©The Author(s) 2025.
World J Gastrointest Pharmacol Ther. Sep 5, 2025; 16(3): 107148
Published online Sep 5, 2025. doi: 10.4292/wjgpt.v16.i3.107148
Published online Sep 5, 2025. doi: 10.4292/wjgpt.v16.i3.107148
Table 4 Frequency of gastrointestinal adverse events in clinical trials with glucagon-like peptide-1 receptor agonist in people with obesity or Type 2 diabetes mellitus
| Adverse events | Exenatide (%) | Liraglutide (%) | Semaglutide (%) | Dulaglutide (%) | Lixisenatide (%) | Tirzepatide (%) |
| Abdominal pain | Reported | 5.40 | 5.7-20 | 6.5-9.4 | 2-2.2 | 5-10 |
| Biliary diseases | 1.99 | 2.22 | 0.52 | 1.55 | 0.78 | - |
| Antibody formation | 6-64 | < 12 | 0.5-3 | 1.6-6 | 2.40 | 51-64.5 |
| Constipation | 2.10 | 4.8-19.4 | 3.1-24 | 3.7-3.9 | 2.80 | 6-17 |
| Diarrhea | 6-18 | 9.3-22.4 | 8.5-30 | 8.9-12.6 | 8 | 12-23 |
| Hypoglycemia | 1.7-5.2 | 1.6-24.2 | 1-6 | Reported | 2 | 0.3-4.2 |
| Injection site reaction | 1.6-23.9 | 2-13.9 | 0.2-1.4 | 0.5-3.9 | 4 | 3.2-8 |
| Nausea | 8-44 | 23.9-42.4 | 11-44 | 12.4-21.1 | < 25 | 12-29 |
| Vomiting | 3.4-13 | 8.7-34.4 | 5-36 | 6-12.7 | < 10 | 5-13 |
| Dizziness | 2.5-9 | 5.8-12.1 | 0.4-8 | - | 7 | 4-5 |
| Anorexia | 1-2 | 10 | - | 4.9-8.6 | - | 5-11 |
| Fatigue | - | 4.8-7.5 | 0.4-11 | 4.2-5.6 | - | 5-7 |
| Fever | - | 8 | - | - | - | - |
| Pharyngitis | - | - | 12 | - | - | - |
- Citation: Ismail A, Amer MS, Tawheed A. Glucagon-like peptide-1 receptor agonists: Evolution, gastrointestinal adverse effects, and future directions. World J Gastrointest Pharmacol Ther 2025; 16(3): 107148
- URL: https://www.wjgnet.com/2150-5349/full/v16/i3/107148.htm
- DOI: https://dx.doi.org/10.4292/wjgpt.v16.i3.107148