Can diet, exercise, and pills tame metabolic syndrome?
NCT ID NCT06271200
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a strict lifestyle program—eating only during an 8-hour window, walking 10,000 steps daily, and cutting 500 calories—can help obese adults with metabolic syndrome lose weight and improve heart health. After 24 weeks, participants also receive either Rybelsus or Forxiga, two weight-loss medications, for another 26 weeks. The goal is to see if these approaches work together to reduce metabolic risks and sustain weight loss over a year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lifestyle intervention (time-restricted eating, walking, calorie reduction) and weight-loss medications (Rybelsus or Forxiga)
- What this could lead to
- If successful, this could show that combining lifestyle changes with medication helps obese adults with metabolic syndrome lose weight and reduce heart disease risk.
- What could go wrong
- This is a mid-stage trial with 200 participants, so results may not apply to everyone. The lifestyle program is demanding, and medications can have side effects like nausea or dehydration.
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
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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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
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20 to 65 years
- Sex
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Anyone
- Healthy volunteers
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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: * Men or women aged from ≥ 20 years to 65 years * BMI 27.0 to 45.0 kg/m2 with metabolic syndrome by IDF definition Exclusion Criteria: * History of HIV, hepatitis B or C (self-report) or active pulmonary tuberculosis * Diagnosis of type 1 or type 2 diabetes and regular taking oral or injection hypoglycemic therapy * History of malignant tumors with active managements. * History of medullary thyroid carcinoma or diagnosis of multiple endocrine neoplasia syndrome type 2 (MEN 2) * Serious liver dysfunction or chronic kidney disease (aspartate aminotransferase (AST) or alanine transaminase (ALT) \> 3 times the upper limit of normal, or estimated glomerular filtration rate (eGFR) \< 30 ml/min/1.73 m2) * History of serious cardiovascular or cerebrovascular disease (angina, myocardial infarction or stroke) in the past 6 months History of severe gastrointestinal diseases or gastrointestinal surgery in the past 6 months * History of Cushing's syndrome, hypothyroidism, acromegaly, hypothalamic obesity without regular managements. * History of hypersensitivity to semaglutide or any component of RYBELSUS®, or history of severe hypersensitivity reactions to Forxiga, such as anaphylaxis or angioedema. * Taking medications affecting weight or energy intake/energy expenditure in the last 3 months, including weight loss medications, antipsychotic drugs or other medications as determined by the study physician * Currently participating in weight loss programs or weight change in the past 3 months (\>5% current body weight) * Women who are pregnant or plan to become pregnant * Patients who cannot be followed for 3 years (due to a health situation or migration) * Patients who are unwilling or unable to give informed consent
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Institute of Molecular and Genomic Medicine, National Health Resesarch Institutes
RECRUITINGZhunan, Miaoli County, 350, Taiwan
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