Semaglutide
GLP-1 receptor agonist. The reference compound of the class.
- Mechanism
- GLP-1 agonist
- Half-life
- ~7 days
- Dosing cadence
- Weekly
- Study weight loss (STEP)
- ~15% at 68 weeks
- Molecular weight
- 4,113 Da
Strengths
- · Largest evidence base in the class (STEP, SUSTAIN, SELECT)
- · Established cardiovascular outcome data
- · Simpler single-receptor pharmacology
Trade-offs
- · Lower peak weight loss than tirzepatide head-to-head
- · GI side effects still common at higher doses
