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semaglutide glp 1 agonist rct n=8 2024-01-29 ClinicalTrials

Semaglutide Explored for Weight Loss in Advanced Lung Disease Patients

Feasibility of Semaglutide in Advanced Lung Disease

Background

Many patients with advanced lung diseases such as Interstitial Lung Disease, Chronic Obstructive Pulmonary Disease (COPD), and Pulmonary Hypertension also suffer from obesity, which can worsen their respiratory symptoms and overall prognosis. Effective and safe weight loss strategies are crucial but often challenging in this vulnerable population. This pilot study addresses the critical knowledge gap regarding the feasibility and tolerability of Semaglutide, an FDA-approved weight loss medication, in patients with advanced lung disease.

Study Design

Population
Eight patients with advanced lung diseases including Interstitial Lung Disease, Chronic Obstructive Pulmonary Disease (COPD), and Pulmonary Hypertension who also suffer from obesity.
Intervention
Semaglutide administered at a 1.0 mg weekly dose for 12 weeks, with titration to achieve a target weight.
Outcome
The primary objective is to determine the feasibility and tolerability of Semaglutide therapy in patients with advanced lung disease and if the treatment can be successfully titrated to a target weight.

Results

This Phase 1/2 pilot study, currently recruiting, aims to gather specific data on the feasibility and tolerability of Semaglutide in patients with advanced lung disease. Researchers will assess if patients can tolerate the therapy and if the 1.0 mg weekly dose can be titrated to achieve a target weight. After 12 weeks of Semaglutide therapy, participants will undergo comprehensive evaluations including pulmonary function testing, physical function assessments, and body composition analysis. The primary objective is to determine if patients with advanced lung disease are able to tolerate Semaglutide therapy and if the treatment can be successfully titrated to a target weight, which are critical metrics for future larger trials. Adverse events and side effects will be meticulously surveyed and recorded throughout the 12-week treatment period to quantify safety profiles. The study will enroll an estimated 8 participants to provide initial data on these key feasibility metrics.

Why It Matters

The successful demonstration of feasibility and tolerability could open new avenues for managing obesity in patients with advanced lung disease, potentially improving their quality of life and clinical outcomes. If Semaglutide proves safe and effective in this population, it could provide a much-needed therapeutic option where current weight loss interventions are limited. This research could directly lead to larger clinical trials and, eventually, clinical use of Semaglutide for this specific patient group. The next steps would involve expanding to Phase 3 trials with a larger cohort to confirm efficacy and long-term safety.


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Source: clinicaltrials:NCT05746039 · Ingested 2026-04-27 · Digest: gemini-2.5-flash