Type 2 & other diabetes

Risk of Anaphylaxis Among New Users of GLP-1 Receptor Agonists: A Cohort Study

Diabetes CarePublished Retrospective cohort study

Main finding · Anaphylaxis IR per 10,000 person-yearsResult — go to the resultUnadjusted incidence rate ratio 0.24 95% CI 0.01–1.35

Authors' conclusion

Anaphylaxis is rare with GLP-1 RAs. Lixisenatide is unlikely to confer higher risk of anaphylaxis than other GLP-1 RAs.

Study context

Population
Adult (≥18 years) new users of a GLP-1 RA with T2D and ≥6 months database enrollment before initiation, three US claims databases (2017–2021)
Participants
696,089 participants456,612 person-years
Exposure
Lixisenatide vs other GLP-1 RAs
Outcome
First anaphylaxis event during follow-up (validated algorithm); IR per 10,000 person-years
Methodological detailsthree US claims databases, new-user design, post hoc IRR analysis
  • Three US claims databases
  • New-user design
  • Post hoc IRR analysis

Main finding

Anaphylaxis IR per 10,000 person-years

Unadjusted incidence rate ratio

0.24

95% CI 0.01–1.35

By group

Lixisenatidevs Pooled other GLP-1 RAs
unadjusted IRR 0.24 (95% CI 0.01–1.35)

As reported in the abstract

Observational data: associations, not effects.

Original publication

Risk of Anaphylaxis Among New Users of GLP-1 Receptor Agonists: A Cohort Study. Diabetes Care. Published 16 February 2024. doi:10.2337/dc23-1911

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