Efficacy and safety of semaglutide on weight loss in obese or overweight patients without diabetes: A systematic review and meta-analysis of randomized controlled trials

Objectives: This study aims to explore the weight loss effect and safety of semaglutide as a conventional anti-obesity drug systematically in obese or overweight patients without diabetes.Methods: The randomized controlled trials (RCTs) of semaglutide in obese or overweight patients without diabetes...

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Main Authors: Xueqin Gao (Author), Xiaoli Hua (Author), Xu Wang (Author), Wanbin Xu (Author), Yu Zhang (Author), Chen Shi (Author), Ming Gu (Author)
Format: Book
Published: Frontiers Media S.A., 2022-09-01T00:00:00Z.
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100 1 0 |a Xueqin Gao  |e author 
700 1 0 |a Xueqin Gao  |e author 
700 1 0 |a Xiaoli Hua  |e author 
700 1 0 |a Xiaoli Hua  |e author 
700 1 0 |a Xu Wang  |e author 
700 1 0 |a Xu Wang  |e author 
700 1 0 |a Wanbin Xu  |e author 
700 1 0 |a Wanbin Xu  |e author 
700 1 0 |a Yu Zhang  |e author 
700 1 0 |a Yu Zhang  |e author 
700 1 0 |a Chen Shi  |e author 
700 1 0 |a Chen Shi  |e author 
700 1 0 |a Ming Gu  |e author 
700 1 0 |a Ming Gu  |e author 
245 0 0 |a Efficacy and safety of semaglutide on weight loss in obese or overweight patients without diabetes: A systematic review and meta-analysis of randomized controlled trials 
260 |b Frontiers Media S.A.,   |c 2022-09-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2022.935823 
520 |a Objectives: This study aims to explore the weight loss effect and safety of semaglutide as a conventional anti-obesity drug systematically in obese or overweight patients without diabetes.Methods: The randomized controlled trials (RCTs) of semaglutide in obese or overweight patients without diabetes were retrieved from PubMed, Cochrane Library, EMBASE, and ClinicalTrials.gov from database inception until 2 May 2022. Data extraction and quality assessment of studies meeting the inclusion criteria were performed, and statistical analysis was conducted by Review Manager 5.3 and Stata 14.Results: Eight studies involving 4,567 patients were enrolled in the meta-analysis. Compared with placebo, semaglutide induced a significant body weight loss (MD: −10.09%; 95% CI: −11.84 to −8.33; p ˂ 0.00001), elicited a larger reduction in body mass index (MD: −3.71 kg/m2; 95% CI: −4.33 to −3.09; p ˂ 0.00001) and waist circumference (MD: −8.28 cm; 95% CI: −9.51 to −7.04; p ˂ 0.00001), achieved weight loss of more than 5, 10, 15, and 20% with a higher proportion of participants. Semaglutide exhibited a positive effect on blood pressure, C-reactive protein, and lipid profiles, expressed more adverse effects than placebo, mainly gastrointestinal reactions. The results were stable and reliable with dose-dependence.Conclusion: Semaglutide indicated a significant weight loss with an acceptable safety for obese or overweight patients without diabetes. 
546 |a EN 
690 |a weight loss 
690 |a semaglutide 
690 |a obesity 
690 |a without diabetes 
690 |a meta-analysis 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 13 (2022) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fphar.2022.935823/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/ca6e4c4be99e4aa89cae59c0e81e7c2c  |z Connect to this object online.