A thoughtful companion for your weight-loss journey
OASIS 2 · GLP Finds editorial

Oral semaglutide in East Asia: OASIS 2

OASIS 2 studied daily oral semaglutide in Japan and South Korea.

The takeaway

OASIS 2 adds evidence from Japan and South Korea, including adults with type 2 diabetes. It tested a 50 mg daily tablet regimen against placebo, not against injections.

Who took part?

The trial randomized 201 adults with overweight or obesity and related health conditions; 51 had type 2 diabetes. Both groups received lifestyle recommendations.

Treatment-policy estimated weight loss at week 68; 201 adults randomized
Percent of starting weight; daily tablet
Oral semaglutide 50 mg daily14.3%Placebo1.3%

Original visual based on the study.

Treatment-policy estimated weight loss at week 68; 201 adults randomized
Group or measureResult
Oral semaglutide 50 mg daily14.3%
Placebo1.3%

What changed?

At 68 weeks, estimated average weight loss was 14.3% with semaglutide versus 1.3% with placebo. The main analysis included outcomes regardless of stopping treatment.

The trade-offs

Digestive adverse events occurred in 63.4% versus 34.8%. Six of 134 semaglutide recipients stopped treatment because of adverse events, compared with none receiving placebo.

The study was relatively small, particularly its diabetes subgroup. Its dose and results cannot establish equivalence with other tablets or weekly injections.

Novo Nordisk funded the trial.

Sources

Kadowaki and colleagues, JAMA Internal Medicine, 2025