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NCT06003153RecruitingPhase 4

GLUCOSE-MGH: Genetic Links Understood Through Challenge With Oral Semaglutide Exposure at MGH

Source: ClinicalTrials.gov · Last updated 8 Jul 2026

Brief summary (registry, in English)

The goal of this research study is to evaluate the pathophysiologic mechanisms by which genetic variation impacts response to an FDA-approved medication commonly used to treat type 2 diabetes called oral semaglutide (Rybelsus) and to characterize the physiological response to a mixed meal tolerance test (MMTT) before and after a 14-day treatment with oral semaglutide. The investigators will do this by measuring factors in the blood, such as sugars, fats, metabolites, and proteins, after eating a standardized breakfast meal at the first visit and after taking 14 doses of oral semaglutide over two weeks before the second study visit. The food (mixed meal breakfast) we will be studying is specially prepared to contain a set amount of protein, carbohydrates, and fat. The investigators hypothesize that understanding how the acute biochemical response to oral semaglutide differs by genetic variation will generate insight into drug mechanisms and type 2 diabetes pathophysiology.

Status (registry)
Recruiting
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
125 (estimated)
First submitted
9 Aug 2023
Start date
12 Mar 2024
Primary completion date
31 May 2027
Lead sponsor
Massachusetts General Hospital
NCT number
NCT06003153

What you commit to

  • Study type: Interventional · Phase 4
  • Planned participants: 125
  • From 12 Mar 2024 to the primary completion date, 31 May 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Currently taking medications or intending to take medications for diabetes
  • Currently taking medications or intending to take medications that affect glycemic parameters, such as glucocorticoids, growth hormone, or fluoroquinolones

Other illness

  • Personal history of intestinal malabsorption, bariatric surgery, celiac disease, gallbladder disease, or pancreatitis
  • Personal or family history of medullary thyroid cancer or multiple endocrine neoplasia type 2
  • History of cirrhosis and/or aspartate aminotransferase or alanine aminotransferase more than 3x upper limit of normal

Lab values

  • Estimated glomerular filtration rate (eGFR) \<60 ml/min/1.73 m2 per the Modification of Diet in Renal Disease equation

Other

  • Dietary restrictions preventing consumption of a MMTT
  • Women who are pregnant, nursing, or at risk of becoming pregnant
  • Participation in other interventional studies during the current study

Who the study is looking for

  • Males or non-pregnant females
  • Ages 18-65 (inclusive)
  • Able/willing to give consent
  • Span the metabolic range between normal glycemia and pre-diabetes (fasting glucose of 100-125 mg/dL based on chart review of existing laboratory data)

Age in the registry: 18 years to 65 years · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Massachusetts General Hospital
Coordinator of this site? Confirm its status
BostonUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.