Semaglutide (trade name Ozempic) is a pharmaceutical drug in development by a Danish company Novo Nordisk for the treatment of type 2 diabetes. Semaglutide is a once-daily glucagon-like peptide-1 analog that differs to others by the presence of an acyl group with a steric diacid at Lys26 and a large synthetic spacer and modified by the presence of a α-aminobutyric acid in position 8 which gives stability against the dipeptidylpeptidase-4. Semaglutide is a GLP-1 analogue with 94% sequence homology to human GLP-1. Semaglutide acts as a GLP-1
receptor agonist that selectively binds to and activates the GLP-1 receptor, the target for native GLP-1.
GLP-1 is a physiological hormone that has multiple actions on glucose, mediated by the GLP-1 receptors.
The principal mechanism of protraction resulting in the long half-life of semaglutide is albumin binding, which
results in decreased renal clearance and protection from metabolic degradation. Furthermore, semaglutide is
stabilized against degradation by the DPP-4 enzyme.
Semaglutide reduces blood glucose through a mechanism where it stimulates insulin secretion and lowers
glucagon secretion, both in a glucose-dependent manner. Thus, when blood glucose is high, insulin secretion is
stimulated and glucagon secretion is inhibited. The mechanism of blood glucose lowering also involves a minor
delay in gastric emptying in the early postprandial phase.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1784 |
6.2 pM [EC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | OZEMPIC Approved UseOZEMPIC is a glucagon-like peptide 1 (GLP-1) receptor agonist
indicated as an adjunct to diet and exercise to improve glycemic control
in adults with type 2 diabetes mellitus. Launch Date2017 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
9.5 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29205786 |
0.5 mg single, subcutaneous dose: 0.5 mg route of administration: Subcutaneous experiment type: SINGLE co-administered: |
SEMAGLUTIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
9.7 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29205786 |
0.5 mg single, subcutaneous dose: 0.5 mg route of administration: Subcutaneous experiment type: SINGLE co-administered: |
SEMAGLUTIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3026 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29205786 |
0.5 mg single, subcutaneous dose: 0.5 mg route of administration: Subcutaneous experiment type: SINGLE co-administered: |
SEMAGLUTIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
3080 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29205786 |
0.5 mg single, subcutaneous dose: 0.5 mg route of administration: Subcutaneous experiment type: SINGLE co-administered: |
SEMAGLUTIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
150 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29205786 |
0.5 mg single, subcutaneous dose: 0.5 mg route of administration: Subcutaneous experiment type: SINGLE co-administered: |
SEMAGLUTIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
151 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29205786 |
0.5 mg single, subcutaneous dose: 0.5 mg route of administration: Subcutaneous experiment type: SINGLE co-administered: |
SEMAGLUTIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1% |
unknown, unknown |
SEMAGLUTIDE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
20 ug/kg 1 times / day single, subcutaneous Highest studied dose Dose: 20 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 20 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
Other AEs: Nausea, Vomiting... Other AEs: Nausea Sources: Vomiting Dyspepsia Headache Decreased appetite |
15 ug/kg 1 times / day single, subcutaneous MTD Dose: 15 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 15 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
Other AEs: Nausea, Vomiting... Other AEs: Nausea Sources: Vomiting Dyspepsia Headache Decreased appetite |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
Disc. AE: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Nausea (2.9%) Sources: Vomiting (1.7%) Diarrhea (0.9%) Abdominal pain (0.6%) Abdominal pain upper (0.5%) Abdominal discomfort (0.4%) Dyspepsia (0.3%) Constipation (0.3%) Abdominal distension (0.3%) Gastritis (0.2%) GERD (0.2%) Pancreatitis acute (0.2%) Decreased appetite (0.7%) Weight decreased (0.3%) Lipase increased (0.2%) Asthenia (0.2%) |
20 mg 1 times / day single, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: single Dose: 20 mg, 1 times / day Sources: |
healthy, mean age 34.8 years Health Status: healthy Age Group: mean age 34.8 years Sex: M Sources: |
|
1.5 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.5 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.5 mg, 1 times / week Sources: |
healthy, mean age 37.7 years Health Status: healthy Age Group: mean age 37.7 years Sex: M+F Sources: |
|
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
Disc. AE: Lipase increased, Decreased appetite... Other AEs: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Lipase increased (12.5%) Other AEs:Decreased appetite (6.25%) Nausea (6.25%) Vomiting (3.1%) Nausea (46.9%) Sources: Vomiting (40.6%) Eructation (43.8%) Abdominal pain (28.1%) Diarrhoea (12.5%) Abdominal distension (21.9%) Dyspepsia (31.3%) Abdominal discomfort (15.6%) Flatulence (12.5%) Abdominal pain upper (9.4%) Infrequent bowel movements (9.4%) Toothache (12.5%) Decreased appetite (78.1%) Nasopharyngitis (31.3%) Headache (37.5%) Fatigue (25%) Asthenia (9.4%) Lipase increased (21.9%) |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
Disc. AE: Lipase increased, Vomiting... Other AEs: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Lipase increased (9.1%) Other AEs:Vomiting (9.1%) Aortic aneurysm (9.1%) Nausea (54.5%) Sources: Vomiting (45.5%) Eructation (27.3%) Diarrhoea (18.2%) Abdominal distension (9.1%) Dyspepsia (36.4%) Abdominal discomfort (27.3%) Flatulence (9.1%) Abdominal pain upper (9.1%) Decreased appetite (90.9%) Nasopharyngitis (18.2%) Headache (36.4%) Fatigue (18.2%) |
1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
Disc. AE: Gastrointestinal disorder (NOS)... Other AEs: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Gastrointestinal disorder (NOS) Other AEs:Nausea (57.4%) Sources: Vomiting (27.7%) Diarrhea (23.4%) Dyspepsia (12.8%) Constipation (6.4%) Nasopharyngitis (6.4%) Gastroenteritis (4.3%) Urinary tract infection (4.3%) Fatigue (12.8%) Asthenia (10.6%) Anorexia (31.9%) Decreased appetite (17%) Musculoskeletal and connective tissue disorders (8.5%) Hypertension (2.1%) Injury, poisoning and procedural complications (8.5%) Skin and subcutaneous tissue disorders (2.1%) Respiratory, thoracic and mediastinal disorders (2.1%) Cardiac disorders (2.1%) Psychiatric disorders (2.1%) |
1 mg 1 times / week multiple, subcutaneous Recommended Dose: 1 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1 mg, 1 times / week Sources: |
unhealthy, mean age 59.5 years Health Status: unhealthy Age Group: mean age 59.5 years Sex: M+F Sources: |
Disc. AE: Nausea, Diarrhea... AEs leading to discontinuation/dose reduction: Nausea Sources: Diarrhea Vomiting Constipation Abdominal pain |
unknown Health Status: unknown Sources: |
Other AEs: Thyroid tumor... Other AEs: Thyroid tumor Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Decreased appetite | 20 ug/kg 1 times / day single, subcutaneous Highest studied dose Dose: 20 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 20 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Dyspepsia | 20 ug/kg 1 times / day single, subcutaneous Highest studied dose Dose: 20 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 20 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Headache | 20 ug/kg 1 times / day single, subcutaneous Highest studied dose Dose: 20 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 20 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Nausea | 20 ug/kg 1 times / day single, subcutaneous Highest studied dose Dose: 20 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 20 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Vomiting | 20 ug/kg 1 times / day single, subcutaneous Highest studied dose Dose: 20 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 20 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Decreased appetite | 15 ug/kg 1 times / day single, subcutaneous MTD Dose: 15 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 15 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Dyspepsia | 15 ug/kg 1 times / day single, subcutaneous MTD Dose: 15 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 15 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Headache | 15 ug/kg 1 times / day single, subcutaneous MTD Dose: 15 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 15 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Nausea | 15 ug/kg 1 times / day single, subcutaneous MTD Dose: 15 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 15 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Vomiting | 15 ug/kg 1 times / day single, subcutaneous MTD Dose: 15 ug/kg, 1 times / day Route: subcutaneous Route: single Dose: 15 ug/kg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
|
| Asthenia | 0.2% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| GERD | 0.2% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Gastritis | 0.2% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Lipase increased | 0.2% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Pancreatitis acute | 0.2% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Abdominal distension | 0.3% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Constipation | 0.3% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Dyspepsia | 0.3% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Weight decreased | 0.3% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Abdominal discomfort | 0.4% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Abdominal pain upper | 0.5% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Abdominal pain | 0.6% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Decreased appetite | 0.7% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Diarrhea | 0.9% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Vomiting | 1.7% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Nausea | 2.9% Disc. AE |
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: M+F Sources: |
| Diarrhoea | 12.5% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Flatulence | 12.5% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Toothache | 12.5% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Lipase increased | 12.5% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Abdominal discomfort | 15.6% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Abdominal distension | 21.9% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Lipase increased | 21.9% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Fatigue | 25% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Abdominal pain | 28.1% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Vomiting | 3.1% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Dyspepsia | 31.3% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Nasopharyngitis | 31.3% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Headache | 37.5% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Vomiting | 40.6% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Eructation | 43.8% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Nausea | 46.9% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Decreased appetite | 6.25% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Nausea | 6.25% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Decreased appetite | 78.1% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Abdominal pain upper | 9.4% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Asthenia | 9.4% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Infrequent bowel movements | 9.4% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
healthy, mean age 40.8 years Health Status: healthy Age Group: mean age 40.8 years Sex: M Sources: |
| Diarrhoea | 18.2% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Fatigue | 18.2% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Nasopharyngitis | 18.2% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Abdominal discomfort | 27.3% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Eructation | 27.3% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Dyspepsia | 36.4% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Headache | 36.4% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Vomiting | 45.5% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Nausea | 54.5% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Abdominal distension | 9.1% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Abdominal pain upper | 9.1% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Flatulence | 9.1% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Aortic aneurysm | 9.1% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Lipase increased | 9.1% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Vomiting | 9.1% Disc. AE |
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Decreased appetite | 90.9% | 40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, mean age 55.3 years Health Status: unhealthy Age Group: mean age 55.3 years Sex: M Sources: |
| Asthenia | 10.6% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Dyspepsia | 12.8% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Fatigue | 12.8% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Decreased appetite | 17% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Cardiac disorders | 2.1% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Hypertension | 2.1% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Psychiatric disorders | 2.1% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Respiratory, thoracic and mediastinal disorders | 2.1% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Skin and subcutaneous tissue disorders | 2.1% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Diarrhea | 23.4% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Vomiting | 27.7% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Anorexia | 31.9% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Gastroenteritis | 4.3% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Urinary tract infection | 4.3% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Nausea | 57.4% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Constipation | 6.4% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Nasopharyngitis | 6.4% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Injury, poisoning and procedural complications | 8.5% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Musculoskeletal and connective tissue disorders | 8.5% | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Gastrointestinal disorder (NOS) | Disc. AE | 1.6 mg 1 times / week multiple, subcutaneous Highest studied dose Dose: 1.6 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1.6 mg, 1 times / week Sources: |
unhealthy, mean age 56.4 years Health Status: unhealthy Age Group: mean age 56.4 years Sex: M+F Sources: |
| Abdominal pain | Disc. AE | 1 mg 1 times / week multiple, subcutaneous Recommended Dose: 1 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1 mg, 1 times / week Sources: |
unhealthy, mean age 59.5 years Health Status: unhealthy Age Group: mean age 59.5 years Sex: M+F Sources: |
| Constipation | Disc. AE | 1 mg 1 times / week multiple, subcutaneous Recommended Dose: 1 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1 mg, 1 times / week Sources: |
unhealthy, mean age 59.5 years Health Status: unhealthy Age Group: mean age 59.5 years Sex: M+F Sources: |
| Diarrhea | Disc. AE | 1 mg 1 times / week multiple, subcutaneous Recommended Dose: 1 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1 mg, 1 times / week Sources: |
unhealthy, mean age 59.5 years Health Status: unhealthy Age Group: mean age 59.5 years Sex: M+F Sources: |
| Nausea | Disc. AE | 1 mg 1 times / week multiple, subcutaneous Recommended Dose: 1 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1 mg, 1 times / week Sources: |
unhealthy, mean age 59.5 years Health Status: unhealthy Age Group: mean age 59.5 years Sex: M+F Sources: |
| Vomiting | Disc. AE | 1 mg 1 times / week multiple, subcutaneous Recommended Dose: 1 mg, 1 times / week Route: subcutaneous Route: multiple Dose: 1 mg, 1 times / week Sources: |
unhealthy, mean age 59.5 years Health Status: unhealthy Age Group: mean age 59.5 years Sex: M+F Sources: |
| Thyroid tumor | unknown Health Status: unknown Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/209637Orig1s000PharmR.pdf#page=38 Page: 38.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Safety and efficacy of once-weekly semaglutide vs additional oral antidiabetic drugs in Japanese people with inadequately controlled type 2 diabetes: A randomized trial. | 2018-05 |
|
| Semaglutide: First Global Approval. | 2018-02 |
|
| Efficacy and Safety of Once-Weekly Semaglutide Versus Exenatide ER in Subjects With Type 2 Diabetes (SUSTAIN 3): A 56-Week, Open-Label, Randomized Clinical Trial. | 2018-02 |
|
| Semaglutide seems to be more effective the other GLP-1Ras. | 2017-12 |
|
| Semaglutide-the "new kid on the block" in the field of glucagon-like peptide-1 receptor agonists? | 2017-12 |
Sample Use Guides
Start at 0.25 mg once weekly. After 4 weeks, increase the dose to 0.5 mg once weekly. If after at least 4 weeks additional glycemic control is needed, increase to 1 mg once weekly (2.1).
Administer once weekly at any time of day, with or without meals (2.1).
If a dose is missed administer within 5 days of missed dose (2.1).
Inject subcutaneously in the abdomen, thigh, or upper arm (2.2).
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26308095
Semaglutide displaced [125I]-GLP1 from human GLP1 receptor expressed in BHK cells after 2 hrs in absence of human serum albumin with the IC50 value of 0.38 nM.
| Substance Class |
Protein
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| Protein Type | PEPTIDE |
| Protein Sub Type | |
| Sequence Type | COMPLETE |
| Record UNII |
53AXN4NNHX
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| Record Status |
FAILED
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| Record Version |
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A10BJ06
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NCI_THESAURUS |
C98085
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NDF-RT |
N0000178480
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Semaglutide
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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BINDER->LIGAND |
BINDING
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EXCRETED UNCHANGED |
AMOUNT EXCRETED
URINE
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
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Structural Modifications
| Modification Type | Location Site | Location Type | Residue Modified | Extent | Fragment Name | Fragment Approval |
|---|---|---|---|---|---|---|
| AMINO_ACID_SUBSTITUTION | [1_20] | SITE_SPECIFIC | LYSINE, SEMAGLUTIDE- | 2BRP4PMI4U | ||
| AMINO_ACID_SUBSTITUTION | [1_2] | SITE_SPECIFIC | .ALPHA.-AMINOISOBUTYRIC ACID | 1E7ZW41IQU |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Molecular Formula | CHEMICAL |
|
||||
| MOL_WEIGHT:NUMBER(CALCULATED) | CHEMICAL |
|