The Effect of Weekly Semaglutide Treatment on Energy Expenditure
Asset
Semaglutide
Subcutaneous · GLP-1 agonist
Listed sites
1
Recruiting sites
-
Actual enrollment
60
Study population
Obesity / overweight
Eligibility highlights
•BMI ≥25•Female
Primary endpoints
•Changes of Total Energy Expenditure•Changes of Energy Expenditure•Changes of Resting Energy Expenditure
Registered trial locations
Locations reported to ClinicalTrials.gov for this trial snapshot. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Investigational agents
Who this study enrolls
Who can enroll
Inclusion criteria
1. Age 18-60 years at time of enrollment
2. BMI ≥ 25 kg/m²
Exclusion criteria
1. Weight change exceeding 5 kilograms (11 pounds) in the past 90 days
2. Surgical treatment for past obesity, dieting, or undergoing weight loss treatment
3. Irregular diet and lifestyle, unhealthy habits such as smoking, alcohol, and drugs
4. Patients with metabolic diseases, basic diseases or infectious diseases
5. Patients with a personal or family history of medullary thyroid carcinoma (MTC), or patients with rare type 2 multiple endocrine tumor syndrome (MEN 2)
6. Current use of any other GLP1 receptor agonist
7. Pregnancy, lactation or expectation to conceive during study period (8) Subject with contraindication to neuroimaging by MRI (9) People with fear of blood and pathologically low blood pressure (10) Use of antibiotics and probiotics within 8 weeks
11) Subject unlikely to adhere to study procedures in opinion of investigator
Endpoints (58)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Weight & body composition
10 endpointsBody Weight
Time frame:From baseline at week 0 to week 24
Body weight, absolute change (kg)
change from baseline, improvement
Body Mass Index (BMI)
Time frame:From baseline at week 0 to week 24
BMI, change
percent change from baseline, improvement
Waist and Hip circumferences
Time frame:From baseline at week 0 to week 24
Waist circumference, change
change from baseline, improvement
Body shape
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Fat mass
Time frame:From baseline at week 0 to week 24
Total fat mass
change from baseline, improvement
Far free mass
Time frame:From baseline at week 0 to week 24
Lean mass
change from baseline, improvement
Organ sizes
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Bone mass
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Changes in Body Composition as Assessed by Body Fat Mass Using Dual Energy X-ray Absorptiometry (DEXA)
Time frame:From baseline at week 0 to week 24
Total fat mass
change from baseline, improvement
Body water
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Glycemic / diabetes
3 endpointsChange in HbA1c
Time frame:From baseline at week 0 to week 24
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Blood glucose
Time frame:From baseline at week 0 to week 24
Postprandial glucose
change from baseline, improvement
Change in fasting serum insulin
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
MASH / liver
1 endpointChange in fatty liver index (FLI) score category
Time frame:From baseline at week 0 to week 24
categorical status, improvement
Cardiometabolic biomarkers
10 endpointsChange in systolic and diastolic blood pressure
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
componentsSystolic BP, change, Diastolic BP, change
Change in lipids: Total cholesterol
Time frame:From baseline at week 0 to week 24
Total cholesterol, change
change from baseline, improvement
LOINC 2093-3
Change in lipids: High density lipoprotein (HDL) cholesterol
Time frame:From baseline at week 0 to week 24
HDL-C, change
change from baseline, improvement
LOINC 2085-9
Change in lipids: Low density lipoprotein (LDL) cholesterol
Time frame:From baseline at week 0 to week 24
LDL-C, change
change from baseline, improvement
LOINC 13457-7
Change in lipids: Very low density lipoprotein (VLDL) cholesterol
Time frame:From baseline at week 0 to week 24
VLDL, change
change from baseline, improvement
Change in lipids: Free fatty acids (FFA)
Time frame:From baseline at week 0 to week 24
Free fatty acids, change
change from baseline, improvement
Change in lipids: Triglycerides
Time frame:From baseline at week 0 to week 24
Triglycerides, change
change from baseline, improvement
LOINC 2571-8
Changes in Inflammation Assessed by C-reactive Protein (CRP)
Time frame:From baseline at week 0 to week 24
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Change in pulse
Time frame:From baseline at week 0 to week 24
Heart rate, change
change from baseline, improvement
Changes of Circulating Leptin Levels
Time frame:From baseline at week 0 to week 24
Leptin, change
change from baseline, improvement
Patient-reported / QoL
16 endpointsOverall appetite score (OAS) before and after intake of a standardised meal
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Mean postprandial rating - Hunger
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Mean postprandial rating - Fullness
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Mean postprandial rating - Satiety
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Mean postprandial rating - Prospective food consumption
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Change in physical functioning score
Time frame:From baseline at week 0 to week 24
SF-36 physical
change from baseline, improvement
Change in SF-36: role-physical score
Time frame:From baseline at week 0 to week 24
SF-36 physical
change from baseline, improvement
Change in SF-36: bodily pain score
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Change in SF-36: general health score
Time frame:From baseline at week 0 to week 24
SF-36 total
change from baseline, improvement
Change in SF-36: vitality score
Time frame:From baseline at week 0 to week 24
SF-36 total
change from baseline, improvement
Change in SF-36: social functioning score
Time frame:From baseline at week 0 to week 24
SF-36 total
change from baseline, improvement
Change in SF-36: role-emotional score
Time frame:From baseline at week 0 to week 24
SF-36 mental
change from baseline, improvement
Change in SF-36: mental health score
Time frame:From baseline at week 0 to week 24
SF-36 mental
change from baseline, improvement
Change in SF-36: physical component summary
Time frame:From baseline at week 0 to week 24
SF-36 physical
change from baseline, improvement
Change in SF-36: mental component summary
Time frame:From baseline at week 0 to week 24
SF-36 mental
change from baseline, improvement
Subjects who achieve responder definition value for SF-36 physical functioning score (yes/no)
Time frame:From baseline at week 0 to week 24
SF-36 physical
threshold achievement, improvement
Safety / tolerability / PK
6 endpointsSubjects who have permanently discontinued randomised trial product (yes/no)
Time frame:From baseline at week 0 to week 24
Discontinuation due to AE
categorical status, event
Time to permanent discontinuation of randomised trial product
Time frame:From baseline at week 0 to week 24
Discontinuation due to AE
time to event, event
Number of treatment emergent adverse events (TEAEs)
Time frame:From baseline at week 0 to week 24
Treatment-emergent AEs (any)
event count, event
Number of serious adverse events (SAEs)
Time frame:From baseline at week 0 to week 24
Serious AEs (any)
event count, event
Change in amylase
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Change in lipase
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Other clinical outcomes
4 endpointsChanges of Physical Activity
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Change in energy intake of test meal
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Changes in Fat and Total Calorie Intake Assessed by Free Buffet Meal Analysis
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
componentsfat intake, total calorie intake
Energy intake during ad libitum lunch
Time frame:From baseline at week 0 to week 24
change from baseline, improvement
Other (unclassified)
8 endpointsChanges of Total Energy Expenditure Assessed by Doubly Labeled Water Analysis
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Changes of Energy Expenditure Assessed by Chamber
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Changes of Resting Energy Expenditure
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Body temperature from surface temperature of the forehead
Time frame:From baseline at week 0 to week 24
change from baseline, descriptive
Circulating hormones
Time frame:From baseline at week 0 to week 24
descriptive
Microbiome
Time frame:From baseline at week 0 to week 24
descriptive
Metabolites in serum, feces and urine
Time frame:From baseline at week 0 to week 24
descriptive
Genetics
Time frame:From baseline at week 0 to week 24
descriptive
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 6, 2026 snapshot.