Evaluating the safety profile of semaglutide: an updated meta-analysis

Frederick Berro Rivera, Lincoln Medical and Mental Health Center
Eloise Arias-Aguirre, Cebu Institute of Medicine
Zedrick Aguirre, Cebu Institute of Medicine
Mc John C. Ybañez, Cebu Institute of Medicine
Janos Marc M. Rubia, Cebu Institute of Medicine
Danica Janine Galang, Cebu Institute of Medicine
Grace Nooriza Lumbang, Cebu Institute of Medicine
Jade Monica Marie J. Ruyeras, Cebu Institute of Medicine
John Vincent Magalong, San Beda University
Polyn Luz Pine, Ateneo de Manila University
John Andrew C. Amigo, Ateneo de Manila University
Marie Francesca M. Ansay, UPMC McKeesport
Nenad Zelenkov, UPMC McKeesport
Steve Samuel Thomas, Arizona State University
Krishnaswami Vijayaraghavan, The University of Arizona

Abstract

Background: Semaglutide is increasingly used in the management of type 2 diabetes mellitus and obesity. Ensuring the safety of this medication is crucial for its clinical use. This meta-analysis evaluates the safety profile of semaglutide across patient populations and treatment durations. Methods: Randomized controlled trials assessing the safety of semaglutide vs. placebo, with specified treatment durations were identified. The primary outcome was occurrence of any cardiovascular adverse events. Secondary outcomes included sudden cardiac death, adverse events leading to death, adverse events, gastrointestinal side effects, occurrence of hypoglycemia, and new-onset neoplasm. Results: A total of 23 studies met the inclusion criteria with a combined sample size of 57,911 participants. The meta-analysis revealed that the adverse event associated with semaglutide is gastrointestinal in nature (nausea and vomiting). No significant differences were observed between semaglutide and comparator groups. Conclusion: Semaglutide appears to have a favorable safety profile across diverse patient populations and treatment durations, supporting its continued use in the management of type 2 diabetes mellitus and obesity. It is generally well-tolerated, with a low incidence of adverse events. Clinicians should be aware of these findings and monitor patients accordingly. Further long-term studies are warranted to assess the safety of semaglutide in clinical practice.