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临床试验/2023-508055-40-00
2023-508055-40-00招募中4 期

Weight Maintenance in Adolescents With Obesity; Long-Term Treatment With Semaglutide s.c. 2.4 mg Once-weekly

Novo Nordisk A/S36 个研究点 分布在 8 个国家目标入组 294 人开始时间: 2025年2月10日最近更新:
适应症

试验速览

阶段
4 期
状态
招募中
入组人数
294
试验地点
36
主要终点
Maintenance of BMI below obesity threshold. From 1.5 years to 3 years. Count of participant.

研究概览

简要总结

To investigate BMI maintenance with semaglutide administered according to a dose-tapering algorithm in adolescents who have achieved BMI below obesity threshold and are still on-treatment after 1.5 years of initial treatment

入排标准

年龄范围
0 years 至 17 years(0-17 Years)
接受健康志愿者

入选标准

  • Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study: - The parent(s) or legally acceptable representative (LAR) of the participant must sign and date the Informed Consent Form, according to local requirements - The participant must sign and date the Child Assent Form or provide oral assent, according to local requirements
  • Age 12 to <15 years at the time of signing the informed consent
  • BMI ≥95th percentile at screening (on sex- and age-specific BMI growth charts (CDC.gov))
  • Body weight >60 kg at screening

排除标准

  • Prepubertal status (Tanner stage 1)
  • Treatment with any medication prescribed for the indication of obesity or weight management within 90 days before screening
  • Previous or planned (during the study period) obesity treatment with surgery or a weight loss device. However, the following are allowed: - Liposuction and/or abdominoplasty, if performed >1 year prior to screening - Adjustable gastric banding, if the band has been removed >1 year prior to screening - Intragastric balloon, if the balloon has been removed >1 year prior to screening - Duodenal-jejunal bypass liner (e.g., Endobarrier), if the sleeve has been removed >1 year prior to screening
  • Endocrine, hypothalamic, or syndromic obesity
  • History of type 1 or type 2 diabetes mellitus (as declared by the participant (or by parent(s)/LAR where applicable) or reported in the participant’s medical records).

结局指标

主要结局

Maintenance of BMI below obesity threshold. From 1.5 years to 3 years. Count of participant.

Maintenance of BMI below obesity threshold. From 1.5 years to 3 years. Count of participant.

次要结局

  • Maintenance of improved BMI category. From 1.5 years to 3 years and end of continued treatment phase (up to 6 years). Count of participant.
  • Tapering to zero dose. From 1.5 years to 3 years. Count of participant.
  • Time/dose steps before ending dose tapering. From 1.5 years to 3 years. Weeks, count of dose steps.
  • Achieving BMI below obesity threshold. From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years). Count of participant.
  • Achieving any improvement in BMI category. From baseline (day 0) to 1.5, 3 years, and end of continued treatment phase (up to 6 years). Count of participant.
  • Change in BMI. From baseline (day 0) to 1.5 and 3 years. Percent.
  • BMI percentage of the 95th percentile. From baseline (day 0) to 1.5 and 3 years. Percent.
  • Change in BMI SDS. From baseline (day 0) to 1.5 and 3 years. Unitless.
  • Change in waist-to-height ratio (waist [cm]/ height [cm]). From baseline (day 0) to 1.5 and 3 years. Unitless.
  • Change in waist circumference. From baseline (day 0) to 1.5 and 3 years. Cm.
  • Change in HbA1c. From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years). Percentage points.
  • Change in fasting plasma glucose. From baseline (day 0) to 1.5, 3 years, and end of continued treatment phase (up to 6 years). mmol/L, mg/dL.
  • Change in fasting insulin and HOMA-IR. From baseline (day 0) to 1.5, 3 years, and end of continued treatment phase (up to 6 years). Percent.
  • Change in hsCRP. From baseline (day 0) to 1.5, 3 years, and end of continued treatment phase (up to 6 years). Percent.
  • Change in ALT, total cholesterol, HDL, LDL, VLDL and triglycerides. From baseline (day 0) to 1.5, 3 years, and end of continued treatment phase (up to 6 years). Percent.
  • Change in systolic and diastolic blood pressure. From baseline (day 0) to 1.5 and 3 years and end of continued treatment phase (up to 6 years). mmHg.
  • Change in fat mass, by DXA relative to total body mass. From baseline (day 0) to 1.5 and 3 years. Percentage points.
  • Change in lean body mass, by DXA relative to total body mass. From baseline (day 0) to 1.5 and 3 years. Percentage points.
  • Relative change in visceral fat mass by DXA. From baseline (day 0) to 1.5 and 3 years. Percent.
  • SAEs. From baseline (day 0) to 1.5 years, from 1.5 to 3 years, and from 3 years to end of continued treatment phase (up to 6 years). Count.

研究者

申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

EU Submission Hub

Scientific

Novo Nordisk A/S

研究点 (36)

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