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. 2026 May 29;123(11):297–301. doi: 10.3238/arztebl.m2026.0055

Table 2. Randomized controlled trials of GLP-1-RAs reporting data on amputation and the course of PAOD*.

Trial Drug GLP-1-RAs Control Hazard ratio [95% CI]
n = Number with PAOD (%)
A = Number of amputations (%)
n = Number with PAOD (%)
A = Number of amputations (%)
Badjatiya et al. 2019 (37) Exenatide n = 1400 (19.0)
A = 70 (5.0)
n = 1400 (18.9)
A = 69 (4.9)
0.99 [0.71; 1.38]
0.96 [0.66; 1.41]
n = Acute or chronic limb ischemia requiring hospitalization
M = number of MALEs (%)
Bonaca et al. 2025 (31) Semaglutide n = 396
M = 6 (1.5)
n = 396
M = 5 (1.3)
1.21 [0.36; 4.20]
n = Indicated peripheral revascularization per trial arm (%) For peripheral revascularization
Holman et al. 2017 (e5) Exenatide n = 117 (1.9) n = 157 (2.1) n.a.
Marso et al. 2016 (e6) Semaglutide n = 16 (1) n = 25 (1.5) 0.64 [0.34; 1.20]
*

For ref. (37), the table reports the proportion of patients with PAOD at trial enrolment (where available from the publication) and the amputation rate over the course of the trial; for ref. (31), the occurrence of acute or chronic limb ischemia requiring hospitalization; and for refs. (e5, e6), the need for peripheral revascularization

GLP, glucagon-like peptide-1-receptor agonists; PAOD, peripheral arterial occlusive disease; MALE, major adverse limb events; n.a., not available; CI, confidence interval