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STEP TEENS Weight Maintenance: A Research Study on How Well Semaglutide Helps Teenagers With Excess Body Weight to Lose Weight and Maintain Weight Loss
Weight Maintenance in Adolescents With Obesity; Long-Term Treatment With Semaglutide s.c.2.4 mg Once-weekly
Lead sponsor
Asset
Semaglutide
Subcutaneous · GLP-1 agonist
Listed sites
93
Recruiting sites
—
Enrollment
500
estimated
Study population
Obesity / overweight
Key I/E criterion
•Age 12-15
Primary endpoint
•Maintenance of Body Mass Index (BMI) below obesity threshold
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. The parent(s) or legally acceptable representative (LAR) of the participant must sign and date the Informed Consent Form, according to local requirements
2. The participant must sign and date the Child Assent Form or provide oral assent, according to local requirements
Exclusion criteria
1. Liposuction and/or abdominoplasty, if performed more than 1 year prior to screening
2. Adjustable gastric banding, if the band has been removed more than 1 year prior to screening
3. Intragastric balloon, if the balloon has been removed more than 1 year prior to screening
4. Duodenal-jejunal bypass liner (e.g., Endobarrier), if the sleeve has been removed more than 1 year prior to screening
Endpoints (21)
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
12 endpointsMaintenance of Body Mass Index (BMI) below obesity threshold
Time frame:From 1.5 years to 3 years
threshold achievement, improvement
Maintenance of improved Body Mass Index (BMI) category
Time frame:From 1.5 years to 3 years and end of continued treatment phase (up to 6 years)
event count, improvement
Achieving Body Mass Index (BMI) below obesity threshold
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
threshold achievement, improvement
Achieving any improvement in Body Mass Index (BMI) category
Time frame:From baseline (day 0) to 1.5, 3 years, and end of continued treatment phase (up to 6 years)
threshold achievement, improvement
Change in Body Mass Index (BMI)
Time frame:From baseline (day 0) to 1.5 and 3 years
BMI, change
percent change from baseline, improvement
Body Mass Index (BMI) percentage of the 95th percentile
Time frame:From baseline (day 0) to 1.5 and 3 years
percent change from baseline, improvement
Change in Body Mass Index Standard Deviation Score (BMI SDS)
Time frame:From baseline (day 0) to 1.5 and 3 years
BMI SDS, change
change from baseline, improvement
Change in waist-to-height ratio (waist [cm]/ height [cm])
Time frame:From baseline (day 0) to 1.5 and 3 years
change from baseline, improvement
Change in waist circumference
Time frame:From baseline (day 0) to 1.5 and 3 years
Waist circumference, change
change from baseline, improvement
Change in fat mass, by dual X-ray absorptiometry (DXA) relative to total body mass
Time frame:From baseline (day 0) to 1.5 and 3 years
Total fat mass
percent change from baseline, improvement
Change in lean body mass, by dual X-ray absorptiometry (DXA) relative to total body mass
Time frame:From baseline (day 0) to 1.5 and 3 years
Lean mass
change from baseline, improvement
Relative change in visceral fat mass, by dual X-ray absorptiometry (DXA)
Time frame:From baseline (day 0) to 1.5 and 3 years
Visceral fat, change
percent change from baseline, improvement
Glycemic / diabetes
3 endpointsChange in HbA1c
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Change in fasting plasma glucose
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Change in fasting insulin and Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
HOMA-IR (insulin sensitivity)
percent change from baseline, improvement
Cardiometabolic biomarkers
3 endpointsChange in high sensitivity C-reactive protein (hsCRP)
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
hs-CRP, change
percent change from baseline, improvement
LOINC 30522-7
Change in alanine aminotransferase (ALT), total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), very low-density lipoprotein (VLDL) and triglycerides
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
percent change from baseline, improvement
componentsALT, change, Total cholesterol, change, HDL-C, change, LDL-C, change, VLDL, change, Triglycerides, change
Change in systolic and diastolic blood pressure
Time frame:From baseline (day 0) to 1.5, 3 years and end of continued treatment phase (up to 6 years)
change from baseline, improvement
Safety / tolerability / PK
2 endpointsTapering to zero dose
Time frame:From 1.5 years to 3 years
event count, descriptive
Serious Adverse Event (SAE)
Time frame:From baseline (day 0) to 1.5 years, from 1.5 to 3 years, and from 3 years to end of continued treatment phase (up to 6 years)
Serious AEs (any)
event count, event
Other (unclassified)
1 endpointTime/dose steps before ending dose tapering
Time frame:From 1.5 years to 3 years
descriptive
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 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.