Real-world use of once-weekly semaglutide in patients with type 2 diabetes: Results from the SURE Denmark/Sweden multicentre, prospective, observational study

[Display omitted] •Real-world SURE programme data complement those from the SUSTAIN clinical trials.•SURE Denmark/Sweden studied local use of once-weekly semaglutide in adults with T2D.•Semaglutide was associated with significant HbA1c and body weight reductions.•No new safety concerns were reported...

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Veröffentlicht in:Primary care diabetes 2021-10, Vol.15 (5), p.871-878
Hauptverfasser: Rajamand Ekberg, Neda, Bodholdt, Ulrik, Catarig, Andrei-Mircea, Catrina, Sergiu-Bogdan, Grau, Katrine, Holmberg, Cecilia Nagorny, Klanger, Boris, Knudsen, Søren Tang
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container_issue 5
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container_title Primary care diabetes
container_volume 15
creator Rajamand Ekberg, Neda
Bodholdt, Ulrik
Catarig, Andrei-Mircea
Catrina, Sergiu-Bogdan
Grau, Katrine
Holmberg, Cecilia Nagorny
Klanger, Boris
Knudsen, Søren Tang
description [Display omitted] •Real-world SURE programme data complement those from the SUSTAIN clinical trials.•SURE Denmark/Sweden studied local use of once-weekly semaglutide in adults with T2D.•Semaglutide was associated with significant HbA1c and body weight reductions.•No new safety concerns were reported.•These data support the clinical use of once-weekly semaglutide in Denmark/Sweden. As part of the SURE programme, SURE Denmark/Sweden aimed to study the real-world use of once-weekly (OW) semaglutide in adults with type 2 diabetes (T2D) in Denmark/Sweden. SURE Denmark/Sweden was an ∼30-week, prospective, multicentre, open-label, observational study, enrolling adults with T2D and ≥1 documented HbA1c value ≤12 weeks before initiating semaglutide at their physician’s discretion. Primary (change in HbA1c) and secondary (including change in body weight, glycaemic and weight-loss target achievement) endpoints were assessed between baseline and end of study (EOS). Of the 331 patients initiating semaglutide, 282 (85%) completed the study on treatment. For the latter, estimated mean changes [95% confidence interval] in HbA1c and body weight between baseline and EOS were –1.2 [–1.3; –1.1]%-points (–13 [–14; –12] mmol/mol) and –5.4 [–6.0; –4.7] kg (both p < 0.0001), respectively, with similar results in Denmark and Sweden. At EOS, 67.5% of patients achieved HbA1c
doi_str_mv 10.1016/j.pcd.2021.06.008
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As part of the SURE programme, SURE Denmark/Sweden aimed to study the real-world use of once-weekly (OW) semaglutide in adults with type 2 diabetes (T2D) in Denmark/Sweden. SURE Denmark/Sweden was an ∼30-week, prospective, multicentre, open-label, observational study, enrolling adults with T2D and ≥1 documented HbA1c value ≤12 weeks before initiating semaglutide at their physician’s discretion. Primary (change in HbA1c) and secondary (including change in body weight, glycaemic and weight-loss target achievement) endpoints were assessed between baseline and end of study (EOS). Of the 331 patients initiating semaglutide, 282 (85%) completed the study on treatment. For the latter, estimated mean changes [95% confidence interval] in HbA1c and body weight between baseline and EOS were –1.2 [–1.3; –1.1]%-points (–13 [–14; –12] mmol/mol) and –5.4 [–6.0; –4.7] kg (both p &lt; 0.0001), respectively, with similar results in Denmark and Sweden. At EOS, 67.5% of patients achieved HbA1c &lt;7%; 49.4% achieved a weight reduction of ≥5%. Reported adverse events were consistent with the known safety profile of semaglutide. In routine clinical practice in Denmark/Sweden, use of OW semaglutide was associated with glycaemic and weight-loss benefits in a wide range of adults with T2D, supporting real-world use. 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As part of the SURE programme, SURE Denmark/Sweden aimed to study the real-world use of once-weekly (OW) semaglutide in adults with type 2 diabetes (T2D) in Denmark/Sweden. SURE Denmark/Sweden was an ∼30-week, prospective, multicentre, open-label, observational study, enrolling adults with T2D and ≥1 documented HbA1c value ≤12 weeks before initiating semaglutide at their physician’s discretion. Primary (change in HbA1c) and secondary (including change in body weight, glycaemic and weight-loss target achievement) endpoints were assessed between baseline and end of study (EOS). Of the 331 patients initiating semaglutide, 282 (85%) completed the study on treatment. For the latter, estimated mean changes [95% confidence interval] in HbA1c and body weight between baseline and EOS were –1.2 [–1.3; –1.1]%-points (–13 [–14; –12] mmol/mol) and –5.4 [–6.0; –4.7] kg (both p &lt; 0.0001), respectively, with similar results in Denmark and Sweden. At EOS, 67.5% of patients achieved HbA1c &lt;7%; 49.4% achieved a weight reduction of ≥5%. Reported adverse events were consistent with the known safety profile of semaglutide. In routine clinical practice in Denmark/Sweden, use of OW semaglutide was associated with glycaemic and weight-loss benefits in a wide range of adults with T2D, supporting real-world use. 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ispartof Primary care diabetes, 2021-10, Vol.15 (5), p.871-878
issn 1751-9918
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language eng
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source MEDLINE; SWEPUB Freely available online; Access via ScienceDirect (Elsevier)
subjects Adult
Body weight
Denmark
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - drug therapy
Glucagon-like peptide-1 receptor agonist
Glucagon-Like Peptides - therapeutic use
Glycated Hemoglobin A - analysis
HbA1c
Humans
Hypoglycemic Agents - therapeutic use
Medicin och hälsovetenskap
Prospective Studies
Real-world evidence
Semaglutide
SURE study
Sweden
Treatment Outcome
Type 2 diabetes
title Real-world use of once-weekly semaglutide in patients with type 2 diabetes: Results from the SURE Denmark/Sweden multicentre, prospective, observational study
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