Overview
Sponsor-declared trial summary
Unipolar depression Overweight and obesity
Primary outcome. The primary endpoint is the change in depressive symptoms measured as the difference in the 12-item self-report mood questionnaire Major Depression Inventory (MDI)48 from week 0 to week 26. MDI estimates depression symptom severity and the patients will rate how much time in the past two weeks each of …
Key facts
- Sponsor
- Region Hovedstaden
- Participant type
- Patients
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Psychiatry and Psychology [F] - Mental Disorders [F03]
- Trial duration
- 15 May 2025 → ongoing
- Decision date (initial)
- 2025-05-07
- Transition trial
- No
- Low-intervention
- Yes
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Psykiatrisk Center Nordsjælland
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy
Primary outcome. The primary endpoint is the change in depressive symptoms measured as the difference in the 12-item self-report mood questionnaire Major Depression Inventory (MDI)48 from week 0 to week 26. MDI estimates depression symptom severity and the patients will rate how much time in the past two weeks each of the symptoms of the depressive syndrome is present
Secondary objectives 1
- Secondary outcomes. Changes in body weight. Inflammatory, metabolomics and oxidative stress biomarkers. Global functioning, cognition, and Quality of Life
Conditions and MedDRA coding
Unipolar depression Overweight and obesity
Regulatory references
- Plan to share IPD
- No
- IPD plan description
- All individual participants' data will be anonymised
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-511734-13-03 | Is the glucagon-like peptide-1 receptor agonist semaglutide able to alleviate mood in patients with major depressive disorder and overweight or obesity? Sema-Mood. | Psykiatrisk Center Nordsjaelland |
| 2024-511734-13-02 | Is the glucagon-like peptide-1 receptor agonist semaglutide able to alleviate mood in patients with major depressive disorder and overweight or obesity? Sema-Mood. | Psykiatrisk Center Nordsjaelland |
| 2024-511734-13-00 | Is the glucagon-like peptide-1 receptor agonist semaglutide able to alleviate mood in patients with major depressive disorder and overweight or obesity? Sema-Mood. | Psykiatrisk Center Nordsjaelland |
| 2024-511734-13-01 | Is the glucagon-like peptide-1 receptor agonist semaglutide able to alleviate mood in patients with major depressive disorder and overweight or obesity? Sema-Mood. | Psykiatrisk Center Nordsjaelland |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 1
- 1. Informed oral and written consent. 2. Diagnosed with unipolar disorder according to the criteria of ICD10 (International Classification of Diseases, World Health Organization (WHO)) or the DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, the American Psychiatric Association 3. Hamilton Depression Rating Scale, 17-items (HDRS-17)47 score ≥13, 4. Age 18 years to 70 years (both included) 5. Body mass index (BMI) ≥27 kg/m2
Exclusion criteria 1
- 1. Any significant medical disorder or conditions that contraindicate the investigational drug, e.g., pregnancy, presence of known allergy GLP-1 receptor agonists, severe neurological disorder, diabetes I, on-going drug, or alcohol abuse 2. Coercive measures 3. Females of child-bearing potential who are pregnant, breastfeeding, or have the intention of becoming pregnant 4. Women who are not willing to use an adequate contraceptive during the full length of the study 5. Patients treated with corticosteroids or other hormone therapy (except oestrogens). 6. Any active substance abuse or dependence (except for nicotine) 7. Impaired hepatic function (plasma liver transaminases >2 times upper normal limit). 8. Impaired renal function (serum creatinine >150 μmol/l) 9. Impaired pancreatic function (acute or chronic pancreatitis and/or plasma amylase >2 times upper normal limit) 10. Cardiac problems defined as decompensated heart failure (NYHA class III/IV), unstable angina pectoris, and/or myocardial infarction within the last 12 months 11. Hypertension with systolic blood pressure >180 mmHg or diastolic blood pressure >100 mmHg 12. Impaired pancreatic function (acute or chronic pancreatitis and/or plasma amylase >2 times upper normal limit). Receiving any experimental or pre-marketing drug within the last 3 months 13. Use of diabetes medication or weight-lowering pharmacotherapy within the preceding 3 months 14. Known type 1 and 2 diabetes or HbA1c>48mmol/mol 15. No glucose-lowering medication is allowed for the trial 16. Suicidal behaviour as judged by the investigator and based on clinical evaluation. At all contact with patient attendance (except DXA scanning visits, please see Table 1) possible suicidality will be evaluated according to the guidelines. If the patient is evaluated as suicidal, the person will be excluded from the study and evaluated by a senior consultant in psychiatry, who will take further action 17. Any condition that the investigator feels would interfere with trial participation
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The primary outcome will be change in Major Depression Inventory from baseline to end of study
Secondary endpoints 1
- Secondary outcomes include changes in body weight, hip and waist circumference, hemoglobin A1c lean and fat body mass and bone density, biomarkers related to inflammation, and oxidative stress and further overall functioning, quality of life, perceived stress, and cognitive scores
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 5
Wegovy 2.4 mg solution for injection in pre-filled pen
PRD9446844 · Product
- Active substance
- Semaglutide
- Substance synonyms
- NNC0113-0217
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 2.4 Ci/mg curie(s)/milligram
- Max total dose
- 2.4 Ci/mg curie(s)/milligram
- Max treatment duration
- 28 Day(s)
- Authorisation status
- Authorised
- ATC code
- A10BJ06 — -
- Marketing authorisation
- EU/1/21/1608/005
- MA holder
- NOVO NORDISK A/S
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Wegovy 1 mg solution for injection in pre-filled pen
PRD9446837 · Product
- Active substance
- Semaglutide
- Substance synonyms
- NNC0113-0217
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 1 Ci/mg curie(s)/milligram
- Max total dose
- 1 Ci/mg curie(s)/milligram
- Max treatment duration
- 28 Day(s)
- Authorisation status
- Authorised
- ATC code
- A10BJ06 — -
- Marketing authorisation
- EU/1/21/1608/003
- MA holder
- NOVO NORDISK A/S
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Wegovy 0.5 mg solution for injection in pre-filled pen
PRD9446836 · Product
- Active substance
- Semaglutide
- Substance synonyms
- NNC0113-0217
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 0.5 Ci/mg curie(s)/milligram
- Max total dose
- 0.5 Ci/mg curie(s)/milligram
- Max treatment duration
- 28 Day(s)
- Authorisation status
- Authorised
- ATC code
- A10BJ06 — -
- Marketing authorisation
- EU/1/21/1608/002
- MA holder
- NOVO NORDISK A/S
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Wegovy 0.25 mg solution for injection in pre-filled pen
PRD9446835 · Product
- Active substance
- Semaglutide
- Substance synonyms
- NNC0113-0217
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 0.25 Ci/mg curie(s)/milligram
- Max total dose
- 0.25 Ci/mg curie(s)/milligram
- Max treatment duration
- 28 Day(s)
- Authorisation status
- Authorised
- ATC code
- A10BJ06 — -
- Marketing authorisation
- EU/1/21/1608/001
- MA holder
- NOVO NORDISK A/S
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Wegovy 1.7 mg FlexTouch solution for injection in pre-filled pen
PRD9862212 · Product
- Active substance
- Semaglutide
- Substance synonyms
- NNC0113-0217
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 1.7 Ci/mg curie(s)/milligram
- Max total dose
- 1.7 Ci/mg curie(s)/milligram
- Max treatment duration
- 18 Week(s)
- Authorisation status
- Authorised
- ATC code
- A10BJ06 — -
- Marketing authorisation
- EU/1/21/1608/009
- MA holder
- NOVO NORDISK A/S
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Placebo 1
Saline Solution Basi 9 mg/ml solution for infusion
PRD11121726 · Product
- Active substance
- Sodium Chloride
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 3.0 ml millilitre(s)
- Max total dose
- 5.0 ml millilitre(s)
- Max treatment duration
- 4 Week(s)
- Authorisation status
- Authorised
- ATC code
- B05XA03 — SODIUM CHLORIDE
- Marketing authorisation
- 5211800
- MA holder
- LABORATÓRIOS BASI – INDÚSTRIA FARMACÊUTICA, S.A.
- MA country
- Malta
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Region Hovedstaden
- Sponsor organisation
- Region Hovedstaden
- Address
- Dyrehavevej 29
- City
- Hilleroed
- Postcode
- 3400
- Country
- Denmark
Scientific contact point
- Organisation
- Psykiatrisk Center Nordsjaelland
- Contact name
- Vinberg Maj
Public contact point
- Organisation
- Psykiatrisk Center Nordsjaelland
- Contact name
- Vinberg Maj
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Frederiksberg Hospital ORG-100028217
|
Frederiksberg, Denmark | On site monitoring |
Locations
1 EU/EEA country · 1 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Ongoing, recruiting | 120 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Denmark | 2025-05-15 | 2025-09-11 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 14 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | SEMAMood_protocolCTIS_Resubmission_March_2025_Cleanversion | 4 |
| Protocol (for publication) | SEMAMood_protocolCTIS_Resubmission_March_2025_TC | 4 |
| Protocol (for publication) | Semamoodallquestionnaires | 4 |
| Recruitment arrangements (for publication) | ForskningNu | 4 |
| Recruitment arrangements (for publication) | PatientfolderMarchCleanVersion | 4 |
| Recruitment arrangements (for publication) | PatientfolderMarchTC | 4 |
| Recruitment arrangements (for publication) | PosterRecruitmentClean | 4 |
| Recruitment arrangements (for publication) | RecruitmentArrangements_CleanVersion_OneRFI | 4 |
| Recruitment arrangements (for publication) | RecruitmentArrangements_TrackChanges_OneRFI | 4 |
| Subject information and informed consent form (for publication) | DeltagerinformationSemaMood_CleanVersion_FourRFI | 4 |
| Subject information and informed consent form (for publication) | DeltagerinformationSemaMood_TC_FourRFI | 4 |
| Subject information and informed consent form (for publication) | Samtykke til deltagelse i et klinisk forsg med lgemidler_SEMAmood | 4 |
| Summary of Product Characteristics (SmPC) (for publication) | SmPC Wegovy | 1 |
| Synopsis of the protocol (for publication) | Synopsis_SemaMood | 4 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-02-12 | Denmark | Acceptable 2025-04-14
|
2025-05-07 |
| 2 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-12-22 | Denmark | Acceptable 2025-12-23
|
2025-12-23 |