GLP-1 receptor agonists × quality of life & behaviour

TrialJAMA psychiatry2025

Semaglutide Treatment of Antipsychotic-Treated Patients With Schizophrenia, Prediabetes, and Obesity: The HISTORI Randomized Clinical Trial.

Ashok A Ganeshalingam et al.PubMed ↗Full text ↗Publisher ↗

  • Once-weekly subcutaneous semaglutidelooks good hereLower long-term blood sugar, lower body weight, higher high-density cholesterol.Randomised, small.

What the trial testedrandomised · 154 people · 2025

Randomised vs placebo

Probably lowered long-term blood sugar

−0.46percentage points−0.56 to −0.36

once-weekly subcutaneous semaglutide vs placebo

As reported

difference −0.46 %, 95% CI −0.56 to −0.36 · the paper's word: change in HbA1c

Randomised vs placebo

Probably lowered body weight

−9.21kg−11.7 to −6.75

once-weekly subcutaneous semaglutide vs placebo

As reported

difference −9.21 kg, 95% CI −11.7 to −6.75 · the paper's word: change in body weight

Randomised vs placebo

Probably raised high-density cholesterol

+10.8mg/dL+2.70 to +18.5

once-weekly subcutaneous semaglutide vs placebo

As reported

difference 10.81 mg/dL, 95% CI 2.70–18.5

Randomised vs placebo

Probably raised physical QoL

+3.75points+1.52 to +5.98

once-weekly subcutaneous semaglutide vs placebo

As reported

difference 3.75 points, 95% CI 1.52–5.98

+2 more in the walkthrough ↓

Who was studied, and how

154people with obesity, in this paper

The trial randomly assignedassigned by chance

once-weekly subcutaneous semaglutide
placebo

Probably lowered long-term blood sugar−0.46

Probably lowered body weight−9.21

Probably raised high-density cholesterol+10.8

randomised

the abstract, start to end

Semaglutide reduced HbA1c by 0.46% of total hemoglobin (95% CI, -0.56% to -0.36%) and body weight by 9.21 kg (95% CI, -11.68 to -6.75).

in high-density cholesterol by 10.81 mg/dL (95% CI, 2.70-18.53; P = .007) and triglycerides by -29.20 mg/dL (95% CI, -55.75 to 2.65;

semaglutide improved physical QoL by 3.75 points on the SF-36v2 (95% CI, 1.52-5.98; P = .001)

← favours treatmentfavours comparator →
could be chance
Change in HbA1conce-weekly subcutaneous semaglutide vs placebo
−0.46−0.56 to −0.36
Change in body weightonce-weekly subcutaneous semaglutide vs placebo
−9.21−11.7 to −6.75
High-density cholesterolonce-weekly subcutaneous semaglutide vs placebo
10.812.70–18.5
Triglyceridesonce-weekly subcutaneous semaglutide vs placebo
−29.20−55.8 to 2.65
Physical QoLonce-weekly subcutaneous semaglutide vs placebo
3.751.52–5.98
Quality of life & behaviour
21.52–5.98
GLP-1 receptor agonistsGlycemic controlBody weight & compositionLipidsQuality of life & behaviour

GLP-1 receptor agonists × quality of life & behaviourhelps?mixed

unlikelylikely
0.440.37 without it

GLP-1 receptor agonists × lipidshelps?one trial

unlikelylikely
0.500.50 without it

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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13 papers cite it

2025
2026
this papertrialcites it

The trial

Full record →Abstract, authors, funding and every citing paper · PMID 40900607