Original Investigation

Oral Semaglutide in an East Asian Population With Overweight or Obesity, With or Without Type 2 Diabetes

JAMA Internal Medicine 10.1001/jamainternmed.2025.3599

August 04, 2025 at 11:00 AM EDT

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What is the effect of oral semaglutide, 50 mg, compared with placebo on body weight and cardiometabolic risk factors in East Asian individuals with overweight or obesity, with or without type 2 diabetes?In this 68-week randomized clinical trial including 201 participants, oral semaglutide provided significantly greater body weight loss than placebo (estimated treatment difference, –13.1 percentage points) and improved cardiometabolic risk factors. The safety profile was consistent with the glucagon-like peptide-1 receptor agonist class.Oral semaglutide may be an effective treatment for overweight or obesity and associated complications in East Asian individuals.

Corresponding Authors: Takashi Kadowaki, MD, PhD, Toranomon Hospital, 2 Chrome-2-2, Toranomon, Minato-ku, Tokyo 105-8470, Japan (t-kadowaki@toranomon.kkr.or.jp); Kyoung-Kon Kim, MD, PhD, Gachon University College of Medicine, Gachon University Gil Medical Center, 21 Namdong-daero 774 beon-gil, Namdong-gu, Incheon, South Korea (zaduplum@gilhospital.com).

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