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Resources/Featured article

A three-year liraglutide trial illustrates why duration and completeness of follow-up must be read together.

By S7 Sciences Research DeskUpdated September 23, 20262 min read
S7 Sciences
The short version

A long study provides valuable evidence, but missing follow-up still limits what it can establish.

Featured original sourceS7 adaptation and commentary

3 years of liraglutide versus placebo for type 2 diabetes risk reduction and weight management in individuals with prediabetes: a randomised, double-blind trial

Carel W. le Roux and colleagues; SCALE Obesity Prediabetes Study Group

The Lancet · Online February 23, 2017; April 8, 2017 issue

“withdrawn individuals were not followed up”

The article below is an original S7 Sciences summary and analysis. The quoted passage is brief and attributed; the complete original remains with its author and publisher.

Read the complete original source

A longer observation window

The 2017 SCALE report randomized 2,254 adults with prediabetes and obesity, or overweight with associated conditions, to liraglutide or placebo alongside lifestyle measures. At 160 weeks, diabetes had been diagnosed during treatment in 2% versus 6% of the reported analysis groups. The time-to-event analysis favored liraglutide.

Who remained in view?

Only half of randomized participants completed 160 weeks. The authors explicitly noted that withdrawn participants were not followed after discontinuation. Serious adverse events were reported in 15% versus 13%. These details belong beside the favorable result, because a longer calendar does not restore missing observations.

What this means for duration claims

S7’s interpretation is to ask separately how long a study ran and how completely it observed its participants. This trial did not compare generic on-and-off cycles, so it cannot supply a cycling schedule. It also cannot establish permanent prevention after stopping. The explanation is based on the complete indexed abstract of an older, Novo Nordisk-funded study, not a newly published result or a treatment recommendation.

Evidence summary, not treatment guidance

This article is educational and does not contain medical advice, dosing, administration, or cycling instructions. Research-use-only products are not intended for human or veterinary use.

Primary and authoritative sources

Read the evidence behind this article.

3 years of liraglutide versus placebo for type 2 diabetes risk reduction and weight management in individuals with prediabetes: a randomised, double-blind trialCarel W. le Roux and colleagues; SCALE Obesity Prediabetes Study GroupThe Lancet

Primary randomized trial; complete indexed abstract reviewed. DOI: 10.1016/S0140-6736(17)30069-7.

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