GLP-1 Evidence

Not medical advice. A record of published research and our assessments of it. The limits

Semaglutide to Reduce Atrial Fibrillation Burden

Status
SuspendedStopped: Company decision
Results none
Why it is watched
non-weight indication: cardiovascular
Who it enrolls
age 18 Years to no upper limit; BMI ≥27 required; conditions: Atrial Fibrillation; Obesity; Overweight
Interventions
Semaglutide; Placebo
Conditions
Atrial Fibrillation; Obesity; Overweight
Phase and size
Phase 4 · 132 participants
Dates
Start 2023-05
Primary completion 2027-05
Sponsor
San Francisco Veterans Affairs Medical Center (Fed)
Last checked
Sep 13, 2026
01Endpoints

What the trial will measure

  • Atrial fibrillation burden52 weeks
02Eligibility

Who can take part

Inclusion Criteria: * Patients ≥ 18 years old with a BMI ≥ 27 kg/m2 who have paroxysmal AF with a ≥ 10% burden on ambulatory monitoring or a previous electrical cardioversion or early persistent AF (≥ 7 days, \< 3 months) who are willing to attempt rhythm control. Exclusion Criteria: * Unable to consent * A personal or family history of medullary thyroid carcinoma * A personal or family history of multiple endocrine neoplasia syndrome type 2 * History of allergic reaction to Semaglutide or any of its components * Currently pregnant or planning to become pregnant * Currently breastfeeding * History of acute pancreatitis * History of pancreatic adenocarcinoma * Previous or current GLP-1 RA use * Previous or current use of alternative pharmacologic weight loss agents (phentermine, diethylpropion, orlistat, phentermine-topiramate, bupropion- naltrexone, gelesis100, or setmelanotide) * Unable to tolerate anticoagulation * History of bariatric surgery
03Change log

Registry changes

No changes recorded since the trial was added.