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Glycemic and Weight Loss Effects of GLP-1R Agonist Therapy in Subjects With Spinal Cord Injury and Type 2 Diabetes

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other, Drug
Study Type: Interventional
Study Phase: Phase 4
SUMMARY

It is not known whether a new diabetes drug, semaglutide, is an effective treatment for type 2 diabetes for persons with spinal cord injury (SCI), a population at higher risk for this condition. Therefore, this study looks at the effect of semaglutide on glucose levels in the body and other information about type 2 diabetes and obesity.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• Male and female subjects aged 18-70 years (inclusive) at screening

• More than one year after spinal cord injury

• Levels if injury C2-L2 with Asia Impairment Scale A, B, C or D.

• Provision of signed and dated written informed consent prior to any study specific procedures

• Diagnosed with T2DM with glucose control managed with diet and metformin monotherapy where no significant dose changes (increase or decrease ≥ 50%) have occurred in the three months prior to screening

• HbA1c 6.0-9.0% at screening

• BMI \> 22 kg/m2 at screening

• Female subjects of childbearing potential must have a negative pregnancy test at screening and randomization, and must not be lactating

• Females of childbearing potential who are sexually active with a non-sterilized male partner must use at least one highly effective method of contraception from screening and must agree to continue using such precautions through to the end of the study. It is strongly recommended for the male partner of a female subject to also use male condom plus spermicide throughout this period. Cessation of contraception after this point should be discussed with a responsible physician. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception.

Locations
United States
Texas
University Health - Texas Diabetic Institute
RECRUITING
San Antonio
University of Texas Health Science Center at San Antonio
RECRUITING
San Antonio
Contact Information
Primary
Marzieh Salehi, MD
salehi@uthscsa.edu
210-567-6691
Backup
Andrea Hansis-Diarte, MPh
hansisdiarte@uthscsa.edu
210 567 3208
Time Frame
Start Date: 2025-04-11
Estimated Completion Date: 2029-03-01
Participants
Target number of participants: 50
Treatments
Experimental: SCI and T2DM Treatment Group
Participants with spinal cord injury (SCI) and type 2 diabetes (T2DM) will be assigned to semaglutide weekly for 24 weeks. Semaglutide administration: once-weekly self-administration of SGT, titrated to a dose of 2 mg/week as per FDA approved guidelines. All subjects will be instructed how to inject and titrate up the dose.
Placebo_comparator: SCI and T2DM Placebo Group
Participants with spinal cord injury (SCI) and type 2 diabetes (T2DM) will be assigned to the placebo group and inject normal saline weekly for 24 weeks. All subjects in the placebo group will be instructed how to inject and titrate up the dose to mimic the semaglutide administration to a maximum dose of 2 mg in 12 weeks and then continue for remainder of study.
Related Therapeutic Areas
Sponsors
Collaborators: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Leads: Marzieh Salehi

This content was sourced from clinicaltrials.gov