Safety and Effectiveness of Glucagon-like Peptide-1 Receptor Agonists in Inflammatory Bowel Disease.

Anderson, Scott R; Ayoub, Malek; Coats, Sarah; McHenry, Scott; Tan, Tingyi; Deepak, Parakkal · Am J Gastroenterol · 2025

retrospective_cohort · Level III

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Abstract

The safety and effectiveness of glucagon-like peptide receptor agonists (GLP1-RA) in patients with inflammatory bowel disease (IBD) are poorly understood. Patients with IBD treated with GLP1-RA were retrospectively identified for outcomes of adverse events, weight change, and clinical, endoscopic, and biomarker response. Among a total of 120 patients with IBD, gastrointestinal side effects being the most common (11.5%). Semaglutide showed the most significant weight reduction. C-reactive protein levels decreased after one year ( P = 0.005). No differences were observed in IBD-related hospitalizations or endoscopic scores. GLP1-RA therapy appears safe and effective, with an associated C-reactive protein reduction, in patients with IBD.

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