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

Sponsor
Novo Nordisk A/S (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05236517
Collaborator
(none)
60
1
2
8.8
6.8

Study Details

Study Description

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.

Condition or Disease Intervention/Treatment Phase
  • 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)
  • Drug: Placebo (Semaglutide C)
  • Drug: Placebo ( Semaglutide D)
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
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
Actual Study Start Date :
Feb 8, 2022
Anticipated Primary Completion Date :
Nov 3, 2022
Anticipated Study Completion Date :
Nov 3, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Semaglutide

Drug: Semaglutide D Dose 1
Tablet given orally

Drug: Semaglutide D Dose 2
Tablet given orally

Drug: Semaglutide D Dose 3
Tablet given orally

Drug: Semaglutide C Dose 4
Tablet given orally

Drug: Semaglutide C Dose 5 (50 mg)
Tablet given orally

Placebo Comparator: Placebo

Drug: Placebo (Semaglutide C)
Tablet given orally

Drug: Placebo ( Semaglutide D)
Tablet given orally

Outcome Measures

Primary Outcome Measures

  1. Relative change in energy intake during ad libitum lunch [Baseline to Day 140]

    Measured in Percentage

Secondary Outcome Measures

  1. Change in energy intake during ad libitum lunch [Baseline to Day 140]

    Measured in kJ

  2. Change in amount of food consumed during ad libitum lunch [Baseline to Day 140]

    Measured in g

  3. Change in body weight [Baseline to Day 141]

    Measured in Percentage

  4. AUC0-5h,para [0-5h after standardised meal, Day 141]

    Measured in h*mg/mL

  5. AUC0-1h,para [0-1h after standardised meal, Day 141]

    Measured in h*mg/mL

  6. Cmax,para [0-5h after standardised meal, Day 141]

    Measured in μg/mL

  7. tmax,para [0-5h after standardised meal, Day 141]

    Measured in h

  8. Mean postprandial rating - hunger [Day 140]

    Measured in mm

  9. Mean postprandial rating - fullness [Day 140]

    Measured in mm

  10. Mean postprandial rating - satiety [Day 140]

    Measured in mm

  11. Mean postprandial rating - prospective food consumption [Day 140]

    Measured in mm

  12. Mean postprandial rating - overall appetite score (OAS) [Day 140]

    Measured in mm

  13. Food cravings assessed by Control of Eating Questionnaire (COEQ) [Day 139]

    Measured in mm

  14. AUC0-24h,sema,50mg,ss area under these semaglutide-time curve (0-24h) during a dosing interval at steady state [Day 140 to 141]

    Measured in nmol*h/L

  15. Cmax,sema,50mg,ss maximum concentration at steady state of semaglutide 50 mg [Day 140 to 175]

    Measured in nmol*h/L

  16. tmax,sema,50mg,ss from last dosing to maximum concentration of semaglutide at steady state for semaglutide 50 mg [Day 140 to 175]

    Measured in h

  17. t½,sema,50mg,SS terminal half-life of the log concentration time curve [Day 140 to 175]

    Measured in h

  18. CL/Fsema,50mg,ss total apparent clearance for semaglutide 50 mg at steady state [Day 140 to 175]

    Measured in L/h

  19. Vz/Fsema,50mg,ss apparent volume of distribution during elimination for semaglutide 50 mg at steady state [Day 140 to 175]

    Measured in L

  20. Vss/Fsema,50mg,ss apparent volume of distribution at steady state for semaglutide 50 mg [Day 140 to 175]

    Measured in L

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
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

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novo Nordisk Investigational Site Berlin Germany 14050

Sponsors and Collaborators

  • Novo Nordisk A/S

Investigators

  • Study Director: Clinical Transparency dept. 2834, Novo Nordisk A/S

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT05236517
Other Study ID Numbers:
  • NN9932-4873
  • 2021-003341-38
  • U1111-1266-4375
First Posted:
Feb 11, 2022
Last Update Posted:
Aug 5, 2022
Last Verified:
Aug 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 5, 2022