Lupus & antiphospholipid syndrome

GLP-1 receptor agonists in systemic lupus erythematosus: a scoping review

RMD OpenPublished Scoping review

Authors' conclusion

Collectively, findings from the included studies suggest that GLP-1 RAs may provide metabolic and anti-inflammatory benefits in SLE with an acceptable safety profile; however, clinical data specific to SLE remain limited

Study context

Population
Studies evaluating GLP-1 RAs in systemic lupus erythematosus (SLE) (PubMed, Embase, Scopus, Cochrane Library, inception to April 2026)14 studies
Methodological detailsPRISMA-guided
  • PRISMA-guided

Main finding

As reported in the abstract

  • GLP-1 RAs demonstrated consistent anti-inflammatory, metabolic and endothelial effects relevant to SLE
  • Mechanistic data suggest reductions in cytokine signalling, oxidative stress and macrophage activation
  • SLE-specific evidence largely from small observational cohorts, retrospective analyses and isolated case reports; much supportive data preclinical or extrapolated from broader rheumatic disease populations
  • Included studies: narrative reviews, mechanistic analyses, editorials and case reports

Safety

Drug-induced lupus reported in case studies
2
Acceptable safety profile in autoimmune populations

Original publication

GLP-1 receptor agonists in systemic lupus erythematosus: a scoping review. RMD Open. Published 16 July 2026. doi:10.1136/rmdopen-2026-007037

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