Type 2 & other diabetes

Efficacy and safety of oral semaglutide in type 2 diabetes mellitus: A systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Once-daily semaglutide 7 and 14 mg can significantly lowered HbA1c and body weight in patients with T2DM, and this effect increases with dose. Significantly, more gastrointestinal events occurred with semaglutide 14 mg.

Study context

Population
Patients with T2D in randomized controlled trials (RCTs) of oral semaglutide, from inception through May 31, 2021
Participants
9,821 patients11 RCTs
Comparison
Oral semaglutide 7 and 14 mg vs placebo or other antidiabetic agents
Outcome
Change from baseline in HbA1c and body weight

Pooled result

As reported in the abstract

Change in HbA1c
Semaglutide 7 mg vs Placebo · lower with semaglutide 7 mg
Hemoglobin A1c (HbA1c) reduction 1.06 % (95% CI 0.81–1.30)
Semaglutide 14 mg vs Placebo · lower with semaglutide 14 mg
HbA1c reduction 1.10 % (95% CI 0.88–1.31)
Semaglutide 7 mg vs Other antidiabetic agents · lower with semaglutide 7 mg
HbA1c reduction 0.26 % (95% CI 0.15–0.38)
Semaglutide 14 mg vs Other antidiabetic agents · lower with semaglutide 14 mg
HbA1c reduction 0.38 % (95% CI 0.31–0.45)

Safety

Semaglutide 14 mg increased the incidence of medication discontinuation and gastrointestinal events (nausea, vomiting and diarrhea)

Original publication

Efficacy and safety of oral semaglutide in type 2 diabetes mellitus: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 5 March 2023. doi:10.1016/j.diabres.2023.110605

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

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