About this trial
This trial will examine the effect of semaglutide 2.4mg on changes in body weight, body composition, and peripheral and central mechanisms that control appetite, satiety, and food intake in the context of smoking cessation.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Ability to provide informed consent before any study-related activity, willing to comply with al study procedures, and be available for the duration of the study.
Body mass index (BMI) ≥30 kg/m2 or ≥27 kg/m2 with the presence of at least one of the following weight-related comorbidities (treated or untreated): hypertension (unless meets medical exclusion criterion 7), cardiovascular disease (unless meets medical exclusion criterion 6), dyslipidemia, or obstructive sleep apnea
Have been smoking ≥5 cigarettes per day for at least 1 year (prior to screening) and provide positive cotinine test.
Desire to quit smoking (defined as "intend to quit within one month")
Disqualifiers
Personal or first-degree relative(s) history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).
Acute pancreatitis within the past 6 months prior to screening.
History or presence of chronic pancreatitis.
Type 1 or type 2 Diabetes Mellitus (previously diagnosed or indicated by HbA1C ≥48 mmol/mol (6.5%) as measured by central laboratory at screening).
Trial design
Parallel
Treatments tested in this trial
semaglutide 2.4mg
DrugSemaglutide 2.4mg will be self-administered once a week under the surface of the skin and will be started at 0.24mg or 0.25mg once a week for 4 weeks; in 4-week intervals, the dose will be increased until a dose of 2.4mg is reached
Placebo
DrugNon-active medication, self-administered
Nicotine Replacement Therapy (NRT, nicotine patch)
DrugParticipants who smoke \>10 cigarettes/day will use 21 mg patches for the first 6 weeks, 14 mg patches during weeks 7 and 8, and 7 mg patches during weeks 9 and 10. Participants who smoke 5-10 cigarettes per day will use 14 mg patches for the first 6 weeks and 7 mg patches for weeks 7-10.
Brief Smoking Cessation Counseling
BehavioralParticipants will receive weekly, manual-based individual smoking cessation counseling. Counseling will be provided by master's level clinicians.
Treatment groups
Trial outcomes
Primary outcomes
Change in Body Weight Percent
Secondary outcomes
Change in body weight as measured in kilograms (kg)
Change in body fat mass as measured in kilograms (kg)
Change in waist circumference as measured in centimeters(cm)
Sponsors and contacts
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