Obesity

Efficacy and Safety of Dual GLP ‐1/Glucagon Receptor Agonism in Overweight and Obesity: A Class‐Specific Systematic Review and Meta‐Analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Dual GLP-1/GCGR agonists produce meaningful weight loss and metabolic improvements with acceptable short-term safety

Study context

Population
Adults with overweight/obesity in RCTs19 RCTs
Comparison
Dual GLP-1/GCGR agonists vs controls
Outcome
Body weight
Methodological detailsrandom-effects meta-analysis, GRADE, subgroup, sensitivity and publication bias analyses
  • Random-effects meta-analysis
  • GRADE
  • Subgroup, sensitivity and publication bias analyses

Pooled result

As reported in the abstract

MD

−6.65 kg

absolute body weight; moderate certainty

MD

−7.15 %

relative weight

Relative risk

4.75

≥ 5% weight loss; low certainty

Further pooled results

Metabolic outcomes

Significant improvements in HbA1c, BMI, waist circumference, systolic blood pressure and triglycerides

Safety

OutcomeRR
Any adverse eventsDual agonists vs Controls · more frequent with dual agonists1.16
Serious adverse eventsDual agonists vs Controls · did not differ; high certainty0.90

Original publication

Efficacy and Safety of Dual GLP ‐1/Glucagon Receptor Agonism in Overweight and Obesity: A Class‐Specific Systematic Review and Meta‐Analysis. Diabetes Obes Metab. Published 29 September 2026. doi:10.1111/dom.71400

Composed by AI from the published abstract and checked against it. How Briefs are made →

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