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Leveraging Real-World Evidence to Optimize Use of GLP-1-Based Therapies

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Event Details

Purpose

To identify gaps in our knowledge of the benefits and risks of GLP-1-based therapies and how they could be addressed using real-world evidence (RWE) to inform policy and clinical practice decisions.

Meeting Objectives

At the end of the workshop, participants will identify gaps and opportunities for future research on:

  1. Best practices for study designs of GLP-1-based therapies using RWE.
  2. Identifying and developing data sources for RWD studies, including strengths and limitations.
  3. Best practices for analytic methods to address issues specific to GLP-1-based therapies in studies using real-world data (RWD).
  4. Use of RWE in clinical decision-making and clinical guidelines development.
  5. Use of RWE for regulatory and healthcare policy decision-making

Background

GLP-1-based therapies have transformed the treatment landscape for both obesity and diabetes and offer new options for managing related complications such as major cardiovascular events and obstructive sleep apnea. Growing evidence from clinical trials and observational studies also suggests their potential for the prevention or treatment of multiple other chronic diseases ranging from liver, kidney, and heart disease to addiction, neurodegenerative disorders, and long COVID. With the rapidly increasing use of the relatively new class of GLP-1-based therapies, there is a critical need to identify rare but serious adverse effects, such as cancers and suicidal ideation, as well as health outcomes that may take years to develop and may not be captured in randomized clinical trials or detected through spontaneous reporting systems like the FDA Adverse Event Reporting System. Many questions remain about the use of GLP-1-based therapies in real-world settings, such as optimal treatment pathways for sustainable care, safety and effectiveness in specific subpopulations, heterogeneity of treatment response, and use in a broader range of clinical settings and presentations than those studied in clinical trials. Understanding the impact of GLP-1-based therapies on healthcare costs and benefits helps inform healthcare policy development. Real-world evidence (RWE) using real-world data (RWD) sources, including electronic health records (EHR) and claims data, offer the potential to answer many of these questions but also have significant limitations. In addition, challenges unique to GLP-1-based therapies, such as inadequate insurance coverage, medication shortages, compounded medications obtained outside of the healthcare system, and off-label uses require special consideration. This workshop aims to identify knowledge gaps in the optimal use of GLP-1-based therapies and how they could be addressed using real-world evidence (RWE).

Planning Committee

Craig Hales; National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Sue Yanovski; NIDDK
Voula Osganian; NIDDK
Kevin Abbott; NIDDK
Debbie Gipson; NIDDK
Maren Laughlin; NIDDK
Jean Lawrence; NIDDK
Chris Lynch; NIDDK
Ravi Ravichandran; NIDDK
Aynur Unalp-Arida; NIDDK
Kenneth Wilkins; NIDDK
Laurie Donze; National Heart, Lung, and Blood Institute (NHLBI)
Lindsay Pool; NHLBI
Candice Price; NHLBI
Mike Wolz; NHLBI
Laurie Donze; NIDDK
Lindsay Pool; NIDDK
Candice Price; NIDDK
Mike Wolz; National Heart, Lung, and Blood Institute (NHLBI)
Aaron Pawlyk; National Institute of Child Health and Human Development (NICHD)
Ed Sauter; National Cancer Institute (NCI)
Mir Ali; National Institute on Aging (NIA)
Mehdi Farokhnia; National Institute on Drug Abuse (NIDA)
Matt Rudorfer; National Institute of Mental Health (NIMH)
Kristy Nicks; National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Josh Fessel; National Center for Advancing Translational Sciences (NCATS)
Deborah Young-Hyman; NIH Office of Behavioral & Social Sciences Research (OBSSR)
Jeremy Green; NIH Office of Disease Prevention (ODP)
Edwina Wambogo; NIH Office of Dietary Supplements (ODS)
Drew Bremer; NIH Office of Nutrition Research (ONR)
Andrea Brandau; Patient-Centered Outcomes Research Institute (PCORI)
Alison Goodman; CDC, Division of Nutrition, Physical Activity, and Obesity
Robert Montierth; CDC, Division of Diabetes Translation 
Rui Li; CDC, Division of Diabetes Translation 
Osato Idubor; CDC, Division of Diabetes Translation 
Marie Bradley; FDA, Real World Evidence Program

Registration Deadline

May 1, 2025

Event Logistics

Registration

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Location

NIH Campus
Building 31
Bethesda, MD 20

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Webinar

This is a hybrid workshop. Virtual participation is available. For those attending via webinar, the link will be distributed via email prior to the date of the event.

Contacts

Program Contact
Craig Hales
craig.hales@nih.gov

Meeting Logistics
Danielle Johnikin, CGMP, DES
The Scientific Consulting Group, Inc.
301-670-4990

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