Evidence map›Paper›PMID 39648063›Full record

ArticleTransplantation proceedings2025

Tolerability and Effectiveness of Glucagon-Like Peptide-1 Receptor Agonists in Lung Transplant Recipients: A Single Center Report.

Claire E Fishman, Ciara Walshe, Tamara Claridge, Stephanie Witek, Krishna Pandya, Jason D Christie, Joshua M Diamond, Michaela R Anderson

Abstract read
In one paragraph

Article in Transplantation proceedings, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
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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.

Claire E FishmanDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Ciara WalsheDepartment of Pharmacy, Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Tamara ClaridgeDepartment of Pharmacy, Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Stephanie WitekDepartment of Pharmacy, Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Krishna PandyaPulmonary, Allergy, and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jason D ChristiePulmonary, Allergy, and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Joshua M DiamondPulmonary, Allergy, and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Michaela R AndersonPulmonary, Allergy, and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: michaela.anderson@pennmedicine.upenn.edu.

Funding

Cardiology & pulmonary research training grantT32HL007891 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Jason D Christie · 1998 to 2026
$12.0M
Role of visceral adipose tissue in frailty among patients with Idiopathic Pulmonary FibrosisK23HL150280 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ANDERSON, MICHAELA RESTIVO · 2020 to 2024
$854k
NHLBI NIH HHS K23 HL150280NHLBI NIH HHS L30 HL143645NHLBI NIH HHS T32 HL007891
6 · The paper itself

Abstract

introductionDiabetes and obesity increase risk of death after lung transplantation. Optimal treatment of diabetes and obesity may improve post-transplant outcomes. Glucagon-like peptide-1 receptor agonists (GLP-1RA) are FDA-approved to treat diabetes and obesity and demonstrate improvement in renal and cardiovascular outcomes in the general population. However, side effects may limit tolerability in lung transplant recipients. We hypothesized that GLP-1RA would be stopped due to side effects in a higher proportion of lung transplant recipients compared to the general population but result in weight loss for those who were able to tolerate them.

methodsWe performed a single-center case series of lung transplant recipients initiated on a GLP-1RA post-transplant between April 1, 2005 and December 31, 2023. We assessed side effects and complications during GLP-1RA use. Weight was assessed at time of GLP-1RA initiation and 3-, 6-, and 12-months postinitiation.

resultsFifty-nine lung transplant recipients initiated a GLP-1RA during the study period with a median (IQR) total time of use of 590 (280-891) days. Thirty-seven percent (22/59) stopped the medication due to side effects, with nausea and vomiting being most common. The median (IQR) percent change in weight at 12-months post-GLP-1RA initiation was -2.5% (-8.7% to 1.5%). DISCUSSION: We report the largest study evaluating GLP-1RA use in lung transplant recipients. Discontinuation rates are higher and weight loss is lower than in the general population. However, most lung transplant recipients tolerated long-term use of GLP-1RA. Further work is required to identify which recipients are most likely to benefit and how to optimize tolerability.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLung TransplantationObesityAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTransplant RecipientsTreatment OutcomeWeight LossGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic Agents

Identifiers

PMID39648063
PMCPMC11867881

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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.