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SAXAPCOS

CompletedPhase 3Results posted

Liraglutide 3mg (Saxenda) on Weight, Body Composition, Hormonal and Metabolic Parameters in Obese Women With PCOS

A Randomized Placebo-controlled Double Blind Trial of Liraglutide 3 mg [Saxenda] on Weight, Body Composition, Hormonal and Metabolic Parameters in Obese Women With Polycystic Ovary Syndrome (PCOS)

Lead sponsor

Woman's

Asset

Liraglutide

Subcutaneous · GLP-1 agonist

Listed sites

1

Recruiting sites

Enrollment

88

actual

Study population

Obesity / overweight, PCOS

Key I/E criteria

BMI ≥30Female

Primary endpoints

Body weight, absolute change (kg)Androgen, change

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT03480022
Org study IDU1111-1198-4126

Timeline

Milestones

Study first posted2018-03-27actual
Study start2018-09-26actual
Primary completion2021-02-22actual
Study completion2021-05-19actual
Last update posted2021-06-07actual
Results first posted2021-06-07actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightPCOS

Eligibility

Who can enroll

Minimum age18 Years
Maximum age45 Years
SexFemale
Healthy volunteersNot accepted

Inclusion criteria

Female gender
18-45 years of age
BMI ≥30 kg/m2 or BMI ≥27 kg/m2 with one or more obesity-associated co-morbid conditions (e.g. hypertension, and dyslipidemia)
PCOS- NIH criteria hyperandrogenism and irregular menstrual cyclicity
Non-diabetic as determined by a 75 gram oral glucose tolerance test (OGTT) and hemoglobin A1C. Non-diabetic is inclusive of women with impaired fasting glucose (IFG), impaired glucose tolerance (IGT), or both (IFG/IGT). Participants with diabetes will be excluded
Willing to use effective contraception consistently during therapy which is defined as:
an intrauterine device, tubal sterilization, or male partner vasectomy, or
combination of two barrier methods with one being male condom.
Written consent for participation in the study

Exclusion criteria

Presence of significant systemic disease, cerebrovascular disease, clinically significant cardiac abnormalities or heart problems including congestive heart failure, unstable angina or acute myocardial infarction, current infectious liver disease, acute stroke or transient ischemic attacks, history of pancreatitis, or diabetes mellitus (Type 1 or 2)
Any hepatic diseases in the past (infectious liver disease, viral hepatitis, toxic hepatic damage, jaundice of unknown etiology) or severe hepatic insufficiency and/or significant abnormal liver function tests defined as aspartate aminotransferase (AST) >3x upper limit of normal (ULN) and/or alanine aminotransferase (ALT) >3x ULN
Renal impairment (e.g., serum creatinine levels ≥1.4 mg/dL for women, or eGFR <60 mL/min/1.73 m2) or history of unstable or rapidly progressing renal disease or end stage renal disease.
Uncontrolled thyroid disease (documented normal TSH), Cushing's syndrome, congenital adrenal hyperplasia or clinically significant elevations in prolactin levels. The clinical significance of prolactin levels will be determined by the treating physician
Significantly elevated triglyceride levels (fasting triglyceride > 400 mg %)
Untreated or poorly controlled hypertension (sitting blood pressure > 160/95 mm Hg)
Use of hormonal medications, the use of medications that cause clinically significant weight gain or loss (prescription or OTC) and medications known to exacerbate glucose tolerance (such as isotretinoin, hormonal contraceptives, GnRH analogues, glucocorticoids, anabolic steroids, C-19 progestins) including herbal medicines for at least 8 weeks. Use of anti-androgens that act peripherally to reduce hirsutism such as 5-alpha reductase inhibitors (finasteride, spironolactone, flutamide) for at least 4 weeks
Prior history of a malignant disease requiring chemotherapy
Family or personal history of familial medullary thyroid carcinoma or multiple endocrine neoplasia type 2
Known hypersensitivity or contraindications to use GLP1 receptor agonists
Use of metformin, thiazolidinediones, GLP-1 receptor agonists, dipeptidyl peptidase-4 (DPP-4) inhibitors, sodium/glucose co-transporter 2 (SGLT2) inhibitors or weight loss medications (prescription or OTC) stopped for at least 4 weeks
Prior use of medication to treat diabetes except gestational diabetes
Eating disorders (anorexia, bulimia) or gastrointestinal disorders
Suspected pregnancy (documented negative serum pregnancy test), desiring pregnancy in next 15 months, breastfeeding, or known pregnancy in last three months
Active or prior history of substance abuse (smoke or tobacco use within past 6 months) or significant intake of alcohol
Previous bariatric surgery or device intervention for obesity
Patient not willing to use barrier contraception during study period (unless sterilized or have an IUD)
History of major depressive or other severe psychiatric disorders
Inability or refusal to comply with protocol
Currently participating or having participated in an experimental drug study in previous three months

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
24
Glycemic / diabetes
14
Cardiometabolic biomarkers
12
Other clinical outcomes
8

Weight & body composition

24 endpoints
Primary/registry result

Absolute Body Weight (BW)

Time frame:32 weeks of treatment

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), kilogram95% CI
Liraglutide Pen Injector (Saxenda)104.7
Placebo Liraglutide Pen Injector117.9
p<0.002ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Primary/protocol endpoint

Absolute Body Weight (BW)

Time frame:32 weeks of treatment

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/registry result

Body Mass Index (BMI)

Time frame:32 weeks of treatment

BMI, change

change from baseline, improvement

Posted result

GroupValue (mean), kilogram/meter squared95% CI
Liraglutide Pen Injector (Saxenda)39.1
Placebo Liraglutide Pen Injector43.4
p<0.001ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Change in Percent Body Weight

Time frame:Change from baseline (time 0) to study end (32 weeks)

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percentage loss in body weight95% CI
Liraglutide Pen Injector (Saxenda)5.7
Placebo Liraglutide Pen Injector1.4
p<0.002ANOVA
Secondary/registry result

5% Weight Loss From Baseline

Time frame:32 weeks of treatment

≥5% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (count_of_participants), Participants95% CI
Liraglutide Pen Injector (Saxenda)25
Placebo Liraglutide Pen Injector5
p<0.007Wilcoxon (Mann-Whitney)
Secondary/registry result

10% Body Weight Loss From Baseline

Time frame:32 weeks of treatment

≥10% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (count_of_participants), Participants95% CI
Liraglutide Pen Injector (Saxenda)13
Placebo Liraglutide Pen Injector2
p<0.049Wilcoxon (Mann-Whitney)
Secondary/registry result

Abdominal Adiposity (Waist Circumference [WC]

Time frame:32 weeks of treatment

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), centimeters95% CI
Liraglutide Pen Injector (Saxenda)100.9
Placebo Liraglutide Pen Injector109.9
p<0.011ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Waist-to-Hip Ratio

Time frame:32 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio95% CI
Liraglutide Pen Injector (Saxenda)0.81
Placebo Liraglutide Pen Injector0.85
p<0.038ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Waist-to Height Ratio [WHtR])

Time frame:32 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio95% CI
Liraglutide Pen Injector (Saxenda)0.62
Placebo Liraglutide Pen Injector0.67
p<0.048ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Total Fat Mass Evaluated by DEXA

Time frame:32 weeks of treatment

Total fat mass

change from baseline, improvement

Posted result

GroupValue (mean), kilogram95% CI
Liraglutide Pen Injector (Saxenda)49.3
Placebo Liraglutide Pen Injector56.8
p<0.018ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Total Body Fat (%) by DXA

Time frame:32 weeks of treatment

Total fat mass

change from baseline, improvement

Posted result

GroupValue (mean), percent fat mass95% CI
Liraglutide Pen Injector (Saxenda)46.0
Placebo Liraglutide Pen Injector47.9
p<0.028ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Android-Gynoid Ratio (AGR) by DXA

Time frame:32 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio95% CI
Liraglutide Pen Injector (Saxenda)1.05
Placebo Liraglutide Pen Injector1.08
p<0.034ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Trunk/Leg Fat Ratio (TLR) by DXA

Time frame:32 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio95% CI
Liraglutide Pen Injector (Saxenda)1.02
Placebo Liraglutide Pen Injector1.07
p<0.035ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/protocol endpoint

Body Mass Index (BMI)

Time frame:32 weeks of treatment

BMI, change

change from baseline, improvement

Secondary/protocol endpoint

Change in Percent Body Weight

Time frame:Change from baseline (time 0) to study end (32 weeks)

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

5% Weight Loss From Baseline

Time frame:32 weeks of treatment

≥5% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

10% Body Weight Loss From Baseline

Time frame:32 weeks of treatment

≥10% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Abdominal Adiposity (Waist Circumference [WC]

Time frame:32 weeks of treatment

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Waist-to-Hip Ratio

Time frame:32 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Waist-to Height Ratio [WHtR])

Time frame:32 weeks of treatment

ratio, improvement

Secondary/protocol endpoint

Total Fat Mass Evaluated by DEXA

Time frame:32 weeks of treatment

Total fat mass

change from baseline, improvement

Secondary/protocol endpoint

Total Body Fat (%) by DXA

Time frame:32 weeks of treatment

Total fat mass

change from baseline, improvement

Secondary/protocol endpoint

Android-Gynoid Ratio (AGR) by DXA

Time frame:32 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Trunk/Leg Fat Ratio (TLR) by DXA

Time frame:32 weeks of treatment

change from baseline, improvement

Glycemic / diabetes

14 endpoints
Secondary/registry result

Fasting Blood Glucose (FG)

Time frame:32 weeks of treatment

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (mean), mg/dL95% CI
Liraglutide Pen Injector (Saxenda)90.2
Placebo Liraglutide Pen Injector94.3
p<0.021ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

OGTT Mean Blood Glucose (MBG)

Time frame:32 weeks of treatment

Postprandial glucose

change from baseline, improvement

Posted result

GroupValue (mean), mg/dL95% CI
Liraglutide Pen Injector (Saxenda)109.4
Placebo Liraglutide Pen Injector125.5
p<0.009ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Fasting Insulin Sensitivity (HOMA-IR)

Time frame:32 weeks of treatment

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Posted result

GroupValue (mean), index score95% CI
Liraglutide Pen Injector (Saxenda)4.1
Placebo Liraglutide Pen Injector5.2
p<0.035ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Matsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)

Time frame:32 weeks of treatment

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Posted result

GroupValue (mean), index score95% CI
Liraglutide Pen Injector (Saxenda)3.7
Placebo Liraglutide Pen Injector3.0
p<0.028ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Corrected First Phase Insulin Secretion (IGI/HOMA-IR)

Time frame:32 weeks of treatment

HOMA-IR (insulin sensitivity)

descriptive, improvement

Posted result

GroupValue (mean), index score95% CI
Liraglutide Pen Injector (Saxenda)1.01
Placebo Liraglutide Pen Injector0.8
p<0.042ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result/low confidence

Insulin Secretion- Insulin Sensitivity Index (Oral Disposition Index-IS-SI)

Time frame:32 weeks of treatment

change from baseline, improvement

Posted result

GroupValue (mean), index score95% CI
Liraglutide Pen Injector (Saxenda)532
Placebo Liraglutide Pen Injector416
p<0.033ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Triglyceride and Glucose Index (TyG)

Time frame:32 weeks of treatment

change from baseline, improvement

Posted result

GroupValue (mean), index score95% CI
Liraglutide Pen Injector (Saxenda)8.39
Placebo Liraglutide Pen Injector8.5
p<0.01ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/protocol endpoint

Fasting Blood Glucose (FG)

Time frame:32 weeks of treatment

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Secondary/protocol endpoint

OGTT Mean Blood Glucose (MBG)

Time frame:32 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Fasting Insulin Sensitivity (HOMA-IR)

Time frame:32 weeks of treatment

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Secondary/protocol endpoint

Matsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)

Time frame:32 weeks of treatment

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Secondary/protocol endpoint

Corrected First Phase Insulin Secretion (IGI/HOMA-IR)

Time frame:32 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Insulin Secretion- Insulin Sensitivity Index (Oral Disposition Index-IS-SI)

Time frame:32 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Triglyceride and Glucose Index (TyG)

Time frame:32 weeks of treatment

change from baseline, improvement

Cardiometabolic biomarkers

12 endpoints
Secondary/registry result

Total Cholesterol Levels

Time frame:32 weeks of treatment

Total cholesterol, change

change from baseline, improvement

LOINC 2093-3

Posted result

GroupValue (mean), mg/dL95% CI
Liraglutide Pen Injector (Saxenda)176
Placebo Liraglutide Pen Injector178
p>0.05ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

High Density Lipoprotein Cholesterol (HDL-C)

Time frame:32 weeks of treatment

HDL-C, change

change from baseline, improvement

LOINC 2085-9

Posted result

GroupValue (mean), mg/dL95% CI
Liraglutide Pen Injector (Saxenda)41
Placebo Liraglutide Pen Injector42
p>0.05ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Triglyceride Levels (TRG)

Time frame:32 weeks of treatment

Triglycerides, change

change from baseline, improvement

LOINC 2571-8

Posted result

GroupValue (mean), mg/dL95% CI
Liraglutide Pen Injector (Saxenda)109
Placebo Liraglutide Pen Injector114
p<0.016ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Triglyceride to HDL-Cholesterol Ratio (TRG/HDL-C)

Time frame:32 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio95% CI
Liraglutide Pen Injector (Saxenda)2.9
Placebo Liraglutide Pen Injector3.0
p<0.028ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Systolic Blood Pressure

Time frame:32 weeks of treatment

Systolic BP, change

change from baseline, improvement

LOINC 8480-6

Posted result

GroupValue (mean), mmHg95% CI
Liraglutide Pen Injector (Saxenda)116.8
Placebo Liraglutide Pen Injector123.3
p>0.05ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Diastolic Blood Pressure (BP)

Time frame:32 weeks of treatment

Diastolic BP, change

change from baseline, improvement

LOINC 8462-4

Posted result

GroupValue (mean), mmHg95% CI
Liraglutide Pen Injector (Saxenda)77.6
Placebo Liraglutide Pen Injector78.1
p>0.05ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/protocol endpoint

Total Cholesterol Levels

Time frame:32 weeks of treatment

Total cholesterol, change

change from baseline, improvement

LOINC 2093-3

Secondary/protocol endpoint

High Density Lipoprotein Cholesterol (HDL-C)

Time frame:32 weeks of treatment

HDL-C, change

change from baseline, improvement

LOINC 2085-9

Secondary/protocol endpoint

Triglyceride Levels (TRG)

Time frame:32 weeks of treatment

Triglycerides, change

change from baseline, improvement

LOINC 2571-8

Secondary/protocol endpoint

Triglyceride to HDL-Cholesterol Ratio (TRG/HDL-C)

Time frame:32 weeks of treatment

ratio, improvement

Secondary/protocol endpoint

Systolic Blood Pressure

Time frame:32 weeks of treatment

Systolic BP, change

change from baseline, improvement

LOINC 8480-6

Secondary/protocol endpoint

Diastolic Blood Pressure (BP)

Time frame:32 weeks of treatment

Diastolic BP, change

change from baseline, improvement

LOINC 8462-4

Other clinical outcomes

8 endpoints
Primary/registry result

Free Androgen Index (FAI)

Time frame:32 weeks of treatment

Androgen, change

change from baseline, improvement

Posted result

GroupValue (mean), index score95% CI
Liraglutide Pen Injector (Saxenda)5.98
Placebo Liraglutide Pen Injector6.4
p<0.006ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Primary/protocol endpoint

Free Androgen Index (FAI)

Time frame:32 weeks of treatment

Androgen, change

change from baseline, improvement

Secondary/registry result

Menstrual Cycle Frequency

Time frame:32 weeks of treatment

Menstrual cyclicity

descriptive, improvement

Posted result

GroupValue (mean), menses per year95% CI
Liraglutide Pen Injector (Saxenda)8.65
Placebo Liraglutide Pen Injector4.8
p<0.0001ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Total Testosterone Concentrations (T)

Time frame:32 weeks of treatment

Androgen, change

change from baseline, improvement

Posted result

GroupValue (mean), ng/dL95% CI
Liraglutide Pen Injector (Saxenda)45.4
Placebo Liraglutide Pen Injector46.8
p>0.05ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/registry result

Adrenal Dehydroepiandrosterone Sulfate (DHEAS)

Time frame:32 weeks of treatment

Androgen, change

change from baseline, improvement

Posted result

GroupValue (mean), mcg/dL95% CI
Liraglutide Pen Injector (Saxenda)177.1
Placebo Liraglutide Pen Injector171.3
p>0.05ANOVA

Repeated measures general linear model (SS/drug treatments by visits) where arm of drug therapy as between subjects effect and visit (baseline and 32 weeks of treatment) as within subject effect

Secondary/protocol endpoint

Menstrual Cycle Frequency

Time frame:32 weeks of treatment

Menstrual cyclicity

change from baseline, improvement

Secondary/protocol endpoint

Total Testosterone Concentrations (T)

Time frame:32 weeks of treatment

Androgen, change

change from baseline, improvement

Secondary/protocol endpoint

Adrenal Dehydroepiandrosterone Sulfate (DHEAS)

Time frame:32 weeks of treatment

Androgen, change

change from baseline, improvement

Publications (1)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Registry references + supporting bibliography

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

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 1, 2026 snapshot.