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Indications › Prediabetes

GLP‑1 drugs in prediabetes

Which incretin agents are being studied in prediabetes, by whom, and when each trial is due to report. Conditions are grouped from the registry’s own wording, which records the same disease several ways.

Trials on file
32
Active
9
Results scheduled
3
Molecules studied
6
Sponsors
25

No GLP‑1 or incretin drug is FDA-approved for prediabetes. The trials below are studies, not approvals, and most drugs tested in a new condition never get approved for it.

No GLP-1 or incretin drug is approved for prediabetes, so everything below is investigational. Most drugs tested in a new condition never reach approval for it, and a registration is not evidence of benefit. 26 of the 32 trials on file are phase 3 or later — the stage sized for a regulator to act on, against 6 still in early phases. 25 distinct sponsors are involved, 1 of the trials run commercially and the rest by universities and hospitals.

Molecules studied in this indication

exenatide · liraglutide in this indication · mazdutide · orforglipron · semaglutide in this indication · tirzepatide

Results due in this indication

Est. completionDrugTrialPhaseParticipants
2026-10-31semaglutidePharmacogenetics of the Response to GLP-1 in Mexican-Americans With Prediabetes
NCT05119179 · The University of Texas Health Science Center, Houston
P4300
2027-12-15tirzepatideNormal-weight Diabetes: Adipocyte-directed Therapy With Pioglitazone or Tirzepatide
NCT06657209 · Stanford University
P4104
2028-06mazdutideMazdutide for Adults With Prediabetes: A Randomized, Double-Blind, Placebo-Controlled Trial (DREAM-PRE)
NCT07654062 · Shandong Provincial Hospital
P4150

Trials on file

All 32 incretin trials recorded in this indication, active first.

DrugTrialStatusPhaseParticipants
orforglipronA Study of Orforglipron in Participants With Overweight at Risk of Development of Obesity-Related Complications or Progression to Class 1 Obesity
NCT07794579 · Eli Lilly and Company
Not yet recruitingP32,001
semaglutideEfficacy and Safety of Semaglutide Versus Placebo on Cardiometabolic Profile in Patients With Schizophrenia With Metabolic Syndrome
NCT07770282 · All India Institute of Medical Sciences, Bhubaneswar
Not yet recruitingP3600
semaglutidePharmacogenetics of the Response to GLP-1 in Mexican-Americans With Prediabetes
NCT05119179 · The University of Texas Health Science Center, Houston
RecruitingP4300
semaglutideAnti-atherosclerotic Efficacy of Selected Antidiabetic Drugs in Patients With Coronary Artery Disease and Pre-diabetes
NCT07254572 · National Institute of Cardiology, Warsaw, Poland
RecruitingP4300
semaglutideReversal to Normoglycemia by Treating Prediabetes
NCT07392151 · Michael Mæng
Not yet recruitingP3158
mazdutideMazdutide for Adults With Prediabetes: A Randomized, Double-Blind, Placebo-Controlled Trial (DREAM-PRE)
NCT07654062 · Shandong Provincial Hospital
Not yet recruitingP4150
tirzepatideNormal-weight Diabetes: Adipocyte-directed Therapy With Pioglitazone or Tirzepatide
NCT06657209 · Stanford University
RecruitingP4104
semaglutideTreatment to Regress to Normoglycemia in Women with a Recent History of GDM
NCT04873050 · Woman's
RecruitingP4102
semaglutideSemaglutide Effects in Obese Youth With Prediabetes/New Onset Type 2 Diabetes and Metabolic Dysfunction-Associated Steatotic Liver Disease
NCT05067621 · Yale University
Active, not recruitingP260
liraglutideImproving Beta Cell Function in Mexican American Women With Prediabetes
NCT02488057 · Ohio State University
CompletedP4360
liraglutideCardiovascular Effects of GLP-1 Receptor Activation
NCT03101930 · Vanderbilt University Medical Center
CompletedP4329
liraglutideRISE Adult Medication Study
NCT01779362 · RISE Study Group
CompletedP3267
exenatideResearch of Intensive Metabolic Intervention Before Pregnancy in PCOS
NCT03383068 · RenJi Hospital
UnknownP4160
semaglutideHome-based Intervention With Semaglutide Treatment Of Neuroleptica-Related Prediabetes
NCT05193578 · Jan Frystyk
CompletedP2154
liraglutideCombined Liraglutide and Metformin Therapy in Women With Previous Gestational Diabetes Mellitus (GDM)
NCT01234649 · Woman's
CompletedP3153
liraglutideDoes a GLP-1 Receptor Agonist Change Glucose Tolerance in Antipsychotic-treated Patients?
NCT01845259 · Psychiatric Centre Rigshospitalet
UnknownP2103
liraglutideThe Effect of Liraglutide on Dietary Lipid Induced Insulin Resistance in Humans
NCT02403284 · Phoenix VA Health Care System
CompletedP497
liraglutideLiraglutide 3mg (Saxenda) on Weight, Body Composition, Hormonal and Metabolic Parameters in Obese Women With PCOS
NCT03480022 · Woman's
CompletedP388
liraglutideLiraglutide and a Calorie Restricted Diet Augments Weight Loss and Decreases Risk of Type 2 Diabetes and CVD.
NCT01784965 · Stanford University
CompletedP369
exenatideThe Vascular Effects of Exenatide Versus Metformin in Patients With Pre-Diabetes
NCT00546728 · St. Paul Heart Clinic
CompletedP450
exenatideEffect of Pioglitazone and Exenatide on Body Weight and Beta Cell Function
NCT00845182 · The University of Texas Health Science Center at San Antonio
CompletedP443
exenatideThe Effect of Exenatide on Weight and Hunger in Obese, Healthy Women
NCT00456885 · Beth Israel Deaconess Medical Center
CompletedP441
exenatideEffects of Exenatide on Postprandial Hyperlipidemia and Inflammation
NCT00974272 · Carl T. Hayden VA Medical Center
CompletedP439
exenatideEffects of Antidiabetic Medications on the Postprandial State in Prediabetes
NCT02104739 · The University of Texas Health Science Center, Houston
CompletedP421
semaglutideEffect of GLP1 Receptor Agonists on Physical Function, Body Composition, and Markers of Aging in Older Adults
NCT05786521 · The University of Texas Health Science Center at San Antonio
CompletedP420
exenatideAcute Effect of Exenatide on Brain Glucose Metabolism
NCT01588418 · The University of Texas Health Science Center at San Antonio
CompletedP415
exenatideAssess the Efficacy and Safety of Exenatide SR for the Prevention of Diabetes After Kidney Transplantation
NCT03961256 · Mayo Clinic
CompletedP29
semaglutideOnce Weekly GLP-1 in Persons With Spinal Cord Injury
NCT03292315 · James J. Peters Veterans Affairs Medical Center
CompletedP45
semaglutideTailoring Obesity Treatment Trial
NCT06619015 · Esbjerg Hospital - University Hospital of Southern Denmark
WithdrawnP2/P3
liraglutidePsoriatic Arthritis Treated With Liraglutide Therapy: a QUality of Life and Efficacy Study
NCT02472717 · University Health Network, Toronto
WithdrawnP2
liraglutideThe Effect of Liraglutide in Patients With Prediabetes and Kidney Failure
NCT02284230 · Bo Feldt-Rasmussen
WithdrawnP2
exenatideThe Effects of Exenatide on Post-Meal Sugar Peaks and Vascular Health in Obese/Pre-Diabetic Young Adults
NCT00845559 · Yale University
WithdrawnP4