Using Semaglutide with Dieting to Treat Type 2 Diabetes

Semaglutide as an Adjunct to Dieting in the Treatment of Type 2 Diabetes - Effects on Glucose Metabolism, Prevention of Weight Regain and Peripheral Tissue Metabolic Activation

Phase 4 Interventional Helsinki University Central Hospital · NCT04854083

This study tests if adding a medication called semaglutide to a weight loss diet can help people with type 2 diabetes and obesity manage their blood sugar and weight better.

Quick facts

PhasePhase 4
Study typeInterventional
Enrollment50 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorHelsinki University Central Hospital Academic / other
Locations1 site (Helsinki)
Trial IDNCT04854083 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the effects of semaglutide, a medication, as an adjunct to a dieting program for individuals with type 2 diabetes and obesity. Participants will be randomly assigned to receive either semaglutide or a placebo while both groups follow a similar lifestyle intervention aimed at weight loss. The study aims to understand how this combination affects glucose metabolism and long-term weight management in patients. A control group of healthy individuals will also be included for comparison.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 65 with type 2 diabetes and a BMI of 27 or higher.

Not a fit: Patients who have contraindications to the trial drugs or significant comorbidities may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to improved weight management and better glucose control for patients with type 2 diabetes.

How similar studies have performed: Other studies have shown promise in using medications like semaglutide for weight management in diabetes, indicating potential success for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 years and \<65 years
* BMI: ≥27 kg/m2
* T2DM (HbA1c ≥ 6.0% if on anti-diabetic medication or HbA1c≥6.5% if non- medicated)
* Participant is willing and able to give informed consent for participation in the study

Exclusion Criteria:

* Contraindication to trial drugs
* Use of insulin or GLP-1RAs (during the past 3 months)
* Use of anti-obesity drugs (during the past 3 months)
* Weight change of \>5% during the past 3 months
* Bariatric surgery or planned bariatric surgery during the trial
* History of pancreatitis
* Impaired renal function (GFR\<30 ml/min/1.73m2)
* Impaired hepatic function (ALAT\>2 x upper limit normal)
* Clinically significant active cardiovascular disease
* Clinically significant abnormality in the ECG
* Cancer (except basal or squamous cell skin cancers)
* Major psychiatric disease (such as severe depression, bipolar disorder, schizophrenia)
* Substance abuse
* Learning disability
* Females of childbearing potential not using adequate contraceptive methods
* Pregnancy
* Lactation
* Any other condition that in the opinion of the investigator could interfere with the conduction of the study or interpretation of the study results

Where this trial is running

Helsinki

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 Type2 Diabetesweight lossdieting
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.