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Saxenda

Saxenda — Clinical Evidence

All published trials referenced on this site. Click any source link to read the original journal article.

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Randomised controlled trials

In the trials below, people were assigned at random to take Liraglutide or a dummy pill (placebo). All the weight loss figures are averages: how much body weight fell from the start.

Clinical trial and study sources, with population, duration, key result, and publication.
TrialKey resultSource
[1]SCALE Obesity and Prediabetes8.0% mean weight loss vs. 2.6% placebo. 63.2% achieved ≥5% loss vs. 27.1% placebo.New England Journal of Medicine 2015 ↗
[2]SCALE Diabetes6.0% mean weight loss at 3.0 mg — lower than in non-diabetic participants, consistent with GLP-1 class behaviour.JAMA 2015 ↗
[3]Network meta-analysis (comparative efficacy)About 5.4% more weight loss than placebo — less than semaglutide or tirzepatide in indirect comparisons.PMC 2023 ↗

Reported side effects

The rates below come from the SCALE Obesity and Prediabetes trial. View source

Reported side effects for Saxenda, from SCALE Obesity and Prediabetes
Side effectFrequency in trial
Nausea
40%
Diarrhoea
21%
Constipation
19%
Vomiting
16%

Body composition data

No large body composition substudy has been published for liraglutide in obesity. Lean mass loss is assumed to be similar to other GLP-1 drugs: in proportion to the total weight lost.

Heart and metabolic data

The LEADER trial, in type 2 diabetes, showed cardiovascular benefit. In the obesity indication, the SCALE trials showed metabolic improvements, including lower blood pressure and lipids. But no dedicated cardiovascular outcomes trial has been completed for the obesity indication.

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