ClinicalTrials.gg
Not yet recruitingNCT07769047Updated Aug 17, 2026

Semaglutide and Structured Lifestyle Support to Improve Heart and Blood Vessel Health in Postmenopausal Obese Breast Cancer Survivors Taking Aromatase Inhibitors

A Phase 4 interventional study of Biospecimen Collection and Dual X-ray Absorptiometry in Anatomic Stage I Breast Cancer AJCC v8, Anatomic Stage II Breast Cancer AJCC v8 and Anatomic Stage III Breast Cancer AJCC v8, sponsored by Mayo Clinic. Not yet recruiting at 1 site in United States. Open to female participants aged 46 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-08-17.

Sponsored by Mayo Clinic · Phase 4, Interventional, and Supportive care

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Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
46 Years to 55 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 160 studies in Breast Neoplasms by Mayo Clinic — 30 open to participants now, 41 under way, 1 of them phase 3. Breast Neoplasms · Mayo Clinic.

Planned enrollment
43rd of 97
50 · median 48
Started
2026
with 3 others
Phase 4
Only one
of the 160
Primary completion
2031-07
later than 36 of 40 live
Registered
160th of 160
by date

Among the 160 studies in Breast Neoplasms by Mayo Clinic, this one is the 43rd largest by planned enrollment of the 97 interventional ones that give a count, is one of 4 that started in 2026, is the only one in phase 4, reaches primary completion later than 36 of the 40 other live ones, and was the 160th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

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Open to participants now

30 of the 160 studies in Breast Neoplasms by Mayo Clinic are open now, in 1 country. Recruiting first, the newest first:

25 more — sign in →

By country, each count listing its studies:

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Where they have run

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 46 Years to 55 Years · female · no healthy volunteers.

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02

Study summary

This phase IV trial studies whether adding semaglutide to structured lifestyle support improves heart and blood vessel health in postmenopausal obese breast cancer survivors (BCS) who are taking an aromatase inhibitor. In postmenopausal BCS who are taking an aromatase inhibitor, obesity raises the risk of heart and blood vessel problems. Semaglutide is a medicine approved by the United States Food and Drug Administration for weight loss and for lowering the risk of heart events in people with heart disease. The structured lifestyle support in this trial includes counseling on nutrition and physical activity which provides specific recommendations for individuals to follow.

03

Conditions studied

  • Anatomic Stage I Breast Cancer AJCC v8
  • Anatomic Stage II Breast Cancer AJCC v8
  • Anatomic Stage III Breast Cancer AJCC v8

Browse trials for

04

Who can participate

Ages eligible
46 Years to 55 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

  • Breast cancer diagnosed after menopause (menopause defined as the natural/spontaneous cessation of menses for at least 12 months)
  • Breast cancer (BC) diagnosed within the past five years
  • BC stage 1, 2, or 3
  • Aged 46-55 years
  • (BMI) ≥ 30 kg/m\^²
  • Current use of an aromatase inhibitor
  • Ability to participate in all portions of the study, including willingness to self-inject

Exclusion criteria

Exclusion Criteria:

  • > 5% change in weight during the 3 months prior to screening and/or weight fluctuation of ≥ 20 pounds within the past 6 months (self-report)
  • Early menopause (menopause occurring before age 46)
  • History of established cardiovascular disease, including coronary atherosclerosis, ischemic heart disease, peripheral vascular disease, or stroke
  • Statin use
  • 10-year Atherosclerotic Cardiovascular Disease (ASCVD) risk > 7.5%
  • History of smoking
  • History of type 1 or type 2 diabetes
  • Family history of premature cardiovascular disease in a first-degree relative (before 45 years old in male relatives and before 55 years old in female relatives)
  • Use of chemotherapy, radiation therapy, or immunotherapy for breast cancer treatment
  • Impaired renal function [ (GFR) ≤ 30 ml/min/1.73 m\^²]
  • Thyroid-stimulating hormone (TSH) ≥ 7 with low free thyroxine (T4)
  • \< 11 mg/dL
  • Active inflammatory, , infectious, hepatic, gastrointestinal, , or uncontrolled psychiatric disease
  • Other anti-obesity medication used within the past 3 months
  • Prior or planned surgical treatment for obesity (excluding liposuction or abdominoplasty performed > 1 year before screening)
  • Past or intended endoscopic and/or device-based therapy or removal within the last six months
  • Current or recent (within 3 months) use of medications that may cause weight gain, including tricyclic antidepressants, atypical antipsychotics, and mood stabilizers
  • Current or recent use (within 3 months) of systemic therapy for over 2 weeks
  • to glucagon-like peptide 1 (GLP-1) receptor agonist therapy
  • Currently enrolled in another clinical study involving an product or participated in one and received treatment (active or placebo) in the last 30 days
Terms in these criteria, in plain language(8)

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Arm I (LM)

    Patients receive recommendations for a structured lifestyle intervention over 24 weeks consisting of the following: 1) a low-calorie diet based on their Harris-Benedict predicted resting energy expenditure, reduced by 500 kcal/day; (2) a physical activity goal of ≥ 10,000 steps/day; (3) ≥ 150 minutes per week of moderate-intensity aerobic exercise with resistance training; and (4) limited liquid calorie intake (e.g., sodas, juices, alcohol). Additionally, patients undergo blood sample collection, vascular function testing, and DEXA on study.

    Procedure: Biospecimen Collection · Procedure: Dual X-ray Absorptiometry · Other: Functional Assessment · Behavioral: Lifestyle Counseling

  • Experimental
    Arm II (LM+Sema)

    Patients receive recommendations for a structured lifestyle intervention over 24 weeks consisting of the following: 1) a low-calorie diet based on their Harris-Benedict predicted resting energy expenditure, reduced by 500 kcal/day; (2) a physical activity goal of ≥ 10,000 steps/day; (3) ≥ 150 minutes per week of moderate-intensity aerobic exercise with resistance training; and (4) limited liquid calorie intake (e.g., sodas, juices, alcohol). Patients also receive semaglutide SC QW for up to 24 weeks in the absence of unacceptable toxicity. Additionally, patients undergo blood sample collection, vascular function testing, and DEXA on study.

    Procedure: Biospecimen Collection · Procedure: Dual X-ray Absorptiometry · Other: Functional Assessment · Behavioral: Lifestyle Counseling · Drug: Semaglutide

Interventions

  • ProcedureBiospecimen Collection

    Undergo blood sample collection

    Also known as: Biological Sample Collection, Biospecimen Collected, Sample Collection, Specimen Collection

  • ProcedureDual X-ray Absorptiometry

    Undergo DEXA

    Also known as: BMD scan, bone mineral density scan, DEXA, DEXA (Bone Density), DEXA Scan, dual energy x-ray absorptiometric scan, Dual Energy X-ray Absorptiometry, Dual X-Ray Absorptometry, DXA, DXA SCAN

  • OtherFunctional Assessment

    Undergo vascular function testing

  • BehavioralLifestyle Counseling

    Receive structured lifestyle intervention recommendations

  • Given SC

    Also known as: Ozempic, Rybelsus, Wegovy

06

What researchers measure

Primary outcomes

  1. Change in PWV between arms (Aim 1)

    Will assess the change in pulse wave velocity (PWV) between arms from baseline to 24 weeks.

    Time frame: Baseline to 24 weeks

  2. Change in protein expression between arms (Aim 2a)

    Will assess the change in protein expression from baseline to 24 weeks between arms. The raw protein concentrations for all samples will be reported in Normalized Protein eXpression (NPX) values, as obtained from the OLINK platform . A log2 scale transformation will be applied to the NPX values to stabilize variance across samples and allow data to be comparable.

    Time frame: Baseline to 24 weeks

  3. Significantly enriched biological pathways and gene sets among DEPs (Aim 2b)

    Will identify biological pathways and gene sets significantly enriched among the differentially expressed proteins (DEPs) between arms.

    Time frame: Up to 24 weeks

Secondary outcomes

  1. Change in AIx between arms (Aim 1)

    Will assess the difference in augmentation index (AIx) from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  2. Change in RHI between arms (Aim 1)

    Will assess the difference in reactive hyperemic index (RHI)from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  3. Change in PWV within arms (Aim 1)

    Will assess the change in pulse wave velocity (PWV) from baseline to 24 weeks within each arm.

    Time frame: Baseline to 24 weeks

  4. Change in AIx within arms (Aim 1)

    Will assess the change in AIx from baseline to 24 weeks within each arm.

    Time frame: Baseline to 24 weeks

  5. Change in RHI within arms (Aim 1)

    Will assess the change in RHI from baseline to 24 weeks within each arm.

    Time frame: Baseline to 24 weeks

  6. Change in body weight between arms (Aim 1)

    Will assess the difference in change in body weight from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  7. Change in fat mass between arms (Aim 1)

    Will assess the difference in change in total fat mass and visceral fat mass from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  8. Change in waist and hip circumference between arms (Aim 1)

    Will assess the difference in change in waist and hip circumference from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  9. Change in blood pressure between arms (Aim 1)

    Will assess the difference in change in systolic and/or diastolic blood pressure from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  10. Change in total cholesterol between arms (Aim 1)

    Will assess the difference in change in total cholesterol from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  11. Change in LDL-cholesterol between arms (Aim 1)

    Will assess the difference in change in LDL-cholesterol from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  12. Change in HDL-cholesterol between arms (Aim 1)

    Will assess the difference in change in HDL-cholesterol from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  13. Change in triglycerides between arms (Aim 1)

    Will assess the difference in change in triglycerides from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  14. Change in fasting glucose parameters between arms (Aim 1)

    Will assess the difference in change in fasting glucose from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  15. Change in HbA1c between arms (Aim 1)

    Will assess the difference in change in HbA1c from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  16. Change in hs-CRP between arms (Aim 1)

    Will assess the difference in change in high-sensitivity (hs) C-reactive protein (CRP) (hs-CRP) from baseline to 24 weeks between arms.

    Time frame: Baseline to 24 weeks

  17. Change in protein expression within arms (Aim 2a)

    Will assess the change in protein expression from baseline to 24 weeks within each arm.

    Time frame: Baseline to 24 weeks

  18. Difference in protein expression between arms at baseline (Aim 2a)

    Will assess the difference in protein expression at baseline between arms.

    Time frame: At baseline

  19. Difference in protein expression between arms at 24 weeks (Aim 2a)

    Will assess the difference in protein expression at 24 weeks between arms.

    Time frame: At 24 weeks

  20. Overlap of change in protein expression within arms (Aim 2a)

    Will assess overlap between the two arms in change in protein expression within each arm at baseline and at 24 weeks.

    Time frame: At baseline and 24 weeks

  21. Key hub proteins as central regulators in semaglutide-mediated effects (Aim 2b)

    Will identify key hub proteins that may serve as central regulators in semaglutide-mediated effects.

    Time frame: Up to 24 weeks

  22. Network connectivity between DEPs and known molecular pathways (Aim 2b)

    Will assess network connectivity between DEPs and known molecular pathways relevant to metabolic and vascular function.

    Time frame: Up to 24 weeks

  23. Overlap of DEPs and established cardiovascular risk biomarkers (Aim 2b)

    Will evaluate the overlap between DEPs and established cardiovascular risk biomarkers.

    Time frame: Up to 24 weeks

Other outcomes

  1. Examine functional significance of semaglutide-induced DEPs through enrichment analysis (Aim 2b)

    Will use enrichment analysis to assess semaglutide-induced DEP profiles for correlation with functional categories (e.g., inflammatory response, metabolic function, vascular remodeling, atherogenesis).

    Time frame: Up to 24 weeks

07

Study locations

1 site
  • Mayo Clinic in Florida
    Jacksonville, Florida 32224-9980, United States
    • General Clinical Studies Unit · Contact904-953-2255
    • Maria Daniela Hurtado Andrade, MD, PhD · Principal investigator
08

References and documents

09

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

Start is estimated for Sep 2026; primary completion for Jul 2031, 58 months later.

Of 110 non-industry phase 4 interventional studies under Breast Neoplasms, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 64. This study's planned 58 months is above that.

Counting every sponsor, half of 130 studies reached it within 42 months; a quarter within 20 and three quarters within 64.

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

Registered
Jul 22, 2026
First posted
Aug 17, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Jul 30, 2031
CompletionEst.
Jul 30, 2035
Last update
Aug 17, 2026
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 Aug 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07769047
Lead sponsor
Mayo Clinic
Responsible party
Sponsor
First posted
Aug 17, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Jul 30, 2031 (estimated)
Completion
Jul 30, 2035 (estimated)
Last update
Aug 17, 2026

Study contacts

Clinical Trials Referral Office
Contact
mayocliniccancerstudies@mayo.edu
855-776-0015
General Clinical Studies Unit
Contact
904-953-2255
Maria Daniela Hurtado Andrade, MD, PhD
principal investigator · Mayo Clinic

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 not yet recruiting, as verified in Jul 2026. 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: Semaglutide

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