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NCT07770282Not yet recruitingPhase 3

Efficacy and Safety of Semaglutide Versus Placebo on Cardiometabolic Profile in Patients With Schizophrenia With Metabolic Syndrome

Efficacy and Safety of Semaglutide Versus Placebo on Cardiometabolic Profile in Patients With Schizophrenia With Metabolic Syndrome: A Multicentre, Double-Blind, Randomised Controlled Trial (ESCaMS Trial)

Source: ClinicalTrials.gov · Last updated 18 Aug 2026

Brief summary (registry, in English)

Patients with schizophrenia on second-generation antipsychotics have a high burden of metabolic syndrome and elevated cardiovascular risk, with few effective treatment options. This multicentre, double-blind, placebo-controlled randomised trial evaluates whether adjunctive oral semaglutide 3 mg once daily, added to treatment as usual, reduces 10-year cardiovascular risk (QRISK3) and improves insulin resistance, lipids, weight and metabolic biomarkers over 24 weeks compared with placebo, while confirming psychiatric safety and tolerability.

Status (registry)
Not yet recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
600 (estimated)
First submitted
10 Aug 2026
Start date
1 Dec 2026
Primary completion date
30 Jul 2030
Lead sponsor
All India Institute of Medical Sciences, Bhubaneswar
NCT number
NCT07770282

What you commit to

  • Study type: Interventional · Phase 3
  • Planned participants: 600
  • From 1 Dec 2026 to the primary completion date, 30 Jul 2030
  • No sites listed in no 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.

Other illness

  • ● On clozapine, aripiprazole, or a combination of SGAs.
    • Any contraindication to semaglutide.
    • Comorbid severe psychiatric, medical or neurological disorder.
    • History of organicity or significant head injury.
    • Pregnant or breastfeeding.

Who the study is looking for

  • Clinically diagnosed schizophrenia (ICD-11) on a second-generation antipsychotic (SGA) for more than 6 months.
    • Metabolic syndrome per NCEP ATP III definition.
    • Aged above 25 years, any gender.
    • Patient / Legally Authorised Representative (LAR) provides voluntary written informed consent.

Age in the registry: 18 years to 60 years · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

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