ClinicalTrials.gg
CompletedNCT03480022SAXAPCOSUpdated Jun 7, 2021Results posted

Liraglutide 3mg (Saxenda) on Weight, Body Composition, Hormonal and Metabolic Parameters in Obese Women With PCOS

A Phase 3 interventional study of Liraglutide Pen Injector [Saxenda] and Placebo Liraglutide Pen Injector in Pre Diabetes, Polycystic Ovary Syndrome and Obesity Android, sponsored by Woman's. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2021-06-07.

Sponsored by Woman's · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 350 studies in Glucose Intolerance with a site in United States — 44 open to participants now, 66 under way, none of them phase 3. Glucose Intolerance · United States.

Enrollment
97th of 307
88 · median 50
Started
2018
with 20 others
Phase 3
13 of 350
none open now
Registered
193rd of 350
by date

Among the 350 studies in Glucose Intolerance with a site in United States, this one is the 97th largest by enrollment of the 307 interventional ones that give a count, is one of 21 that started in 2018, is one of 13 in phase 3, and was the 193rd registered.

Glucose Intolerance

793 studies on the registry are indexed under Glucose Intolerance; 115 are open to participants now.

Browse Glucose Intolerance studies →

Open to participants now

44 of the 350 studies in Glucose Intolerance with a site in United States are open now. Recruiting first, the newest first:

39 more — sign in →

All 44 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 70 Glucose Intolerance studies recruiting now, 14 (20%) set no upper age limit and 51 (73%) stop at 75 or younger; 10 take children under 18; 33 take healthy volunteers.

This study: 18 Years to 45 Years · female · no healthy volunteers.

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02

Study summary

There is a growing need to develop pharmacologic interventions to improve metabolic function in women with polycystic ovary syndrome (PCOS). Given that PCOS is a frequent condition and weight loss is essential but difficult to achieve, it is important to study if the effect on body weight reported in other studies can be confirmed in a selected population of hyperandrogenic patients, especially with medications currently approved for weight reduction. High dose liraglutide alone results in significant weight reduction in obese women without PCOS. There is limited data on weight loss with high dose liraglutide in non-diabetic females with PCOS treated with this agent . Studies on the effect of anti-obesity medication combined with lifestyle changes on body weight and composition and androgen excess in obese women diagnosed with PCOS are lacking. The investigators aim to elucidate the most efficacious weight reduction regime in obese PCOS women. The investigators further hope to determine which treatment(s) addressing the multifaceted disturbances of this disorder in patients with PCOS and obesity emerges as the preferable therapy.

Read the detailed description

The drug, liraglutide 3.0 mg was approved for chronic weight management in management in obese adults with an initial BMI of 30 kg/m2 or greater or in overweight adults BMI of 27 kg/m2 or greater with at least one weight-related co-morbid condition as an adjunct to a reduced-calorie diet and increased physical activity. Liraglutide is an acylated human glucagon-like peptide -1 (GLP-1) analog that binds to and activates the GLP-1 receptor. It lowers body weight through decreased caloric intake while stimulating insulin secretion and reducing glucagon via a glucose-dependent mechanism. For obesity management, patients may lose weight with GLP-1 receptor agonists due to other unique actions. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) can slow gastric emptying and increase satiety. While predictors of weight loss success for the general population are available (protein intake, weight loss medications), predictors of weight loss success may differ between normal and hyperandrogenic women. Glucagon-like peptide 1 agonists are linked with dose dependent weight lowering potential in different obesity related populations. The weight loss effects of GLP-1RAs previously demonstrated in diabetic and obese non-diabetic patients, offer a unique opportunity to expand the medical options available to patients with PCOS.

Given this lack of information, the aim of the present study was to investigate the effects of liraglutide 3mg vs. placebo on body composition as well as hormonal and metabolic features in non-diabetic obese women with PCOS.The non-diabetic obese female with PCOS offers a unique model to study the relationship between insulin resistance and adiposity. The investigators propose a double-blind, placebo-controlled 30-week trial designed to directly examine the therapeutic effects of liraglutide 3 mg (LIRA 3 mg) compared to placebo on body weight, hormonal and cardiometabolic parameters in obese non-diabetic women with PCOS. All patients will receive diet and lifestyle counseling, including advice on exercise commencing during the lead-in period and continuing throughout the study. In this study, the investigators will examine the efficacy of LIRA 3mg on body weight and body composition, reproductive function metabolic parameters and cardiovascular risk factors in a well-defined group of pre-menopausal obese non-diabetic women with hyperandrogenism, focusing on the relationship to obesity and insulin resistance.

03

Conditions studied

  • Pre Diabetes
  • Polycystic Ovary Syndrome
  • Obesity Android

Keywords

  • prediabetes
  • PCOS
  • GLP-1 agonist
  • weight loss
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
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

  • Female gender
  • 18-45 years of age
  • ≥30 kg/m2 or BMI ≥27 kg/m2 with one or more obesity-associated co-morbid conditions (e.g. hypertension, and dyslipidemia)
  • PCOS- NIH criteria hyperandrogenism and irregular menstrual cyclicity
  • Non-diabetic as determined by a 75 gram oral glucose tolerance test (OGTT) and . Non-diabetic is inclusive of women with impaired fasting glucose (IFG), impaired glucose tolerance (IGT), or both (IFG/IGT). Participants with diabetes will be excluded
  • Willing to use effective consistently during therapy which is defined as:

    • an intrauterine device, tubal sterilization, or male partner vasectomy, or
    • combination of two barrier methods with one being male condom.
  • Written consent for participation in the study

Exclusion criteria

Exclusion Criteria:

  • Presence of significant systemic disease, cerebrovascular disease, cardiac abnormalities or heart problems including congestive heart failure, unstable angina or acute myocardial infarction, current infectious liver disease, acute stroke or , history of pancreatitis, or diabetes mellitus (Type 1 or 2)
  • Any hepatic diseases in the past (infectious liver disease, viral hepatitis, toxic hepatic damage, jaundice of unknown etiology) or severe hepatic insufficiency and/or significant abnormal liver function tests defined as (AST) >3x (ULN) and/or alanine aminotransferase (ALT) >3x ULN
  • Renal impairment (e.g., serum creatinine levels ≥1.4 mg/dL for women, or \<60 mL/min/1.73 m2) or history of unstable or rapidly progressing renal disease or end stage renal disease.
  • Uncontrolled thyroid disease (documented normal TSH), Cushing's syndrome, congenital adrenal hyperplasia or clinically significant elevations in prolactin levels. The clinical significance of prolactin levels will be determined by the treating physician
  • Significantly elevated triglyceride levels (fasting triglyceride > 400 mg %)
  • Untreated or poorly controlled hypertension (sitting blood pressure > 160/95 mm Hg)
  • Use of hormonal medications, the use of medications that cause clinically significant weight gain or loss (prescription or OTC) and medications known to exacerbate glucose tolerance (such as isotretinoin, hormonal , GnRH analogues, , anabolic steroids, C-19 progestins) including herbal medicines for at least 8 weeks. Use of anti-androgens that act peripherally to reduce hirsutism such as 5-alpha reductase inhibitors (finasteride, spironolactone, flutamide) for at least 4 weeks
  • Prior history of a malignant disease requiring chemotherapy
  • Family or personal history of familial medullary thyroid carcinoma or multiple endocrine neoplasia type 2
  • Known or to use GLP1 receptor agonists
  • Use of metformin, thiazolidinediones, GLP-1 receptor agonists, dipeptidyl peptidase-4 (DPP-4) inhibitors, sodium/glucose co-transporter 2 (SGLT2) inhibitors or weight loss medications (prescription or OTC) stopped for at least 4 weeks
  • Prior use of medication to treat diabetes except gestational diabetes
  • Eating disorders (anorexia, bulimia) or gastrointestinal disorders
  • Suspected pregnancy (documented negative serum pregnancy test), desiring pregnancy in next 15 months, breastfeeding, or known pregnancy in last three months
  • Active or prior history of substance abuse (smoke or tobacco use within past 6 months) or significant intake of alcohol
  • Previous bariatric surgery or device intervention for obesity
  • Patient not willing to use barrier contraception during study period (unless sterilized or have an IUD)
  • History of major depressive or other severe psychiatric disorders
  • Inability or refusal to comply with protocol
  • Currently participating or having participated in an experimental drug study in previous three months
Terms in these criteria, in plain language(11)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
88 participants (actual)

Study arms

  • Experimental
    Liraglutide Pen Injector (Saxenda)

    Start injection liraglutide 0.6 mg subcutaneously (SC) 1week daily (QD), step up to 1.2 mg SC QD for 1week, to 1.8 mg SC QD for 1 week, 2.4 mg SC QD for 1week, to a final dose of 3.0 mg liraglutide SQ daily

    Drug: Liraglutide Pen Injector [Saxenda]

  • Placebo comparator
    Placebo liraglutide pen injector

    Start injection of placebo liraglutide 0.6 mg subcutaneously (SC) 1week daily (QD), step up to 1.2 mg SC QD for 1week, to 1.8 mg SC QD for 1 week, 2.4 mg SC QD for 1week, to a final dose of 3.0 mg placebo liraglutide SQ daily

    Drug: Placebo Liraglutide Pen Injector

Interventions

  • daily sc injection of liraglutide with final dose of 3mg daily

    Also known as: Liraglutide 3mg, Saxenda

  • DrugPlacebo Liraglutide Pen Injector

    daily sc injection of placebo liraglutide with final dose of 3mg daily of placebo

    Also known as: Placebo Saxenda, Placebo liraglutide 3 mg

06

What researchers measure

Primary outcomes

  1. Absolute Body Weight (BW)

    Treatment impact on change in body weight after 32 weeks of treatment.

    Time frame: 32 weeks of treatment

  2. Free Androgen Index (FAI)

    Drug treatment effect on free androgen levels as calculated as FAI= total testosterone (T) concentrations divided by sex hormone binding globulin (SHBG) levels. A higher score indicates a worse outcome (more androgenic).

    Time frame: 32 weeks of treatment

Secondary outcomes

  1. Body Mass Index (BMI)

    Treatment effect in reducing body mass

    Time frame: 32 weeks of treatment

  2. Change in Percent Body Weight

    Treatment effect on reducing body weight expressed as percent body weight loss from baseline

    Time frame: Change from baseline (time 0) to study end (32 weeks)

  3. 5% Weight Loss From Baseline

    Frequency of patients achieving 5% weight loss from baseline with treatment

    Time frame: 32 weeks of treatment

  4. 10% Body Weight Loss From Baseline

    Frequency of patients with at least 10% reduction in body weight from baseline

    Time frame: 32 weeks of treatment

  5. Abdominal Adiposity (Waist Circumference [WC]

    Treatment effect on loss of WC (abdominal adiposity) with drug treatment

    Time frame: 32 weeks of treatment

  6. Waist-to-Hip Ratio

    Change in central adiposity with treatment as measured by WHR. A reduction in ratio indicates a decrease in truncal fat.

    Time frame: 32 weeks of treatment

  7. Waist-to Height Ratio [WHtR])

    Treatment effect on loss of central adiposity as determined by WHt ratio. The lower the ratio indicates less abdominal adiposity.

    Time frame: 32 weeks of treatment

  8. Total Fat Mass Evaluated by DEXA

    Treatment effect on reduction of fat mass (kg)

    Time frame: 32 weeks of treatment

  9. Total Body Fat (%) by DXA

    Treatment effect on reduction of percent body fat by DXA

    Time frame: 32 weeks of treatment

  10. Android-Gynoid Ratio (AGR) by DXA

    Treatment impact on AGR, measure of central adiposity, as determined by DXA. A lower AGR indicates a reduction in central adiposity.

    Time frame: 32 weeks of treatment

  11. Trunk/Leg Fat Ratio (TLR) by DXA

    Treatment impact on TLR after 32 weeks. A reduction in TLR indicates a loss of central fat.

    Time frame: 32 weeks of treatment

  12. Menstrual Cycle Frequency

    Drug treatment impact on normalization of cycle frequency (cycle every 28-30 days). All cycle data is expressed as number of menses annualized to one year.

    Time frame: 32 weeks of treatment

  13. Total Testosterone Concentrations (T)

    Drug treatment effect on total testosterone concentrations

    Time frame: 32 weeks of treatment

  14. Adrenal Dehydroepiandrosterone Sulfate (DHEAS)

    Treatment efficacy in reducing adrenal hyperandrogenism

    Time frame: 32 weeks of treatment

  15. Fasting Blood Glucose (FG)

    Treatment effect on fasting glucose prior to an oral glucose tolerance test (OGTT)

    Time frame: 32 weeks of treatment

  16. OGTT Mean Blood Glucose (MBG)

    Treatment effect on MBG measured during the oral glucose tolerance test. A decrease in MBG shows improvement in glycemia.

    Time frame: 32 weeks of treatment

  17. Fasting Insulin Sensitivity (HOMA-IR)

    Treatment effect on the HOMA-IR which is an insulin resistance measured derived from fasting blood glucose and insulin . The higher the number the more insulin resistant.

    Time frame: 32 weeks of treatment

  18. Matsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)

    The SI OGTT is a measure of peripheral insulin sensitivity derived from the insulin and glucoses measured during an OGTT. A increase in SI OGTTindicates greater insulin sensitivity

    Time frame: 32 weeks of treatment

  19. Corrected First Phase Insulin Secretion (IGI/HOMA-IR)

    Treatment effect on insulin secretion from 0 to 30 minutes after glucose load corrected for by fasting insulin sensitivity. A higher score shows improved first phase insulin secretion in response to glucose.

    Time frame: 32 weeks of treatment

  20. Insulin Secretion- Insulin Sensitivity Index (Oral Disposition Index-IS-SI)

    Treatment effect on an estimation of Beta cell compensatory function, the IS-SI is derived by applying the concept of the disposition index to measurements obtained during the 2 hour OGTT and calculated as the index of insulin secretion factored by insulin sensitivity. A higher score shows improved pancreatic beta cell function relative to insulin sensitivity.

    Time frame: 32 weeks of treatment

  21. Total Cholesterol Levels

    Treatment impact on improving total cholesterol levels

    Time frame: 32 weeks of treatment

  22. High Density Lipoprotein Cholesterol (HDL-C)

    Impact of treatment on HDL levels after 32 weeks of treatment

    Time frame: 32 weeks of treatment

  23. Triglyceride Levels (TRG)

    Drug effect of TRG levels after treatment

    Time frame: 32 weeks of treatment

  24. Triglyceride to HDL-Cholesterol Ratio (TRG/HDL-C)

    Treatment impact on TRG/HDL-C ratio which is a simple measure to estimate insulin action. A decrease in ratio indicates improvement in insulin sensitivity.

    Time frame: 32 weeks of treatment

  25. Triglyceride and Glucose Index (TyG)

    Treatment impact on the TyG index which estimates insulin resistance. A reduction in TyG indicates an improvement in insulin action.

    Time frame: 32 weeks of treatment

  26. Systolic Blood Pressure

    Treatment impact on systolic blood pressure

    Time frame: 32 weeks of treatment

  27. Diastolic Blood Pressure (BP)

    Treatment impact on reducing diastolic blood pressure

    Time frame: 32 weeks of treatment

07

Results

Posted Jun 7, 2021

Participant flow

88 recruited, 82 met criteria and randomized Six excluded after consenting

Participant flow — Overall Study
MilestoneLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Started5527
Completed4423
Not completed114
Withdrew: Pregnancy20
Withdrew: Adverse event60
Withdrew: Lack of efficacy02
Withdrew: Physician decision01
Withdrew: Withdrawal by subject20
Withdrew: Medication concerns10
Withdrew: Family member covid exposure01

Outcome measures

PrimaryAbsolute Body Weight (BW)

Treatment impact on change in body weight after 32 weeks of treatment.

Time frame:
32 weeks of treatment
Reported as:
Mean · kilogram
Absolute Body Weight (BW)
kilogramLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Absolute Body Weight (BW)104.7 ± 2.9117.9 ± 5
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.002Nested repeated measures design
PrimaryFree Androgen Index (FAI)

Drug treatment effect on free androgen levels as calculated as FAI= total testosterone (T) concentrations divided by sex hormone binding globulin (SHBG) levels. A higher score indicates a worse outcome (more androgenic).

Time frame:
32 weeks of treatment
Reported as:
Mean · index score
Free Androgen Index (FAI)
index scoreLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Free Androgen Index (FAI)5.98 ± 0.66.4 ± .75
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.006Nested repeated measures design
SecondaryBody Mass Index (BMI)

Treatment effect in reducing body mass

Time frame:
32 weeks of treatment
Reported as:
Mean · kilogram/meter squared
Body Mass Index (BMI)
kilogram/meter squaredLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Body Mass Index (BMI)39.1 ± 1.143.4 ± 1.8
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.001Repeated measures nested design
SecondaryChange in Percent Body Weight

Treatment effect on reducing body weight expressed as percent body weight loss from baseline

Time frame:
Change from baseline (time 0) to study end (32 weeks)
Reported as:
Mean · percentage loss in body weight
Change in Percent Body Weight
percentage loss in body weightLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Change in Percent Body Weight5.7 ± 0.751.4 ± 1.09
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.002one-way ANOVA
Secondary5% Weight Loss From Baseline

Frequency of patients achieving 5% weight loss from baseline with treatment

Time frame:
32 weeks of treatment
Reported as:
Count of participants · Participants
5% Weight Loss From Baseline
ParticipantsLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
5% Weight Loss From Baseline255
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · Wilcoxon (Mann-Whitney) · p = <0.007
Secondary10% Body Weight Loss From Baseline

Frequency of patients with at least 10% reduction in body weight from baseline

Time frame:
32 weeks of treatment
Reported as:
Count of participants · Participants
10% Body Weight Loss From Baseline
ParticipantsLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
10% Body Weight Loss From Baseline132
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · Wilcoxon (Mann-Whitney) · p = <0.049
SecondaryAbdominal Adiposity (Waist Circumference [WC]

Treatment effect on loss of WC (abdominal adiposity) with drug treatment

Time frame:
32 weeks of treatment
Reported as:
Mean · centimeters
Abdominal Adiposity (Waist Circumference [WC]
centimetersLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Abdominal Adiposity (Waist Circumference [WC]100.9 ± 2.0109.9 ± 3.3
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.011Nested repeated measures design
SecondaryWaist-to-Hip Ratio

Change in central adiposity with treatment as measured by WHR. A reduction in ratio indicates a decrease in truncal fat.

Time frame:
32 weeks of treatment
Reported as:
Mean · ratio
Waist-to-Hip Ratio
ratioLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Waist-to-Hip Ratio0.81 ± 0.0090.85 ± 0.015
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.038Nested repeated measures design
SecondaryWaist-to Height Ratio [WHtR])

Treatment effect on loss of central adiposity as determined by WHt ratio. The lower the ratio indicates less abdominal adiposity.

Time frame:
32 weeks of treatment
Reported as:
Mean · ratio
Waist-to Height Ratio [WHtR])
ratioLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Waist-to Height Ratio [WHtR])0.62 ± 0.0140.67 ± 0.02
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.048Nested repeated measures design
SecondaryTotal Fat Mass Evaluated by DEXA

Treatment effect on reduction of fat mass (kg)

Time frame:
32 weeks of treatment
Reported as:
Mean · kilogram
Total Fat Mass Evaluated by DEXA
kilogramLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Total Fat Mass Evaluated by DEXA49.3 ± 2.156.8 ± 3.3
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) · ANOVA · p = <0.018Nested repeated measures design
SecondaryTotal Body Fat (%) by DXA

Treatment effect on reduction of percent body fat by DXA

Time frame:
32 weeks of treatment
Reported as:
Mean · percent fat mass
Total Body Fat (%) by DXA
percent fat massLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Total Body Fat (%) by DXA46.0 ± 0.947.9 ± 0.96
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.028Nested repeated measures design
SecondaryAndroid-Gynoid Ratio (AGR) by DXA

Treatment impact on AGR, measure of central adiposity, as determined by DXA. A lower AGR indicates a reduction in central adiposity.

Time frame:
32 weeks of treatment
Reported as:
Mean · ratio
Android-Gynoid Ratio (AGR) by DXA
ratioLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Android-Gynoid Ratio (AGR) by DXA1.05 ± 0.011.08 ± 0.03
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.034Nested repeated measures design
SecondaryTrunk/Leg Fat Ratio (TLR) by DXA

Treatment impact on TLR after 32 weeks. A reduction in TLR indicates a loss of central fat.

Time frame:
32 weeks of treatment
Reported as:
Mean · ratio
Trunk/Leg Fat Ratio (TLR) by DXA
ratioLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Trunk/Leg Fat Ratio (TLR) by DXA1.02 ± 0.031.07 ± 0.04
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.035Nested repeated measures design
SecondaryMenstrual Cycle Frequency

Drug treatment impact on normalization of cycle frequency (cycle every 28-30 days). All cycle data is expressed as number of menses annualized to one year.

Time frame:
32 weeks of treatment
Reported as:
Mean · menses per year
Menstrual Cycle Frequency
menses per yearLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Menstrual Cycle Frequency8.65 ± 0.44.8 ± 0.65
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.0001Nested repeated measures design
SecondaryTotal Testosterone Concentrations (T)

Drug treatment effect on total testosterone concentrations

Time frame:
32 weeks of treatment
Reported as:
Mean · ng/dL
Total Testosterone Concentrations (T)
ng/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Total Testosterone Concentrations (T)45.4 ± 3.046.8 ± 4.1
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = >0.05Nested repeated measures design
SecondaryAdrenal Dehydroepiandrosterone Sulfate (DHEAS)

Treatment efficacy in reducing adrenal hyperandrogenism

Time frame:
32 weeks of treatment
Reported as:
Mean · mcg/dL
Adrenal Dehydroepiandrosterone Sulfate (DHEAS)
mcg/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Adrenal Dehydroepiandrosterone Sulfate (DHEAS)177.1 ± 14.2171.3 ± 16.8
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = >0.05Nested repeated measures design
SecondaryFasting Blood Glucose (FG)

Treatment effect on fasting glucose prior to an oral glucose tolerance test (OGTT)

Time frame:
32 weeks of treatment
Reported as:
Mean · mg/dL
Fasting Blood Glucose (FG)
mg/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Fasting Blood Glucose (FG)90.2 ± 1.394.3 ± 2.2
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.021Nested repeated measures design
SecondaryOGTT Mean Blood Glucose (MBG)

Treatment effect on MBG measured during the oral glucose tolerance test. A decrease in MBG shows improvement in glycemia.

Time frame:
32 weeks of treatment
Reported as:
Mean · mg/dL
OGTT Mean Blood Glucose (MBG)
mg/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
OGTT Mean Blood Glucose (MBG)109.4 ± 2.9125.5 ± 4.8
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.009Nested repeated measures design
SecondaryFasting Insulin Sensitivity (HOMA-IR)

Treatment effect on the HOMA-IR which is an insulin resistance measured derived from fasting blood glucose and insulin . The higher the number the more insulin resistant.

Time frame:
32 weeks of treatment
Reported as:
Mean · index score
Fasting Insulin Sensitivity (HOMA-IR)
index scoreLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Fasting Insulin Sensitivity (HOMA-IR)4.1 ± 0.65.2 ± 1.1
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.035Nested repeated measures design
SecondaryMatsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)

The SI OGTT is a measure of peripheral insulin sensitivity derived from the insulin and glucoses measured during an OGTT. A increase in SI OGTTindicates greater insulin sensitivity

Time frame:
32 weeks of treatment
Reported as:
Mean · index score
Matsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)
index scoreLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Matsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)3.7 ± 0.433.0 ± 0.48
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.028Nested repeated measures design
SecondaryCorrected First Phase Insulin Secretion (IGI/HOMA-IR)

Treatment effect on insulin secretion from 0 to 30 minutes after glucose load corrected for by fasting insulin sensitivity. A higher score shows improved first phase insulin secretion in response to glucose.

Time frame:
32 weeks of treatment
Reported as:
Mean · index score
Corrected First Phase Insulin Secretion (IGI/HOMA-IR)
index scoreLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Corrected First Phase Insulin Secretion (IGI/HOMA-IR)1.01 ± 0.180.8 ± 0.16
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.042Nested repeated measures design
SecondaryInsulin Secretion- Insulin Sensitivity Index (Oral Disposition Index-IS-SI)

Treatment effect on an estimation of Beta cell compensatory function, the IS-SI is derived by applying the concept of the disposition index to measurements obtained during the 2 hour OGTT and calculated as the index of insulin secretion factored by insulin sensitivity. A higher score shows improved pancreatic beta cell function relative to insulin sensitivity.

Time frame:
32 weeks of treatment
Reported as:
Mean · index score
Insulin Secretion- Insulin Sensitivity Index (Oral Disposition Index-IS-SI)
index scoreLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Insulin Secretion- Insulin Sensitivity Index (Oral Disposition Index-IS-SI)532 ± 91416 ± 69.7
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.033Nested repeated measures design
SecondaryTotal Cholesterol Levels

Treatment impact on improving total cholesterol levels

Time frame:
32 weeks of treatment
Reported as:
Mean · mg/dL
Total Cholesterol Levels
mg/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Total Cholesterol Levels176 ± 5.3178 ± 8.8
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = >0.05Nested repeated measures design
SecondaryHigh Density Lipoprotein Cholesterol (HDL-C)

Impact of treatment on HDL levels after 32 weeks of treatment

Time frame:
32 weeks of treatment
Reported as:
Mean · mg/dL
High Density Lipoprotein Cholesterol (HDL-C)
mg/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
High Density Lipoprotein Cholesterol (HDL-C)41 ± 1.842 ± 2.3
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = >0.05Nested repeated measures design
SecondaryTriglyceride Levels (TRG)

Drug effect of TRG levels after treatment

Time frame:
32 weeks of treatment
Reported as:
Mean · mg/dL
Triglyceride Levels (TRG)
mg/dLLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Triglyceride Levels (TRG)109 ± 7.7114 ± 11
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.016Nested repeated measures design
SecondaryTriglyceride to HDL-Cholesterol Ratio (TRG/HDL-C)

Treatment impact on TRG/HDL-C ratio which is a simple measure to estimate insulin action. A decrease in ratio indicates improvement in insulin sensitivity.

Time frame:
32 weeks of treatment
Reported as:
Mean · ratio
Triglyceride to HDL-Cholesterol Ratio (TRG/HDL-C)
ratioLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Triglyceride to HDL-Cholesterol Ratio (TRG/HDL-C)2.9 ± 0.263.0 ± 0.45
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.028Nested repeated measures design
SecondaryTriglyceride and Glucose Index (TyG)

Treatment impact on the TyG index which estimates insulin resistance. A reduction in TyG indicates an improvement in insulin action.

Time frame:
32 weeks of treatment
Reported as:
Mean · index score
Triglyceride and Glucose Index (TyG)
index scoreLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Triglyceride and Glucose Index (TyG)8.39 ± 0.078.5 ± 0.09
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = <0.01Nested repeated measures design
SecondarySystolic Blood Pressure

Treatment impact on systolic blood pressure

Time frame:
32 weeks of treatment
Reported as:
Mean · mmHg
Systolic Blood Pressure
mmHgLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Systolic Blood Pressure116.8 ± 2.7123.3 ± 2.4
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = >0.05Nested repeated measures design
SecondaryDiastolic Blood Pressure (BP)

Treatment impact on reducing diastolic blood pressure

Time frame:
32 weeks of treatment
Reported as:
Mean · mmHg
Diastolic Blood Pressure (BP)
mmHgLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
Diastolic Blood Pressure (BP)77.6 ± 1.678.1 ± 1.3
Statistical analysis
  • Liraglutide Pen Injector (Saxenda) vs Placebo Liraglutide Pen Injector · ANOVA · p = >0.05Nested repeated measures design

Adverse events

Collected over 36 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Liraglutide Pen Injector (Saxenda)0/55 (0%)0/55 (0%)40/55 (72.7%)
Placebo Liraglutide Pen Injector0/27 (0%)0/27 (0%)8/27 (29.6%)
Most frequent other events
Showing 10 of 12
Most frequent other events
EventLiraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen Injector
NauseaGastrointestinal disorders14/553/27
VomitingGastrointestinal disorders5/550/27
DiarrheaGastrointestinal disorders4/550/27
ConstipationGastrointestinal disorders3/551/27
Injection site reactionSkin and subcutaneous tissue disorders3/550/27
prolonged menstrual bleedingReproductive system and breast disorders3/551/27
HeartburnGastrointestinal disorders2/551/27
no mensesReproductive system and breast disorders0/551/27
COVID-19Infections and infestations0/551/27
PregnancyPregnancy, puerperium and perinatal conditions2/550/27

Baseline characteristics

Age, Continuous
Age, Continuous(years)Liraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen InjectorTotal
Mean31.1 ± 631.8 ± 5.631.3 ± 5.8
Sex: Female, Male
Sex: Female, Male(Participants)Liraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen InjectorTotal
Female552782
Male000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Liraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen InjectorTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American13922
White421860
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Liraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen InjectorTotal
United States552782
Body mass Index
Body mass Index(kg/m^2)Liraglutide Pen Injector (Saxenda)Placebo Liraglutide Pen InjectorTotal
Mean42 ± 6.743.9 ± 7.542.4 ± 7
08

Study locations

1 site
  • Woman's Hospital
    Baton Rouge, Louisiana 70817, United States
09

References and documents

Publications

  • Elkind-Hirsch KE, Chappell N, Shaler D, Storment J, Bellanger D. Liraglutide 3 mg on weight, body composition, and hormonal and metabolic parameters in women with obesity and polycystic ovary syndrome: a randomized placebo-controlled-phase 3 study. Fertil Steril. 2022 Aug;118(2):371-381. doi: 10.1016/j.fertnstert.2022.04.027. Epub 2022 Jun 13. PubMed 35710599 ↗

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 reached

Ran from Sep 2018 to primary completion in Feb 2021, 28 months.

Results were first posted in Jun 2021, 3 months after primary completion.

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

Registered
Mar 13, 2018
First posted
Mar 27, 2018
StartActual
Sep 26, 2018
Primary completionActual
Feb 22, 2021
CompletionActual
May 19, 2021
Results first posted
Jun 7, 2021
Last update
Jun 7, 2021
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 Jun 7, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03480022
Lead sponsor
Woman's
Collaborators
Novo Nordisk A/S
Responsible party
Karen Elkind-Hirsch (Scientific Director of Research, Woman's) — Principal investigator
First posted
Mar 27, 2018
Start date
Sep 26, 2018
Primary completion
Feb 22, 2021
Completion
May 19, 2021
Results posted
Jun 7, 2021
Last update
Jun 7, 2021

Study contacts

Peggy Dean, PharmD
study chair · Woman's Hospital Foundation IRB

Oversight

Data monitoring committee
Yes
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 2021. You cannot join it, but the record below documents what was studied.

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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.

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Studies of the drug tested here: Liraglutide

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