Evidence mapPaperPMID 42403263Full record

Trial reportDiabetes, obesity & metabolism2026

Semaglutide Injection Once-Weekly for Weight Management in Adults: Results From A Randomized Phase III, Active-Controlled Study.

Unnikrishnan Ambika Gopalakrishnan, Ameya Joshi, Harish Kumar, Richa Giri, Sanjiv Maheshwari, Valluri Satya Prasad, Jitendra Shukla, Rekha M Chowdaiah, Nutan Kumar Agrawal, Yogesh Rasal and 17 more

Abstract readClinical Trial, Phase IIIRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · 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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

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

5 · Who and what money

Authors and funding

27 authors.

Unnikrishnan Ambika GopalakrishnanChellaram Diabetes Institute, Pune, Maharashtra, India.
Ameya JoshiBhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India.
Harish KumarAmrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Richa GiriG.S.V.M Medical College, Kanpur, Uttar Pradesh, India.
Sanjiv MaheshwariJawahar Lal Nehru Medical College, Ajmer, Rajasthan, India.
Valluri Satya PrasadKing George Hospital, Visakhapatnam, Andhra Pradesh, India.
Jitendra ShuklaMoti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India.
Rekha M ChowdaiahMandya Institute of Medical Science, Mandya, Karnataka, India.
Nutan Kumar AgrawalM.L.B Medical College, Jhansi, Uttar Pradesh, India.
Yogesh RasalPulse Multispecialty Hospital, Pune, Maharashtra, India.
Banshidhar SahooKIDS Hospital, Khordha, Odisha, India.
Shweta BhandariVincare Hospital, Bathinda, Punjab, India.ORCID https://orcid.org/0000-0002-0008-7949
Ambanna GowdaCitizen Hospital, Bangalore, Karnataka, India.
Uday PhadkeSahyadri Super Speciality Hospital, Pune, Maharashtra, India.
Pravin SupeSupe Heart and Diabetes Hospital and Research Centre, Nashik, Maharashtra, India.
Niranjan PathakOJAS Multispeciality Hospital, Pune, Maharashtra, India.
Ambrish ChandrappaMedstar Speciality Hospital, Bangalore, Karnataka, India.
Ashutosh SonawanePanacea Hospital, Nashik, Maharashtra, India.
Yash BahulikarMMFHA Joshi Hospital, Pune, Maharashtra, India.
Amit BhaskarJanta Hospital and Maternity Center, Varanasi, Uttar Pradesh, India.
Arunkumar RadhakrishnanChettinad Hospital and Research Institute, Chengalpattu, Tamil Nadu, India.
Priyanka YadavSun Pharma Laboratories Limited, Mumbai, Maharashtra, India.
Sucheta PanditSun Pharma Laboratories Limited, Mumbai, Maharashtra, India.
Supriya SonowalSun Pharma Laboratories Limited, Mumbai, Maharashtra, India.ORCID https://orcid.org/0009-0002-5481-7780
Dipak PatilSun Pharma Laboratories Limited, Mumbai, Maharashtra, India.ORCID https://orcid.org/0009-0008-8690-3302
Pravin GhadgeSun Pharma Laboratories Limited, Mumbai, Maharashtra, India.
Suyog MehtaSun Pharma Laboratories Limited, Mumbai, Maharashtra, India.

Funding

Sun Pharmaceutical Industries Limited
6 · The paper itself

Abstract

aimTo evaluate and compare the efficacy, safety, and immunogenicity of a synthetic semaglutide injection (Test semaglutide) with Wegovy (Reference semaglutide) injection for weight management. MATERIALS AND

methodsThis randomized, Phase III, non-inferiority study included adults with obesity or overweight with or without comorbidities from 21 centers in India. A total of 270 patients with body mass index ≥ 30 kg/m

resultsOut of 267 randomized patients, 246 completed the study. At Week 24, mean percent weight change from baseline was -13.8% ± 4.28% in Test and -14.1% ± 4.11% in Reference groups with least-squares mean difference of 0.26% (95% CI: -0.86% to 1.39%), meeting the criterion for non-inferiority. The proportion of patients with ≥ 5% and ≥ 10% weight loss were 96.40% and 80.60% in Test, and 98.80% and 80.00% in Reference groups, respectively at Week 24. Improvements in body mass index, waist circumference, SF-36 total score, and glycemic parameters were comparable between groups. Treatment-emergent adverse events were reported in 72.30% and 76.70% in the Test and Reference groups, respectively, with gastrointestinal events being the most common.

conclusionsTest synthetic semaglutide was found to be non-inferior to Reference semaglutide in weight management with or without comorbidities.

trial registrationProspectively registered on the Clinical Trials Registry-India, CTRI/2025/04/085487 [Registered on: 24/04/2025], https://ctri.nic.in/Clinicaltrials/pmaindet2.php?EncHid=MTIwNjMx&Enc=&userName=.

Indexed as

Anti-Obesity AgentsGlucagon-Like PeptidesObesityOverweightAdultAgedBody Mass IndexDiabetes Mellitus, Type 2Drug Administration ScheduleFemaleHumansMaleMiddle AgedSemaglutideTreatment OutcomeWeight LossAnti-Obesity AgentsGlucagon-Like PeptidesSemaglutideGLP‐1 receptor agonistimmunogenicitynon‐inferiority trialobesityoverweightsemaglutideweight management

Identifiers

PMID42403263
PMCPMC13449013

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC
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.