Effect of GLP-1 Receptor Agonists on Patients with Thyroid Carcinomas Undergoing Active Surveillance

Armando Patrizio1, Samantha K Newman1, R Michael Tuttle1

  • 1Endocrinology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA.

PubMed
Abstract

Insights

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) did not impact tumor growth in patients with low-risk papillary thyroid cancer on active surveillance. Further research is needed to confirm the safety of GLP-1RA use in thyroid cancer patients.

Area of Science:

  • Endocrinology
  • Oncology
  • Metabolic Diseases

Background:

  • Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are established treatments for diabetes and obesity.
  • The impact of GLP-1RAs on nonmedullary thyroid malignancies is not well understood.

Purpose of the Study:

  • To investigate the effect of GLP-1RA exposure on tumor kinetics in patients with low-risk papillary thyroid carcinoma under active surveillance.

Main Methods:

  • A retrospective observational cohort study compared 18 patients with papillary thyroid carcinomas exposed to GLP-1RA with 37 control patients not exposed.
  • Tumor kinetics were assessed over a median follow-up of 5.5 years, with significant growth defined by diameter change ≥3 mm or volume change >72%.

Main Results:

  • No significant difference in tumor growth kinetics was observed between the GLP-1RA exposed group (10.5% significant growth) and the unexposed group (2.6% significant growth) (P = .53).
  • GLP-1RA exposure did not alter tumor volume growth rates in the few tumors that did increase in size.

Conclusions:

  • GLP-1RA therapy does not appear to affect tumor growth kinetics in patients with low-risk papillary thyroid carcinoma undergoing active surveillance.
  • Larger studies with longer follow-up are necessary to confirm the safety of GLP-1RA use in patients with thyroid carcinomas on active surveillance.

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