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临床试验/2024-518086-99-00
2024-518086-99-00招募中4 期

Young adults with early-onset obesity treated with semaglutide -The RESETTLE study - a randomized double blind placebo-controlled clinical trial

Kobenhavns Universitet1 个研究点 分布在 1 个国家目标入组 255 人开始时间: 2024年10月2日最近更新:
适应症
相关药物

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
255
试验地点
1
主要终点
Primary endpoints (change from V1 to V2) Change in BMI (weight in kg/(height in m)2) from before to after GLP-1 RA compared to placebo.

研究概览

简要总结

A) To treat young adults with childhood-onset obesity, who have been resistant to structured lifestyle intervention (TCOC protocol), with the GLP-1 RA semaglutide 2.4mg for 68 weeks. B) To treat young adults with childhood-onset obesity, who have responded with insufficient weight loss to the structured lifestyle intervention (TCOC protocol) and remain obese, with the same GLP-1 RA, semaglutide 2.4mg for 68 weeks. C) To identify underlying mechanisms of lifestyle-untreatable versus treatable childhood-onset obesity.

研究设计

研究类型
Interventional
分配方式
Randomized
主要目的
Young adults with early-onset obesity treated with semaglutide -The RESETTLE study - a randomized d
盲法
Double (Subject, Carer, Investigator, Analyst)

入排标准

年龄范围
18 years 至 64 years(18-64 Years)
接受健康志愿者

入选标准

  • Age 18-28 years
  • The period from the initial treatment with TCOC protocol until inclusion in the study must be within 15 years.
  • Group A: BMI≥
  • Non-responders: No BMI SDS reduction (<0.1 BMI SDS) during TCOC protocol for more than one year and still have obesity (BMI≥30).
  • Group B: BMI≥
  • Insufficient responders: BMI SDS reduction >0.25 BMI SDS during TCOC protocol for more than one year, but still have obesity (BMI≥30).
  • Only baseline examination: Group C: BMI<
  • Excellent responders: BMI SDS reduction >0.5 BMI SDS during TCOC protocol for more than one year and no longer have obesity (BMI<30).
  • Only baseline examination: Group D: Young adults who have participated in The Holbaek Study and have had normal weight development during childhood.

排除标准

  • Participants diagnosed with known serious chronic illness including type 1 or 2 diabetes (or a randomly measured fasting plasma glucose > 7 mmol/l)
  • Use of medications causing clinically significant weight gain or loss
  • Previous bariatric surgery
  • A history of idiopathic acute pancreatitis
  • A family or personal history of multiple endocrine neoplasia type 2 or familial medullary thyroid carcinoma
  • Pregnancy, expecting pregnancy or breastfeeding. If a study participant is in doubt whether she could be pregnant, a urine pregnancy test is performed. Women with reproductive potential who are not using adequate contraceptive methods (combined oral contraceptive pill, progestin-only contraceptive pill, condoms, intrauterine device, injection, implant, or sterilization). Adequate contraception must be used throughout the study period and at least 2 months after discontinuation of trial medication (semaglutide will be present in the circulation for 5-7 weeks after the last dose).
  • Allergy to any of the ingredients/excipients of the study medication: semaglutide, disodium hydrogen phosphate dihydrate, hydrogen chloride, sodium chloride, sodium hydroxide and water for injection.
  • Exclusion criteria for MRI: e.g., pacemaker, claustrophobia, etc.
  • Angina pectoris, coronary heart disease, congestive heart failure (NYHA III-IV)
  • Severe renal impairment (creatinine clearance (GFR) <30 mL/min)
  • Severe hepatic impairment
  • Inflammatory bowel disease
  • Diabetic gastroparesis
  • Chronic obstructive lung disease
  • Severe psychiatric disease, a history of major depressive or other serious psychiatric disorders

结局指标

主要结局

Primary endpoints (change from V1 to V2) Change in BMI (weight in kg/(height in m)2) from before to after GLP-1 RA compared to placebo.

Primary endpoints (change from V1 to V2) Change in BMI (weight in kg/(height in m)2) from before to after GLP-1 RA compared to placebo.

次要结局

  • Secondary endpoints (change from V1 to V2) 1) Body composition 2) Body weight change 3) Participants with a reduction in body weight of at least 5%, 10%, 15%, and 20%

研究者

发起方
Kobenhavns Universitet
申办方类型
Educational Institution
责任方
Principal Investigator
主要研究者

Signe Torekov

Scientific

Kobenhavns Universitet

研究点 (1)

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