Recruiting at 1 site Phase 1 Obesity

Clinical trial for Obesity

Official title Physiologic Response to Bariatric Surgery and the Impact of Adjunct Semaglutide in Adolescents

ClinicalTrials.gov ID: NCT06575738

What this study is testing

What is Injectable semaglutide or injectable tirzepatide?

This is an investigational once-weekly injectable medicine being studied to help with weight loss after bariatric surgery in people aged 12 to 24. It is designed to help the body regulate appetite and blood sugar levels.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This study is testing whether adding semaglutide can improve weight loss in people 12 to 24 years old after bariatric surgery. It also looks at how the body changes after surgery and what makes some people respond differently.
Who it's for
You may be able to join if you are 12 to 24 years old, had bariatric surgery 6 to 24 months ago, and have not lost as much weight as expected.
What's involved
You would take the medication at home and attend clinic visits for check‑ins and tests. The study will track your weight, health changes, and how well the drug works.
Time commitment
The study lasts about 12 months, with regular visits every few weeks to monitor progress.
  • Phase 1: an early, usually small safety study

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 12 to 24

You may be able to join if

  • Observation Phase
  • Signed and dated informed consent form
  • Willingness to comply with all study procedures and availability for the duration of the study
  • Male or female biological sex, age 12 through 24 years
  • In the preoperative pathway for vertical sleeve gastrectomy

You likely can't join if

  • Planned Roux-en-Y gastric bypass
  • Hypothalamic obesity
  • Type 2 Diabetes
  • Current use of oral glucocorticoids (i.e. within 10 days of baseline visit)
  • Signed and dated informed consent form
  • Status post vertical sleeve gastrectomy
See the full eligibility criteria
Who can join
  • Observation Phase
  • Signed and dated informed consent form
  • Willingness to comply with all study procedures and availability for the duration of the study
  • Male or female biological sex, age 12 through 24 years
  • In the preoperative pathway for vertical sleeve gastrectomy
What rules you out
  • Planned Roux-en-Y gastric bypass
  • Hypothalamic obesity
  • Type 2 Diabetes
  • Current use of oral glucocorticoids (i.e. within 10 days of baseline visit)
  • Signed and dated informed consent form
  • Status post vertical sleeve gastrectomy
  • Male or female biological sex, age 12 through 24 years
  • Meeting minimum nutrition goals
  • Obesity: age 12-17 years: BMI ≥95th%ile for age/sex \| age 18-24 years: BMI ≥ 30kg/m\^2
  • If entering the Intervention phase from the Observational phase: ≤22% BMI loss at 6-24 months postop
  • Surgically correctable cause of suboptimal postoperative weight loss
  • Known hypersensitivity to any component of semaglutide
  • Personal or family history of medullary thyroid carcinoma
  • Personal history of multiple endocrine neoplasia type 2
  • Hypothalamic Obesity
  • Type 2 Diabetes
  • History of pancreatitis
  • Uncontrolled hypertension
  • Clinically significant arrhythmia or heart disease that could be exacerbated by increased heart rate
  • Malignant neoplasm within the last 5 years
  • Untreated thyroid disorder
  • Tanner Stage 1
  • Baseline alanine transaminase (ALT) or aspartate aminotransferase (AST) ≥ 5x upper limit of normal
  • Baseline Creatinine \>1.2mg/dL
  • Active treatment for bulimia nervosa
  • Active major psychiatric disorder limiting informed consent
  • Suicidal ideation of type 4 or 5 on Columbia-Suicide Severity Rating Scale (C-SSRS)
  • Intentional self-harm within the previous 1 month
  • Severe unmanaged depression, defined by Center for Epidemiological Studies Depression (CESD) score of 26 or greater and by clinical evaluation
  • Recent change to concomitant medications for hypertension, dyslipidemia, depression or anxiety (\<4 weeks prior to enrollment)
  • Use of oral glucocorticoids (within 10 days of baseline visit)
  • Use of metformin (within 3 months of baseline visit)
  • Use of insulin secretagogues (within 4 half-lives of the medication of baseline visit)
  • Current use of insulin
  • Use of anti-obesity medications (within 4 half-lives of the medication of baseline visit)
  • Current pregnancy
  • For females of reproductive potential: Plan to become pregnant in the next 8 months
  • For females of reproductive potential: Not on contraception (i.e. two forms of birth control for example oral birth control pills and condoms) for at least 1 month prior to enrollment and agreement to use these during...

The study team makes the final eligibility decision.

Where it is enrolling

  • Aurora, Colorado, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 12 years to 24 years. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Aurora, Colorado, United States. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.