GLP-1 Evidence

Not medical advice. A record of published research and our assessments of it. The limits

Exenatide improves type 2 diabetes concomitant with non-alcoholic fatty liver disease

Design
Randomized trial · Mixed outcome
Match to healthy normal-weight adults aged 55–75
Different population[Auto] Participants had type 2 diabetes (age/BMI not reported in abstract).
Could weight loss explain it?
Possibly[Auto] Participants had obesity and/or type 2 diabetes and the abstract does not separate direct drug effects from weight loss or glycaemic improvement.
Study tier
Study tier 3[Auto] Small or short randomized trial (auto-provisional).
Assessment
Version 1 · automatic, not yet reviewed by a person · Sep 13, 2026

Study facts come from the paper. Population match, weight-loss explanation and study tier are our judgments, made against the reference group of healthy normal-weight adults aged 55–75.

[Auto, unreviewed; quoted from abstract conclusions] Compared with metformin, exenatide is better to control blood glucose, reduces body weight and improves hepatic enzymes, attenuating NAFLD in patients with T2DM concomitant with NAFLD.

01Findings

What the study reported

Drugs
Exenatide
Treatment duration
12 weeks
Comparator
metformin
Primary outcome
Not extracted
Effect
Not extracted
95% confidence interval
Not extracted
Follow-up
12 weeks
Adverse events
Not extracted
Limitations
Auto-classified from abstract only; effect estimates, adverse events and limitations not extracted. Requires manual review.

Who was studied

Diabetes status
type 2 diabetes present (all or most)
Baseline condition
MASH / MASLD

Study quality details

Study design
Randomized controlled trial
Sample size
not extracted
Randomization
yes
Blinding
not stated
Comparator
not stated
Follow up duration
12 weeks
Outcome type
mixed
Replication
not assessed (auto)
Consistency with other evidence
not assessed (auto)
Population applicability
INDIRECT
Statistical precision
not extracted
Risk of bias
not assessed (auto)
Funding conflicts
unclear
Peer review status
yes
02Funding

Funding and conflicts

Funding
not reported in abstract
Industry funded
Unclear
Manufacturer
None identified
Sponsor role
not reported in abstract
Author conflicts
not available in metadata
Independent replication
unknown

Funding is shown on every study and never used to score it.

04Source

The source, as retrieved

Abstract

[OBJECTIVE] To investigate the effects of exenatide on blood glucose, body weight and hepatic enzymes in patients with type 2 diabetes mellitus (T2DM) and concomitant non-alcoholic fatty liver disease (NAFLD). [SUBJECTS AND METHODS] One hundred and seventeen patients with T2DM and NAFLD were randomly divided into exenatide group and metformin group. Patients were treated with exenatide and metformin, respectively, for 12 weeks. [RESULTS] After 12 weeks of treatment, body weight, body mass index (BMI), waist-to-hip ratio, HbA1c, FPG, 2-h PPG, ALT, AST, γ-GT, and hs-CRP were significantly reduced, and the AST/ALT ratio and adiponectin were markedly increased in both groups. BMI, waist-to-hip ratio, 2-h PPG, ALT, AST, γ-GT, and hs-CRP were markedly lower, and AST/ALT ratio and adiponectin in the exenatide group were dramatically higher than in the metformin group. [CONCLUSION] Compared with metformin, exenatide is better to control blood glucose, reduces body weight and improves hepatic enzymes, attenuating NAFLD in patients with T2DM concomitant with NAFLD.

Where this record came from

SourceRetrievedIdentifier
pubmedSep 13, 202624402015
first ingestion