Cellular and Molecular Medicine Research, ISSN 2817-6359 online, Open Access
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Original Article

Volume 3, Number 2, December 2025, pages 25-34


Glucagon-Like Peptide-1 Receptor Agonists in People With Human Immunodeficiency Virus: An Expanded Meta-Analysis of Metabolic Outcomes

Figures

↓  Figure 1. Forest plot: weight change (kg). The forest plot illustrates the random-effects meta-analysis model for weight change (kg) associated with GLP-1 RAs among people with HIV. Values are presented as effect sizes (dunbiased) and 95% confidence intervals. HIV: human immunodeficiency virus; GLP-1 RAs: glucagon-like peptide-1 receptor agonists; RE: random effects.
Figure 1.
↓  Figure 2. Forest plot: BMI change. The forest plot illustrates the random-effects meta-analysis model for BMI change associated with GLP-1 RAs among people with HIV. Values are presented as effect sizes (dunbiased) and 95% confidence intervals. HIV: human immunodeficiency virus; GLP-1 RAs: glucagon-like peptide-1 receptor agonists; BMI: body mass index; RE: random effects.
Figure 2.
↓  Figure 3. Forest plot: HbA1c change. The forest plot illustrates the random-effects meta-analysis model for HbA1c change associated with GLP-1 RAs among people with HIV. Values are presented as effect sizes (dunbiased) and 95% confidence intervals. HIV: human immunodeficiency virus; GLP-1 RAs: glucagon-like peptide-1 receptor agonists; HbA1c: hemoglobin A1c; RE: random effects.
Figure 3.
↓  Figure 4. Moderator effect sizes for weight (kg). The forest plot illustrates the random-effects meta-analysis model for moderators of weight change (kg) associated with GLP-1 RAs among people with HIV. Values are presented as effect sizes (dunbiased) and 95% confidence intervals. HIV: human immunodeficiency virus; INSTI: integrase strand transfer inhibitor; GLP-1 RA: glucagon-like peptide 1 receptor agonist; RE: random effects.
Figure 4.
↓  Figure 5. Moderator effect sizes for BMI. The forest plot illustrates the random-effects meta-analysis model for moderators of BMI change associated with GLP-1 RAs among people with HIV. Values are presented as effect sizes (dunbiased) and 95% confidence intervals. HIV: human immunodeficiency virus; INSTI: integrase strand transfer inhibitor; BMI: body mass index; GLP-1 RA: glucagon-like peptide 1 receptor agonist; RE: random effects.
Figure 5.
↓  Figure 6. Moderator effect sizes for HbA1c. The forest plot illustrates the random-effects meta-analysis model for moderators of HbA1c change associated with GLP-1 RAs among people with HIV. Values are presented as effect sizes (dunbiased) and 95% confidence interval. HIV: human immunodeficiency virus; INSTI: integrase strand transfer inhibitor; BMI: body mass index; GLP-1 RA: glucagon-like peptide 1 receptor agonist; HbA1c: hemoglobin A1c; RE: random effects.
Figure 6.

Table

↓  Table 1. Characteristics of Included Studies
 
Study Nazarenko, 2024 [24] Cattaneo et al, 2025 [25] Saeedi et al, 2015 [26] Behuhuma et al, 2025 [27] Lloyd et al, 2023 [28] Lake et al, 2024 [22] Eckard et al, 2024 [20] Nguyen et al, 2024 [23] Haidar et al, 2024 [21] Bottanelli et al, 2024 [19]
aControlled study. BMI: body mass index; CT: clinical trial; DG: dulaglutide; EX: exenatide; LG: liraglutide; RS: retrospective study; SG: semaglutide; T2D: type 2 diabetics; TZ: tirzepatide; N/A: not available; INSTI: integrase strand transfer inhibitor; GLP-1 RA: glucagon-like peptide 1 receptor agonist.
Study type RS RS RSa CT RS CT CTa RS RS RS
Subjects with HIV 180 25 62 40 15 49 54 227 222 15
Duration (months) 25.38 7.53 6 2.76 N/A 5.5 7.4 13.9 12 12
T2D (%) 82.0 100.0 51.6 0.0 100.0 0.0 0.0 56.9 77.0 100.0
Baseline BMI (kg/m2) N/A 28.1 N/A 39 N/A 35.5 32.4 34.2 35.5 30.2
Male (%) 51.67 74.00 91.90 3.00 86.70 57.10 70.40 82.20 83.80 86.70
Female (%) 48.33 26.00 8.10 97.00 13.30 36.70 29.60 17.80 16.20 13.30
Mean age 58.2 65 55 38 56 50.7 50 54.1 52.8 58.1
INSTI (%) N/A 100.00 30.50 100.00 86.60 82.00 83.00 74.90 82.40 33.30
GLP-1 RA SG 50.5%; LG 4%; DG 45.5% SG 32%; LG 8%; DG 52%; EX 8% LG 100% LG 100% DG 73.3%; SG 13.3%; LG 13.3% SG 100% SG 100% SG 59.2%; LG 3.1%; DG 30.7%; EX 0.9%; TZ 6.2% SG 100% SG 20%; LG 33.3%; DG 46.7%