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Semaglutide in Women With Polycystic Ovary Syndrome and Obesity
Comparison Between the Effects of Low-Dose Semaglutide With Metformin vs. Metformin Alone Over Metabolic Profile in Obese Polycystic Ovary Syndrome: A Phase II Randomized Controlled Trial
Asset
Semaglutide
GLP-1 agonist
Listed sites
1
Recruiting sites
1
Enrollment
30
estimated
Study population
Obesity / overweight, PCOS
Key I/E criterion
•Female
Primary endpoints
•≥5% weight-loss responders•BMI, change•Waist circumference, 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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
Reproductive-aged women with PCOS diagnosed according to International evidence based guidelines 2023 and obesity
Exclusion criteria
1. Having DM, other significant systemic diseases- chronic kidney disease (eGFR <60mL/minute/ 1.73 m2 BSA), chronic liver disease (ALT >3 × ULN), and heart failure
2. Patients having PCOS mimicking endocrine disorders (untreated thyroid dysfunctions, hyperprolactinemia, congenital adrenal hyperplasia, Cushing's syndrome, acromegaly, hypothalamic disorder etc.)
3. Those taking any other weight loss medications (eg., orlistat, liraglutide) within the last 3 months
4. Those who have undergone bariatric surgery
5. Any conditions causing weight loss (thyrotoxicosis, Addison's disease, chronic infection, connective tissue disorder, cancer, etc)
6. Secondary causes of obesity (major mood disorders, steroids, valproate, oral contraceptives, etc)
7. Contraindications for semaglutide: personal or family history of medullary carcinoma of the thyroid, history of acute pancreatitis, gallbladder disease
8. Planning for pregnancy or current pregnancy/ lactation
Endpoints (17)
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
4 endpointsWeight
Time frame:12 weeks
≥5% weight-loss responders
threshold achievement, improvement
Body mass index
Time frame:12 weeks
BMI, change
change from baseline, improvement
Waist circumference
Time frame:12 weeks
Waist circumference, change
change from baseline, improvement
Hip circumference
Time frame:12 weeks
descriptive, improvement
Glycemic / diabetes
3 endpointsFasting plasma glucose
Time frame:12 weeks
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Fasting insulin
Time frame:12 weeks
concentration, descriptive
Homeostasis model assessment of insulin resistance
Time frame:12 weeks
HOMA-IR (insulin sensitivity)
change from baseline, improvement
MASH / liver
1 endpointAlanine amino transferase
Time frame:12 weeks
ALT, change
change from baseline, improvement
LOINC 1742-6
Cardiometabolic biomarkers
5 endpointsBlood pressure
Time frame:12 weeks
change from baseline, improvement
Total cholesterol
Time frame:12 weeks
Total cholesterol, change
change from baseline, improvement
LOINC 2093-3
HDL-cholesterol
Time frame:12 weeks
HDL-C, change
change from baseline, improvement
LOINC 2085-9
LDL-cholesterol
Time frame:12 weeks
LDL-C, change
change from baseline, improvement
LOINC 13457-7
Triglyceride
Time frame:12 weeks
Triglycerides, change
change from baseline, improvement
LOINC 2571-8
Other clinical outcomes
3 endpointsAcanthosis nigricans
Time frame:12 weeks
categorical status, improvement
Total testosterone
Time frame:12 weeks
Androgen, change
change from baseline, improvement
Free androgen index
Time frame:12 weeks
Androgen, change
percent change from baseline, improvement
Other (unclassified)
1 endpointSex hormone binding globulin
Time frame:12 weeks
concentration, 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 1, 2026 snapshot.