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CompletedNCT07820111Updated Sep 15, 2026

Comparative Study of Different Weekly GLP-1 Receptor Agonists Among Diabetic and Non-Diabetic Patients: Clinical Trial

A Phase 3 interventional study of Dulaglutide 1.5 MG/ML and Semaglutide 2 mg/1.5 ml (1.34 mg/ml), prefilled pen-injector for subcutaneous injection solution in Obese Diabetics and Obese Non Diabetic, sponsored by Zagazig University. Completed at 1 site in Saudi Arabia. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Zagazig University · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Oct 2025, registered Aug 2026).

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Phase
Phase 3
Study type
Interventional
Enrollment
159
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

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

Among 54 studies testing dulaglutide in Diabetes Mellitus, Type 2 — 3 open to participants now, 4 under way, 1 of them phase 3. dulaglutide · Diabetes Mellitus, Type 2.

Enrollment
27th of 54
159 · median 159
Started
2025
with 3 others
Phase 3
22 of 54
1 open now
Registered
54th of 54
by date

Among the 54 studies testing dulaglutide in Diabetes Mellitus, Type 2, this one is the 27th largest by enrollment, is one of 4 that started in 2025, is one of 22 in phase 3, and was the 54th registered.

Diabetes Mellitus, Type 2

10,382 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,411 are open to participants now.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

3 of the 54 studies testing dulaglutide in Diabetes Mellitus, Type 2 are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About dulaglutide

dulaglutide: first FDA approval 2014 (TRULICITY), first EMA approval 2014. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 883 Diabetes Mellitus, Type 2 studies recruiting now, 374 (42%) set no upper age limit and 383 (43%) stop at 75 or younger; 52 take children under 18; 205 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · healthy volunteers too.

The full table on the hub →

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

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 54 studies testing dulaglutide in Diabetes Mellitus, Type 2, or all of them as a file.
02

Study summary

titel : Comparative Study of Different Weekly GLP-1 Receptor Agonists Among Diabetic and Non-Diabetic Patients: Clinical Trial

Abstract :

Background: This study that highlights the different effects of most used three GLP-RA Dulaglutide, Semaglutide, Tirazepetide among diabetic and non -diabetic participant as the well-known fact that they don't have only weight recuing effect but also many different effects on metabolic process including insulin sensitivity, lipid profile and NASH.

Materials and Methods:

This is a randomized controlled study involving a total of 159 participants, divided into 75 non-diabetic and 84 diabetic obese individuals. Participants were assigned to three drug groups, each receiving a once-weekly dose of Dulaglutide, Semaglutide, or Tirzepatide for a period of 24 weeks. Each drug group consisted of 53 individuals, subdivided into 25 non-diabetic and 28 diabetic participants.

Measurements were taken at three time points: pretreatment, 3 months post-treatment, and 6 months post-treatment. Each participant underwent a complete physical exam, and data was collected on weight, BMI, age, and sex and Laboratory tests. , also repeated measurements were taken at 3 and 6 months post-treatment. on metabolic processes, weight reduction, and insulin sensitivity, particularly in diabetic individuals, as well as effects on lipid profiles and liver enzymes, weight reduction, BMI, HbA1c, TYG-index, triglycerides, and HDL-C levels. total cholesterol (Tc) and liver enzymes.

Data were collected, and statistical analyses were conducted afterward.

Read the detailed description

Methods

Study and population:

This was a randomized controlled clinical trial study conducted at Al-Zafer hospital Najran KSA October 2025. The study received approval from the Institutional Ethics Committee (king Khaled hospital) Najran health cluster KSA on 27 October 2024. IRB registration number with KACST, KSA: H-11-N-136.

Definition of overweight and obesity in adults using Body mass index (BMI): BMI ≥ 25 kg/m² (overweight) and BMI ≥ 30 kg/m² (obesity).

Formula: Body mass index, kg/m2 = weight, kg / (height, m)2 [24] Facts \& Figures Simental-Mendia et al. (2008) developed the TyG (Triglyceride-Glucose Index), a mathematical equation that indirectly evaluates IR based on laboratory data: fasting plasma triglycerides and glucose levels [25].

Grouping This study was conducted on a total of 159 participants who attend the outpatient internal medicine clinic.

Group 1: included 53 subjects: 25 non-diabetics and 28 diabetics receiving dulaglutide.

Group 2: included 53 subjects: 25 non-diabetics and 28 diabetics receiving semaglutide.

Group 3: included 53 subjects: 25 non-diabetics and 28 diabetics receiving tirzepatide.

The study will be done from October 2025 to March 2026.

Subject included lithe study:

Inclusion criteria: A minimum of 24 weeks of follow-up was required for adults (18-65 years old) who were either overweight or obese, diabetic, or non-diabetic and had received GLP-1RAs.

Exclusion criteria: In a crossover design, GLP-1RA is compared to other drug classes without a placebo arm or using withdrawn medications. Patients who will refuse to be enrolled in the study or refuse to sign the consent will be also excluded.

Method of selection of sample: the sample will be selected by randomized method.

Sample size: Sample size was calculated using G*Power for a mixed-design ANOVA with two between-subject factors (3×2 design) and one within-subject factor (3 repeated measurements). The total sample size was estimated to be 114 participants, with 19 participants in each group, assuming a medium effect size (f = 0.25) for α = 0.05, power = 99%, and a correlation of 0.5 among repeated measures.

All participants underwent:

Full history taking: with special consideration to age, sex, and location of residence and gastrointestinal symptoms, General examination: The body mass index was determined by dividing the weight (in kilograms) by the square of the height (in meters) with particular attention to weight and height. The Centers for Disease Control and Prevention (CDC) classified individuals with a body mass index (BMI) below 18.5 as underweight. Normal is defined as a body mass index (BMI) between 18.5 and 24.9, 25 to 29.9 is considered overweight, and 30 and above is considered obese), Laboratory investigation: includes fasting blood glucose (FBS), lipid profile TC (Total Cholesterol, Triglycerides (TG), LDL (Low Density Cholesterol), HDL (High Density Cholesterol), liver enzymes (ALT, (Alanine Aminotransferase) AST (Aspartate Aminotransferase), HBA1C using device VITROS product chemistry with LDHI slides kits Ortho-clinical Diagnostics USA and Tyg index (insulin resistance).

Data analysis:

Information was entered and evaluated using IBM-SPSS software for Windows, version 27, 2020, developed by IBM SPSS Inc. in Chicago, Illinois, USA. Numerical data are presented as the median (Q1-Q3), while categorical data are expressed as N (%). Comparisons among groups for numerical variables were conducted using the Kruskal-Wallis H-test, and comparisons for categorical variables were made using the Chi-square test. The correlation between two categorical variables was assessed using a 3-way ANOVA test. A binary outcome variable was predicted based on one or more predictors through binary logistic regression analysis. Statistical significance was defined as a p-value less than 0.05, accompanied by a 95% confidence interval.

03

Conditions studied

  • Obese Diabetics
  • Obese Non Diabetic

Keywords

  • GLP1-RA
  • Type 2 Diabetes Mellitus (T2DM)
  • Obesity
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • overweight or obese, diabetic, or non-diabetic

Exclusion criteria

Exclusion Criteria:

  • Patients who will refuse to be enrolled in the study or refuse to sign the consent
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
159 participants (actual)

Study arms

  • Active comparator
    obese , non diabetic ,recieve dulaglutide

    GLP1-RA

    Drug: Dulaglutide 1.5 MG/ML · Drug: Dulaglutide 0.75mg subcutaneous injection

  • Active comparator
    obese , non diabetic ,receive SEMAGLUTIDE

    GLP1-RA

    Drug: Semaglutide 2 mg/1.5 ml (1.34 mg/ml), prefilled pen-injector for subcutaneous injection solution · Drug: Semaglutide 1.0 mg

  • Active comparator
    obese , non diabetic ,receive TIRAZEPETIDE

    GLP1-RA

    Drug: Tirzepatide is administered as part of routine clinical care for obesity management, according to standard prescribing practices. Dosing and treatment duration are determined by the treating physician · Drug: Tirzepatide (Flexible titration)

  • Active comparator
    obese , diabetic ,recieve dulaglutide

    GLP1-RA

    Drug: Dulaglutide 1.5 MG/ML

  • Active comparator
    obese , diabetic ,receive SEMAGLUTIDE

    GLP1-RA

    Drug: Semaglutide 2 mg/1.5 ml (1.34 mg/ml), prefilled pen-injector for subcutaneous injection solution · Drug: Semaglutide 1.0 mg

  • Active comparator
    obese , diabetic ,receive TIRAZEPETIDE

    GLP1-RA

    Drug: Tirzepatide is administered as part of routine clinical care for obesity management, according to standard prescribing practices. Dosing and treatment duration are determined by the treating physician · Drug: Tirzepatide (Flexible titration)

Interventions

  • DrugDulaglutide 1.5 MG/ML

    Drug page: Dulaglutide

    once weekly dulaglutide injection

  • DrugSemaglutide 2 mg/1.5 ml (1.34 mg/ml), prefilled pen-injector for subcutaneous injection solution

    Drug page: Semaglutide

    once weekly

  • DrugTirzepatide is administered as part of routine clinical care for obesity management, according to standard prescribing practices. Dosing and treatment duration are determined by the treating physician

    once weekly tirzeptide 7.5 and 15 mg

  • once weekly

  • once weekly

  • once weekly

06

What researchers measure

Primary outcomes

  1. change in body weight at 3 and 6 months

    Change from baseline in body weight (kg) at 3 and 6 months among diabetic and non-diabetic participants receiving weekly GLP-1 receptor agonists.

    Time frame: 6-MONTH STUDY PERIOD

Secondary outcomes

  1. Change in Body Mass Index (BMI)

    Change in BMI from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: kg/m²

    Time frame: 3 months, and 6 months

  2. Change in Glycated Hemoglobin (HbA1c)

    Change in HbA1c from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: %

    Time frame: Baseline, 3 months, and 6 months

  3. Change in Low-Density Lipoprotein Cholesterol (LDL-C)

    Change in LDL-C from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: mg/dL

    Time frame: Baseline, 3 months, and 6 months

  4. Change in Triglycerides

    Change in serum triglyceride concentration from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: mg/dL

    Time frame: Baseline, 3 months, and 6 months

  5. Change in Alanine Aminotransferase (ALT)

    Change in serum ALT concentration from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: U/L

    Time frame: Baseline, 3 months, and 6 months

  6. Change in Aspartate Aminotransferase (AST)

    Change in serum AST concentration from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: U/L

    Time frame: Baseline, 3 months, and 6 months

  7. Change in High-Density Lipoprotein Cholesterol (HDL-C)

    Change in HDL-C from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: mg/dL

    Time frame: Baseline, 3 months, and 6 months

  8. Change in Total Cholesterol (TC)

    Change in TC from baseline to 3 months and 6 months among participants receiving GLP-1 receptor agonists, analyzed separately in diabetic and non-diabetic participants. Unit of Measure: mg/dL

    Time frame: Baseline, 3 months, and 6 months

07

Study locations

1 site
  • Najran Health Cluster
    Najran, Ksa 55461, Saudi Arabia
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified individual participant data, including demographic characteristics, baseline clinical characteristics, anthropometric measurements, laboratory results, treatment assignment, adherence data, and outcome measures collected during the study.

Supporting information: Study protocol, Statistical analysis plan

Time frame: 2 years

Access criteria: Limited to qualified researchers conducting legitimate scientific research

Data sharing details ↗ · register.clinicaltrials.gov

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

Ran from Oct 2025 to primary completion in Mar 2026, 4 months.

Of 87 non-industry phase 3 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 47. This study's 4 months is below that.

Counting every sponsor, half of 525 studies reached it within 20 months; a quarter within 14 and three quarters within 30.

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

Registered
Aug 4, 2026
First posted
Sep 15, 2026
StartActual
Oct 18, 2025
Primary completionActual
Mar 17, 2026
CompletionActual
Mar 17, 2026
Last update
Sep 15, 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 Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07820111
Lead sponsor
Zagazig University
Responsible party
Osama Ibraheem husini Moustafa (Dr., Zagazig University) — Principal investigator
First posted
Sep 15, 2026
Start date
Oct 18, 2025
Primary completion
Mar 17, 2026
Completion
Mar 17, 2026
Last update
Sep 15, 2026

Study contacts

hany moustafa ibraheem, ph-d
principal investigator · alzafer hospital , najran , KSA
osama ibraheem Moustafa, ph-d
study director · najran health cluster

Oversight

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

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Dulaglutide · Semaglutide · Tirzepatide

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