


No dosage adjustments required in the following special populations1
Gl events2,17,30
Hypoglycaemia1,2,10,17-20,28-30
Pancreatitis2,5,10,17-20,29,30
Diabetic retinopathy complications1
- Patients with mild, moderate or severe renal impairment
- Patients with hepatic impairment
- Patients ≥65 years
- Gl tolerability comparable with other GLP-1 RAs
- Low incidence of severe hypoglycaemia* (<3%) across 10 clinical studies
- No difference in adverse events related to pancreatitis
- Caution should be exercised when using Ozempic® in patients with
diabetic retinopathy treated with insulin
— These patients should be monitored and treated according to
clinical guidelines
CVOT=cardiovascular outcomes trial; GI=gastrointestinal; GLP-1 RA=glucagon-like peptide-1 receptor agonist.
*Hypoglycaemia defined as severe (requiring the assistance of another person)
or symptomatic in combination with a blood glucose <3.1 mmol/L.1
GI EVENTS
GI EVENTS
DIABETIC RETINOPATHY COMPLICATIONS
DIABETIC RETINOPATHY COMPLICATIONS

GI events
Percentage of patients reporting GI adverse events (AEs) in the head-to-head trials2,17
SUSTAIN 7 vs Trulicity®
Trulicity®
0.75 mg
(n=299)
Ozempic®
0.5 mg
(n=301)
Trulicity®
1.5 mg
(n=299)
Ozempic®
1 mg
(n=300)
Nausea
13
23
20
21
Diarrhoea
8
14
18
14
Vomiting
4
10
10
10
Discontinuation rates due to Gl AEs
2
5
5
6
In general, these reactions were mild or moderate in severity and of short duration.1
GI=gastrointestinal.



More information on diabetic retinopathy complications1,21
SUSTAIN 6—CVOT data
Considerations
- •Diabetic retinopathy complications observed with
Ozempic® (3.0%) and placebo (1.8%)
- •>80% of patients with an event had a history of
retinopathy at baseline
- •In patients who did not have a history of retinopathy,
the number of events was similar for Ozempic®
and placebo
- •Rapid improvement in glucose control has been associated with a
temporary worsening of diabetic retinopathy
- •Long-term glycaemic control decreases the risk of diabetic retinopathy
- •Caution should be exercised when using Ozempic® in patients
with diabetic retinopathy treated with insulin
— These patients should be monitored and treated according to
clinical guidelines
For additional information about SUSTAIN 6, please see the study design.
CVOT=cardiovascular outcomes trial.
