Updates on Semaglutide for Weight Loss, From ENDO 2021

COMMENTARY

Updates on Semaglutide for Weight Loss, From ENDO 2021

Anne L. Peters, MD

Disclosures

April 20, 2021

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This transcript has been edited for clarity.

At the 2021 Endocrine Society meeting, an update to the STEP trials was presented. For those of you who don't remember what the STEP trials are, they are four different trials looking at the benefits of semaglutide for weight loss in people with and without diabetes. The trial included people who were 18 years or older with a BMI ≥ 30 kg/m2 in the absence of a weight-related preexisting condition, or BMI ≥ 27 kg/m2 if they did have a preexisting condition.

Breaking Down the Trials

STEP 1, which was recently published in The New England Journal of Medicine, looked at a dose of 2.4 mg semaglutide and lifestyle intervention in patients with obesity who didn't have diabetes. Many of my patients saw this study as a headline and many of them wanted to go on semaglutide immediately. They didn't realize that they'd already been on semaglutide, but just at the lower 1-mg dose that is currently FDA-approved for the treatment of type 2 diabetes.

STEP 2 is for [2.4 mg] semaglutide and lifestyle intervention in individuals with type 2 diabetes and obesity. STEP 3is also 2.4 mg semaglutide in conjunction with intensive behavioral therapy in adults with obesity. And

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