Skip to content

Study · Randomized controlled trial · n = 1,961 · 2021

10 results

Once-Weekly Semaglutide in Adults with Overweight or Obesity.

Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, McGowan BM, Rosenstock J, Tran MTD, Wadden TA, Wharton S, Yokote K, Zeuthen N, Kushner RF

The New England journal of medicine10 Feb 2021Cited by 3,862 (Europe PMC)

Summary

The text of this summary is not shown here, because the article license does not allow reuse. Read it at the source (opens in a new tab)

Text rights: Publisher copyright. Results still quote short attributed sentences.

Results from this study10

10 results from studies that gave the peptide. 10 results from people.

  1. 01HumanRandomized controlled trialEfficacy outcome

    In adults with overweight or obesity without diabetes, semaglutide 2.4 mg reduced body weight by 14.9% versus 2.4% with placebo at week 68.

    In plain wordsIn adults with overweight or obesity, semaglutide led to 14.9% average weight loss compared with 2.4% with placebo over 68 weeks.

    Outcome
    DecreasePercentage change in body weight at week 68
    Study

    n = 1,961

    Comparator
    Placebo
    Analysis
    Primary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Measurements

    Mean weight change
    −14.9%
    semaglutide
    Mean weight change
    −2.4%
    placebo
    Estimated treatment difference
    −12.4 percentage points
    semaglutide vs placebo

    Source sentences

    Summary
    The mean change in body weight from baseline to week 68 was -14.9% in the semaglutide group as compared with -2.4% with placebo, for an estimated treatment difference of -12.4 percentage points (95% confidence interval [CI], -13.4 to -11.5; P<0.001).
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  2. 02HumanRandomized controlled trialEfficacy outcome

    More adults reached weight reductions of 5% or more with semaglutide than with placebo at week 68 (86.4% vs 31.5%).

    In plain wordsMore adults lost at least 5% of their body weight with semaglutide (86.4%) than with placebo (31.5%).

    Outcome
    IncreaseWeight reduction of 5% or more
    Study

    n = 1,961

    Comparator
    Placebo
    Analysis
    Primary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Measurements

    Proportion
    86.4%
    semaglutide
    Proportion
    31.5%
    placebo

    Source sentences

    Summary
    5% or more (1047 participants [86.4%] vs. 182 [31.5%]
    3 context sentences
    Summary · context
    More participants in the semaglutide group than in the placebo group
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  3. 03HumanRandomized controlled trialEfficacy outcome

    More adults reached weight reductions of 10% or more with semaglutide than with placebo at week 68 (69.1% vs 12.0%).

    In plain wordsMore adults lost at least 10% of their body weight with semaglutide (69.1%) than with placebo (12.0%).

    Outcome
    IncreaseWeight reduction of 10% or more
    Study

    n = 1,961

    Comparator
    Placebo
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Measurements

    Proportion
    69.1%
    semaglutide
    Proportion
    12%
    placebo

    Source sentences

    Summary
    10% or more (838 [69.1%] vs. 69 [12.0%]
    3 context sentences
    Summary · context
    More participants in the semaglutide group than in the placebo group
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  4. 04HumanRandomized controlled trialEfficacy outcome

    More adults reached weight reductions of 15% or more with semaglutide than with placebo at week 68 (50.5% vs 4.9%).

    In plain wordsMore adults lost at least 15% of their body weight with semaglutide (50.5%) than with placebo (4.9%).

    Outcome
    IncreaseWeight reduction of 15% or more
    Study

    n = 1,961

    Comparator
    Placebo
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Measurements

    Proportion
    50.5%
    semaglutide
    Proportion
    4.9%
    placebo

    Source sentences

    Summary
    15% or more (612 [50.5%] vs. 28 [4.9%]
    3 context sentences
    Summary · context
    More participants in the semaglutide group than in the placebo group
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  5. 05HumanRandomized controlled trialEfficacy outcome

    In adults with overweight or obesity, body weight fell by 15.3 kg with semaglutide versus 2.6 kg with placebo from baseline to week 68.

    In plain wordsIn adults with overweight or obesity, semaglutide cut body weight by 15.3 kg on average, compared with 2.6 kg with placebo.

    Outcome
    DecreaseChange in body weight in kilograms
    Study

    n = 1,961

    Comparator
    Placebo
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Measurements

    Mean weight change
    −15.3 kg
    semaglutide
    Mean weight change
    −2.6 kg
    placebo
    Estimated treatment difference
    −12.7 kg
    semaglutide vs placebo

    Source sentences

    Summary
    The change in body weight from baseline to week 68 was -15.3 kg in the semaglutide group as compared with -2.6 kg in the placebo group (estimated treatment difference, -12.7 kg; 95% CI, -13.7 to -11.7).
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  6. 06HumanRandomized controlled trialEfficacy outcome

    Participants who received semaglutide had a greater improvement in cardiometabolic risk factors from baseline than those who received placebo.

    In plain wordsPeople taking semaglutide improved heart and metabolic risk factors more than people taking placebo.

    Outcome
    Direction not reportedCardiometabolic risk factors
    Study

    n = 1,961

    Comparator
    Placebo
    Outcome group
    Cardiometabolic risk factors · Metabolic and weight
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Source sentences

    Summary
    Participants who received semaglutide had a greater improvement with respect to cardiometabolic risk factors and a greater increase in participant-reported physical functioning from baseline than those who received placebo.
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  7. 07HumanRandomized controlled trialEfficacy outcome

    Participants who received semaglutide had a greater increase in participant-reported physical functioning from baseline than those who received placebo.

    In plain wordsPeople taking semaglutide reported a bigger improvement in physical functioning than people taking placebo.

    Outcome
    IncreaseParticipant-reported physical functioning
    Study

    n = 1,961

    Comparator
    Placebo
    Outcome group
    Exercise and physical function · Whole body
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Source sentences

    Summary
    Participants who received semaglutide had a greater improvement with respect to cardiometabolic risk factors and a greater increase in participant-reported physical functioning from baseline than those who received placebo.
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  8. 08HumanRandomized controlled trialSafety outcome

    Nausea was among the most common adverse events with semaglutide; it was typically transient and mild to moderate and subsided with time.

    In plain wordsNausea was one of the most common side effects of semaglutide; it was usually mild to moderate and went away with time.

    Outcome
    Not applicableNausea
    Study

    n = 1,961

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Source sentences

    Summary
    Nausea and diarrhea were the most common adverse events with semaglutide; they were typically transient and mild-to-moderate in severity and subsided with time.
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  9. 09HumanRandomized controlled trialSafety outcome

    Diarrhea was among the most common adverse events with semaglutide; it was typically transient and mild to moderate and subsided with time.

    In plain wordsDiarrhea was one of the most common side effects of semaglutide; it was usually mild to moderate and went away with time.

    Outcome
    Not applicableDiarrhea
    Study

    n = 1,961

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Source sentences

    Summary
    Nausea and diarrhea were the most common adverse events with semaglutide; they were typically transient and mild-to-moderate in severity and subsided with time.
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention
  10. 10HumanRandomized controlled trialSafety outcome

    More participants discontinued treatment owing to gastrointestinal events with semaglutide than with placebo (4.5% vs 0.8%).

    In plain wordsMore people stopped treatment because of stomach and gut problems with semaglutide (4.5%) than with placebo (0.8%).

    Outcome
    IncreaseTreatment discontinuation due to gastrointestinal events
    Study

    n = 1,961

    Comparator
    Placebo
    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    2.4 mg once weekly · subcutaneous · 68 weeksAs given in this study (human).

    Measurements

    Discontinuation due to gastrointestinal events
    4.5%
    semaglutide
    Discontinuation due to gastrointestinal events
    0.8%
    placebo

    Source sentences

    Summary
    More participants in the semaglutide group than in the placebo group discontinued treatment owing to gastrointestinal events (59 [4.5%] vs. 5 [0.8%]).
    2 context sentences
    Summary · context
    we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (≥27 in persons with ≥1 weight-related coexisting condition), who did not have diabetes
    Summary · context
    randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Registered trials16

Trials this study reports on, or that list this study as a reference. Registry data from ClinicalTrials.gov.

16 trials · 6 ongoing · 3 not yet recruiting · 4 completed · 2 with posted results · source ClinicalTrials.gov (opens in a new tab)

Not yet recruitingPhase 2NCT07820358

Semaglutide, Weight Loss, and LNG-IUD for Conservative Treatment of Endometrial Atypical Hyperplasia and Grade 1 Endometrial Cancer

The Methodist Hospital Research Instituten = 48est. 1 Jan 2027 to est. 31 Dec 2031

Endometrial Atypical Hyperplasia · Endometrial Atypical Hyperplasia/Endometrioid Intraepithelial Neoplasia · Endometrial Cancer Stage I · Endometrial Cancer · Fertility-Sparing Treatment (FST) · Obesity & Overweight

Not yet recruitingPhase 4NCT07617155

GLP-1 Agonists for Prevention of Recurrent Hypertriglyceridemic Acute Pancreatitis

Peking Union Medical College Hospitaln = 396est. Sept 2026 to est. Dec 2028

Hypertriglyceridemia Induced Acute Pancreatitis · Recurrent Acute Pancreatitis · Pancreatitis Relapsing · Hypertriglyceridemia

Not yet recruitingPhase 4NCT07654062

Mazdutide for Adults With Prediabetes: A Randomized, Double-Blind, Placebo-Controlled Trial (DREAM-PRE)

Shandong Provincial Hospitaln = 150est. Jul 2026 to est. Jul 2029

Prediabetes · Impaired Fasting Glucose · Impaired Glucose Tolerance (Prediabetes)

Trial pageClinicalTrials.govUpdated 17 Jun 2026
RecruitingPhase not statedNCT07653412

Precision Obesity Medicine: Genetic Prediction of Response to GLP-1/GIP Agonists.

National and Kapodistrian University of Athensn = 22022 Apr 2026 to est. 30 Jun 2027

Obesity (Disorder) · Anti-obesity Agents · Precision Medicine

Trial pageClinicalTrials.govUpdated 10 Jul 2026
RecruitingPhase 4NCT07242534

Effect of Semaglutide on Embryo Quality in Overweight and Obese Patients Undergoing In Vitro Fertilization.

Fundacion Dexeusn = 6219 Jan 2026 to est. May 2027

Infertility · Obesity

Trial pageClinicalTrials.govUpdated 21 Jan 2026
RecruitingPhase not statedNCT07229170

Changes in Taste and Eating Habits Associated With GLP-1 Agonists in Weight Loss Patients

San Raffaele Telematic Universityn = 1501 Dec 2025 to est. 1 Jan 2028

Obesity & Overweight · Taste Alterations · Weight Loss · Eating Behavior Changes

Trial pageClinicalTrials.govUpdated 28 Apr 2026
RecruitingPhase not statedNCT07207148

People With Multiple Sclerosis Treated With Ocrelizumab and GLP-1 Agonists

Northwestern Universityn = 10015 Nov 2025 to est. 31 Aug 2028

Multiple Sclerosis

Trial pageClinicalTrials.govUpdated 17 Mar 2026
RecruitingNot applicableNCT07065383

Rebalancing the Fat Content of the Heart and Muscles

University of Aberdeenn = 601 Aug 2025 to est. 31 Jul 2028

Diabetes Mellitus Type 2

Trial pageClinicalTrials.govUpdated 30 Apr 2026
Status unknownNot applicableNCT06426446

Monitoring Patients With Severe Obesity Treated With Wegovy® Using Connected Device: Real-world Data

Assistance Publique - Hôpitaux de Parisn = 80est. 1 Jun 2024 to est. 1 Jun 2025

Obesity

Trial pageClinicalTrials.govUpdated 23 May 2024
Status unknownPhase 4NCT06438146

LIROH - Liraglutide for Obesity in HIV

Brigham and Women's Hospitaln = 402 May 2024 to est. May 2025

Obesity · HIV Infections

Trial pageClinicalTrials.govUpdated 31 May 2024
Status unknownPhase 4NCT06287307

Semaglutide 2.4mg for Low Responders After Bariatric Surgery

Zuyderland Medisch Centrumn = 152est. May 2024 to est. Sept 2026

Obesity · Obesity, Morbid · Weight Gain

CompletedPhase not statedNCT07043361

Efficacy of Semaglutide in Glycemic Control, Weight Loss, and Improving Lipidogram- Role of Baseline Vitamin D Levels

Hillel Yaffe Medical Centern = 5,30018 Dec 2023 to 30 Apr 2025

Metabolic Disease

Active, not recruitingPhase not statedNCT05622045

Does Personality Predict Patient Adherence, Health Behaviors, and Weight Loss Outcomes During the Latino Crossover Semaglutide Study (LCSS)? (Story-LCSS Project)

Loma Linda Universityn = 591 Feb 2023 to est. May 2027

Obesity · Body Weight Changes

CompletedPhase not statedNCT05136287

SEMAGLUTIDE VERSUS GLP-1 RECEPTOR AGONISTS. EFFECTIVENESS , SAFETY AND QUALITY OF LIFE IN PATIENTS WITH DIABETES MELLITUS 2. OBSERVATIONAL, PROSPECTIVE AND MULTICENTER STUDY. SEVERAL STUDY.

Jose Seijas Amigon = 1401 Feb 2022 to 1 Jan 2024

Weight Loss · Diabetes Mellitus, Type 2 · Quality of Life · Safety Issues

Trial pageClinicalTrials.govUpdated 28 Feb 2024
CompletedPhase 3Results postedNCT03574597

Semaglutide Effects on Heart Disease and Stroke in Patients With Overweight or Obesity

Novo Nordisk A/Sn = 17,60424 Oct 2018 to 29 Jun 2023

Overweight · Obesity

Trial pageClinicalTrials.govUpdated 30 Aug 2024
CompletedPhase 3Results postedNCT03548935

STEP 1: Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity

Novo Nordisk A/Sn = 1,9614 Jun 2018 to 5 Mar 2021

Metabolism and Nutrition Disorder · Overweight or Obesity

Trial pageClinicalTrials.govUpdated 19 Nov 2021

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 2Current

    9 Oct 2026, 18:17 UTC

    Study results updated

  2. Version 1

    9 Oct 2026, 03:06 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

PepBank is a research reference. Talk to a doctor before you use any peptide.