Glycemic and Weight Loss Effects of GLP-1R Agonist Therapy in Subjects With Spinal Cord Injury and Type 2 Diabetes

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-70
SponsorMarzieh Salehi

About this trial

It is not known whether a new diabetes drug, semaglutide, is an effective treatment for type 2 diabetes for persons with spinal cord injury (SCI), a population at higher risk for this condition. Therefore, this study looks at the effect of semaglutide on glucose levels in the body and other information about type 2 diabetes and obesity.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male and female subjects aged 18-70 years (inclusive) at screening

More than one year after spinal cord injury

Levels if injury C2-L2 with Asia Impairment Scale A, B, C or D.

Provision of signed and dated written informed consent prior to any study specific procedures

Disqualifiers

History of, or any existing condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product, put the subject at risk, influence the subject's ability to participate or affect the interpretation of the results of the study and/or any subject unable or unwilling to follow study procedures.

Any subject who has received another investigational product as part of a clinical study within the last 30 days or 5 half-lives of the drug (whichever is longer) at the time of screening

Taking mirabegron or other glucose altering medications

Taking steroids within the past 1 year

Trial design

Design model

Parallel

Treatments tested in this trial

  • Semaglutide Injectable Product

    Drug

    A GLP-1 inhibitor used to control T2DM

  • Placebo

    Other intervention

    Saline solution will be administered with the same frequency as semaglutide and participants will be instructed how to use the saline in the same manner as the active drug group.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: SCI and T2DM Treatment GroupExperimental treatment 1 intervention
Group B: SCI and T2DM Placebo GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Glucose tolerance

The change in the incremental AUC Glucose3h response to meal ingestion

Time frame
Baseline to 24 weeks
2

Insulin action

Liver, adipose tissue and muscle insulin sensitivity determined using a two-step euglycemic clamp.

Time frame
Baseline to 24 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Marzieh Salehi

Lead sponsor

The University of Texas Health Science Center at San Antonio

Sponsor institution

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator