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Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Trial abstract · §3

ELIXA — results

Primary endpoint, absolute and relative effect where derivable, and harms as reported.

Document identifier
CEI-TR-0092/3
Series
Trial abstract
Version
1.3
Published
21 Mar 2023
Last reviewed
21 Aug 2023
Next review
21 Aug 2025
Identifier
10.71829/cei.trial.92
Certainty
High
Cycle
2023 Q1
Phase
Phase 3
Status
Reported

§3Results

§3.1Primary endpoint

Table 3. Primary endpoint as reported.

EndpointResult as reportedCertainty
Time to first occurrence of a four-point composite of cardiovascular death, myocardial infarction, stroke or hospitalisation for unstable angina after an acute coronary syndromeHazard ratio 1.02 (95 % CI 0.89 to 1.17); neutralHigh
Reproduced from the published report. Where the report states a confidence interval the Institute reproduces it; where it does not, none is constructed.

§3.2Endpoint hierarchy

Cumulative incidence of the primary endpointCumulative event incidence in each randomised arm over the follow-up period.05100510152025Months since randomisationCumulative incidence (%)LixisenatideComparator
Figure 1. Illustrative. Cumulative incidence of the primary composite, reconstructed by the Institute from the reported hazard ratio and a comparator event rate typical of the enrolled risk profile. The curves are not digitised from the published figure. They are published to convey the shape of event accrual and the point at which the arms separate, and no incidence should be read off them.

Table 4. Relative and absolute effect. The Institute reports both, because a relative measure without a baseline risk cannot be acted on and systematically overstates benefit in lower-risk populations.

MeasureValueNote
Hazard ratio as reported1.02Reproduced from the published report.
Comparator event rate, %10.2Illustrative. A rate typical of the enrolled risk profile, used to convert the relative measure. Not a published figure.
Absolute risk difference, pp-0.20Illustrative. Computed from the two rows above.
Number needed to treatIllustrative. For the stated duration, at the comparator rate assumed above. Rises sharply as baseline risk falls.
Three of the four rows are Institute constructions and are marked. Only the hazard ratio is a published figure.

§3.3Harms as reported

Table 5. Adverse events for Lixisenatide from the safety tables the Institute holds for this compound. Where a row names a different trial as its source, the figure is from that trial and not from this one.

EventActive, %Comparator, %Source trial
Nausea25.07.0GetGoal pooled
Vomiting10.02.0GetGoal pooled
Headache8.06.0GetGoal pooled
Symptomatic hypoglycaemia (with sulfonylurea)22.013.0GetGoal pooled
Antibody formation70.0GetGoal pooled — high incidence; efficacy attenuated only at very high titre
Discontinuation for adverse events7.03.0GetGoal pooled
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