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Efficacy of Semaglutide s.c. Once-weekly on Weight Loss and Management in Adolescents With Monogenic Obesity in Clinical Practice

Sponsor: Prof. Dr. Martin Wabitsch

NCT ID: NCT07302802

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Semaglutide (administered by PDS290 pen-injector) (drug)
How long the study runs
Study runs about 36 months (dates as stated)
About the drug or intervention
Semaglutide (administered by PDS290 pen-injector) — drug: Treatment with semaglutide as prescribed in routine clinical practice according to summary of product characteristics.
Patient visit burden
Not specified by the sponsor

In plain English

This study looks at how well a once-weekly injection of a medicine called semaglutide helps young people aged 12 to under 21 lose weight. It is for young people with 'monogenic obesity', which means obesity caused by a change in a single gene, confirmed by a certified laboratory test. The study follows treatment given in normal clinical practice.

Who can take part

  • Aged 12 to under 21 years at the time of agreeing to take part
  • Body mass index (BMI, a measure of weight for height) at or above the 95th percentile for their age and sex
  • Body weight over 60 kg
  • A diagnosis of monogenic obesity from a certified laboratory, using standard genetics criteria
  • Being treated with semaglutide as prescribed in routine care, following the medicine's approved product information
  • Agreement (consent) from the patient, parent, or legal representative, and the young person's own agreement where appropriate

Who may not be able to

  • Taking part in another interventional clinical trial at the time of joining
  • Females who could become pregnant and are not using adequate contraception (as required by local law or practice)
  • Allergy or bad reaction to semaglutide or any of its ingredients, including disodium phosphate, propylene glycol, phenol, hydrochloric acid, sodium hydroxide, or water for injection
  • Currently using other products for weight management
  • Type 1 diabetes
  • Severe kidney problems
  • Severe liver problems
  • Severe heart failure (New York Heart Association (NYHA) class IV, meaning symptoms even at rest)

What taking part involves

  • • A once-weekly injection of semaglutide under the skin, as prescribed in routine clinical practice

Time commitment: Not stated — ask the trial team about how many visits are needed, how long the study lasts, and what taking part involves.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Observing health over time
Ages
12 Years to 21 Years
Who
All
Number of participants
70
Started
2025-12-01
Last checked
2026-01

Plain English Summary

What is this study?

  • • Testing a new treatment for monogenic obesity
  • • Clinical study - 70 participants
  • • This observational study aims to assess the effect of once-weekly s

Who can take part?

  • • Ages 12 Years to 21 Years
  • • Diagnosed with monogenic obesity

Where?

  • • Cambridge - Wellcome-MRC Institute of Metabolic Science and NIHR Cambridge Biomedical Research Centre

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

This observational study aims to assess the effect of once-weekly s.c. semaglutide 2.4 mg as an adjunct to a calorie-reduced diet and increased physical activity on weight loss, change in hunger, body composition, depression, and quality of life after 68 weeks of treatment in adolescents diagnosed with monogenic obesity in routine clinical care.

More detail

The primary objective of this prospective, non-interventional observational study is to evaluate the effect of once-weekly s.c. semaglutide 2.4 mg in routine clinical care as an adjunct to a calorie-reduced diet and increased physical activity on weight loss after 68 weeks of treatment in adolescents diagnosed with monogenic obesity. The secondary objectives of this prospective, non-interventional observation are to evaluate treatment compliance and to assess the influence of once-weekly s.c. semaglutide 2.4 mg in clinical practice on hunger score, body mass parameters, body composition, and depression score after 68 weeks of treatment in adolescents diagnosed with monogenic obesity. In addition, we will document the known parameters of safety and tolerability to determine safety and tolerability in clinical practice. The exploratory objective of this prospective, non-interventional observation is to assess user satisfaction by measuring change in subjective hunger score, quality of life, and perceptions and attitudes regarding treatment with semaglutide in adolescents diagnosed with monogenic obesity treated in routine clinical practice with once-weekly s.c. semaglutide 2.4 mg after 68 weeks of treatment.

Monogenic Obesity

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What we know so far

Condition· Matched your search
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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 12 Years - 21 Years
  • Who can join: All genders

What the study is looking for

  • ✓Treatment with semaglutide as prescribed in routine clinical practice according to summary of product characteristics.
  • ✓agreement to take part of the patient, their parents, or legally acceptable representative (LAR) of participant and...
  • ✓Age at time of signing agreement to take part: ≥12 to \<21 years.
  • ✓BMI ≥95th percentile as defined on sex- and age-specific BMI growth charts (CDC.gov)
  • ✓Body weight of \>60 kg.

Who cannot take part

  • ✗Participation in any interventional clinical trials at the time of enrolment.
  • ✗Females of childbearing potential who are not using adequate contraceptive methods (as required by local law or...
  • ✗Hypersensitivity to the active substance or to any of the excipients listed:
  • ✗Disodium phosphate, dihydrate
  • ✗Propylene glycol
See the full criteria
Inclusion Criteria: 1. Treatment with semaglutide as prescribed in routine clinical practice according to summary of product characteristics. 2. Informed consent of the patient, their parents, or legally acceptable representative (LAR) of participant and adolescent assent, as age-appropriate. 3. Age at time of signing informed consent: ≥12 to \<21 years. 4. BMI ≥95th percentile as defined on sex- and age-specific BMI growth charts (CDC.gov) 5. Body weight of \>60 kg. 6. Diagnosis of monogenic obesity by a Clinical Laboratory Improvement Amendments (CLIA)/ College of American Pathologists (CAP)/International Organisation for Standardization (ISO) 1518-certified laboratory using ACMG criteria as pathogenic (P), likely pathogenic (LP) and variant of uncertain significance (VUS). Exclusion Criteria: 1. Participation in any interventional clinical trials at the time of enrolment. 2. Females of childbearing potential who are not using adequate contraceptive methods (as required by local law or practice) 3. Hypersensitivity to the active substance or to any of the excipients listed: * Disodium phosphate, dihydrate * Propylene glycol * Phenol * Hydrochloric acid (for pH adjustment) * Sodium hydroxide (for pH adjustment) * Water for injection 4. The safety and efficacy of Wegovy have not been investigated in patients: * treated with other products for weight management, * with type 1 diabetes, * with severe renal impairment (see section 4.2), * with severe hepatic impairment (see section 4.2), * with congestive heart failure New York Heart Association (NYHA) class IV. Use in these patients is not recommended

Where Is This Study? (1 UK site)

Wellcome-MRC Institute of Metabolic Science and NIHR Cambridge Biomedical Research Centre

Cambridge CB2 0QQ, United Kingdom

NOT_YET_RECRUITING
Site contact (verified)
Sadaf Farooqi, Prof. Dr.isf20@medschl.cam.ac.uk

How to Get in Touch

Martin Wabitsch, Prof. Dr.

Sponsor contact

CONTACT

+4973150057401 martin.wabitsch@uniklinik-ulm.de

Stefanie Zorn, Dr.

Sponsor contact

CONTACT

+4973150057457 stefanie.zorn@uniklinik-ulm.de
Data sourced from ClinicalTrials.gov · Last verified: 2026-01