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Alcohol AbusePhase 2SEMALCONCT05895643

Does Semaglutide Reduce Alcohol Intake in Patients With Alcohol Use Disorder and Comorbid Obesity?

A Phase 2 study testing Semaglutide Injectable Product in people with Alcohol Abuse and Alcohol Addiction, run by Psychiatric Centre Rigshospitalet at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This 26-week long, double-blinded randomized clinical trial aims to investigate the effects of the GLP-1 receptor agonist semaglutide s.c. vs placebo on alcohol consumption in 108 patients diagnosed with alcohol use disorder and comorbid obesity (BMI>30 kg/m2). Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Semaglutide Injectable Product
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
108 participants
Where
1 siteDenmark
Study dates
13 Jun 2023to 31 Jul 2025
Phase
Phase 2
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed oral and written consent
  • Diagnosed with alcohol dependence according to the criteria of the International Classification of Diseases 10 (ICD-10), and diagnosed with alcohol use disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
  • Alcohol use disorder identification test (AUDIT) score >15
  • Body mass index (BMI) above or equal to 30 kg/m2
  • Age 18 - 70 years (both included)
  • Heavy alcohol drinking defined as more than 6 days with alcohol consumption over 4 units (48 g alcohol) for women and 5 units (60 g alcohol) for men during a consecutive 30-day period, within 40 days prior to baseline evaluation, measured by the TLFB method. The 30-day period will be the 30 consecutive days with the biggest alcohol intake (most heavy drinking days and the largest amount of total alcohol) out of the 40 days.

Who cannot join

  • Severe psychiatric disease, defined as a diagnosis of schizophrenia, paranoid psychosis, bipolar disorder or mental retardation
  • A history of delirium tremens or alcohol withdrawal seizures
  • No serious withdrawal symptoms at inclusion (a score higher than 9 on the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)) at baseline examinations
  • Present or former neurological disease, including traumatic brain injury
  • Type 1 diabetes, type 2 diabetes in poor glycaemic control (defined as HbA1c ≥48 mmol/l or fasting plasma glucose above 7.0 mmol/l at inclusion)
  • Females of childbearing potential who are pregnant, breast-feeding or have the intention of becoming pregnant within the next 9 months (26 weeks plus two months after discontinuation of semaglutide), or are not using contraceptives (during the whole study period) considered as highly effective (combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable) intrauterine device, bilateral tubal occlusion, vasectomised partner, sexual abstinence).
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  • Pregnancy (serum human chorionic gonadotropin (hCG) > 3 U/L at inclusion)
  • Impaired hepatic function (liver transaminases >3 times the upper limit)
  • Impaired renal function (eGFR < 50 ml/min and/or plasma creatinine >150 μmol/l)
  • Impaired pancreatic function (any history of acute or chronic pancreatitis and/or amylase > 2 times upper limit)
  • Former medullary thyroid carcinoma (MTC) and/or family history with MTC and/or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Cardiac problems defined as decompensated heart failure (NYHA class III or IV), unstable angina pectoris and/or myocardial infarction within the last 12 months
  • Uncontrolled hypertension (systolic blood pressure >180 mmHg, diastolic blood pressure >110 mmHg)
  • Concomitant pharmacotherapy against alcohol use disorder, i.e., disulfiram, naltrexone, acamprosate, or nalmefene, since the first of the 30 drinking days registered for inclusion at the TLFB-schedule.
  • Receiving any investigational drug within the last three months
  • Use of weight-lowering pharmacotherapy within the preceding 3 months
  • Any other active substance use defined as a DUDIT-score >1 (except nicotine)
  • Hypersensitivity to the active substance or any of the excipients
  • Only for patients undergoing brain scans:
  • o Contraindications for undergoing an MRI scan (magnetic implants, pacemaker, claustrophobia, etc.)
  • Unable to speak and/or understand Danish
  • Any condition that the investigator feels would interfere with trial participation

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Psychiatric Center Copenhagen, Frederiksberg Hospital

    Frederiksberg, 2000

Other trials in Denmark

About this study

Official title: Does the Glucagon-like Peptide 1 (GLP-1) Receptor Agonist Semaglutide Reduce Alcohol Intake in Patients With Alcohol Use Disorder and Comorbid Obesity?

This 26-week long, double-blinded randomized clinical trial aims to investigate the effects of the GLP-1 receptor agonist semaglutide s.c. vs placebo on alcohol consumption in 108 patients diagnosed with alcohol use disorder and comorbid obesity (BMI>30 kg/m2).

Patients will be treated for 26 weeks with semaglutide subcutaneously (s.c.) once weekly or placebo. The medication will be provided as a supplement to standardised cognitive behavioural therapy. A subgroup of the patients will have two brain scans (Magnetic Resonance Spectroscopy (MRS) and functional Magnetic Resonance Imaging (fMRI)) conducted in one scan session at week 0 and 26.

The primary endpoint is the percentage-point reduction in total number of heavy drinking days, defined as days with an excess intake of 48/60 grams of alcohol per day (women and men, respectively) from baseline to follow-up after 26 weeks of treatment, measured by the timeline followback (TLFB) method.

Being tested
Semaglutide Injectable Product, Placebo
Keywords
GLP-1, Glucagon-like peptide 1, semaglutide, fMRI, MRS
Medical subject headings
Alcoholism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Semaglutide Injectable ProductDrug

    Also called Wegovy

    Once weekly injections s.c with semaglutide (Wegovy)

  • PlaceboDrug

    Also called BD Posiflush (saline)

    Once weekly injections s.c with placebo (BD Posiflush)

Study groups in NCT05895643
Study groupRoleWhat they receive
semaglutideExperimentalWegovy once-weekly s.c.titrated to a maximum dose of 2.4 mg
Receives: Drug: Semaglutide Injectable Product
placeboPlacebo comparatorSaline s.c. once-weekly
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in heavy drinking days

    Change in alcohol consumption, defined as the change in percentage of heavy drinking days during a period of 30 consecutive days, after 26 weeks of treatment adjusted for baseline (percentage points (pp)). A heavy drinking day is defined as more than 60/48 grams (men/women) of alcohol in one day, measured with the validated timeline follow-back (TLFB) method.

    Measured: From baseline to 26 weeks of treatment

Secondary outcomes (25)
  1. Change in heavy drinking days adjusted for maximum tolerable semaglutide dose given

    Change in heavy drinking days during a period of 30 consecutive days, after 26 weeks of treatment adjusted for baseline (percentage points (pp)) and maximum tolerable semaglutide dose given.

    Measured: From baseline to 26 weeks of treatment

  2. Change in heavy drinking days adjusted for weightloss

    Change in heavy drinking days during a period of 30 consecutive days, after 26 weeks of treatment adjusted for baseline (percentage points (pp)) and weight loss during the 26 weeks of treatment

    Measured: From baseline to 26 weeks of treatment

  3. Total alcohol consumption

    Change in total alcohol consumption /gram/last 30 consecutive days)

    Measured: From baseline to 26 weeks of treatment

  4. Drinks per day

    Change in total drinks per day (last 30 consecutive days)

    Measured: From baseline to 26 weeks of treatment

  5. Days without alcohol consumption

    Number of days without alcohol consumption in the last 30 consecutive days

    Measured: From baseline to 26 weeks of treatment

  6. Time to relapse

    Time to relapse, defined as the time to first alcohol intake

    Measured: From baseline to 26 weeks of treatment

  7. Time to relapse (heavy drinking day)

    Time to first heavy drinking day

    Measured: From baseline to 26 weeks of treatment

  8. World Health Organization (WHO) Risk Levels of Alcohol Consumption

    Change in WHO alcohol risk level in the last 30 consecutive days, measured with the validated timeline follow-back (TLFB) method.

    Measured: From baseline to 26 weeks of treatment

  9. Penn Alcohol Craving Scale (PACS) score

    Change in Penn Alcohol Craving Scale (PACS) score. Minimum score = 0, maximum score =30. A high score means a worse outcome.

    Measured: From baseline to 26 weeks of treatment

  10. Alcohol Use Disorder Identification Test (AUDIT) score

    Change in Alcohol Use Disorder Identification Test (AUDIT) score. Minimum score = 0, maximum score =40. A high score means a worse outcome.

    Measured: From baseline to 26 weeks of treatment

  11. Drug Use Disorders Identification Test (DUDIT) score

    Change in Drug Use Disorders Identification Test (DUDIT) score. Minimum score = 0, maximum score =44. A high score means a worse outcome.

    Measured: From baseline to 26 weeks of treatment

  12. Fibrosis-4 (FIB4) score

    Change in Fibrosis-4 (FIB4) score, calculated from the parameters: the patient's age, blood aspartate aminotransferase levels (ASAT), thrombocytes and alanine transaminase (ALAT). A higher score means a worse outcome.

    Measured: From baseline to 26 weeks of treatment

  13. Measure of life quality - World Health Organization Quality of Life brief (WHOQOL-BREF) score

    Change in Measures of Health (WHOQOL-BREF) score. Minimum score = 26, maximum score =130. Higher scores mean a better outcome in items 1-2 + 10-25. A higher score in items 3-9 + 26 means a worse outcome.

    Measured: From baseline to 26 weeks of treatment

  14. Fagerströms Test for Nicotine Dependence score

    Change in Fagerströms Test for Nicotine Dependence score. Minimum score = 0, maximum score =10. A high score means a worse outcome.

    Measured: From baseline to 26 weeks of treatment

  15. Gamma-glutamyl transferase (GGT)

    Change in blood gamma-glutamyl transferase (GGT)

    Measured: From baseline to 26 weeks of treatment

  16. Alanine transaminase (ALAT)

    Change in blood alanine transaminase (ALAT)

    Measured: From baseline to 26 weeks of treatment

  17. Phosphatidyl ethanol (PEth)

    Change in plasma levels of phosphatidyl ethanol (PEth)

    Measured: From baseline to 26 weeks of treatment

  18. Mean cell volume (MCV)

    Change in blood mean cell volume (MCV)

    Measured: From baseline to 26 weeks of treatment

  19. Body weight

    Change in Body weight

    Measured: From baseline to 26 weeks of treatment

  20. Blood pressure

    Change in blood pressure (both systolic and diastolic)

    Measured: From baseline to 26 weeks of treatment

  21. Pulse

    Change in pulse

    Measured: From baseline to 26 weeks of treatment

  22. Waist circumference

    Change in waist circumference

    Measured: From baseline to 26 weeks of treatment

  23. Glycaemic control parameters

    Change in HbA1c

    Measured: From baseline to 26 weeks of treatment

  24. MRS brain gamma-aminobutyric acid (GABA) levels

    Change in brain GABA levels (cortical, caudate, and putamen) assessed by MRS brain scans

    Measured: From baseline to 26 weeks of treatment

  25. fMRI alcohol cue-reactivity

    Change in brain alcohol cue-response in reward-processing brain regions (ventral and dorsal striatum, puta-men, nucleus accumbens, and caudate), including the septal area assessed by fMRI brain scans

    Measured: From baseline to 26 weeks of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jun 2023
  2. Study start13 Jun 2023
  3. Primary completion31 Jul 2025
  4. Study completion31 Jul 2025

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
108 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05895643
Sponsor's protocol ID
The SEMALCO study
Other IDs
U1111-1286-6919
Acronym
SEMALCO
Status last verified
Aug 2025
First submitted
26 May 2023
Last updated
5 Aug 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Klausen MK, Justesen SK, Pedersen JN, Rasmussen L, Jensen A, Jensen ME, Knorr UB, Bergmann ML, Holst JJ, Hartmann B, Koob GF, Benveniste H, Volkow ND, Ekstrom CT, Knudsen GM, Vilsboll T, Fink-Jensen A. Once-weekly semaglutide versus placebo in patients with alcohol use disorder and comorbid obesity: a randomised, double-blind, placebo-controlled trial. Lancet. 2026 May 2;407(10540):1687-1698. doi: 10.1016/S0140-6736(26)00305-3.

    PubMed 42070571
  • Jensen ME, Klausen MK, Bergmann ML, Knudsen GM, Vilsboll T, Stove C, Fink-Jensen A. Blood phosphatidylethanol measurements indicate GLP-1 receptor stimulation causes delayed decreases in alcohol consumption. Alcohol Clin Exp Res (Hoboken). 2025 May;49(5):1161-1165. doi: 10.1111/acer.70041. Epub 2025 Mar 23.

    PubMed 40123107
  • Klausen MK, Kuzey T, Pedersen JN, Justesen SK, Rasmussen L, Knorr UB, Mason G, Ekstrom CT, Holst JJ, Koob G, Benveniste H, Volkow ND, Knudsen GM, Vilsboll T, Fink-Jensen A. Does semaglutide reduce alcohol intake in Danish patients with alcohol use disorder and comorbid obesity? Trial protocol of a randomised, double-blinded, placebo-controlled clinical trial (the SEMALCO trial). BMJ Open. 2025 Jan 8;15(1):e086454. doi: 10.1136/bmjopen-2024-086454.

    PubMed 39779270

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Semaglutide Injectable Product in people with Alcohol Abuse and Alcohol Addiction, run by Psychiatric Centre Rigshospitalet at 1 site in Denmark.

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 6 inclusion and 22 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 5 Aug 2025. 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 Denmark. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Change in heavy drinking days (time frame: From baseline to 26 weeks of treatment). 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 NCT05895643, which also lists 3 linked publications.

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 5 Aug 2025.

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