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NCT04721873 · ClinicalTrials.gov registry record · Phase 2

Pharmacologic Weight Loss as Adjunct Therapy for Ulcerative Colitis in Obese Patients

A Phase 2 study of Obesity and Colitis, Ulcerative, sponsored by University of California, San Diego.

Recruiting
Registry status
Phase 2
Development phase
40
Enrollment target
1
Study location

NCT04721873: Recruiting Phase 2 study of Obesity and Colitis, Ulcerative, sponsored by University of California, San Diego.

NCT04721873 is a Phase 2 study of Obesity and Colitis, Ulcerative that is actively recruiting participants, run by University of California, San Diego. The registered enrollment target is 40 participants, below the 819-participant average among 1,053 other Obesity trials with a reported enrollment target (95% lower). The trial reports 1 study location across 1 state. According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT04721873, a Phase 2 study of Obesity and Colitis, Ulcerative, is actively recruiting participants, sponsored by University of California, San Diego.

RECRUITING
Registry status
Phase 2
Development phase
40 participants
Enrollment target
1
Study location

Study Summary

Approximately 20-40% of patients with ulcerative colitis (UC) are obese. The investigators have demonstrated that obesity adversely impacts disease course in patients with UC, leading to higher risk of persistently active disease, surgery, hospitalization, and treatment failure, particularly in biologic-treated patients. Intentional weight loss is effective in improving disease outcomes in patients with inflammatory arthritis, but there is limited data on its impact in UC. While dietary interventions for weight loss have limited efficacy and endoscopic bariatric interventions may be too invasive in patients with UC with active gastrointestinal symptoms, pharmacological weight loss with a highly effective oral agent may be a novel strategy to induce weight loss and augment the efficacy of biologic therapy in UC. Hence, the investigators are conducting a pilot, phase 2A, 22-week, randomized, placebo-controlled clinical trial of phentermine-topiramate in obese patients with active UC starting on a new biologic agent (infliximab, adalimumab, golimumab, vedolizumab). The overall objective is to (1) evaluate the efficacy, safety and tolerability of phentermine-topiramate, and (2) to assess the impact of pharmacological weight loss on clinical outcomes, inflammatory burden and biologic trough concentration in patients with UC. The central hypothesis is that phentermine-topiramate will be safe, effective, and well tolerated in patients with UC, and weight loss would achieve higher rates of clinical and biochemical remission, and higher biologic trough concentration.

Primary Outcome

Proportion of patients with ≥5% weight loss over baseline

Interventions

  • DRUG Placebo
  • DRUG Phentermine-Topiramate

Study Locations (1)

California

  • University of California San Diego - La Jolla

Trial Details

FieldValue
Enrollment Target 40 participants
Start Date 2020-12-18
Est. Completion 2024-06-30
Phase Phase 2
University of California, San Diego

775 total trials

What NCT04721873 shows while recruiting

NCT04721873 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 40 participants, a relatively small participant target, below the 819-participant average among 1,053 other Obesity trials with a reported enrollment target (95% lower).

The record links to 2 conditions, with Obesity appearing as the primary indexed condition, and to 2 interventions - of which Placebo is the first listed.

NCT04721873 reports a single indexed study location in California.

Frequently Asked Questions

What is clinical trial NCT04721873 about?

NCT04721873 is a clinical study titled "Pharmacologic Weight Loss as Adjunct Therapy for Ulcerative Colitis in Obese Patients". Approximately 20-40% of patients with ulcerative colitis (UC) are obese. The investigators have demonstrated that obesity adversely impacts disease course in patients with UC, leading to higher risk of persistently active disease, surgery, hospitalization, and treatment failure, particularly in biol...

What is the current status of trial NCT04721873?

This trial is currently recruiting. It is a Phase 2 study. The enrollment target is 40 participants. The study started on 2020-12-18. Estimated completion is 2024-06-30.

What conditions does trial NCT04721873 study?

This clinical trial studies the following conditions: Obesity, Colitis, Ulcerative.

What interventions are being tested in trial NCT04721873?

The interventions under investigation include: Placebo (DRUG), Phentermine-Topiramate (DRUG).

Who is sponsoring clinical trial NCT04721873?

This trial is sponsored by University of California, San Diego, which has 775 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT04721873 being conducted?

This trial has 1 study location across California. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

Similar trials for Obesity

Matched on the same primary condition, ranked to surface studies in the same phase first, then by recruiting status, no relevance scoring or editorial curation.

Where NCT04721873's enrollment target sits among peer trials

40 778th of 1053 higher than 249 of 1,053 other Obesity trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Obesity trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT04721873, the US trial registry maintained by the National Library of Medicine. NCT04721873 (small enrollment · single site footprint · recruiting) retrieved and formatted by PlainTrial, see methodology.