GLP-1 receptor agonists × body weight & composition

TrialDiabetes, obesity & metabolism2025

Efficacy and safety of once-weekly semaglutide 2.4 mg for weight management in participants from China: A prespecified analysis of the STEP 7 randomized clinical trial.

Weijun Gu et al.PubMed ↗Full text ↗Publisher ↗

  • Semaglutide 2.4 mglooks good hereLower body weight from baseline to Week 44, higher proportion of participants who achieved ≥5% reduction in body weight.Weak evidence: one subgroup.

What the trial testedrandomised · 2025

One subgroup

May have lowered body weight from baseline to Week 44 in Chinese participants

−8.30percentage points−10.2 to −6.40

semaglutide 2.4 mg vs placebo, in Chinese participants

As reported

difference −8.3 %, 95% CI −10.2 to −6.40 · the paper's word: change in mean body weight from baseline to Week 44

One subgroup

May have raised proportion of participants who achieved ≥5% reduction in body weight in Chinese participants

16×8.4× to 31×

semaglutide 2.4 mg vs placebo, in Chinese participants

Bigger than almost all on the map

As reported

OR 16.1, 95% CI 8.40–30.9 · the paper's word: proportion of participants who achieved ≥5% reduction in body weight from baseline

Who was studied, and how

375people in the Effect and Safety of Semaglutide 2.4 mg Once-weekly on Weight Management in Subjects With Overweight or Obesity. trial, from 2020
of them with obesity, in this paper

Among Chinese participants, the trial randomly assignedassigned by chance

semaglutide 2.4 mg
placebo

May have lowered body weight from baseline to Week 44−8.30

May have raised proportion of participants who achieved ≥5% reduction in body weight16×

randomised · one subgroup

the abstract, start to end

placebo (estimated treatment difference -8.3%; 95% confidence interval [CI]

placebo (85.4% vs. 26.8%): odds ratio 16.1; 95% CI 8.4, 30.9; p < 0.0001.

← favours treatmentfavours comparator →
could be chance
Change in mean body weight from baseline to Week 44semaglutide 2.4 mg vs placebo, in Chinese participants
−8.3−10.2 to −6.40
Proportion of participants who achieved ≥5% reduction in body weight from baselinesemaglutide 2.4 mg vs placebo, in Chinese participants
OR 16.18.40–30.9
GLP-1 receptor agonistsBody weight & composition

GLP-1 receptor agonists × body weight & compositionhelps?replicated

unlikelylikely
0.900.90 without it
← favours comparatorfavours treatment →
this papermore certainless certain
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2 papers cite it

2025
2026
this paperpooled ittrialcites it

The trial

Full record →Abstract, authors, funding and every citing paper · PMID 40069849