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Semaglutide with Setmelanotide

Mechanism-tag overlap and published literature for Semaglutide and Setmelanotide, pulled verbatim from each Kalios compound profile. Kalios is a literature reference, not a recommendation.

Mechanism overlap

Mechanism tags are verbatim labels on each compound's profile. Generic tags ("peptide", "small-molecule", "research-chemical") are excluded from this overlap view. Tags are descriptive — not an inference about combined effect.

SEMAGLUTIDE SETMELANOTIDE 2 UNIQUE TAGS 2 UNIQUE TAGS 0 SHARED
Semaglutide unique glp-1-receptor-agonistmetabolic
Shared none
Setmelanotide unique rare-genetic-obesityselective-mc4r-agonist

Co-administration notes from the literature

Verbatim summary text pulled from each compound's profile data. Researchers studying Semaglutide and Setmelanotide have published these mechanism-level observations. Not a co-administration recommendation.

Evidence level: mechanistic only

There is no established trial basis for adding a GLP-1 or GLP-1/GIP agonist to setmelanotide. The mechanisms are distinct (leptin-melanocortin vs incretin) and theoretically complementary, but safety, efficacy, and payer coverage for combination therapy in genetic obesity have not been characterized. Not recommended outside of clinical trials.

Quick facts

Semaglutide

RouteSubQ / Oral
Half-life~7 days (plasma)
FDA statusApproved (2017)
WADANot prohibited
Full Semaglutide profile →

Setmelanotide

RouteSubQ, once daily
Half-life~11 hr (SubQ)
FDA statusApproved Nov 2020 (Imcivree)
WADANot specifically named
Full Setmelanotide profile →

Literature table

Classified references from each compound profile. Click a column header to sort. Click a PMID to open PubMed. Findings are quoted verbatim from each profile's literature_summary; nothing here is added or interpreted.

Year Compound Source Finding
2024SemaglutidePerkovic V, Tuttle KR, Rossing P, et al. Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (FLOW). N Engl J Med. 2024;391(2):109-121. PMID: 38785209. PMID 38785209human trial
2023SemaglutideLincoff AM, Brown-Frandsen K, Colhoun HM, et al. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT). N Engl J Med. 2023;389(24):2221-2232. PMID: 37952131. PMID 37952131human trial
2022SemaglutideGarvey WT, Batterham RL, Bhatta M, et al. Two-year effects of semaglutide in adults with overweight or obesity: the STEP 5 trial. Nat Med. 2022;28(10):2083-2091. PMID: 36216945. PMID 36216945human trial
2022SemaglutideRubino DM, Greenway FL, Khalid U, et al. Effect of Weekly Subcutaneous Semaglutide vs Daily Liraglutide on Body Weight in Adults With Overweight or Obesity Without Diabetes (STEP 8). JAMA. 2022;327(2):138-150. PMID: 35015037. PMID 35015037human trial
2021SemaglutideWilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). N Engl J Med. 2021;384(11):989-1002. PMID: 33567185. PMID 33567185human trial
2021SemaglutideDavies M, Færch L, Jeppesen OK, et al. Semaglutide 2·4 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2). Lancet. 2021;397(10278):971-984. PMID: 33667417. PMID 33667417human trial
2021SemaglutideWadden TA, Bailey TS, Billings LK, et al. Effect of Subcutaneous Semaglutide vs Placebo as an Adjunct to Intensive Behavioral Therapy on Body Weight in Adults With Overweight or Obesity (STEP 3). JAMA. 2021;325(14):1403-1413. PMID: 33625476. PMID 33625476human trial
2021SemaglutideRubino D, Abrahamsson N, Davies M, et al. Effect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance in Adults With Overweight or Obesity (STEP 4). JAMA. 2021;325(14):1414-1425. PMID: 33755728. PMID 33755728human trial
2021SemaglutideNewsome PN, Buchholtz K, Cusi K, et al. A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis. N Engl J Med. 2021;384(12):1113-1124. PMID: 33185364. PMID 33185364human trial
2019SemaglutideAroda VR, Rosenstock J, Terauchi Y, et al. PIONEER 1: Randomized Clinical Trial of the Efficacy and Safety of Oral Semaglutide Monotherapy in Comparison With Placebo in Patients With Type 2 Diabetes. Diabetes Care. 2019;42(9):1724-1732. PMID: 31186300. PMID 31186300human trial
2016SemaglutideMarso SP, Bain SC, Consoli A, et al. Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes (SUSTAIN 6). N Engl J Med. 2016;375(19):1834-1844. PMID: 27633186. PMID 27633186human trial
2019SemaglutideKnudsen LB, Lau J. The Discovery and Development of Liraglutide and Semaglutide. Front Endocrinol. 2019;10:155. PMID: 31031702. PMID 31031702mechanism / discovery
2023SetmelanotideArgente J, Verge CF, Okorie U, Fennoy I, Kelsey MM, Cokkinias C, Scimia C, Lee HM, Farooqi IS. Setmelanotide in patients aged 2-5 years with rare MC4R pathway-associated obesity (VENTURE): a 1 year, open-label, multicenter, phase 3 trial. Lancet Diabetes Endocrinol. 2023. PMID:… PMID 37708919human trial, Phase 3
2023SetmelanotideForsythe E, Haws RM, Argente J, Beales P, Martos-Moreno GÁ, Dollfus H, Chirila C, Gnanasakthy A, Buckley BC, Mallya UG, Clément K, Haqq AM. Quality of life improvements following one year of setmelanotide in children and adult patients with Bardet-Biedl syndrome: phase 3 trial r…human trial, Phase 3
2022SetmelanotideHaqq AM, Chung WK, Dollfus H, Haws RM, Martos-Moreno GÁ, Poitou C, Yanovski JA, Mittleman RS, Yuan G, Forsythe E, Clément K, Argente J. Efficacy and safety of setmelanotide, a melanocortin-4 receptor agonist, in patients with Bardet-Biedl syndrome and Alström syndrome: a multice… PMID 36356613human trial, Phase 3
2022SetmelanotideKühnen P, Wabitsch M, von Schnurbein J, Chirila C, Mallya UG, Callahan P, Gnanasakthy A, Poitou C, Krabusch PM, Stewart M, Clément K. Quality of life outcomes in two phase 3 trials of setmelanotide in patients with obesity due to LEPR or POMC deficiency. Orphanet J Rare Dis. 202…human trial, Phase 3
2020SetmelanotideClément K, van den Akker E, Argente J, Bahm A, Chung WK, Connors H, De Waele K, Farooqi IS, Gonneau-Lejeune J, Gordon G, Kohlsdorf K, Poitou C, Puder L, Swain J, Stewart M, Yuan G, Wabitsch M, Kühnen P; Setmelanotide POMC and LEPR Phase 3 Trial Investigators. Efficacy and safety… PMID 33137293human trial, Phase 3
SetmelanotideClinicalTrials.gov. Setmelanotide program trial listings: NCT02896192 (POMC), NCT03287960 (LEPR), NCT03746522 (BBS/Alström), NCT04966221 (VENTURE pediatric 2–5 yrs).human trial
2020SetmelanotideRyan DH. Setmelanotide: what it means for clinical care of patients with obesity. Lancet Diabetes Endocrinol. 2020;8(12):933-935. PMID: 33137294. PMID 33137294human study
2018SetmelanotideClément K, Biebermann H, Farooqi IS, Van der Ploeg L, Wolters B, Poitou C, Puder L, Fiedorek F, Gottesdiener K, Kleinau G, Heyder N, Scheerer P, Blume-Peytavi U, Jahnke I, Sharma S, Mokrosinski J, Wiegand S, Müller A, Weiß K, Mai K, Spranger J, Grüters A, Blankenstein O, Krude H… PMID 29736023human study
2024SetmelanotideRhythm Pharmaceuticals. IMCIVREE® prescribing information and patient support program materials. 2024–2026.regulatory / registry
2020SetmelanotideUS Food and Drug Administration. IMCIVREE (setmelanotide) injection, for subcutaneous use — Full Prescribing Information. Initial approval November 2020; label updates June 2022 and 2024.regulatory / registry
2023SetmelanotideDubern B, Lourdelle A, Clément K. Beneficial Effects of Setmelanotide in a 5-Year-Old Boy With POMC Deficiency and on His Caregivers. JCEM Case Rep. 2023;1(3):luad041. PMID: 37908575. PMID 37908575research article
2021SetmelanotideMarkham A. Setmelanotide: First Approval. Drugs. 2021;81(3):397-403. PMID: 33638809. PMID 33638809research article

Related pair pages

More research context

Frequently asked

Have Semaglutide and Setmelanotide been studied together?

Researchers have published mechanistic-level co-administration discussion of Semaglutide and Setmelanotide. No human co-administration trials are catalogued in the Kalios profiles. The pair page lists each compound's classified literature; full citations sit on each individual profile.

What mechanisms do Semaglutide and Setmelanotide share?

Semaglutide and Setmelanotide do not share a specific mechanism tag on their Kalios profiles. They appear on the same pair page because at least one profile lists the other in its co-administration data.

What is the FDA status of Semaglutide and Setmelanotide?

Semaglutide: Approved (2017). Setmelanotide: Approved Nov 2020 (Imcivree). FDA-status text is pulled verbatim from each compound profile. See /fda-pcac-2026.html for the broader FDA Pharmacy Compounding Advisory Committee context.

Where can I find the full research on Semaglutide and Setmelanotide?

Full citation lists, dosing tables from the literature, reconstitution data, and the FDA / WADA status are on the individual compound profiles: the Semaglutide profile and the Setmelanotide profile. The Kalios Stack Research Tool hub lists every compound covered.

Last updated: April 2026