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Last Updated: January 8, 2025

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CLINICAL TRIALS PROFILE FOR SAXENDA


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All Clinical Trials for saxenda

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02488057 ↗ Improving Beta Cell Function in Mexican American Women With Prediabetes Completed Ohio State University Phase 4 2016-05-01 This study will examine the benefits of weight loss alone or in combination with a GLP1 receptor agonist, liraglutide, on beta cell function in young adult Mexican American (MA) women with prediabetes. The Investigators have chosen to focus on MA women because MA women are at very high risk for progression to diabetes and have not traditionally been involved in weight management studies since they are thought to be difficult to recruit and retain in such programs. However, investigators have had particular success in working with young MA women using specifically developed ethnic and gender conscious programs. Because weight loss does not prevent all progression to diabetes, some participants will receive the diabetes medication, liraglutide, which has been shown to stabilize beta cell function. The study will also interrogate for polymorphisms of known T2DM genes to correlate with beta cell response to weight loss and liraglutide treatment. Additionally, this investigation targets serious health disparities in metabolic disease in a highly vulnerable, rapidly growing population, testing novel gender and culturally focused intervention strategies and identifying genetic biomarkers of response to a pharmacologic intervention that targets the pancreatic ßcell. These results will help to a) understand mechanisms of disease, b) personalize treatment through identification of a high risk group that may be amenable to specific therapy, and c) ultimately, sets the stage for an intervention trial to prevent diabetes, a major chronic and costly disease, in Mexican Americans.
NCT02647944 ↗ Pilot Study of the Effect of Liraglutide on Weight Loss and Gastric Functions in Obesity Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2015-12-18 This study was being done to assess the stomach emptying effect of a maximum dose of 3 mg Liraglutide compared to placebo in subjects who are overweight or obese. Liraglutide is a medication approved by the Food and Drug Administration (FDA) for routine clinical use.
NCT02647944 ↗ Pilot Study of the Effect of Liraglutide on Weight Loss and Gastric Functions in Obesity Completed Novo Nordisk A/S Phase 2 2015-12-18 This study was being done to assess the stomach emptying effect of a maximum dose of 3 mg Liraglutide compared to placebo in subjects who are overweight or obese. Liraglutide is a medication approved by the Food and Drug Administration (FDA) for routine clinical use.
NCT02647944 ↗ Pilot Study of the Effect of Liraglutide on Weight Loss and Gastric Functions in Obesity Completed Mayo Clinic Phase 2 2015-12-18 This study was being done to assess the stomach emptying effect of a maximum dose of 3 mg Liraglutide compared to placebo in subjects who are overweight or obese. Liraglutide is a medication approved by the Food and Drug Administration (FDA) for routine clinical use.
NCT02773355 ↗ Timely Detection of Treatment Emergent Serious and Non-serious Adverse Events for Saxenda® in Mexican Patients Enrolling by invitation Novo Nordisk A/S 2016-05-16 This trial is conducted in North America. The aim is to investigate timely detection of pancreatitis cases as well as cases of suspicion of serious and non-serious adverse reactions possibly or probably related to Saxenda® in Mexican patients.
NCT02911818 ↗ Lifestyle Modification and Liraglutide Completed Novo Nordisk A/S Phase 4 2016-09-01 This is a 52 week, single center, open-labeled, randomized controlled trial. A total of 150 subjects with obesity, who are free of types 1 and 2 diabetes, as well as contraindications to weight loss, will be randomly assigned to one of three treatment groups: 1) lifestyle counseling, as currently recommended by the Centers for Medicare and Medicaid Services (CMS) (i.e., CMS-Alone); 2) CMS lifestyle counseling plus liraglutide (i.e., CMS-Liraglutide); or 3) CMS-Liraglutide plus a portion-controlled diet (i.e., Multi-Component Intervention). Subjects in all three groups will have 14 brief (15 minute) lifestyle counseling visits the first 24 weeks, followed by monthly visits in weeks 25-52. This is the schedule and duration of counseling visits recommended by CMS. Counseling sessions will be delivered by a physician, nurse practitioner or registered dietitian (RD) working in consultation with the former providers. Subjects in all three groups also will have brief physician visits at weeks 1, 4, 8, 16, 24, 36, and 52 (total of 7 visits). These visits are needed for subjects in both liraglutide groups to monitor their response to the medication. These visits are included for subjects in CMS-Alone to match the intensity of medical care provided the two other groups. The primary outcome is % reduction in initial body weight, as measured from randomization to week 52. Secondary outcomes include the proportion of participants who at week 52 lose >5%, >10%, and >15% of initial weight, as well as % reduction in weight at week 24 and the proportion of participants who meet the three categorical weight losses at this time. The secondary efficacy measures include changes (from randomization to week 52) in cardiovascular disease (CVD) risk factors, glycemic control, mood, quality of life, eating behavior, appetite, sleep, and satisfaction with weight loss. Safety endpoints will include physical examination, adverse events (AEs), standard laboratory tests, and mental health assessed by the Columbia Suicidality Severity Rating Scale (C-SSRS) and Patient Health Questionnaire (PHQ-9). Statistical Analysis. Using a sample size equation for longitudinal clustered samples, a randomization sample of 50 subjects in CMS-Alone, 50 in CMS-Liraglutide, and 50 in the Multi-Component Intervention provides >80% power to detect the two primary contrasts to be statistically significant. This estimate allows for 20% attrition during the 52-week trial, resulting in approximately 40 treatment completers per group. The ITT longitudinal statistical design will further improve power by allowing the inclusion of available data for non-completers and the adjustment of possible variance reducing baseline covariates.
NCT02911818 ↗ Lifestyle Modification and Liraglutide Completed University of Pennsylvania Phase 4 2016-09-01 This is a 52 week, single center, open-labeled, randomized controlled trial. A total of 150 subjects with obesity, who are free of types 1 and 2 diabetes, as well as contraindications to weight loss, will be randomly assigned to one of three treatment groups: 1) lifestyle counseling, as currently recommended by the Centers for Medicare and Medicaid Services (CMS) (i.e., CMS-Alone); 2) CMS lifestyle counseling plus liraglutide (i.e., CMS-Liraglutide); or 3) CMS-Liraglutide plus a portion-controlled diet (i.e., Multi-Component Intervention). Subjects in all three groups will have 14 brief (15 minute) lifestyle counseling visits the first 24 weeks, followed by monthly visits in weeks 25-52. This is the schedule and duration of counseling visits recommended by CMS. Counseling sessions will be delivered by a physician, nurse practitioner or registered dietitian (RD) working in consultation with the former providers. Subjects in all three groups also will have brief physician visits at weeks 1, 4, 8, 16, 24, 36, and 52 (total of 7 visits). These visits are needed for subjects in both liraglutide groups to monitor their response to the medication. These visits are included for subjects in CMS-Alone to match the intensity of medical care provided the two other groups. The primary outcome is % reduction in initial body weight, as measured from randomization to week 52. Secondary outcomes include the proportion of participants who at week 52 lose >5%, >10%, and >15% of initial weight, as well as % reduction in weight at week 24 and the proportion of participants who meet the three categorical weight losses at this time. The secondary efficacy measures include changes (from randomization to week 52) in cardiovascular disease (CVD) risk factors, glycemic control, mood, quality of life, eating behavior, appetite, sleep, and satisfaction with weight loss. Safety endpoints will include physical examination, adverse events (AEs), standard laboratory tests, and mental health assessed by the Columbia Suicidality Severity Rating Scale (C-SSRS) and Patient Health Questionnaire (PHQ-9). Statistical Analysis. Using a sample size equation for longitudinal clustered samples, a randomization sample of 50 subjects in CMS-Alone, 50 in CMS-Liraglutide, and 50 in the Multi-Component Intervention provides >80% power to detect the two primary contrasts to be statistically significant. This estimate allows for 20% attrition during the 52-week trial, resulting in approximately 40 treatment completers per group. The ITT longitudinal statistical design will further improve power by allowing the inclusion of available data for non-completers and the adjustment of possible variance reducing baseline covariates.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for saxenda

Condition Name

Condition Name for saxenda
Intervention Trials
Obesity 24
Obesity, Morbid 2
Weight Loss 2
Overweight and Obesity 1
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Condition MeSH

Condition MeSH for saxenda
Intervention Trials
Obesity 13
Weight Loss 7
Overweight 3
Prediabetic State 2
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Clinical Trial Locations for saxenda

Trials by Country

Trials by Country for saxenda
Location Trials
United States 33
Mexico 3
United Kingdom 3
Denmark 3
Italy 2
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Trials by US State

Trials by US State for saxenda
Location Trials
Minnesota 4
Texas 4
Ohio 3
Pennsylvania 3
California 3
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Clinical Trial Progress for saxenda

Clinical Trial Phase

Clinical Trial Phase for saxenda
Clinical Trial Phase Trials
Phase 4 14
Phase 3 3
Phase 2 8
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Clinical Trial Status

Clinical Trial Status for saxenda
Clinical Trial Phase Trials
Completed 13
Active, not recruiting 7
Recruiting 5
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Clinical Trial Sponsors for saxenda

Sponsor Name

Sponsor Name for saxenda
Sponsor Trials
Novo Nordisk A/S 13
Mayo Clinic 3
Hvidovre University Hospital 2
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Sponsor Type

Sponsor Type for saxenda
Sponsor Trials
Other 38
Industry 16
NIH 5
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Saxenda Market Analysis and Financial Projection

Saxenda (Liraglutide): Clinical Trials, Market Analysis, and Projections

Introduction to Saxenda

Saxenda, also known as liraglutide, is a glucagon-like peptide-1 (GLP-1) receptor agonist developed by Novo Nordisk. It is used for the treatment of obesity and has been approved for various age groups, including adults and adolescents.

Clinical Trials Overview

Phase III SCALE Studies

The FDA approval of Saxenda was based on the results of three Phase III clinical trials known as the SCALE (Satiety and Clinical Adiposity – Liraglutide Evidence in Nondiabetic and Diabetic people) studies. These trials involved more than 5,000 participants who were either obese or overweight, with or without other weight-related conditions.

  • Study Design: The trials were randomized, double-blind, and placebo-controlled, with patients receiving 3mg of Saxenda daily or a placebo for 56 weeks. Participants also received counseling on lifestyle changes, including a low-calorie diet and regular physical exercise[1].
  • Efficacy Parameters: The primary efficacy parameters included the mean percentage change in body weight and the percentages of patients achieving greater than or equal to 5% and 10% weight loss from baseline to week 56. The results showed that patients treated with Saxenda experienced a statistically significant weight reduction compared to the placebo group[1].

Pediatric Studies

A recent Phase IIIa study published in The New England Journal of Medicine evaluated the efficacy and safety of Saxenda in children aged 6 to 12 years. This study found that children who took Saxenda for over a year experienced a significant reduction in body mass index (BMI) compared to those on a placebo.

  • Study Findings: At 56 weeks, the body weight increased by 1.6% in the Saxenda group, compared to a 10% increase in the placebo group. The treatment effect was statistically significant, with a reduction of 8.4 percentage points in favor of Saxenda. BMI dropped by 5.8% on average in Saxenda patients, whereas it increased by 1.6% in the placebo group[2].

Safety Profile

While Saxenda has shown significant efficacy in weight loss, it also comes with potential side effects.

  • Common Side Effects: Gastrointestinal toxicities were more common among patients on Saxenda. Serious side effects, including pancreatitis, gallbladder disease, renal impairment, and suicidal thoughts, were reported in some patients[1][4].
  • Pediatric Safety: In the pediatric trial, adverse events were common but balanced between the Saxenda and placebo groups. However, gastrointestinal toxicities were more frequent in the Saxenda group, and serious side effects arose in 12% of Saxenda-treated children compared to 8% in the placebo group[2].

Market Analysis

Current Market Status

The market for obesity drugs, including Saxenda, has seen significant growth in recent years.

  • Market Value: The U.S. medical weight loss market has been boosted by the strong sales of new prescription drugs like semaglutide (Wegovy, Ozempic) and liraglutide (Saxenda). The estimated market value for GLP-1 analogues in 2024 is $47.4 billion, with a forecasted market value of $471.1 billion by 2032[5].
  • Competitive Landscape: Saxenda competes with other GLP-1 receptor agonists such as semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro, Zepbound). These drugs are prescribed for type 2 diabetes and chronic weight management and have been gaining momentum in the market[3].

Market Projections

The obesity drug market is projected to experience substantial growth over the next decade.

  • Compound Annual Growth Rate (CAGR): The GLP-1 analogues market is expected to grow at a CAGR of 33.2% from 2024 to 2032[5].
  • Revenue Opportunities: Expanding these treatments to younger patient populations could prove highly lucrative, as patients are expected to remain on these therapies to maintain weight loss. The obesity market is projected to reach $100 billion by 2030, with significant revenue and growth opportunities for companies like Novo Nordisk and Eli Lilly[2].

Regulatory Approvals

FDA and EMA Approvals

Saxenda has received several regulatory approvals that have expanded its use.

  • FDA Approvals: The FDA approved Saxenda for chronic weight management in obese patients aged 12 years and older in April 2020. The drug was initially approved for adults in 2014[1][2].
  • EMA Approval: The European Medicines Agency’s (EMA) Committee for Medicinal Products for Human Use (CHMP) recommended the use of Saxenda for treating obesity in adolescents aged 12-17 years in March 2021[1].

Long-Term Efficacy and Safety

Sustained Weight Loss

Clinical trials have shown that Saxenda can help patients achieve and maintain significant weight loss over time.

  • 3-Year Study: In a 3-year study involving 2,254 adult patients, more than 50% of patients taking Saxenda who completed the trial achieved clinically meaningful weight loss at year 1 and maintained it at year 3. Of the total randomized population, 26% achieved clinically meaningful weight loss at year 1 and maintained it at year 3[4].

Conclusion

Saxenda has demonstrated its efficacy in clinical trials across various age groups, from adults to children as young as six years old. The drug's ability to induce significant weight loss and its approval for use in adolescents highlight its potential in addressing the growing issue of obesity.

Key Takeaways

  • Clinical Efficacy: Saxenda has shown statistically significant weight reduction in clinical trials.
  • Pediatric Use: The drug is effective and relatively safe for children aged 6 to 12 years.
  • Market Growth: The obesity drug market, including Saxenda, is projected to grow substantially by 2032.
  • Regulatory Approvals: Saxenda has received approvals from the FDA and EMA for use in adolescents.
  • Long-Term Efficacy: Patients can achieve and maintain significant weight loss over several years.

FAQs

What is Saxenda used for?

Saxenda, or liraglutide, is used for the treatment of obesity and chronic weight management in adults and adolescents.

What are the common side effects of Saxenda?

Common side effects include gastrointestinal toxicities, pancreatitis, gallbladder disease, renal impairment, and suicidal thoughts.

Has Saxenda been approved for use in children?

Yes, Saxenda has been approved by the FDA for use in children aged 12 to 17 years and has shown efficacy in children as young as six years old in clinical trials.

How does Saxenda work?

Saxenda works by suppressing appetite, slowing the emptying of the stomach, and inducing the secretion of insulin from the pancreas.

What is the projected market value of GLP-1 analogues by 2032?

The projected market value of GLP-1 analogues, including Saxenda, is $471.1 billion by 2032.

Sources

  1. Clinical Trials Arena: Saxenda (liraglutide) for the Treatment of Obesity, US.
  2. BioSpace: Novo's Saxenda Effectively, Safely Lowers BMI in Children - BioSpace.
  3. GlobeNewswire: United States Medical Weight Loss Market Analysis Report 2023.
  4. NovoMedLink: Saxenda® (liraglutide) Injection 3 mg for Maintaining Weight Loss.
  5. BusinessWire: $471 Bn GLP-1 Analogues Markets: Ozempic, Rybelsus, Saxenda ...

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