Evidence map›Paper›PMID 40067438›Full record

SynthesisNaunyn-Schmiedeberg's archives of pharmacology2025

Efficacy and safety of GLP-1 agonists in Parkinson's disease: a systematic review and meta-analysis of randomized controlled trials.

Mark Messak, Ahmed Abdelmageed, Abdelrahman A Senbel, Youssef A Khattab, Youssef Mandour, Omar Shaker, Ahmed Hamed Rehan, Samir Oransa, Mohamed Nasr, Abdullah Emad Shabeeb and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Naunyn-Schmiedeberg's archives of pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Efficacy and safety of GLP-1 receptor agonists in Parkinson's disease: a systematic review and meta-analysis of randomized clinical trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Efficacy of GLP-1 receptor agonists in Parkinson's disease: a systematic review and exploratory network meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  3. Pooled it
  4. From diabetes to dopamine: Evaluating the disease-modifying potential of GLP-1 receptor agonists in Parkinson's disease. A systematic review and meta-analysis of placebo-controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Review
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Mark Messak *Faculty of Medicine, Helwan University, Helwan, Egypt. markwael2003@gmail.com.
Ahmed Abdelmageed *Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Abdelrahman A SenbelFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Youssef A KhattabFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Youssef MandourFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Omar ShakerFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Ahmed Hamed RehanFaculty of Medicine, Cairo University, Cairo, Egypt.
Samir OransaFaculty of Medicine, Delta University, Gamasa, Egypt.
Mohamed NasrFaculty of Medicine, Delta University, Gamasa, Egypt.
Abdullah Emad ShabeebFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Ziyad RezqFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Fares HossamFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Moaz Elsayed AbouelmagdFaculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent trends suggest exploring the repurposing of different drugs for Parkinson's disease patients (PD). One of these drugs is Glucagon-like peptide-1 (GLP-1), a medication used to treat type 2 diabetes mellitus. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of different forms of GLP-1 agonists on motor and non-motor functions of PD patients during ON-medication and OFF-medication states. A literature search was conducted through PubMed, Scopus, Web of Science, OVID, Cochrane Central, and Google Scholar using relevant keywords. Quality assessment was performed using the Risk of Bias-2 (RoB-2) domains. Statistical analysis included calculating the mean difference (MD) and the corresponding 95% confidence intervals (CIs) using Review Manager 5.4.1. Four randomized controlled trials (RCTs) testing three different forms of GLP-1 agonists with a total of 514 patients were included in the study. GLP-1 agonists significantly improved motor function during the OFF-medication state (MD =  - 3.29, 95% CI [- 5.17 to - 1.42], P = 0.0006). It does not show improvement in quality of life assessed by PDQ-39 (MD =  - 0.54, 95% CI [- 2.07 to 0.99], P = 0.49). None of the adverse effects stated in the RCTs were higher in the GLP-1 agonists group except for nausea (RR = 1.98, P = 0.0008), vomiting (RR = 6.65, P = 0.0008), constipation (RR = 1.45, P = 0.01), and weight loss (RR = 2.11, P = 0.03). This systematic review and meta-analysis provide evidence that GLP-1 agonists could improve the motor function of PD patients. However, safety is still of concern. Further high-quality studies with standardized protocols and larger sample sizes are needed to confirm our findings.

Indexed as

Antiparkinson AgentsGlucagon-Like Peptide 1Parkinson DiseaseHumansRandomized Controlled Trials as TopicTreatment OutcomeAntiparkinson AgentsGlucagon-Like Peptide 1ExenatideGlucagon-like peptide-1LixisenatideParkinson’s disease

Identifiers

PMID40067438
PMCPMC12350457

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.