Obesity

Postmarketing Safety Signals and Medication‐Use Risks of GLP ‐1‐Based Therapies in Diabetes and Obesity: A Multi‐Source Pharmacovigilance and Regulatory Evidence‐Mapping Study

Diabetes Obes MetabPublished Pharmacovigilance study

Authors' conclusion

Multi-source pharmacovigilance can improve interpretation of GLP-1 postmarketing safety evidence in diabetes and obesity care.

Study context

Population
GLP-1 primary-suspect case-product records in FDA Adverse Event Reporting System (FAERS), 2021Q1 through 2026Q1, in diabetes and obesity care
Participants
243,114 case-product records
Comparison
Tirzepatide vs Semaglutide vs Dulaglutide vs Liraglutide vs Exenatide vs Lixisenatide
  • Tirzepatiden = 133,100
  • Semaglutiden = 55,619
  • Dulaglutiden = 38,406
Outcome
Postmarketing safety signals and medication-use risks
Methodological detailsmulti-source, FAERS disproportionality analysis (reporting odds ratios, proportional reporting ratios, approximate Information Component), regulatory evidence-mapping
  • Multi-source
  • FAERS disproportionality analysis (reporting odds ratios, proportional reporting ratios, approximate Information Component)
  • Regulatory evidence-mapping

Main finding

As reported in the abstract

  • Frequently reported terms: incorrect dose administered, nausea, injection-site pain, diarrhoea, vomiting, off-label use, extra dose administered
  • Prioritised domains: gastrointestinal intolerance, medication-use/device events, impaired gastric emptying, pancreatobiliary events, renal/dehydration events, hypoglycaemia
  • Canada Vigilance and FDA labelling/SrLC mapping showed descriptive visibility for most major domains; medication-use terms reflected use-process rather than conventional adverse-drug-reaction issues
  • Within 8 995 547 background reports
  • No data source used to estimate incidence, comparative risk or causality

Original publication

Postmarketing Safety Signals and Medication‐Use Risks of GLP ‐1‐Based Therapies in Diabetes and Obesity: A Multi‐Source Pharmacovigilance and Regulatory Evidence‐Mapping Study. Diabetes Obes Metab. Published 3 September 2026. doi:10.1111/dom.71303

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.