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1 ), REWIND (dulaglutide), and PIONEER 6 (oral semaglutide).
2 outcome that confirmed the noninferiority of semaglutide.
3 weekly for 24 weeks followed by 24 weeks off semaglutide.
4 ence of heterogeneity in the effects of oral semaglutide.
5 ne or in combination with the GLP-1 analogue semaglutide.
6 sus subcutaneous injection of GLP-1R agonist semaglutide.
7 nd reduced total cost by $33 583 relative to semaglutide.
8 iving tirzepatide and 4823 (52.5%) receiving semaglutide.
9 agonist semaglutide but are needed for oral semaglutide.
10 lutide or placebo were more common with oral semaglutide.
11 but nonsignificant percentage of patients on semaglutide 0.4 mg versus placebo achieving the secondar
13 standard-care regimen to receive once-weekly semaglutide (0.5 mg or 1.0 mg) or placebo for 104 weeks.
14 o either once-weekly subcutaneously injected semaglutide (0.5 mg or 1.0 mg), or volume-matched placeb
16 2018, 788 patients were randomly assigned to semaglutide 1.0 mg (394 patients) or canagliflozin 300 m
19 eractive web response system to subcutaneous semaglutide 1.0 mg once weekly or oral canagliflozin 300
20 re enrolled and randomly assigned to receive semaglutide 1.0 mg or placebo (full analysis set), of wh
21 domly assigned (1:1) to receive subcutaneous semaglutide 1.0 mg or volume-matched placebo once weekly
23 dent range, -0.7% to -1.9%) and subcutaneous semaglutide (-1.9%) and placebo (-0.3%); oral semaglutid
24 (1c) at week 26 was -1.2% (SE 0.1) with oral semaglutide, -1.1% (SE 0.1) with subcutaneous liraglutid
27 an [SD] age 58.2 [10.8] years) received oral semaglutide 14 mg (n=536), 25 mg (n=535), or 50 mg (n=53
28 ported by 404 (76%) participants in the oral semaglutide 14 mg group, 422 (79%) in the 25 mg group, a
29 inical trials were identified-orlistat (22), semaglutide (14), liraglutide (11), tirzepatide (6), nal
30 was reported in 16 (13%) who received 0.5 mg semaglutide, 14 (11%) who received 1.0 mg semaglutide, a
33 Compared to placebo, patients treated with semaglutide 2.4 mg had lower rates of all-cause death, d
36 ght reduction of at least 5% at 68 weeks for semaglutide 2.4 mg versus placebo, assessed by intention
38 Concomitant treatment with cagrilintide and semaglutide 2.4 mg was well tolerated with an acceptable
39 ilintide, a long-acting amylin analogue, and semaglutide 2.4 mg, a glucagon-like peptide-1 analogue,
40 evidence synthesis of the following agents: semaglutide 2.4 mg, liraglutide 3.0 mg, phentermine-topi
41 n=11) or placebo (n=24), in combination with semaglutide 2.4 mg, of whom 95 were exposed to treatment
45 ed a 20-week run-in period with subcutaneous semaglutide, 2.4 mg once weekly, maintaining treatment w
47 ive cagrilintide-semaglutide, 302 to receive semaglutide, 302 to receive cagrilintide, and 705 to rec
48 , with 2108 assigned to receive cagrilintide-semaglutide, 302 to receive semaglutide, 302 to receive
49 was reported in 26 (20%) who received 0.5 mg semaglutide, 31 (24%) who received 1.0 mg semaglutide, a
50 ng 41 222 adults meeting the study criteria (semaglutide, 32 029; tirzepatide, 9193), 18 386 remained
51 isted of 362 participants assigned to 0.5 mg semaglutide, 360 to 1.0 mg semaglutide, and 360 to insul
52 observation) of serious adverse events with semaglutide (43.23, 43.54, 51.07 and 47.06 for semagluti
53 Adverse events were more frequent with oral semaglutide 50 mg (307 [92%] of 334) than with placebo (
54 reduction of at least 5% at week 68 for oral semaglutide 50 mg versus placebo, assessed regardless of
56 range, -2.1 kg to -6.9 kg) and subcutaneous semaglutide (-6.4 kg) vs placebo (-1.2 kg), and signific
57 m(2) (5.0) were randomly assigned to receive semaglutide (8803 [50.0%] patients) or placebo (8801 [50
58 rial, we compared the efficacy and safety of semaglutide (a GLP-1 receptor agonist) with canagliflozi
61 A once-weekly, 2.4-mg dose of subcutaneous semaglutide, a glucagon-like peptide-1 receptor agonist,
63 43% of participants (12 of 28) treated with semaglutide achieved low-risk HbA1c levels (<5.4%) vs 3%
64 8.17% (SD 0.89), at week 30, 0.5 and 1.0 mg semaglutide achieved reductions of 1.21% (95% CI 1.10-1.
65 45 kg (SD 21.79); at week 30, 0.5 and 1.0 mg semaglutide achieved weight losses of 3.47 kg (95% CI 3.
66 utide also confer cardiorenal benefits, with semaglutide additionally effective at reducing weight.
67 the glucagon-like peptide-1 receptor agonist semaglutide also confer cardiorenal benefits, with semag
68 peptide-1 receptor agonists liraglutide and semaglutide also reduced CV death and/or major adverse C
69 e -0.38% (95% CI -0.52 to -0.24) with 0.5 mg semaglutide and -0.81% (-0.96 to -0.67) with 1.0 mg sema
70 -4.62 kg (95% CI -5.27 to -3.96) with 0.5 mg semaglutide and -6.33 kg (-6.99 to -5.67) with 1.0 mg se
71 reported by 16 (4%) participants with 0.5 mg semaglutide and 20 (6%) with 1.0 mg semaglutide versus 3
72 maglutide (43.23, 43.54, 51.07 and 47.06 for semaglutide and 50.48, 49.66, 52.73 and 60.85 for placeb
73 g high BMI patients, approximately 58,000 on semaglutide and 66,000 on any GLP-1RA were compared to m
75 , the pharmacokinetic parameters of released semaglutide and bodyweight loss were determined in mice,
79 ts occurred in 38 (10%) of 392 patients with semaglutide and in 20 (5%) of 394 patients with canaglif
80 n occurred in 2.9% of the patients receiving semaglutide and in 3.9% of those receiving placebo (haza
81 comorbid obesity/type 2 diabetes, the use of semaglutide and liraglutide were associated with a subst
83 ieved in 81% vs 19% of patients treated with semaglutide and placebo, respectively (P < .001); improv
86 isenatide), LEADER (liraglutide), SUSTAIN 6 (semaglutide), and EXSCEL (extended-release exenatide).
87 (6 patients received liraglutide, 8 received semaglutide, and 1 received tirzepatide) and 4 received
88 mg semaglutide, 31 (24%) who received 1.0 mg semaglutide, and 10 (8%) who received placebo, and diarr
90 mg semaglutide, 16 (12%) assigned to 1.0 mg semaglutide, and 14 (11%) assigned to placebo discontinu
91 y, compared with 55 (15%) assigned to 1.0 mg semaglutide, and 26 (7%) assigned to insulin glargine.
95 adverse events-mostly gastrointestinal with semaglutide, and others such as skin and subcutaneous ti
96 Antiobesity drugs orlistat, liraglutide, semaglutide, and phentermine-topiramate vs no treatment.
104 on the coadministration of cagrilintide and semaglutide (called CagriSema) for weight management in
106 y without diabetes, once-weekly subcutaneous semaglutide compared with once-daily subcutaneous liragl
107 rweight or obesity, once-weekly subcutaneous semaglutide compared with placebo, used as an adjunct to
108 4 mg once weekly, maintaining treatment with semaglutide compared with switching to placebo resulted
111 49 (14%) participants assigned to 0.5 mg semaglutide discontinued treatment prematurely, compared
112 from baseline to week 26 decreased with oral semaglutide (dosage-dependent range, -0.7% to -1.9%) and
113 ctions in body weight were greater with oral semaglutide (dosage-dependent range, -2.1 kg to -6.9 kg)
114 placebo (-1.2 kg), and significant for oral semaglutide dosages of 10 mg or more vs placebo (dosage-
115 individualisation in clinical practice, oral semaglutide dose could be adjusted on the basis of presp
116 dication and renal function, to receive oral semaglutide (dose escalated to 14 mg once daily) or matc
117 on and country of origin, to once-daily oral semaglutide (dose escalated to 14 mg), once-daily subcut
118 er subcutaneous once-weekly 0.5 mg or 1.0 mg semaglutide (doses reached after following a fixed dose-
119 % CI, 0.31-0.82) analyses, but compared with semaglutide, dulaglutide had higher hazard of mortality
121 used (lixisenatide, liraglutide, exenatide, semaglutide, efpeglenatide, dulaglutide, albiglutide, an
122 med steatosis and fibrosis received ALT-801, semaglutide, elafibranor, or vehicle daily for 12 weeks
124 based background treatment (21 trials), oral semaglutide, empagliflozin, liraglutide, extended-releas
125 3.73 kg (95% CI -4.54 to -2.91) with 0.5 mg semaglutide (estimated treatment difference vs placebo -
126 ased by 4.53 kg (-5.34 to -3.72) with 1.0 mg semaglutide (estimated treatment difference vs placebo -
127 by 1.45% (95% CI -1.65 to -1.26) with 0.5 mg semaglutide (estimated treatment difference vs placebo -
128 reased by 1.55% (-1.74 to -1.36) with 1.0 mg semaglutide (estimated treatment difference vs placebo -
130 isenatide), LEADER (liraglutide), SUSTAIN-6 (semaglutide), EXSCEL (exenatide), Harmony Outcomes (albi
131 At 24 weeks, efinopegdutide (SUCRA: 67.02), semaglutide + firsocostat (SUCRA: 62.43), and pegbelferm
132 ported by two (<1%) participants with 0.5 mg semaglutide, five (1%) with 1.0 mg semaglutide, and five
133 retrospectively collected data on the use of semaglutide for adults with overweight or obesity betwee
134 ent randomization to either the cagrilintide-semaglutide group (904 patients) or the placebo group (3
135 eaths were reported: four (1%) in the 0.5 mg semaglutide group (three cardiovascular deaths, one panc
137 nts who underwent randomization (1767 in the semaglutide group and 1766 in the placebo group), median
138 were reported in 56 (37.3%) patients in the semaglutide group and 20 (13.2%) in the placebo group.
139 uses, 15 of 1591 patients (0.9%) in the oral semaglutide group and 30 of 1592 (1.9%) in the placebo g
140 739 patients completed the trial (367 in the semaglutide group and 372 in the canagliflozin group).
141 ed in 23 of 1591 patients (1.4%) in the oral semaglutide group and 45 of 1592 (2.8%) in the placebo g
142 uct occurred in 1461 patients (16.6%) in the semaglutide group and 718 patients (8.2%) in the placebo
143 ed in 61 of 1591 patients (3.8%) in the oral semaglutide group and 76 of 1592 (4.8%) in the placebo g
144 curred in 108 of 1648 patients (6.6%) in the semaglutide group and in 146 of 1649 patients (8.9%) in
145 was reported in 36.8% of the patients in the semaglutide group and in 22.4% of those in the placebo g
146 occurred in 6.7% of the participants in the semaglutide group and in 3.0% in the placebo group, with
147 ed in 569 of the 8803 patients (6.5%) in the semaglutide group and in 701 of the 8801 patients (8.0%)
149 nts occurred in seven (4.7%) patients in the semaglutide group and six (4.0%) in the placebo group.
151 serious adverse events were reported in the semaglutide group compared with 301 in the placebo group
152 to 0.72]) were significantly reduced, in the semaglutide group compared with the placebo group (p<0.0
153 total of 95 of 131 participants (73%) in the semaglutide group had weight loss of 5% or more, as comp
154 in 197 (78%) of 253 participants in the oral semaglutide group versus 172 (69%) of 250 in the sitagli
155 drug, and 277 (97%) participants in the oral semaglutide group, 274 (96%) in the liraglutide group, a
156 Fewer serious adverse events occurred in the semaglutide group, although more patients discontinued t
157 ants in the CagriSema group, 22 (71%) in the semaglutide group, and 24 (80%) in the cagrilintide grou
158 were reported by 104 (69.3%) patients in the semaglutide group, and 247 adverse events were reported
159 81% (56 of 69 patients) in the subcutaneous semaglutide group, and 68% (48 of 71 patients) in the pl
160 3.1 events per 100 person-years) in the oral semaglutide group, as compared with 668 of the 4825 part
161 w or worsening nephropathy were lower in the semaglutide group, but rates of retinopathy complication
164 t frequently reported adverse events in both semaglutide groups were gastrointestinal in nature: naus
165 63% to 86% (371 of 490 patients) in the oral semaglutide groups, 81% (56 of 69 patients) in the subcu
167 A lower proportion of patients treated with semaglutide had serious adverse events than did those wh
168 By use of the trial product estimand, oral semaglutide had significantly greater decreases in HbA(1
169 om overall baseline mean, patients receiving semaglutide had significantly greater reductions in HbA(
170 mini-pigs following i.v. administration, and semaglutide has an MRT of 63.6 h after s.c. dosing to mi
173 the incretin-based medicines tirzepatide and semaglutide have shown benefits in populations with vary
175 ly, it can assess the therapeutic effects of Semaglutide in a mouse model of diet-induced obesity.
176 d cardiovascular outcomes of once-daily oral semaglutide in an event-driven, randomized, double-blind
178 investigate the efficacy and safety of oral semaglutide in patients with type 2 diabetes and moderat
179 sment of the cardiovascular efficacy of oral semaglutide in persons with type 2 diabetes and atherosc
180 iovascular and Other Long-term Outcomes With Semaglutide in Subjects With Type 2 Diabetes [SUSTAIN-6]
187 erved ejection fraction and type 2 diabetes, semaglutide led to larger reductions in heart failure-re
188 rticipants (89.0%) who reached the 2.4-mg/wk semaglutide maintenance dose were randomized (2:1) to 48
189 Collectively, these findings suggest that semaglutide may improve endogenous progenitor cell-media
192 ed the efficacy, safety, and tolerability of semaglutide monotherapy, compared with placebo, in treat
194 (2:1) to 48 weeks of continued subcutaneous semaglutide (n = 535) or switched to placebo (n = 268),
197 Adverse events were more frequent with oral semaglutide (n=229 [80%]) and subcutaneous liraglutide (
199 were eligible and randomly assigned to oral semaglutide (n=285), subcutaneous liraglutide (n=284), o
201 most frequently reported adverse events with semaglutide, occurring in 184 (47%) of 392 patients; whe
204 nd a 2-way comparison of patients initiating semaglutide or dulaglutide between January 1, 2019, and
205 atients were recruited and randomized 1:1 to semaglutide or placebo (87 female participants (56.5%);
206 se-escalation schedule of 4 weeks of 0.25 mg semaglutide or placebo and 4 weeks of 0.5 mg semaglutide
207 se events leading to discontinuation of oral semaglutide or placebo were more common with oral semagl
210 adults with overweight or obesity receiving semaglutide or tirzepatide between May 2022 and Septembe
211 e were 35 patients (0.04%) with NAION in the semaglutide or tirzepatide group and 19 patients (0.02%)
212 [52.15%]), including 79 699 patients in the semaglutide or tirzepatide group and 79 699 patients in
213 :1:1) to once-weekly subcutaneous CagriSema, semaglutide, or cagrilintide (all escalated to 2.4 mg).
214 t with a dual-labeled GLP-1 RA (liraglutide, semaglutide, or tirzepatide) between January 1, 2018, an
215 ate, top-dose phentermine and topiramate, or semaglutide over 13 months, 2 years, and 5 years among a
217 once-weekly treatment with a 2.4-mg dose of semaglutide plus lifestyle intervention resulted in a gr
218 ients, approximately 120,000 patients with a semaglutide prescription and 220,000 prescribed any GLP-
219 adults (>=18 years) who received an initial semaglutide prescription between January 1, 2018, and Ja
220 ompared outcomes of patients after the first semaglutide prescription with those of patients who had
223 ovy(R) formulation, whose main ingredient is semaglutide, received accelerated FDA approval in August
224 emaglutide (-1.9%) and placebo (-0.3%); oral semaglutide reductions were significant vs placebo (dosa
225 tly reported adverse events were nausea with semaglutide, reported in 77 (21%) patients with 0.5 mg a
226 Among patients with type 2 diabetes, oral semaglutide resulted in better glycemic control than pla
227 ERPRETATION: Compared with insulin glargine, semaglutide resulted in greater reductions in HbA1c and
228 pain, treatment with once-weekly injectable semaglutide resulted in significantly greater reductions
231 lacebo (primary) and open-label subcutaneous semaglutide (secondary) on glycemic control in patients
232 ally, when insulin was used as a comparator, semaglutide showed a higher ROR for ION (ROR = 9.84, 95%
236 head-to-head comparison between MEDI7219 and semaglutide showed that MEDI7219 was more proteolyticall
238 ying these therapeutic effects revealed that semaglutide significantly increased levels of key neurop
241 x (BMI) of 27 or more were prescribed weekly semaglutide subcutaneous injections for 3 months or more
242 from baseline to week 26 in bodyweight (oral semaglutide superiority vs placebo and liraglutide).
243 ge from baseline to week 26 in HbA(1c) (oral semaglutide superiority vs placebo and non-inferiority [
244 f Cardiovascular Ourcome Results], -13%) and semaglutide (SUSTAIN-6 trial [Trial to Evaluate Cardiova
246 significantly lower among patients receiving semaglutide than among those receiving placebo, an outco
247 chieved an HbA(1c) of less than 7% with oral semaglutide than did with sitagliptin (treatment policy
249 s than 7% was significantly better with oral semaglutide than sitagliptin (treatment policy estimand:
251 om baseline to week 52 were higher with oral semaglutide than with sitagliptin (estimated mean change
252 week 26 was significantly greater with oral semaglutide than with subcutaneous liraglutide (-1.5 kg,
253 caemic drugs empagliflozin, liraglutide, and semaglutide-the latter being under review for approval b
255 agnosis of eye disorders and were prescribed semaglutide, tirzepatide, or other antidiabetic medicati
258 provement in MWD across sexes, which favored semaglutide treatment (P-interaction value = 0.65).
260 n the STEP-HFpEF Program (pooled STEP-HFpEF [Semaglutide Treatment Effect in People with Obesity and
261 e with Obesity and HFpEF] and STEP-HFpEF DM [Semaglutide Treatment Effect in People with Obesity, HFp
262 nsistent trend for improved MWD that favored semaglutide treatment for both females and males (P inte
263 treatment-by-time interaction indicated that semaglutide treatment predicted greater relative reducti
264 reports of suicidal ideation associated with semaglutide treatment, a glucagon-like peptide 1 recepto
265 ficantly associated with MASH resolution and semaglutide treatment, with most related to metabolism a
266 the pancreas associated with liraglutide or semaglutide, two structurally different GLP-1 receptor a
268 h 0.5 mg semaglutide and 20 (6%) with 1.0 mg semaglutide versus 38 (11%) with insulin glargine (p=0.0
269 wo cardiovascular outcome trials, SUSTAIN-6 (semaglutide versus sitagliptin as placebo proxy) and SUR
270 y weight change from baseline was -16.0% for semaglutide vs -5.7% for placebo (difference, -10.3 perc
272 A higher proportion of participants in the semaglutide vs placebo group achieved weight losses of a
273 of reduction in bodyweight was similar with semaglutide vs placebo regardless of baseline NYHA funct
274 ed treatment difference [ETD] range for oral semaglutide vs placebo, -0.4% to -1.6%; P = .01 for 2.5
277 er weight loss (18 RCTs; 6321 participants), semaglutide was associated with 11.4% greater weight los
278 nic kidney disease, or both, the use of oral semaglutide was associated with a significantly lower ri
289 ed to investigate the efficacy and safety of semaglutide when added to SGLT-2 inhibitor therapy in pa
290 cally stable (% remaining after 90 min) than semaglutide, which was degraded completely within 10 min
292 se-lowering medication at screening, to oral semaglutide with flexible dose adjustments to 3, 7, or 1
295 h tirzepatide was superior to treatment with semaglutide with respect to reduction in body weight and
298 sed a Markov cohort model to compare ESG and semaglutide, with a no-treatment baseline strategy.