PMID- 30863012 OWN - NLM STAT- MEDLINE DCOM- 20190731 LR - 20200225 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 13 DP - 2019 TI - Profile of semaglutide in the management of type 2 diabetes: design, development, and place in therapy. PG - 731-738 LID - 10.2147/DDDT.S165372 [doi] AB - Type 2 diabetes mellitus (T2DM) has become one of the leading causes of morbidity and mortality in developed countries. Low efficacy, weight gain, and hypoglycemia are the main pitfalls of previous treatments for T2DM. New therapies have been designed with the aim of improving the results in efficacy and quality of life. Glucagon-like peptide 1 (GLP-1) receptor agonists (GLP-1 RA) increase glucose-dependent insulin secretion, decrease gastric emptying, and reduce postprandial glucagon secretion. The last GLP-1 RA approved by the US Food and Drug Administration and European Medicines Agency was semaglutide. This review describes its pharmacology, core clinical data coming from the randomized controlled trials included in the development program, proven cardiovascular benefits, safety issues, and precautions for the use of semaglutide in special populations. Additionally, an overview of the positioning of semaglutide in T2DM therapy and practical issues regarding semaglutide initiation are offered. FAU - Gomez-Peralta, Fernando AU - Gomez-Peralta F AD - Endocrinology and Nutrition Unit, Hospital General de Segovia, Segovia, Spain, fgomezperalta@gmail.com. FAU - Abreu, Cristina AU - Abreu C AD - Endocrinology and Nutrition Unit, Hospital General de Segovia, Segovia, Spain, fgomezperalta@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20190220 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 53AXN4NNHX (semaglutide) RN - 62340-29-8 (Glucagon-Like Peptides) MH - Diabetes Mellitus, Type 2/*drug therapy MH - Glucagon-Like Peptide-1 Receptor/*agonists MH - Glucagon-Like Peptides/chemical synthesis/chemistry/*pharmacology MH - Humans MH - Hypoglycemic Agents/chemistry/*pharmacology PMC - PMC6388990 OTO - NOTNLM OT - clinical practice OT - pharmacological treatment OT - safety OT - semaglutide OT - type 2 diabetes COIS- Disclosure Fernando Gomez-Peralta has received research support from Sanofi, Novo Nordisk, Boehringer Ingelheim, and Eli Lilly, has taken part in advisory boards for Sanofi, Novo Nordisk, and AstraZeneca Pharmaceuticals LP, and has acted as a speaker for Sanofi, Novo Nordisk, Boehringer Ingelheim, Novartis, Bristol-Myers Squibb Company, Eli Lilly, and AstraZeneca Pharmaceuticals LP. Cristina Abreu has received research support from Sanofi, Novo Nordisk, Boehringer Ingelheim Pharmaceuticals, and Lilly, and has acted as a speaker for Sanofi, Novo Nordisk, Boehringer Ingelheim Pharmaceuticals, AstraZeneca Pharmaceuticals LP, and Bristol-Myers Squibb Co. The authors report no other conflicts of interest in this work. EDAT- 2019/03/14 06:00 MHDA- 2019/08/01 06:00 PMCR- 2019/02/20 CRDT- 2019/03/14 06:00 PHST- 2019/03/14 06:00 [entrez] PHST- 2019/03/14 06:00 [pubmed] PHST- 2019/08/01 06:00 [medline] PHST- 2019/02/20 00:00 [pmc-release] AID - dddt-13-731 [pii] AID - 10.2147/DDDT.S165372 [doi] PST - epublish SO - Drug Des Devel Ther. 2019 Feb 20;13:731-738. doi: 10.2147/DDDT.S165372. eCollection 2019.