Evidence map›Paper›PMID 41886075›Full record

Trial reportNaunyn-Schmiedeberg's archives of pharmacology2026

Post-prandial acyl ghrelin infusion in heart failure patients increases gastric emptying rate.

Dominic-Luc Webb, Camilla Hage, Ulrika Ljung-Faxén, Gianluigi Pironti, Tonje Thorvaldsen, Daniel C Andersson, Marcus Ståhlberg, Lars H Lund, Per M Hellström

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Dominic-Luc WebbDepartment of Medical Sciences, Gastroenterology and Hepatology, Rudbeck Lab, Uppsala University, Building R3, Floor 4 (Ground Floor), Dag Hammarskjölds Väg 20, 751 85, Uppsala, Sweden. dlw_insulin@hotmail.com.ORCID http://orcid.org/0000-0002-6979-9194
Camilla HageDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-4142-2416
Ulrika Ljung-FaxénDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-0223-1588
Gianluigi PirontiDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-9401-3029
Tonje ThorvaldsenDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0637-4743
Daniel C AnderssonDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-4548-702X
Marcus StåhlbergDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0319-6240
Lars H LundDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-1411-4482
Per M HellströmDepartment of Medical Sciences, Gastroenterology and Hepatology, Rudbeck Lab, Uppsala University, Building R3, Floor 4 (Ground Floor), Dag Hammarskjölds Väg 20, 751 85, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-8428-0772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acyl ghrelin increases cardiac output (CO) and contractility in patients with heart failure with reduced ejection fraction (HFrEF). In healthy humans, acyl ghrelin increases gastric emptying rate (GER) and hunger, a potential add-on benefit for HFrEF patients suffering from cachexia with symptoms of delayed gastric emptying and loss of appetite. The aim of this study was to determine if post-prandial acyl ghrelin infusion increases GER and hunger in HFrEF patients compared to CO. HFrEF patients (n = 29) arrived fasted and received a 500-kcal breakfast followed by 1.5 g paracetamol. They next received placebo (vehicle, n = 15) or acyl ghrelin infusion (0.1 µg/kg/min, n = 14) for 120 min. Blood was tapped for plasma at 0, 30, 60, 120, and 150 min into the meal. Hunger scores and CO were recorded. Plasma paracetamol was measured to assess GER. Paracetamol concentration peaked at 30 min in 8 of 14 (57%) in the treatment group versus 1 of 15 (7%) in the placebo group (Mann-Whitney test, P = 0.004). Remaining patients peaked at later time points. The acyl ghrelin treatment group data was segregated into rapid (peak at 30 min, n = 8) and slow (peak > 30 min, n = 6) GER sub-groups. The rapid sub-group had an acyl ghrelin treatment effect on CO (one-way repeat measures, P < 0.001) and the highest median increase in hunger across all time points. Acyl ghrelin increases GER and in tandem with increasing CO. Effects on hunger are more difficult to resolve due to variability in subjective scores. Some HFrEF patients may benefit from this add-on effect.

Indexed as

Gastric EmptyingGhrelinHeart FailureAcetaminophenAgedCardiac OutputDouble-Blind MethodFemaleHumansHungerMaleMiddle AgedPostprandial PeriodAcetaminophenacyl-ghrelinGhrelinAcetaminophenGastric emptyingGastrointestinal agentsGastroparesisGhrelinHeart failure

Identifiers

PMID41886075
PMCPMC13357392

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Registered trials

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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.