Lessons From LEADER - All-round Leadership
- PMID: 29632591
- PMCID: PMC5813445
- DOI: 10.17925/EE.2016.12.02.76
Lessons From LEADER - All-round Leadership
Abstract
The large multinational, randomised, double-blind LEADER (Liraglutide Effect and Action in Diabetes: Evaluation of Cardiovascular Outcome Results - A Long Term Evaluation) trial recently reported the cardiovascular (CV) benefits achieved with liraglutide therapy in type 2 diabetes mellitus (T2DM). This editorial analyses the primary and secondary CV outcomes (CVO) results of the LEADER trial, and discusses the impact these will have on clinical practice of diabetes in specific, and medicine in general. It delves into the evolution of clinical and biochemical outcomes used in diabetes, and discusses the role of liraglutide in shaping future outcomes. The editorial describes the potential role of liraglutide in primary, secondary and tertiary prevention of CV disease (CVD), and suggests exaptation of this molecule for use in cardiology, nephrology and neurology.
Keywords: Cardiovascular outcomes; LEADER; diabetes; empagliflozin; liraglutide; lixisenatide; prevention.
References
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- Pfeffer M. A., Claggett B., Diaz R.. et al. Lixisenatide in patients with type 2 diabetes and acute coronary syndrome. N Engl J Med. 2015;373:2247–57. - PubMed
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- Zinman B1, Wanner C., Lachin J. M.. et al. EMPA-REG OUTCOME Investigators, Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. N Engl J Med. 2015;373:2117–28. - PubMed
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