Evidence map›Paper›PMID 39438251›Full record

ArticleInflammatory bowel diseases2025

GLP-1 Receptor Agonists Confer No Increased Rates of IBD Exacerbation Among Patients With IBD.

Irving Levine, Shaina Sekhri, William Schreiber-Stainthorp, Brandon Locke, Olivia Delau, Mohamed Elhawary, Krutika Pandit, Xucong Meng, Jordan Axelrad

Abstract read
In one paragraph

Article in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Glucagon-like peptide 1 analogues in patients with inflammatory bowel disease with metabolic disorders: More than weight loss?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  5. Inflammatory Bowel Disease in Children and Young People Living With Overweight or Obesity: A Critical Narrative Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  6. Obesity: An Overlooked Factor in Inflammatory Bowel Disease.International journal of molecular sciences · 2026
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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

9 authors.

Irving LevineDivision of Gastroenterology, Department of Medicine, NYU Langone Health, Manhattan, NY 10016, USA.ORCID 0000-0003-4922-1835
Shaina SekhriDivision of Gastroenterology, Department of Medicine, NYU Langone Health, Manhattan, NY 10016, USA.
William Schreiber-StainthorpDepartment of Medicine, NYU Langone Health, Manhattan, NY 10016, USA.ORCID 0000-0002-7386-8754
Brandon LockeNew York University, Manhattan, NY 10003, USA.
Olivia DelauInflammatory Bowel Disease Center, NYU Langone Health, New York, NY 10016, USA.
Mohamed ElhawaryInflammatory Bowel Disease Center, NYU Langone Health, New York, NY 10016, USA.
Krutika PanditNYU Grossman School of Medicine, Manhattan, NY 10016, USA.
Xucong MengNYU Grossman School of Medicine, Manhattan, NY 10016, USA.
Jordan AxelradInflammatory Bowel Disease Center, NYU Langone Health, New York, NY 10016, USA.ORCID 0000-0003-1951-7790

Funding

The Role of Enteric Infection in Flares of Inflammatory Bowel DiseaseK23DK124570 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AXELRAD, JORDAN ERIC · 2021 to 2025
$998k
Crohn's and Colitis FoundationNIDDK NIH HHS K23 DK124570
6 · The paper itself

Abstract

backgroundIn patients with inflammatory bowel disease (IBD), multimorbidity with obesity and type 2 diabetes is common and increasing. Glucagon-like peptide 1 (GLP-1) receptor agonists are increasingly being prescribed for patients with IBD, yet their impact on patients with IBD is largely unknown. We aimed to assess the impact of GLP-1 receptor agonists on the course of IBD.

methodsWe identified all IBD patients prescribed GLP-1 receptor agonists at a large academic healthcare network between 2009 and 2023. We analyzed demographics and IBD characteristics in the year pre- and post-GLP-1 receptor agonist prescription and matched them to non-IBD controls. Our primary outcome was IBD exacerbation in the year following GLP-1 receptor agonist initiation, measured as a composite of IBD-related hospitalization, corticosteroid prescription, medication escalation or changes, or IBD-related surgery. Secondary outcomes included change in metabolic risk factors.

resultsOverall, 224 patients met inclusion criteria. At GLP-1 receptor agonist initiation, the median age was 54 years, 63% were female, 77% were White, and median BMI was 33.2 kg/m2. Compared to the 12-month period prior to GLP-1 receptor agonist initiation, in the 12 months post-GLP-1 receptor agonist initiation, there was no change in rates of IBD exacerbation, IBD-related hospitalization, steroids prescription, medication escalation or changes, or IBD-related surgery. There was a significant decrease in BMI in the year following GLP-1 receptor agonist initiation (median BMI 33.5 vs 31.6 kg/m2, P < .01), with rates of decrease comparable to non-IBD matched controls.

conclusionsIn patients with IBD, GLP-1 receptor agonists are effective for weight loss and associated with few episodes of disease exacerbation.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsInflammatory Bowel DiseasesAdultAgedCase-Control StudiesDiabetes Mellitus, Type 2Disease ProgressionFemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsGLP-1 receptor agonistshealthcare maintenanceIBDobesity

Identifiers

PMID39438251
PMCPMC12476976

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.