Glucagon-like Peptide 1 (GLP-1) Receptor Agonist Therapy and Exercise Training in People With Obesity
NCT07091500 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2025-09-23
Summary
The use of glucagon-like peptide receptor agonists (GLP-1 RAs) may have clinically important effects on skeletal muscle mass (SMM), and physical function. The effects of exercise training in conjunction with GLP-1 RA therapy on these outcomes has not been studied. Additionally, most people treated with GLP-1-based weight loss medications stop taking these medications within 1 year of initiating treatment. This is an important clinical concern because weight regain can occur after weight loss pharmacotherapy is stopped and the impact of stopping GLP-1 RA therapy on physical and metabolic function has not been studied.
In this study, the investigators will conduct a 2-year randomized clinical trial to evaluate body composition, muscle physical and metabolic function, and muscle strength in response to GLP-1 RA therapy, with or without exercise training, and subsequent treatment cessation on muscle-related outcomes.
Conditions
- Obesity
- Skeletal Muscle
Interventions
- BEHAVIORAL
-
Exercise training
Participants will perform supervised exercise training sessions 3 days per week and unsupervised at-home sessions 2-3 days per week.
- DRUG
-
semaglutide 2.4 mg subcutaneous per week or max tolerated dose and diet behavior counseling
Sponsors & Collaborators
-
Washington University School of Medicine
lead OTHER
Principal Investigators
-
Joseph W Beals, PhD · Washington University School of Medicine
-
Samuel Klein, MD · Washington University School of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-11
- Primary Completion
- 2028-08-01
- Completion
- 2029-08-01
Countries
- United States
Study Locations
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