Evidence map›Paper›PMID 39388251›Full record

ArticleRheumatology (Oxford, England)2025

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

Philip M Carlucci, Brooke Cohen, Amit Saxena, H Michael Belmont, Mala Masson, Heather T Gold, Jill Buyon, Peter Izmirly

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Philip M CarlucciDepartment of Medicine, New York University School of Medicine, New York, NY, USA.ORCID 0000-0002-9729-4572
Brooke CohenDepartment of Medicine, New York University School of Medicine, New York, NY, USA.
Amit SaxenaDepartment of Medicine, New York University School of Medicine, New York, NY, USA.
H Michael BelmontDepartment of Medicine, New York University School of Medicine, New York, NY, USA.ORCID 0000-0003-3389-2976
Mala MassonDepartment of Medicine, New York University School of Medicine, New York, NY, USA.
Heather T GoldDepartment of Medicine, New York University School of Medicine, New York, NY, USA.
Jill BuyonDepartment of Medicine, New York University School of Medicine, New York, NY, USA.
Peter IzmirlyDepartment of Medicine, New York University School of Medicine, New York, NY, USA.ORCID 0000-0001-5445-2182

Funding

Translational Center of Molecular Profiling in Preclinical and Established Lupus (COMPEL)P50AR070591 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI REIZIS, BORIS · 2017 to 2021
$6.7M
ACL HHS U01DP006700CDC HHSHHS U01 DP006700NCCDPHP CDC HHS U01 DP006700NCCDPHP CDC HHS U48 DP006396NIAMS NIH HHS P50 AR070591NIH HHS P50 AR07059The NYU Lupus Cohort
6 · The paper itself

Abstract

objectivesGlucagon-like peptide-1 receptor agonists (GLP1-RA) are an emerging class of medications with demonstrated promise in improving cardiometabolic outcomes. Whether these drugs may be useful in mitigating the cardiac risk associated with SLE remains unknown, and a recent case of drug-induced lupus secondary to GLP1-RA use calls the safety of GLP1-RAs in SLE patients into question. Accordingly, this retrospective analysis was initiated to evaluate outcomes of GLP1-RAs in SLE.

methodsAll patients in the NYU Lupus Cohort who had used a GLP1-RA were eligible for inclusion. Patient characteristics were assessed at baseline (most recent rheumatology visit prior to starting GLP1-RA), 1-4 months and 6-10 months after GLP1-RA initiation.

resultsOf the 1211 patients in the cohort, only 24 had received a GLP1-RA. Six were excluded due to insufficient documentation regarding duration of medication use. Of the remaining 18 (median age 50), 17 (94%) were female and nine (50%) were White. There was one mild-to-moderate flare at 6-10 months, but no patients accumulated new SLE criteria during the follow-up period. Compared with baseline, median BMI was reduced by 3% at 1-4 months (P = 0.002) and 13% at 6-10 months (P = 0.001). Nine (50%) patients were initially denied insurance coverage for a GLP1-RA.

conclusionWhile 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. Future studies exploring the potential benefits of GLP1-RAs in patients with SLE are warranted.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLupus Erythematosus, SystemicAdultExenatideFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeExenatideGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsGLP1-RAglucagon-like peptide-1 receptor agonistslupusobesitySLE

Identifiers

PMID39388251
PMCPMC12048073

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.