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Phase 4 N=500 Randomized Treatment

A Research Study Comparing Wegovy to Other Weight Management Drugs in People Living With Obesity in America

Obesity

Enrolled (actual)
500
Serious AEs
2.3%
Results posted
Jan 2026
Primary outcome: Primary: Number of Participants Who Achieved Greater Than or Equal to (≥) 10.0 Percent (%) Body Weight Reduction (Yes/no) — 132; 61; 75; 116 Participants — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Semaglutide (Drug); Orlistat (Drug); Phentermine/Topiramate (Drug); Naltrexone/Bupropion (Drug); Liraglutide (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Novo Nordisk A/S
Primary completion
Nov 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Who Achieved Greater Than or Equal to (≥) 10.0 Percent (%) Body Weight Reduction (Yes/no)
132; 61; 75; 116 <0.0001 sig
SECONDARY
Percentage Change in Body Weight
-13.6; -7.4
SECONDARY
Change in Impact of Weight on Quality of Life-Lite-Clinical Trials Version (IWQOL-Lite-CT) Physical Function Domain
25.6; 22.6
SECONDARY
Number of Participants Who Achieved Greater Than or Equal to (≥) 15.0% Body Weight Reduction (Yes/no)
93; 25; 114; 152
SECONDARY
Number of Participants Who Achieved Greater Than or Equal to (≥) 20.0% Body Weight Reduction (Yes/no)
49; 8; 158; 169
SECONDARY
Number of Participants Who Achieved Change in Impact of Weight on Quality of Life-Lite-Clinical Trials Version (IWQOL-Lite-CT) Physical Function Domain Score Greater Than or Equal to (≥) 14.6 (Yes/no)
138; 108; 51; 55
SECONDARY
Percentage of Days Covered (PDC) by Study Product
83.7; 70.8
SECONDARY
Number of Participants Covered by Study Product Greater Than or Equal to (≥) 80% of Days (Yes/no)
168; 113; 82; 137
SECONDARY
Change in Work Limitations Questionnaire 25-item Version (WLQ-25), Total Score (TS)
-0.034; -0.016

Summary

The purpose of this post approval pragmatic clinical study is to see how well semaglutide lowers body weight compared to other medication on the market used to treat obesity, across three US-based employers. These employers represent employees of diverse demography and job functions including hospitality, clerical, administrative, housekeeping, maintenance, and specialised employees across a range of socioeconomic and educational backgrounds. The study will also look at how weight loss affects physical functioning, quality of life and ability to work. It will also gather information on how satisfied participants are with the medication they take. Participants will either receive semaglutide or one of 4 approved anti-obesity medication (Xenical/Qsymia/Contrave/Saxenda).

Eligibility Criteria

Inclusion Criteria

  • Body mass index (BMI) greater than equal to 30.0 kilogram per meter square (kg/m^2).
  • Employed at randomisation by one of the selected employers and expecting to be so for the duration of the study.

Exclusion Criteria

  • Known or suspected hypersensitivity or contraindications to Wegovy or related products according to the label.
  • Known or suspected hypersensitivity or contraindications to all of the other Anti-Obesity Medications (AOMs) for chronic weight management (Xenical, Qsymia, Contrave, and Saxenda) or related products according to the labels.
  • Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly effective contraceptive method.
  • History of type 1 or type 2 diabetes mellitus.
  • Any disorder, unwillingness, or inability, not covered by any of the other exclusion criteria, which in the investigator's opinion might jeopardise participant's safety or compliance with protocol.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05579249). 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.

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