Pre-clinical mechanism
Selective agonist at the glucagon-like peptide-1 receptor. Pre-clinical and clinical literature describes glucose-dependent insulin secretion, suppression of glucagon release, slowed gastric emptying and central nervous system effects on satiety.
Key pre-clinical findings
- STEP-1 trial (adults with obesity, 68 weeks): mean body weight change of -14.9% with semaglutide vs -2.4% with placebo (Wilding et al., 2021).
- SUSTAIN-6 cardiovascular outcome trial: reduction in composite cardiovascular endpoints in adults with type-2 diabetes (Marso et al., 2016).
Primary literature
Once-weekly semaglutide in adults with overweight or obesity (STEP 1)
Wilding JPH, Batterham RL, Calanna S, et al. · New England Journal of Medicine · 2021
Semaglutide and cardiovascular outcomes in patients with type 2 diabetes (SUSTAIN-6)
Marso SP, Bain SC, Consoli A, et al. · New England Journal of Medicine · 2016
