ClinicalTrials.gg
CompletedNCT03374956Updated Jul 18, 2023Results posted

Individualized Obesity Pharmacotherapy

A Phase 3 interventional study of Phentermine-Topiramate and Liraglutide in Obesity, sponsored by Mayo Clinic. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-07-18.

Sponsored by Mayo Clinic · Phase 3, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 3
Study type
Interventional
Enrollment
193
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 106 studies in Obesity by Mayo Clinic — 17 open to participants now, 24 under way, none of them phase 3. Obesity · Mayo Clinic.

Enrollment
7th of 97
193 · median 32
Started
2017
with 6 others
Phase 3
5 of 106
none open now
Registered
63rd of 106
by date

Among the 106 studies in Obesity by Mayo Clinic, this one is the 7th largest by enrollment of the 97 interventional ones that give a count, is one of 7 that started in 2017, is one of 5 in phase 3, and was the 63rd registered.

Obesity

11,536 studies on the registry are indexed under Obesity; 2,042 are open to participants now.

Browse Obesity studies →

Open to participants now

17 of the 106 studies in Obesity by Mayo Clinic are open now, in 1 country. Recruiting first, the newest first:

12 more — sign in →

By country, each count listing its studies:

All 17 open studies →

Where they have run

Who these studies take

Of the 1,339 Obesity studies recruiting now, 377 (28%) set no upper age limit and 859 (64%) stop at 75 or younger; 167 take children under 18; 490 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 106 studies in Obesity by Mayo Clinic, or all of them as a file.
02

Study summary

The researchers are trying to identify the specific characteristics (phenotypes) that may be useful to help select the right medication for weight loss.

Read the detailed description

All participants will be phenotype and participants will randomized to randomly assigned medications vs phenotype guided medications for obesity. All participants will receive a standard intense lifestyle intervention.All participants will be seen at 4 and 12 weeks. At the 12-week visit, participants will be unblinded to their "obesity-related phenotype" and they could contact their physician to continue a FDA-approved medication as part of clinical care. Study team will prospectively follow the patients' weight, waist circumference and use of obesity medications every 3 months for 1 year.

03

Conditions studied

  • Obesity

Browse trials for

Keywords

  • Pharmacological
  • Obesity Management
  • Individualized
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults with obesity ( >30 Kg/m2); these will be otherwise healthy individuals with no unstable psychiatric disease and controlled comorbidities or other diseases.
  • Gender: Men or women. Women of will have negative pregnancy tests within 48 hours of enrollment and before each radiation exposure.

Exclusion criteria

Exclusion criteria

  • Abdominal bariatric surgery
  • Positive history of chronic gastrointestinal diseases, or systemic disease that could affect gastrointestinal motility, or use of medications that may alter gastrointestinal motility, appetite or absorption, e.g., orlistat, within the last 6 months.
  • Significant untreated psychiatric dysfunction based upon screening with the Hospital Anxiety and Depression Inventory (HAD), and the Questionnaire on Eating and Weight Patterns (binge eating disorders and bulimia). If such a dysfunction is identified by an anxiety or depression score >11 or difficulties with substance or eating disorders, the participant will be excluded and given a referral letter to his/her primary care doctor for further appraisal and follow-up.
  • to any of the study medications.
  • No to all FDA-approved medications
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
193 participants (actual)

Study arms

  • Experimental
    Intervention group

    Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise

    Drug: Phentermine-Topiramate · Drug: Liraglutide · Drug: Naltrexone/bupropion

  • Active comparator
    Control Group

    Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine

    Drug: Phentermine-Topiramate · Drug: Liraglutide · Drug: Naltrexone/bupropion · Drug: Phentermine

Interventions

  • DrugPhentermine-Topiramate

    Drug pages: Phentermine · Topiramate

    Extended Release at dose of 7.5/46 mg oral daily

    Also known as: Qsymia

  • dose of 3 mg subcutaneous daily

    Also known as: Saxenda

  • DrugNaltrexone/bupropion

    Drug pages: Naltrexone · Bupropion

    Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)

    Also known as: Contrave

  • 15-37.5 mg oral daily

    Also known as: Adipex-P, Lomaira

06

What researchers measure

Primary outcomes

  1. Change in Total Body Weight

    Percent change in body weight

    Time frame: baseline to 12 weeks

Secondary outcomes

  1. Percentage of Responders

    Percentage of participants who loss 5% or more of total body weight

    Time frame: baseline to 12 weeks

  2. Percentage of Responders

    Percentage of participants with at least 10% total body weight loss

    Time frame: baseline to 12 weeks

07

Results

Posted Jul 18, 2023

Participant flow

Participant flow — Overall Study
MilestoneIntervention GroupControl Group
Started93100
Completed93100
Not completed00

Outcome measures

PrimaryChange in Total Body Weight

Percent change in body weight

Time frame:
baseline to 12 weeks
Reported as:
Median · percent change
Change in Total Body Weight
percent changeIntervention GroupControl Group
Change in Total Body Weight-7.7 (-11 to -4.7)-6.5 (-11 to -2.3)
SecondaryPercentage of Responders

Percentage of participants who loss 5% or more of total body weight

Time frame:
baseline to 12 weeks
Reported as:
Number · percentage of participants
Percentage of Responders
percentage of participantsIntervention GroupControl Group
Percentage of Responders8180
SecondaryPercentage of Responders

Percentage of participants with at least 10% total body weight loss

Time frame:
baseline to 12 weeks
Reported as:
Number · percentage of participants
Percentage of Responders
percentage of participantsIntervention GroupControl Group
Percentage of Responders4440

Adverse events

Collected over Baseline to 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention Group0/93 (0%)0/93 (0%)23/93 (24.7%)
Control Group0/100 (0%)0/100 (0%)25/100 (25%)
Most frequent other events
Most frequent other events
EventIntervention GroupControl Group
During studyGastrointestinal disorders23/9325/100

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Intervention GroupControl GroupTotal
<=18 years000
Between 18 and 65 years93100193
>=65 years000
Age, Continuous
Age, Continuous(years)Intervention GroupControl GroupTotal
Mean38.5 ± 1639 ± 1439 ± 15
Sex: Female, Male
Sex: Female, Male(Participants)Intervention GroupControl GroupTotal
Female6578143
Male282250
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Intervention GroupControl GroupTotal
American Indian or Alaska Native000
Asian213
Native Hawaiian or Other Pacific Islander000
Black or African American022
White8887175
More than one race000
Unknown or Not Reported31013
Region of Enrollment
Region of Enrollment(Participants)Intervention GroupControl GroupTotal
United States93100193
08

Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
09

References and documents

Publications

  • Acosta A, Camilleri M, Abu Dayyeh B, Calderon G, Gonzalez D, McRae A, Rossini W, Singh S, Burton D, Clark MM. Selection of Antiobesity Medications Based on Phenotypes Enhances Weight Loss: A Pragmatic Trial in an Obesity Clinic. Obesity (Silver Spring). 2021 Apr;29(4):662-671. doi: 10.1002/oby.23120. Erratum In: Obesity (Silver Spring). 2021 Sep;29(9):1565-1566. doi: 10.1002/oby.23236. Obesity (Silver Spring). 2022 Jul;30(7):1521. doi: 10.1002/oby.23498. PubMed 33759389 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in May 2022, 53 months.

Results were first posted in Jul 2023, 1 year 1 month after primary completion.

Of 63 non-industry phase 3 interventional studies under Obesity, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 56. This study's 53 months is above that.

Counting every sponsor, half of 262 studies reached it within 24 months; a quarter within 18 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 9, 2017
First posted
Dec 15, 2017
StartActual
Dec 11, 2017
Primary completionActual
May 26, 2022
CompletionActual
May 26, 2022
Results first posted
Jul 18, 2023
Last update
Jul 18, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03374956
Lead sponsor
Mayo Clinic
Responsible party
Andres J. Acosta, M.D., Ph.D. (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Dec 15, 2017
Start date
Dec 11, 2017
Primary completion
May 26, 2022
Completion
May 26, 2022
Results posted
Jul 18, 2023
Last update
Jul 18, 2023

Study contacts

Andres J Acosta
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion