Effects of GLP-1 RAs on Human Lactation Outcomes
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Injected GLP-1 Receptor Agonists and Dual Agonists.
- Who it may be relevant to
- Registry conditions: Lactation, Weight Loss. Basic parameters: No limits · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
There is increasing interest in using GLP-1 Receptor Agonist (GLP-1 RA) medications after pregnancy. This study is designed to determine if these medications affect breastmilk production or the nutritional makeup of breastmilk. The main questions the study will address are: * Does GLP-1 RA-induced weight loss increase or decrease breastmilk production? * Does GLP-1 RA-induced weight loss affect the nutritional composition of milk, including milk fat content? Researchers will assess milk production rates before and after mothers begin taking injected GLP-1 RA medications to decrease their body weight. Weight loss will be confirmed with 7-day body weight averages. Participants will: * Weigh themselves and report measurements daily. * Participate in 2-3 morning study visits over approx. 2.5-4.5 months (approx. 3-3.5hrs each). During each visit, participants will: * Use a study provided breastpump to express milk 3 times hourly for measurement of hourly milk production. * Provide 1-3 oz of milk for further study. * Answer questions about breastfeeding patterns.
Interventions
- Drug Injected GLP-1 Receptor Agonists and Dual Agonists
Participants are prescribed this medication by their care provider(s) as part of their postnatal clinical care, including but not limited to semaglutide and tirzepatide. The investigators do not provide, manage, or assign the medication.
Primary outcome measures
- Hourly milk production rate [Time frame: From one week before until a maximum of 2 months after beginning GLP-1RA treatment. This timeframe will restart if their dosage is increased.]
- Milk macronutrient composition [Time frame: From one week before until a maximum of 2 months after beginning GLP-1RA treatment. This timeframe will restart if the dosage is increased.]
Eligibility criteria
Inclusion criteria
- Breastfeeding mothers of single or multiple infants.
- Milk removal at least 4x daily
- Eligible for a GLP-1 RA administered subcutaneously (oral GLP-1 RAs contain absorption enhancers, which may drive accumulation in milk)
- Access to a breastpump, if needed for maintaining breastfeeding behaviors.
- Willingness to provide 1-3 oz of breastmilk per study visit.
- Willingness to track and report body weight daily.
- Willingness to maintain breastfeeding behaviors for the duration of the study.
Exclusion criteria
- Currently taking GLP-1 RA medication or other weight loss medication
- Induced lactation, due to unknowns regarding the durability of the mammary gland's milk production after exogenous stimulation.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- University of Colorado Anschutz School of Medicine — Aurora
Identifiers
NCT: NCT07720414 · 26-1234