← 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 6 of 12

Overall rank 126 · Score 104 · 2025 Dec 1

Effects of oral semaglutide on cardiovascular outcomes: A systematic review and meta-analysis.

International journal of cardiology

Meta-analysisAI-recommended Tier ACardiovascular

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 127 · Score 104 · 2025 Nov 18

Cardiovascular Effects and Tolerability of GLP-1 Receptor Agonists: A Systematic Review and Meta-Analysis of 99,599 Patients.

Journal of the American College of Cardiology

Meta-analysisAI-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 quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 128 · Score 104 · 2025 Aug

Comparative Efficacy and Tolerability of Tirzepatide Versus Semaglutide at Varying Doses for Weight Loss in Non-diabetic Adults With Obesity: A Network Meta-Analysis of Randomized Controlled Trials.

Cureus

Meta-analysisAI-recommended Tier ADiscontinuation & 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 129 · Score 104 · 2025 Sep-Oct

Efficacy and Safety of Once-Weekly IcoSema in Adults With Type 2 Diabetes: A Systematic Review and Meta-Analysis.

AACE endocrinology and diabetes

Meta-analysisAI-recommended Tier AOphthalmic

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 130 · Score 104 · 2025 Oct

Rebound or Retention: A Meta-Analysis of Weight Regain After the Discontinuation of Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists and Other Anti-obesity Drugs.

Cureus

Meta-analysisAI-recommended Tier ADiscontinuation & 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 131 · Score 104 · 2025 Oct 30

Tirzepatide for adults living with obesity.

The Cochrane database of systematic reviews

Meta-analysisAI-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 quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 132 · Score 104 · 2025 Nov

Safety and Efficacy of Semaglutide in Patients With Chronic Kidney Disease, With or Without Type 2 Diabetes: A Systematic Review and Meta-Analysis.

Endocrinology, diabetes & metabolism

Meta-analysisAI-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 quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 133 · Score 104 · 2025 Dec 10

Effects of glucagon-like peptide-1 analogues on hard binary outcomes for patients at increased risk of cardiovascular events: a protocol for a systematic review with network meta-analysis and Trial Sequential Analysis.

BMJ open

Other human/translationalAI-recommended Tier DKidney

AI appraisal complete: Systematic-review protocol without synthesis results; corrected from completed meta-analysis. 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 134 · Score 104 · 2025 Dec 12

Impact of semaglutide use on glycemic and metabolic profile in adults with type 1 diabetes having overweight or obesity: A systematic review and meta-analysis.

Medicine

Meta-analysisAI-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 quantitative evidence synthesis with a Tier A recommendation. No experimental retesting was performed or required.

Overall rank 135 · Score 104 · 2023 Jan 31

Effect of the GLP-1 receptor agonist semaglutide on metabolic disturbances in clozapine-treated or olanzapine-treated patients with a schizophrenia spectrum disorder: study protocol of a placebo-controlled, randomised clinical trial (SemaPsychiatry).

BMJ open

Other human/translationalAI-recommended Tier DPediatric & adolescent

AI appraisal complete: Randomized-trial protocol without outcome results; 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 136 · Score 104 · 2023 Jun

Improvement of glycaemic control and treatment satisfaction by switching from liraglutide or dulaglutide to subcutaneous semaglutide in patients with type 2 diabetes: A multicentre, prospective, randomized, open-label, parallel-group comparison study (SWITCH-SEMA 1 study).

Diabetes, obesity & 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 137 · Score 104 · 2023 May

Separate and combined effects of semaglutide and empagliflozin on kidney oxygenation and perfusion in people with type 2 diabetes: a 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 138 · Score 104 · 2023 May

Effects of semaglutide and empagliflozin on oxygenation, vascular autoregulation, and central thickness of the retina in people with type 2 diabetes: A prespecified secondary analysis of a randomised clinical trial.

Journal of diabetes and its complications

Randomized trialAI-recommended Tier AOphthalmic

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 139 · Score 104 · 2023 Aug

Reducing BMI below the obesity threshold in adolescents treated with once-weekly subcutaneous semaglutide 2.4 mg.

Obesity (Silver Spring, Md.)

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 140 · Score 104 · 2023 Oct

A phase IIa active-comparator-controlled study to evaluate the efficacy and safety of efinopegdutide in patients with non-alcoholic fatty liver disease.

Journal of hepatology

Randomized trialAI-recommended Tier AMASH & liver

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 141 · Score 104 · 2023 Aug 26

Efficacy and safety of co-administered once-weekly cagrilintide 2·4 mg with once-weekly semaglutide 2·4 mg in type 2 diabetes: a multicentre, randomised, double-blind, active-controlled, phase 2 trial.

Lancet (London, England)

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 142 · Score 104 · 2023 Aug 26

Efficacy and safety of once-daily oral semaglutide 25 mg and 50 mg compared with 14 mg in adults with type 2 diabetes (PIONEER PLUS): a multicentre, randomised, phase 3b trial.

Lancet (London, England)

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 143 · Score 104 · 2023 Sep 21

Semaglutide in Patients with Heart Failure with Preserved Ejection Fraction and Obesity.

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 144 · Score 103 · 2022 Mar

Semaglutide once a week in adults with overweight or obesity, with or without type 2 diabetes in an east Asian population (STEP 6): a randomised, double-blind, double-dummy, placebo-controlled, phase 3a trial.

The lancet. Diabetes & endocrinology

Randomized trialAI-recommended Tier AKidneySafetyDiscontinuation & regainPediatric & 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 145 · Score 103 · 2022 Oct

Two-year effects of semaglutide in adults with overweight or obesity: the STEP 5 trial.

Nature medicine

Randomized trialAI-recommended Tier AWeight loss & obesitySafetyDiscontinuation & regainPediatric & 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 146 · Score 103 · 2024 May

Potent incretin-based therapy for obesity: A systematic review and meta-analysis of the efficacy of semaglutide and tirzepatide on body weight and waist circumference, and safety.

Obesity reviews : an official journal of the International Association for the Study of Obesity

Meta-analysisAI-recommended Tier AWeight loss & obesityCardiovascularSafety

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 147 · Score 103 · 2024 Jul 1

Long-Term Efficacy and Safety of Once-Weekly Semaglutide for Weight Loss in Patients Without Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

The American journal of cardiology

Meta-analysisAI-recommended Tier AWeight loss & obesitySafetyDiscontinuation & 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 148 · Score 103 · 2024 Sep

Efficacy and safety of once-weekly subcutaneous semaglutide on weight loss in patients with overweight or obesity without diabetes mellitus-A systematic review and meta-analysis of randomized controlled trials.

Obesity reviews : an official journal of the International Association for the Study of Obesity

Meta-analysisAI-recommended Tier AWeight loss & obesitySafetyDiscontinuation & 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 149 · Score 103 · 2022 Jan

Gastrointestinal tolerability of once-weekly semaglutide 2.4 mg in adults with overweight or obesity, and the relationship between gastrointestinal adverse events and weight loss.

Diabetes, obesity & metabolism

Randomized trialAI-recommended Tier AWeight loss & obesitySafetyDiscontinuation & 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 150 · Score 103 · 2022 Jan 11

Effect of Weekly Subcutaneous Semaglutide vs Daily Liraglutide on Body Weight in Adults With Overweight or Obesity Without Diabetes: The STEP 8 Randomized Clinical Trial.

JAMA

Randomized trialAI-recommended Tier AWeight loss & obesitySafetyDiscontinuation & 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.

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