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Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · §2

Delayed gastric emptying and gastrointestinal motility effects — evidence across compounds

Every compound the Institute assesses in delayed gastric emptying and gastrointestinal motility effects, with its certainty rating.

Document identifier
CEI-IN-19/2
Series
Indication assessment
Version
2.3
Published
23 Apr 2024
Last reviewed
23 Apr 2024
Next review
23 Apr 2026
Identifier
10.71829/cei.ind.19
Certainty
Not rated
Cycle
2024 Q2
ICD-11
DA91.3
Category
Gastrointestinal

§2Evidence across compounds

Every compound the Institute assesses in this indication, with the effect as recorded, the certainty rating and the contributing trials. Effects are reported on the anchor outcome where the contributing trials measured it and on the outcome the trial actually reported where they did not.

Table 1. Compounds assessed in delayed gastric emptying and gastrointestinal motility effects, ordered by certainty.

CompoundEffect as recordedInterval as reportedCertaintyTrials
ExenatideGLP-1 receptor agonist (exendin-based, short- and…Marked acute delay in gastric emptying that shows partial tachyphylaxis with continued twice-daily dosingpharmacodynamicModerate1
IpamorelinGrowth-hormone secretagogue, selective ghrelin receptor…A phase 2 programme in post-operative ileus did not meet its primary endpoint and development was discontinuednegative resultModerate1
Estimates in this table are not on a common scale and must not be subtracted from one another. Where a comparison between two compounds has been made directly, it appears in a synthesis and not here.
Compounds assessed in Gastric emptyingPoint estimates with confidence intervals for each contributing study, plotted against the line of no effect.0.00.20.40.60.81.0Standardised direction and relative magnitudeCompoundEffect as recordedExenatideModerate certaintyMarked acute delay in gastric…IpamorelinModerate certaintyA phase 2 programme in…
Moderate or high certaintyLow or very low certainty
Figure 1. Illustrative. Compounds assessed in this indication, plotted on a common standardised axis so that direction and relative magnitude can be compared at a glance. The estimates are not on a common natural scale and the intervals are the Institute's standardised representation of the reported precision rather than published confidence intervals.

§2.1Syntheses bearing on this indication

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Holman RR, Bethel MA, Mentz RJ, Thompson VP, Lokhnygina Y, Buse JB, Chan JC, Choi J, Gustavson SM, Iqbal N, Maggioni AP, Marso SP, Öhman P, Pagidipati NJ, Poulter N, Ramachandran A, Zinman B, Hernandez AF. Effects of once-weekly exenatide on cardiovascular outcomes in type 2 diabetes. New England Journal of Medicine 2017;377(13):1228–1239. doi:10.1056/NEJMoa1612917 · PMID 28910237
  2. Buse JB, Rosenstock J, Sesti G, Schmidt WE, Montanya E, Brett JH, Zychma M, Blonde L. Liraglutide once a day versus exenatide twice a day for type 2 diabetes: a 26-week randomised, parallel-group, multinational, open-label trial (LEAD-6). The Lancet 2009;374(9683):39–47. doi:10.1016/S0140-6736(09)60659-0 · PMID 19515413

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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