Semaglutide

Also known as: Ozempic · Wegovy · Rybelsus

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 6 applications
Randomized controlled trials 313 of 5,929 publications on PubMed
Registered clinical trials 798 375 active
Adverse event reports 100,912 50,788 classified as serious
  • Semaglutide is an FDA-approved drug, marketed as Ozempic, Rybelsus, Wegovy (first approval: December 5, 2017).
  • PubMed lists 5,929 publications mentioning it, including 313 randomized controlled trials and 276 animal-only studies.
  • ClinicalTrials.gov lists 798 registered studies testing it (375 active).
  • FDA's adverse event system (FAERS) holds 100,912 reports mentioning it; 50,788 classified as serious. Reports do not prove causation.

Research topics

  • Glucagon-Like Peptide-1 Receptor Agonists 45
  • Glucagon-Like Peptides 42
  • Hypoglycemic Agents 32
  • Diabetes Mellitus, Type 2 26
  • Obesity 20
  • Tirzepatide 18
  • Glucagon-Like Peptide-1 Receptor 15
  • Weight Loss 15
  • Cardiovascular Diseases 9
  • Liraglutide 9

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA209637 OZEMPIC Approved, marketed December 5, 2017 NOVO
NDA213051 OZEMPIC, RYBELSUS Approved, marketed September 20, 2019 NOVO
NDA213182 RYBELSUS Approved, marketed January 16, 2020 NOVO NORDISK INC
NDA215256 WEGOVY, WEGOVY FLEXTOUCH, WEGOVY HD Approved, marketed June 4, 2021 NOVO
NDA218316 WEGOVY Approved, marketed December 22, 2025 NOVO
ANDA220314 SEMAGLUTIDE Tentative approval — APOTEX INC

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 5,929
  • Human (MeSH) 3,339
  • Animal only 276
  • Clinical trials 345
  • Randomized controlled trials 313
  • Systematic reviews & meta-analyses 428
  • Case reports 314
  • Retracted 4

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
798
Active
375
With posted results
110

Conditions studied

  • Obesity 199
  • Diabetes Mellitus, Type 2 173
  • Diabetes 71
  • Type 2 Diabetes 68
  • Overweight 57
  • Obesity & Overweight 33
  • Healthy 28
  • Weight Loss 18
  • Type 2 Diabetes Mellitus (T2DM) 13
  • Diabetes Mellitus 11
  • Metabolic Syndrome 10
  • Obesity (Disorder) 10
Study Status Phase Start
Personalized Pharmaco-Lifestyle Interventions for Severe Mental Illnesses (LIFETRAIN)
NCT07586150 Ludwig-Maximilians - University of Munich
Not yet recruiting N/A Oct 2028
GLP-1 RA for Stage 1 Type 1 Diabetes
NCT07430332 Children's Hospital Medical Center, Cincinnati
Not yet recruiting Phase 2 September 1, 2027
Postpartum Semaglutide to Reduce Cardiometabolic Risk After Gestational Diabetes Mellitus
NCT07797036 University of Massachusetts, Worcester
Not yet recruiting Phase 2, Phase 3 September 1, 2027
Can Two Dietary Interventions Maintain Weight Loss for 12 Months After GLP-1 Therapy in Adults With Overweight/Obesity?
NCT07711548 Knut Mai
Not yet recruiting N/A Mar 2027
Evaluating the Efficacy and Safety of LUM-201 Plus Semaglutide Versus Semaglutide Plus Placebo in Older Obese Adults
NCT07754045 Lumos Pharma
Not yet recruiting Phase 2 February 15, 2027
Semaglutide for Low Back Pain
NCT07731256 Washington University School of Medicine
Not yet recruiting Phase 2 February 1, 2027
Regulatory Post Marketing Surveillance (rPMS) Study of Rybelsus (Oral Semaglutide) to Evaluate Safety and Effectiveness in Patients With Type 2 Diabetes Mellitus in Routine Clinical Practice in Korea
NCT05714683 Novo Nordisk A/S
Not yet recruiting — January 31, 2027
Semaglutide for the Treatment of Cannabis Use Disorder
NCT07879612 Massachusetts General Hospital
Not yet recruiting Phase 2 January 10, 2027
GLP-1/GIP Receptor Agonists in Obesity-Related HFpEF: The GLIDE-HF Registry
NCT07787936 Miedziowe Centrum Zdrowia SA
Not yet recruiting — January 1, 2027
Patient-centred Intervention With Virtual Support for Obesity and Kidney Transplant Access
NCT07858331 Kristin Clemens
Not yet recruiting Phase 4 January 1, 2027
Show 40 more studies
Study Status Phase Start
Semaglutide, Weight Loss, and LNG-IUD for Conservative Treatment of Endometrial Atypical Hyperplasia and Grade 1 Endometrial Cancer
NCT07820358 The Methodist Hospital Research Institute
Not yet recruiting Phase 2 January 1, 2027
SHIELD-T1D: Shingrix and GLP-1 Agonist for Beta-Cell Preservation in Recent-Onset Type 1 Diabetes.
NCT07614412 Ministry of Health, Saudi Arabia
Not yet recruiting Phase 2 January 1, 2027
SHAPE-ENDO: Pilot Randomized Trial of Multimodal Pre-Surgical Optimization Versus Standard Surgery in Patients With Obesity and Early-Stage Endometrial Cancer
NCT07462663 Hospital Universitari de Bellvitge
Not yet recruiting Phase 4 Jan 2027
Efficacy and Safety of Semaglutide Versus Placebo on Cardiometabolic Profile in Patients With Schizophrenia With Metabolic Syndrome
NCT07770282 All India Institute of Medical Sciences, Bhubaneswar
Not yet recruiting Phase 3 December 1, 2026
HMB Plus Vitamin D to Preserve Muscle in Older Adults Starting Semaglutide
NCT07760948 Vanderbilt University Medical Center
Not yet recruiting Phase 2 December 1, 2026
GLP-1 Plus Lifestyle for Overall Wellness: Find Your Way Forward
NCT06977438 University of Minnesota
Not yet recruiting Phase 4 November 15, 2026
SYNCHRONIZE®-START- A Study to Test Whether Survodutide Helps People Living With Overweight or Obesity Who do Not Have Diabetes to Lose Weight
NCT07855900 Boehringer Ingelheim
Not yet recruiting Phase 3 November 7, 2026
Maridebart Cafraglutide Versus Semaglutide in Participants With Type 2 Diabetes
NCT07866066 Amgen
Not yet recruiting Phase 3 November 2, 2026
GLP-1 RA on Alcohol Consumption, Metabolism and Liver Parameters in Patients With Obesity and Fatty Liver Disease
NCT06546384 Insel Gruppe AG, University Hospital Bern
Not yet recruiting N/A November 1, 2026
Comparing Different Medication Regimens to Maintaining Weight Loss Among Adults With Obesity Using GLP-1s
NCT07832084 Jing Luo
Not yet recruiting Phase 4 November 1, 2026
Metabolic Surgery for Atrial Fibrillation Elimination
NCT07027969 Ali Aminian
Not yet recruiting Phase 4 November 1, 2026
Dietary, Medication, and Endoscopic Interventions for Post-Bariatric Hypoglycemia
NCT07878494 Stanford University
Not yet recruiting N/A November 1, 2026
SEMAFORCRANIO : Multicenter, Double-blind, Parallel, Randomized Controlled Trial of the Efficacy of Semaglutide in Hypothalamic Obesity Secondary to Craniopharyngioma in Children Aged 12 to 17 Years
NCT07845994 University Hospital, Angers
Not yet recruiting Phase 3 Nov 2026
Combination Therapy for Alcohol Use Disorder
NCT07249554 Johns Hopkins University
Not yet recruiting Phase 2 Nov 2026
Mechanisms of Weight Loss: Tirzepatide vs Semaglutide
NCT07900074 McMaster University
Recruiting Phase 4 October 31, 2026
Glucagon-like Peptide-1 Receptor Agonists for Endovascular Stroke Thrombectomy
NCT07511543 Population Health Research Institute
Not yet recruiting Phase 2 October 31, 2026
A Real-world Study of Treatment Retention and Adherence to Secukinumab in Patients With Plaque Psoriasis (PsO) With or Without Glucagon-like Peptide-1 Receptor Agonist (GLP-1 RA) Co-therapy
NCT07881783 Novartis Pharmaceuticals
Not yet recruiting — October 30, 2026
Translational Health Research Into Vascular and Neurocognitive Effects of Weight Loss
NCT07592546 Alain Dagher
Recruiting Phase 4 October 21, 2026
Evaluate the Safety and Tolerability of Multiple Doses of JMT206 Injection in Obese Participants
NCT07840729 Shanghai JMT-Bio Inc.
Not yet recruiting Phase 1 October 20, 2026
Metabolic Effects of Switching From Injectable Semaglutide to Tirzepatide
NCT07889453 LMC Diabetes & Endocrinology Ltd.
Active, not recruiting — October 15, 2026
Long-Term Effects of Semaglutide on Body Composition and Performance in Running
NCT07874932 Morten Hostrup, PhD
Not yet recruiting N/A October 14, 2026
Short Term Effects of Semaglutide on Body Composition and Performance
NCT07874971 Morten Hostrup, PhD
Not yet recruiting N/A October 14, 2026
Semaglutide Health Outcomes and Patient Adherence in Australia
NCT07881770 Novo Nordisk A/S
Not yet recruiting — October 13, 2026
Lean Mass Changes With Semaglutide in Adults With Type 1 Diabetes and Overweight/Obesity.
NCT07891156 McGill University Health Centre/Research Institute of the McGill University Health Centre
Recruiting Phase 2, Phase 3 October 13, 2026
A Research Study Looking at Kidney and Heart Health in Adults With Type 2 Diabetes and Chronic Kidney Disease Treated With Semaglutide in China
NCT07900438 Novo Nordisk A/S
Recruiting Phase 4 October 12, 2026
A Study Evaluating Safety and Tolerability of Switching From Semaglutide to Zovaglutide in Adults With Obesity (HORIZON-SWITCH-SZ)
NCT07812597 Beijing QL Biopharmaceutical Co.,Ltd
Not yet recruiting Phase 2 October 12, 2026
GLP-1 RA Plus SOC Treatment in First-line, Metastatic Pancreatic, Colorectal, or Hepatocellular Cancer
NCT07627191 University of Arizona
Recruiting Early phase 1 October 10, 2026
A Research Study Investigating How Adults With Overweight or Obesity, With or Without Type 2 Diabetes, Tolerate Switching to a New Treatment (Zenagamtide) From Their Current Semaglutide Medication
NCT07855133 Novo Nordisk A/S
Recruiting Phase 1 October 5, 2026
Myocardial Metabolic Flux in Pulmonary Arterial Hypertension
NCT07737522 Imperial College London
Not yet recruiting Phase 2 October 1, 2026
Assessing Heart and Brain Metabolism in Type II Diabetes Mellitus Patients Using Carbon-13 MRI
NCT07820722 Sunnybrook Health Sciences Centre
Not yet recruiting Early phase 1 October 1, 2026
Semaglutide Dose Effects on Metabolic and Stress Hormone, Craving and Alcohol Use Outcomes
NCT07772960 Yale University
Not yet recruiting Phase 1 October 1, 2026
FutureShape Family
NCT07872904 Signe Torekov
Recruiting Phase 4 October 1, 2026
Danish Trial of Weight Loss to Reduce Atrial Fibrillation Progression
NCT07816744 Axel Brandes
Not yet recruiting N/A October 1, 2026
GLP-1s in Hip and Knee Arthroplasty
NCT07755085 Nova Scotia Health Authority
Not yet recruiting Phase 4 October 1, 2026
Weight Trajectories and Predictive Factors After Semaglutide in Patients With Grade 3 and Complicated Obesity
NCT07423481 Nantes University Hospital
Not yet recruiting — October 1, 2026
Semaglutide Before Primary Metabolic and Bariatric Surgery in Patients With BMI 60 kg/m² or Higher
NCT07859137 General Committee of Teaching Hospitals and Institutes, Egypt
Not yet recruiting Phase 4 Oct 2026
Immediate Versus Criterion-triggered Semaglutide for Suboptimal Clinical Response One Year After Primary Metabolic and Bariatric Surgery
NCT07859189 General Committee of Teaching Hospitals and Institutes, Egypt
Not yet recruiting Phase 4 Oct 2026
Tapered Versus Abrupt Discontinuation of Semaglutide After Treatment of Recurrent Weight Gain or Suboptimal Response Following Metabolic and Bariatric Surgery
NCT07859176 General Committee of Teaching Hospitals and Institutes, Egypt
Not yet recruiting Phase 4 Oct 2026
Semaglutide 2.4 mg Once Weekly for Recurrent Weight Gain After Metabolic and Bariatric Surgery (RESURGE)
NCT07859150 General Committee of Teaching Hospitals and Institutes, Egypt
Not yet recruiting Phase 4 Oct 2026
Semaglutide PrIor to CathEeter Ablation in Patients With Atrial Fibrillation
NCT07389941 University of Luebeck
Not yet recruiting Phase 4 Oct 2026

All 798 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
100,912
Serious
50,788
With death outcome
1,613

Most reported reactions

  • Nausea 14,475
  • Vomiting 9,625
  • Off label use 8,789
  • Diarrhoea 8,187
  • Constipation 5,972
  • Decreased appetite 5,762
  • Weight decreased 5,149
  • Fatigue 4,375
  • Headache 4,165
  • Weight increased 3,941
  • Impaired gastric emptying 3,878
  • Product use in unapproved indication 3,850

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

Boxed warning Ozempic · July 30, 2026
Original FDA text (English) WARNING: RISK OF THYROID C-CELL TUMORS • In rodents, semaglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures. It is unknown whether OZEMPIC causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined [see Warnings and Precautions ( 5.1 ), Nonclinical Toxicology ( 13.1 )] . • OZEMPIC is contraindicated in patients with a personal or family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) [see Contraindications ( 4 )] . Counsel patients regarding the potential risk for MTC with the use of OZEMPIC and inform them of symptoms of thyroid tumors (e.g., a mass in the neck, dysphagia, dyspnea, persistent hoarseness). Routine monitoring of serum calcitonin or using thyroid ultrasound is of uncertain value for early detection of MTC in patients treated with OZEMPIC [see Contraindications ( 4 ), Warnings and Precautions ( 5.1 )] . WARNING: RISK OF THYROID C-CELL TUMORS See full prescribing information for complete boxed warning. • In rodents, semaglutide causes thyroid C-cell tumors. It is unknown whether OZEMPIC causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined ( 5.1 , 13.1 ). • OZEMPIC is contraindicated in patients with a personal or family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC and symptoms of thyroid tumors ( 4 , 5.1 ).
  • Ozempic HUMAN PRESCRIPTION DRUG A-S Medication Solutions July 30, 2026
  • OZEMPIC, RYBELSUS HUMAN PRESCRIPTION DRUG Novo Nordisk Pharmaceutical Industries, LP January 30, 2026
  • WEGOVY HUMAN PRESCRIPTION DRUG A-S Medication Solutions April 23, 2024
  • Ozempic HUMAN PRESCRIPTION DRUG A-S Medication Solutions November 22, 2023
  • OZEMPIC HUMAN PRESCRIPTION DRUG A-S Medication Solutions November 17, 2023

Source: DailyMed / openFDA

In the news

Latest headlines and official notices that mention this substance, in their original language. Third-party content, not medical advice.

  1. BioPharma Dive Media

    Lilly’s ‘triple-G’ drug tops Novo’s Ozempic in diabetes trial
  2. STAT · Pharma Media

    STAT+: Lilly’s triple-G drug beats Ozempic in head-to-head study
  3. STAT · Pharma Media

    STAT+: Lilly says ‘triple-G’ drug beat Novo’s Ozempic in diabetes study
  4. EMA · News and press releases Official

    Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 12-15 October 2026

    Agency summary (EMA): Six new medicines recommended for approvalEMA’s human medicines committee (CHMP) recommended six medicines for approval at its October 2026 meeting. Rasonque (daraxonrasib)…

All news →

Change history

No changes since monitoring began on October 30, 2026.