40 Participants Needed

Semaglutide + Exercise for Obesity

C
Overseen ByCoordinator
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Washington University School of Medicine
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how combining the weight-loss medication Semaglutide with exercise affects muscle and body function in people with obesity. Researchers aim to understand the impact of these treatments on muscle strength and body composition, both during and after the treatment period. Participants will receive either the medication alone or with an added exercise program. Individuals who have struggled with obesity and find physical activities challenging might be good candidates for this trial. As an unphased trial, this study offers a unique opportunity to contribute to understanding effective obesity treatments.

Do I have to stop taking my current medications for the trial?

The trial requires that you do not take GLP-1 or other weight loss medications. Additionally, if you are on medications that affect the study outcomes or increase risk, you may need to temporarily stop them. It's best to discuss your specific medications with the study team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that semaglutide is generally safe for people with obesity. Studies have found that this medication can lead to significant weight loss and improve heart health. Specifically, semaglutide can lower the risk of major heart problems and reduce the likelihood of hospitalization for heart failure.

Most people experience only mild or moderate side effects, such as nausea and vomiting, which usually improve over time. Serious side effects or those requiring treatment discontinuation are rare.

When combined with lifestyle changes like exercise, semaglutide continues to aid in weight loss and health improvement. In studies, individuals who took semaglutide and exercised also saw enhancements in body shape and overall health.

Overall, semaglutide appears to be a safe option for managing weight, with a strong record in both individual and combined treatments.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about semaglutide for obesity because it works differently than many existing weight loss treatments. Most traditional treatments for obesity rely on lifestyle changes or medications that target appetite suppression. Semaglutide, however, is a GLP-1 receptor agonist, which not only helps regulate appetite but also influences insulin secretion and glucose metabolism, offering a multi-faceted approach to weight management. Combining semaglutide with exercise and diet behavior counseling could enhance weight loss results and improve overall health in ways that standard treatments alone may not achieve. This dual-action strategy could provide a more effective option for those struggling with obesity.

What evidence suggests that semaglutide and exercise might be an effective treatment for obesity?

Studies have shown that semaglutide can help people with obesity lose significant weight. On average, participants taking semaglutide lost between 14.9% and 17.4% of their body weight. In this trial, one group will receive semaglutide therapy with diet behavior counseling, while another group will receive semaglutide therapy combined with exercise training and diet behavior counseling. Research also indicates that adding exercise to semaglutide treatment can help maintain weight loss. Specifically, one study found that 61.8% of participants lost a significant amount of weight. These findings suggest that semaglutide, especially when combined with exercise, can be highly effective for managing weight.34678

Who Is on the Research Team?

JW

Joseph W Beals, PhD

Principal Investigator

Washington University School of Medicine

SK

Samuel Klein, MD

Principal Investigator

Washington University School of Medicine

Are You a Good Fit for This Trial?

This trial is for adults with obesity (BMI ≥ 30), low muscle mass, reduced physical function, and insulin resistance. Participants must have their primary physician's approval to join.

Inclusion Criteria

My muscle mass is below the normal range for my gender.
My doctor agrees I can join this study.
My insulin resistance score is above 2.5.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive semaglutide therapy with or without exercise training for 52 weeks

52 weeks
Regular visits for monitoring and counseling

Follow-up

Participants are monitored for safety and effectiveness after treatment cessation

52 weeks
Periodic assessments

What Are the Treatments Tested in This Trial?

Interventions

  • Exercise training
  • Semaglutide
Trial Overview The study tests the effects of a GLP-1 receptor agonist drug called Semaglutide and exercise training on body composition, muscle function, and strength over two years, including after stopping treatment.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: GLP-1 RA + ExerciseExperimental Treatment2 Interventions
Group II: GLP-1 RAActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Washington University School of Medicine

Lead Sponsor

Trials
2,027
Recruited
2,353,000+

Citations

Once-Weekly Semaglutide in Adults with Overweight or ...Comparative efficacy, safety, and cardiovascular outcomes with once-weekly subcutaneous semaglutide in the treatment of type 2 diabetes ...
Long-term weight loss effects of semaglutide in obesity ...In the SELECT cardiovascular outcomes trial, semaglutide showed a 20% reduction in major adverse cardiovascular events in 17,604 adults with ...
Semaglutide for the treatment of overweight and obesitySemaglutide 2.4 mg was associated with mean weight losses of 14.9%‐17.4% in individuals with overweight or obesity without type 2 diabetes from baseline to ...
Two-Year Real-World Effectiveness of Semaglutide in Patients ...Body weight reductions of ≥5%, ≥10%, ≥15%, and ≥20% from baseline at 2 years were observed in 90.5%, 69.8%, 46.9%, and 29.6% of patients, ...
Chronic Weight Management Trial Results | Wegovy ...Patients taking Wegovy® 2.4 mg experienced improvements across most cardiometabolic risk factors · Wegovy® is not indicated to treat hypertension, type 2 ...
Semaglutide and Cardiovascular Outcomes in Obesity ...Semaglutide, a glucagon-like peptide-1 receptor agonist, has been shown to reduce the risk of adverse cardiovascular events in patients with diabetes.
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39396098/
Semaglutide effects on safety and cardiovascular ...Conclusion: The use of semaglutide reduced 76% in hospitalization due to HF, 17% deaths due to cardiovascular causes, 21% deaths due to any ...
A Systematic Review and Meta-Analysis of Randomized ...Our results suggest that semaglutide is beneficial for promoting sustained weight loss in adults with overweight/obesity and without diabetes.
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