Trial Outcomes & Findings for Effects of Semaglutide on Nicotine Intake (NCT NCT05530577)

NCT ID: NCT05530577

Last Updated: 2025-08-22

Results Overview

Number of cigarettes smoked during a laboratory smoking procedure

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

Baseline (Week 0) to post-medication (Week 8)

Results posted on

2025-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
Semaglutide
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25mg to 1.0mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Overall Study
STARTED
12
12
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effects of Semaglutide on Nicotine Intake

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Semaglutide
n=12 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25mg to 1.0mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=12 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
43.7 years
STANDARD_DEVIATION 8.1 • n=5 Participants
44.2 years
STANDARD_DEVIATION 5.6 • n=7 Participants
43.9 years
STANDARD_DEVIATION 7.2 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Week 0) to post-medication (Week 8)

Population: Analysis population includes participants who completed a post-treatment laboratory smoking session (n=10 semaglutide group, n=11 placebo group). Two participants in the semaglutide group and one participant in the placebo group discontinued participation prior to the post-treatment smoking session.

Number of cigarettes smoked during a laboratory smoking procedure

Outcome measures

Outcome measures
Measure
Semaglutide
n=10 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25mg to 1.0mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=11 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Nicotine Self-Administration
-0.8 Number of cigarettes
Standard Deviation 0.63
-0.5 Number of cigarettes
Standard Deviation 0.69

PRIMARY outcome

Timeframe: Baseline (Week 0) to post-medication (Week 8)

Population: Analysis population includes participants who completed a post-treatment laboratory smoking session (n=10 semaglutide group, n=11 placebo group). Two participants in the semaglutide group and one participant in the placebo group discontinued participation prior to the post-treatment smoking session.

Duration (minutes) of resistance to smoking reinstatement during a laboratory lapse task

Outcome measures

Outcome measures
Measure
Semaglutide
n=10 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25mg to 1.0mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=11 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Nicotine Reinstatement Duration
10.3 Minutes
Standard Deviation 27.6
-2.2 Minutes
Standard Deviation 20.1

SECONDARY outcome

Timeframe: Baseline (Week 0) to study endpoint (Week 10)

Number of cigarettes consumed per day during medication exposure

Outcome measures

Outcome measures
Measure
Semaglutide
n=10 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25mg to 1.0mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=10 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Daily Cigarette Smoking
-3.35 Number of cigarettes per day
Standard Deviation 5.25
-2.27 Number of cigarettes per day
Standard Deviation 4.15

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline (Week 0) to post-medication (Week 8)

Self-reported craving during a cue exposure task

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline (Week 0) to post-medication (Week 8)

Self-reported responses to cigarette smoking during a laboratory smoking procedure The Cigarette Purchase Task is a 21-question self-reported measure to understand motivation for obtaining cigarettes which asks participants about the number of cigarettes they would purchase and smoke based on an increasing cigarette cost.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline (Week 0) to study endpoint (Week 10)

Body weight

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline (Week 0) to study endpoint (Week 10)

Hemoglobin A1C (HbA1c)

Outcome measures

Outcome data not reported

Adverse Events

Semaglutide

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Sham/Placebo

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Semaglutide
n=12 participants at risk
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25mg to 1.0mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=12 participants at risk
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Gastrointestinal disorders
Abdominal Pain
33.3%
4/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Constipation
25.0%
3/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Diarrhea
41.7%
5/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
0.00%
0/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Nausea
75.0%
9/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
41.7%
5/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Vomiting
25.0%
3/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Decreased Appetite
83.3%
10/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
25.0%
3/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Fatigue
33.3%
4/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
0.00%
0/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Headache
41.7%
5/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
0.00%
0/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Increased Appetite
0.00%
0/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Insomnia
8.3%
1/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Nervousness/Anxiety
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
2/12 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.

Additional Information

Christian Hendershot, PhD

University of Southern California

Phone: 323-442-1082

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place