ClinicalTrials.gg
Not yet recruitingNCT07701460AFTER-GLPUpdated Oct 15, 2026

Assessing Follow up Trajectories in Eating, Routines, and Weight After GLP-1

An interventional study of Digital Behavioral Application in Weight Maintenance, sponsored by Tufts University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Tufts University · Not applicable, Interventional, and Supportive care

Updated Oct 15, 2026Start date movedStudy contact changedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Many people who use GLP-1 medications (such as semaglutide or tirzepatide) achieve meaningful weight loss, but maintaining that weight loss off after stopping the medication can be very challenging. Researchers at Tufts University are conducting a study to learn whether a digital lifestyle program can help people maintain their weight loss after they stop taking a GLP-1 medication.

Adults who have recently stopped a GLP-1 medication may be eligible to participate. Participants will be randomly assigned to either receive access to a digital program or to continue with usual care. The study lasts 12 months and is fully remote. All participants will receive a Bluetooth scale to track weight from home and will complete short online questionnaires several times over the year.

By taking part, participants can help researchers better understand how to support long-term weight maintenance in a way that is affordable, accessible, and sustainable. Participants are compensated for their time, and involvement may help improve care for others with similar experiences.

02

Conditions studied

  • Weight Maintenance

Keywords

  • Obesity
  • Overweight
  • Glucagon-Like Peptide-1 Receptor Agonists
  • Digital Health
  • Lifestyle Intervention
  • Mobile Applications
  • Weight Maintenance
  • Eating Behavior
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 200 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Tufts University is the lead sponsor of 228 studies on the registry; 23 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • 18 years of age or older (no upper limit);
  • ability to read, write, and speak English and/or Spanish;
  • ability to provide ;
  • less than 30-days since GLP-1 RA cessation;
  • willing to participate.

Exclusion criteria

Exclusion Criteria:

  • No weight loss (e.g., \< 5% body weight) while taking GLP medication;
  • major psychiatric illness, cognitive impairment, or substance misuse that could impair ability to participate;
  • medical conditions that significantly affect weight or make participation unsafe (e.g., pregnancy or breastfeeding, recent bariatric surgery, current use of GLP 1 or other anti-obesity medications, or endocrine disorders that alter weight regulation);
  • inability to use a smartphone or complete remote study procedures;
  • participation in another weight loss or maintenance program or clinical trial judged by investigators to interfere with study involvement;
  • Adults unable to consent (cognitively impaired);
  • Wards of the state;
  • Anyone under age 18.
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Noom® Smart device Application Subscription

    Behavioral: Digital Behavioral Application

  • No intervention
    Usual care

    Usual care for weight loss maintenance includes ongoing nutrition, exercise, and lifestyle counseling. However, the implementation of this standard of care is highly variable and dependent on the provider's discretion and availability. In many cases it is nothing. In some cases, the patient may have 1-2 office or remote visits with a provider or dietitian who educates the patient on nutrition and exercise behaviors. "Usual care" is left to each providers' discretion and will identify how much counseling (if any) participants receive through self-report.

Interventions

  • BehavioralDigital Behavioral Application

    Noom® provides well-established behavioral strategies for weight loss and weight maintenance, such as self-monitoring of diet, exercise, and weight. What Noom® adds is education on the physiological, psychological, social, and environmental factors that influence eating behavior and tools that increase self-efficacy for dealing with those stimuli. For example, Noom® has a lesson that defines social triggers, explains the influence social triggers have on motivation to eat, and asks the participant to identify their own social triggers and a plan for managing triggers should they come up. Then the app prompts participants to report back on how they managed or struggled to manage a trigger and responds accordingly. Participants will be prescribed 15 minutes of use per day per Noom® recommendations, which includes interactive lessons, food logging, and weigh-ins.

06

What researchers measure

Primary outcomes

  1. Percentage of weight loss maintained

    Percentage of weight loss maintained over 12 months following GLP-1 medication cessation measured using study-provided Bluetooth scale.

    Time frame: 12-months

Other outcomes

  1. Diet quality

    III (Diet History Questionnaire III): Self-report of eating behaviors in questionnaire: 135 food and beverage items Scores are used to calculate HEI-2015: Scale: 0-100 Higher scores indicate better diet quality and improved compliance with federal health and nutrition recommendations https://epi.grants.cancer.gov/dhq3/

    Time frame: 12-months

  2. Food Noise

    Self-report of Food Noise questionnaire Scoring note: Total score = sum of 5 items (0-20); higher = more food noise. Attribution to include on the instrument (recommended): Food Noise Questionnaire (FNQ). Diktas HE et al. (2025).

    Time frame: 12-months

  3. PROMIS Global Health

    Self-report of 16-item PROMIS Global Health questionnaire; assesses physical, mental, and social health using standardized T-scores Higher scores mean more of what is measured Source: HealthMeasures - PROMIS Health Organization Lowest value: 20 Highest: 80

    Time frame: 12-months

  4. Treatment satisfaction questionnaire

    Self-report adaptation of the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM), adapted to a digital behavioral application context Bharmal, M., Payne, K., Atkinson, M. J., Desrosiers, M. P., Morisky, D. E., \& Gemmen, E. (2009). Validation of an abbreviated Treatment Satisfaction Questionnaire for Medication (TSQM-9) among patients on antihypertensive medications. Health and Quality of Life Outcomes, 7(36). Range: 0 to 100 Higher Scores = Higher Satisfaction

    Time frame: 12-months

  5. Healthy Eating and Weight Self Efficacy

    Self-report of Healthy Eating and Weight Self Efficacy Scale (HEWSE) 11 items: Higher scores indicate higher self-efficacy Lindsay Wilson-Barlow, Tishanna R. Hollins, James R. Clopton, Construction and validation of the healthy eating and weight self-efficacy (HEWSE) scale, Eating Behaviors, Volume 15, Issue 3, 2014, Pages 490-492, ISSN 1471-0153, https://doi.org/10.1016/j.eatbeh.2014.06.004.

    Time frame: 12-months

  6. Mindful Eating

    Self-report of Mindful Eating Scale in questionnaire Marion van Beekum, Rebecca Shankland, Angélique Rodhain, Margaux Robert, Camille Marchand, et al.. Development and validation of the mindful eating scale (mind-eat scale) in a general population. Appetite, 2024, 199, pp.107398. ⟨10.1016/j.appet.2024.107398⟩. ⟨hal-04582024⟩ 4- or 5-point Likert scale: Higher overall score indicate healthier, more conscious relationship with food

    Time frame: 12-months

  7. Overall wellbeing

    Self-report of PERMA Profiler in questionnaire Butler, J., \& Kern, M.L. (2016). The PERMA-Profiler: A brief multidimensional measure of flourishing. International Journal of Wellbeing, 6(3), 1-48. doi:10.5502/ijw.v6i3.1 23 questions: 11-point Likert scale (0 to 10) Higher the score, the higher the functioning in positive pillars, in negative dimensions lower score indicate better state (reverse-scored)

    Time frame: 12-months

  8. Tobacco, alcohol, prescription medications, and other substance use

    Self-report of Tobacco, alcohol, prescription medications, and other substance use (TAPS-2) in questionnaire McNeely, J., Wu, L. T., Subramaniam, G., Sharma, G., Cathers, L. A., Svikis, D., \& Schwartz, R. P. (2016). Performance of the tobacco, alcohol, prescription medication, and other substance use (TAPS) tool for substance use screening in primary care patients. Annals of Internal Medicine, 165(10), 690-699. Scoring: 0 (No use), 1 (problem use) and 2 or more higher risk https://nida.nih.gov/taps2/

    Time frame: 12-months

  9. Sexual Wellbeing

    Self-report on the 5-item Short Sexual Wellbeing scale in questionnaire Gerymski R. Short Sexual Well-Being Scale - a cross-sectional validation among transgender and cisgender people. Health Psychol Rep. 2020;9(3):276-287. Published 2020 Dec 31. doi:10.5114/hpr.2021.102349 Scale: 1-7 points per question Range: 7-49 Higher score means higher level of sexual wellbeing

    Time frame: 12-months

07

Study locations

1 site
  • This study is conducted remotely
    Boston, Massachusetts 02111, United States
08

References and documents

Individual participant data

Plan to share: No — Sharing of IPD will be at the discretion of the funder.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Start date
Aug 1, 2026→Oct 15, 2026
Oct 15, 2026
Contact
Study contact changed: R•••@tufts.edu · •••0832→n•••@tufts.edu · •••9112; •••9112→•••6055; n•••@tufts.edu→a•••@tufts.edu. See the current contact
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    Start date Aug 1, 2026→Oct 15, 2026
    Contact Study contact changed: R•••@tufts.edu · •••0832→n•••@tufts.edu · •••9112; •••9112→•••6055; n•••@tufts.edu→a•••@tufts.edu. See the current contact

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07701460
Lead sponsor
Tufts University
Collaborators
Noom Inc.
Responsible party
Sponsor
First posted
Jul 14, 2026
Start date
Oct 15, 2026 (estimated)
Primary completion
Jan 31, 2028 (estimated)
Completion
Jul 31, 2028 (estimated)
Last update
Oct 15, 2026

Study contacts

NICHE Lab Study Team
Contact
afterglp@tufts.edu
(857) 267-6055
NICHE Lab Study Team
Contact
niche@tufts.edu
‪(469) 240-9112‬
Kelseanna Hollis-Hansen, PhD, MPH
principal investigator · Tufts University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. 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