A Phase 2 interventional study of Semaglutide Pen Injector and Placebo in Opioid Use Disorder, Opioid Abuse and Addiction and Narcotic-Related Disorders, sponsored by Milton S. Hershey Medical Center. Recruiting at 4 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-28.
Sponsored by Milton S. Hershey Medical Center · Phase 2, Interventional, and Treatment
The goal of this clinical trial is to learn if semaglutide can reduce illicit opioid use in adults in outpatient treatment for opioid use disorder, and who are receiving either buprenorphine or methadone maintenance treatment. The main question it aims to answer is:
The investigators will compare semaglutide to a placebo (a needle prick that contains no drug) to see if semaglutide works to reduce use of illicit and nonprescribed opioids.
The participants will:
The purpose of this study is to determine whether 12 weeks of once-weekly treatment with the glucagon-like peptide-1 receptor (GLP-1R) agonist, semaglutide, will reduce illicit opioid use over a 19 week period (129-172 days) among individuals in outpatient treatment for opioid use disorder, and who are receiving either buprenorphine or methadone maintenance treatment (i.e., medication for opioid use disorder; MOUD). Following successful consent and initiation of screening, participants will complete a baseline evaluation and begin a baseline data collection period. If screened into the study, they will be randomly assigned to semaglutide or placebo control arms, in a 1:1 ratio using a permuted-block randomization algorithm stratified by site and MOUD, and begin a 1-week baseline period. Semaglutide (injector pen) or placebo will be administered as a subcutaneously (SC) once per week for 12 weeks, starting at a dose of 0.25 mg SC and advanced on a fixed-flexible dose schedule, based on tolerability, to a dose of 1.0 mg SC per week, or the maximum tolerated dose if less than 1.0 mg. Participants will receive study intervention in an outpatient setting for a total of 12 weeks. After the 12-week intervention, participants will discontinue semaglutide or placebo and be observed for an additional week (wash-out period). A final follow-up visit will then take place approximately 4 weeks after the washout visit (calculated as 18 weeks after Baseline/Treatment Visit 1).
During each study visit, participants will undergo urine drug screening and pregnancy testing, vital signs collection, and complete mental health and drug use questionnaires. Participants will also complete smartphone surveys sent at set times during the study. Blood samples will be collected at 2 of the visits (screening and the study week 14) and a physical examination and medical history collection will be done at the baseline visit.
1,472 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.
This study's planned enrollment of 200 is above the median of 63 across 1,166 interventional studies indexed under Opioid-Related Disorders.
Browse Opioid-Related Disorders studies →Milton S. Hershey Medical Center is the lead sponsor of 492 studies on the registry; 60 are open to participants now.
Of its 58 completed or terminated interventional studies of FDA-regulated products, 46 (79%) have results posted.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
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.
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.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
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.
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.
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.
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Investigational drug or device
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants randomized to semaglutide will be started at a low dose (0.25 mg once per week) which will be gradually increased weekly until 1.0 mg is reached at Week 4 of the intervention.
Drug: Semaglutide Pen Injector
Participants in the control group will have placebo administered once per week.
Drug: Placebo
Semaglutide will be provided using an injection pen
Also known as: Ozempic
Placebo will be a dry needle stick; no substances will be injected
Also known as: Dry needle stick
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 2
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 3
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 4
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 5
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 6
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 7
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 8
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 9
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 10
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 11
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 12
Number of participants being abstinent from illicit and nonprescribed opioids.
Each week in the 12 week trial period will be rated as abstinent if both urine test and participants' report by Timeline FollowBack (TLFB) questionnaire are negative for illicit/non-prescribed opioids, or urine is negative and TLFB missing, or TLFB negative and urine missing; and not abstinent otherwise (either urine positive, or TLFB positive, or both are missing). For certain opioids (e.g., fentanyl), declining rates in urine will be considered negative for usage.
Time frame: Study week 13
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 1
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 2
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 5
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 9
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 13
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 14
Self-reported opioid craving scores as assessed via smartphone surveys
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 18
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 2
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 3
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 4
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 5
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 6
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 7
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 8
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 9
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 10
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 11
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 12
Self-reported opioid craving as assessed via In-person Cravings Scales scores
Validated 0-4 scale measuring desire/intention to use drug where 0 is no desire/intention and 4 is the highest desire/intention
Time frame: Study week 13
Number of subjects who sustained abstinence from opioids (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 10
Number of subjects who sustained abstinence from opioids (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 11
Number of subjects who sustained abstinence from opioids (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 12
Number of subjects who sustained abstinence from opioids (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 13
Number of subjects abstinent from stimulants (i.e. cocaine or non-prescribed amphetamines) (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 10
Number of subjects abstinent from stimulants (i.e. cocaine or non-prescribed amphetamines) (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 11
Number of subjects abstinent from stimulants (i.e. cocaine or non-prescribed amphetamines) (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 12
Number of subjects abstinent from stimulants (i.e. cocaine or non-prescribed amphetamines) (Binary indicator)
Weekly abstinence rating (see primary outcome above) is rated as abstinent over the last 4 weeks for the treatment period.
Time frame: Study week 13
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 2
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 3
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 4
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 5
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 6
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 7
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 8
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 9
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 10
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 11
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 12
Days using stimulants over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of stimulants
Time frame: Study week 13
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 2
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 3
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 4
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 5
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 6
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 7
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 8
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 9
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 10
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 11
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 12
Days using opioids over the 12-week treatment period by Timeline Followback questionnaire
Validated daily binary indicator for measuring use of opioids
Time frame: Study week 13
Not enrolling at this site.
Plan to share: No — Only summary data will be made available. No individual participant data (IPD) will be shared with other researchers.
Started Jan 2025 (actual). Primary completion is estimated for Apr 2027, 27 months after the start.
Of 61 non-industry phase 2 interventional studies under Opioid-Related Disorders, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 55. This study's planned 27 months is below that.
Counting every sponsor, half of 68 studies reached it within 40 months; a quarter within 23 and three quarters within 55.
How these figures are worked out, and which studies are left out of them.
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
Contact study teamGet an email when the registry record changes — status, dates, results — or when someone posts here.
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Studies of the drug tested here: Semaglutide
Milton S. Hershey Medical Center →