Type 2 & other diabetes

Safety of Semaglutide After Dialysis Initiation: An Individual-Level Pooled Analysis

Diabetes CarePublished Post hoc individual-level pooled analysis of four randomised controlled trials

Authors' conclusion

Although more evidence is needed, continuation of semaglutide after dialysis initiation appears safe and warrants efficacy testing regarding reduction in MACE and death.

Study context

Population
Trial participants (with T2D, or without T2D with obesity and high cardiovascular risk) who initiated dialysis during follow-up and remained on treatment307 initiated dialysis
Participants
165 participants
Comparison
Semaglutide vs placebo, continued after dialysis initiation
  • Semaglutiden = 71
  • Placebon = 94reference
Outcome
Systematically collected serious adverse events (AEs) (serious AEs (SAEs)), including adjudicated major adverse cardiovascular events (MACE), after dialysis initiation
Methodological detailsplacebo-controlled, pooled analysis of SUSTAIN-6, SELECT, FLOW and SOUL
  • Placebo-controlled
  • Pooled analysis of SUSTAIN-6, SELECT, FLOW and SOUL

Pooled result

As reported in the abstract

SAEs after dialysis initiation

Further pooled results

Events per 100 person-years

OutcomeSemaglutidePlacebo
MACE event rate9.716.1
All-cause mortality event rate13.818.1

Safety

Permanent discontinuation of trial medication

Original publication

Safety of Semaglutide After Dialysis Initiation: An Individual-Level Pooled Analysis. Diabetes Care. Published 27 March 2026. doi:10.2337/dc26-0112

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