← Semaglutide scientific summary

Accountable evidence registry

Semaglutide ranked evidence corpus

AI appraisal is complete for all 300 screening records.297 records are ready for one accountable bundle sign-off; only 3 focused exceptions remain held. Peer-reviewed research is appraised for relevance, design, and limitations—not experimentally retested.

300/300

AI appraisals complete

297

Ready for bundle sign-off

3

Focused human exceptions (1%)

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Showing 25 of 300 matching records · page 4 of 12

Overall rank 76 · Score 105 · 2024 Jun 17

Tirzepatide Improved Markers of Islet Cell Function and Insulin Sensitivity in People With T2D (SURPASS-2).

The Journal of clinical endocrinology and metabolism

Randomized trialAI-recommended Tier AType 2 diabetes

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 77 · Score 105 · 2024 Mar

Efficacy and safety of once weekly semaglutide 2·4 mg for weight management in a predominantly east Asian population with overweight or obesity (STEP 7): a double-blind, multicentre, randomised controlled trial.

The lancet. Diabetes & endocrinology

Randomized trialAI-recommended Tier ASafety

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 78 · Score 105 · 2024 Apr 18

Semaglutide in Patients with Obesity-Related Heart Failure and Type 2 Diabetes.

The New England journal of medicine

Randomized trialAI-recommended Tier AHeart failure

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 79 · Score 105 · 2024 Jun 1

Early-Onset Type 2 Diabetes and Tirzepatide Treatment: A Post Hoc Analysis From the SURPASS Clinical Trial Program.

Diabetes care

Randomized trialAI-recommended Tier APediatric & adolescent

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 80 · Score 105 · 2024 Jul

Effect of semaglutide 2.4 mg on physical functioning and weight- and health-related quality of life in adults with overweight or obesity: Patient-reported outcomes from the STEP 1-4 trials.

Diabetes, obesity & metabolism

Randomized trialAI-recommended Tier AWeight loss & obesity

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 81 · Score 105 · 2024 Sep 14

Semaglutide and diuretic use in obesity-related heart failure with preserved ejection fraction: a pooled analysis of the STEP-HFpEF and STEP-HFpEF-DM trials.

European heart journal

Randomized trialAI-recommended Tier AHeart failure

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 82 · Score 105 · 2024 Jun

Tirzepatide 5, 10 and 15 mg versus injectable semaglutide 0.5 mg for the treatment of type 2 diabetes: An adjusted indirect treatment comparison.

Diabetes research and clinical practice

Randomized trialAI-recommended Tier AType 2 diabetes

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 83 · Score 105 · 2024 Aug 27

Efficacy of Semaglutide by Sex in Obesity-Related Heart Failure With Preserved Ejection Fraction: STEP-HFpEF Trials.

Journal of the American College of Cardiology

Randomized trialAI-recommended Tier AHeart failure

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 84 · Score 105 · 2024 Oct

Effects of semaglutide with and without concomitant SGLT2 inhibitor use in participants with type 2 diabetes and chronic kidney disease in the FLOW trial.

Nature medicine

Randomized trialAI-recommended Tier AKidney

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 85 · Score 105 · 2024 Aug

Once-weekly semaglutide in people with HIV-associated lipohypertrophy: a randomised, double-blind, placebo-controlled phase 2b single-centre clinical trial.

The lancet. Diabetes & endocrinology

Randomized trialAI-recommended Tier APediatric & adolescent

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 86 · Score 105 · 2024 Oct

Effects of semaglutide, empagliflozin and their combination on renal diffusion-weighted MRI and total kidney volume in patients with type 2 diabetes: a post hoc analysis from a 32 week randomised trial.

Diabetologia

Randomized trialAI-recommended Tier AKidney

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 87 · Score 105 · 2024 Dec

A randomized phase 2b trial examined the effects of the glucagon-like peptide-1 and glucagon receptor agonist cotadutide on kidney outcomes in patients with diabetic kidney disease.

Kidney international

Randomized trialAI-recommended Tier AKidney

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 88 · Score 105 · 2024 Nov 1

Psychiatric Safety of Semaglutide for Weight Management in People Without Known Major Psychopathology: Post Hoc Analysis of the STEP 1, 2, 3, and 5 Trials.

JAMA internal medicine

Randomized trialAI-recommended Tier AWeight loss & obesity

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 89 · Score 104 · 2025 Oct 30

Semaglutide for adults living with obesity.

The Cochrane database of systematic reviews

Meta-analysisAI-recommended Tier AWeight loss & obesityCardiovascularMASH & liverHeart failureSafetyDiscontinuation & regain

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 90 · Score 104 · 2026 Jul 8

Comparative effects of drugs for adults with overweight or obesity: systematic review and network meta-analysis.

BMJ (Clinical research ed.)

Meta-analysisAI-recommended Tier ACardiovascularKidneyHeart failureSafetyPediatric & adolescent

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 91 · Score 104 · 2025 May 1

Cardiovascular and Kidney Outcomes and Mortality With Long-Acting Injectable and Oral Glucagon-Like Peptide 1 Receptor Agonists in Individuals With Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Trials.

Diabetes care

Meta-analysisAI-recommended Tier ACardiovascularKidneyHeart failureSafetyOphthalmic

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 92 · Score 104 · 2025 Jan

Semaglutide effects on safety and cardiovascular outcomes in patients with overweight or obesity: a systematic review and meta-analysis.

International journal of obesity (2005)

Meta-analysisAI-recommended Tier AType 2 diabetesCardiovascularHeart failureDiscontinuation & regain

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 93 · Score 104 · 2025 Oct

A systematic review and meta-analysis of the efficacy and safety of pharmacological treatments for obesity in adults.

Nature medicine

Meta-analysisAI-recommended Tier AWeight loss & obesityMASH & liverHeart failureSafety

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 94 · Score 104 · 2023 Jul

Effects of oral semaglutide on cardiovascular outcomes in individuals with type 2 diabetes and established atherosclerotic cardiovascular disease and/or chronic kidney disease: Design and baseline characteristics of SOUL, a randomized trial.

Diabetes, obesity & metabolism

Other human/translationalAI-recommended Tier DCardiovascularKidneyHeart failureSafety

AI appraisal complete: Trial design and baseline protocol publication; corrected from completed randomized trial. Evidence-class and Tier D recommendation updated from PubMed title/abstract, publication types, and registry metadata. No experimental retesting was performed or required.

Overall rank 95 · Score 104 · 2025 Jul

Comparative efficacy and tolerability of currently approved incretin mimetics: A systematic analysis of placebo-controlled clinical trials.

Diabetes, obesity & metabolism

Meta-analysisAI-recommended Tier AType 2 diabetesKidneyDiscontinuation & regain

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 96 · Score 104 · 2023 Jun

Semaglutide 2·4 mg once weekly in patients with non-alcoholic steatohepatitis-related cirrhosis: a randomised, placebo-controlled phase 2 trial.

The lancet. Gastroenterology & hepatology

Randomized trialAI-recommended Tier AKidneyMASH & liverSafety

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 97 · Score 104 · 2023 Dec 14

Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes.

The New England journal of medicine

Randomized trialAI-recommended Tier ACardiovascularSafetyDiscontinuation & regain

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains randomized comparative evidence with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 98 · Score 104 · 2026 Jun

Semaglutide and the Risk of Nonarteritic Ischemic Optic Neuropathy: A Systematic Review and Certainty of Evidence Meta-Analysis.

Ophthalmology

Meta-analysisAI-recommended Tier AOphthalmicPediatric & adolescent

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 99 · Score 104 · 2026 May 15

CagriSema Versus Semaglutide Monotherapy or Placebo for Obesity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials with GRADE Assessment.

The American journal of cardiology

Meta-analysisAI-recommended Tier ACardiovascularMASH & liver

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 100 · Score 104 · 2026 May 1

Heterogeneity of Treatment Effects of Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss in Adults: A Systematic Review and Meta-Analysis.

JAMA internal medicine

Meta-analysisAI-recommended Tier AType 2 diabetesCardiovascular

AI appraisal complete: source relevance and evidence-class signals checked from PubMed title/abstract, publication types, and registry metadata. The record remains quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Source registry generated 2026-09-17; AI appraisal completed 2026-09-22 under WPF-SGLT-AI-APPRAISAL-1.0. Humans resolve only the three displayed exceptions and record one accountable bundle publication decision. Records can appear in multiple domains; domain totals therefore overlap.

Semaglutide Ranked Evidence Corpus — World Peptide Foundation