Using Semaglutide and Metformin to Treat Obesity in Women with PCOS

Comparison Between the Effects of Low-Dose Semaglutide With Metformin vs. Metformin Alone Over Metabolic Profile in Obese Polycystic Ovary Syndrome: A Phase II Randomized Controlled Trial

Phase2; Phase3 Interventional Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh · NCT06896981

This study is testing if a combination of low-dose semaglutide and metformin can help women with PCOS and obesity manage their weight and improve their symptoms better than metformin alone.

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Enrollment30 (estimated)
Ages10 Years to 45 Years
SexFemale
SponsorBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh Academic / other
Locations1 site (Dhaka, Dhaka Division)
Trial IDNCT06896981 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the effects of a combination of low-dose semaglutide and metformin compared to metformin alone in women with Polycystic Ovary Syndrome (PCOS) and obesity. The study aims to assess metabolic changes over a 12-week period, focusing on improving symptoms associated with PCOS, such as insulin resistance and weight management. Participants will be reproductive-aged women diagnosed with PCOS and obesity, and the trial will be conducted at the Department of Endocrinology at Bangabandhu Sheikh Mujib Medical University in Dhaka, Bangladesh.

Who should consider this trial

Good fit: Ideal candidates for this study are reproductive-aged women diagnosed with PCOS and obesity.

Not a fit: Patients with diabetes, significant systemic diseases, or those taking other weight loss medications may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a new effective treatment option for managing obesity and metabolic symptoms in women with PCOS.

How similar studies have performed: While there is limited data on the combination of semaglutide and metformin specifically for PCOS, similar approaches have shown promise in managing obesity and metabolic disorders.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Reproductive-aged women with PCOS diagnosed according to International evidence based guidelines 2023 and obesity

Exclusion Criteria:

1. Having DM, other significant systemic diseases- chronic kidney disease (eGFR \<60mL/minute/ 1.73 m2 BSA), chronic liver disease (ALT \>3 × ULN), and heart failure
2. Patients having PCOS mimicking endocrine disorders (untreated thyroid dysfunctions, hyperprolactinemia, congenital adrenal hyperplasia, Cushing's syndrome, acromegaly, hypothalamic disorder etc.)
3. Those taking any other weight loss medications (eg., orlistat, liraglutide) within the last 3 months
4. Those who have undergone bariatric surgery
5. Any conditions causing weight loss (thyrotoxicosis, Addison's disease, chronic infection, connective tissue disorder, cancer, etc)
6. Secondary causes of obesity (major mood disorders, steroids, valproate, oral contraceptives, etc)
7. Contraindications for semaglutide: personal or family history of medullary carcinoma of the thyroid, history of acute pancreatitis, gallbladder disease
8. Planning for pregnancy or current pregnancy/ lactation

Where this trial is running

Dhaka, Dhaka Division

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Polycystic Ovary Syndrome WomenObesityPolycystic ovary syndromeSemaglutideMetformin
Last reviewed 2026-06-13 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.