← Trials/Trial dossier/NCT04019197
Effects of Semaglutide in HIV-Associated Lipohypertrophy
Effects of GLP-l Receptor Agonists on Cardiometabolic Alterations in HIV-associated Lipohypertrophy
Lead sponsor
Asset
Semaglutide
Subcutaneous · GLP-1 agonist
Listed sites
2
Recruiting sites
—
Enrollment
108
actual
Study population
HIV, Obesity / overweight
Key I/E criterion
•BMI ≥25
Primary endpoints
•Visceral fat, change•Total fat mass•Effects of Semaglutide on Quantity of Ectopic Fat
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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Male or female, aged ≥18 years.
2. HIV-1 infection as documented by any licensed ELISA test kit and confirmed by Western blot at any time prior to study entry. HIV-1 culture, HIV-1 antigen, plasma HIV-1 RNA, or a second antibody test by a method other than ELISA is acceptable as an alternative confirmatory test.
3. Body mass index ≥25 kg/m2.
4. Waist circumference and waist-to-hip ratio >95 cm and >0.94 cm, respectively, for men, and >94 cm and >0.88 cm, respectively, for women occurring in the context of HIV treatment.
5. Subjective evidence of increased abdominal girth occurring after initiation of HIV treatment.
6. HIV-1 RNA <400 copies/mL for ≥6 months.
7. Receiving a stable antiretroviral regimen for at least the last 12 weeks prior to study entry with cumulative duration of 1 year of treatment at the time of study entry.
8. Provision of signed and dated informed consent form and is capable of reading and comprehending the informed consent.
9. Stated willingness to comply with all study procedures and availability for the duration of the study.
10. All women of child-bearing potential (WOCBP) must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 72 hours prior to start of study medication. WOCBP is defined as any female who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation, or bilateral oophorectomy), who is not postmenopausal (defined as amenorrhea 12 consecutive months), or is on hormone replacement therapy (HRT) with documented plasma follicle-stimulating hormone level 35 mIU/mL. Women who are using oral, implanted, or injectable contraceptive hormones or mechanical products such as an intrauterine device or barrier methods (diaphragm, condoms, spermicides) to prevent pregnancy or practicing abstinence or where partner is sterile (e.g., vasectomy), should be considered of child-bearing potential.
11. Female subjects who are not of reproductive potential (have reached menopause or undergone hysterectomy, bilateral oophorectomy or tubal ligation) or whose male partner has undergone successful vasectomy with resulting azoospermia or has azoospermia for any other reason, are eligible without requiring the use of contraception. Patient-reported history of menopause, sterilization, and azoospermia is considered acceptable documentation.
12. All subjects must not participate in a conception process (e.g. active attempt to become pregnant or to impregnate, sperm donation, in vitro fertilization), and if participating in sexual activity that could lead to pregnancy, the female subject/male partner must use condoms (male or female) in addition to one of the following forms of contraception while on study: either a spermicidal agent, diaphragm, cervical cap, IUD, or hormonal-based contraception.
13. Have no plans to alter antiretroviral therapy, or to undergo any weight loss program, formal exercise training or surgery during the study period, or initiate structured/strategic antiretroviral treatment interruptions.
Exclusion criteria
1. Known cardiovascular disease or diagnosed diabetes. If on metformin without a diabetes diagnoses metformin use has to be constant, uninterrupted for 6 months prior to entry.
2. Any active or chronic uncontrolled inflammatory condition, infection or cancer.
3. Women who are pregnant or breastfeeding.
4. Women with a positive pregnancy test on enrollment or prior to study drug administration.
5. A clinically-relevant illness within 14 days prior to study entry not explicitly excluded by the protocol, a physical or psychiatric disability, or a laboratory abnormality that might place the subject at increased risk by being exposed to the medications in this study or which might confound the interpretation of this investigation.
6. Active gastrointestinal symptom Grade >1 within the last month.
7. Regular use of immunomodulators/agents which could impact inflammation. Regular use of NSAIDS allowed if constant, uninterrupted for 6 months and no plans to alter. Statin use must also be constant, uninterrupted for 6 months prior to study entry. Thyroid medication allowed unless diagnosed with uncontrolled thyroid disease.
8. Inability to communicate effectively with study personnel.
9. Use of megestrol acetate, testosterone, or any steroid use beyond normal amounts found in the body within 6 months of study, or intend to start.
10. Glomerular filtration rate <50 cc/min/1.73 m2.
11. Hemoglobin <10 g/dL.
12. Elevated lipase level >1.5 upper limit of normal
13. AST AND ALT >2.5x upper limit of normal.
14. Use of growth hormone or growth hormone-releasing hormone in the last year, or intent to start.
15. History of excessive alcohol use (on average 2 or more drinks a day) , pancreatitis, thyroid cancer, or a diagnosis of multiple endocrine neoplasia (MEN) syndrome type 2.
16. History of lactose intolerance or inability to consume milk products will be exclusionary for participation in the mixed-meal tolerance test portion of the study.
Endpoints (98)
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
41 endpointsEffects of Semaglutide on Quantity of Abdominal Fat (Total, Subcutaneous, Visceral) at Week 32 Compared to Baseline
Time frame:32 weeks
Visceral fat, change
change from baseline, improvement
Effects of Semaglutide on Quantity of Fat (Total Body Fat, Limb Fat, Trunk Fat) at Week 32 Compared to Baseline
Time frame:32 weeks
Total fat mass
change from baseline, improvement
Effects of Semaglutide on Quantity of Ectopic Fat (Total Pericardial Fat) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Quantity of Abdominal Fat (Total, Subcutaneous, Visceral) at Week 32 Compared to Baseline
Time frame:32 weeks
Visceral fat, change
change from baseline, improvement
Posted result
| Group | Value (median), cm^2 | 95% CI |
|---|---|---|
| SemaglutideTotal abdominal adipose tissue, cm^2 | -51.75 | -84.10 – -2.20 |
| Subcutaneous abdominal adipose tissue, cm^2 | -34.65 | -64.40 – -12.40 |
| Visceral abdominal adipose tissue, cm^2 | -9.45 | -25.80 – 3.00 |
| PlaceboTotal abdominal adipose tissue, cm^2 | 6.65 | -18.9 – 42.50 |
| Subcutaneous abdominal adipose tissue, cm^2 | 3.90 | -15.00 – 20.20 |
| Visceral abdominal adipose tissue, cm^2 | 2.60 | -13.60 – 19.60 |
Effects of Semaglutide on Quantity of Abdominal Total Adipose Tissue, cm\^2
Effects of Semaglutide on Quantity of Abdominal Subcutaneous Adipose Tissue, cm\^2
Effects of Semaglutide on Quantity of Abdominal Visceral Adipose Tissue, cm\^2
Effects of Semaglutide on Quantity of Fat (Total Body Fat, Limb Fat, Trunk Fat) at Week 32 Compared to Baseline
Time frame:32 weeks
Total fat mass
change from baseline, improvement
Posted result
| Group | Value (median), kg | 95% CI |
|---|---|---|
| SemaglutideTotal Body Fat, kg | -4.82 | -7.25 – -2.44 |
| Total Limb Fat, kg | -1.79 | -3.45 – -1.06 |
| Total Trunk Fat, kg | -2.86 | -4.47 – -1.40 |
| PlaceboTotal Body Fat, kg | 0.25 | -2.08 – 2.29 |
| Total Limb Fat, kg | -0.14 | -0.72 – 0.61 |
| Total Trunk Fat, kg | 0.17 | -1.22 – 1.27 |
Effects of Semaglutide on Quantity of ln(Total Body Fat, kg)
Effects of Semaglutide on Quantity of ln(Total Limb Fat, kg)
Effects of Semaglutide on Quantity of ln(Trunk Fat, kg)
Effects of Semaglutide on Quantity of Ectopic Fat (Total Pericardial Fat) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), mL | 95% CI |
|---|---|---|
| Semaglutide | -1.85 | -17.90 – 11.00 |
| Placebo | 0.00 | -10.30 – 10.40 |
Effects of Semaglutide on Quantity of ln(Pericardial Fat, mL)
Effects of Semaglutide on Quantity of Lean Body Mass at Week 32 Compared to Baseline
Time frame:32 weeks
Lean mass
change from baseline, improvement
Effects of Semaglutide on Quantity of Total Right Psoas Muscle at Week 32 Compared to Baseline
Time frame:32 weeks
Lean mass
change from baseline, improvement
Effects of Semaglutide on Quality of Abdominal Fat (Total, Subcutaneous, Visceral) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
componentsTotal fat mass, Subcutaneous fat, change, Visceral fat, change
Effects of Semaglutide on Quality of Pericardial Fat at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Quality of Total Right Psoas Muscle at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Anthropometric Measurements (Weight) at Week 32 Compared to Baseline
Time frame:32 weeks
Body weight, absolute change (kg)
change from baseline, improvement
Effects of Semaglutide on Anthropometric Measurements (Body Mass Index) at Week 32 Compared to Baseline
Time frame:32 weeks
BMI, change
change from baseline, improvement
Effects of Semaglutide on Anthropometric Measurements (Waist Circumference) at Week 32 Compared to Baseline
Time frame:32 weeks
Waist circumference, change
change from baseline, improvement
Effects of Semaglutide on Anthropometric Measurements (Waist-to-hip Ratio) at Week 32 Compared to Baseline
Time frame:32 weeks
ratio, improvement
Sustainability of Effects of Semaglutide on Quantity of Fat (Total Body Fat, Limb Fat, Trunk Fat)
Time frame:56 weeks
Total fat mass
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quantity of Pericardial Fat
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quantity of Lean Body Mass
Time frame:56 weeks
Lean mass
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quantity of Total Right Psoas Muscle
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quality of Abdominal Fat (Total, Subcutaneous, Visceral)
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quality of Pericardial Fat
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quality of Total Right Psoas Muscle
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Anthropometric Measurements (Weight, Waist Circumference, Waist-to-hip Ratio)
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Resting Energy Expenditure
Time frame:56 weeks
change from baseline, improvement
Effects of Semaglutide on Quantity of Lean Body Mass at Week 32 Compared to Baseline
Time frame:32 weeks
Lean mass
change from baseline, improvement
Posted result
| Group | Value (median), kg | 95% CI |
|---|---|---|
| Semaglutide | -2.94 | -3.89 – -1.49 |
| Placebo | -0.17 | -11.61 – 0.66 |
Effects of Semaglutide on Quantity of Lean Body Mass, kg
Effects of Semaglutide on Quantity of Total Right Psoas Muscle at Week 32 Compared to Baseline
Time frame:32 weeks
Lean mass
change from baseline, improvement
Posted result
| Group | Value (median), cm^2 | 95% CI |
|---|---|---|
| Semaglutide | 0.10 | -1.90 – 1.00 |
| Placebo | -0.20 | -2.70 – 2.10 |
Effects of Semaglutide on Quantity of ln(Total Right Psoas Muscle, cm\^2)
Effects of Semaglutide on Quality of Abdominal Fat (Total, Subcutaneous, Visceral) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), Hounsfield units | 95% CI |
|---|---|---|
| SemaglutideAbdominal total adipose tissue, Hounsfield unit | 0.40 | -2.30 – 2.50 |
| Abdominal subcutaneous adipose tissue, Hounsfield unit | -34.65 | -64.40 – -12.40 |
| Abdominal visceral adipose tissue, Hounsfield unit | -9.45 | -25.80 – 3.00 |
| PlaceboAbdominal total adipose tissue, Hounsfield unit | 6.65 | -18.90 – 42.50 |
| Abdominal subcutaneous adipose tissue, Hounsfield unit | 3.90 | -15.00 – 20.20 |
| Abdominal visceral adipose tissue, Hounsfield unit | 2.60 | -13.60 – 19.60 |
Effects of Semaglutide on Quality of Abdominal Total Adipose Tissue, HU (higher density = higher quality)
Effects of Semaglutide on Quality of Abdominal Subcutaneous Adipose Tissue, HU (higher density = higher quality)
Effects of Semaglutide on Quality of Abdominal Visceral Adipose Tissue, HU (less negative = higher quality)
Effects of Semaglutide on Quality of Pericardial Fat at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), Hounsfield units | 95% CI |
|---|---|---|
| Semaglutide | 0.20 | -0.90 – 1.10 |
| Placebo | 0.00 | -1.40 – 0.30 |
Effects of Semaglutide on Quality of Pericardial Fat, HU (higher density = higher quality)
Effects of Semaglutide on Quality of Total Right Psoas Muscle at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), Hounsfield units | 95% CI |
|---|---|---|
| Semaglutide | 0.10 | -1.90 – 1.00 |
| Placebo | -0.20 | -2.70 – 2.10 |
Effects of Semaglutide on Quality of Total Right Psoas Muscle, HU
Effects of Semaglutide on Anthropometric Measurements (Weight) at Week 32 Compared to Baseline
Time frame:32 weeks
Body weight, absolute change (kg)
change from baseline, improvement
Posted result
| Group | Value (median), kg | 95% CI |
|---|---|---|
| Semaglutide | -7.82 | -11.88 – -3.90 |
| Placebo | 0.16 | -2.54 – 2.59 |
Effects of Semaglutide on ln(Weight, kg)
Effects of Semaglutide on Anthropometric Measurements (Body Mass Index) at Week 32 Compared to Baseline
Time frame:32 weeks
BMI, change
change from baseline, improvement
Posted result
| Group | Value (median), kg/m^2 | 95% CI |
|---|---|---|
| Semaglutide | -2.64 | -4.00 – -1.37 |
| Placebo | -0.02 | -1.05 – 0.66 |
Effects of Semaglutide on Body Mass Index, kg/m2
Effects of Semaglutide on Anthropometric Measurements (Waist Circumference) at Week 32 Compared to Baseline
Time frame:32 weeks
Waist circumference, change
change from baseline, improvement
Posted result
| Group | Value (median), cm | 95% CI |
|---|---|---|
| Semaglutide | -4.50 | -11.17 – -0.50 |
| Placebo | 0.17 | -2.33 – 2.67 |
Effects of Semaglutide on Waist Circumference, cm
Effects of Semaglutide on Anthropometric Measurements (Waist-to-hip Ratio) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), ratio | 95% CI |
|---|---|---|
| Semaglutide | -0.01 | -0.04 – 0.02 |
| Placebo | -0.01 | -0.05 – 0.02 |
Effects of Semaglutide on ln(Waist-to-Hip Ratio)
Sustainability of Effects of Semaglutide on Quantity of Fat (Total Body Fat, Limb Fat, Trunk Fat)
Time frame:56 weeks
Total fat mass
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quantity of Pericardial Fat
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quantity of Lean Body Mass
Time frame:56 weeks
Lean mass
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quantity of Total Right Psoas Muscle
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quality of Abdominal Fat (Total, Subcutaneous, Visceral)
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quality of Pericardial Fat
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Quality of Total Right Psoas Muscle
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Anthropometric Measurements (Weight, Waist Circumference, Waist-to-hip Ratio)
Time frame:56 weeks
change from baseline, improvement
Glycemic / diabetes
14 endpointsEffects of Semaglutide on Glucose Metabolism at Week 32 Compared to Baseline - Fasting Glucose
Time frame:32 weeks
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Effects of Semaglutide on Glucose Metabolism at Week 32 Compared to Baseline - 2-h OGTT Glucose
Time frame:32 weeks
Postprandial glucose
change from baseline, improvement
Effects of Semaglutide on Glucose Metabolism (HgA1C%) at Week 32 Compared to Baseline
Time frame:32 weeks
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Effects of Semaglutide on Insulin Sensitivity/Resistance (Insulin Levels) at Week 32 Compared to Baseline
Time frame:32 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Effects of Semaglutide on Insulin Sensitivity/Resistance (HOMA-IR) at Week 32 Compared to Baseline
Time frame:32 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Sustainability of Effects of Semaglutide on Glucose Metabolism
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Insulin Sensitivity/Resistance
Time frame:56 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Effects of Semaglutide on Glucose Metabolism at Week 32 Compared to Baseline - Fasting Glucose
Time frame:32 weeks
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Posted result
| Group | Value (median), mg/dL | 95% CI |
|---|---|---|
| Semaglutide | 0.50 | -5.00 – 7.00 |
| Placebo | 0.00 | -11.00 – 9.00 |
Effects of Semaglutide on ln(Fasting Glucose)
Effects of Semaglutide on Glucose Metabolism at Week 32 Compared to Baseline - 2-h OGTT Glucose
Time frame:32 weeks
Postprandial glucose
change from baseline, improvement
Posted result
| Group | Value (median), mg/mL | 95% CI |
|---|---|---|
| Semaglutide | -11.50 | -41.50 – 2.00 |
| Placebo | -2.00 | -16.00 – 16.00 |
Effects of Semaglutide on 2-h OGTT Glucose
Effects of Semaglutide on Glucose Metabolism (HgA1C%) at Week 32 Compared to Baseline
Time frame:32 weeks
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Posted result
| Group | Value (median), % of glycosylated hemoglobin | 95% CI |
|---|---|---|
| Semaglutide | -0.20 | -0.60 – -0.10 |
| Placebo | 0.10 | -0.10 – 0.20 |
Effects of Semaglutide on HbA1C %
Effects of Semaglutide on Insulin Sensitivity/Resistance (Insulin Levels) at Week 32 Compared to Baseline
Time frame:32 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Posted result
| Group | Value (median), uIU/mL | 95% CI |
|---|---|---|
| SemaglutideFasting insulin, uIU/mL | 2.00 | -3.00 – 7.00 |
| 2-h OGTT insulin, uIU/mL | 4.50 | -13.50 – 18.50 |
| PlaceboFasting insulin, uIU/mL | -1.00 | -6.00 – 4.00 |
| 2-h OGTT insulin, uIU/mL | 2.00 | -18.00 – 26.00 |
Effects of Semaglutide on ln(Fasting Insulin, uIU/mL)
Effects of Semaglutide on ln(2-h OGTT Insulin, uIU/mL)
Effects of Semaglutide on Insulin Sensitivity/Resistance (HOMA-IR) at Week 32 Compared to Baseline
Time frame:32 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Posted result
| Group | Value (median), index | 95% CI |
|---|---|---|
| SemaglutideFasting HOMA-IR | 0.33 | -0.76 – 1.93 |
| 2-h OGTT HOMA-IR | -0.29 | -6.94 – 3.98 |
| PlaceboFasting HOMA-IR | -0.37 | -1.58 – 0.86 |
| 2-h OGTT HOMA-IR | 1.30 | -6.26 – 7.19 |
Effects of Semaglutide on ln(Fasting HOMA-IR)
Effects of Semaglutide on ln(2-h OGTT HOMA-IR)
Sustainability of Effects of Semaglutide on Glucose Metabolism
Time frame:56 weeks
change from baseline, improvement
componentsPostprandial glucose, Fasting glucose, change, HbA1c, change
Sustainability of Effects of Semaglutide on Insulin Sensitivity/Resistance
Time frame:56 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
MASH / liver
4 endpointsEffects of Semaglutide on Liver Fat at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Liver Fat
Time frame:56 weeks
Liver fat content, change
change from baseline, improvement
Effects of Semaglutide on Liver Fat at Week 32 Compared to Baseline
Time frame:32 weeks
Liver fat content, change
change from baseline, improvement
Posted result
| Group | Value (median), Hounsfield unit | 95% CI |
|---|---|---|
| Semaglutide | 1.27 | -2.40 – 4.43 |
| Placebo | 0.39 | -1.95 – 4.23 |
Effects of Semaglutide on Liver Fat, HU (i.e., higher density = less fat)
Sustainability of Effects of Semaglutide on Liver Fat
Time frame:56 weeks
Liver fat content, change
change from baseline, improvement
Cardiometabolic biomarkers
23 endpointsEffects of Semaglutide on Lipoprotein Profiles at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Vital Signs (Heart Rate) at 32 Weeks Compared to Baseline
Time frame:32 weeks
Heart rate, change
change from baseline, improvement
Effects of Semaglutide on Vital Signs (Blood Pressure) at 32 Weeks Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Overall Cardiovascular Disease (CVD) Risk at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Systemic Inflammation and Soluble Markers of Immune Activation (sTNFR-I, sTNFR-II, sCD14, sCD163, sVCAM-1, sICAM-1) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Effects of Semaglutide on Systemic Inflammation and Soluble Markers of Immune Activation (D-dimer, hsCRP) at Week 32 Compared to Baseline
Time frame:32 weeks
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Effects of Semaglutide on Systemic Inflammation and Soluble Markers of Immune Activation (IL-6) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Lipoprotein Profiles
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Systemic Inflammation
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Systemic Immune Activation
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Pulse Wave Velocity
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on EndoPat
Time frame:56 weeks
change from baseline, improvement
Effects of Semaglutide on Lipoprotein Profiles at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), mg/dL | 95% CI |
|---|---|---|
| SemaglutideTotal cholesterol, mg/dL | -12.5 | -28.00 – -3.00 |
| High-density lipoprotein cholesterol, mg/dL | -2.50 | -6.30 – 2.20 |
| Low-density lipoprotein cholesterol, mg/dL | -9.00 | -21.00 – 0.00 |
| Very low-density lipoprotein cholesterol, mg/dL | 0.00 | -7.00 – 3.00 |
| Triglycerides, mg/dL | -1.00 | -33.00 – 14.00 |
| PlaceboTotal cholesterol, mg/dL | -10.50 | -27.00 – 7.00 |
| High-density lipoprotein cholesterol, mg/dL | -1.60 | -5.3 – 3.00 |
| Low-density lipoprotein cholesterol, mg/dL | -6.00 | -20.00 – 7.00 |
| Very low-density lipoprotein cholesterol, mg/dL | -2.00 | -10.00 – 6.00 |
| Triglycerides, mg/dL | -13.00 | -50.00 – 25.00 |
Effects of Semaglutide on Total Cholesterol, mg/dL
Effects of Semaglutide on Low-Density Lipoprotein Cholesterol, mg/dL
Effects of Semaglutide on ln(High-Density Lipoprotein Cholesterol, mg/dL)
Effects of Semaglutide on ln(Very Low-Density Lipoprotein Cholesterol, mg/dL)
Effects of Semaglutide on ln(Triglycerides, mg/dL)
Effects of Semaglutide on Vital Signs (Heart Rate) at 32 Weeks Compared to Baseline
Time frame:32 weeks
Heart rate, change
change from baseline, improvement
Posted result
| Group | Value (median), beats/minute | 95% CI |
|---|---|---|
| Semaglutide | 1.50 | -9.00 – 10.00 |
| Placebo | 2.00 | -6.00 – 8.00 |
Effects of Semaglutide on Heart Rate
Effects of Semaglutide on Vital Signs (Blood Pressure) at 32 Weeks Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), mmHg | 95% CI |
|---|---|---|
| SemaglutideSystolic blood pressure, mmHg | -4.00 | -15.00 – 7.00 |
| Diastolic blood pressure, mmHg | -1.50 | -7.00 – 2.00 |
| PlaceboSystolic blood pressure, mmHg | 1.00 | -7.00 – 9.00 |
| Diastolic blood pressure, mmHg | 3.50 | -6.00 – 8.00 |
Effects of Semaglutide on Systolic blood pressure
Effects of Semaglutide on diastolic blood pressure
Effects of Semaglutide on Overall Cardiovascular Disease (CVD) Risk at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), 10-year ASCVD risk estimate % | 95% CI |
|---|---|---|
| Semaglutide | -0.30 | -1.70 – 0.30 |
| Placebo | 0.40 | -0.60 – 1.10 |
Effects of Semaglutide on ln(10-Year ASCVD Risk Estimate)
Effects of Semaglutide on Systemic Inflammation and Soluble Markers of Immune Activation (sTNFR-I, sTNFR-II, sCD14, sCD163, sVCAM-1, sICAM-1) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), ng/mL | 95% CI |
|---|---|---|
| SemaglutidesTNFR-I, ng/mL | -0.07 | -0.23 – 0.19 |
| sTNFR-II, ng/mL | -0.16 | -0.70 – 0.35 |
| sCD14, ng/mL | -130.83 | -446.01 – 136.27 |
| sCD163, ng/mL | -61.30 | -162.44 – 35.78 |
| sVCAM-1, ng/mL | 2.44 | -94.83 – 81.83 |
| sICAM-1, ng/mL | -4.99 | -36.54 – 33.00 |
| PlacebosTNFR-I, ng/mL | -0.06 | -0.24 – 0.16 |
| sTNFR-II, ng/mL | 0.07 | -0.68 – 0.70 |
| sCD14, ng/mL | -106.11 | -364.40 – 296.23 |
| sCD163, ng/mL | -15.23 | -107.35 – 79.16 |
| sVCAM-1, ng/mL | -21.21 | -68.58 – 93.50 |
| sICAM-1, ng/mL | -6.85 | -36.64 – 31.19 |
Effects of semaglutide on sTNFR-I (ng/mL)
Effects of semaglutide on sTNFR-II (ng/mL)
Effects of semaglutide on sCD14 (ng/mL)
Effects of semaglutide on sCD163 (ng/mL)
Effects of semaglutide on sVCAM-1 (ng/mL)
Effects of semaglutide on sICAM-1 (ng/mL)
Effects of Semaglutide on Systemic Inflammation and Soluble Markers of Immune Activation (D-dimer, hsCRP) at Week 32 Compared to Baseline
Time frame:32 weeks
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Posted result
| Group | Value (median), µg/mL | 95% CI |
|---|---|---|
| SemaglutideD-dimer, µg/mL | 0.05 | -0.14 – 0.19 |
| hsCRP, µg/mL | -1.17 | -3.09 – 0.15 |
| PlaceboD-dimer, µg/mL | 0.02 | -0.12 – 0.14 |
| hsCRP, µg/mL | -0.11 | -1.30 – 2.37 |
Effects of semaglutide on D-dimer (µg/mL)
Effects of semaglutide on hsCRP (µg/mL)
Effects of Semaglutide on Systemic Inflammation and Soluble Markers of Immune Activation (IL-6) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), pg/mL | 95% CI |
|---|---|---|
| Semaglutide | -0.39 | -1.62 – 0.30 |
| Placebo | -0.25 | -1.66 – 0.74 |
Effects of semaglutide on IL-6 (pg/mL)
Sustainability of Effects of Semaglutide on Lipoprotein Profiles
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Systemic Inflammation
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Pulse Wave Velocity
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on EndoPat
Time frame:56 weeks
change from baseline, improvement
Patient-reported / QoL
1 endpointEffects of Semaglutide on Physical Activity at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Safety / tolerability / PK
2 endpointsSafety Analyses
Time frame:32 weeks
Treatment-emergent AEs (any)
descriptive
Safety Analyses
Time frame:32 weeks
Treatment-emergent AEs (any)
event count, event
Posted result
| Group | Value (count_of_participants), Participants | 95% CI |
|---|---|---|
| Semaglutide≥1 adverse event | 54 | — |
| Serious study-related adverse events | 1 | — |
| Possibly related adverse events | 21 | — |
| ≥1 possibly related or study-related adverse event | 24 | — |
| Adverse events or side-effects leading to premature trial discontinuation | 4 | — |
| Grade 4 elevated lipase (week 14) | 1 | — |
| Grade 1 elevated lipase, gastrointestinal symptoms (week 10) | 1 | — |
| Grade 1 gastrointestinal and systemic symptoms (week 12) | 1 | — |
| Grade 1 memory impairment (week 17) | 0 | — |
| Weight loss (week 17) | 1 | — |
| study-related adverse events: Elevated lipase | 1 | — |
| study-related adverse events: Injection site reactions (all grade 1) | 4 | — |
| possibly-related adverse events- Elevated lipase | 4 | — |
| possibly-related adverse events- Elevated lipase: Grade 1 | 2 | — |
| possibly-related adverse events-Elevated lipase: Grade 2 | 2 | — |
| possibly-related adverse events Elevated creatinine | 1 | — |
| possibly-related adverse events- Cholelithiasis | 2 | — |
| possibly-related adverse events- Any gastrointestinal disorder | 18 | — |
| possibly-related adverse events- Nausea | 6 | — |
| possibly-related adverse events- Vomiting | 1 | — |
| possibly-related adverse events- Diarrhoea or loose stools | 0 | — |
| possibly-related adverse events- Abdominal pain | 1 | — |
| possibly-related adverse events- Constipation or irregular bowel movements | 2 | — |
| possibly-related adverse events- Eructation or flatulence | 5 | — |
| possibly-related adverse events- Gastroesophageal reflux disease | 2 | — |
| possibly-related adverse events- Bloating or fullness | 1 | — |
| possibly-related adverse events- Dyspepsia | 1 | — |
| possibly-related adverse events- Gastritis | 0 | — |
| possibly-related adverse events- Decreased appetite or changes in food cravings or tolerance | 7 | — |
| possibly-related adverse events- Fatigue | 2 | — |
| possibly-related adverse events- Dysgeusia | 3 | — |
| possibly-related adverse events- Dizziness | 0 | — |
| possibly-related adverse events- Headache | 3 | — |
| possibly-related adverse events- Anxiety or nervousness | 0 | — |
| possibly-related adverse events- Irritability or moodiness | 1 | — |
| possibly-related adverse events- Sweating | 2 | — |
| possibly-related adverse events- Hunger | 0 | — |
| possibly-related adverse events- Generalized myalgias | 0 | — |
| possibly-related adverse events- Scalp alopecia | 1 | — |
| Not study-related adverse events- Elevated lipase | 8 | — |
| Not study-related adverse events- Elevated lipase: Grade 1 | 7 | — |
| Not study-related adverse events- Elevated lipase: Grade 2 | 1 | — |
| Not study-related adverse events- Elevated creatinine | 24 | — |
| Not study-related adverse events- Elevated creatinine: Grade 1 | 18 | — |
| Not study-related adverse events- Elevated creatinine: Grade 2 | 6 | — |
| Not study-related adverse events- Elevated creatinine: Grade 3 | 0 | — |
| Not study-related adverse events- Elevated total bilirubin (all grade 1) | 6 | — |
| Not study-related adverse events- Elevated alanine transaminase | 5 | — |
| Not study-related adverse events- Elevated alanine transaminase: Grade 1 | 3 | — |
| Not study-related adverse events- Elevated alanine transaminase: Grade 2 | 2 | — |
| Not study-related adverse events- Elevated aspartate aminotransferase | 3 | — |
| Not study-related adverse events- Elevated aspartate aminotransferase: Grade 1 | 3 | — |
| Not study-related adverse events- Elevated aspartate aminotransferase: Grade 2 | 0 | — |
| Not study-related adverse events- Elevated glucose | 25 | — |
| Not study-related adverse events- Elevated glucose: Grade 1 | 24 | — |
| Not study-related adverse events- Elevated glucose: Grade 2 | 1 | — |
| Not study-related adverse events- Any gastrointestinal disorder | 35 | — |
| Not study-related adverse events- Nausea | 15 | — |
| Not study-related adverse events- Vomiting | 8 | — |
| Not study-related adverse events- Diarrhoea or loose stools | 7 | — |
| Not study-related adverse events- Abdominal pain | 4 | — |
| Not study-related adverse events- Constipation or irregular bowel movements | 16 | — |
| Not study-related adverse events- Bloating or fullness | 2 | — |
| Not study-related adverse events- Dyspepsia | 11 | — |
| Not study-related adverse events- Eructation or flatulence | 10 | — |
| Not study-related adverse events- Gastritis | 3 | — |
| Not study-related adverse events- Gastroesophageal reflux disease | 14 | — |
| Not study-related adverse events- Decreased appetite or changes in food cravings or tolerance | 8 | — |
| Not study-related adverse events- Fatigue | 14 | — |
| Not study-related adverse events- Dysgeusia | 4 | — |
| Not study-related adverse events- Dizziness | 6 | — |
| Not study-related adverse events- Headache | 12 | — |
| Not study-related adverse events- Anxiety or nervousness | 5 | — |
| Not study-related adverse events- Irritability or moodiness | 5 | — |
| Not study-related adverse events- Sweating | 2 | — |
| Not study-related adverse events- Hunger | 3 | — |
| Not study-related adverse events- Generalized myalgias | 1 | — |
| Not study-related adverse events- Shakiness | 2 | — |
| Not study-related adverse events- Weakness | 1 | — |
| Not study-related adverse events- Light-headedness | 0 | — |
| Not study-related adverse events- Temporary neurosensory alteration | 1 | — |
| Not study-related adverse events- Hiccups | 1 | — |
| Not study-related adverse events- Diabetes | 1 | — |
| Placebo≥1 adverse event | 53 | — |
| Serious study-related adverse events | 0 | — |
| Possibly related adverse events | 17 | — |
| ≥1 possibly related or study-related adverse event | 18 | — |
| Adverse events or side-effects leading to premature trial discontinuation | 1 | — |
| Grade 4 elevated lipase (week 14) | 0 | — |
| Grade 1 elevated lipase, gastrointestinal symptoms (week 10) | 0 | — |
| Grade 1 gastrointestinal and systemic symptoms (week 12) | 0 | — |
| Grade 1 memory impairment (week 17) | 1 | — |
| Weight loss (week 17) | 0 | — |
| study-related adverse events: Elevated lipase | 0 | — |
| study-related adverse events: Injection site reactions (all grade 1) | 2 | — |
| possibly-related adverse events- Elevated lipase | 2 | — |
| possibly-related adverse events- Elevated lipase: Grade 1 | 2 | — |
| possibly-related adverse events-Elevated lipase: Grade 2 | 0 | — |
| possibly-related adverse events Elevated creatinine | 1 | — |
| possibly-related adverse events- Cholelithiasis | 0 | — |
| possibly-related adverse events- Any gastrointestinal disorder | 15 | — |
| possibly-related adverse events- Nausea | 4 | — |
| possibly-related adverse events- Vomiting | 0 | — |
| possibly-related adverse events- Diarrhoea or loose stools | 7 | — |
| possibly-related adverse events- Abdominal pain | 2 | — |
| possibly-related adverse events- Constipation or irregular bowel movements | 2 | — |
| possibly-related adverse events- Eructation or flatulence | 4 | — |
| possibly-related adverse events- Gastroesophageal reflux disease | 1 | — |
| possibly-related adverse events- Bloating or fullness | 0 | — |
| possibly-related adverse events- Dyspepsia | 2 | — |
| possibly-related adverse events- Gastritis | 1 | — |
| possibly-related adverse events- Decreased appetite or changes in food cravings or tolerance | 1 | — |
| possibly-related adverse events- Fatigue | 2 | — |
| possibly-related adverse events- Dysgeusia | 2 | — |
| possibly-related adverse events- Dizziness | 3 | — |
| possibly-related adverse events- Headache | 0 | — |
| possibly-related adverse events- Anxiety or nervousness | 1 | — |
| possibly-related adverse events- Irritability or moodiness | 2 | — |
| possibly-related adverse events- Sweating | 3 | — |
| possibly-related adverse events- Hunger | 2 | — |
| possibly-related adverse events- Generalized myalgias | 1 | — |
| possibly-related adverse events- Scalp alopecia | 0 | — |
| Not study-related adverse events- Elevated lipase | 3 | — |
| Not study-related adverse events- Elevated lipase: Grade 1 | 2 | — |
| Not study-related adverse events- Elevated lipase: Grade 2 | 1 | — |
| Not study-related adverse events- Elevated creatinine | 13 | — |
| Not study-related adverse events- Elevated creatinine: Grade 1 | 9 | — |
| Not study-related adverse events- Elevated creatinine: Grade 2 | 3 | — |
| Not study-related adverse events- Elevated creatinine: Grade 3 | 1 | — |
| Not study-related adverse events- Elevated total bilirubin (all grade 1) | 1 | — |
| Not study-related adverse events- Elevated alanine transaminase | 6 | — |
| Not study-related adverse events- Elevated alanine transaminase: Grade 1 | 4 | — |
| Not study-related adverse events- Elevated alanine transaminase: Grade 2 | 2 | — |
| Not study-related adverse events- Elevated aspartate aminotransferase | 4 | — |
| Not study-related adverse events- Elevated aspartate aminotransferase: Grade 1 | 3 | — |
| Not study-related adverse events- Elevated aspartate aminotransferase: Grade 2 | 1 | — |
| Not study-related adverse events- Elevated glucose | 39 | — |
| Not study-related adverse events- Elevated glucose: Grade 1 | 38 | — |
| Not study-related adverse events- Elevated glucose: Grade 2 | 1 | — |
| Not study-related adverse events- Any gastrointestinal disorder | 27 | — |
| Not study-related adverse events- Nausea | 7 | — |
| Not study-related adverse events- Vomiting | 3 | — |
| Not study-related adverse events- Diarrhoea or loose stools | 10 | — |
| Not study-related adverse events- Abdominal pain | 1 | — |
| Not study-related adverse events- Constipation or irregular bowel movements | 5 | — |
| Not study-related adverse events- Bloating or fullness | 2 | — |
| Not study-related adverse events- Dyspepsia | 0 | — |
| Not study-related adverse events- Eructation or flatulence | 6 | — |
| Not study-related adverse events- Gastritis | 0 | — |
| Not study-related adverse events- Gastroesophageal reflux disease | 6 | — |
| Not study-related adverse events- Decreased appetite or changes in food cravings or tolerance | 4 | — |
| Not study-related adverse events- Fatigue | 6 | — |
| Not study-related adverse events- Dysgeusia | 1 | — |
| Not study-related adverse events- Dizziness | 1 | — |
| Not study-related adverse events- Headache | 10 | — |
| Not study-related adverse events- Anxiety or nervousness | 2 | — |
| Not study-related adverse events- Irritability or moodiness | 4 | — |
| Not study-related adverse events- Sweating | 3 | — |
| Not study-related adverse events- Hunger | 8 | — |
| Not study-related adverse events- Generalized myalgias | 1 | — |
| Not study-related adverse events- Shakiness | 3 | — |
| Not study-related adverse events- Weakness | 0 | — |
| Not study-related adverse events- Light-headedness | 1 | — |
| Not study-related adverse events- Temporary neurosensory alteration | 0 | — |
| Not study-related adverse events- Hiccups | 0 | — |
| Not study-related adverse events- Diabetes | 2 | — |
Other clinical outcomes
2 endpointsEffects of Semaglutide on Dietary Intake at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), Kcal | 95% CI |
|---|---|---|
| Semaglutide | 137.33 | -240.31 – 388.87 |
| Placebo | 17.84 | -286.92 – 386.33 |
Effects of Semaglutide on dietary intake
Effects of Semaglutide on Physical Activity at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), minutes per week | 95% CI |
|---|---|---|
| SemaglutideLow intensity, minutes per week | -85.71 | -100.00 – 0.00 |
| Moderate intensity, minutes per week | -29.17 | -50.00 – 50.00 |
| High intensity, minutes per week | 21.11 | -32.29 – 100.00 |
| PlaceboLow intensity, minutes per week | -75.00 | -100.00 – 51.14 |
| Moderate intensity, minutes per week | -25.00 | -50.00 – 60.00 |
| High intensity, minutes per week | 0.00 | -20.00 – 50.00 |
Effects of semaglutide on physical activity (low intensity, minutes per week)
Effects of semaglutide on physical activity (moderate intensity, minutes per week)
Effects of semaglutide on physical activity (high intensity, minutes per week)
Other (unclassified)
11 endpointsEffects of Semaglutide on Dietary Intake at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, descriptive
Effects of Semaglutide on Systemic Immune Activation (Cellular Markers) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Gut Hormones
Time frame:56 weeks
change from baseline, descriptive
Sustainability of Effects of Semaglutide on Gut Integrity
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Coronary Artery Calcium (CAC) Score
Time frame:56 weeks
change from baseline, improvement
Effects of Semaglutide on Systemic Immune Activation (Cellular Markers) at Week 32 Compared to Baseline
Time frame:32 weeks
change from baseline, improvement
Posted result
| Group | Value (median), % of cell subset | 95% CI |
|---|---|---|
| SemaglutideInflammatory monocytes | -0.02 | -0.11 – 0.05 |
| Patrolling monocytes | -0.01 | -0.03 – 0.01 |
| Activated CD4+ lymphocytes | 0.07 | -1.93 – 3.91 |
| Activated CD8+ lymphocytes | -0.63 | -4.95 – 1.17 |
| Exhausted CD4+ lymphocytes | 0.00 | -0.18 – 1.44 |
| Exhausted CD8+ lymphocytes | 2.26 | -9.84 – 7.23 |
| PlaceboInflammatory monocytes | 0.00 | -0.10 – 0.08 |
| Patrolling monocytes | -0.01 | -0.04 – 0.02 |
| Activated CD4+ lymphocytes | 0.92 | -2.44 – 6.47 |
| Activated CD8+ lymphocytes | 0.34 | -1.98 – 3.23 |
| Exhausted CD4+ lymphocytes | 0.34 | -0.01 – 1.62 |
| Exhausted CD8+ lymphocytes | 4.07 | -4.39 – 11.15 |
Sustainability of Effects of Semaglutide on Systemic Immune Activation
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Gut Hormones
Time frame:56 weeks
change from baseline, descriptive
Sustainability of Effects of Semaglutide on Gut Integrity
Time frame:56 weeks
change from baseline, improvement
Sustainability of Effects of Semaglutide on Resting Energy Expenditure
Time frame:56 weeks
change from baseline, descriptive
Sustainability of Effects of Semaglutide on Coronary Artery Calcium (CAC) Score
Time frame:56 weeks
change from baseline, improvement
Publications (3)
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
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America2025 Oct 16PMID41098140doi:10.1093/cid/ciaf577via clinicaltrials gov reference derived + pubmed nct search
- Open forum infectious diseases2025 Apr (month)PMID40160348doi:10.1093/ofid/ofaf152via clinicaltrials gov reference derived + pubmed nct search
- The lancet. Diabetes & endocrinology2024 Aug (month)PMID38964353doi:10.1016/S2213-8587(24)00150-5via clinicaltrials gov reference derived + pubmed nct search
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 1, 2026 snapshot.