GLP-1 receptor agonists × cardiovascular events

SynthesisAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2025

Cardiovascular Safety Profile of Semaglutide and Variations by Sex, Race, and Kidney Function: A Systematic Review and Meta-analysis.

Muhammad Hamayal et al.PubMed ↗Publisher ↗

  • Semaglutidelooks good hereLower major heart events, lower expanded MACE.Weak evidence: one subgroup, may be chance.

What the trial testedrandomised · 2025

One subgroup · may be chance

May have lowered major heart events in patients with established or a risk of cardiovascular disease

−19%−26% to −12%

semaglutide vs placebo, in patients with established or a risk of cardiovascular disease

Bigger than 4 in 10 for cardiovascular events

As reported

RR 0.81, 95% CI 0.74–0.88 · the paper's word: major adverse cardiovascular events (MACE)

One subgroup · may be chance

May have lowered expanded MACE in all patients

−20%−25% to −14%

semaglutide vs placebo, in all patients

Bigger than 4 in 10 for cardiovascular events

As reported

RR 0.80, 95% CI 0.75–0.86

One subgroup · may be chance

May have lowered major heart events in males

−22%−30% to −13%

semaglutide vs placebo, in males

Bigger than 5 in 10 for cardiovascular events

As reported

RR 0.78, 95% CI 0.70–0.87 · the paper's word: major adverse cardiovascular events (MACE)

Who was studied, and how

people with cardiovascular disease, in this paper

Among patients with established or a risk of cardiovascular disease, the trial randomly assignedassigned by chance

semaglutide
placebo

May have lowered major heart events−19%

randomised · one subgroup, may be chance

Among all patients, the trial randomly assignedassigned by chance

semaglutide
placebo

May have lowered expanded MACE−20%

randomised · one subgroup, may be chance

the abstract, start to end

cardiovascular disease (risk ratio [RR] 0.81; 95% confidence interval [CI]

significantly with semaglutide (RR 0.80; 95% CI 0.75-0.86; p <

reduction was significant in males (RR 0.78; 95% CI 0.70-0.87; p < 0.00001)

← favours treatmentfavours comparator →
could be chance
Major adverse cardiovascular events (MACE)semaglutide vs placebo, in patients with established or a risk of cardiovascular disease
RR 0.810.74–0.88
Expanded MACEsemaglutide vs placebo, in all patients
RR 0.800.75–0.86
Major adverse cardiovascular events (MACE)semaglutide vs placebo, in males
RR 0.780.70–0.87
GLP-1 receptor agonistsCardiovascular events

GLP-1 receptor agonists × cardiovascular eventshelps?mixed

unlikelylikely
0.50not counted
← favours treatmentfavours comparator →
more certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 40106161