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. 2017 Oct 17;318(15):1460–1470. doi: 10.1001/jama.2017.14752

Table 3. Treatment-Emergent Adverse Events Among Patients With Type 2 Diabetes and Insufficient Glycemic Controla.

Placebo Group, No. of Patients (%) [No. of Events] (n = 71) Oral Semaglutide Groups, No. of Patients (%) [No. of Events] 1-mg SC Semaglutide Group, No. of Patients (%) [No. of Events] (n = 69)
2.5 mg
(n = 70)
Standard Dose Escalationb Slow Escalationb Fast Escalationb
5 mg
(n = 70)
10 mg
(n = 69)
20 mg
(n = 70)
40 mg
(n = 71)
40 mg
(n = 70)
40 mg
(n = 70)
Adverse events 48 (68) [127] 47 (67) [142] 44 (63) [169] 52 (75) [233] 57 (81) [289] 56 (79) [230] 55 (79) [233] 60 (86) [245] 56 (81) [218]
Serious adverse eventsc 5 (7) [8] 1 (1) [1] 2 (3) [2] 2 (3) [5] NR 1 (1) [1] 3 (4) [3] 5 (7) [9] 2 (3) [2]
Premature treatment discontinuation due to adverse events 1 (1) [2] 6 (9) [7] 4 (6) [6] 8 (12) [16] 19 (27) [42] 16 (23) [30] 10 (14) [22] 18 (26) [35] 10 (14) [20]
Severityd
Severe 2 (3) [4] 1 (1) [1] 2 (3) [2] 6 (9) [19] 6 (9) [8] 5 (7) [9] 7 (10) [9] 6 (9) [8] 4 (6) [5]
Moderate 17 (24) [25] 23 (33) [35] 18 (26) [41] 26 (38) [64] 32 (46) [79] 32 (45) [83] 28 (40) [72] 31 (44) [70] 29 (42) [65]
Mild 46 (65) [98] 36 (51) [106] 39 (56) [126] 44 (64) [150] 48 (69) [202] 47 (66) [138] 47 (67) [152] 49 (70) [167] 46 (67) [148]
Gastrointestinal adverse events reported in ≥5% of patients
All gastrointestinal adverse events 20 (28) [32] 22 (31) [44] 22 (31) [49] 37 (54) [101] 39 (56) [127] 43 (61) [128] 38 (54) [116] 54 (77) [111] 37 (54) [86]
Nausea 1 (1) [1] 9 (13) [12] 10 (14) [13] 23 (33) [28] 24 (34) [36] 24 (34) [37] 23 (33) [29] 26 (37) [28] 22 (32) [23]
Vomiting 3 (4) [3] 4 (6) [8] 4 (6) [5] 15 (22) [19] 11 (16) [14] 14 (20) [25] 11 (16) [22] 17 (24) [21] 6 (9) [6]
Dyspepsia 3 (4) [3] 2 (3) [6] 5 (7) [7] 6 (9) [6] 8 (11) [8] 6 (8) [8] 6 (9) [8] 5 (7) [5] 10 (14) [11]
Abdominal distension 5 (7) [5] NR 3 (4) [3] 1 (1) [1] 2 (3) [2] 6 (8) [6] 1 (1) [1] 3 (4) [3] 3 (4) [4]
Abdominal pain NR 3 (4) [3] 1 (1) [1] 1 (1) [1] 4 (6) [7] 3 (4) [3] 4 (6) [4] 3 (4) [3] 4 (6) [4]
Abdominal discomfort NR NR 1 (1) [1] 2 (3) [2] 3 (4) [3] 2 (3) [2] 1 (1) [1] 4 (6) [5] 5 (7) [7]
Abdominal pain upper NR NR 2 (3) [2] 1 (1) [1] 6 (9) [8] 2 (3) [2] 4 (6) [6] 1 (1) [1] NR
Eructation NR NR NR 1 (1) [1] 2 (3) [2] 5 (7) [5] 1 (1) [1] 2 (3) [2] 2 (3) [2]
Diarrhea 7 (10) [10] 5 (7) [6] 7 (10) [7] 16 (23) [20] 14 (20) [18] 10 (14) [15] 14 (20) [27] 13 (19) [16] 10 (14) [14]
Constipation 4 (6) [5] 4 (6) [4] 4 (6) [4] 6 (9) [8] 5 (7) [8] 9 (13) [11] 7 (10) [7] 8 (11) [9] 7 (10) [7]
Gastroesophageal reflux disease 1 (1) [1] 2 (3) [2] 2 (3) [2] 4 (6) [4] 5 (7) [7] 4 (6) [4] 4 (6) [4] 4 (6) [4] 1 (1) [1]

Abbreviations: NR, none reported; SC, subcutaneous.

a

Treatment-emergent adverse events were defined as events that had an onset, or increase in severity, on or after the first day of exposure to the follow-up visit scheduled 5 weeks (plus 5-day visit window) after last trial product dose or the patient’s end-of-trial date, depending on which was encountered first. All adverse events were coded using the Medical Dictionary for Regulatory Activities, edition 17.1. No fatal events were reported.

b

Standard escalation indicates 4-week intervals; slow escalation, 8-week intervals; fast escalation, 2-week intervals.

c

A serious adverse event was defined as an experience that at any dose results in any of the following: death; a life-threatening experience; in-patient hospitalization or prolongation of existing hospitalization; a persistent or significant disability or incapacity; a congenital anomaly or birth defect; or a situation in which medical judgment deems that medical or surgical intervention is necessary to prevent 1 of the outcomes listed in this definition of serious adverse events.

d

Severity of adverse events was defined as follows: mild (transient symptoms, no interference with daily activities); moderate (marked symptoms, moderate interference with daily activities); severe (considerable interference with daily activities, unacceptable).