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semaglutide glp 1 agonist rct n=121 2023-08-12 ClinicalTrials

New Oral Semaglutide Formulation Completes Phase 1 Pharmacokinetic Study

A Research Study Comparing the Effect of Different Dosing Conditions on Blood Levels of Semaglutide in a New Tablet Composition in Healthy Participants

Background

Semaglutide, a GLP-1 receptor agonist (a class of drugs that mimic a natural hormone to regulate blood sugar and appetite), is a cornerstone treatment for type 2 diabetes and obesity. While an oral formulation (Rybelsus) already exists, pharmaceutical companies continuously develop new compositions to improve absorption, bioavailability, or patient convenience. This Phase 1 study by Novo Nordisk A/S aimed to investigate how different dosing conditions affect the blood levels (pharmacokinetics) of a novel oral semaglutide formulation in healthy individuals.

Results

While specific quantitative pharmacokinetic results are pending publication, this Phase 1 study successfully completed, enrolling 121 healthy participants. The investigation aimed to characterize key pharmacokinetic parameters such as Cmax (maximum concentration), Tmax (time to Cmax), and AUC (area under the curve) for oral semaglutide D under different dosing conditions. Participants received two distinct oral semaglutide D dosing regimens, each administered for 5 days, totaling 10 days of intervention. The successful completion of this study means that critical data on the absorption and blood levels of this new oral semaglutide formulation under varying conditions has been gathered from 121 individuals, providing foundational insights for its future development.

Why It Matters

This Phase 1 study is a crucial step in the development of a potentially improved oral semaglutide formulation. Understanding the pharmacokinetics of oral semaglutide D under various dosing conditions is essential for determining optimal dosing strategies and ensuring consistent drug exposure. Successful characterization of this new formulation could lead to a more effective or convenient oral treatment option for patients with type 2 diabetes and obesity. The data collected will directly inform the design of future Phase 2 and Phase 3 clinical trials, moving this novel formulation closer to potential clinical use.


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Source: clinicaltrials:NCT05996874 · Ingested 2026-04-23 · Digest: gemini-2.5-flash