Could a Low-Calorie diet and Weight-Loss drug send type 2 diabetes into remission?
NCT ID NCT07753447
First seen Aug 07, 2026 · Last updated Aug 07, 2026
Summary
This trial tests whether a 12-week calorie-restricted diet, combined with the weight-management drug Contrave, can help people with type 2 diabetes and obesity achieve remission. Remission means blood sugar levels drop below the diabetes threshold without needing glucose-lowering medications. The study enrolls adults under 60 who have had diabetes for less than six years and a BMI of 27 or higher. Participants will receive either the dietary intervention with Contrave or a control, and researchers will compare remission rates and weight changes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A combination of a low-calorie meal plan and an extended-release medication called Contrave (naltrexone and bupropion) to reduce appetite and support weight loss.
- What this could lead to
- If successful, this approach could offer a non-surgical path to diabetes remission for people with obesity, potentially reducing or eliminating the need for diabetes medications.
- What could go wrong
- The trial is small (25 participants) and short (12 weeks), so results may not be generalizable. Remission may not be durable, and the medication can have side effects like nausea, headache, or increased blood pressure.
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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
-
25 people
The number who actually took part.
- Started
-
Jul 2025
- Finished
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Feb 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
-
19 to 60 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged ≥19 and \<60 years * Confirmed diagnosis of type 2 diabetes * Diagnosed with diabetes within the past 6 years * Most recent BMI within the past 3 months ≥27 kg/m² * Most recent HbA1c within the past 3 months \<11% * No insulin therapy within the past 3 months Exclusion Criteria: * Pregnant women or those who may become pregnant during the study period * Individuals with organ failure, such as heart failure, hepatic failure, renal failure, or chronic obstructive pulmonary disease * History of cardiovascular disease or cancer treatment within the past 6 months * Acute illness requiring hospitalization (e.g., infection or surgery) within the past 3 months * Presence of endocrine disorders that may affect body weight, such as Cushing's syndrome * Use of medications (other than glucose-lowering agents for diabetes) known to affect blood glucose levels within the past 6 months * Individuals with known food allergies to specific ingredients in the study meals * Individuals with uncontrolled hypertension * Individuals with acute alcohol or drug withdrawal symptoms * History of seizure disorders such as epilepsy * Individuals with genetic disorders such as galactose intolerance, lactase deficiency, or glucose-galactose malabsorption
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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
-
Yeouido Saint Mary's Hospital
Seoul, 07345, South Korea
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