Preserved supervised synthesis

Lixisenatide synthesis · version 1

This URL preserves the exact reviewed public wording and source set for synthesis version 1.

Supervised synthesis

What do selected human studies report about Lixisenatide?

Manually reviewed September 15, 2026 · version 1

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Two selected trials address cardiovascular outcomes in type 2 diabetes and exploratory motor outcomes in early Parkinson disease. These are lixisenatide trials, not evidence for the insulin-glargine combination as an interchangeable intervention.12

Bottom line from this bounded source set

ELIXA met cardiovascular noninferiority but did not demonstrate cardiovascular superiority. A smaller Parkinson trial reported less motor-score worsening over 12 months, with gastrointestinal adverse effects; it does not establish neuroprotection or a new approved indication.12

Reviewed study record

ELIXA: cardiovascular outcomes

Design

Randomized placebo-controlled trial added lixisenatide or placebo to usual care.1

Population

6,068 people with type 2 diabetes and a recent acute coronary event were followed for a median of 25 months.1

Outcomes reported

The primary cardiovascular composite occurred in 13.4% versus 13.2%; hazard ratio 1.02 (95% CI 0.89–1.17). Noninferiority was met, superiority was not. Serious adverse events were not more frequent with lixisenatide.1

Limitations

The result is a cardiovascular safety comparison in a high-risk population, not evidence of cardiovascular benefit or the entire glycemic-efficacy program.1

Reviewed study record

LIXIPARK: exploratory Parkinson trial

Design

Randomized, double-blind, placebo-controlled phase 2 trial with 12 months of treatment and a two-month washout.2

Population

156 people with early Parkinson disease were randomized while receiving stable symptomatic therapy.2

Outcomes reported

The between-group difference in motor-score change at 12 months was 3.08 points favoring lixisenatide. Nausea occurred in 46% and vomiting in 13% of active-group participants.2

Limitations

The primary assessment was in the on-medication state. A small phase 2 study cannot establish disease modification, long-term benefit or safety; larger trials are required.2

Reviewed source set

  1. PubMed · 26630143Lixisenatide in Patients with Type 2 Diabetes and Acute Coronary Syndrome. ↗PubMed PMID 26630143 · EFetch XML reviewed 2026-09-15 · payload SHA-256 115be31c54d4952d6d390218d4c3015c727c520d819e34874e529579c32c2176
    No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1056/nejmoa1509225. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗
  2. PubMed · 38598572Trial of Lixisenatide in Early Parkinson's Disease. ↗PubMed PMID 38598572 · EFetch XML reviewed 2026-09-15 · payload SHA-256 1c89844dd46e395e8dfdf02f0b578335e189cb034eb66edd1a1a3f0fb7c169f7
    No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1056/nejmoa2312323. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗