ClinicalTrials.gg
Not yet recruitingNCT07797036Updated Sep 28, 2026

Postpartum Semaglutide to Reduce Cardiometabolic Risk After Gestational Diabetes Mellitus

A Phase 2/3 interventional study of Semaglutide (Wegovy) weekly injection in Gestational Diabetes Mellitus (GDM) and Metabolic Syndrome, sponsored by University of Massachusetts, Worcester. Not yet recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by University of Massachusetts, Worcester · Phase 2/3, Interventional, and Prevention

Updated Sep 28, 2026Eligibility revisedGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
226
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

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

Among 251 studies in Diabetes, Gestational with a site in United States — 53 open to participants now, 65 under way, 2 of them phase 3. Diabetes, Gestational · United States.

Planned enrollment
40th of 194
226 · median 80
Started
2027
the only one that year
Phase 2/3
2 of 251
1 open now
Primary completion
2030-09
later than 62 of 64 live
Registered
248th of 251
by date

Among the 251 studies in Diabetes, Gestational with a site in United States, this one is the 40th largest by planned enrollment of the 194 interventional ones that give a count, is the only one that started in 2027, is one of 2 in phase 2/3, reaches primary completion later than 62 of the 64 other live ones, and was the 248th registered.

Diabetes, Gestational

877 studies on the registry are indexed under Diabetes, Gestational; 203 are open to participants now.

Browse Diabetes, Gestational studies →

Open to participants now

53 of the 251 studies in Diabetes, Gestational with a site in United States are open now. Recruiting first, the newest first:

48 more — sign in →

All 53 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 139 Diabetes, Gestational studies recruiting now, 63 (45%) set no upper age limit and 74 (53%) stop at 75 or younger; 14 take children under 18; 63 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 251 studies in Diabetes, Gestational with a site in United States, or all of them as a file.
02

Study summary

This is an effectiveness-implementation Hybrid Type 1 study using a randomized clinical trial design to evaluate the effectiveness and potential real-world integration of immediate postpartum semaglutide following a pregnancy complicated by gestational diabetes mellitus (GDM). A total of 226 postpartum individuals with recent GDM will be randomized 1:1 to semaglutide or standard postpartum care for a 6-month active treatment phase. The primary effectiveness outcome, development of metabolic syndrome, will be assessed at 6 months postpartum. Participants will subsequently enter a 6-month maintenance phase, during which semaglutide continuation, discontinuation, or initiation will reflect patient preferences, clinical decision-making, medication access, and insurance coverage.

03

Conditions studied

  • Gestational Diabetes Mellitus (GDM)
  • Metabolic Syndrome

Keywords

  • postpartum
  • gestational diabetes mellitus
  • metabolic syndrome
  • GLP-1 receptor agonist
  • semaglutide
04

Who can participate

Ages eligible
18 Years and older
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

  • Age greater than or equal to 18
  • Postpartum state (delivered within 6 weeks)
  • Ability and willingness to provide

Exclusion criteria

Exclusion Criteria:

  • a history of acute or chronic pancreatitis
  • personal or first-degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma
  • diagnosis of pre-gestational diabetes (type 1 or 2 diabetes mellitus)
  • \<25 kg/m2
  • Plan to attempt pregnancy within next 12 months or confirmed pregnancy
  • Known allergy to semaglutide from prior exposure
  • Previous participation in this trial
  • History of suicidal ideation/attempt in the past 12 months
  • Current or recent diagnosis in the last 12 months of anorexia nervosa, bulimia nervosa, binge eating disorder, or other eating disorder
  • Actively breastfeeding or lactating
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.

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.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
226 participants (estimated)

Study arms

  • Experimental
    Semaglutide

    The intervention/active arm is semaglutide initiated within 6 weeks of delivery and administered once weekly for 6 months to postpartum individuals following a pregnancy complicated by gestational diabetes mellitus (GDM). Participants randomized to the intervention arm will receive semaglutide in addition to standard postpartum care. Treatment will be initiated using a standardized dose-escalation regimen consistent with the approved prescribing approach to improve tolerability, with dose adjustments or discontinuation based on tolerability and clinical safety.

    Drug: Semaglutide (Wegovy) weekly injection

  • No intervention
    Standard of Care

    Participants randomized to the control arm will receive standard postpartum care following a pregnancy complicated by gestational diabetes mellitus (GDM). Standard care will include educational materials addressing postpartum diabetes screening, healthy nutrition, physical activity, weight management, and long-term cardiometabolic risk following GDM. Participants will otherwise receive routine clinical care according to their treating providers and will not receive study-provided semaglutide during the 6-month randomized active phase.

Interventions

  • The intervention is semaglutide initiated within 6 weeks of delivery and administered once weekly for 6 months to postpartum individuals following a pregnancy complicated by gestational diabetes mellitus (GDM). Participants randomized to the intervention arm will receive semaglutide in addition to standard postpartum care. Treatment will be initiated using a standardized dose-escalation regimen consistent with the approved prescribing approach to improve tolerability, with dose adjustments or discontinuation based on tolerability and clinical safety.

06

What researchers measure

Primary outcomes

  1. Metabolic Syndrome

    Metabolic syndrome will be treated as a binary variable. Metabolic syndrome is defined as a cluster of cardiovascular risk factors that is defined as having three or more of the following five criteria: waist circumference over 88 centimeters in women, blood pressure greater than or equal to 130/85 mmHg, fasting triglyceride (TG) level greater than or equal to 150 mg/dL, fasting high-density lipoprotein (HDL) cholesterol level less than 50 mg/dl and fasting blood sugar greater than or equal to 110 mg/dL.

    Time frame: 6 months after randomization

Secondary outcomes

  1. Percent Weight Loss

    Calculated from measured weight at baseline and from initial prenatal visit weight

    Time frame: 3, 6, and 12 months after randomization

  2. Body Mass Index

    Calculated from the height and weight

    Time frame: Baseline, 3, 6, and 12 months after randomization

  3. Waist Circumference

    Standardized anthropometric measurement in centimeters

    Time frame: Baseline, 3, 6, and 12 months after randomization

  4. Systolic and Diastolic Blood Pressure

    Mean blood pressure from 3 automated measurements taken after resting for 5 minutes

    Time frame: Baseline, 3, 6, and 12 months after randomization

  5. Concentration of Fasting Blood Sugar

    Laboratory assay of fasting blood sugar

    Time frame: Baseline, 3, 6, and 12 months after randomization

  6. Concentration of Triglycerides

    Laboratory assay

    Time frame: Baseline, 3, 6, and 12 months after randomization

  7. Concentration of High Density Lipoprotein (HDL) Cholesterol

    Laboratory assay

    Time frame: Baseline, 3, 6, and 12 months after randomization

  8. Type 2 Diabetes Mellitus

    Diagnosed by a hemoglobin A1c greater than 6.4%

    Time frame: 3, 6, and 12 months after randomization

  9. Concentration of High sensitivity troponin

    Laboratory assay assessing cardiac injury

    Time frame: Baseline, 3, 6, and 12 months after randomization

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — The investigators will share aggregate summarized level data to protect patient confidentiality.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2027; primary completion for Sep 2030, 36 months later.

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

Registered
Aug 27, 2026
First posted
Sep 1, 2026
StartEst.
Sep 1, 2027
Primary completionEst.
Sep 1, 2030
CompletionEst.
Dec 31, 2030
Last update
Sep 28, 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.
Eligibility
Maximum age 65 Years→none
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Eligibility Maximum age 65 Years→none
    + 1 other change: design details

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
NCT07797036
Responsible party
Gianna Wilkie (Assistant Professor of Obstetrics and Gynecology, University of Massachusetts, Worcester) — Principal investigator
First posted
Sep 1, 2026
Start date
Sep 1, 2027 (estimated)
Primary completion
Sep 1, 2030 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Sep 28, 2026

Study contacts

Gianna L Wilkie, MD, MSc
Contact
Gianna.Wilkie@umassmemorial.org
508-334-0550

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 Sep 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.

Studies of the drug tested here: Semaglutide

Start the discussion