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SEMA-VR

UnknownPhase 4

Semaglutide and Vascular Regeneration

Semaglutide and Vascular Regeneration in People With Diabetes and/or Obesity

Asset

Semaglutide

GLP-1 agonist

Listed sites

2

Recruiting sites

2

Enrollment

100

estimated

Study population

Obesity / overweight, Type 2 diabetes

Key I/E criteria

BMI ≥30eGFR ≤60

Primary endpoint

Changes in the mean frequency (%) of circulating ALDHhiSSClow primitive

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 IDNCT05870462
Org study IDPro00068765

Timeline

Milestones

Study start2023-04-29actual
Study first posted2023-05-23actual
Last update posted2023-07-25actual
Primary completion2024-12estimated (month precision)
Study completion2024-12estimated (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightType 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. Adults ≥ 18 years of age who meet one of the following Health Canada indications to receive subcutaneous semaglutide injections:

Documented T2D with inadequate glycemic control
Body mass index (BMI) ≥ 30 kg/m^2 (obesity)
BMI ≥ 27 kg/m^2 (overweight) and at least one weight-related comorbidity, such as hypertension, dyslipidemia, or obstructive sleep apnea

2. AND meet one of the following ASCVD criteria:

History of ASCVD:
Documented coronary artery disease
Documented cerebrovascular or carotid disease
Documented peripheral artery disease
No ASCVD but has 2 or more of the following risk factors:
Cigarette smoker or stopped smoking within 3 months of screening
Persistent hypertension (defined as office blood pressure ≥ 140/90 mmHg) or currently on antihypertensive medications
BMI ≥ 27 kg/m^2
estimated glomerular filtration rate (eGFR) ≤ 60 mL/min/1.73m^2
Treated or untreated dyslipidemia
Triglyceride ≥ 2.0 mmol/L
HDL-C ≤ 1.0 mmol/L for men or ≤ 1.3 mmol/L for women
High sensitivity C-reactive protein (hsCRP) ≥ 2.0 mg/L
Documented micro- or macro-albuminuria
Self-identified South Asian ethnicity

Exclusion criteria

Female subjects who are pregnant, planning pregnancy, or breastfeeding
HbA1c > 11.0 %
Currently on a GLP-1RA or previously taken a GLP-1RA
Personal or family history of medullary thyroid carcinoma
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
New York Heart Association class IV symptoms of heart failure
Known history of severe liver disease (e.g. Child-Pugh Class B or C)
White blood cell count ≥ 15 x 10^9/L
Active infectious disease requiring antibiotic or anti-viral agents
Known acquired immunodeficiency syndrome such as HIV
On oral steroid therapy (e.g. prednisone or other corticosteroids) or other immunosuppressive agents (e.g. methotrexate)
Any malignancy not considered cured (except basal cell carcinoma of the skin). A subject is considered cured if there has been no evidence of cancer recurrence for the 5 years prior to screening
Any clinically significant or unstable medical condition that might limit one's ability to complete the study or comply with the requirements of the protocol, including: dermatologic disease, hematological disease, pulmonary disease, hepatic disease, gastrointestinal disease, genitourinary disease, endocrine disease, neurological disease, and psychiatric disease

Endpoints (4)

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

Other (unclassified)
3
Cardiometabolic biomarkers
1

Cardiometabolic biomarkers

1 endpoint
Secondary/protocol endpoint/low confidence

Changes in the mean frequency (%) of circulating ALDHhiSSCmid pro-vascular monocytes in individuals treated with semaglutide versus usual care for 6 months

Time frame:Baseline to 6 months post-randomization

change from baseline, improvement

Other (unclassified)

3 endpoints
Primary/protocol endpoint/low confidence

Changes in the mean frequency (%) of circulating ALDHhiSSClow primitive progenitor cells in individuals treated with semaglutide versus usual care for 6 months

Time frame:Baseline to 6 months post-randomization

change from baseline, descriptive

Secondary/protocol endpoint/low confidence

Changes in the frequency (%) of circulating ALDHhiSSCmid pro-inflammatory monocytes in individuals treated with semaglutide versus usual care for 6 months

Time frame:Baseline to 6 months post-randomization

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Changes in the frequency (%) of circulating ALDHhiSSChi pro-inflammatory granulocyte precursors in individuals treated with semaglutide versus usual care for 6 months

Time frame:Baseline to 6 months post-randomization

change from baseline, improvement

Publications (11)

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 tableno registry results posted yet

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.