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Phase 3 Completed N=307 Randomized Quadruple-blind Treatment

Research Study Looking at How Well Semaglutide Tablets Taken Once Daily Work in People Who Have a Body Weight Above the Healthy Range

Source: ClinicalTrials.gov NCT05564117 ↗
Enrolled (actual)
307
Serious AEs
5.6%
Results posted
Feb 2026
Primary outcomePrimary: Percentage Change in Body Weight — -14.4; -2.5 Percentage change in body weight — p=<0.0001
◆ Published Evidence
Established
63citations · ~63 / year
Oral Semaglutide at a Dose of 25 mg in Adults with Overweight or Obesity.
The New England journal of medicine · 2025 · Likely link

Summary

This study will look how well semaglutide tablets taken once daily helps people with body weight above the healthy range. Participants will either get semaglutide 25 milligram (mg) once daily or placebo once daily. This study will last for 72 weeks, which includes 1-week screening period, 64 weeks of treatment period and 7 weeks of follow up period.

Linked Publications

  • Oral Semaglutide at a Dose of 25 mg in Adults with Overweight or Obesity.
    The New England journal of medicine · 2025 · 63 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage Change in Body Weight
-14.4; -2.5 <0.0001 sig
PRIMARY
Number of Participants Who Achieved Body Weight Reduction Greater Than or Equal to (≥) 5% (Yes/No)
152; 28; 40; 62 <0.0001 sig
SECONDARY
Number of Participants Who Achieved Body Weight Reduction ≥ 10% (Yes/No)
121; 13; 71; 77
SECONDARY
Number of Participants Who Achieved Body Weight Reduction ≥ 15% (Yes/No)
96; 5; 96; 85
SECONDARY
Number of Participants Who Achieved Body Weight Reduction ≥ 20% (Yes/No)
57; 3; 135; 87
SECONDARY
Change in Physical Function Domain (5-items) Score Impact of Weight on Quality of Life-Lite for Clinical Trials (IWQOL-Lite for CT)
16.8; 8.3
SECONDARY
Number of Participants Who Achieved ≥14.6 IWQOL-Lite-CT Physical Function Domain (PFD) Score (Yes/No)
104; 31; 84; 58
SECONDARY
Change in Body Weight - Kilogram (kg)
-15.0; -2.3
SECONDARY
Change in Body Mass Index (BMI)
-5.3; -0.9
SECONDARY
Change in Waist Circumference
-12.9; -3.1
SECONDARY
Change in Systolic Blood Pressure
-7; -5
SECONDARY
Change in Diastolic Blood Pressure
-3; -2
SECONDARY
Change in Glycosylated Haemoglobin (HbA1c)
-0.3; -0.0
SECONDARY
Change in Total Cholesterol - Ratio to Baseline
0.96; 0.98
SECONDARY
Change in High Density Lipoprotein (HDL) Cholesterol - Ratio to Baseline
1.04; 0.99
SECONDARY
Change in Low Density Lipoprotein (LDL) Cholesterol - Ratio to Baseline
0.96; 0.99
SECONDARY
Change in Very Low-Density Lipoproteins (VLDL) Cholesterol - Ratio to Baseline
0.80; 0.92
SECONDARY
Change in Triglycerides - Ratio to Baseline
0.80; 0.93
SECONDARY
Change in Free Fatty Acids - Ratio to Baseline
0.86; 0.95
SECONDARY
Change in High Sensitivity C-Reactive Protein (hsCRP) - Ratio to Baseline
0.50; 0.91
SECONDARY
Change in Fasting Plasma Glucose (FPG)
-7.3; 0.1
SECONDARY
Change in Fasting Serum Insulin - Ratio to Baseline
0.74; 1.03
SECONDARY
Number of Participants With Body Mass Index (BMI) Less Than (<) 30 at Week 64 (Yes/no)
77; 9; 102; 77
SECONDARY
Number of Participants With Change in Glycaemic Status
92; 35; 5; 11; 0; 0
SECONDARY
Number of Treatment Emergent Adverse Events (TEAEs)
1239; 432
SECONDARY
Number of Serious Treatment Emergent Adverse Events
17; 13
SECONDARY
Change in Pulse
2; 1

Eligibility Criteria

Inclusion Criteria

  • Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study
  • Male or female, age greater than or equal to 18 years at the time of signing informed consent
  • Body mass index (BMI) of
  • Greater than or equal to 27.0 kg/m^2 with the presence of at least one of the following weight-related complications (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular (CV) disease OR
  • Greater than or equal to 30.0 kg/m^2
  • History of at least one self-reported unsuccessful dietary effort to lose body weight

Exclusion Criteria

  • A self-reported change in body weight greater than 5 kg (11 pound [lbs]) within 90 days before screening irrespective of medical records
  • HbA1c greater than or equal to 6.5 percent (48 mmol/mol) as measured by the central laboratory at screening
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05564117) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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