Obesity

A Randomized, Double‐Blind, Placebo‐Controlled Pilot Trial With Open‐Label Extension of Sirona, a Hydrogel for Weight Loss

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

Sirona was well tolerated, with mild, primarily gastrointestinal side effects. Reduced weight and dietary intake suggest Sirona is suitable as a nonpharmacological treatment for weight management.

Study context

Population
Participants with BMI 30–40 kg/m²; mean (SD) age 40.9 (8.4), weight 101.7 (12.9) kg, BMI 35.6 (3.0); 29/38 female, 23/38 White British
Participants
38 participants
Comparison
Sirona vs placebo
  • Sironan = 29
  • Placebon = 9reference
Primary endpoint
Feasibility, tolerability and safety
Follow-up
12 weeks
Methodological detailspilot, parallel-group, double-blind, placebo-controlled, 3:1 randomisation, 12-week open-label extension
  • Pilot
  • Parallel-group
  • Double-blind
  • Placebo-controlled
  • 3:1 randomisation
  • 12-week open-label extension

Primary result

As reported in the abstract

Dosing tolerability (adherence)
Dosing well tolerated; RCT + open-label extension (OLE) Sirona
93.1 [13.0]%

Secondary outcomes

Percentage total body weight loss · 12 weeks · greater weight loss with Sirona

Hedge's g 0.96 (−1.81 to −0.10)

OutcomeSironaPlaceboHedge's g (95% CI)
Dietary intake change from baseline · 12 weeks— not stated in the abstractmean 93.5 (SD 670.3) kcal−0.8 (−1.7 to 0.0)

— not stated in the abstract

Dietary intake change from baseline — Dietary intake reduced from baseline after 12 weeks of treatment
−382.5 [519.3] kcal

Weight loss in the OLE · OLE (24 weeks)

Weight loss continued in the OLE; change from baseline
4.4 [3.8]%
  • Open-label extension

Dietary intake change from baseline · 24 weeks

Dietary intake reduced from baseline after 24 weeks
−338.2 [486.7] kcal, g = 0.7 [0.2, 1.1]

Safety

Serious adverse events
0
Nausea (most prominent AE)
74.8%
Nausea graded mild
79.3%
Nausea requiring no intervention
84.4%

Original publication

A Randomized, Double‐Blind, Placebo‐Controlled Pilot Trial With Open‐Label Extension of Sirona, a Hydrogel for Weight Loss. Obesity (Silver Spring). Published 15 October 2025. doi:10.1002/oby.70066

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