Evaluating the safety profile of semaglutide: an updated meta-analysis.

IF 2.2 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Current Medical Research and Opinion Pub Date : 2024-09-01 Epub Date: 2024-07-27 DOI:10.1080/03007995.2024.2383731
Frederick Berro Rivera, Eloise Arias-Aguirre, Zedrick Aguirre, Mc John C Ybañez, Janos Marc M Rubia, Danica Janine Galang, Grace Nooriza Lumbang, Jade Monica Marie J Ruyeras, John Vincent Magalong, Polyn Luz Pine, John Andrew C Amigo, Marie Francesca M Ansay, Nenad Zelenkov, Steve Samuel Thomas, Krishnaswami Vijayaraghavan
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Abstract

Background: Semaglutide is increasingly used in the management of type 2 diabetes mellitus and obesity. Ensuring the safety of this medication is crucial for its clinical use. This meta-analysis evaluates the safety profile of semaglutide across patient populations and treatment durations.

Methods: Randomized controlled trials assessing the safety of semaglutide vs. placebo, with specified treatment durations were identified. The primary outcome was occurrence of any cardiovascular adverse events. Secondary outcomes included sudden cardiac death, adverse events leading to death, adverse events, gastrointestinal side effects, occurrence of hypoglycemia, and new-onset neoplasm.

Results: A total of 23 studies met the inclusion criteria with a combined sample size of 57,911 participants. The meta-analysis revealed that the adverse event associated with semaglutide is gastrointestinal in nature (nausea and vomiting). No significant differences were observed between semaglutide and comparator groups.

Conclusion: Semaglutide appears to have a favorable safety profile across diverse patient populations and treatment durations, supporting its continued use in the management of type 2 diabetes mellitus and obesity. It is generally well-tolerated, with a low incidence of adverse events. Clinicians should be aware of these findings and monitor patients accordingly. Further long-term studies are warranted to assess the safety of semaglutide in clinical practice.

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评估塞马鲁肽的安全性:最新荟萃分析。
背景塞马鲁肽越来越多地用于治疗 2 型糖尿病和肥胖症。确保这种药物的安全性对其临床应用至关重要。这项荟萃分析评估了塞马鲁肽在不同患者群体和治疗持续时间中的安全性:方法:确定了评估塞马鲁肽与安慰剂安全性的随机对照试验,并规定了治疗持续时间。主要结果是发生任何心血管不良事件。次要结果包括心源性猝死、导致死亡的不良事件、不良事件、胃肠道副作用、低血糖发生率和新发肿瘤:共有 23 项研究符合纳入标准,合计样本量为 57,911 人。荟萃分析显示,与塞马鲁肽相关的不良反应主要是胃肠道反应(恶心和呕吐)。在塞马鲁肽组和对比组之间未观察到明显差异:塞马鲁肽在不同的患者群体和治疗持续时间内似乎都具有良好的安全性,支持其继续用于2型糖尿病和肥胖症的治疗。它的耐受性普遍良好,不良反应发生率较低。临床医生应了解这些研究结果,并对患者进行相应的监测。有必要开展进一步的长期研究,以评估舍马鲁肽在临床实践中的安全性。
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来源期刊
Current Medical Research and Opinion
Current Medical Research and Opinion 医学-医学:内科
CiteScore
4.40
自引率
4.30%
发文量
247
审稿时长
3-8 weeks
期刊介绍: Current Medical Research and Opinion is a MEDLINE-indexed, peer-reviewed, international journal for the rapid publication of original research on new and existing drugs and therapies, Phase II-IV studies, and post-marketing investigations. Equivalence, safety and efficacy/effectiveness studies are especially encouraged. Preclinical, Phase I, pharmacoeconomic, outcomes and quality of life studies may also be considered if there is clear clinical relevance
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