Semaglutide before IVF to improve embryo quality for overweight and obese women
Official title: Effect of Semaglutide on Embryo Quality in Overweight and Obese Patients Undergoing In Vitro Fertilization. A Randomized Controlled Trial
Run by Fundacion Dexeus · NCT07242534 · Data updated 2026-11-12
This trial tests whether 12 weeks of semaglutide before ovarian stimulation helps overweight and obese women produce more good-quality blastocysts than no pre-treatment.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 38 Years |
| Sex | Women only |
| Enrollment | 62 (estimated) |
| Sponsor | Fundacion Dexeus Academic / other |
| Locations | 5 sites (Sabadell, Barcelona and 4 other locations) |
| Status | Recruiting |
| Started | January 19, 2026 |
| Main results expected | February 2027 |
| Study ends | May 2027 |
| Registry record updated | January 21, 2026 |
| Trial ID | NCT07242534 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Overweight or obese women (BMI 27–40 kg/m²) aged 38 or younger with adequate ovarian reserve (AMH ≥1 ng/mL or AFC ≥6) who are planning IVF with a freeze-all approach are the intended participants.
✕Probably not a fit
Women with severe male factor infertility, type 2 diabetes, recent GLP-1 use, uncontrolled thyroid disease, chronic inflammatory conditions, or those planning PGT-A are excluded and unlikely to benefit from this semaglutide pre-treatment approach in this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Overweight and obese women up to 38 years old with preserved ovarian reserve (AMH ≥1 ng/mL or AFC ≥6) and BMI 27–40 kg/m² are randomized 1:1 to 12 weeks of semaglutide pre-treatment or no pre-treatment before standard ovarian stimulation. Embryos are cultured to blastocyst stage and cryopreserved using a freeze-all strategy, with transfers in the semaglutide group after an 8-week washout. The primary outcome is the number of good-quality blastocysts on day 5, and secondary outcomes include fertilization rate, embryo morphokinetics, numbers of MII oocytes and COCs, total blastocyst formation rate, and metabolic changes. The study is powered to detect a difference of 1.5 good-quality blastocysts between groups with 80% power and a two-sided alpha of 0.05.
Why it matters
Potential benefit: If successful, pre-treatment with semaglutide could increase the number of good-quality blastocysts and potentially improve IVF success for overweight and obese patients.
How similar studies have gone: Semaglutide and other GLP-1 receptor agonists have strong evidence for weight loss and metabolic improvement, but direct proof that they improve embryo quality in IVF is limited and this application is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ≤ 38 years * AMH \>= 1 ng/mL or AFC \>= 6 * Body mass index (BMI) between 27 kg/m2 and 40 kg/m2 * Scheduled for IVF with freeze-all strategy Exclusion Criteria: * Severe male factor (sperm concentration \<5M/mL) * Type 2 diabetes mellitus * Prior use of GLP-1 Ras within the past year * Uncontrolled thyroid disorders * Contraindications to IVF or semaglutide treatment * Patients with chronic inflammatory diseases * Family history of hereditary or chromosomal diseases * Use of glucocorticoids or immunosuppressants * PGT-A * Use of medications affecting metabolism or inflammation
Where it's running
-
Departamento de Ginecología Obstetricia y Reproducción. Hospital Universitari Dexeus
Barcelona, Spain Recruiting -
Dexeus Mujer Sabadell
Sabadell, Barcelona, Spain Not yet recruiting -
Dexeus Mujer Sant Cugat
Sant Cugat del Vallès, Barcelona, Spain Not yet recruiting -
Dexeus Mujer Reus
Reus, Tarragona, Spain Not yet recruiting -
Dexeus Mujer Tarragona
Tarragona, Spain Not yet recruiting
Study contacts
- Principal investigator: Nikolaos P Polyzos, MD, PhD — Dexeus Fertility
- Study coordinator: Nikolaos P Polyzos, MD, PhD
- Email: nikpol@dexeus.com
- Phone: 0034932274700
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.