The goal of this clinical trial is to learn whether semaglutide, an FDA-approved treatment for diabetes and obesity, is feasible and tolerable in patients with advanced lung disease. The main question\[s\] it aims to answer are: 1. Are patients with advanced lung disease able to tolerate semaglutide therapy? 2. Are we able to titrate semaglutide therapy to a target weight? Participants will be asked to perform pulmonary function, physical function and body composition testing, as well as a blood draw before and after 12-weeks of semaglutide therapy. While on therapy, subjects will be surveyed regarding any adverse events or side effects.
This is a small open-label pilot clinical trial of semaglutide in adults (age 18 or older, n=8) with obesity (BMI≥30 kg/m2), and chronic advanced lung disease (interstitial lung disease, sarcoidosis, chronic obstructive pulmonary disease, or pulmonary hypertension requiring supplemental oxygen on exertion). This study will evaluate medication adherence and side effects to determine semaglutide tolerability. Markers of physical function and pulmonary function will be evaluated before therapy and after 12 weeks of therapy to determine the effect of semaglutide on function. Measures of fat and muscle, will be performed before therapy and after 12 weeks of therapy to evaluate how semaglutide alters body composition in this population. Study participants will be monitored for 12 weeks while receiving semaglutide therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Once weekly subcutaneous injection
University of Pennsylvania Perelman School of Medicine
Philadelphia, Pennsylvania, United States
RECRUITINGTolerability
The proportion of participants who either reach a target semaglutide dose of 1.0 mg/week or who achieve target weight.
Time frame: 12 weeks
Body composition
Change in percent body fat
Time frame: Baseline to 12 weeks
Body composition
Change in skeletal muscle index
Time frame: Baseline to 12 weeks
Body composition
Change in weight
Time frame: Baseline to 12 weeks
Lung function
Change in forced vital capacity
Time frame: Baseline to 12 weeks
Lung function
Change in forced expiratory volume in 1 second
Time frame: Baseline to 12 weeks
Lung function
Change in diffusion capacity
Time frame: Baseline to 12 weeks
Physical function
Change in frailty as measured by the Short Physical Performance Battery
Time frame: Baseline to 12 weeks
Physical function
Change in six-minute walk distance
Time frame: Baseline to 12 weeks
Markers of adiposity and insulin resistance
Change in c-reactive protein
Time frame: Baseline to 12 weeks
Markers of adiposity and insulin resistance
Change in glycosylated hemoglobin
Time frame: Baseline to 12 weeks
Markers of adiposity and insulin resistance
Change in free fatty acids
Time frame: Baseline to 12 weeks
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