Obesity

Semaglutide Injection Once‐Weekly for Weight Management in Adults: Results From A Randomized Phase III , Active‐Controlled Study

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Percent weight change from baselineResult — go to the resultLeast-squares mean difference 0.26 % 95% CI −0.86% to 1.39%

Authors' conclusion

Test synthetic semaglutide was found to be non-inferior to Reference semaglutide in weight management with or without comorbidities.

Study context

Population
Adults with obesity (BMI ≥30 kg/m²) or overweight (BMI ≥27 kg/m²) with ≥1 weight-related comorbidity (hypertension, dyslipidemia or T2D), 21 centers in India246 completed
Participants
270 adults
Comparison
Test semaglutide vs Reference semaglutide once weekly
  • Testn = 177
  • Referencen = 90reference
Primary endpoint
Percentage change in bodyweight from baseline
Follow-up
Week 24
Methodological detailsphase III, non-inferiority, active-controlled, multicentre (21 centers in India)
  • Phase III
  • Non-inferiority
  • Active-controlled
  • Multicentre (21 centers in India)

Primary result

Percent weight change from baseline

Least-squares mean difference

0.26 %

95% CI −0.86% to 1.39%

Change by group

Test

−13.8

mean · SD 4.28% · %

Reference

−14.1

mean · SD 4.11% · %

Testvs Reference
least-squares mean difference 0.26 % (95% CI −0.86% to 1.39%)

As reported in the abstract

Further findings

≥5% weight loss · Week 24

≥10% weight loss · Week 24

BMI, waist circumference, SF-36 total score and glycemic parameters

Improvements comparable between groups

Safety

Treatment-emergent adverse events

Treatment-emergent adverse events

Gastrointestinal events most common

Original publication

Semaglutide Injection Once‐Weekly for Weight Management in Adults: Results From A Randomized Phase III , Active‐Controlled Study. Diabetes Obes Metab. Published 6 July 2026. doi:10.1111/dom.71069

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