Semaglutide Linked to 18% Lower Mortality Than Dulaglutide or Liraglutide in 3,913 Medicare Patients on Hemodialysis
Thomas Jefferson University researchers reported in Diabetes Care on October 27, 2026 a target-trial emulation using 2011-2022 U.S. Renal Data System and Medicare data on 1,312 semaglutide users and 2,601 dulaglutide or liraglutide users with diabetes on maintenance hemodialysis. After weighting, semaglutide was associated with lower risk of death on dialysis (subdistribution hazard ratio 0.82; one-year incidence 11% vs 13%) and all-cause hospitalization (0.91; 57% vs 62%), and more weight loss at one year (4.8% vs 3.4%). The advantage held against dulaglutide but was not statistically significant against liraglutide; the study is observational.