Impact of GLP1RA on the Risk of Adverse Liver Outcomes Among Patients With Alcohol‐Associated Liver Disease and Type 2 Diabetes

Oct 15, 2024Liver international : official journal of the International Association for the Study of the Liver

GLP-1RA treatment and risk of liver problems in people with alcohol-related liver disease and type 2 diabetes

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Abstract

Among 14,730 patients, 2.2% had exposure to GLP-1RA.

  • Patients taking GLP-1RA had a lower incidence of hepatic decompensation (22.4%) compared to those not taking it (32.2%).
  • The incidence of hepatocellular carcinoma was significantly lower in GLP-1RA patients (0.3%) compared to non-GLP-1RA patients (3.9%).
  • There was no significant difference in the incidence of portal hypertension or liver transplantation between the two groups.
  • The overall incidence of was lower in the GLP-1RA cohort (12.0%) compared to the non-GLP-1RA cohort (21.0%).
  • An absolute incidence risk reduction of 9.0% was associated with GLP-1RA use.

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Key numbers

9.0%
Decrease in Incidence
Absolute incidence risk reduction with GLP-1RA use.
22.4%
Hepatic Decompensation Incidence
Incidence of hepatic decompensation in GLP-1RA vs. non-GLP-1RA patients.
0.3%
Hepatocellular Carcinoma Incidence
Incidence of hepatocellular carcinoma in GLP-1RA vs. non-GLP-1RA patients.

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