Clinical trial Recruiting at 55 sites Phase 3 Interventional Ages 18 and up

Oral semaglutide for weight loss in adults who are overweight or have obesity

Official title: Efficacy and Safety of Once Daily Oral Semaglutide in Adults With Overweight or Obesity

Run by Novo Nordisk A/S · NCT07770841 · Data updated 2026-11-12

This study tests whether lower doses of oral semaglutide can help adults with overweight or obesity lose weight, compared with a placebo.

More Obesity trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment450 (estimated)
SponsorNovo Nordisk A/S
Industry-sponsored
Locations62 sites (Birmingham, Alabama and 61 other locations)
StatusRecruiting
StartedAugust 12, 2026
Main results expectedFebruary 22, 2028
Study endsApril 11, 2028
Registry record updatedSeptember 9, 2026
Trial IDNCT07770841 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults age 18 and older with BMI ≥27 with a weight-related comorbidity or BMI ≥30, who have attempted dietary weight loss in the past.

Probably not a fit

Individuals without sufficient weight loss or who do not tolerate the medication may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 interventional trial compares oral semaglutide at lower doses to placebo in adults with excess body weight. Eligible participants have BMI ≥27 with at least one weight-related condition or BMI ≥30, and a history of trying to lose weight with diet. The study will identify the most effective lower dose to support weight loss while monitoring safety. It uses a randomized, placebo-controlled design to assess weight change over a defined period. Lead sponsor is Novo Nordisk, with sites in Alabama and California.

Why it matters

Potential benefit: If successful, participants may achieve greater weight loss and improvements in related health risks with a convenient oral medication option.

How similar studies have gone: Previous studies of GLP-1 receptor agonists have shown meaningful weight loss, supporting the potential for benefit with similar approaches.

Who can join: the full rules

Show full inclusion / exclusion 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.
* Female or male (sex at birth).
* Age 18 years or above at the time of signing the informed consent.
* Body mass index (BMI) of

  1. ≥ 27.0 kilogram per square meter (kg/m\^2) with the presence of at least one weight-related comorbidity including, but not limited to, hypertension, dyslipidaemia, obstructive sleep apnoea or CV disease.

     OR
  2. ≥ 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% within 90 days before screening irrespective of medical records.
* HbA1c ≥ 6.5% (48 millimoles per mole \[mmol/mol\]) as measured by the central laboratory at screening.
* Consistent use of glucagon like peptide-1 (GLP-1) receptor agonists, including medication with glucagon like peptide-1 receptor agonist (GLP-1 RA) activity like dual GLP-1/gastric inhibitory peptide RAs, or amylin analogues before screening. Consistent use is defined as treatment.

Where it's running

  • Uni of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting
  • Headlands Research California, LLC
    Escondido, California, United States
    Recruiting
  • National Research Institute - Huntington Park
    Huntington Park, California, United States
    Recruiting
  • Los Angeles Institute for Metabolic Research
    Los Angeles, California, United States
    Recruiting
  • ERG Holding Company, LLC / Evolution Research Group, LLC
    Delray Beach, Florida, United States
    Recruiting
  • ERG Holding Company, LLC / Evolution Research Group, LLC
    Fort Myers, Florida, United States
    Recruiting
Show 44 more locations
  • Jedidiah Clinical Research
    Tampa, Florida, United States
    Recruiting
  • East West Med Res Inst
    Honolulu, Hawaii, United States
    Recruiting
  • L-MARC Research Center
    Louisville, Kentucky, United States
    Recruiting
  • StudyMetrix Research LLC
    City of Saint Peters, Missouri, United States
    Recruiting
  • Jubilee Clinical Research, Inc.
    Las Vegas, Nevada, United States
    Recruiting
  • Corvallis Clinic PC Clinical Research Department
    Corvallis, Oregon, United States
    Recruiting
  • Spartanburg Medical Research
    Spartanburg, South Carolina, United States
    Recruiting
  • Cedar Health Research
    Dallas, Texas, United States
    Recruiting
  • Selma Medical Associates
    Winchester, Virginia, United States
    Recruiting
  • Anima Research Center
    Alken, Belgium
    Recruiting
  • Imelda
    Bonheiden, Belgium
    Recruiting
  • UZ Brussel - Universitair Ziekenhuis Brussel
    Brussels, Belgium
    Recruiting
  • Universitair Ziekenhuis Gent
    Ghent, Belgium
    Recruiting
  • Kormont
    Kluisbergen, Belgium
    Recruiting
  • AIPSMC - DiMed EOOD
    Haskovo, Bulgaria
    Recruiting
  • Medical Center Zdrave Lom EOOD
    Lom, Bulgaria
    Recruiting
  • MHAT Hadzhi Dimitar OOD
    Sliven, Bulgaria
    Recruiting
  • DCC Neoklinik EAD
    Sofia, Bulgaria
    Recruiting
  • DCC 1 Velingrad EOOD
    Velingrad, Bulgaria
    Recruiting
  • Aarhus Universitetshospital, Steno Diabetes Center Aarhus
    Aarhus N, Denmark
    Recruiting
  • Gentofte Hospital - Center for Klinisk Metabolisk Forskning
    Hellerup, Denmark
    Recruiting
  • Regionshospitalet Gødstrup, Hjertesygdomme
    Herning, Denmark
    Recruiting
  • Hôpital Privé Saint Martin_Service de chirurgie digestive
    Caen, France
    Recruiting
  • LES HOPITAUX DE CHARTRES_HOPITAL LOUIS PASTEUR_Service d'endocrinologie
    Le Coudray, France
    Recruiting
  • Hôpital Privé La Louvière_Service de chirurgie
    Lille, France
    Recruiting
  • CENTRE DE RECHERCHE CLINIQUE PORTES DU SUD_Service d'Endocrinologie-Diabétologie-Maladies Métaboliques
    Vénissieux, France
    Recruiting
  • City Hospital Kliniki Monoprosopi I.K.E.
    Kalamata, Greece
    Recruiting
  • Athens Medical Center S.A. (Iatriko Athinon) - Diabetes and Obesity Unit
    Marousi, Greece
    Recruiting
  • Athens Medical Center S.A. (Iatriko Peristeriou) - Diabetes, obesity and cardiometabolic diseases department
    Peristeri, Greece
    Recruiting
  • NextHealth S.A. - Department of Endocrinology, Metabolism & Diabetes
    Thessaloniki, Greece
    Recruiting
  • Thermi Clinic S.A. - Diabetes and Internal Medicine Department
    Thessaloniki, Greece
    Recruiting
  • Progress Clinical Research Amsterdam
    Amsterdam, Netherlands
    Recruiting
  • Praktijk Dokters van Nederhoven
    Zwijndrecht, Netherlands
    Recruiting
  • Progress Clinical Research Zwolle
    Zwolle, Netherlands
    Recruiting
  • Gierach-Med
    Bygdoszcz, Poland
    Recruiting
  • Centrum Zdrowia Metabolicznego Paweł Bogdański
    Poznan, Poland
    Recruiting
  • Velocity Nova Sp. z o.o.
    Staszów, Poland
    Recruiting
  • NBR Polska Tomasz Klodawski
    Warsaw, Poland
    Recruiting
  • FutureMeds Sp. z o.o.
    Warsaw, Poland
    Recruiting
  • CPE Bola Azul_Endocrinología y Nutrición
    Almería, Spain
    Recruiting
  • Hosp. Vithas Sevilla_Endocrino y Nutrición
    Castilleja de la Cuesta, Spain
    Recruiting
  • Hospital Naval Ferrol
    Ferrol, Spain
    Recruiting
  • Clínica Palacios Madrid
    Madrid, Spain
    Recruiting
  • Clínica Gaias Santiago
    Santiago de Compostela, Spain
    Recruiting

+12 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.