Clinical trial Recruiting at 13 sites Phase 3 Interventional Ages 18 and up Women only

Using semaglutide to prevent type 2 diabetes in women with past gestational diabetes

Official title: Semaglutide for the Treatment of Glucose Intolerance in Women With Prior Gestational Diabetes: a Double Blind RCT

Run by Universitaire Ziekenhuizen KU Leuven · NCT05569772 · Data updated 2026-11-12

This study is testing if the medication semaglutide can help women who had gestational diabetes lower their chances of developing type 2 diabetes after giving birth.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment252 (estimated)
SponsorUniversitaire Ziekenhuizen KU Leuven
Academic / other
Locations13 sites (Aalst and 12 other locations)
StatusRecruiting
StartedSeptember 14, 2023
Main results expectedMarch 2030
Study endsMay 2030
Registry record updatedSeptember 15, 2026
Trial IDNCT05569772 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are women aged 6-24 weeks postpartum who have a history of gestational diabetes and are experiencing glucose intolerance.

Probably not a fit

Patients with a history of any type of diabetes or certain medical conditions, such as pancreatitis or severe psychiatric disorders, may not benefit from this study.

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

What this trial studies

This clinical trial investigates the effectiveness of semaglutide, a GLP-1 agonist, in reducing the risk of developing type 2 diabetes in women who have experienced gestational diabetes and are showing glucose intolerance in the early postpartum period. Conducted as a double-blind, randomized controlled trial across 13 centers in Belgium, participants will be assigned to receive either semaglutide or a placebo, alongside lifestyle interventions, for a duration of three years. The primary outcome will be the incidence of type 2 diabetes, assessed through glucose tolerance tests and fasting glycemia measurements.

Why it matters

Potential benefit: If successful, this treatment could significantly lower the risk of type 2 diabetes in women with a history of gestational diabetes.

How similar studies have gone: Other studies have shown promising results with GLP-1 agonists in similar populations, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Eligible participants are women aged ≥18 years, with a history of GDM diagnosed according to the 2013 WHO criteria (at 24-32 weeks gestation or \<24 weeks for early GDM). Participants must have prediabetes diagnosed between 6 weeks and 12 months postpartum according to ADA criteria (FPG 5.6-6.9 mmol/L, 2-hour OGTT glucose 7.8-11.0 mmol/L and/or HbA1c 39-46 mmol/mol \[5.7-6.4%\]).

Additional inclusion criteria include cessation of breastfeeding, no intention to become pregnant within the next year, use of effective contraception and no use of medication affecting glucose metabolism. Written ICF is obtained prior to any study-related procedures.

Exclusion criteria include established diabetes, presence of autoantibodies suggestive of type 1 diabetes, normal glucose tolerance, history of pancreatitis, previous bariatric surgery or planned surgery within two years, unable to understand and speak Dutch, French or English and current pregnant or planning to become pregnant within one year after participating in the study.

Where it's running

  • Azorg
    Aalst, Belgium
    Recruiting
  • Uza
    Antwerp, Belgium
    Recruiting
  • Zas
    Antwerp, Belgium
    Recruiting
  • AZ St Jan Brugge
    Bruges, Belgium
    Recruiting
  • Erasme
    Brussels, Belgium
    Recruiting
  • UZ Brussel
    Brussels, Belgium
    Recruiting
Show 7 more locations
  • Jan Yperman
    Ieper, Belgium
    Recruiting
  • AZ Groeninge Kortrijk
    Kortrijk, Belgium
    Recruiting
  • UZ Leuven
    Leuven, Belgium
    Recruiting
  • CHU de Liège
    Liège, Belgium
    Recruiting
  • Centre Hospitalier Mouscron
    Mouscron, Belgium
    Recruiting
  • Vitaz
    Sint-Niklaas, Belgium
    Recruiting
  • AZ Turnhout
    Turnhout, Belgium
    Recruiting

Study contacts

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.