Effect of Semaglutide on embryo quality in overweight and obese patients undergoing In Vitro Fertilization. A Randomized Controlled Trial

2025-522525-34-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 19 Jan 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 5 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 62
Countries 1
Sites 5

Infertility

To evaluate if a pre-treatment with Semaglutide during 12 weeks (group A) versus no pre-treatment (Group B) could affect the number of good quality blastocysts in overweight and obese patients undergoing IVF cycles.

Key facts

Sponsor
Santiago Dexeus Font Fundacio Privada
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
19 Jan 2026 → ongoing
Decision date (initial)
2025-10-24
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Fundación Santiago Dexeus Font

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To evaluate if a pre-treatment with Semaglutide during 12 weeks (group A) versus no pre-treatment (Group B) could affect the number of good quality blastocysts in overweight and obese patients undergoing IVF cycles.

Secondary objectives 21

  1. Days of stimulation
  2. Total dose of Gonadotropins
  3. Number cumulus-oocyte complex (COCs)
  4. Number MII
  5. Fertilization rate
  6. Time of appearance of the 2nd polar body (tPB2)
  7. Time of pronuclei appearance (tPNa)
  8. Evaluation of both pronuclei (PN)
  9. Time of pronuclei disappearance (tPNf)
  10. Time of division from 2 to 8 cells (t2, t3, t4, t5, t6, t7, t8)
  11. Time of compaction (tSC)
  12. Time of morula (tM)
  13. Time of cavitation (tSB)
  14. Time of full blastulation (tB)
  15. Total number of day 5 blastocysts
  16. Blastocyst formation rate, defined as the proportion of 2PN zygotes that reach the blastocyst stage
  17. Number of embryos cryopreserved
  18. Embryo stage (D5, D6, D7)
  19. Ovarian reserve markers (AFC, AMH) before and after the treatment with semaglutide
  20. Change in body weight and BMI, before and after the treatment with semaglutide
  21. Change in WC, before and after the treatment with semaglutide

Conditions and MedDRA coding

Infertility

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Age ≤ 38 years
  2. AMH ≥ 1 ng/mL or AFC ≥ 6
  3. Body mass index (BMI) between 27 kg/m2 and 40 kg/m2
  4. Scheduled for IVF with freeze-all strategy

Exclusion criteria 10

  1. Severe male factor (sperm concentration <5M/mL)
  2. Type 2 diabetes mellitus
  3. Prior use of GLP-1 Ras within the past year
  4. Uncontrolled thyroid disorders
  5. Contraindications to IVF or semaglutide treatment
  6. Patients with chronic inflammatory diseases
  7. Family history of hereditary or chromosomal diseases
  8. Use of glucocorticoids or immunosuppressants
  9. Preimplantation Genetic Testing for Aneuploidy (PGT-A)
  10. Use of medications affecting metabolism or inflammation

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Number of good quality blastocysts

Secondary endpoints 21

  1. Days of stimulation
  2. Total dose of Gonadotropins
  3. Number Cumulus-oocyte complex (COCs)
  4. Number MII
  5. Fertilization rate
  6. Time of appearance of the 2nd polar body (tPB2)
  7. Time of pronuclei appearance (tPNa)
  8. Evaluation of both pronuclei (PN)
  9. Time of pronuclei disappearance (tPNf)
  10. Time of division from 2 to 8 cells (t2, t3, t4, t5, t6, t7, t8)
  11. Time of compaction (tSC)
  12. Time of morula (tM)
  13. Time of cavitation (tSB)
  14. Time of full blastulation (tB)
  15. Total number of day 5 blastocysts
  16. Blastocyst formation rate, defined as the proportion of 2PN zygotes that reach the blastocyst stage
  17. Number of embryos cryopreserved
  18. Embryo stage (D5, D6, D7)
  19. Ovarian reserve markers (Antral Follicle Count,(AFC), Antimullerian Hormone (AMH)) before and after the treatment with semaglutide
  20. Change in body weight and BMI, before and after the treatment with semaglutide
  21. Change in WC, before and after the treatment with semaglutide

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Wegovy 1 mg solution for injection in pre-filled pen

PRD9446837 · Product

Active substance
Semaglutide
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
1 mg milligram(s)
Max total dose
1 mg milligram(s)
Max treatment duration
12 Week(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

Auxiliary 3

Bemfola 300 IU/0.50 mL solution for injection in pre-filled pen

PRD4656315 · Product

Active substance
Follitropin Alfa
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
300 IU international unit(s)
Max total dose
4500 IU international unit(s)
Max treatment duration
15 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/909/004
MA holder
GEDEON RICHTER PLC.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ganirelix Gedeon Richter 0.25 mg/0.5 mL solution for injection in pre-filled syringe

PRD10985567 · Product

Active substance
Ganirelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCONJUNCTIVAL USE
Max daily dose
0.25 mg milligram(s)
Max total dose
1.75 mg milligram(s)
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
H01CC01 — GANIRELIX
Marketing authorisation
EU/1/22/1658/003
MA holder
GEDEON RICHTER PLC.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Decapeptyl diario 0,1 mg polvo y disolvente para solución inyectable

PRD390680 · Product

Active substance
Triptorelin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.2 mg milligram(s)
Max total dose
0.2 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
62.431
MA holder
IPSEN PHARMA S.A.U.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Santiago Dexeus Font Fundacio Privada

Sponsor organisation
Santiago Dexeus Font Fundacio Privada
Address
Gran Via De Carles III 71-75
City
Barcelona
Postcode
08028
Country
Spain

Scientific contact point

Organisation
Santiago Dexeus Font Fundacio Privada
Contact name
Research Unit

Public contact point

Organisation
Santiago Dexeus Font Fundacio Privada
Contact name
Research Unit

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 62 5
Rest of world 0

Investigational sites

Spain

5 sites · Ongoing, recruiting
Hospital Quironsalud Del Valles
Department of Reproductive Medicine, Passeig Rubio I Ors 25-27, 08203, Sabadell
Hospital Universitari General De Catalunya
Department of Reproductive Medicine, Carrer Pedro I Pons 1, 08195, Sant Cugat Del Valles
Dexeus Mujer Reus
Department of Reproductive Medicine, Pg de Prim, 2, Reus Tarragona
Hospital Universitari Dexeus Grupo Quironsalud
Department of Reproductive Medicine, Calle De Sabino Arana 5-19, 08028, Barcelona
Dexeus Mujer Tarragona
Department of Reproductive Medicine, Av. Josep Maria Recasens, SN, Tarragona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2026-01-19 2026-01-19

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 12 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_SEQ 1
Recruitment arrangements (for publication) Adv_Copy out 1
Recruitment arrangements (for publication) Adv_Mail_Pacientes SEQ 1
Recruitment arrangements (for publication) Adv_Mail_Pacientes SEQ_CA 1
Recruitment arrangements (for publication) Adv_Pagina_web_SEQ 1
Recruitment arrangements (for publication) Adv_Pagina_web_SEQ_CA 1
Recruitment arrangements (for publication) Adv_Reel SocialMedia Link 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_ HIPCI_SEQ 2
Summary of Product Characteristics (SmPC) (for publication) FT_wegovy 1
Synopsis of the protocol (for publication) D1_Summary SEQ_EN 1
Synopsis of the protocol (for publication) D1_Summary SEQ_ES 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-07-28 Spain Acceptable
2025-09-18
2025-10-24