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Reversal to Normoglycemia by Treating Prediabetes
REVERsal to Normoglycemia by Treating PREDIABETES: The REVERT-PREDIABETES Trial
Lead sponsor
Asset
Semaglutide
GLP-1 agonist
Listed sites
1
Recruiting sites
—
Enrollment
158
estimated
Study population
Cardiovascular disease, Prediabetes / glucose intolerance
Key I/E criterion
—
Primary endpoints
•Presence of a composite of retinopathy, nephropathy, neuropathy, and MASLD (retinopathy, nephropathy, neuropathy, masld)•HbA1c <5.7% achievement
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
Exclusion criteria
Patients with BMI<25 kg/m2 will be assessed individually by an investigator for eligibility (e.g., whether initiation of a GLP-1 RA with potential weight loss is clinically justifiable).
Endpoints (35)
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 endpointsChange in weight
Time frame:1-year follow-up
Body weight, absolute change (kg)
change from baseline, improvement
Change in waist circumference
Time frame:1-year follow-up
Waist circumference, change
change from baseline, improvement
Change in weight
Time frame:2-year follow-up
Body weight, absolute change (kg)
change from baseline, improvement
Change in waist circumference
Time frame:2-year follow-up
Waist circumference, change
change from baseline, improvement
Glycemic / diabetes
12 endpointsIncidence of normoglycemia defined as HbA1c <39 mmol/mol
Time frame:1-year follow-up
HbA1c <5.7% achievement
threshold achievement, improvement
LOINC 4548-4
Incidence of normoglycemia defined as HbA1c <42 mmol/mol
Time frame:1-year follow-up
HbA1c <6.0% achievement
threshold achievement, improvement
LOINC 4548-4
Change in HbA1c
Time frame:1-year follow-up
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Change in c-peptide
Time frame:1-year follow-up
C-peptide AUC
change from baseline, improvement
Change in HOMA-IR
Time frame:1-year follow-up
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Prevalence of HbA1c ≥42 mmol/mol
Time frame:2-year follow-up
threshold achievement, improvement
LOINC 4548-4
Incidence of type 2 diabetes
Time frame:2-year follow-up
Time to T2DM onset
time to event, event
Prevalence of prediabetes defined as HbA1c 42-47 mmol/mol
Time frame:2-year follow-up
threshold achievement, improvement
LOINC 4548-4
Prevalence of prediabetes defined as HbA1c 39-47 mmol/mol
Time frame:2-year follow-up
threshold achievement, improvement
LOINC 4548-4
Change in HbA1c
Time frame:2-year follow-up
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Change in c-peptide
Time frame:2-year follow-up
C-peptide AUC
change from baseline, improvement
Change in HOMA-IR
Time frame:2-year follow-up
HOMA-IR (insulin sensitivity)
change from baseline, improvement
MASH / liver
3 endpointsChange in Fib-4
Time frame:1-year follow-up
change from baseline, improvement
Change in MASLD severity
Time frame:1-year follow-up
change from baseline, improvement
Change in Fib-4
Time frame:2-year follow-up
change from baseline, improvement
Renal / kidney
5 endpointsChange in eGFR
Time frame:1-year follow-up
eGFR, change
change from baseline, improvement
LOINC 98979-8
Change in cystatin-C
Time frame:1-year follow-up
change from baseline, improvement
Change in urine albumin-creatinine ratio
Time frame:1-year follow-up
uACR, change
ratio, improvement
LOINC 9318-7
Change in eGFR
Time frame:2-year follow-up
eGFR, change
change from baseline, improvement
LOINC 98979-8
Change in cystatin-C
Time frame:2-year follow-up
change from baseline, improvement
Cardiometabolic biomarkers
6 endpointsChange in hs-CRP
Time frame:1-year follow-up
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Change in lipid parameters
Time frame:1-year follow-up
change from baseline, improvement
Change in CD163
Time frame:1-year follow-up
change from baseline, improvement
Change in hs-CRP
Time frame:2-year follow-up
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Change in lipid parameters
Time frame:2-year follow-up
change from baseline, improvement
Change in CD163
Time frame:2-year follow-up
change from baseline, improvement
Other clinical outcomes
3 endpointsPresence of a composite of retinopathy, nephropathy, neuropathy, and MASLD
Time frame:Baseline
categorical status, descriptive
componentsretinopathy, nephropathy, neuropathy, masld
Presence of: Retinopathy, Nephropathy, Neuropathy, or MASLD
Time frame:Baseline
categorical status, descriptive
componentsretinopathy, nephropathy, neuropathy, masld
Presence of a composite of retinopathy, nephropathy, and neuropathy.
Time frame:Baseline
categorical status, event
componentsretinopathy, nephropathy, neuropathy
Other (unclassified)
2 endpointsChange in PRO-C3
Time frame:1-year follow-up
change from baseline, improvement
Change in PRO-C3
Time frame:2-year follow-up
change from baseline, 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.