Can On-and-Off phentermine melt deep belly fat?
NCT ID NCT07870668
First seen Oct 13, 2026 · Last updated Oct 14, 2026 · Updated 1 time
Summary
Researchers are testing whether intermittent phentermine, taken in three-month cycles with one-month breaks, helps adults with overweight or obesity lose body fat and visceral fat. The trial enrolls 600 adults aged 21 to 40 with a BMI of 27 to 35. Participants receive lifestyle counseling alone or lifestyle counseling plus phentermine at 15 mg, 30 mg, or 37.5 mg daily. The study measures changes in total body fat, visceral fat, waist circumference, and lean mass over 14 months, along with heart rate, blood pressure, and side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- phentermine, an appetite-suppressing weight-loss drug
- What this could lead to
- If intermittent phentermine works, it could offer a way to reduce body fat and visceral fat with planned breaks from the drug, which may limit side effects and improve tolerability.
- What could go wrong
- Phentermine is a stimulant that can raise heart rate and blood pressure, and the trial excludes people with uncontrolled hypertension or significant heart disease. Intermittent dosing may not produce lasting fat loss, and participants may regain weight during the months off the drug.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
600 people
The number who actually took part.
- Started
-
Mar 2024
- Finished
-
Jan 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
21 to 40 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 21 to 40 years. * Body mass index (BMI) 27 to 35 kg/m². * Eligible for structured obesity treatment. * Willingness to complete serial body-composition assessments. Exclusion Criteria: * Pregnancy or breastfeeding. * Known contraindication to sympathomimetic therapy. * Uncontrolled hypertension. * Clinically significant cardiovascular disease. * Medical or psychiatric conditions judged to make participation unsafe or compromise protocol adherence.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Hospital Medica Campestre
León, Guanajuato, 37180, Mexico
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