Could a diabetes drug ease pressure in the brain?
NCT ID NCT06027567
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed phase 4 trial tested whether a rapid weight loss program using semaglutide (Ozempic/Wegovy) plus a very low calorie diet can help people with idiopathic intracranial hypertension (IIH), a condition where high pressure in the skull causes headaches and vision problems. 38 participants with new-onset IIH and a BMI of 27 or higher were randomly assigned to either standard diet counselling or the intensive program. The study measured weight change and intracranial pressure to see if the approach could reduce symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Semaglutide (also known as Ozempic, Wegovy) combined with a very low calorie diet and dietician counselling
- What this could lead to
- If successful, this could offer a new weight-loss-based treatment to reduce intracranial pressure and improve symptoms in people with idiopathic intracranial hypertension.
- What could go wrong
- This is a small, completed phase 4 trial with only 38 participants, so results may not apply to everyone. The very low calorie diet is intense and may be hard to follow, and semaglutide can cause side effects like nausea and vomiting.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
38 people
The number who actually took part.
- Started
-
Sep 2022
- Finished
-
Oct 2025
- 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
-
18 to 65 years
- Sex
-
Female participants only
- 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: * Confirmed new onset definite IIH with papilledema and lumbar opening pressure ≥25 cm cerebrospinal fluid according to Friedmann diagnostic criteria * BMI ≥ 27 * Use of contraceptive methods with failure rates of less than 1 % throughout the study period for group A and for at least an additional 2 months after cessation of Semaglutide * Written, informed consent Exclusion Criteria: * Unable to provide written informed consent or participate * Malignant IIH with visual threat that requires surgical intervention, i.e., cerebrospinal fluid diversion (shunting), optic nerve sheet fenestration or cerebral venous sinus stenting * Pregnancy or breastfeeding * Treatment with antidiabetics, blood-thinners or medication that may increase the risk of adverse events * Diabetes, congestive heart failure, severe vascular disease, pancreatitis, severe ophthalmological disorders other than IIH (e.g. retinopathy) * History or family history of thyroid carcinomas or Multiple Endocrine Neoplasias (MEN1/MEN2) * History of bariatric surgery * Known hypersensitivity to any contents of Semaglutide® * Other severe/uncontrolled mental or physical disease
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Idiopathic intracranial hypertension are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Danish Headache Center, Department of Neurology, Rigshospitalet
Glostrup Municipality, 2600, Denmark
-
Headache clinic, Department of Neurology, Odense University Hospital
Odense, Odense, 5000, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can manitoba crop bars make weight loss easier?
- Which exercise dose best helps kids with metabolic syndrome?
- Custom knee guides put to the test in obese patients
- A pill for obesity? early human trial puts MDR-001 to the test
- Can a weekly shot help people who still struggle with weight after bariatric surgery?
- Do GLP-1 Weight-Loss drugs change how teens eat and feel?