Trial reportThe Journal of clinical endocrinology and metabolism2025

Semaglutide and Taste in Women With Obesity and Polycystic Ovary Syndrome: A Randomized Placebo-Controlled Study.

Mojca Jensterle, Jernej Kovac, Andrej Vovk, Simona Ferjan, Saba Battelino, Tadej Battelino, Andrej Janez

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2025. The graph read 1 number from its abstract, feeding 1 cell of the map: it supports the treatment in 1. Cited by 7 papers.

1number the graph read from it
1cell of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

← favours the comparatorfavours the treatment →
3.300 · no effect
Overall taste recognition scoresemaglutide 1.0 mg once weekly vs placebofavours the treatment · obesity, gdmfeeds one cell of the map
Δ 2.501.70 to 3.30
RESULTS: Semaglutide improved overall taste recognition score from 11.9 ± 1.9 points to 14.4 ± 1.0 points, with an estimated treatment difference of 2.5 points (95% CI, 1.7-3.3).

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×quality of life & behaviour

SupportsOpen on the map →What to test next →

13 readable studies in this cell: 3 favour the treatment, 6 find no difference, 4 favour the comparator.

Belief with this paper
0.37contested · 3 families support, 5 contradict · against placebo
Without it
0.26This paper moves it by +0.11.
← favours the comparatorfavours the treatment →
0 · no effect
This paper · 2025
Δ 2.501.70 to 3.30
NCT017204463,297 enrolled · 2013
Δ 0.50-0.48 to 1.47
NCT039879191,879 enrolled · 2019
Δ -0.24-0.50 to 0.03
NCT02963935282 enrolled · 2017
Δ 0.16-1.19 to 1.52
NCT05564039282 enrolled · 2022
Δ 4.10-1.00 to 9.20
Δ 3.751.52 to 5.98
NCT03951753117 enrolled · 2019
Δ -246-358 to -133
NCT04311411114 enrolled · 2020
Δ 6.63-1.53 to 14.8
NCT04019197108 enrolled · 2019
β coefficient 420-1012 to 1852
NCT0304179261 enrolled · 2017
Δ -236-322 to -149
weight loss -6.50-10.2 to -2.90
4 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

5 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

7 authors.

Mojca JensterleDepartment of Endocrinology, Diabetes and Metabolic Diseases, Division of Internal Medicine, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.ORCID 0000-0002-8861-8803
Jernej KovacFaculty of Medicine, University of Ljubljana, Ljubljana SI-1000, Slovenia.
Andrej VovkFaculty of Medicine, University of Ljubljana, Ljubljana SI-1000, Slovenia.
Simona FerjanDepartment of Endocrinology, Diabetes and Metabolic Diseases, Division of Internal Medicine, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.ORCID 0000-0002-7864-395X
Saba BattelinoFaculty of Medicine, University of Ljubljana, Ljubljana SI-1000, Slovenia.
Tadej BattelinoFaculty of Medicine, University of Ljubljana, Ljubljana SI-1000, Slovenia.ORCID 0000-0002-0273-4732
Andrej JanezDepartment of Endocrinology, Diabetes and Metabolic Diseases, Division of Internal Medicine, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.ORCID 0000-0002-6594-5254

Funding

Slovenian Research and Innovation Agency #P3-0298Slovenian Research and Innovation Agency #P3-0343University Medical Centre Ljubljana 20200112
8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

contextRelationship between obesity and the sense of taste is complex, with many inconsistent and conflicting findings that are largely methodology dependent. The impact of glucagon-like peptide-1 analogues on taste remains largely unaddressed.

methodsIn this 16-week, single-blinded, placebo-controlled study, 30 women with polycystic ovary syndrome (PCOS), aged 33.7 ± 6.1 years with a body mass index of 36.4 ± 4.4 kg/m2 were randomized to semaglutide 1.0 mg once weekly or placebo. Change in taste recognition was assessed by 16 strips impregnated with 4 different concentrations of the 4 basic tastes. Tongue biopsies were performed for gene expression analysis. Brain responses to visual cues of sweet and savory foods and to sweet solution dripping on the tongue were evaluated by functional magnetic resonance imaging.

resultsSemaglutide improved overall taste recognition score from 11.9 ± 1.9 points to 14.4 ± 1.0 points, with an estimated treatment difference of 2.5 points (95% CI, 1.7-3.3). The genes EYA, PRMT8, CRLF1, and CYP1B1, which are associated with taste signaling transduction pathways, neural plasticity, and renewal of taste buds, showed differential RNA expression by a multi-tiered analytical pipeline. Semaglutide decreased activation of putamen in response to visual food cues and increased activity in the angular gyrus of the parietal cortex in response to sweet solution after meal intake (semaglutide vs placebo, P < .001).

conclusionIn women with obesity and PCOS, semaglutide improved an overall taste recognition score, altered RNA expression in the tongue and modified brain activity in response to sweet and savory food cues and to tasting sweet solution.

Indexed as

Glucagon-Like PeptidesObesityPolycystic Ovary SyndromeTasteAdultBrainFemaleGlucagon-Like Peptide 1HumansMagnetic Resonance ImagingSemaglutideSingle-Blind MethodTongueYoung AdultGlucagon-Like Peptide 1Glucagon-Like PeptidesSemaglutidefMRIobesitysemaglutidetaste recognitiontongue biopsy

Identifiers

PMID40341357

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.