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CompletedNCT06475586Updated Jul 1, 2024

Effect of Semaglutide on the Psoriatic Lesions in Patients With Type 2 Diabetes Mellitus

A Phase 4 interventional study of Semaglutide in Psoriasis Vulgaris and Diabetes Type 2, sponsored by University of Banja Luka. Completed at 1 site in Bosnia and Herzegovina. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-07-01.

Sponsored by University of Banja Luka · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2024, 2 years 7 months ago, and no results have been posted to the registry.
  • Registered 1 year 1 month after the study started (first participant enrolled May 2023, registered Jun 2024).
Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The use of semaglutide in patients with DMT2 and psoriasis contributes to improving the clinical picture of psoriasis and reducing the inflammatory response

Read the detailed description

After being informed about the study and potential risiks all patients giving written informed consent will undergo a 1-week screening period to determine eliglibility for study entry at week 0, patients who meet the eligibility requirements will be randomized.

Study was conducted in two cohort Cohort 1. Patients with DMT2 and psoriasis, who are already on metformin therapy in the maximally tolerated dose and to whom semaglutide will be introduced into the therapy, in the maximum tolerated dose of semaglutide (0.25mg, 0.5mg per week or 1.0mg per week).

Cohort 2. Patients with DMT2 and psoriasis, who are already on metformin therapy in the maximally tolerated dose and other oral antidiabetics, except on therapy with GLP-1 RA and SGLT-2 inhibitors.

02

Conditions studied

  • Psoriasis Vulgaris
  • Diabetes Type 2

Keywords

  • psoriasis
  • diabetes type 2
  • semaglutide
  • cytokine
03

In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's enrollment of 30 is below the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

University of Banja Luka is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients who signed a personal consent to participate in the study,
  • Patients with a typical clinical picture of moderately-severe to severe plaque psoriasis (PASI SCORE ≥10) and
  • DMT2 diagnosed at least 6 months before inclusion in the study,
  • Patients who were not treated with immunosuppressive therapy.

Exclusion criteria

Exclusion Criteria:

  • Other forms of psoriasis,
  • Other chronic, inflammatory diseases (data obtained by reviewing the medical history),
  • Drugs that can cause the appearance of psoriasis (lithium, systemic antimalarials, systemic corticosteroids) - for the past 3 months,
  • Systemic therapy of vulgaris psoriasis 3 months before inclusion in the study,
  • Patients on therapy with other GLP-1 RAs except semaglutide (liraglutide, dulaglutide, lixisenatide), SGLT-2 inhibitors (empagliflozin and dapagliflozin) and NSAIDs, photo UVB therapy,
  • Patients who did not personally sign consent to participate in the study.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    semaglutide

    The initial dose of the medicine is 0.25 mg once a week, for the duration of 4 weeks. Then the dose is increased to 0.5 mg per week, for the duration of 4 weeks. After at least 4 weeks, the dose can be increased from 0.5 mg to 1 mg per 4 week. Totally 12 weeks

    Drug: Semaglutide

  • No intervention
    controled group

    Patients with DMT2 and psoriasis, who are already on metformin therapy in the maximally tolerated dose and other oral antidiabetics, except on therapy with GLP-1 RA and SGLT-2 inhibitors.

Interventions

  • DrugSemaglutide

    0.25mg 4 weeks, 0.5mg per 4 weeks and 1.0mg per 4 weeks, totally 12 weeks

    Also known as: ozempic

06

What researchers measure

Primary outcomes

  1. clinical characteristics of patients with psoriasis

    clinical examination by a dermatovenerologist (PASI SCORE- Psoriasis Area and Severity Index). To assess disease activity, i.e. skin surface affected by changes (erythema, infiltration and extent of squamous matter), investigators used the PASI score. According to the European consensus, mild psoriasis is defined as PASI≤10 and DLQI≤10, while moderate psoriasis is defined as PASi\>10 and DLQI\>10.

    Time frame: up to 12 weeks

  2. Determine BMI Body Mass Index

    e.g., weight and height will be combined to report BMI in kg/m\^2

    Time frame: up to 12 weeks

  3. Serum values of TNFa, IL-1b, IL-6, IL-17 and IL-23

    ELISA-Enyzme linked immunosorbent assay technique -Bio Legend ELISA MAX Deluxe Sets, Bio Legend, San Diego, CA. same units

    Time frame: up to12 weeks

  4. Correlation between the course and prognosis of the disease after the treatment

    the Wilcoxon Mann-Whitney test for two independent groups will be used. Spearman's correlation analysis will be used to determine the correlation between parameters, binary logistic regression

    Time frame: up to 12 weeks

  5. Change in HgbA1C,

    by enzymatic method with hexakinase glucose-6-phosphate dehydrogenase (Roche Diagnostic) will be expressed in %

    Time frame: up to 12 weeks

  6. lipid status, change in Total cholesterol (TC), low-density lipoprotein(LDL), high-density lipoprotein (HDL) and triglicerides

    Biochemical analyses Clinical colorimetric tests, and results will be expressed in same units

    Time frame: up to 12 weeks

  7. fasting insulin

    Biochemical analyses

    Time frame: up to 12 weeks

  8. Change in inflammation marker level: CRP,

    Biochemical analyses-Turbid metric test

    Time frame: up to 12 weeks

  9. fasting glycemia

    by enzymatic method with hexakinase glucose-6-phosphate dehydrogenase (Roche Diagnostic)

    Time frame: up to 12 weeks

  10. urate

    Biochemical analyses

    Time frame: up to 12 weeks

07

Study locations

1 site
  • University of Banja Luka, Faculty of Medicine
    Banja Luka, 78000, Bosnia and Herzegovina
08

References and documents

Publications

  • Costanzo G, Curatolo S, Busa B, Belfiore A, Gullo D. Two birds one stone: semaglutide is highly effective against severe psoriasis in a type 2 diabetic patient. Endocrinol Diabetes Metab Case Rep. 2021 Aug 1;2021:21-0007. doi: 10.1530/EDM-21-0007. Online ahead of print. PubMed 34463640 ↗
  • Nauck MA, Quast DR, Wefers J, Meier JJ. GLP-1 receptor agonists in the treatment of type 2 diabetes - state-of-the-art. Mol Metab. 2021 Apr;46:101102. doi: 10.1016/j.molmet.2020.101102. Epub 2020 Oct 14. PubMed 33068776 ↗

Study documents

  • Study protocol · May 8, 2023
  • Statistical analysis plan · May 8, 2023
  • Informed consent form · May 8, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Icf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06475586
Lead sponsor
University of Banja Luka
Responsible party
Sponsor
First posted
Jun 26, 2024
Start date
May 3, 2023
Primary completion
Mar 1, 2024
Completion
Jun 10, 2024
Last update
Jul 1, 2024

Study contacts

Jelena Petkovic-Dabic
principal investigator · Faculty of Medicine Banja Luka

Oversight

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

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This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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