NCT05419726

Brief Summary

Glucagon like peptide (GLP-1) agonists, such as liraglutide, exenatide, and semaglutide, have been increasingly used as a medication to address the current twin epidemics of diabetes and obesity. Their activities include increasing insulin production by pancreatic beta cells, improving insulin sensitivity in muscles and weight loss. The mechanisms underpinning the weight loss caused by GLP-1 agonists have not yet been fully elucidated, but brown adipose tissue (BAT) appears to play an important role. We propose to assess BAT activity, using infrared thermography camera images, before individuals start weekly administration of semaglutide, at week 2-4, and week 18-20. We hypothesize that this GLP-1 agonist, semaglutide, will cause an increase in BAT activity and a corresponding increase in basal metabolic rate.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
20

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Feb 2023

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 10, 2022

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 15, 2022

Completed
8 months until next milestone

Study Start

First participant enrolled

February 1, 2023

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2026

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2026

Completed
Last Updated

May 11, 2025

Status Verified

May 1, 2025

Enrollment Period

2.9 years

First QC Date

June 10, 2022

Last Update Submit

May 6, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • change in supraclavicular temperature with cold exposure

    delta temperature

    20weeks

  • change in caloric intake

    caloric intake

    20weeks

  • basal metabolic rate

    basal metabolic rate (ml O2/min or joule per hour per kg body mass)

    20 weeks

Interventions

Study Procedure: Subjects that are to be started on semaglutide by their physician will be invited to participate in the study. If the subject is eligible and signs the consent form they will be enrolled in the study. There are three (3) study visits including Baseline/Visit 1 (prior to starting semaglutide), Visit 2 (at week 2-4) and Visit 3 (at week 18-20). The subjects undergo these tests at each visit: weight circumference measured, BMR testing, thermal imaging of BAT, and perform a 24 hour food recall.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult \>18 years of age, non-diabetic but obese The study is a non-randomized single center study. Subjects who are to be started by their physician or endocrinologist on semaglutide for weight loss, and are willing to participate.

You may qualify if:

  • Subjects scheduled to start semaglutide for weight loss (drug not provided by or paid for by the study)
  • \>18 years of age and willing to participate
  • Male or post-menopausal females

You may not qualify if:

  • History of prior neck surgery and /or neck irradiation
  • Use of beta blocker agents
  • Use of any other glucose lowering medication
  • History of neuropathic disorders (e.g. diabetic neuropathy)
  • Diabetic patients
  • Individuals without normal thyroid function
  • Individuals with cancer
  • Any significant chronic disease or renal, hepatic or endocrine disease
  • Current smokers
  • Inability of patient to provide consent either for medical reasons or psychiatric reasons

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UCLA Health

Los Angeles, California, 90095, United States

RECRUITING

Related Publications (20)

  • Gonzalez-Garcia I, Milbank E, Dieguez C, Lopez M, Contreras C. Glucagon, GLP-1 and Thermogenesis. Int J Mol Sci. 2019 Jul 13;20(14):3445. doi: 10.3390/ijms20143445.

    PMID: 31337027BACKGROUND
  • Stafeev I, Sorkina E, Koksharova E, Tumanyan T, Sklyanik I, Menshikov M, Mayorov A, Parfyonova Y, Shestakova M. The Effects of Glucagon-Like Peptide Type 1 (GLP-1) and its Analogues in Adipose Tissue: Is there a way to Thermogenesis? Curr Mol Med. 2021;21(7):527-538. doi: 10.2174/1566524020666201201095029.

    PMID: 33261539BACKGROUND
  • Cypess AM, Lehman S, Williams G, Tal I, Rodman D, Goldfine AB, Kuo FC, Palmer EL, Tseng YH, Doria A, Kolodny GM, Kahn CR. Identification and importance of brown adipose tissue in adult humans. N Engl J Med. 2009 Apr 9;360(15):1509-17. doi: 10.1056/NEJMoa0810780.

    PMID: 19357406BACKGROUND
  • Blondin DP, Labbe SM, Noll C, Kunach M, Phoenix S, Guerin B, Turcotte EE, Haman F, Richard D, Carpentier AC. Selective Impairment of Glucose but Not Fatty Acid or Oxidative Metabolism in Brown Adipose Tissue of Subjects With Type 2 Diabetes. Diabetes. 2015 Jul;64(7):2388-97. doi: 10.2337/db14-1651. Epub 2015 Feb 12.

    PMID: 25677914BACKGROUND
  • Lee P, Smith S, Linderman J, Courville AB, Brychta RJ, Dieckmann W, Werner CD, Chen KY, Celi FS. Temperature-acclimated brown adipose tissue modulates insulin sensitivity in humans. Diabetes. 2014 Nov;63(11):3686-98. doi: 10.2337/db14-0513. Epub 2014 Jun 22.

    PMID: 24954193BACKGROUND
  • Ong FJ, Ahmed BA, Oreskovich SM, Blondin DP, Haq T, Konyer NB, Noseworthy MD, Haman F, Carpentier AC, Morrison KM, Steinberg GR. Recent advances in the detection of brown adipose tissue in adult humans: a review. Clin Sci (Lond). 2018 May 25;132(10):1039-1054. doi: 10.1042/CS20170276. Print 2018 May 31.

    PMID: 29802209BACKGROUND
  • Beiroa D, Imbernon M, Gallego R, Senra A, Herranz D, Villarroya F, Serrano M, Ferno J, Salvador J, Escalada J, Dieguez C, Lopez M, Fruhbeck G, Nogueiras R. GLP-1 agonism stimulates brown adipose tissue thermogenesis and browning through hypothalamic AMPK. Diabetes. 2014 Oct;63(10):3346-58. doi: 10.2337/db14-0302. Epub 2014 Jun 10.

    PMID: 24917578BACKGROUND
  • Lee SJ, Sanchez-Watts G, Krieger JP, Pignalosa A, Norell PN, Cortella A, Pettersen KG, Vrdoljak D, Hayes MR, Kanoski SE, Langhans W, Watts AG. Loss of dorsomedial hypothalamic GLP-1 signaling reduces BAT thermogenesis and increases adiposity. Mol Metab. 2018 May;11:33-46. doi: 10.1016/j.molmet.2018.03.008. Epub 2018 Mar 21.

    PMID: 29650350BACKGROUND
  • Lockie SH, Heppner KM, Chaudhary N, Chabenne JR, Morgan DA, Veyrat-Durebex C, Ananthakrishnan G, Rohner-Jeanrenaud F, Drucker DJ, DiMarchi R, Rahmouni K, Oldfield BJ, Tschop MH, Perez-Tilve D. Direct control of brown adipose tissue thermogenesis by central nervous system glucagon-like peptide-1 receptor signaling. Diabetes. 2012 Nov;61(11):2753-62. doi: 10.2337/db11-1556. Epub 2012 Aug 28.

    PMID: 22933116BACKGROUND
  • Oliveira FCB, Bauer EJ, Ribeiro CM, Pereira SA, Beserra BTS, Wajner SM, Maia AL, Neves FAR, Coelho MS, Amato AA. Liraglutide Activates Type 2 Deiodinase and Enhances beta3-Adrenergic-Induced Thermogenesis in Mouse Adipose Tissue. Front Endocrinol (Lausanne). 2022 Jan 4;12:803363. doi: 10.3389/fendo.2021.803363. eCollection 2021.

    PMID: 35069450BACKGROUND
  • Krieger JP, Santos da Conceicao EP, Sanchez-Watts G, Arnold M, Pettersen KG, Mohammed M, Modica S, Lossel P, Morrison SF, Madden CJ, Watts AG, Langhans W, Lee SJ. Glucagon-like peptide-1 regulates brown adipose tissue thermogenesis via the gut-brain axis in rats. Am J Physiol Regul Integr Comp Physiol. 2018 Oct 1;315(4):R708-R720. doi: 10.1152/ajpregu.00068.2018. Epub 2018 May 30.

    PMID: 29847161BACKGROUND
  • Harder H, Nielsen L, Tu DT, Astrup A. The effect of liraglutide, a long-acting glucagon-like peptide 1 derivative, on glycemic control, body composition, and 24-h energy expenditure in patients with type 2 diabetes. Diabetes Care. 2004 Aug;27(8):1915-21. doi: 10.2337/diacare.27.8.1915.

    PMID: 15277417BACKGROUND
  • van Eyk HJ, Paiman EHM, Bizino MB, IJzermans SL, Kleiburg F, Boers TGW, Rappel EJ, Burakiewicz J, Kan HE, Smit JWA, Lamb HJ, Jazet IM, Rensen PCN. Liraglutide decreases energy expenditure and does not affect the fat fraction of supraclavicular brown adipose tissue in patients with type 2 diabetes. Nutr Metab Cardiovasc Dis. 2020 Apr 12;30(4):616-624. doi: 10.1016/j.numecd.2019.12.005. Epub 2019 Dec 13.

    PMID: 32127340BACKGROUND
  • Horowitz M, Flint A, Jones KL, Hindsberger C, Rasmussen MF, Kapitza C, Doran S, Jax T, Zdravkovic M, Chapman IM. Effect of the once-daily human GLP-1 analogue liraglutide on appetite, energy intake, energy expenditure and gastric emptying in type 2 diabetes. Diabetes Res Clin Pract. 2012 Aug;97(2):258-66. doi: 10.1016/j.diabres.2012.02.016. Epub 2012 Mar 24.

    PMID: 22446097BACKGROUND
  • Bradley DP, Kulstad R, Racine N, Shenker Y, Meredith M, Schoeller DA. Alterations in energy balance following exenatide administration. Appl Physiol Nutr Metab. 2012 Oct;37(5):893-9. doi: 10.1139/h2012-068. Epub 2012 Jun 26.

    PMID: 22735035BACKGROUND
  • Janssen LGM, Nahon KJ, Bracke KFM, van den Broek D, Smit R, Sardjoe Mishre ASD, Koorneef LL, Martinez-Tellez B, Burakiewicz J, Kan HE, van Velden FHP, Pereira Arias-Bouda LM, de Geus-Oei LF, Berbee JFP, Jazet IM, Boon MR, Rensen PCN. Twelve weeks of exenatide treatment increases [18F]fluorodeoxyglucose uptake by brown adipose tissue without affecting oxidative resting energy expenditure in nondiabetic males. Metabolism. 2020 May;106:154167. doi: 10.1016/j.metabol.2020.154167. Epub 2020 Jan 23.

    PMID: 31982480BACKGROUND
  • Fukuchi K, Ono Y, Nakahata Y, Okada Y, Hayashida K, Ishida Y. Visualization of interscapular brown adipose tissue using (99m)Tc-tetrofosmin in pediatric patients. J Nucl Med. 2003 Oct;44(10):1582-5.

    PMID: 14530470BACKGROUND
  • Symonds ME, Henderson K, Elvidge L, Bosman C, Sharkey D, Perkins AC, Budge H. Thermal imaging to assess age-related changes of skin temperature within the supraclavicular region co-locating with brown adipose tissue in healthy children. J Pediatr. 2012 Nov;161(5):892-8. doi: 10.1016/j.jpeds.2012.04.056. Epub 2012 Jun 5.

    PMID: 22677567BACKGROUND
  • Thackeray JT, Beanlands RS, Dasilva JN. Presence of specific 11C-meta-Hydroxyephedrine retention in heart, lung, pancreas, and brown adipose tissue. J Nucl Med. 2007 Oct;48(10):1733-40. doi: 10.2967/jnumed.107.043570. Epub 2007 Sep 14.

    PMID: 17873125BACKGROUND
  • Robinson L, Ojha S, Symonds ME, Budge H. Body mass index as a determinant of brown adipose tissue function in healthy children. J Pediatr. 2014 Feb;164(2):318-22.e1. doi: 10.1016/j.jpeds.2013.10.005. Epub 2013 Nov 14.

    PMID: 24238856BACKGROUND

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Preethi Srikanthan, MD

    Principal Investigator

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Preethi Srikanthan, MD

CONTACT

Julie Sorg, MSN

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 10, 2022

First Posted

June 15, 2022

Study Start

February 1, 2023

Primary Completion

January 1, 2026

Study Completion

February 1, 2026

Last Updated

May 11, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations