Trial Outcomes & Findings for Semaglutide for Alcohol Use Disorder (NCT NCT05520775)

NCT ID: NCT05520775

Last Updated: 2025-04-02

Results Overview

Estimated grams of ethanol consumed.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

48 participants

Primary outcome timeframe

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

Results posted on

2025-04-02

Participant Flow

Participant milestones

Participant milestones
Measure
Semaglutide
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) 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
24
24
Overall Study
COMPLETED
23
19
Overall Study
NOT COMPLETED
1
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Semaglutide for Alcohol Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Semaglutide
n=24 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=24 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Total
n=48 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=99 Participants
24 Participants
n=107 Participants
48 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
40.6 Years
STANDARD_DEVIATION 10.5 • n=99 Participants
39.0 Years
STANDARD_DEVIATION 10.9 • n=107 Participants
39.9 Years
STANDARD_DEVIATION 10.6 • n=206 Participants
Sex: Female, Male
Female
17 Participants
n=99 Participants
17 Participants
n=107 Participants
34 Participants
n=206 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
7 Participants
n=107 Participants
14 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=99 Participants
22 Participants
n=107 Participants
44 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=99 Participants
4 Participants
n=107 Participants
7 Participants
n=206 Participants
Race (NIH/OMB)
White
21 Participants
n=99 Participants
18 Participants
n=107 Participants
39 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
24 Participants
n=99 Participants
24 Participants
n=107 Participants
48 Participants
n=206 Participants

PRIMARY outcome

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

Population: Participants who completed pre- and post-treatment laboratory self-administration.

Estimated grams of ethanol consumed.

Outcome measures

Outcome measures
Measure
Semaglutide
n=13 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) 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
Change in Alcohol Consumed
-32.72 grams
Standard Deviation 27.98
-6.95 grams
Standard Deviation 24.49

PRIMARY outcome

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

Population: Participants who completed pre- and post-treatment laboratory self-administration.

Peak breath alcohol concentration following an alcohol self-administration procedure.

Outcome measures

Outcome measures
Measure
Semaglutide
n=13 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) 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
Change in Breath Alcohol Concentration
-0.034 g/dl
Standard Deviation 0.045
-0.016 g/dl
Standard Deviation 0.047

SECONDARY outcome

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

Population: Participants with pre- and post-treatment data from an alcohol challenge laboratory session.

Seven questions from the Biphasic Alcohol Effects Scale used to collect self-reported feelings of stimulation during an alcohol challenge procedure. Possible responses are 0-10, 0 being "not at all" and 10 being "extremely". Scale score ranges from 0 to 70. Higher scores indicate greater stimulation effects.

Outcome measures

Outcome measures
Measure
Semaglutide
n=22 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=18 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Subjective Stimulation (Biphasic Alcohol Effects Scale)
.45 Score on a scale
Standard Deviation 12.82
-1.28 Score on a scale
Standard Deviation 13.49

SECONDARY outcome

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

Population: Participants with pre- and post-treatment data from an alcohol challenge laboratory session.

Seven questions from the Biphasic Alcohol Effects Scale used to collect self-reported sedative effects during an alcohol challenge procedure. Possible responses are 0 "not at all" through 10 "extremely". Scale scores range from 0 to 70. Higher scores indicate greater sedative effects.

Outcome measures

Outcome measures
Measure
Semaglutide
n=22 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=18 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Subjective Sedation (Biphasic Alcohol Effects Scale)
0.14 Score on a scale
Standard Deviation 10.69
-3.22 Score on a scale
Standard Deviation 7.89

SECONDARY outcome

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

Population: Participants with pre- and post-treatment alcohol demand data.

The Alcohol Purchase Task is a 20-question self-report measure which asks participants about the number of drinks they would purchase and consume based at different monetary costs. Intensity scores reflect the number of drinks that would be purchased when cost is zero.

Outcome measures

Outcome measures
Measure
Semaglutide
n=23 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=20 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Alcohol Demand (Alcohol Purchase Task)
-2.91 number of drinks
Standard Deviation 3.73
-2.90 number of drinks
Standard Deviation 7.82

SECONDARY outcome

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

Population: Participants who reported cigarette use at baseline and provided pre- and post-treatment cigarette demand data.

Self-report cigarette demand as measured by the Cigarette Purchase Task. Intensity scores reflect the number of cigarettes that would be purchased when cost is zero.

Outcome measures

Outcome measures
Measure
Semaglutide
n=5 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=4 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Cigarette Demand (Cigarette Purchase Task)
-2.4 number of cigarettes
Standard Deviation 2.61
-1.20 number of cigarettes
Standard Deviation 2.17

SECONDARY outcome

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

Population: Participants who have pre- and post- treatment data.

Self-reported drinks per day averaged across study week.

Outcome measures

Outcome measures
Measure
Semaglutide
n=21 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=18 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Daily Alcohol Use
-1.43 daily drinks
Standard Deviation 1.51
-0.81 daily drinks
Standard Deviation 2.45

SECONDARY outcome

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

Population: Participants who reported cigarette use at baseline and have pre- and post-treatment data.

Self-reported cigarettes per day

Outcome measures

Outcome measures
Measure
Semaglutide
n=5 Participants
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=4 Participants
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Change in Daily Cigarette Use
-2.48 daily cigarettes
Standard Deviation 4.22
-1.30 daily cigarettes
Standard Deviation 2.10

OTHER_PRE_SPECIFIED outcome

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

Change in 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

OTHER_PRE_SPECIFIED outcome

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

Rate of alcohol elimination following an alcohol challenge procedure

Outcome measures

Outcome data not reported

Adverse Events

Semaglutide

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Sham/Placebo

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Semaglutide
n=24 participants at risk
Participants will receive semaglutide via subcutaneous injections at escalating doses (0.25 mg to 1.0 mg) over 9 weeks. Semaglutide: Semaglutide (subcutaneous)
Sham/Placebo
n=24 participants at risk
Participants will receive sham subcutaneous injections over 9 weeks. Sham/placebo: Sham subcutaneous injection
Nervous system disorders
Decreased Appetite
75.0%
18/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
41.7%
10/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Nausea
70.8%
17/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
4/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Constipation
50.0%
12/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Headache
50.0%
12/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
20.8%
5/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Diarrhea
41.7%
10/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
37.5%
9/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Fatigue
37.5%
9/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
25.0%
6/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Abdominal Pain
25.0%
6/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
4/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Dizziness
12.5%
3/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Insomnia
12.5%
3/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
20.8%
5/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Increased Appetite
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
16.7%
4/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Nervous system disorders
Nervousness/Anxiety
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
29.2%
7/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Gastrointestinal disorders
Vomiting
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
12.5%
3/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
Psychiatric disorders
Depression
4.2%
1/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
General disorders
Increased Libido
4.2%
1/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.
8.3%
2/24 • From the Baseline medical visit through follow-up, a total of up to 12 weeks.

Additional Information

Christian Hendershot

University of North Carolina at Chapel Hill

Phone: (213) 821-0769

Results disclosure agreements

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