FOR RESEARCH USE ONLY. NOT FOR HUMAN OR VETERINARY USE. NOT FOR HUMAN CONSUMPTION.
Compounds described on this site are supplied solely for laboratory research. They are not offered for human or veterinary use or for clinical use, and they are not intended to diagnose, mitigate, cure or prevent any disease.
Semaglutide is a synthetic peptide described in the literature as an agonist at the glucagon-like peptide-1 receptor (GLP-1R). The page reviews three publications: two laboratory studies of its structure and receptor binding, and STEP 1, a 68-week randomised, double-blind, placebo-controlled phase 3 trial reported arm by arm. The U.S. FDA has approved a drug product containing semaglutide; PepGenex research material is not that product, and the trial results describe only the material prepared for that trial.
At a glance
Class
GLP-1 receptor agonist
Target or mechanism
Agonist — GLP-1 receptor
Evidence types represented
in vitro, human
Published studies reviewed
3
Regulatory and registry records
1
Last reviewed
2026-09-24
U.S. FDA status
An FDA approved drug product containing semaglutide exists. Source: Drugs@FDA, Applications NDA 209637, NDA 213051, NDA 215256 and NDA 218316.
Overview
Semaglutide is a synthetic peptide with agonist activity at the glucagon-like peptide-1 receptor (GLP-1R).
The study recorded on this page is STEP 1: a double-blind, randomised, placebo-controlled trial in 1,961 adults with overweight or obesity and without diabetes, running 68 weeks, published in the New England Journal of Medicine in 2021. It declared two co-primary endpoints — the percentage change in body weight, and the proportion reaching a reduction of 5% or more — and both are recorded here as co-primary.
The figures are printed arm by arm and measurement point by measurement point, as the publication printed them. They describe what was recorded in a controlled trial, in people enrolled and monitored under a protocol, using material prepared for that trial.
Regulatory status
An FDA approved drug product containing semaglutide exists. PepGenex research materials are not that product, are not FDA approved, and are not for human or veterinary use.
Described in the literature as an agonist at the glucagon-like peptide-1 receptor. The trial recorded on this page measured endpoints, not mechanism.
Scope of the published work
Areas investigated
Body weight
Cardiometabolic risk measures
Tolerability
Models used
Randomised human study
Every figure on this page was recorded in a controlled trial, under supervision, using material prepared for that trial, in a population selected by its entry criteria. It is not the research material PepGenex supplies and no result here transfers to it.
Limitations
Evidence represented on this page: in vitro and human. No animal research is represented. The page reviews 3 published studies, and each figure is reported for the study that published it; results are not pooled across studies.
Common questions
What is Semaglutide?
Semaglutide is a synthetic peptide with agonist activity at the glucagon-like peptide-1 receptor (GLP-1R).
How does Semaglutide work, according to the published research?
Described in the literature as an agonist at the glucagon-like peptide-1 receptor. The trial recorded on this page measured endpoints, not mechanism.
Cryo-electron microscopy structures and 3D variability analysis of the semaglutide-bound GLP-1 receptor–Gs protein complex were reported. Semaglutide showed peptide–receptor interactions similar to those of GLP-1, with different motions within the receptor and the bound peptide. (Zhang et al., 2021, PMID 34260945)
The GLP-1 receptor affinity of semaglutide was reported as 0.38 ± 0.06 nM, three-fold lower than that of liraglutide, while its albumin affinity was reported as increased. (Lau et al., 2015, PMID 26308095)
What has published research on Semaglutide found, and what are its limits?
This page records 3 publications, reporting laboratory (in vitro) work in 2, human work in 1. Each is listed with its identifier under References.
Human studies represented: Wilding et al., 2021, PMID 33567185.
Evidence represented on this page: in vitro and human.
No animal research is represented.
The page reviews 3 published studies, and each figure is reported for the study that published it; results are not pooled across studies.
Every figure on this page was recorded in a controlled trial, under supervision, using material prepared for that trial, in a population selected by its entry criteria. It is not the research material PepGenex supplies and no result here transfers to it.
Is Semaglutide approved by the U.S. FDA?
An FDA approved drug product containing semaglutide exists. PepGenex research materials are not that product, are not FDA approved, and are not for human or veterinary use.
What risks have published studies of Semaglutide reported?
1 published human study on this page reports adverse events or safety measurements. Each is listed with its publication in the adverse-events section of this page.
Trial events do not establish a complete safety profile.
What adverse events have been reported in published studies of Semaglutide?
Adverse events and safety measurements as reported by the published human studies on this page. Each entry is attributed to its publication.
Wilding et al., 2021, PMID 33567185
Design and population
Double-blind, randomised, placebo-controlled trial. 1,961 adults with a body-mass index of 30 or greater — or 27 or greater with at least one weight-related coexisting condition — and without diabetes were assigned 2:1 to 68 weeks of semaglutide or placebo, each alongside a lifestyle intervention. The co-primary endpoints were the percentage change in body weight and a reduction in body weight of at least 5%.
Events reported
Nausea and diarrhoea were the most common adverse events in the semaglutide arm. The publication describes them as typically transient, mild to moderate in severity, and subsiding with time. More participants in the semaglutide arm than in the placebo arm stopped taking part because of gastrointestinal events: 59 participants (4.5%) against 5 participants (0.8%).
Trial events do not establish a complete safety profile.
Published research
Grouped by the kind of study. Select one to narrow what is shown below.
Laboratory (in vitro)(2)
Laboratory (in vitro)
Structure and dynamics of semaglutide- and taspoglutide-bound GLP-1R-Gs complexes
Cryo-electron microscopy structures and 3D variability analysis of the semaglutide-bound GLP-1 receptor–Gs protein complex were reported. Semaglutide showed peptide–receptor interactions similar to those of GLP-1, with different motions within the receptor and the bound peptide.
Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide
Lau J, Bloch P, Schäffer L, et al., Journal of Medicinal Chemistry, 2015;58(18):7370-7380
published
Semaglutide was reported to carry two amino acid substitutions relative to human GLP-1, Aib(8) and Arg(34), and to be derivatised at lysine 26. The authors identified the fatty acid moiety and the chemistry linking it to GLP-1 as the key features for high albumin affinity and GLP-1 receptor potency.
The GLP-1 receptor affinity of semaglutide was reported as 0.38 ± 0.06 nM, three-fold lower than that of liraglutide, while its albumin affinity was reported as increased.
Once-Weekly Semaglutide in Adults with Overweight or Obesity
Wilding JPH, Batterham RL, Calanna S, et al.; STEP 1 Study Group, The New England Journal of Medicine, 2021;384(11):989-1002
published
Double-blind, randomised, placebo-controlled trial. 1,961 adults with a body-mass index of 30 or greater — or 27 or greater with at least one weight-related coexisting condition — and without diabetes were assigned 2:1 to 68 weeks of semaglutide or placebo, each alongside a lifestyle intervention. The co-primary endpoints were the percentage change in body weight and a reduction in body weight of at least 5%.
Body weight, percent change from baseline (co-primary endpoint)
Randomised, controlled · Week 68 · Adults with overweight or obesity, without diabetes · Analysis set: Primary estimand
Arm
Reported
Semaglutide
-14.9%
Placebo
-2.4%
Proportion reaching a reduction in body weight of 5% or more (co-primary endpoint)
Randomised, controlled · Week 68 · Adults with overweight or obesity, without diabetes
Arm
Reported
Semaglutide
86.4% (1,047 participants)
Placebo
31.5% (182 participants)
Proportion reaching a reduction in body weight of 10% or more (secondary endpoint)
Randomised, controlled · Week 68 · Adults with overweight or obesity, without diabetes
Arm
Reported
Semaglutide
69.1% (838 participants)
Placebo
12.0% (69 participants)
Proportion reaching a reduction in body weight of 15% or more (secondary endpoint)
Randomised, controlled · Week 68 · Adults with overweight or obesity, without diabetes
Arm
Reported
Semaglutide
50.5% (612 participants)
Placebo
4.9% (28 participants)
Body weight, absolute change from baseline (secondary endpoint)
Randomised, controlled · Week 68 · Adults with overweight or obesity, without diabetes
Arm
Reported
Semaglutide
-15.3 kg
Placebo
-2.6 kg
The publication states that its primary estimand assessed effects regardless of discontinuation or of rescue interventions. Which estimand a figure was computed under is part of what the figure means, and a number reported under a different one is not the same number.
The estimated difference between the arms in percent change in body weight at week 68 was -12.4 percentage points (95% CI -13.4 to -11.5), with P < 0.001.
The estimated difference between the arms in absolute change in body weight at week 68 was -12.7 kg (95% CI -13.7 to -11.7).
Nausea and diarrhoea were the most common adverse events in the semaglutide arm. The publication describes them as typically transient, mild to moderate in severity, and subsiding with time.
More participants in the semaglutide arm than in the placebo arm stopped taking part because of gastrointestinal events: 59 participants (4.5%) against 5 participants (0.8%).
What this study establishes
Both co-primary endpoints of this trial separated from placebo at week 68, and the responder tables show how the difference was distributed rather than only its average: what proportion of each arm reached 5%, 10% and 15% reductions. Those proportions are the part an average conceals, and they are printed here for both arms at every threshold the publication reports.
Limitations
These figures describe 68 weeks in adults who met the trial's entry criteria, who received a lifestyle intervention alongside the assigned material, and who were monitored throughout. The safety entries belong to that same record: 4.5% of the semaglutide arm stopped taking part because of gastrointestinal events, against 0.8% of the placebo arm. A result and the reason people left the trial that produced it are one finding, not two.
Classification, structure, recorded targets, evidence types and FDA status only, each read from the two compounds' own pages. These comparisons do not compare study results.
An FDA approved drug product containing semaglutide exists. Source: Drugs@FDA, Applications NDA 209637, NDA 213051, NDA 215256 and NDA 218316.
Not shown (no Drugs@FDA application record verified for this page)
References
Published studies reviewed (3)
Once-Weekly Semaglutide in Adults with Overweight or Obesity — Wilding JPH, Batterham RL, Calanna S, et al.; STEP 1 Study Group, The New England Journal of Medicine, 2021;384(11):989-1002
DOI 10.1056/NEJMoa2032183 · PMID 33567185 · NCT03548935
Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide — Lau J, Bloch P, Schäffer L, et al., Journal of Medicinal Chemistry, 2015;58(18):7370-7380