A Phase 4 interventional study of Family Care and Standard Care in Obesity and Overweight, sponsored by Signe Torekov. Not yet recruiting at 1 site in Denmark. Open to participants aged 5 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-14.
Sponsored by Signe Torekov · Phase 4, Interventional, and Treatment
The number of adults and children living with obesity is increasing worldwide. Once childhood obesity has developed, more than 80% of children carry the obesity into adulthood, with a high risk of cardiometabolic disease, poor mental health, and decreased life expectancy. Parental obesity is a strong predictor of intergenerational obesity and is closely associated with a child's body composition from childhood through to adulthood.
Obesity pharmacotherapy effectively reduces body weight. In adults, we have shown that combining obesity pharmacotherapy with supervised exercise improves weight-loss maintenance compared with pharmacotherapy alone. Emerging evidence suggest that exercise may also limit weight regain after treatment cessation. Together with evidence linking physical activity, sleep, and eating behaviours to weight regulation, these findings support combining pharmacological treatment with interventions targeting multiple modifiable behaviours. Personalised, data-driven feedback may further facilitate sustained behavioural change, but few interventions have integrated these approaches within the family setting.
This 58-week randomized clinical trial aims to investigate the separate and combined effects of a data-driven, multimodal family-based intervention and semaglutide treatment for parents with obesity on body fat percentage and other health-related outcomes in parents and children.
Approximately 400 families will be randomly assigned to one of four groups combining data-driven, multimodal family-based intervention or standard health advice with semaglutide or placebo. The data-driven, multimodal family-based intervention focuses on physical activity, diet, sleep and mental well-being.
The trial will include families with at least one parent with obesity and at least one child aged 5 to 12 years with overweight or obesity. Participating parents with obesity will receive semaglutide or placebo once weekly for 28 weeks.
The main outcomes are changes in body fat percentage in participating parents and children. Other outcomes include changes in body mass index (BMI) in parents and age- and sex-adjusted BMI, known as BMI z-score, in children. Families will participate in the main trial for 58 weeks and complete an additional follow-up assessment at week 104 after randomization.
6,570 studies on the registry are indexed under Obesity; 1,718 are open to participants now.
This study's planned enrollment of 400 is above the median of 77 across 5,084 interventional studies indexed under Obesity.
Browse Obesity studies →Signe Torekov is the lead sponsor of 4 studies on the registry; 1 is open to participants now.
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Index Parent(s):
Index Child(ren):
Other members of the household:
Exclusion Criteria:
Relating to semaglutide (Index Parent(s)) (according to the SmPC: https://www.ema.europa.eu/en/documents/product-information/wegovy-epar-product-information_en.pdf)
Family Care, an enhanced, data driven, multimodal intervention. Index parent(s) will receive s.c. semaglutide for 28 weeks (up to 2.4 mg/week).
Behavioral: Family Care · Drug: Semaglutide (administered by PDS290 pen-injector)
Family Care, an enhanced, data driven, multimodal intervention. Index parent(s) will receive s.c. placebo for 28 weeks (volume matched with semaglutide).
Behavioral: Family Care · Drug: Placebo (administered by PDS290 pen-injector)
Standard Care, standard recommendation on diet, sleep, and exercise. Index parent(s) will receive s.c. semaglutide for 28 weeks (up to 2.4 mg/week).
Behavioral: Standard Care · Drug: Semaglutide (administered by PDS290 pen-injector)
Standard Care, standard recommendation on diet, sleep, and exercise. Index parent(s) will receive s.c. placebo for 28 weeks (volume matched with semaglutide).
Behavioral: Standard Care · Drug: Placebo (administered by PDS290 pen-injector)
Family Care will be parent-focused but designed to involve the entire family through parent education, individualized guidance based on study assessment and family preferences, supervised exercise sessions (online and on-site) for the families, and feed-back delivered using an app solution and wearable activity trackers.
Standard Care consist of recommendations on physical activity, sleep, and dietary habits and will be based on the current recommendations from, e.g., WHO, Nordic Nutrition Recommendations, the American Academy of Sleep Medicine, and the Sleep Research Society.
Semaglutide (3.2 mg/ml) is self-administered subcutaneously via a PDS290 pen-injector. Treatment will have a duration of 28 weeks and consist of a dose escalation phase (up to 2.4 mg/week) and dose reduction phase.
Placebo is self-administered subcutaneously via a PDS290 pen-injector. Treatment will have a duration of 28 weeks and consist of a dose escalation phase (up to 2.4 mg/week) and dose reduction phase.
Change in body fat percentage
In Index Parent(s) and Index Child(ren): Dual-energy X-ray absorptiometry scans will be performed in fasting state to measure body fat percentage (%).
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in body weight
In Index Parent(s) and Index Child(ren): Weight will be measured to the nearest 0.1 kg and should be measured in a fasting state.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in BMI
In Index Parent(s): Weight will be measured to the nearest 0.1 kg and should be measured in a fasting state. Height will be measured to the nearest 0.1 cm.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in BMI-Z score
In Index Child(ren): Weight will be measured to the nearest 0.1 kg and should be measured in a fasting state. Height will be measured to the nearest 0.1 cm.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in body composition
In Index Parent(s) and Index Child(ren): Dual-energy X-ray absorptiometry and bioimpedance scans will be performed in fasting state to measure fat free mass and fat mass in kg.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in waist-to-height ratio
In Index Parent(s) and Index Child(ren): Waist circumference in cm divided by height in cm.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in glucose
In Index Parent(s) and Index Child(ren): Glucose concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in insulin
In Index Parent(s) and Index Child(ren): Insulin concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in C-peptide
In Index Parent(s) and Index Child(ren): C-peptide concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in proinsulin
In Index Parent(s) and Index Child(ren): Proinsulin concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in HbA1c
In Index Parent(s) and Index Child(ren): HbA1c will be assessed in blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in glucagon
In Index Parent(s) and Index Child(ren): Glucagon concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in GLP-1
In Index Parent(s) and Index Child(ren): Glucagon-like peptide-1 concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in GIP
In Index Parent(s) and Index Child(ren): Glucose-dependent insulinotropic polypeptide concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in indices of insulin sensitivity and resistance
In Index Parent(s) and Index Child(ren): Indices of insulin sensitivity and resistance, including HOMA-IR, will be calculated from the relevant glycaemic-control measures.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in Lipid Markers
In Index Parent(s) and Index Child(ren): Lipid markers comprising total cholesterol, LDL, HDL, VLDL, triglycerides, free fatty acids, sphingolipids and lipidomic profiles.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in Exploratory Metabolic Biomarkers
In Index Parent(s) and Index Child(ren): Exploratory metabolic biomarkers comprising adiponectin, neurotensin, neprilysin, visfatin, resistin, PAPP-A, Pro-MBP, FGF21, GDF-15, N-lactoyl-phenylalanine, pigment epithelium-derived factor, chemerin, vaspin, irisin, and omentin.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in prevalence of metabolic syndrome
In Index Parent(s) and Index Child(ren): Metabolic syndrome prevalence (%)
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in metabolic-syndrome z-score
In Index Parent(s) and Index Child(ren): Z-score
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in systolic and diastolic blood pressure
In Index Parent(s) and Index Child(ren): Blood pressure profile comprising systolic and diastolic blood pressure (mmHg), measured in duplicate using a digital blood pressure monitor.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in resting heart rate
In Index Parent(s) and Index Child(ren): Resting heart rate (bpm) measured in duplicate using a digital blood pressure monitor.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in circulating inflammatory markers
In Index Parent(s) and Index Child(ren): Circulating inflammatory markers and endothelial markers (e.g., hsCRP, CRP, leucocytes, sCD163, MBL, Interferon-γ, IL-1, IL-2, IL-4, IL-6, IL-8, IL-10, IL-12p70, IL-13, IL-1RaP, TNF-α, and endothelial markers, e.g., ICAM-1, VCAM-1, malonyldialdehyde, F2-Isoprostanes);
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in Circulating Sex hormones
In Index Parent(s): Circulating Sex hormones (e.g. Total and free testosterone, derivates of testosterone, estradiol and derivates hereof, luteinizing hormone (LH), follicle stimulating hormone (FSH), sex hormone binding globulin (SHBG), and androstenedione, progesterone, dehydroepiandrosterone sulfate (DHEA S), anti Müllerian hormone (AMH), Inhibin B and albumin)
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in VO₂max
In Index Parent(s): VO₂max will be assessed as a measure of cardiorespiratory fitness.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in peak power output
In Index Parent(s): Peak power output will be assessed during the cardiorespiratory fitness test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in one-repetition maximum leg-extension strength
In Index Parent(s): Lower-limb muscle strength will be assessed as one-repetition maximum in the leg-extension test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in handgrip strength
In Index Parent(s): Handgrip strength will be assessed using a handgrip-strength test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in sit-to-stand performance
In Index Parent(s), Index Child(ren) and siblings: Functional muscle performance will be assessed using the sit-to-stand test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in stair-climbing performance
In Index Parent(s), Index Child(ren) and siblings: Functional muscle performance will be assessed using a stair-climbing test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in 20-metre sprint performance
In Index Child(ren) and siblings: Sprint performance will be assessed using a 20-metre sprint test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in standing long-jump performance
In Index Child(ren) and siblings: Muscular fitness will be assessed using the standing long-jump test.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in physical activity
In Index Parent(s), Index Child(ren), other parents, and siblings: Physical activity will be assessed using accelerometry, wrist-worn activity monitors and questionnaires, including the International Physical Activity Questionnaire where applicable.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in sedentary behaviour
In Index Parent(s), Index Child(ren), other parents, and siblings: Sedentary behaviour will be assessed using accelerometry, wrist-worn activity monitors and questionnaires.
Time frame: Change from baseline to end-of-treatment (58 weeks)
To explore the feasibility and satisfaction of the Family Care
In Index Parent(s) and Index Child(ren): Self-reported satisfaction with the app solution, retention and adherence rates, perceived usefulness of the intervention components (participant education, AI-assisted feedback, and online coaching) collected via qualitative interviews after eight weeks of online coaching.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in health-related quality of life
In Index Parent(s), other parents, Index Child(ren) and siblings: Health-related quality of life will be assessed using the SF-36.
Time frame: Change from baseline to end-of-treatment (58 weeks)
To explore the changes in family dynamics and support for weight maintenance
In the Families: Quality of life (QoL): Qualitative interviews exploring family experiences with the intervention and home environment factors influencing behaviours.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in cognitive and motivational task profile
In Index Parent(s) and Index Child(ren): Cognitive and motivational task profile comprising measures of inhibitory control using the Go/No-Go task and reward motivation using the Effort-Expenditure for Rewards Task.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in self-efficacy
In Index Parent(s) and other parents: Self-efficacy will be assessed using the General Self-Efficacy Scale.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in well-being and quality of life
In Index Child(ren) and siblings: Age-appropriate well-being and health-related quality of life will be assessed using KIDSCREEN.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in psychosocial functioning
In Index Child(ren) and siblings: Psychosocial functioning will be assessed using the Strengths and Difficulties Questionnaire.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in Edmonton Obesity Staging System stage
In Index Parent(s): Obesity-related health impairment will be assessed using the Edmonton Obesity Staging System. Higher stages indicate greater obesity-related health impairment and a worse outcome.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in Edmonton Obesity Staging System for Pediatrics stage
In Index Child(ren): Obesity-related health impairment will be assessed using the Edmonton Obesity Staging System for Pediatrics. Higher stages indicate greater obesity-related health impairment and a worse outcome.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in liver-function biomarkers
In Index Parent(s) and Index Child(ren): Liver-function biomarkers, including ALT, AST, fetuin-A and liver-expressed antimicrobial peptide 2, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in pancreatic-function biomarkers
In Index Parent(s) and Index Child(ren): Pancreatic-function biomarkers, including amylase, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in renal-function and electrolyte biomarkers
In Index Parent(s) and Index Child(ren): Renal-function and electrolyte biomarkers, including creatinine, estimated glomerular filtration rate, calcium, potassium, sodium, magnesium and urate, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in haematological biomarkers
In Index Parent(s) and Index Child(ren): Haematological biomarkers, including platelet count and haemoglobin, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in coagulation and fibrinolysis biomarkers
In Index Parent(s) and Index Child(ren): Coagulation and fibrinolysis biomarkers, including INR, tPA and vWF, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in thyroid-function biomarkers
In Index Parent(s) and Index Child(ren): Thyroid-function biomarkers, including TSH, T3, T4 and fT4, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in bone mineral density
In Index Parent(s) and Index Child(ren): Bone mineral density will be assessed by dual-energy X-ray absorptiometry.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in circulating IGF-1
In Index Child(ren): Circulating IGF-1 concentration will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in bone-health biomarkers
In Index Parent(s) and Index Child(ren): Bone-health biomarkers, including calcium, alkaline phosphatase, vitamin D, PTH, sclerostin, osteocalcin, undercarboxylated osteocalcin, CTX and P1NP, will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in anthropometric measures of growth
In Index Child(ren): Growth will be assessed using the anthropometric measurements pre-specified in the study protocol.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in Tanner stage
In Index Child(ren): Pubertal development will be assessed using Tanner staging.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in dietary behaviours
In Index Parent(s), Index Child(ren), other parents, and siblings: Dietary habits will be assessed using dietary records and food-frequency questionnaires.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in eating behaviour
In Index Parent(s), Index Child(ren), other parents, and siblings: Age-appropriate eating behaviour will be assessed using the Three-Factor Eating Questionnaire, Child Eating Behaviour Questionnaire or Adult Eating Behaviour Questionnaire, as applicable.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in feeding practices
In Parents: Feeding practices will be assessed using the Feeding Practices and Structure Questionnaire for Infants and Toddlers.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in binge-eating symptoms
In Index Parent(s): Binge-eating symptoms will be assessed using the BED-Q.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in subjective appetite ratings
In Index Parent(s) and Index Child(ren): Subjective appetite will be assessed using appetite-rating scales.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in appetite-related biomarkers
In Index Parent(s) and Index Child(ren): Appetite-related biomarkers, including leptin, soluble leptin receptor, bound leptin and GLP-1, ghrelin, pyy, pp will be assessed in fasting blood samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in sleep duration
In Index Parent(s), Index Child(ren), other parents and siblings: Sleep duration will be assessed using wearable-device measurements and a sleep diary.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in sleep quality
In Index Parent(s), Index Child(ren), other parents and siblings: Sleep quality will be assessed using wearable-device measurements, a sleep diary and age-appropriate questionnaires, including the Pittsburgh Sleep Quality Index, STOP-Bang Questionnaire and the Sleep Screening Questionnaire for Children and Adolescents.
Time frame: Change from baseline to end-of-treatment (58 weeks)
To explore the changes in faecal microbiome
In Index Parent(s), other parents, Index Child(ren) and siblings: Faecal microbiome
Time frame: Change from baseline to end-of-treatment (58 weeks)
To explore the changes in urine metabolomics
In Index Parent(s), other parents, Index Child(ren) and siblings: urine metabolomics
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in the Metabolomic Profile
In Index Parent(s) and Index Child(ren): The metabolomic profile will be assessed in collected biological samples using the metabolomic analyses.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in systemic levels of metabolic disruptors
In Index Parent(s) and Index Child(ren): Plasma/serum concentrations of metabolic disruptors e.g. per- and polyfluorinated substances (PFAS).
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in cellular and genetic markers
In Index Parent(s) and Index Child(ren): Change in cellular and genetic biomarkers assessed in peripheral blood mononuclear cells, genomic DNA, and induced pluripotent stem cell cultures derived from collected biological samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in genomics profile
In Index Parent(s) and Index Child(ren): Genomic analyses of blood-derived samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Change in transcriptomics profiles
In Index Parent(s) and Index Child(ren): Transcriptomic analyses of blood-derived samples.
Time frame: Change from baseline to end-of-treatment (58 weeks)
Follow-up health
Changes in health markers will be compared between Enhanced Family Care, Family Care, Enhanced Standard Care and Standard Care.
Time frame: Changes from baseline or end of treatment to 46 weeks after the interventions have ended.
Plan to share: Yes — Data sharing will be in accordance with EU and General Data Protection Regulation requirements and applicable local regulations, and in accordance with trial protocol and statistical analysis plan.
Supporting information: Study protocol, Statistical analysis plan
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 ↗
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Studies of the drug tested here: Semaglutide
Signe Torekov