Oral Semaglutide: A Review of the First Oral Glucagon-Like Peptide 1 Receptor Agonist

Aug 23, 2019Diabetes technology & therapeutics

Oral Semaglutide: Review of the First Pill That Mimics a Blood Sugar-Regulating Hormone

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Abstract

The oral formulation of semaglutide demonstrates similar efficacy to injectable GLP-1 receptor agonists in lowering hemoglobin A1c and facilitating weight loss.

  • Glucagon-like peptide 1 receptor agonists are effective in reducing hemoglobin A1c and promoting weight loss.
  • Four GLP-1 receptor agonists also show potential cardioprotective effects.
  • Subcutaneous administration has limited the use of these agents.
  • A new oral formulation of semaglutide uses sodium N-[8-(2-hydroxybenzoyl) amino caprylate] to enhance absorption.
  • The oral semaglutide was evaluated in PIONEER trials, showing comparable effectiveness to existing injectable options.
  • The PIONEER 6 trial indicates potential benefits on cardiovascular mortality, pending further confirmation from the SOUL trial.

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