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