March 22, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)00459-9

Efficacy and safety of oral semaglutide 14 mg (flexible dose) in early-stage symptomatic Alzheimer's disease (evoke and evoke+): two phase 3, randomised, placebo-controlled trials

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The evoke and evoke+ trials aimed to evaluate the efficacy and safety of oral semaglutide (14 mg) in individuals with early-stage symptomatic Alzheimer's disease. The results indicated that semaglutide did not significantly slow clinical progression compared to placebo, and while safety profiles were consistent with other indications, the treatment did not demonstrate the expected benefits in this population.

Jeffrey L Cummings, Alireza Atri, Mary Sano, Henrik Zetterberg, Philip Scheltens, Filip K Knop, Peter Johannsen, Christian A Wichmann, Rikke Mortensen Abschneider, Teresa Leon, Howard H Feldman

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