Ozempic (semaglutide SC once-weekly) / Novo Nordisk 
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  • ||||||||||  Ozempic (semaglutide SC once-weekly) / Novo Nordisk, semaglutide SC once-daily (NN9536) / Novo Nordisk
    [VIRTUAL] AKI Associated with Semaglutide (On-Demand) -  Oct 11, 2020 - Abstract #KIDNEYWEEK2020KIDNEY_WEEK_1782;    
    To our knowledge, Patient 1 is the first reported case with biopsy findings. Patients developing new symptoms after starting semaglutide should have laboratory tests performed and the drug discontinued if there is worsening renal function.
  • ||||||||||  [VIRTUAL] EFFECTS OF SEMAGLUTIDE VS COMPARATORS ON CARDIOVASCULAR EVENTS ACROSS A CONTINUUM OF BASELINE CARDIOVASCULAR RISK: COMBINED ANALYSIS OF THE SUSTAIN AND PIONEER TRIALS (Inxpo Platform, Simulive + Text Q&A) -  Oct 4, 2020 - Abstract #CCCCanada2020CCC_Canada_90;    
    Fewer major adverse cardiovascular events (MACE) were observed with semaglutide vs placebo in cardiovascular outcomes trials (CVOTs) in subjects with type 2 diabetes (T2D) at high risk of cardiovascular (CV) events (once-weekly subcutaneous semaglutide in SUSTAIN 6; once-daily oral semaglutide in PIONEER 6). To better understand the CV effect of semaglutide in a broader range of subjects with T2D, including those at lower CV risk, we conducted a post hoc analysis of semaglutide and comparator (placebo, sitagliptin, exenatide extended release, insulin glargine, dulaglutide, liraglutide, and empagliflozin) data from all phase 3a SUSTAIN and PIONEER trials across the continuum of baseline CV risk characterizing a broad T2D population.
  • ||||||||||  metformin / Generic mfg., Ozempic (semaglutide SC once-weekly) / Novo Nordisk, Jardiance (empagliflozin) / Eli Lilly, Boehringer Ingelheim
    [VIRTUAL] LONG-TERM Cost-Effectiveness Analyses of Once-Weekly Semaglutide 1 MG Versus Empagliflozin 25 MG for Treatment of Type 2 Diabetes in Three Countries- Bosnia and Herzegovina, Greece, and Slovenia () -  Oct 3, 2020 - Abstract #ISPOREU2020ISPOR-EU_1660;    
    RESULTS Over patient lifetimes, once-weekly semaglutide 1 mg was associated with quality-adjusted life expectancy increases versus empagliflozin 25 mg of 0.19, 0.21, and 0.21 quality-adjusted life years (QALYs) in Bosnia and Herzegovina, Greece, and Slovenia, respectively.In Greece, cost savings due to avoided complications entirely offset increased pharmacy costs, with once-weekly semaglutide associated with cost savings of EUR 1,767.In Bosnia and Herzegovina and Slovenia, increased pharmacy costs were only partially offset by avoided complication costs, with once-weekly semaglutide associated with mean cost increases of EUR 853 and EUR 880, respectively.Once-weekly semaglutide was considered dominant versus empagliflozin in Greece, and was associated with incremental cost-effectiveness ratios of EUR 4,397 and EUR 4,122 per QALY gained in Bosnia and Herzegovina and Slovenia, respectively. CONCLUSIONS In Bosnia and Herzegovina, Greece, and Slovenia, once-weekly semaglutide is likely to be to be a cost-effective therapy from a healthcare payer perspective compared with empagliflozin 25 mg for the treatment of patients with type 2 diabetes.
  • ||||||||||  metformin / Generic mfg., Ozempic (semaglutide SC once-weekly) / Novo Nordisk, Jardiance (empagliflozin) / Eli Lilly, Boehringer Ingelheim
    [VIRTUAL] A LONG-TERM Cost-Effectiveness Analysis of Treatments for Type 2 Diabetes in Portugal- Once-Weekly Semaglutide 1 MG Versus Once-Daily Empagliflozin 25 MG () -  Oct 3, 2020 - Abstract #ISPOREU2020ISPOR-EU_1583;    
    RESULTS Over patient lifetimes, once-weekly semaglutide 1 mg was associated with increased life expectancy (12.80 versus 12.70 years) and quality-adjusted life expectancy (7.18 versus 6.98 quality-adjusted life years [QALYs]) compared with once-daily empagliflozin 25 mg.The benefits resulted from a reduced incidence and delayed onset of diabetes-related complications.Cost savings resulting from avoided diabetes-related complications partially offset increased pharmacy costs with once-weekly semaglutide, leading to an overall cost increase of EUR 2,804 (EUR 24,845 versus EUR 22,041).Once-weekly semaglutide was associated with an incremental cost-effectiveness ratio of EUR 14,114 per QALY gained versus once-daily empagliflozin. CONCLUSIONS Compared with once-daily empagliflozin 25 mg, once-weekly semaglutide 1 mg was projected to be a cost-effective treatment from a healthcare payer perspective for patients with type 2 diabetes in Portugal.
  • ||||||||||  cotadutide (MEDI0382) / AstraZeneca
    Enrollment open:  A Study of Cotadutide in Participants Who Have Chronic Kidney Disease With Type 2 Diabetes Mellitus (clinicaltrials.gov) -  Sep 28, 2020   
    P2b,  N=225, Recruiting, 
    Trial registrations ClinicalTrials.gov identifiers: NCT02054897, NCT01930188, NCT01885208, NCT02128932, NCT02305381, NCT01720446, NCT02207374, NCT02254291, NCT02906930, NCT02863328, NCT02607865, NCT02863419, NCT02827708, NCT02692716, NCT02849080, NCT03021187, NCT03018028, NCT03015220. Not yet recruiting --> Recruiting
  • ||||||||||  Clinical, Retrospective data, Journal:  Efficacy and safety of semaglutide for type 2 diabetes by race and ethnicity: a post hoc analysis of the SUSTAIN trials. (Pubmed Central) -  Sep 26, 2020   
    Semaglutide 0.5 or 1.0 mg, placebo, or active comparator (sitagliptin 100 mg, exenatide extended release 2.0 mg, insulin glargine 100IU/ml and dulaglutide 0.75 or 1.5 mg)...The most commonly reported AEs were gastrointestinal disorders. s): In this SUSTAIN trials post hoc analysis, semaglutide was associated with consistent and clinically relevant reductions in HbA1c and body weight in subjects with T2D, with minor variations in efficacy and safety outcomes associated with race or ethnicity.
  • ||||||||||  Review, Journal:  Type 2 diabetes and the kidney: insights from cardiovascular outcome trials. (Pubmed Central) -  Sep 19, 2020   
    Despite some residual limitations linked to differences in study populations and patient characteristics, the cardiorenal protective actions of SGLT-2 inhibitors, and to a lesser extent by some GLP-1 agonists, make them favorable medications for patients with T2D at increased cardiorenal risk. There is room for optimism that their use may change the paradigm of the ineluctable progression of DKD.
  • ||||||||||  Ozempic (semaglutide SC once-weekly) / Novo Nordisk, semaglutide SC once-daily (NN9536) / Novo Nordisk
    Journal:  Semaglutide 2.4 mg for the Treatment of Obesity: Key Elements of the STEP Trials 1 to 5. (Pubmed Central) -  Sep 18, 2020   
    P3
    The STEP program evaluates the efficacy and safety of semaglutide 2.4 mg subcutaneously once weekly in a broad population. The trials will provide insights on WM in people with obesity with and without type 2 diabetes and on long-term follow-up.
  • ||||||||||  Ozempic (semaglutide SC once-weekly) / Novo Nordisk
    Enrollment closed, Trial completion date:  STEP 1: Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity (clinicaltrials.gov) -  Aug 26, 2020   
    P3,  N=1964, Active, not recruiting, 
    In the future, this finding should be extrapolated to traditional long-term cost-effectiveness analysis, using common outcomes such as quality-adjusted life years. Completed --> Active, not recruiting | Trial completion date: Apr 2020 --> Feb 2021