GLP-1 receptor agonist use and weight change in patients with breast cancer Journal Article


Authors: Shen, S.; Liu, B.; Fanti, C.; Bromberg, M.; Chen, Y.; Chang, C.; Iyengar, N. M.
Article Title: GLP-1 receptor agonist use and weight change in patients with breast cancer
Abstract: Obesity and weight gain are associated with adverse outcomes following breast cancer diagnosis; some breast cancer treatments contribute to postdiagnosis weight gain. We evaluated patients with breast cancer who were prescribed a glucagon-like peptide-1 receptor agonist (GLP-1 RA), with follow-up weight data available. Weights were categorized by time from GLP-1 RA initiation; a linear mixed effects model with a random intercept for baseline weight was used to assess mean weight change at each time point. Among 75 patients, the median age was 52 years (range, 27-74), 62 (86%) were postmenopausal, and 59 (79%) had diabetes. Additionally, 68 (91%) patients had stage 0 to III breast cancer, and 62 (84%) had estrogen receptor-positive disease. The median body mass index (BMI) at baseline was 34 (range, 23-50). The mean weight change was-2.9 kg (95% CI, -4.1 to-1.7) at 6 months and-4.2 kg (95% CI, -5.5 to-2.9) at 12 months; mean weight change at 12 months was-5% (95% CI, -6%to-3%). In univariable and multivariable analyses, age, baseline BMI, diabetes, stage, histology, receptor status, menopausal status, and concurrent endocrine therapy use were not significantly associated with 5% or greater weight loss at 12 months. These results support the development of clinical trials to optimize the use and dosing of GLP-1 RAs for weight loss in patients with breast cancer.
Journal Title: Oncology (Norwalk)
Volume: 39
Issue: 7
ISSN: 0890-9091
Publisher: C M P Medica LLC * The Oncology Group  
Date Published: 2025-08-01
Start Page: 294
End Page: 296
Language: English
ACCESSION: WOS:001555905200005
PROVIDER: wos
PUBMED: 40834286
DOI: 10.46883/2025.25921046
Notes: Source: Wos
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  1. Cassandra Beatrice Chang
    19 Chang
  2. Sherry Shen
    28 Shen
  3. Yuan Chen
    45 Chen
  4. Bethina Liu
    2 Liu