elecoglipron vs semaglutide

NCT06579092 · Phase 2 · completed

This randomised, triple-blind, placebo-controlled trial in 310 adults living with obesity or overweight reported a 10.5% reduction in body weight on elecoglipron 75 mg against 0.6% on placebo at 26 weeks. Percent weight change is the measure regulators accept as the primary efficacy endpoint in obesity.

NCT03548935 · Phase 3 · completed

This was a randomized, quadruple-blind, placebo-controlled trial of 1,961 participants. At week 68, mean body-weight change was -15.6% with semaglutide versus -2.8% with placebo, and the primary comparison was statistically significant (p<0.0001), supporting strong evidence for this clinical weight-loss endpoint.

NCT06579105 · Phase 2 · completed

Participants receiving AZD5004 or placebo were randomized and kept blinded to treatment; a semaglutide comparator arm was open-label but was not part of the primary comparison. The highest dose produced a substantially larger drop in HbA1c than placebo, meeting the trial's main goal.

NCT01720446 · Phase 3 · completed

This was a large randomized, double-blind, placebo-controlled trial with 1,648 participants receiving semaglutide and 1,649 receiving placebo. The hard clinical primary endpoint, first major adverse cardiovascular event, occurred in 6.6% versus 8.9% of participants; the prespecified non-inferiority comparison was met (hazard ratio 0.74, 95% CI 0.58–0.95, p<0.0001), and a post hoc superiority analysis was statistically significant (p=0.0167).

No graded featured trial for this indication yet; the grade above reflects that absence, not a judgment.

NCT03819153 · Phase 3 · completed

In this large (n=3533), randomized, quadruple-blind, placebo-controlled Phase 3 trial (FLOW) in people with type 2 diabetes and chronic kidney disease, semaglutide significantly reduced the risk of a composite of major kidney-disease-progression events and cardiovascular death compared with placebo (18.7% vs 23.2% of patients; hazard ratio 0.76, 95% CI 0.66-0.88, p=0.0003).