Evidence map›Paper›PMID 40951542›Full record

ArticleTherapeutic advances in neurological disorders2025

GLP-1 receptor agonists in Parkinson's disease progression: a meta-analysis with trial sequential analysis of randomized controlled trials.

Wen-Wen Tsai, Kuan-Hsien Lu, Jheng-Yan Wu, Min-Hsiang Chuang, Jui-Yi Chen, Chih-Cheng Lai, Kuo Chuan Hung, Meng-Tsang Hsieh

Abstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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.

Wen-Wen TsaiDepartment of Neurology, Chi-Mei Medical Center, Tainan, Taiwan.ORCID https://orcid.org/0009-0001-1484-8016
Kuan-Hsien LuDepartment of Neurology, Chi-Mei Medical Center, Tainan, Taiwan.
Jheng-Yan WuDepartment of Nutrition, Chi Mei Medical Center, Tainan, Taiwan.
Min-Hsiang ChuangDivision of Nephrology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Jui-Yi ChenDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chih-Cheng LaiDepartment of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Kuo Chuan HungDepartment of Anesthesiology, Chi Mei Medical Center, Tainan, Taiwan.
Meng-Tsang HsiehDepartment of Neurology, Chi Mei Medical Center, No. 901, Zhonghua Road, Yongkang District, Tainan City 710, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have emerged as potential neuroprotective agents for Parkinson's disease (PD). However, evidence regarding their efficacy remains inconclusive. Objective: To assess the therapeutic effects and safety profile of GLP-1 RAs in patients with mild-to-moderate PD. We aim to conduct an updated systematic review to evaluate the effects of GLP-1 RAs in patients with mild-to-moderate PD. Design: Systematic review and meta-analysis of randomized controlled trials (RCTs) with trial sequential analysis (TSA) and Grading of Recommendations, Assessment, Development, and Evaluations certainty assessment. Data sources: PubMed, Embase, and the Cochrane Library were searched through April 14, 2025. Methods: We conducted a systematic review and meta-analysis of RCTs with TSA comparing GLP-1 RAs to placebo in patients with mild-to-moderate PD. The primary outcome was change in the Movement Disorder Society-unified Parkinson's Disease Rating Scale (MDS-UPDRS) scores. Results: Five RCTs involving a total of 708 nondiabetic patients with mild-to-moderate PD were included. GLP-1 RAs significantly attenuated motor symptom progression, as evidenced by a mean difference in MDS-UPDRS Part III (off medication) of -2.06 (95% confidence interval (CI): -4.09; -0.03; Conclusion: GLP-1 RAs may provide a modest benefit in slowing motor progression in PD. However, their effects on nonmotor symptoms, medication use, and long-term safety remain uncertain due to the limited number of available trials. Further large-scale, long-duration trials are warranted. Trial registration: INPLASY2024110119.

Indexed as

GLP-1 RAsmeta-analysismotor symptomsneuroprotectionParkinson’s diseasesystematic review

Identifiers

PMID40951542
PMCPMC12426393

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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.