agonists (GLP-1RAs) are an established treatment for patients with type 2 diabetes (T2D). Differences between GLP-1RAs in pharmacokinetics, dosing regimens and clinical effects, including cardiovascular (CV) outcomes, mean there may be benefits to switching from one to another. However, clinical guidance on switching is lacking and data from clinical trials are limited. This article provides a clinical perspective and consensus on the benefits of switching between GLP-1RAs, the triggers for switching and how best to manage this in clinical practice. Once weekly (OW) semaglutide is used as an example to illustrate how the authors might switch to a different GLP-1RA in clinical practice.

methodsLiterature was searched and perspectives from 10 healthcare professionals with experience in switching patients with T2D to OW semaglutide from another GLP-1RA were collated.

resultsMedical triggers for switching to another GLP-1RA included HbA

conclusionSwitching from one GLP-1RA to another, such as OW semaglutide, can provide clinical benefits and may delay the need for treatment intensification.

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like Peptide-1 ReceptorConsensusHumansHypoglycemic AgentsWeight LossGlucagon-Like Peptide-1 ReceptorHypoglycemic Agents

Identifiers

PMID32975890
PMCPMC7900946

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.