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Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Trial abstract

STEP-8 — structured trial abstract

STEP-8 — Semaglutide in obesity: randomised, double-blind, active-controlled

Document identifier
CEI-TR-0006
Series
Trial abstract
Version
1.0
Published
06 Mar 2023
Last reviewed
06 Mar 2024
Next review
06 Mar 2026
Identifier
10.71829/cei.trial.6
Certainty
High
Cycle
2023 Q1
Phase
Phase 3
Status
Reported

§1Structured abstract

§1.1Objective

To evaluate Semaglutide in obesity and overweight in adults, against the comparator specified in §2, with the primary endpoint stated below.

§1.2Design

Design
Randomised, double-blind, active-controlled, parallel-group
Masking
Double-blind (participant and investigator)
Phase
Phase 3
Randomised participants
338
Duration of the primary analysis period
68 weeks
Sponsor class
Manufacturer-sponsored
Registry identifier
not reproduced — see the note in §1.5

§1.3Primary endpoint

Percentage change in body weight from baseline to week 68, semaglutide 2.4 mg versus liraglutide 3.0 mg

§1.4Principal result

Mean change −15.8 % with semaglutide versus −6.4 % with liraglutide; difference −9.4 percentage points (95 % CI −12.0 to −6.8).[1]

The only head-to-head comparison of two approved weight-management incretin analogues in the programme.

§1.5Provenance of this abstract

Table 1. Field-by-field provenance. The Institute records which fields are extracted from a source and which are its own reconstruction, so that a reader can tell the two apart without leaving the page.

FieldProvenanceNote
Design, phase, duration, primary endpointExtractedReproduced from the published report or the registry record.
Randomised participantsExtractedReproduced as published.
Principal resultExtractedReproduced as published, with the confidence interval where the Institute holds it.
Centres, countries and baseline characteristicsReconstructedDerived by the Institute from the design class and the randomised total. Presented in §2 as an illustrative operational profile and marked as such. These figures are not published characteristics of this trial.
Certainty assessmentInstitute judgementThe Institute’s own domain-by-domain assessment, with reasoning recorded against each domain in §4.
Registry identifierNot heldThe Institute does not reproduce a registry identifier it has not verified and never constructs one. Documents are referenced by the Institute’s own identifier.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Rubino DM, Greenway FL, Khalid U, O’Neil PM, Rosenstock J, Sørrig R, Wadden TA, Wizert A, Garvey WT. Effect of weekly subcutaneous semaglutide vs daily liraglutide on body weight in adults with overweight or obesity without diabetes: the STEP 8 randomized clinical trial. JAMA 2022;327(2):138–150. doi:10.1001/jama.2021.23619 · PMID 35015037

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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