HbA1c ReductionSemaglutide

Clinical evidence dossier

Semaglutide

HbA1c

Evidence signal

Authoritative evidence signal

strong

This is an authoritative evidence signal supplied by Clinical Reference. It is not a formal clinical grade, treatment recommendation, or pooled effect estimate.

Evidence snapshot

Authoritative support records
11
Supporting studies available for review
11
Randomized trials
10
Reported effects
25

Clinical conclusion

Semaglutide shows a strong positive evidence signal for improving HbA1c across the studied comparisons.

Observed effects

Observed study estimates; not a pooled treatment effect.

Change from baseline

Mean difference

-2.47 to -1.2 %

9 eligible estimates24–104 weeksObserved median: -1.93 %

Change from baseline

Mean difference

-11 to -2 mmol/mol

4 eligible estimates26–26 weeksObserved median: -9.5 mmol/mol

Between-group effect

Mean difference

-0.3 to -0.3 percentage points

1 eligible estimates40–40 weeksObserved median: -0.3 percentage points

Evidence composition

Non-randomized studies
0
Other designs
0
Unresolved designs
1
Magnitude-eligible effects
14

Consistency

Authoritative consistency classification

consistent

Positive
9
No effect
2
Mixed
0
Negative
0

Population and applicability

Structured population data were available for 11 of 11 supporting studies. 10 studies described participants with type 2 diabetes. 11 studies described adult participants.

This population information refers to the materialized supporting studies available for review. Omitted support records remain part of the authoritative support accounting and are available through the audit experience.

View reported population descriptions

These descriptions are reported across the supporting studies; they are not a single synthesized population.

  • Adults with type 2 diabetes inadequately controlled on metformin.
  • Patients seeking affordable diabetes treatment options.
  • Young Adult (19–39)
  • Middle Aged (40-64)
  • Male
  • Female
  • with T2 Diabetes
  • Adults with type 2 diabetes seeking weight management options.
  • Patients currently prescribed semaglutide or considering its use.
  • Indian adults aged 18 and older with Type 2 diabetes.
  • Individuals seeking effective management options for diabetes.
  • Korean adults aged 18-75 with type 2 diabetes.

Limitations

  • 1 relevant study has unresolved authoritative design evidence and does not contribute to design-specific or RoB-specific claims.
  • 2 supporting studies do not have a displayable topic-matched quantitative effect.
  • Evidence uses heterogeneous comparison contexts: active_comparator, placebo, usual_care.
  • 4 supporting studies have high, serious, critical, unclear, or unavailable risk-of-bias information.
  • 1 study contains conflicting p-value and significance fields; those significance claims are suppressed.

Supporting evidence

Inspect the authoritative studies and omitted support records for this dossier.

View supporting evidence