Phase 2 · Semaglutide

NCT04216589 trial results

A Single-Arm, Open-Label, Pilot Study of Semaglutide for Non-Alcoholic Fatty Liver Disease (NAFLD), a Metabolic Syndrome With Insulin Resistance, Increased Hepatic Lipids, and Increased Cardiovascular Disease Risk (The SLIM LIVER Study)

Participants
51
Status
completed
Completed
2023-09-15
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

As posted on ClinicalTrials.gov (NCT04216589), updated at source Oct 1, 2024. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What NCT04216589 measured first

Change (Absolute) in IHTG (%)IHTG % · Measured at pre-entry and Week 24 · mean
Semaglutiden=48
-4.24(-5.41 to -3.06)
Side effects by arm

Side effects in NCT04216589

Percent of participants affected, From study entry to study completion at Week 48 or premature study discontinuation.. The most common events the registry lists.

EventSemaglutide
Any serious event3.9%
Creatinine renal clearance decreased11.8%
Nausea5.9%
Vomiting3.9%
Blood creatinine increased3.9%
Blood glucose increased3.9%
Blood triglycerides increased3.9%
Abdominal pain2%
Abdominal pain upper2%
Diarrhoea2%
Dyspepsia2%
Flatulence2%
Chills2%
Fatigue2%
Blood cholesterol increased2%
Blood phosphorus decreased2%
Blood uric acid increased2%
Creatinine renal clearance increased2%
Haemoglobin decreased2%
Lipids increased2%
Platelet count decreased2%
Hypertriglyceridaemia2%
Serotonin syndrome2%
Acute kidney injury2%
Secondary outcomes

What else it measured

Change (Percent) in IHTG (%)Relative change % · Measured at pre-entry and Week 24 · mean
Semaglutiden=48
-31.33(-39.04 to -23.62)
Level of IHTG (%)participants · Measured at Week 24 · number
MeasureSemaglutiden=48
<5% IHTG14
>=5% IHTG34
Occurrence of Premature Discontinuation of Study Treatmentparticipants · Measured through Week 24 · number
MeasureSemaglutiden=51
Premature discontinuation3
Completed study treatment48
Occurrence of Grade ≥3 Adverse Event That is Related to Study TreatmentParticipants · Measured through Week 24 · count of participants
MeasureSemaglutiden=51
Yes2
No49
Change (Absolute) in Body Mass Index (BMI)kg/m^2 · Measured at Week 0 and Week 24 · mean
Semaglutiden=49
-2.77(-3.36 to -2.17)
Change (Absolute) in Body Mass Index (BMI)kg/m^2 · Measured from Week 0 to Week 12 · mean
Semaglutiden=49
-2.15(-2.55 to -1.75)
Change (Absolute) in Body Weightkg · Measured at Week 0 and Week 24 · mean
Semaglutiden=48
-7.80(-9.48 to -6.13)
Change (Absolute) in Body Weightkg · Measured at Week 0 and Week 12 · mean
Semaglutiden=49
-6.16(-7.30 to -5.03)
Change (Absolute) in Minimum Waist Circumference (WC)cm · Measured at Week 0 and Week 24 · mean
Semaglutiden=48
-6.66(-8.54 to -4.78)
Change (Absolute) in Minimum Waist Circumference (WC)cm · Measured at Week 0 and Week 12 · mean
Semaglutiden=48
-5.53(-7.07 to -3.99)
Change (Absolute) in Insulin Resistance (HOMA-IR)uU/ml*mmol/l/22.5 · Measured at Week 0 and Week 24 · mean
Semaglutiden=47
-1.46(-3.17 to 0.25)
Change (Absolute) in Hemoglobin A1C (HbA1c)HbA1c % · Measured at Week 0 and Week 24 · mean
Semaglutiden=48
-0.25(-0.32 to -0.17)
The trial

How NCT04216589 was run

The purpose of this study was to evaluate the effects of semaglutide on intra-hepatic triglyceride (IHTG) content in people living with HIV (PLWH), central adiposity, insulin resistance or pre-diabetes, and hepatic steatosis.

  • Semaglutide: All participants received a dose of 0.25 mg of semaglutide weekly starting at study entry, followed by 0.5 mg weekly starting at Week 2, and then 1.0 mg weekly from Weeks 4 through 24.
Who could join the trial

Inclusion Criteria: * HIV-1 infection, documented by any licensed rapid HIV test or HIV enzyme or chemiluminescence immunoassay (E/CIA) test kit at any time prior to study entry and confirmed by a licensed Western blot or a second antibody test by a method other than the initial rapid HIV and/or E/CIA, or by HIV-1 antigen, plasma HIV-1 RNA viral load. * NOTE: The term "licensed" refers to a US Food and Drug Administration (FDA)-approved kit, which is required for all investigational new drug (IND) studies, or for sites located in countries other than the United States, a kit that has been certified or licensed by an oversight body within that country and validated internally. Non-US sites are encouraged to use US FDA-approved methods for IND studies. * WHO (World Health Organization) and CDC (Centers for Disease Control and Prevention) guidelines mandate that confirmation of the initial test result must use a test that is different from the one used for the initial assessment. A reactive initial rapid test should be confirmed by either another type of rapid assay or an E/CIA that is based on a different antigen preparation and/or different test principle (e.g., indirect versus competitive), or a Western blot or a plasma HIV-1 RNA viral load. * Two separate reports of HIV-1 RNA measurements \<50 copies/mL, and no HIV-1 RNA measurement \>500 copies/mL, during the 48 weeks prior to entry. One of the HIV-1 RNA values must be the screening visit value, and the other value obtained between 24 and 48 weeks prior to entry. * NOTE: All values must have been reported from a US laboratory that has a Clinical Laboratory Improvement Amendments (CLIA) certification or its equivalent, or at any network-approved non-US laboratory that is Virology Quality Assurance (VQA) certified. * No change in antiretroviral therapy (ART) in the 24 weeks prior to entry. * NOTE A: Modifications of ART formulation (e.g., from standard formulation to fixed dose combination or single tablet regimen) will be permitted. * NOTE B: Within-class substitutions are not permitted. * No plan to change ART for the study duration. * Within 30 days prior to pre-entry, a minimum WC measurement of ≥95 cm for individuals assigned male sex at birth or ≥94 cm for individuals assigned female sex at birth. * NOTE: For transgender study participants, sites should use the parameter that matches sex assigned at birth. * At least one of the following drawn within 30 days prior to pre-entry by any US laboratory that has a CLIA certification or its equivalent, or at any network-approved non-US laboratory that operates in accordance with Good Clinical Laboratory Practices (GCLP) and participates in appropriate external quality assurance programs: * Fasting plasma glucose 100-125 mg/dL (refer to the study protocol for a definition of fasting). * HbA1c between ≥5.7 and \<6.5% * Homeostatic model assessment of insulin resistance (HOMA-IR) \>3.0 (Refer to calculator:...

Published papers

Papers from NCT04216589

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.