Evidence map›Paper›PMID 42507673›Full record

ArticlePloS one2026

Impact of semaglutide withdrawal on cardiometabolic profile and physiology of energy balance: Recovery effects after semaglutide termination - The REST trial study protocol.

Taras Yevusiak, Alanna Weisman, Ravi Retnakaran, Sean Wharton, Daniel J Drucker, Caroline K Kramer

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT07294950. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07294950 phase3recruiting

Impact of Semaglutide Withdrawal on Cardiometabolic Profile and Physiology of Energy Balance: a Randomized Controlled Trial Comparing Gradual Dose Reduction With Immediate Treatment Cessation.

Ran2026Enrolled98Registered outcomes5Posted comparisons0ConditionsAppetite Regulation, Blood Pressure Monitoring, Obesity (Disorder), Weight ChangeArmsAbrupt cessation of semaglutide, Gradual dose reduction of semaglutide
Open the trial in the graph
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Taras YevusiakLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Alanna WeismanLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Ravi RetnakaranLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Sean WhartonWharton Medical Clinic Weight and Diabetes Management, Burlington, Ontario, Canada.
Daniel J DruckerLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada.
Caroline K KramerLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.ORCID https://orcid.org/0000-0003-1064-0100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlucagon-like peptide-1 (GLP-1) receptor agonists such as semaglutide have been shown to induce substantial weight loss and improve cardiometabolic risk factors in patients living with obesity. However, most individuals regain weight after abrupt withdrawal of semaglutide, with reversal of its beneficial cardiometabolic effects.

methodsWe propose a randomized controlled trial to determine whether a gradual dose reduction of semaglutide prior to complete discontinuation is associated with differential changes in weight and cardiometabolic profile as compared to immediate treatment cessation. Individuals living with obesity without preexisting cardiovascular disease who are receiving semaglutide for weight management and have achieved prior weight reduction of at least 10% with no further weight loss over past 12 weeks will be randomized to either gradual dose reduction over 16 weeks or abrupt treatment discontinuation. The primary outcome will be the difference in body weight change (%) between the study groups. Secondary outcomes will include 24-hour ambulatory blood pressure and fasting ghrelin levels. DISCUSSION: We hypothesize that gradual reduction of semaglutide will be associated with less weight regain and cardiometabolic deterioration compared with immediate cessation. This study addresses an important real-world problem regarding treatment discontinuation strategies and may inform future approaches for long-term obesity management.

trial registrationNCT07294950 (ClinicalTrials.gov).

Indexed as

Energy MetabolismGlucagon-Like PeptidesObesityBlood PressureFemaleGhrelinHumansMaleRandomized Controlled Trials as TopicSemaglutideTreatment InterruptionWeight LossGhrelinGlucagon-Like PeptidesSemaglutide

Identifiers

PMID42507673
PMCPMC13405095

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.