Mitigation of Cardiovascular Disease Risks in Children With Extreme Obesity

NCT ID: NCT06967389

Last Updated: 2025-07-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-06-12

Study Completion Date

2027-07-31

Brief Summary

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The goal of this clinical trial is to learn if the drug semaglutide changes markers of disease risk as it relates to weight in children ages 12-15 years old who are obese (class 2 or 3). The main questions it aims to answer are:

* How do the rate of weight loss, body mass index (BMI), body composition, heart structure and function, and exercise ability interact with one another in the study population at enrollment?
* How do risk markers of disease change over the study in the study participants who are given semaglutides to help with weight loss?
* Are there differences in the above factors between males and females and are there key factors to help improve the outcomes?

Participants will be given semaglutide for this study. During the course of the study, participants will:

* have two cardiac MRI scans OR two cardiac echocardiograms (one before starting semaglutide and one around 12 months after taking the drug)
* have body composition and fitness levels assessed twice (before semaglutide and around 12 months after taking it) and have urine specific gravity (USG) measured
* have extra blood drawn when labs their doctor orders are already being drawn (once at the beginning of the study, once around 6 months after enrollment, and once at the end of the study)
* have follow up visits with the study doctor
* be asked to take a pregnancy test if they are female and have started menstruation

Detailed Description

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This is an observational study in which all participants will be given semaglutide. There will be no randomization and no placebo.

Participants will be in the study for 12 months (+/- 2 months) depending on when they reach the maintenance dose of semaglutide.

Blood and urine will be maintained by the principal investigator indefinitely. Identifiers will be removed from the samples.

Approximately 50 patients will be enrolled.

The study drug, Ozempic, is FDA approved.

Conditions

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Obesity and Overweight Obese Adolescents Weight Management Weight Loss Cardiovascular Disease Risk Factor

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Treatment Group

All participants in this study will be given the study drug.

Ozempic®

Intervention Type DRUG

The study medication will be given in accordance with standard of care dosing schedule.

Interventions

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Ozempic®

The study medication will be given in accordance with standard of care dosing schedule.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient seen at University of Kentucky Pediatric High BMI Clinic
* Diagnosis of Obesity Class 2 or 3
* Meeting the clinical criteria for the medical intervention with semaglutide for weight loss

Exclusion Criteria

* Any current prescribed anti-obesity medications (AOM) such as Orlistat, Phentermine, Qsymia (Phentermine/Topiramate), Liraglutide, Semaglutide, and Setmelanotide
* Any current prescribed anti-hypertensive medications
* Any specific end-organ acute concerns (kidney disease, liver disease, congenital disease).
* Any active infections at enrollment.
* Any systemic steroid use longer than 3 month use or within the last month before enrollment (not including inhaled, ophthalmic, intranasal, and topical).
* Any limitations that would make exercise testing not possible.
* Any congenital abnormality or genetic syndrome known to be associated with obesity
* Pregnancy
* Inability to receive an MRI
* Personal or family history of medullary thyroid carcinoma (per product insert)
* Patients with Multiple Endocrine Neoplasia syndrome type 2 (per product insert)
Minimum Eligible Age

12 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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John Bauer

OTHER

Sponsor Role lead

Responsible Party

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John Bauer

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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John Bauer, PhD

Role: STUDY_CHAIR

University of Kentucky

Margaret Murphy, RD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Aurelia Radulescu, MD

Role: STUDY_DIRECTOR

University of Kentucky

Locations

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University of Kentucky

Lexington, Kentucky, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Margaret Murphy, RD PhD

Role: CONTACT

859-323-2969

Heather Collins, BSN RN CCRP

Role: CONTACT

859-562-1103

Facility Contacts

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Amanda Wilburn, BA CCRP

Role: primary

8595620670

Nermin Ahmed, RD PhD

Role: backup

Other Identifiers

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98420

Identifier Type: -

Identifier Source: org_study_id

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