RWID Multimodal · Pre-built research cohorts

GLP-1 Longitudinal Outcomes & Biomarkers Cohort

A large-scale real-world dataset integrating longitudinal clinical, imaging, and outcomes data for patients receiving GLP-1–based therapies — including semaglutide, tirzepatide, liraglutide, and dulaglutide — across care settings.

CT abdomen (NIH color map) showing body composition changes pre- and post-GLP-1 treatment. Visceral and subcutaneous fat distribution visualized longitudinally. De-identified.

5,900
Patients in cohort
2017–25
Time frame coverage
25+
Imaging-derived biomarkers
available for selection
Quarterly
Data refresh cycle
Dataset Specifications
What is in the GLP-1 and Body Composition Imaging Dataset

Structured EHR elements linked to imaging data and quantitative biomarkers, with timestamps aligned to treatment initiation and follow-up.

Therapeutic Area

Endocrinology & Metabolism

Disease Focus

Obesity · Type 2 Diabetes (T2D) · Obesity or overweight with comorbidity · T2D with inadequate glycemic control or CV risk

Treatment Types

GLP-1 receptor agonists · Dual GIP/GLP-1 receptor agonists

Imaging Modalities

DEXA (body composition, bone mineral) · MR abdomen (PDFF, elastography) · CT abdomen · CT coronary arteries · CT chest · US abdomen/liver

Clinical Data (EHR)

Demographics · diagnoses · procedures · medications · pharmacy dispensing · labs (HbA1c, lipids, liver enzymes)

Data Sources

Internal medicine · primary care · endocrinology · pharmacy dispensing · radiology (DICOM) · laboratory

Data Format & Compliance

Raw DICOMs and standardized derived measures · HIPAA de-identified · Provenance documentation built into acquisition · Timestamps aligned to treatment initiation and follow-up

Therapies Presented
GLP-1 and dual agonist therapies in the cohort

The dataset covers patients receiving the following therapies, enabling comparative effectiveness analyses across molecules and formulations.

Semaglutide

Ozempic® · Wegovy® · Rybelsus®
GLP-1 RA

Tirzepatide

Mounjaro® · Zepbound®
GIP / GLP-1 RA

Liraglutide

Victoza® · Saxenda®
GLP-1 RA

Dulaglutide

Trulicity®
GLP-1 RA

Applications
What this dataset enables

From longitudinal outcomes assessment to AI model development.

Longitudinal body composition assessment

Track GLP-1 effects on visceral fat, lean mass, and metabolic biomarkers over time, with imaging timestamps aligned to treatment initiation and follow-up milestones.

MASLD progression & regression

Characterize progression or regression of metabolic dysfunction-associated steatotic liver disease via PDFF, elastography, and liver steatosis grading across treatment cohorts.

Cardiovascular risk via imaging biomarkers

Assess coronary artery calcium, aortic calcification, and epicardial adipose tissue changes as cardiovascular surrogate endpoints in GLP-1 treated populations.

Comparative effectiveness

Assess coronary artery calcium, aortic calcification, and epicardial adipose tissue changes as cardiovascular surrogate endpoints in GLP-1 treated populations.

Treatment response prediction

Build predictive models using baseline imaging phenotypes to identify which patients are most likely to respond to specific GLP-1 therapies.

Safety monitoring & AI model development

Monitor muscle loss, hepatic changes, and bone density in real-world populations. Develop AI models for automated imaging feature extraction in cardiometabolic disease.

Biomarkers & Endpoints
25+ imaging-derived quantitative biomarkers available for selection

Both raw DICOMs and standardized derived measures, with timestamps aligned to treatment initiation and follow-up. Biomarker selection is tailored to your programme's endpoints and therapeutic objectives.

Body Composition
  • Visceral adipose tissue (VAT) volume
  • Subcutaneous adipose tissue (SAT) volume
  • VAT/SAT ratio
  • Total fat mass & lean mass
  • Total body fat %
  • Regional fat/lean mass
  • Waist circumference
Musculoskeletal
  • L3 skeletal muscle area
  • Muscle attenuation (HU)
  • Muscle fat infiltration (myosteatosis)
  • Bone mineral density (BMD)
  • Vertebral trabecular attenuation (L1)
Hepatic
  • Liver fat fraction (PDFF)
  • Liver stiffness (MR elastography)
  • Liver attenuation (HU)
  • Liver steatosis grading
  • Liver stiffness (transient elastography)
  • CAP (controlled attenuation parameter)
  • Pancreatic fat fraction
Cardiovascular
  • Coronary artery calcium (Agatston score)
  • Aortic calcification
  • Epicardial adipose tissue (EAT) volume
  • Whole-body fat fraction
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