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A Research Study Looking at How 50 mg Semaglutide Daily Affects Food Intake and Emptying of the Stomach in People With Obesity

Registration Number
NCT05236517
Lead Sponsor
Novo Nordisk A/S
Brief 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.

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • 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)
Exclusion Criteria
  • 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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SemaglutideSemaglutide D Dose 3-
SemaglutideSemaglutide C Dose 5 (50 mg)-
PlaceboPlacebo ( Semaglutide D)-
SemaglutideSemaglutide D Dose 2-
SemaglutideSemaglutide C Dose 4-
PlaceboPlacebo (Semaglutide C)-
SemaglutideSemaglutide D Dose 1-
Primary Outcome Measures
NameTimeMethod
Relative change in energy intake during ad libitum lunchBaseline to Day 140

Measured in Percentage

Secondary Outcome Measures
NameTimeMethod
Change in amount of food consumed during ad libitum lunchBaseline to Day 140

Measured in g

Mean postprandial rating - satietyDay 140

Measured in mm

t½,sema,50mg,SS terminal half-life of the log concentration time curveDay 140 to 175

Measured in h

Cmax,para0-5h after standardised meal, Day 141

Measured in μg/mL

Change in body weightBaseline to Day 141

Measured in Percentage

AUC0-24h,sema,50mg,ss area under these semaglutide-time curve (0-24h) during a dosing interval at steady stateDay 140 to 141

Measured in nmol\*h/L

Change in energy intake during ad libitum lunchBaseline to Day 140

Measured in kJ

AUC0-1h,para0-1h after standardised meal, Day 141

Measured in h\*μg/mL

tmax,para0-5h after standardised meal, Day 141

Measured in h

tmax,sema,50mg,ss from last dosing to maximum concentration of semaglutide at steady state for semaglutide 50 mgDay 140 to 175

Measured in h

Mean postprandial rating - hungerDay 140

Measured in mm

Mean postprandial rating - fullnessDay 140

Measured in mm

Food cravings assessed by Control of Eating Questionnaire (COEQ)Day 139

Measured in mm

Cmax,sema,50mg,ss maximum concentration at steady state of semaglutide 50 mgDay 140 to 175

Measured in nmol\*h/L

CL/Fsema,50mg,ss total apparent clearance for semaglutide 50 mg at steady stateDay 140 to 175

Measured in L/h

Vz/Fsema,50mg,ss apparent volume of distribution during elimination for semaglutide 50 mg at steady stateDay 140 to 175

Measured in L

AUC0-5h,para0-5h after standardised meal, Day 141

Measured in h\*μg/mL

Mean postprandial rating - prospective food consumptionDay 140

Measured in mm

Mean postprandial rating - overall appetite score (OAS)Day 140

Measured in mm

Vss/Fsema,50mg,ss apparent volume of distribution at steady state for semaglutide 50 mgDay 140 to 175

Measured in L

Trial Locations

Locations (1)

Parexel International GmbH

🇩🇪

Berlin, Germany

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