Long-term Safety Profile of Semaglutide in the Management of Type 2 Diabetes and Obesity
DOI:
https://doi.org/10.61173/rvr8p069Keywords:
Semaglutide, Type 2 diabetes, obesityAbstract
Diabetes and obesity are major global health concerns, often leading to serious complications such as heart disease and premature death. Recent progress in treatment has underscored the effectiveness of GLP-1 receptor agonists, like semaglutide, in improving blood sugar levels and aiding weight loss. Semaglutide has demonstrated significant benefits in managing both T2DM and obesity. However, its long-term safety remains largely unexamined. This study aimed to assess the safety profile of semaglutide, focusing on common side effects like gastrointestinal issues, gallbladder disease, and the potential risk of pancreatitis. It also examined how factors such as varying dosages, methods of administration, and patient characteristics influenced these side effects. The results showed that semaglutide was generally well tolerated, though gastrointestinal side effects were dose-related, and rare complications like pancreatitis require further investigation. While the study provides valuable insights for future research, more long-term data is necessary, particularly for patients with multiple health conditions. Future studies should prioritize these groups and investigate the mechanisms behind rare but serious side effects.
References
[1] JACOB, S., VARUGHESE, G. I. Tirzepatide, the Newest Medication for Type 2 Diabetes: A Review of the Literature and Implications for Clinical Practice [J]. Annals of Pharmacotherapy, 2024, 58: 444-445.
[2] XIE, P., ABILDLUND, M. T., BæKDAL, T. A., HE, X., LYAUK, Y. K., PATTED, U. R. H., NING, Z., SHI, A. A phase 1, randomized, double‐blind, placebo‐controlled trial investigating the pharmacokinetics, pharmacodynamics, safety and tolerability of oral semaglutide in healthy Chinese subjects [J]. Diabetes, Obesity and Metabolism, 2024.
[3] DAVIES, M., FæRCH, L., JEPPESEN, O. K., PAKSERESHT, A., PEDERSEN, S. D., PERREAULT, L., ROSENSTOCK, J., SHIMOMURA, I., VILJOEN, A., WADDEN, T. A. Semaglutide 2·4 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2): a randomised, double-blind, double-dummy, placebo-controlled, phase 3 trial [J]. The Lancet, 2021, 397: 971-984.
[4] DRUCKER, D. J. Mechanisms of action and therapeutic application of glucagon-like peptide-1 [J]. Cell Metabolism, 2018, 27: 740-756.
[5] KOMMU, S., WHITFIELD, P. Semaglutide [M/OL]. StatPearls Publishing, 2024 [2024-10-01]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555544/.
[6] ELASHOFF, M., MATVEYENKO, A. V., GIER, B., ELASHOFF, R., BUTLER, P. C. Pancreatitis, pancreatic, and thyroid cancer with glucagon-like peptide-1–based therapies [J]. Gastroenterology, 2011, 141: 150-156.
[7] FISMAN, E. Z., TENENBAUM, A. The dual glucosedependent insulinotropic polypeptide (GIP) and glucagonlike peptide-1 (GLP-1) receptor agonist tirzepatide: a novel cardiometabolic therapeutic prospect [J]. Cardiovascular Diabetology, 2021, 20: 225.
[8] BELL, D. A., WATTS, G. F. Contemporary and novel therapeutic options for hypertriglyceridemia [J]. Clinical Therapeutics, 2015, 37: 2732-2750.
[9] BUTEAU, J. GLP-1 signaling and the regulation of pancreatic β-cells mass/function [J]. Avances en Diabetología, 2011, 27: 3-8.
[10] COLLINS, L., COSTELLO, R. A. Glucagon-like peptide-1 receptor agonists [M]. In: StatPearls [Internet]. StatPearls Publishing, 2019.
[11] RANGANATH, L., BEETY, J., MORGAN, L., WRIGHT, J., HOWLAND, R., MARKS, V. Attenuated GLP-1 secretion in obesity: cause or consequence? [J]. Gut, 1996, 38: 916-919.
[12] WANG, J.-Y., WANG, Q.-W., YANG, X.-Y., YANG, W., LI, D.-R., JIN, J.-Y., ZHANG, H.-C., ZHANG, X.-F. GLP- 1 receptor agonists for the treatment of obesity: Role as a promising approach [J]. Frontiers in Endocrinology, 2023, 14: 1085799.
[13] MARATHE, C. S., RAYNER, C. K., JONES, K. L., HOROWITZ, M. Effects of GLP‐1 and incretin‐based therapies on gastrointestinal motor function [J]. Journal of Diabetes Research, 2011, 2011: 279530.
[14] TAMAYO-TRUJILLO, R., RUIZ-POZO, V. A., CADENA- ULLAURI, S., GUEVARA-RAMíREZ, P., PAZ-CRUZ, E., ZAMBRANO-VILLACRES, R., SIMANCAS-RACINES, D., Dean&Francis Zhanxu Meng ZAMBRANO, A. K. Molecular mechanisms of semaglutide and liraglutide as a therapeutic option for obesity [J]. Frontiers in Nutrition, 2024, 11: 1398059.
[15] MARSO, S. P., BAIN, S. C., CONSOLI, A., ELIASCHEWITZ, F. G., JóDAR, E., LEITER, L. A., LINGVAY, I., ROSENSTOCK, J., SEUFERT, J., WARREN, M. L. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes [J]. New England Journal of Medicine, 2016, 375: 1834-1844.
[16] WILDING, J. P., BATTERHAM, R. L., CALANNA, S., DAVIES, M., VAN GAAL, L. F., LINGVAY, I., MCGOWAN, B. M., ROSENSTOCK, J., TRAN, M. T., WADDEN, T. A. Onceweekly semaglutide in adults with overweight or obesity [J]. New England Journal of Medicine, 2021, 384: 989-1002.
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