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Taking people in NetherlandsPhase 4

Semaglutide 2.4 mg for weight regain after bariatric surgery in adults with obesity

Tests semaglutide 2.4 mg against placebo in adults with obesity after bariatric surgery.

Key facts

Who runs it
Stichting Zuyderland Medisch Centrum
Where
Beverwijk, Heerlen, and Nieuwegein, NetherlandsSee the 3 sites
Trial code
Registry title
Semaglutide 2.4mg for low responders after bariatric surgery
Status
Recruiting
Phase
Phase 4
People taking part
152 people, planned
Started
11 Mar 2025
Planned end
30 Jan 2026
Type of study
Interventional
Record updated
6 March 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who had weight-loss surgery (gastric bypass or sleeve gastrectomy) and lost the least weight in the first 3 months. They would get Semaglutide 2.4 mg or placebo, plus a lifestyle programme.

Age
18 years or older, and younger than 75 years
Sex
All sexes can join.
Disease stage
Obesity with a BMI of 35.0 kg/m2 or more before surgery. After surgery, the person is in the lowest quarter for weight loss (%TWL) at 3 months.
Earlier treatment
Must have had a first gastric bypass (RYGB, banded or not) or a sleeve gastrectomy (SG, banded or not). Must be treated with group consultation at the Dutch Obesity Clinic (DOC).

Main reasons for not taking part

  • Type 1 or type 2 diabetes
  • Use of warfarin or other coumarin drugs
  • Poor kidney function (creatinine clearance below 30 ml/min) or any liver failure
  • Serious heart failure or angina (NYHA class III and IV)
  • Past cancer, past pancreatitis, or past thyroid cancer

The registry criteria, word for word

Show all 15 criteriaShow less

Who can take part

  • Patient is ≥18 and <75 years old
  • BMI before surgery was ≥ 35.0 kg/m2
  • Patient is treated with group consultation at the Dutch Obesity Clinic (DOC)
  • Patient has undergone a primary (banded) RYGB or (banded) sleeve gastrectomy (SG)
  • Patient is in the lowest %TWL quartile, 3 months after surgery and will be enrolled in the plus module

Who cannot take part

  • Type 1 or type 2 diabetes
  • Liver failure (all)
  • Congestive heart failure or angina pectoris NYHA class III and IV
  • Malignancy in history
  • Inflammatory Bowel Disease
  • Thyroid malignancy in history
  • Decreased renal function (creatinine clearance < 30 ml/min)
  • Use of warfarin or other coumarin derivates
  • Pancreatitis (in history)
  • Pregnancy / breast-feeding

Where in Netherlands

  • Rode Kruis Ziekenhuis B.V.Beverwijk, NetherlandsTaking people
  • Zuyderland Medisch Centrum StichtingHeerlen, NetherlandsTaking people
  • Sint Antonius Ziekenhuis StichtingNieuwegein, NetherlandsTaking people

About the trial

What the trial wants to find out

To study the weight change from 3 to 18 months after surgery (% total weight loss, TWL) in low responders after bariatric surgery who are treated with Semaglutide 2.4 mg and a lifestyle intervention and compare change in weight to patients receiving placebo and a lifestyle intervention.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record

Print a page for my doctor

Data and sources

Registry record
Listed on the EU's official list of trials (CTIS).
Official title
Semaglutide 2.4mg for low responders after bariatric surgery
Plain-language title
Semaglutide 2.4 mg for weight regain after bariatric surgery in adults with obesityGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 9 November 2026.
Record updated
6 March 2025