GLP-1 Analogs or Nutrition Counseling for Psoriatic Arthritis

This study is looking at how well GLP-1 agonists (medications like Ozempic or Wegovy, often used for type 2 diabetes and weight management) or nutrition counseling can help people with Psoriatic Arthritis (PsA). PsA is a condition that causes joint pain and can affect other parts of your body. We want to see if these treatments improve PsA symptoms in adults who also have obesity and type 2 diabetes. The study will compare the effects of GLP-1 agonists versus nutrition counseling on your PsA symptoms over 12 and 24 weeks. We are looking for about 22 adults, aged 18 and older, who have been diagnosed with PsA and have a Body Mass Index (BMI) of 30 or higher.

Study design
This is a pragmatic randomized controlled trial, meaning participants will be randomly assigned to receive either GLP-1 agonists or nutrition counseling. The study plans to enroll 22 participants.
What's involved
The study measures changes in your disease activity at Week 12 and Week 24. This suggests you would participate in the study for at least 24 weeks, with assessments at these time points.
Compensation
Not stated in the trial record.
Follow-up
Your disease outcomes will be measured at Week 12 and Week 24, indicating a follow-up period of at least 24 weeks.

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NCT07111494

Impact of Glucagon-like Peptide-1 (GLP-1) Analogs on Disease Outcomes in Psoriatic Arthritis: A Pragmatic Randomized Controlled Trial

Recruiting
PHASE4Ages 18+InterventionalTreatment
Medical College of Wisconsin
~22 participants
Updated 2026-08-10 on ClinicalTrials.gov
What's tested:GLP-1 agonistsNutrition Counseling

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change from the baseline Minimal Disease Activity (MDA) Scores at Week 12 and 24 with GLP-1 Agonists vs Nutrition Counseling
Measured over Week 12 and 24
+1 more outcome measured
Psoriatic Arthritis (PsA)
1 sites across 1 states
Wisconsin1

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Eligibility criteria

Inclusion

Adult patients (age 18 and older) who present to rheumatology clinic
Participants must be able to read, understand, and provide documented informed consent as approved by the Institutional Review Board (IRB).
Meet the Classification of Psoriatic Arthritis (CASPAR) criteria for PsA
Participants must have a Body Mass Index (BMI) of 30kg/m\^2
Participants must be treated for PsA in accordance with guidelines
Have not achieved MDA in PsA patients
Have a minimum TJC \> 1 and SJC \> at baseline
Eligible for GLP-1 agonist treatment in accordance with Food Drug Administration (FDA) labeling as determined by the investigator.

Exclusion

Any prior use of GLP-1 agonists
Inability to provide informed consent
Current participation in another PsA study
Treatment initiation by GLP-1 agonists contraindicated by FDA
Patients with hemoglobin A1c (HbA1c) \> 10 at baseline
  • Change from the baseline Minimal Disease Activity (MDA) Scores at Week 12 and 24 with GLP-1 Agonists vs Nutrition CounselingWeek 12 and 24

    In order to meet Minimal Disease Activity (MDA) participants need to meet 5 of the 7 criteria: tender joint count less than or equal to 68 and greater than or equal to 1 (TJC68), swollen joint count less than or equal to 66 and greater than or equal to 1 (SJC66), psoriasis body surface area is less than or equal to 3%, patient pain Visual Analogue Scale (VAS) is less than or equal to 15mm, patient global disease activity VAS is less than or equal to 20mm, Health Assessment Questionnaire (HAQ) is less than or equal to 0.5 and tender entheseal points is less than or equal to 1. One of the outcomes of this study is to see how these scores change with the participants receiving a GLP-1 or nutrition counseling.

  • Proportion of Patients who Achieve Disease Activity in Psoriatic Arthritis (DAPSA) Remission with GLP-1 Agonists Vs. Nutrition Counseling at Week 12 and 24Week 12 and 24

    DASPA is a composite measure based on the summation of four variables: tender and swollen joints (TJC68, SJC66), C-reactive protein (CRP), Patient Global Assessment (PtGA) and Patient Pain both reported on a 0-100 mm VAS. DASPA classifications validated for PsA include Less than or equal to 4 (remission), greater than 4 but less than or equal to 14 is low disease activity. Greater than 14 but less than or equal to 28 is moderate disease activity and greater than 28 is high disease activity.