Sema.Mood

2024-511734-13-04 Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 15 May 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 120
Countries 1
Sites 1

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

  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 numberTitleSponsor
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. 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. 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

  1. The primary outcome will be change in Major Depression Inventory from baseline to end of study

Secondary endpoints 1

  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

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 120 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Psykiatrisk Center Nordsjaelland
Mental Health, Dyrehavevej 48, 3400, Hilleroed

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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