Lupus & antiphospholipid syndrome

A retrospective evaluation of glucagon-like peptide-1 receptor agonists in systemic lupus erythematosus patients

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

While limited by a small sample size, this descriptive study showed that GLP1-RAs did not trigger flares above expected background rates and were associated with significantly decreased BMI.

Study context

Population
SLE patients in the NYU Lupus Cohort who had used a GLP1-RA (median age 50; 94% female)18 analysed
Participants
24 patients
Outcome
SLE flares and new SLE criteria
Follow-up
6-10 months
Methodological detailsdescriptive, single cohort (NYU Lupus Cohort)
  • Descriptive
  • Single cohort (NYU Lupus Cohort)

Main finding

As reported in the abstract

6-10 months

Mild-to-moderate flare at 6-10 months

1

Patients accumulating new SLE criteria during follow-up

0

Observational data: associations, not effects.

Further findings

OutcomeValues
Initially denied insurance coverage for a GLP1-RAGLP1-RA 50%

Median BMI reduction vs baseline · 1-4 months

Median BMI reduced (P = 0.002)
3%

Median BMI reduction vs baseline · 6-10 months

Median BMI reduced (P = 0.001)
13%

Safety

OutcomeValues
SLE flare (mild-to-moderate) · 6-10 monthsGLP1-RA 1 events

SLE flare (mild-to-moderate) · 6-10 months

No patients accumulated new SLE criteria during follow-up

Original publication

A retrospective evaluation of glucagon-like peptide-1 receptor agonists in systemic lupus erythematosus patients. Rheumatology (Oxford). Published 10 October 2024. doi:10.1093/rheumatology/keae547

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