Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
NCT05424003

Randomized Double Blinded Placebo-Controlled w/Semaglutide to Prevent Weight Gain After Liver Transplant

Led by Virginia Commonwealth University · Updated on 2025-07-03

50

Participants Needed

1

Research Sites

101 weeks

Total Duration

On this page

Sponsors

V

Virginia Commonwealth University

Lead Sponsor

N

Novo Nordisk A/S

Collaborating Sponsor

AI-Summary

What this Trial Is About

In this study, semaglutide will be compared to placebo (a look-alike inactive substance, a "sugar pill") to determine if its use will prevent weight gain after liver transplantation (LT). In addition, researchers will be testing to determine if semaglutide prevents the development of Non-Alcoholic Fatty Liver Disease (NAFLD) after transplant through Magnetic Resonance Imaging (MRI) and laboratory results.

CONDITIONS

Official Title

Randomized Double Blinded Placebo-Controlled w/Semaglutide to Prevent Weight Gain After Liver Transplant

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female aged 18 to 75 years who received liver transplant for any reason
  • Liver transplant surgery occurred within 8 to 24 weeks before randomization
  • Fasting glucose over 125 mg/dL or diagnosed diabetes (HbA1c 6.5% or use of diabetes medications) or pre-diabetes (HbA1c over 5.7%)
  • Able to give informed consent
  • Discharged from hospital after liver transplant surgery
  • Able to tolerate diet
  • Normal liver graft function as determined by treating hepatologist or surgeon
  • Stable immunosuppression according to VCU post-transplant protocols (e.g., calcineurin inhibitors plus mycophenolate)
  • Female participants must be non-pregnant (negative urine pregnancy test), non-lactating, surgically sterile or post-menopausal, or agree to use birth control during the study
Not Eligible

You will not qualify if you...

  • Body Mass Index (BMI) 27 kg/m2 or less
  • Glomerular Filtration Rate (GFR) 25 ml/min/1.73m2 or less
  • Type 1 autoimmune diabetes (diagnosed by anti-GAD or history of ketoacidosis)
  • History of gastroparesis
  • Personal or family history of medullary thyroid cancer or Multiple Endocrine Neoplasia type 2
  • History of pancreatitis
  • Active malignancy after liver transplant except non-melanoma skin cancers
  • Uncontrolled or unstable diabetic retinopathy or maculopathy
  • Acute cellular rejection
  • Hepatic artery thrombosis
  • History of medical non-compliance
  • Currently treated with GLP-1 receptor agonists or SGLT-2 inhibitors at screening
  • Known allergy or hypersensitivity to semaglutide or its ingredients
  • Women who are nursing, pregnant, planning pregnancy, or not using adequate contraception

AI-Screening

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Trial Site Locations

Total: 1 location

1

Virginia Commonwealth University

Richmond, Virginia, United States, 23298

Actively Recruiting

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Research Team

S

Sherry Boyett, RN

CONTACT

M

Mohammad S Siddiqui, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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