Closing
Do GLP-1 receptor agonists improve all-cause mortality more than other treatments?
Mostly studied in type 2 & unspecified diabetes. Also asked versus placebo.
Not modeled yetTrial evidence exists, but no mechanistic model yetWithout a model there is no decisive experiment to propose. Help build it. →
Where the evidence stands
Doubtful. So far, no trial evidence yet.
NoUnsureYes
- Belief
- 0.25 (range 0.10–0.70)
- Trials for
- 0
- Trials against
- 0
- Inconclusive
- 1
Already under way
- SHAPE-ENDO (Strategic Hormonal Approach & Prehabilitation in Endometrial Cancer): An Open-Label, Pilot Randomized Clinical Trial Comparing Standard Immediate…NCT07462663 · not yet recruiting · started 2027
- Waiting on Atrial Fibrillation Intervention Therapy (WAIT) StudyNCT07275697 · recruiting · started 2026
- Comparative Effectiveness of Oral Semaglutide vs Sitagliptin Among Individuals With Heart Failure With Preserved Ejection Fraction (STEP-HFpEF DM ORAL)NCT07390110 · active not recruiting · started 2026
- Effects of GLP-1 Receptor Agonists Combined with Metformin and Healthy Lifestyle Education Prior to Fertility Treatment on Reproductive Outcomes in Women with…NCT06775093 · not yet recruiting · started 2025
- Comparative Effectiveness of Tirzepatide vs Semaglutide in Participants With Type 2 Diabetes and Heart Failure With Preserved Ejection FractionNCT06980623 · active not recruiting · started 2025
The evidence so far
- Registered trials
- 48
- With posted results
- 13
- Published papers
- 16
Of 31 decided analyses: 14 favor glp-1 receptor agonists, 15 find no difference, 2 favor the comparator.
Papers
- Risk of adverse events with liraglutide in heart failure with reduced ejection fraction: A post hoc analysis of the FIGHT trial.Trial report · 2023
- [SURPASS CVOT : cardiovascular benefits with tirzepatide versus dulaglutide in type 2 diabetes].Trial report · 2026
- Oral semaglutide for type 2 diabetes: A systematic review and meta-analysis.Meta-analysis / systematic review · 2020
- Effect of Glucagon-like Peptide-1 Receptor Agonists on All-cause Mortality and Cardiovascular Outcomes: A Meta-analysis.Meta-analysis / systematic review · 2018
- Comparative effects of drugs for adults with overweight or obesity: systematic review and network meta-analysis.Meta-analysis / systematic review · 2026
- The adverse effects associated with semaglutide use in patients at increased risk of cardiovascular events: a systematic review with meta-analysis and Trial Sequential Analysis.Meta-analysis / systematic review · 2025
Trials
- A Trial Investigating the Cardiovascular Safety of Oral Semaglutide in Subjects With Type 2 DiabetesNCT02692716 · 6 posted results
- The Effect of Dulaglutide on Major Cardiovascular Events in Patients With Type 2 Diabetes: Researching Cardiovascular Events With a Weekly INcretin in Diabetes (REWIND)NCT01394952 · 5 posted results
- A Long-term, Multi-centre, International, Randomised Double-blind, Placebo-controlled Trial to Determine Liraglutide Effects on Cardiovascular EventsNCT01179048 · 7 posted results
- A Long-term, Randomised, Double-blind, Placebo-controlled, Multinational, Multi-centre Trial to Evaluate Cardiovascular and Other Long-term Outcomes With Semaglutide in Subjects With Type 2 Diabetes (SUSTAIN™ 6 - Long-term Outcomes)NCT01720446 · 3 posted results
- SELECT - Semaglutide Effects on Cardiovascular Outcomes in People With Overweight or ObesityNCT03574597 · 9 posted results
- Effect of Semaglutide Versus Placebo on the Progression of Renal Impairment in Subjects With Type 2 Diabetes and Chronic Kidney DiseaseNCT03819153 · 11 posted results
- Semaglutide Cardiovascular Outcomes Trial in Patients With Type 2 DiabetesNCT03914326 · 9 posted results
- Cardiovascular Outcomes, and Mortality in Danish Patients With Type 2 Diabetes Who Initiate Empagliflozin Versus Glucagon-Like Peptide-1 Receptor Agonists (GLP1-RA): A Danish Nationwide Comparative Effectiveness Study [EMPLACEtm]NCT03993132 · 6 posted results