ObesityPhase 1NCT05236517
A Research Study Looking at How 50 mg Semaglutide Daily Affects Food Intake and Emptying of the Stomach in People With Obesity
A Phase 1 study testing Semaglutide D Dose 1, Semaglutide D Dose 2 and Semaglutide D Dose 3 in people with Obesity, run by Novo Nordisk A/S at 1 site in Germany.
Trial summary
This study tests if semaglutide tablets of 50 mg can help people with obesity to lower their food intake compared to placebo. This study also tests how semaglutide 50 mg works on appetite, control of eating (such as cravings and restraints) and how long time the food stays in the stomach after a meal. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Obesity
- What is being tested?
- Semaglutide D Dose 1, Semaglutide D Dose 2 and Semaglutide D Dose 3
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- 1 siteGermany
- Study dates
- 8 Feb 2022to 7 Nov 2022
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Male or female, aged 18-65 years (both inclusive) at the time of signing informed consent
- Body mass index between 30.0 and 45.0 kilogram per meter square (kg/m^2) (both inclusive)
Who cannot join
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using a highly effective contraceptive method
- Any disorder which in the investigator's opinion might jeopardise participant safety or compliance with the protocol
- Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, or endocrinological conditions
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Oral Semaglutide 50 mg Once-daily on Energy Intake, Gastric Emptying, Appetite, Control of Eating and Pharmacokinetics in Participants With Obesity
This study tests if semaglutide tablets of 50 mg can help people with obesity to lower their food intake compared to placebo. This study also tests how semaglutide 50 mg works on appetite, control of eating (such as cravings and restraints) and how long time the food stays in the stomach after a meal.
In addition, how much semaglutide is in the blood will also be tested. Participants will either get semaglutide or placebo - which treatment participants will get is decided by chance. Participants will receive one semaglutide (or placebo) tablet per day during the 20-week treatment period. The dose of semaglutide is slowly increased every 4 weeks during the study to reach the treatment dose of 50 mg semaglutide taken for 4 weeks.
The study lasts for up to 29 weeks for each person and includes a screening period (up to 4 weeks), a treatment period (20 weeks) and a follow-up period (total of 5 weeks after the last dosing). Participants will have 12 visits with the study doctors at the institute.
- Conditions
- Obesity
- Being tested
- Semaglutide D Dose 1, Semaglutide D Dose 2, Semaglutide D Dose 3, Semaglutide C Dose 4, Semaglutide C Dose 5 (50 mg)
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Semaglutide D Dose 1Drug
Tablet given orally
Semaglutide D Dose 2Drug
Tablet given orally
Semaglutide D Dose 3Drug
Tablet given orally
Semaglutide C Dose 4Drug
Tablet given orally
Semaglutide C Dose 5 (50 mg)Drug
Tablet given orally
Placebo (Semaglutide C)Drug
Tablet given orally
Placebo ( Semaglutide D)Drug
Tablet given orally
| Study group | Role | What they receive |
|---|---|---|
| Semaglutide | Experimental | Not described Receives: Drug: Semaglutide D Dose 1; Drug: Semaglutide D Dose 2; Drug: Semaglutide D Dose 3; Drug: Semaglutide C Dose 4; Drug: Semaglutide C Dose 5 (50 mg) |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo (Semaglutide C); Drug: Placebo ( Semaglutide D) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Relative change in energy intake during ad libitum lunch
Measured in Percentage
Measured: Baseline to Day 140
Secondary outcomes (20)
Change in energy intake during ad libitum lunch
Measured in kJ
Measured: Baseline to Day 140
Change in amount of food consumed during ad libitum lunch
Measured in g
Measured: Baseline to Day 140
Change in body weight
Measured in Percentage
Measured: Baseline to Day 141
AUC0-5h,para
Measured in h*μg/mL
Measured: 0-5h after standardised meal, Day 141
AUC0-1h,para
Measured in h*μg/mL
Measured: 0-1h after standardised meal, Day 141
Cmax,para
Measured in μg/mL
Measured: 0-5h after standardised meal, Day 141
tmax,para
Measured in h
Measured: 0-5h after standardised meal, Day 141
Mean postprandial rating - hunger
Measured in mm
Measured: Day 140
Mean postprandial rating - fullness
Measured in mm
Measured: Day 140
Mean postprandial rating - satiety
Measured in mm
Measured: Day 140
Mean postprandial rating - prospective food consumption
Measured in mm
Measured: Day 140
Mean postprandial rating - overall appetite score (OAS)
Measured in mm
Measured: Day 140
Food cravings assessed by Control of Eating Questionnaire (COEQ)
Measured in mm
Measured: Day 139
AUC0-24h,sema,50mg,ss area under these semaglutide-time curve (0-24h) during a dosing interval at steady state
Measured in nmol*h/L
Measured: Day 140 to 141
Cmax,sema,50mg,ss maximum concentration at steady state of semaglutide 50 mg
Measured in nmol*h/L
Measured: Day 140 to 175
tmax,sema,50mg,ss from last dosing to maximum concentration of semaglutide at steady state for semaglutide 50 mg
Measured in h
Measured: Day 140 to 175
t½,sema,50mg,SS terminal half-life of the log concentration time curve
Measured in h
Measured: Day 140 to 175
CL/Fsema,50mg,ss total apparent clearance for semaglutide 50 mg at steady state
Measured in L/h
Measured: Day 140 to 175
Vz/Fsema,50mg,ss apparent volume of distribution during elimination for semaglutide 50 mg at steady state
Measured in L
Measured: Day 140 to 175
Vss/Fsema,50mg,ss apparent volume of distribution at steady state for semaglutide 50 mg
Measured in L
Measured: Day 140 to 175
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2022
- Study start8 Feb 2022
- Primary completion29 Sep 2022
- Study completion7 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency dept. 2834, Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05236517
- Sponsor's protocol ID
- NN9932-4873
- Other IDs
- 2021-003341-38, U1111-1266-4375
- Status last verified
- Sep 2024
- First submitted
- 4 Feb 2022
- Last updated
- 19 Sep 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Publications
Gabe MBN, Breitschaft A, Knop FK, Hansen MR, Kirkeby K, Rathor N, Adrian CL. Effect of oral semaglutide on energy intake, appetite, control of eating and gastric emptying in adults living with obesity: A randomized controlled trial. Diabetes Obes Metab. 2024 Oct;26(10):4480-4489. doi: 10.1111/dom.15802. Epub 2024 Jul 31.
PubMed 39082206
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Oral Semaglutide 50 mg Once-daily on Energy Intake, Gastric Emptying, Appetite, Control of Eating and Pharmacokinetics in Participants With Obesity
- ClinicalTrials.gov ID
- NCT05236517
- Acronym / sponsor ID
- NN9932-4873
- Conditions
- Obesity
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 8 Feb 2022 (actual)
- Primary completion
- 29 Sep 2022 (actual)
- Study completion
- 7 Nov 2022 (actual)
- First posted
- 11 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study tests if semaglutide tablets of 50 mg can help people with obesity to lower their food intake compared to placebo. This study also tests how semaglutide 50 mg works on appetite, control of eating (such as cravings and restraints) and how long time the food stays in the stomach after a meal.
In addition, how much semaglutide is in the blood will also be tested. Participants will either get semaglutide or placebo - which treatment participants will get is decided by chance. Participants will receive one semaglutide (or placebo) tablet per day during the 20-week treatment period. The dose of semaglutide is slowly increased every 4 weeks during the study to reach the treatment dose of 50 mg semaglutide taken for 4 weeks.
The study lasts for up to 29 weeks for each person and includes a screening period (up to 4 weeks), a treatment period (20 weeks) and a follow-up period (total of 5 weeks after the last dosing). Participants will have 12 visits with the study doctors at the institute.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Semaglutide | Experimental | Drug: Semaglutide D Dose 1, Drug: Semaglutide D Dose 2, Drug: Semaglutide D Dose 3, Drug: Semaglutide C Dose 4, Drug: Semaglutide C Dose 5 (50 mg) |
| Placebo | Placebo comparator | Drug: Placebo (Semaglutide C), Drug: Placebo ( Semaglutide D) |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Male or female, aged 18-65 years (both inclusive) at the time of signing informed consent
- Body mass index between 30.0 and 45.0 kilogram per meter square (kg/m^2) (both inclusive)
Key exclusion criteria (3 listed)
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using a highly effective contraceptive method
- Any disorder which in the investigator's opinion might jeopardise participant safety or compliance with the protocol
- Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, or endocrinological conditions
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Semaglutide D Dose 1Tablet given orally | Drug | Semaglutide |
| Semaglutide D Dose 2Tablet given orally | Drug | Semaglutide |
| Semaglutide D Dose 3Tablet given orally | Drug | Semaglutide |
| Semaglutide C Dose 4Tablet given orally | Drug | Semaglutide |
| Semaglutide C Dose 5 (50 mg)Tablet given orally | Drug | Semaglutide |
| Placebo (Semaglutide C)Tablet given orally | Drug | Placebo |
| Placebo ( Semaglutide D)Tablet given orally | Drug | Placebo |
Primary outcome
Relative change in energy intake during ad libitum lunch
Time frame: Baseline to Day 140
Measured in Percentage
20 secondary outcomes
Change in energy intake during ad libitum lunch
Time frame: Baseline to Day 140
Change in amount of food consumed during ad libitum lunch
Time frame: Baseline to Day 140
Change in body weight
Time frame: Baseline to Day 141
AUC0-5h,para
Time frame: 0-5h after standardised meal, Day 141
AUC0-1h,para
Time frame: 0-1h after standardised meal, Day 141
Cmax,para
Time frame: 0-5h after standardised meal, Day 141
tmax,para
Time frame: 0-5h after standardised meal, Day 141
Mean postprandial rating - hunger
Time frame: Day 140
Mean postprandial rating - fullness
Time frame: Day 140
Mean postprandial rating - satiety
Time frame: Day 140
Mean postprandial rating - prospective food consumption
Time frame: Day 140
Mean postprandial rating - overall appetite score (OAS)
Time frame: Day 140
Food cravings assessed by Control of Eating Questionnaire (COEQ)
Time frame: Day 139
AUC0-24h,sema,50mg,ss area under these semaglutide-time curve (0-24h) during a dosing interval at steady state
Time frame: Day 140 to 141
Cmax,sema,50mg,ss maximum concentration at steady state of semaglutide 50 mg
Time frame: Day 140 to 175
tmax,sema,50mg,ss from last dosing to maximum concentration of semaglutide at steady state for semaglutide 50 mg
Time frame: Day 140 to 175
t½,sema,50mg,SS terminal half-life of the log concentration time curve
Time frame: Day 140 to 175
CL/Fsema,50mg,ss total apparent clearance for semaglutide 50 mg at steady state
Time frame: Day 140 to 175
Vz/Fsema,50mg,ss apparent volume of distribution during elimination for semaglutide 50 mg at steady state
Time frame: Day 140 to 175
Vss/Fsema,50mg,ss apparent volume of distribution at steady state for semaglutide 50 mg
Time frame: Day 140 to 175
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2024.
- Results publication: PubMed 39082206Gabe MBN, Breitschaft A, Knop FK, Hansen MR, Kirkeby K, Rathor N, Adrian CL. Effect of oral semaglutide on energy intake, appetite, control of eating and gastric emptying in adults living with obesity: A randomized controlled trial. Diabetes Obes Metab. 2024 Oct;26(10):4480-4489. doi: 10.1111/dom.15802. Epub 2024 Jul 31.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency dept. 2834 study director
Novo Nordisk A/S
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Semaglutide D Dose 1, Semaglutide D Dose 2 and Semaglutide D Dose 3 in people with Obesity, run by Novo Nordisk A/S at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Relative change in energy intake during ad libitum lunch (time frame: Baseline to Day 140). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05236517, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.