Obesity

Efficacy and safety of once‐weekly semaglutide 2.4 mg for weight management in participants from China: A prespecified analysis of the STEP 7 randomized clinical trial

Diabetes Obes MetabPublished Prespecified analysis of the STEP 7 randomised controlled trial

Primary result · Percentage change in body weightResult — go to the resultEstimated treatment difference −8.3 % 95% CI −10.2 to −6.4

Authors' conclusion

These data demonstrate beneficial effects of semaglutide 2.4 mg versus placebo, supporting its use in an adult Chinese population with overweight or obesity.

Study context

Population
Chinese adults with overweight or obesity, with or without T2D, from STEP 7
Participants
195 vs 105
Comparison
Once-weekly SC semaglutide 2.4 mg vs placebo, adjunct to reduced-calorie diet and increased physical activity
  • Semaglutide 2.4 mgn = 195
  • Placebon = 105reference
Primary endpoint
Percentage change in body weight; proportion achieving ≥5% body weight reduction
Follow-up
Baseline to Week 44
Methodological detailsdouble-blind, phase 3a, randomized 2:1
  • Double-blind
  • Phase 3a
  • Randomized 2:1

Primary result

Percentage change in body weight · Week 44

Estimated treatment difference

−8.3 %

95% CI −10.2 to −6.4

P < 0.0001

Change by group

Semaglutide 2.4 mg

−11.8

mean · %

Placebo

−3.5

mean · %

Semaglutide 2.4 mgvs Placebo
estimated treatment difference −8.3 % (95% CI −10.2 to −6.4); P < 0.0001

As reported in the abstract

Further findings

OutcomeSemaglutide 2.4 mgPlaceboOR (95% CI)P value
≥5% body weight loss (co-primary endpoint) · Week 4485.4%26.8%16.1 (8.4–30.9)P < 0.0001

Safety

Adverse events

Gastrointestinal disorders (most common AEs)

Original publication

Efficacy and safety of once‐weekly semaglutide 2.4 mg for weight management in participants from China: A prespecified analysis of the STEP 7 randomized clinical trial. Diabetes Obes Metab. Published 11 March 2025. doi:10.1111/dom.16253

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