Diabetes complications

Liraglutide improves peripheral perfusion and markers of angiogenesis and inflammation in people with type 2 diabetes and peripheral artery disease: An 18‐month follow‐up of a randomized clinical trial

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · TcPO2Result — go to the resultEstimated treated difference 10.9 mmHg 95% CI 7.6 to 14.1 mmHg

Authors' conclusion

In people with type 2 diabetes and PAD, liraglutide increased peripheral perfusion, with amelioration of markers of angiogenesis and inflammation over an 18-month follow-up.

Study context

Population
People with T2D and peripheral artery disease (PAD)
Participants
55 people
Comparison
Liraglutide vs tailored therapeutic prescriptions to manage cardiovascular risk factors (control)
Primary endpoint
Transcutaneous oxygen pressure (TcPO2), assessed with transcutaneous oximetry
Follow-up
18 months
Methodological details18-month follow-up
  • 18-month follow-up

Primary result

TcPO2

Estimated treated difference

10.9 mmHg

95% CI 7.6 to 14.1 mmHg

P < 0.001

Liraglutidevs Control
estimated treated difference 10.9 mmHg (95% CI 7.6 to 14.1 mmHg); P < 0.001

As reported in the abstract

Secondary outcomes

OutcomeEstimated difference (mg/g Cr) (95% CI)P value
Urine albumin to creatinine ratio · 18 months−103.9 (−170.8 to −37.1)P = 0.003
OutcomeEstimated difference (mg/dL) (95% CI)P value
C-reactive protein · 18 months−0.5 (−0.8 to −0.2)P = 0.002
OutcomeEstimateP value
Interleukin-6 · 18 monthsestimated difference −32.6 pg/mL (95% CI −54.6 to −10.5)P = 0.004
Increase in vascular endothelial growth factor A · 18 monthsHigher increase with liraglutidedifference 70.1 pg/mL (95% CI 44.7–95.4)P < 0.001

Circulating progenitor cells and endothelial progenitor cells (CD34+, CD133+, KDR+, CD34+/KDR+, CD34+/CD133+/KDR+) · 6 and 18 months

Significantly higher concentrations with liraglutide vs control

Original publication

Liraglutide improves peripheral perfusion and markers of angiogenesis and inflammation in people with type 2 diabetes and peripheral artery disease: An 18‐month follow‐up of a randomized clinical trial. Diabetes Obes Metab. Published 25 April 2025. doi:10.1111/dom.16419

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