Obesity

Effect of oral semaglutide on energy intake, appetite, control of eating and gastric emptying in adults living with obesity: A randomized controlled trial

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Relative change from baseline in ad libitum energy intakeResult — go to the resultDifference −39.2 % points 95% CI −59.0% to −19.4%

Authors' conclusion

In participants with obesity, once-daily oral semaglutide 50 mg reduced energy intake, body weight and appetite, and improved control of eating. There was no evidence of delayed gastric emptying at week 20, as measured through paracetamol absorption.

Study context

Population
Adults with obesity
Participants
61 adults
Comparison
Once-daily oral semaglutide 50 mg vs placebo for 20 weeks
Primary endpoint
Relative change from baseline in ad libitum energy intake
Follow-up
Week 20
Methodological detailsdouble-blind, clinical pharmacology study
  • Double-blind
  • Clinical pharmacology study

Primary result

As reported in the abstract

Difference

−39.2 % points

95% CI −59.0% to −19.4%

Semaglutidevs Placebo
difference −39.2 % points (95% CI −59.0% to −19.4%)

Further findings

Body weight reduction

Appetite and control of eating

Semaglutide reduced hunger, increased fullness and satiety, and was associated with fewer food cravings and better control of eating vs placebo

Gastric emptying (paracetamol absorption) · week 20

No statistically significant difference in gastric emptying

Original publication

Effect of oral semaglutide on energy intake, appetite, control of eating and gastric emptying in adults living with obesity: A randomized controlled trial. Diabetes Obes Metab. Published 31 July 2024. doi:10.1111/dom.15802

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