GLP-1 receptor agonists × glycemic control

TrialDiabetes care2025

High-Dose Semaglutide (Up to 16 mg) in People With Type 2 Diabetes and Overweight or Obesity: A Randomized, Placebo-Controlled, Phase 2 Trial.

Vanita R Aroda et al.PubMed ↗Full text ↗Publisher ↗

  • Semaglutide 16 mgno clear effectLower weight change, lower HbA1c change, no clear effect on HbA1c change.Weak evidence: one subgroup.

What the trial testedrandomised · 245 people · 2025

One subgroup

May have lowered weight change in treatment policy estimand

−3.40kg−6.00 to −0.80

semaglutide 16 mg vs semaglutide 2 mg, in treatment policy estimand

As reported

difference −3.4 kg, 95% CI −6.00 to −0.80

One subgroup

May have lowered HbA1c change in hypothetical estimand

−0.50percentage points−1.00 to −0.10

semaglutide 16 mg vs semaglutide 2 mg, in hypothetical estimand

As reported

difference −0.5 %, 95% CI −1.00 to −0.10

One subgroup

May have lowered weight change in hypothetical estimand

−4.50kg−7.60 to −1.40

semaglutide 16 mg vs semaglutide 2 mg, in hypothetical estimand

As reported

difference −4.5 kg, 95% CI −7.60 to −1.40

Range includes no effect

No clear effect on HbA1c change

−0.30percentage points−0.70 to +0.20

semaglutide 16 mg vs semaglutide 2 mg, in treatment policy estimand

As reported

difference −0.3 percentage points, 95% CI −0.70 to 0.20

Who was studied, and how

245people with type 2 diabetes, in this paper

Among treatment policy estimand, the trial randomly assignedassigned by chance

semaglutide 16 mg
semaglutide 2 mg

May have lowered weight change−3.40

No clear effect on HbA1c change−0.30

randomised · one subgroup

Among hypothetical estimand, the trial randomly assignedassigned by chance

semaglutide 16 mg
semaglutide 2 mg

May have lowered HbA1c change−0.50

May have lowered weight change−4.50

randomised · one subgroup

the abstract, start to end

difference between 16 and 2 mg was -0.3 percentage points (%-points) (95% CI -0.7 to 0.2; P = 0.245) for HbA1c change and -3.4 kg (-6.0 to -0.8; P = 0.011) for weight change for the treatment policy estimand and -0.5%-points (-1.0 to -0.1; P = 0.015) and -4.5 kg (-7.6 to -1.4; P = 0.004),

← favours treatmentfavours comparator →
could be chance
HbA1c changesemaglutide 16 mg vs semaglutide 2 mg, in treatment policy estimand
−0.3−0.70 to 0.20
Weight changesemaglutide 16 mg vs semaglutide 2 mg, in treatment policy estimand
−3.4−6.00 to −0.80
HbA1c changesemaglutide 16 mg vs semaglutide 2 mg, in hypothetical estimand
−0.5−1.00 to −0.10
Weight changesemaglutide 16 mg vs semaglutide 2 mg, in hypothetical estimand
−4.5−7.60 to −1.40
GLP-1 receptor agonistsGlycemic controlBody weight & composition
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10 papers cite it

2025
2026
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Full record →Abstract, authors, funding and every citing paper · PMID 40279144