Could a diabetes drug help obese patients get better knee replacements?
NCT ID NCT06807970
First seen Jun 26, 2026 · Last updated Aug 20, 2026 · Updated 2 times
Summary
This early-phase trial tests whether the weight-loss drug semaglutide can improve outcomes for obese patients waiting for total knee replacement. 54 participants will receive the drug for 48 weeks before and after surgery. The goal is to see if weight loss reduces pain and complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- semaglutide (a glucagon-like peptide-1 receptor agonist, GLP-1 RA)
- What this could lead to
- If it works, this could show that weight loss with semaglutide before knee replacement reduces pain and complications in obese patients.
- What could go wrong
- This is a very early, small trial (54 people) with no results yet. The drug may not improve outcomes and can cause side effects like nausea or pancreatitis.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
-
About 54 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Sep 2025
- Expected to finish
-
Jul 2028
An estimate. End dates often move.
- 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
-
40 to 80 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 between 40 and 80 years old * BMI ≥27 kg/m2 * On the surgical waiting list for primary TKR * Willing and able to cooperate in a weight management programme. * Meeting indication for semaglutide Exclusion Criteria: * Revision surgery or surgery for neoplastic disease * A medical condition which in the opinion of the investigators makes the patient unsuitable for participation in the trial * Contraindication to GLP-1RA, like history of pancreatitis, severe gastrointestinal diseases such as gastroparesis, thyroid cancer, and inflammatory bowel disease * Lack of acceptance of the randomisation process.
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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
-
Queen Mary Hospital
Hong Kong, Pokfulam, 999077, Hong Kong
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