Obesity

Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes

N Engl J MedPublished Randomised controlled trial

Primary resultResult — go to the resultHazard ratio 0.80 95% CI 0.72–0.90

Authors' conclusion

In patients with preexisting cardiovascular disease and overweight or obesity but without diabetes, weekly subcutaneous semaglutide at a dose of 2.4 mg was superior to placebo in reducing the incidence of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke at a mean follow-up of 39.8 months.

Study context

Population
Patients ≥45 years with preexisting CVD and BMI ≥27, without history of diabetes
Participants
17,604 patients
Comparison
Semaglutide 2.4 mg weekly vs placebo
  • Semaglutiden = 8,803
  • Placebon = 8,801reference
Primary endpoint
Composite of:
  • CV death
  • Nonfatal MI
  • Nonfatal stroke
(time-to-first-event)
Follow-up
Mean 39.8±9.4 months
Methodological detailsmulticentre, double-blind, placebo-controlled, event-driven, superiority, Mean exposure 34.2±13.7 months
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • Event-driven
  • Superiority
  • Mean exposure 34.2±13.7 months

Primary result

As reported in the abstract

Hazard ratio

0.80

95% CI 0.72–0.90

P < 0.001

Events by treatment group

Semaglutidevs Placebo
HR 0.80 (95% CI 0.72–0.90); P < 0.001

Safety

AEs leading to permanent discontinuation of trial product

P < 0.001

Original publication

Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. N Engl J Med. Published 11 November 2023. doi:10.1056/nejmoa2307563

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.