Fibromyalgia & musculoskeletal pain

Exploring the effects of GLP-1 receptor agonists in fibromyalgia: a propensity-matched real-world cohort using the TriNetX research platform

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

GLP-1RA use was associated with reduced opioid prescription and a reduction in the use of ICD-10 codes related to fibromyalgia, potentially reflecting lower symptom burden.

Study context

Population
Patients with FM (≥2 diagnostic encounters), TriNetX Research Network, matched for age, sex and key comorbiditiespropensity-matched cohort
Participants
48,025 vs 48,025
Exposure
GLP-1RA use vs no GLP-1RA use
  • GLP-1RAn = 48,025
  • Non-GLP-1RAn = 48,025reference
Outcome
Opioid use and symptom burden (diagnostic codes for pain, fatigue and disability), BMI and haemoglobin A1C
Follow-up
five-year follow-up
Methodological detailspropensity score matched 1:1, TriNetX Research Network, five-year follow-up
  • Propensity score matched 1:1
  • TriNetX Research Network
  • Five-year follow-up

Main finding

As reported in the abstract

Odds ratio (opioid prescription)

0.65

P < 0.001

GLP-1RA

Odds ratio (pain diagnostic codes)

0.79

P < 0.001

GLP-1RA

Odds ratio (fatigue diagnostic codes)

0.68

P < 0.001

GLP-1RA

Observational data: associations, not effects.

Original publication

Exploring the effects of GLP-1 receptor agonists in fibromyalgia: a propensity-matched real-world cohort using the TriNetX research platform. Rheumatology (Oxford). Published 29 January 2026. doi:10.1093/rheumatology/keag033

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