Efficacy and safety of oral semaglutide for weight loss in adults with overweight or obesity

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What is this study about?

The study focuses on adults who have overweight or obesity, a condition where excess body weight can increase the risk of health problems such as high blood pressure and diabetes. The medication being tested is an oral form of semaglutide, sold under the brand name Rybelsus. Participants will receive either the active medication at different dose strengths or a dummy pill (placebo) once a day, in addition to following a reduced‑calorie diet and increasing physical activity.

The purpose of the study is to determine whether oral semaglutide leads to greater weight loss compared with the placebo when combined with diet and exercise. Participants will take the assigned tablet every day for several months, attend regular clinic visits where their weight, waist size, blood pressure, and blood tests are checked, and report any side effects. The study will track changes in body weight and related health measures over the course of the trial.

1 initial visit and baseline assessments

after you join the study you will attend an initial visit where the study team will record your height, weight, waist size, and blood pressure.

blood samples will be taken to measure cholesterol, blood sugar, and other health markers.

2 receive study medication

you will be given either a placebo tablet or an oral tablet containing semaglutide.

the semaglutide tablets are available in strengths of 1.5 mg, 4 mg, or 9 mg; the specific strength is decided by the study randomization.

you will be instructed to take one tablet each day by mouth, at the same time each day.

3 daily medication intake

each day you will swallow the tablet with a small amount of water, preferably on an empty stomach, and wait at least 30 minutes before eating or drinking anything other than water.

the tablet is taken once daily for the entire duration of the trial as directed by the study team.

4 follow a reduced‑calorie diet and increase physical activity

you will be asked to follow a diet that provides fewer calories than your usual intake, as explained by the study dietitian.

you will also be encouraged to be more physically active, such as walking for at least 150 minutes each week.

5 regular follow‑up visits

you will return to the study site at scheduled intervals (for example, every 4 to 8 weeks) for check‑ups.

during each visit your weight, waist circumference, and blood pressure will be measured again.

additional blood samples may be taken to monitor cholesterol, blood sugar, and other safety markers.

6 report any side effects

you will be asked to tell the study team about any new symptoms or health problems you experience.

common side effects may include nausea, stomach upset, or headache, but you should report any reaction, no matter how mild.

7 final assessment

at the end of the trial you will have a final visit where all measurements taken during the study are repeated.

the study team will collect information about your overall weight loss, changes in health markers, and any adverse events that occurred.

Who Can Join the Study?

You have signed a form that shows you agree to join the study, called informed consent, before any study procedures begin.
You are either female or male, based on the sex you were assigned at birth.
You are at least 18 years old when you sign the consent form.
Your body mass index (BMI) meets one of the following:
- BMI of 27 or higher and you have at least one weight‑related health problem such as high blood pressure (hypertension), high cholesterol or fats in the blood (dyslipidaemia), breathing problems during sleep (obstructive sleep apnoea), or heart disease (cardiovascular disease); or
- BMI of 30 or higher even if you do not have another health problem.
Body mass index (BMI) is a number that compares your weight to your height to help judge if you are underweight, normal weight, overweight, or obese.
You have tried at least one diet on your own that did not succeed in helping you lose weight.

Who Cannot Join the Study?

If you have reported that your body weight changed by more than 5 % in the 90 days before the screening visit, you cannot take part, even if there is no medical record of the change.
If a blood test called HbA1c shows a level of 6.5 % or higher (this test measures your average blood sugar over the past 2–3 months), you cannot take part.
If you have used any medication that is prescribed for obesity or weight management within the 90 days before screening, or if you have regularly taken medicines that belong to the class called GLP-1 receptor agonists (drugs that act like a hormone that reduces appetite) or amylin analogues (drugs that affect how full you feel), you cannot take part.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name	City	Country
Ambulatoriya za individualna praktika za spetsializirana meditsinska pomosht DiMed Ltd.	Haskovo	Bulgaria
Medical Center Zdrave Lom EOOD	Lom	Bulgaria
Multiprofile Hospital For Active Treatment Hadji Dimitar OOD	Sliven	Bulgaria
Kormont	Kluisbergen	Belgium
NBR Polska Tomasz Klodawski	Warsaw	Poland
Futuremeds Sp. z o.o.	Wroclaw	Poland

Other Sites

Site Name	City	Country
Brain Research Center Zwolle B.V.	Zwolle	The Netherlands
NextHealth S.A.	Thessaloniki	Greece
Hospital Universitario De Fuenlabrada	Fuenlabrada	Spain
Dohqjrsgas Cbdsjpzvsdlm Cjkxfi 1x Staul Egnd	Sofia	Bulgaria
Dpuutgyfmt Coqxmclwrl Cpusgo 1 Vucooslye Etlq	Velingrad	Bulgaria
Axycz	Alken	Belgium
Gmvdwzjh Hggkwnmc	Hellerup	Denmark
Rnxrwj Oksqkbn Ltzh	Orebro	Sweden
Ueowjzfpoywm Zjblxsjeht Gosd	Gent	Belgium
Vqgrc Uktwgsvqwhyc Blknwhw	Jette	Belgium
Ieromo	Bonheiden	Belgium
Thtovw Cgzfcw Sahi	Thessaloniki	Greece
Btysd Rnayzoix Crjjvm Anasvtvhj Bqll	Amsterdam	The Netherlands
Domufme vfh Noyvvtbiup	Zwijndrecht	The Netherlands
Ccro Hwfyjymi Kmvuvqo Mqxjcihyocz Ijqwzu	Kalamata	Greece
Iifyif &vovkgr Dix Exzyfiriv Dzqactpdf	Petrich	Bulgaria
Ctbcdbs Gesss Skpwnpas	Santiago De Compostela	Spain
Hutlvcy Pmdfw Lb Lskwacmt	Lille	France
Ciqp Acvzeh Pnabxn Sip z oebn	Warsaw	Poland
Cylarvvipz Riqcvoob sni z ozhg	Skierniewice	Poland
Cwdftkb Kbjbchwtkbssnzpqqo Gwognnewimw Mirlnf Ggzigon	Bydgoszcz	Poland
Cgldhm Pxootscwfk Dp Edmbmpxoxmqrwp Bfqv Aual	Almeria	Spain
Cdstgnv Pmvgnmui Mhuluz Slzb	Madrid	Spain
Stwwt Sum z oagr	Lodz	Poland
Axyg Slgxjerby Ds Ftqpzy	Ferrol	Spain
Cwdhgi Dz Rqcirzpuc Crwlsjex Ppbqwo Dq Ssv	Venissieux	France
Lnp Hltqxpqu Dy Cswkiakd	Le Coudray	France
Apaqsknsukzj Svu z oacx	Bydgoszcz	Poland
Cmxbqpn Zxvtlmj Mjkjolstdmacyf Pnubk Bftubymel	Poznan	Poland
Cev Catbhgxj Twvqd Cmtczhcyztj As	Uppsala	Sweden
Avycge Monelgq Cynwau Seam	Thessaloniki	Greece
Rwgemj Mzrcikkwsqn	Aarhus	Denmark

Trial status

Country	Status	Recruitment Start
Belgium	Recruiting	11.08.2026
Bulgaria	Recruiting	11.08.2026
Denmark	Recruiting	11.08.2026
France	Recruiting	11.08.2026
Greece	Recruiting	11.08.2026
Poland	Recruiting	11.08.2026
Spain	Recruiting	11.08.2026
Sweden	Recruiting	11.08.2026
The Netherlands	Recruiting	11.08.2026

Trial locations

Investigated Drugs:

Semaglutide

Rybelsus is an oral tablet that contains the medicine semaglutide. It is taken once a day by mouth and works by helping the body feel full sooner, which can lead to reduced food intake and weight loss. In this study, participants used Rybelsus together with other lifestyle changes to see how well it helps people who are overweight or have obesity lose weight.

The trial also included a lifestyle program that asked participants to follow a reduced‑calorie diet and increase their physical activity. This means they were guided to eat fewer calories than usual and to be more active each day, such as by walking, exercising, or other forms of movement. These changes were combined with the medication to evaluate their combined effect on weight loss.

Investigated Diseases:

Overweight and obesity – Overweight is defined as excess body weight relative to height, while obesity refers to a higher amount of body fat accumulation. Both conditions develop gradually when caloric intake consistently exceeds energy expenditure. Over time, excess calories are stored as fat, expanding subcutaneous and visceral fat depots. If the energy imbalance persists, weight typically progresses from overweight to obesity. The increase in fat mass can alter metabolic processes and affect the function of various organs. Lifestyle, genetic factors, and environmental influences all contribute to the ongoing accumulation of body weight.

Trial ID:

2025-524626-18-00

Protocol code:

NN9932-8687

Trial Phase:

Therapeutic confirmatory (Phase III)

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Efficacy and safety of oral semaglutide for weight loss in adults with overweight or obesity

What is this study about?

Who Can Join the Study?

Who Cannot Join the Study?