Type 2 & other diabetes

Liraglutide in Acute Minor Ischemic Stroke or High-Risk Transient Ischemic Attack With Type 2 Diabetes: The LAMP Randomized Clinical Trial

JAMA Intern MedPublished Randomised controlled trial

Primary result · Stroke recurrenceResult — go to the resultHazard ratio 0.56 95% CI 0.34–0.91

Authors' conclusion

The trial results suggest that among Chinese patients with T2D and minor AIS or high-risk TIA, liraglutide treatment might reduce stroke recurrence and improve 90-day outcomes. However, given the underpowered nature of the study, these findings should be interpreted with caution.

Study context

Population
Patients with T2D and minor acute ischemic stroke (NIHSS ≤3) or high-risk transient ischemic attack (TIA) (ABCD2 ≥4), randomized within 24 hours of symptom onset; 27 hospitals in China; median age 63.5 years, 36.3% femalerandomized
Participants
636 patients
Comparison
Liraglutide plus standard treatment vs standard treatment
Primary endpoint
Stroke recurrence (ischemic or hemorrhagic)
Follow-up
90 days
Methodological detailsmulticenter, prospective, open-label, blinded end point, 27 hospitals in China, June 25, 2019 to December 27, 2023; final follow-up March 24, 2024
  • Multicenter
  • Prospective
  • Open-label
  • Blinded end point
  • 27 hospitals in China, June 25, 2019 to December 27, 2023; final follow-up March 24, 2024

Primary result

Stroke recurrence

Hazard ratio

0.56

95% CI 0.34–0.91

P = 0.02

Events by treatment group

Liraglutidevs Control
HR 0.56 (95% CI 0.34–0.91); P = 0.02

As reported in the abstract

Further findings

OutcomeLiraglutideControlOR (95% CI)P value
Excellent functional outcome (modified Rankin Scale score ≤1)87.3%77.8%1.95 (1.28–3.00)P = 0.002

Safety

Symptomatic intracranial hemorrhage and all-cause mortality · 90 days

Rates of symptomatic intracranial hemorrhage and all-cause mortality were low and similar between groups

Original publication

Liraglutide in Acute Minor Ischemic Stroke or High-Risk Transient Ischemic Attack With Type 2 Diabetes: The LAMP Randomized Clinical Trial. JAMA Intern Med. Published 1 January 2026. doi:10.1001/jamainternmed.2025.5684

Composed by AI from the published abstract and checked against it. How Briefs are made →

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