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Study breakdown

Semaglutide Reduces Psoriasis Severity and Inflammation in Obese Diabetic Patients

Randomized Controlled TrialModerate evidence
The takeaway

Semaglutide reduced pro-inflammatory markers and improved psoriatic skin lesions in obese patients with type 2 diabetes in a randomized clinical trial.

Psoriasis improved

Semaglutide reduced both inflammatory blood markers and visible psoriatic skin lesions in obese diabetic patients

What the researchers found

Semaglutide reduced serum pro-inflammatory factors (CRP, cytokines, homocysteine) and improved psoriatic lesion severity in obese patients with type 2 diabetes.

Why it matters

Many patients have both diabetes and psoriasis. If semaglutide can treat both simultaneously, it simplifies treatment and addresses the shared inflammatory mechanisms driving both diseases.

The numbers in context

31 patients: 15 semaglutide + metformin, 16 control (metformin alone). 12-week trial. Psoriasis severity and CRP, cytokines, and homocysteine measured.

How the study worked

Open-label, randomized clinical trial investigating semaglutide effects on serum inflammatory markers and psoriasis clinical severity in obese T2D patients.

Who was studied

Obese adults with T2D and psoriasis

What this study cannot tell us

Open-label design — patients and clinicians knew who received semaglutide, potentially biasing assessments. Cannot separate anti-inflammatory effects from weight loss effects on psoriasis.

How to read the evidence

Randomized clinical trial, though open-label design is a limitation. Provides stronger evidence than observational reports of skin improvements with GLP-1 drugs.

When this study was published

Published in 2025, providing randomized trial evidence for GLP-1 drug effects on psoriasis.

The bigger picture

This adds to evidence that GLP-1 drugs have systemic anti-inflammatory effects that benefit conditions far beyond diabetes, including autoimmune skin diseases.

Questions still open

  • Would semaglutide help psoriasis patients who do not have diabetes?
  • How does semaglutide's psoriasis benefit compare to dedicated biologic psoriasis treatments?

Common questions

Can semaglutide help with psoriasis?
This randomized trial found semaglutide reduced inflammatory markers and improved psoriasis severity in obese diabetic patients. The anti-inflammatory effects of GLP-1 drugs appear to benefit the skin as well as metabolism.
Is psoriasis connected to diabetes?
Yes. Both conditions involve chronic inflammation, and they share risk factors like obesity. Having one increases the risk of the other, and treating the shared inflammatory pathways may benefit both conditions.

Read the original research

Effects of Semaglutide Treatment on Psoriatic Lesions in Obese Patients with Type 2 Diabetes Mellitus: An Open-Label, Randomized Clinical Trial.

Biomolecules, 15(1)

Citation

Petković-Dabić, Jelena; Binić, Ivana; Carić, Bojana; Božić, Ljiljana; Umičević-Šipka, Sanja; Bednarčuk, Nataša; Dabić, Saša; Šitum, Mirna; Popović-Pejičić, Snježana; Stojiljković, Miloš P; Škrbić, Ranko. (2025). Effects of Semaglutide Treatment on Psoriatic Lesions in Obese Patients with Type 2 Diabetes Mellitus: An Open-Label, Randomized Clinical Trial.. Biomolecules, 15(1). https://doi.org/10.3390/biom15010046