Evidence mapPaperPMID 42131335Full record

ReviewFrontiers in immunology2026

Glucagon-like peptide-1 receptor agonists in psoriasis and psoriatic arthritis: emerging evidence and future research opportunities.

Giovanni Ciancio, Beatrice Maranini, Gilda Sandri, Gabriele Amati, Alessandra Bortoluzzi, Ettore Silvagni, Marcello Govoni, Dilia Giuggioli

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT06588296. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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.

NCT06588296 phase3completed

Efficacy and Safety of Ixekizumab or Ixekizumab Concomitantly Administered With Tirzepatide in Adult Participants With Active Psoriatic Arthritis and Obesity or Overweight: A Phase 3b, Randomized, Multicenter, Open-Label Study (TOGETHER-PsA)

Ran2024Enrolled279Registered outcomes4Posted comparisons0ConditionsObesity, Psoriatic ArthritisArmsIxekizumab, Tirzepatide
Open the trial in the graph
NCT06864026 phase4recruiting

A Phase 4, Prospective, Open-Label, Single-Arm Study to Assess the Effectiveness of Tirzepatide After Initiation of Ixekizumab in Adult Participants With Active Psoriatic Arthritis and Overweight or Obesity in Clinical Practice.

Ran2025Enrolled200Registered outcomes15Posted comparisons0ConditionsOverweight or Obesity, Psoriatic ArthritisArmsTirzepatide
Open the trial in the graph
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Giovanni CiancioChair of Rheumatology, University of Modena and Reggio Emilia, Modena, Italy.
Beatrice MaraniniDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Gilda SandriChair of Rheumatology, University of Modena and Reggio Emilia, Modena, Italy.
Gabriele AmatiRheumatology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Alessandra BortoluzziDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Ettore SilvagniDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Marcello GovoniDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Dilia GiuggioliChair of Rheumatology, University of Modena and Reggio Emilia, Modena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psoriasis (PsO) and psoriatic arthritis (PsA) are chronic immune-mediated diseases often associated with obesity, metabolic syndrome, and type 2 diabetes mellitus. Glucagon-like peptide-1 receptor agonists (GLP-1RAs), initially developed for T2DM, exert both metabolic and anti-inflammatory effects, which may offer therapeutic benefits for psoriatic disease, particularly in the early stages of PsA. Objectives: This review aims to evaluate the current evidence on GLP-1RAs in PsO and PsA, examine the underlying pathophysiological mechanisms, and highlight key areas for future research, with a particular emphasis on early PsA as a critical window for intervention. Methods: A narrative review in accordance with current methodological guidance was conducted on published studies concerning GLP-1RAs in PsO and PsA, including preclinical, clinical, and mechanistic research. Results: Several studies show that GLP-1RAs, particularly liraglutide and semaglutide, improve PsO severity, metabolic parameters, and inflammatory markers. These benefits extend beyond weight loss, suggesting a direct immunomodulatory effect. Two open-label trials in PsA patients with obesity indicated improvements in disease activity (MDA) alongside metabolic benefits. The trials, NCT06588296 (TOGETHER-PsA) and NCT06864026 (TOGETHER AMPLIFY-PsA), assessed ixekizumab with and without tirzepatide. However, evidence in PsA remains limited, with most studies constrained by small sample sizes and short follow-up periods. To date, no studies have specifically investigated GLP-1RAs in early PsA; however, early-stage disease may represent an optimal treatment window for maximizing therapeutic effects based on immunometabolic rationale. Conclusions: GLP-1RAs show promising effects in PsO and early-PsA may represent a potential treatment window for maximizing therapeutic effects based on immunometabolic rationale, although this concept requires validation in dedicated clinical studies.

Indexed as

Arthritis, PsoriaticGlucagon-Like Peptide-1 Receptor AgonistsPsoriasisAnimalsGlucagon-Like Peptide-1 ReceptorGlucagon-Like PeptidesHumansSemaglutideTreatment OutcomeGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesSemaglutidebiologic therapyearly psoriatic arthritisGLP-1 receptor agonistsinflammationmetabolic syndromepsoriasis

Identifiers

PMID42131335
PMCPMC13161150

What Socratic holds

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LicenceCC BY
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Registered trials

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.