Obesity

Efficacy and Safety of Glucagon-Like Peptide 1 Agonists in a Retrospective Study of Patients With Familial Partial Lipodystrophy

Diabetes CarePublished Retrospective cohort study

Authors' conclusion

Our study demonstrates the relative safety and effectiveness of GLP-1RA in patients with FPLD.

Study context

Population
Patients with familial partial lipodystrophy (FPLD) (aged 58 ± 12 years; 76.47% female) and patients with T2D (aged 58 ± 13 years; 71% female) starting GLP-1 RA
Participants
14 vs 14
Exposure
GLP-1 RA in FPLD vs T2D, before and 6 months after starting
  • FPLDn = 14
  • Type 2 diabetes mellitus (DM)n = 14reference
Outcome
Change in FPLD before vs 6 months after starting GLP-1 RA
Follow-up
6 months

Main finding

As reported in the abstract

Weight reduction in FPLD, kg (mean ± SD), before to after; P = 0.002

95 ± 23 to 91 ± 22

BMI reduction in FPLD, kg/m² (mean ± SD), before to after; P = 0.001

33 ± 6 to 31 ± 6

HbA1c reduction in FPLD (mean ± SD), before to after; P = 0.02

8.2% ± 1.4% to 7.7% ± 1.4%

Fasting glucose reduction in FPLD, mg/dL (mean ± SD), before to after; P = 0.04

186 ± 64 to 166 ± 53

Observational data: associations, not effects.

Further findings

OutcomeP value
Change in TG after treatmentChange greater with FPLDP = 0.02

Safety

Acute pancreatitis · with longer therapy — FPLD
2 events

Original publication

Efficacy and Safety of Glucagon-Like Peptide 1 Agonists in a Retrospective Study of Patients With Familial Partial Lipodystrophy. Diabetes Care. Published 1 February 2024. doi:10.2337/dc23-1614

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