Peptide Record

Semaglutide · Neurological · graded 2026-07-30

Cognition & memory

This grade describes how much evidence exists for Semaglutide against cognition & memory — not whether it works, and not whether it is safe. It is computed from the inputs below by a fixed rule with no editorial adjustment.

Why this grade

Not hidden behind a control — showing the work is the point
Score decomposition — every input and its contribution
ComponentPointsScale
Best study type
The strongest design that produced evidence for this outcome, not the average design.
+5Human RCT 5 · Human observational 4 · Animal 2 · Preclinical 1 · None 0
Largest human sample
Largest single human study, not a pooled total across studies.
+3n ≥ 200 → 3 · 50–199 → 2 · < 50 → 1 · no human study → 0
Independent replication
Distinct research groups at the best study tier above, resolved through author and institution records.
+3≥ 3 groups → 3 · 2 → 2 · 1 → 1 · 0 → 0
Directional consistency
Share of studies at the best study tier reporting effect in the same direction — the same studies the replication row counts, not every record on the pair.
Measured over 2 stated directions across 7 studies at the best tier. A ratio over three readings and the same ratio over ninety are the same number and are not the same evidence.
0≥ 90% concordant → 3 · ≥ 70% → 2 · ≥ 50% → 1 · below → 0 · fewer than 3 readings → 0
Bias risk
A deduction, never a bonus. A flag is counted only where a record states one; silence is not a pass and is not a flag.
-1−1 per flag, floor −3: industry funding · no preregistration · no blinding
Total10Sum of the rows above, floored at 0.
What the bias row had to work with — how many of this pair’s records disclosed each field at all
FieldFlag statedStated the oppositeNot statedSilent
industry_funded
industry-funded deducts a point; declared non-commercial does not; silence does neither.
421063%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
08850%
blinded
not blinded deducts a point; blinded does not; silence does neither.
07956%

Grade A additionally requires a total of at least 11 and replication of at least 2: a high score carried by one research group is not replicated evidence, however large the trial.

Doses administered in studies

Sourced figures, not a protocol

Studied doses — not yet collected

Dose, route and n are extracted from study full text, and full text is paywalled for most records in this corpus. No dose has been extracted for this pair yet. Read that as an extraction gap, not as evidence that the studies below administered nothing.

This is a gap in our collection, not a finding about studied doses. Read it as “we have not looked yet”, never as “there is nothing there”. How extraction works and where it fails

Cited sources

16 records · ordered by source hierarchy

These are the records the grade above was computed from — the same set, by the same rule, read from one definition shared with the grader. Records attributed to an alias for a materially different product are not among them; where this pair has any, they are listed separately below.

  • HUMAN-TRIAL8
  • ANIMAL4
  • PRECLINICAL4
SourceStudyDesignnBias flagsDate
HUMAN-TRIALEfficacy 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.
PMID 41865758 · DOI 10.1016/s0140-6736(26)00459-9 · matched on "Semaglutide"
human-rct3808industry-funded2026-05-30
HUMAN-TRIALA Research Study Investigating Semaglutide in People With Early Alzheimer's Disease (EVOKE Plus)
NCT04777409 · matched on "Semaglutide"
human-rct1840industry-funded
HUMAN-TRIALA Research Study Investigating Semaglutide in People With Early Alzheimer's Disease (EVOKE)
NCT04777396 · matched on "Semaglutide"
human-rct1840industry-funded
HUMAN-TRIALSemaglutide and Cognition in Healthy Volunteers
NCT06363487 · matched on "Semaglutide"
human-rct70none stated
HUMAN-TRIALInterleukine-2 (IL-2) Plus Semaglutide in Alzheimer's Disease
NCT07651319 · matched on "Semaglutide"
human-rct30none stated
HUMAN-TRIALSimulated shared and supported decision making for amyloid immunotherapy in Alzheimer's disease: A bicentric study.
PMID 41735150 · DOI 10.1016/j.neurol.2026.01.267 · matched on "Semaglutide"
human-observational25none stated2026-04-01
HUMAN-TRIALA Research Study Looking at the Effect of Semaglutide on the Immune System and Other Biological Processes in People With Alzheimer's Disease
NCT05891496 · matched on "Semaglutide"
human-rct23industry-funded
HUMAN-TRIALTirzepatide versus semaglutide for the prevention of mild cognitive impairment, dementia, and Alzheimer's disease in type 2 diabetes: A real-world, retrospective cohort study.
PMID 41825212 · DOI 10.1016/j.jdiacomp.2026.109306 · matched on "Semaglutide"
human-observationalnone stated2026-05-01
ANIMALSemaglutide treatment reverses HFD induced hippocampal microglia activation and improves cognitive dysfunction.
PMID 41916100 · DOI 10.1016/j.tice.2026.103495 · matched on "Semaglutide"
animalnone stated2026-08-01
ANIMALPreventative semaglutide and tirzepatide treatment does not alter disease progression in the 5xFAD mouse model of Alzheimer's disease.
PMID 42413499 · DOI 10.1016/j.xcrm.2026.102906 · matched on "Semaglutide"
animalnone stated2026-07-21
ANIMALSemaglutide ameliorates neuroinflammation and cognitive impairment in APP/PS1 mice.
PMID 42126676 · DOI 10.1007/s11010-026-05568-0 · matched on "Semaglutide"
animalnone stated2026-07-01
ANIMALSemaglutide Selectively Improves Metabolic and Cognitive Function in 5xFAD Mice.
PMID 42353032 · DOI 10.3390/ijms27125311 · matched on "Semaglutide"
animalnone stated2026-06-11
PRECLINICALRepurposing semaglutide as an adjunctive treatment for cocaine use disorder: protocol for a randomised controlled trial.
PMID 42161545 · DOI 10.1136/bmjopen-2025-115675 · matched on "Semaglutide"
not determined75none stated2026-05-20
PRECLINICAL[Advances in Anti-Dementia Therapies in Older Adults].
PMID 42214359 · DOI 10.1055/a-2676-7649 · matched on "Semaglutide"
not determinednone stated2026-06-01
PRECLINICALR WE ready for reimbursement? A round-up of developments in real-world evidence relating to health technology assessment: part 25.
PMID 41987656 · DOI 10.57264/cer-2026-0073 · matched on "Semaglutide"
not determinednone stated2026-06-01
PRECLINICALThe effects of GLP-1 receptor agonists on Alzheimer's pathophysiology: A systematic review.
PMID 42014236 · DOI 10.1016/j.mcn.2026.104091 · matched on "Semaglutide"
not determinednone stated2026-06-01

Rows are ordered by source hierarchy, so nothing below a regulatory filing appears above a human trial. A field marked uncertain is one where the extraction passes disagreed; it publishes as unknown rather than as a picked winner. A design reading “not determined” is a design nothing established, not a design of none. Explore the full corpus for Semaglutide

Also collected, and not part of this grade

3 records · contributed nothing
SourceStudyDesignnBias flagsDate
HUMAN-TRIALImproved Treatment and Monitoring of Alzheimer's Disease
NCT07135245 · matched on "Rybelsus"
human-rct180none stated
HUMAN-TRIALCOMMETS- Combination MCI Metabolic Syndrome
NCT06072963 · matched on "Rybelsus"
human-rct80none stated
HUMAN-TRIALOral Semaglutide in Patients With Alzheimer's Disease
NCT07200622 · matched on "Rybelsus"
human-rct60none stated