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Trial · NCT04216589

Study of Semaglutide for Non-Alcoholic Fatty Liver Disease (NAFLD), a Metabolic Syndrome With Insulin Resistance, Increased Hepatic Lipids, and Increased Cardiovascular Disease Risk (The SLIM LIVER Study)

NCT04216589, Phase 2, Completed, National Institute of Allergy and Infectious Diseases (NIAID); results first posted 2024-05-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Semaglutide for Non-Alcoholic Fatty Liver Disease (NAFLD), a Metabolic Syndrome With Insulin Resistance, Increased Hepatic Lipids, and Increased Cardiovascular Disease Risk (The SLIM LIVER Study). Trials, record NCT04216589. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04216589

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Semaglutide for Non-Alcoholic Fatty Liver Disease (NAFLD), a Metabolic Syndrome With Insulin Resistance, Increased Hepatic Lipids, and Increased Cardiovascular Disease Risk (The SLIM LIVER Study)
NCT number
NCT04216589
Status
Completed
Phases
Phase 2
Enrollment
51 participants, actual
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Conditions
HIV Infections, Non-Alcoholic Fatty Liver Disease
Interventions
Semaglutide
First posted
2020-01-02
Last updated
2024-10-01
Results first posted
2024-05-17

Source ClinicalTrials.gov

Registered outcomes25

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange (Absolute) in IHTG (%)Measured at pre-entry and Week 24The absolute change in intra-hepatic triglyceride content (%), as quantfied by MRI-PDFF, from the pre-entry visit to the Week 24 visit.
SecondaryChange (Percent) in IHTG (%)Measured at pre-entry and Week 24
The percentage change in intra-hepatic triglyceride content (%), as quantfied by MRI-PDFF, from the pre-entry visit to the Week 24 visit. The percentage change is defined as IHTC % at week 24 minus IHTC % at pre-entry, then divided by IHTC % at pre-entry, then multiplied by 100.
SecondaryLevel of IHTG (%)Measured at Week 24Intra-hepatic triglyceride content (%) at Week 24 (\<5% vs. \>=5%). All participants were \>=5% at pre-entry.
SecondaryOccurrence of Premature Discontinuation of Study TreatmentMeasured through Week 24Premature study treatment discontinuation prior to the Week 24 visit.
SecondaryOccurrence of Grade ≥3 Adverse Event That is Related to Study TreatmentMeasured through Week 24
Graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), corrected Version 2.1, July 2017. Adverse events are graded on a scale from 1-5: 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=death.
SecondaryChange (Absolute) in Body Mass Index (BMI)Measured at Week 0 and Week 24The absolute change in body mass index from the study entry (Week 0) visit to the Week 24 visit.
SecondaryChange (Absolute) in Body Mass Index (BMI)Measured from Week 0 to Week 12The absolute change in body mass index from the study entry (Week 0) visit to the Week 12 visit.
SecondaryChange (Absolute) in Body WeightMeasured at Week 0 and Week 24The absolute change in body weight from the study entry (Week 0) visit to the Week 24 visit.
SecondaryChange (Absolute) in Body WeightMeasured at Week 0 and Week 12The absolute change in body weight from the study entry (Week 0) visit to the Week 12 visit.
SecondaryChange (Absolute) in Minimum Waist Circumference (WC)Measured at Week 0 and Week 24The absolute change in minimum WC from the study entry (Week 0) visit to the Week 24 visit.

Outcomes25

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange (Absolute) in IHTG (%)Measured at pre-entry and Week 24
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
IHTG %MEAN
SECONDARYChange (Percent) in IHTG (%)Measured at pre-entry and Week 24
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
Relative change %MEAN
SECONDARYLevel of IHTG (%)Measured at Week 24
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
participantsNUMBER
SECONDARYOccurrence of Premature Discontinuation of Study TreatmentMeasured through Week 24Analysis was done in the intent-to-treat population. These were all participants who were enrolled to the study.participantsNUMBER
SECONDARYOccurrence of Grade ≥3 Adverse Event That is Related to Study TreatmentMeasured through Week 24Analysis was done in the intent-to-treat population. These were all participants who were enrolled to the study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange (Absolute) in Body Mass Index (BMI)Measured at Week 0 and Week 24
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
kg/m^2MEAN
SECONDARYChange (Absolute) in Body Mass Index (BMI)Measured from Week 0 to Week 12Per-protocol population (N=49)kg/m^2MEAN
SECONDARYChange (Absolute) in Body WeightMeasured at Week 0 and Week 24
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
kgMEAN
SECONDARYChange (Absolute) in Body WeightMeasured at Week 0 and Week 12
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
kgMEAN
SECONDARYChange (Absolute) in Minimum Waist Circumference (WC)Measured at Week 0 and Week 24
Analysis was done in the per-protocol population. These were all participants who remained on study treatment until 28 days prior to the Week 24 MRI and who did not start prohibited medications known to cause changes in weight prior to the Week 24 MRI.
cmMEAN

Results by group32

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change (Absolute) in IHTG (%)Semaglutide-4.2495% Confidence Interval -5.41 to -3.06IHTG %
Change (Percent) in IHTG (%)Semaglutide-31.3395% Confidence Interval -39.04 to -23.62Relative change %
Level of IHTG (%)Semaglutide<5% IHTG14participants
Level of IHTG (%)Semaglutide>=5% IHTG34participants
Occurrence of Premature Discontinuation of Study TreatmentSemaglutidePremature discontinuation3participants
Occurrence of Premature Discontinuation of Study TreatmentSemaglutideCompleted study treatment48participants
Occurrence of Grade ≥3 Adverse Event That is Related to Study TreatmentSemaglutideYes2Participants
Occurrence of Grade ≥3 Adverse Event That is Related to Study TreatmentSemaglutideNo49Participants
Change (Absolute) in Body Mass Index (BMI)Semaglutide-2.7795% Confidence Interval -3.36 to -2.17kg/m^2
Change (Absolute) in Body Mass Index (BMI)Semaglutide-2.1595% Confidence Interval -2.55 to -1.75kg/m^2

Participant flow4

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSemaglutide51
Overall StudyCompleted Study TreatmentSemaglutide48
Overall StudyCOMPLETEDSemaglutide47
Overall StudyNOT COMPLETEDSemaglutide4

Adverse events25

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersSemaglutide151
otherAbdominal pain upperGastrointestinal disordersSemaglutide151
otherDiarrhoeaGastrointestinal disordersSemaglutide151
otherDyspepsiaGastrointestinal disordersSemaglutide151
otherFlatulenceGastrointestinal disordersSemaglutide151
otherNauseaGastrointestinal disordersSemaglutide351
otherVomitingGastrointestinal disordersSemaglutide251
otherChillsGeneral disordersSemaglutide151
otherFatigueGeneral disordersSemaglutide151
otherBlood cholesterol increasedInvestigationsSemaglutide151

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySemaglutide051
Total, other adverse eventsSemaglutide2051
Total, serious adverse eventsSemaglutide251

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39046173DERIVEDPubMed
41256006DERIVEDPubMed
41299212DERIVEDPubMed
42014432DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04216589

GET https://conductscience.org/api/trials/v1/NCT04216589/registered?page=2