ClinicalTrials.gg
RecruitingNCT07770152GLP1Updated Nov 9, 2026

Semaglutide in Youth With Autism Spectrum Disorder

A Phase 4 interventional study of Glucagon-like peptide-1 receptor agonist:Semaglutide and Lifestyle Management (LSM) Counseling in Autism Spectrum Disorder and Obesity, sponsored by Children's Hospital Medical Center, Cincinnati. Recruiting at 1 site in United States. Open to participants aged 12 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Children's Hospital Medical Center, Cincinnati · Phase 4, Interventional, and Treatment

Updated Nov 9, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
42
Allocation
Non-randomized
Ages
12 Years to 18 Years
Sex
All
01

Where this study stands

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

Among 21 studies in Autism Spectrum Disorder by Children's Hospital Medical Center, Cincinnati — 6 open to participants now, 6 under way, none of them phase 3. Autism Spectrum Disorder · Children's Hospital Medical Center, Cincinnati.

Planned enrollment
13th of 19
42 · median 52
Started
2026
the only one that year
Phase 4
Only one
of the 21
Registered
21st of 21
by date

Among the 21 studies in Autism Spectrum Disorder by Children's Hospital Medical Center, Cincinnati, this one is the 13th largest by planned enrollment of the 19 interventional ones, is the only one that started in 2026, is the only one in phase 4, and was the 21st registered.

By phase

21 studies; the count open now beside each. This study's row is marked.

No phase14 · 5 open
Phase 14 · 0 open
Observational2 · 0 open
Phase 4this study1 · 1 open

By the year they started

First in 2013; this study’s year is marked. 1 started in 2026.

Size and results

Median enrollment 52 across the 19 interventional studies, 124 across the 2 observational. Of the 15 that completed or were terminated, 3 (20%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 21 studies in Autism Spectrum Disorder by Children's Hospital Medical Center, Cincinnati, or all of them as a file.
02

Study summary

This study is a 6-month, two-arm, RCT which will evaluate the effectiveness and safety of semaglutide in adolescents aged 12-18 years with autism spectrum disorder (ASD) and obesity. The primary outcome is change in body mass index (BMI, kg/m²) from baseline to Month 6. Secondary, descriptive outcomes are changes in metabolic parameters (e.g., lipid levels), side effects, and compliance with semaglutide.

03

Conditions studied

  • Autism Spectrum Disorder
  • Obesity

Keywords

  • Autism Spectrum Disorder
  • Obesity
  • Semaglutide
04

Who can participate

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

Eligibility criteria

Inclusion Criteria (Semaglutide Group):

  • 12-18 years of age
  • Epic-confirmed diagnosis of ASD
  • Obesity defined as ≥95th percentile for age and sex
  • Have Medicaid or other insurance that will cover semaglutide or the parent is willing to pay for semaglutide out of pocket
  • Have a parent who is willing to provide
  • Can attend in-person, e-visits, or telehealth visits for 12 months
  • English speaking

Exclusion Criteria (Semaglutide Group):

  • Healthworks patient who has lost >5% body weight over the past 3 months
  • Are on a weight loss-promoting medication such as Metformin or Topamax with a dose change in the past 3 months
  • Have Type 1 or Type 2 diabetes
  • Have a personal or first-degree family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia 2
  • Have been on GLP-1 RAs in the past 12 months
  • Have significant GI conditions (e.g., pancreatitis),
  • Are pregnant or breastfeeding
  • Have catatonia or a condition that may affect compliance and safety

Inclusion Criteria (Historical Control Group):

  • Healthworks patients treated between January 1, 2021-December 31, 2025
  • 12-18 years of age
  • Confirmed diagnosis of ASD
  • Have obesity defined as BMI ≥95th percentile for age and sex
  • Have BMI and SMM outcomes assessed at M0, M6, or M12
  • Age groups 12-14 years old and 15-18 years old and sex matched to youth in the semaglutide group
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.

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (estimated)

Study arms

  • Active comparator
    Semaglutide + Autism Spectrum Disorder (ASD)-Tailored Lifestyle Management

    Participants aged 12-18 years with autism spectrum disorder (ASD) and obesity will receive semaglutide in combination with ASD-tailored lifestyle management (LSM) counseling for 12 months.

    Drug: Glucagon-like peptide-1 receptor agonist:Semaglutide · Behavioral: Lifestyle Management (LSM) Counseling

  • Other
    Historical Control: ASD-Tailored Lifestyle Management Alone

    Historical Control - Retrospectively selected historical controls with ASD and obesity who previously received ASD-tailored lifestyle management (LSM) counseling without semaglutide.

    Behavioral: Lifestyle Management (LSM) Counseling

Interventions

  • DrugGlucagon-like peptide-1 receptor agonist:Semaglutide

    Semaglutide may be increased every 1-3 months from 0.25 mg to 0.5 mg, 1.0 mg, 1.7 mg, and 2.4 mg, based on the provider's assessment, BIA results (i.e., if SMM remained stable, \<2 pounds/week lost), and side effects.

  • BehavioralLifestyle Management (LSM) Counseling

    Participants received lifestyle management counseling consisting of education and guidance on nutrition, physical activity, caloric intake, behavioral modification, and weight-management strategies. Counseling was provided as part of standard clinical care without the addition of pharmacologic or investigational interventions.

This study also gives Semaglutide. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Percent Change in BMI (kg/m2)

    Percent change in BMI (kg/m2) from baseline to Month 12

    Time frame: 12 months

  2. Number of Participants With Change in Skeletal Muscle Mass (SMM)

    Change in skeletal muscle mass measured by bioimpedance anaysis (BIA) from baseline to month 12.

    Time frame: 12 months

Secondary outcomes

  1. Number of Participants with Change in Body Weight

    Change in body weight from baseline

    Time frame: 12 months

  2. Number of Participants with Change in BMI z-Score

    Change in BMI z-score from baseline

    Time frame: 12 months

  3. Number of Participants with Change in Percent Body Fat

    Change in percent body fat measured by BIA

    Time frame: 12 months

  4. Number of Participants with Change in Fat Mass

    Change in fat mass measured by BIA

    Time frame: 12 months

  5. Number of Participants with Change in Fat-Free Mass

    Change in fat-free mass measured by BIA

    Time frame: 12 months

  6. Number of Participants with Change in Hemoglobin A1c

    Change in hemoglobin A1c from baseline

    Time frame: 12 months

  7. Number of Participants with Change in Fasting Insulin

    Change in fasting insulin from baseline

    Time frame: 12 months

  8. Number of Participants with Change in Fasting Glucose

    Change in fasting glucose from basline

    Time frame: 12 months

  9. Number of Participants with Change in Alanine Aminotransferase (ALT)

    Change in ALT from baseline

    Time frame: 12 months

  10. Number of Participants with Change in Aspartate Aminotransferase (AST)

    Change in AST from baseline

    Time frame: 12 months

  11. Number of Participants with Change in Gamma-Glutamyl Transferase (GGT)

    Change in GGT from baseline

    Time frame: 12 months

  12. Number of Participants with Change in Total Cholesterol

    Change in total cholesterol from baseline

    Time frame: 12 months

  13. Number of Participants with Change in LDL Cholesterol

    Change in LDL cholesterol from baseline

    Time frame: 12 months

  14. Number of Participants with Change in HDL Cholesterol

    Number of Participants with Change in HDL cholesterol from baseline

    Time frame: 12 months

  15. Number of Participants with Change in Triglycerides

    Change in triglycerides from baseline

    Time frame: 12 months

Other outcomes

  1. Rate of Semaglutide Initiation

    Percentage of participants initiating semaglutide after approval

    Time frame: 12 months

  2. Rate of Medication Adherence

    Proportion of prescribed semaglutide doses administered.

    Time frame: 12 months

  3. Rate of Medication Persistence

    Time to discontinuation and persistence on therapy.

    Time frame: 12 months

  4. Number of Participants who Achieve Target Dose

    Percentage reaching semaglutide dose ≥1.7 mg.

    Time frame: 12 months

  5. Rate of Gastrointestinal Adverse Effects

    Incidence and severity of GI symptoms

    Time frame: 12 months

  6. Rate of Semaglutide Tolerability

    Patient/parent-reported symptom severity and dose reductions due to adverse effects

    Time frame: 12 months

  7. Rate of Recruitment Feasibility

    Percentage of eligible families who consent to participation.

    Time frame: Enrollment period

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 9, 2026
Sites
Cincinnati Children's Hospital Medical Center is now Recruiting
Nov 9, 2026
Start date
Sep 1, 2026→Oct 18, 2026 (actual)
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Not yet recruiting→Recruiting
    Cincinnati Children's Hospital Medical Center is now Recruiting
    Start date Sep 1, 2026→Oct 18, 2026 (now actual)
    + 1 other change: verification date

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
NCT07770152
Responsible party
Sponsor
First posted
Aug 18, 2026
Start date
Oct 18, 2026
Primary completion
Sep 1, 2028 (estimated)
Completion
Sep 1, 2029 (estimated)
Last update
Nov 9, 2026

Study contacts

Mary Banks
Contact
mary.banks@cchmc.org
513-803-3123
Melinda Mahabee-Gittens, MD, PhD
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

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

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