Superior weight loss with once-weekly semaglutide versus other glucagon-like peptide-1 receptor agonists is independent of gastrointestinal adverse events

Oct 29, 2020BMJ open diabetes research & care

Greater weight loss with once-weekly semaglutide compared to other similar drugs, regardless of stomach side effects

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Abstract

Nausea and vomiting contributed minimally (<0.1 kg) to weight loss with semaglutide compared to other at the end of treatment.

  • Weight loss from baseline to end of treatment was 3.78 kg in SUSTAIN 3, 2.26 kg in SUSTAIN 7, and 3.82 kg in SUSTAIN 10.
  • In SUSTAIN 3, nausea/vomiting mediated a weight loss difference of 0.05 kg by week 12 and 0.09 kg at the end of treatment.
  • In SUSTAIN 7, the mediated weight loss difference was 0.06 kg by week 12 and 0.03 kg at the end of treatment for low-dose comparison, and 0.08 kg by week 12 and 0.04 kg at the end of treatment for high-dose comparison.
  • In SUSTAIN 10, nausea/vomiting mediated a weight loss difference of 0.05 kg by week 12 and 0.09 kg at the end of treatment.
  • Overall, nausea/vomiting contributed minimally to the greater weight loss achieved with semaglutide compared to other GLP-1 receptor agonists.

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Key numbers

3.78 kg
Weight Loss with Semaglutide vs. Exenatide ER
Weight loss at end of treatment in SUSTAIN 3
0.05 kg
Nausea/Vomiting Mediated Weight Loss
Mediated weight loss from baseline to end of treatment in SUSTAIN 3
3.55 kg
Weight Loss with Semaglutide 1.0 mg in SUSTAIN 7
Total weight loss at end of treatment

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