Skip to main content
Clinical Diabetes : A Publication of the American Diabetes Association logoLink to Clinical Diabetes : A Publication of the American Diabetes Association
. 2014 Apr;32(2):58–59. doi: 10.2337/diaclin.32.2.58

Statement of Clarification—Reid TS: Practical Use of Glucagon-Like Peptide-1 Receptor Agonist Therapy in Primary Care. Clinical Diabetes 31:148–157, 2013. DOI: 10.2337/diaclin.31.4.148

Timothy S Reid 1
PMCID: PMC4485247

I would like to offer a clarification regarding information included in Table 1 (p. 149) of my recent article. The data cited in the first row summarize the range of lowering of A1C, fasting plasma glucose, and postprandial glucose observed with the GLP-1 receptor agonists twice-daily exenatide, once-weekly exenatide, and once-daily liraglutide. These data come from the phase 3 clinical trials.15

It was not intended, and it should not be inferred, that the data summarized in Table 1 provide a relative comparison of the effects of the three GLP-1 receptor agonists on these three glycemic endpoints. Comparison of the glycemic effects can be discerned only from the results of each of the five trials; each provides a head-to-head comparison of two of the three GLP-1 receptor agonists. Comparisons between studies are not possible because of differences in study design, patient inclusion and exclusion criteria, and treatment regimens. The results of the five trials are described in the body of my article on the same page as the table.

REFERENCES

  • 1.Buse JB, Rosenstock J, Sesti G, Schmidt WE, Montanya E, Brett JH, Zychma M, Blonde L: Liraglutide once a day versus exenatide twice a day for type 2 diabetes: a 26-week randomised, parallel-group, multinational, open-label trial (LEAD-6). Lancet 374:39–47, 2009 [DOI] [PubMed] [Google Scholar]
  • 2.Blevins T, Pullman J, Malloy J, Yan P, Taylor K, Schulteis C, Trautmann M, Porter L: DURATION-5: exenatide once weekly resulted in greater improvements in glycemic control compared with exenatide twice daily in patients with type 2 diabetes. J Clin Endocrinol Metab 96:1301–1310, 2011 [DOI] [PubMed] [Google Scholar]
  • 3.Drucker DJ, Buse JB, Taylor K, Kendall DM, Trautmann M, Zhuang D, Porter L: Exenatide once weekly versus twice daily for the treatment of type 2 diabetes: a randomised, open-label, non-inferiority study. Lancet 372:1240–1250, 2008 [DOI] [PubMed] [Google Scholar]
  • 4.Buse JB, Sesti G, Schmidt WE, Montanya E, Chang CT, Xu Y, Blonde L, Rosenstock J: Switching to once-daily liraglutide from twice-daily exenatide further improves glycemic control in patients with type 2 diabetes using oral agents. Diabetes Care 33:1300–1303, 2010 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Buse JB, Nauck M, Forst T, Sheu WH, Shenouda SK, Heilmann CR, Hoogwerf BJ, Gao A, Boardman MK, Fineman M, Porter L, Schernthaner G: Exenatide once weekly versus liraglutide once daily in patients with type 2 diabetes (DURATION-6): a randomised, open-label study. Lancet 381:117–124, 2013 [DOI] [PubMed] [Google Scholar]

Articles from Clinical Diabetes : A Publication of the American Diabetes Association are provided here courtesy of American Diabetes Association

RESOURCES