MedPath

A Research Study Comparing a New Medicine Oral Semaglutide to Placebo in People With Type 2 Diabetes

Phase 3
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Registration Number
NCT04109547
Lead Sponsor
Novo Nordisk A/S
Brief Summary

The study compares 2 medicines for type 2 diabetes: oral semaglutide (a new medicine) and placebo (a dummy medicine). Researchers will test semaglutide to see how well it works compared to placebo. The study will also test if semaglutide is safe. Participants will either get semaglutide or placebo - which treatment is decided by chance. Participants will get 1 tablet a day to take with up to half a glass of water. Participants must take the tablet first thing in the morning on an empty stomach. After taking the tablet, participants must not eat or drink anything for at least 30 minutes. After the 30 minutes, participants can have their first meal of the day and take any other medicines they may need. The study will last for about 8 months (36 weeks). Participants will have 9 clinic visits and 2 phone calls with the study doctor. At all 9 of the clinic visits, participants will have blood samples taken. At 5 of the clinic visits, participants must arrive fasting. This means they cannot eat for 8 hours before the visit. It is fine to drink water up to 2 hours before the visit. This is for some of the blood samples that will be taken at the visit. Women cannot take part if pregnant, breastfeeding or planning to become pregnant during the study period.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
521
Inclusion Criteria
  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
  • Male or female, age above or equal to 18 years at the time of signing informed consent.

For Algeria only: Male or female, age above or equal to 19 years at the time of signing the informed consent.

For Taiwan only: Male or female, age above or equal to 20 years at the time of signing the informed consent.

  • Diagnosed with type 2 diabetes mellitus
  • HbA1c between 7.0 -10.0% (53-86 mmol/mol) (both inclusive).
Exclusion Criteria
    • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an highly effective contraceptive method.
  • Family or personal history of multiple endocrine neoplasia type 2 (MEN 2) or medullary thyroid carcinoma (MTC). Family is defined as a first degree relative.
  • History or presence of pancreatitis (acute or chronic).
  • History of major surgical procedures involving the stomach potentially affecting absorption of trial product (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery).
  • Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening.
  • Subjects presently classified as being in New York Heart Association (NYHA) Class IV.
  • Planned coronary, carotid or peripheral artery revascularisation known on the day of screening.
  • Renal impairment measured as estimated glomerular filtration rate (eGFR) below 60 mL/min/1.73 m^2 as per Chronic Kidney Disease Epidemiology Collaboration formula(CKD-EPI).
  • Subjects with alanine aminotransferase (ALT) above 2.5 x upper limit of the normal (ULN).
  • Presence or history of malignant neoplasms within the past 5 years prior to the day of screening. Basal and squamous cell skin cancer and any carcinoma in-situ is allowed.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Oral semaglutide 7mgOral semaglutideSubjects will receive 3 mg for for the first 4 weeks, 7 mg for the remainder of the treatment period
Oral semaglutide 14mgOral semaglutideSubjects will receive 3 mg for the first 4 weeks, 7 mg for the next 4 weeks and 14 mg for the remainder of the treatment period
Oral semaglutide 3mgOral semaglutideSubjects will remain on 3 mg for the entire treatment period (26 weeks)
Placebo (oral semaglutide)PlaceboSubjects will receive placebo tablets for the entire treatment period
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Glycosylated Haemoglobin (HbA1c)Baseline (Week 0), Week 26

Change from baseline (week 0) in HbA1c at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Fasting Plasma Glucose (FPG)Baseline (Week 0), Week 26

Change from baseline (week 0) in FPG at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Body Weight (Kilograms [kg])Baseline (Week 0), Week 26

Change from baseline (week 0) in body weight at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Haematology - Haematocrit (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in haematocrit (measured in %) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Fasting 7-point Self-measured Plasma Glucose Profile: Mean Postprandial Increment (Over All Meals)Baseline (Week 0), Week 26

Change from baseline (week 0) in fasting 7-point SMPG: Mean postprandial increment (over all meals) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Fasting 7-point Self-measured Plasma Glucose (SMPG) Profile: Mean 7-point ProfileBaseline (Week 0), Week 26

Change from baseline (week 0) in mean 7-point SMPG profile at week 26 is presented. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Body Weight (Percentage [%])Baseline (Week 0), Week 26

Change from baseline (week 0) in body weight (measured in kg) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Waist CircumferenceBaseline (Week 0), Week 26

Change from baseline (week 0) in waist circumference at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Fasting Lipid Profile: Total Cholesterol (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in total cholesterol (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Fasting Lipid Profile: Triglycerides (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in triglycerides (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Short Form-36 Version 2 (SF-36v2) (Acute Version) Health SurveyBaseline (Week 0), Week 26

SF-36 v2.0 is a 36-item, patient-reported survey of patient health. SF-36 measures the participant's overall Health Related Quality of Life on 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) and two component summary scores (physical component summary and mental component summary). Range of score for domains and component summary scores : 1-100 (Higher scores indicated a better health state). Change form baseline in each domain, physical component summary score and mental component summary score at week 26 is presented. A positive change score indicates an improvement since baseline. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Body Mass Index (BMI)Baseline (Week 0), Week 26

Change from baseline (week 0) in BMI at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Fasting Lipid Profile: Low-density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in LDL cholesterol (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Fasting Lipid Profile: High-density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in HDL cholesterol (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Number of Participants Who Achieved HbA1c Less Than (<) 7.0 % (53 Millimoles Per Mole [mmol/Mol]) (American Diabetes Association (ADA) Target) (Yes/no)Week 26

Number of participants who achieved HbA1c \< 7.0 % (53 mmol/mol) (ADA target) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Number of Participants Who Achieved Body Weight Loss >= 3 Percent (Yes/no)Week 26

Number of participants who achieved body weight loss \>= 3 percent (yes/no) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Number of Participants Who Achieved HbA1c Less Than or Equal to (<=) 6.5 Percent (48 mmol/Mol) (American Association of Clinical Endocrinologists (AACE) Target) (Yes/no)Week 26

Number of participants who achieved HbA1c \<= 6.5 percent (48 mmol/mol) (AACE target) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Number of Participants Who Achieved HbA1c Reduction Greater Than or Equal to (>=) 1 Percent (10.9 mmol/Mol) (Yes/no)Week 26

Number of participants who achieved HbA1c reduction \>= 1 percent (10.9 mmol/mol) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Haematology - Haemoglobin (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in haemoglobin (measured in millimoles per liter \[mmol/L\]) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Haematology - Leucocytes (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in leucocytes (measured in 10\^9 per liter \[10\^9/L\]) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Urea (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in urea (measured in mmol/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Creatinine (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in creatinine (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Number of Participants Who Achieved Body Weight Loss >= 5 Percent (Yes/no)Week 26

Number of participants who achieved body weight loss \>= 5 percent (yes/no) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Number of Participants Who Achieved HbA1c Reduction >= 1% (10.9 mmol/Mol) and Body Weight Loss >= 3 Percent (Yes/no)Week 26

Number of participants who achieved HbA1c reduction \>= 1% (10.9 mmol/mol) and body weight loss \>= 3% (yes/no) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Time From First Dose to Initiation of Rescue MedicationFrom baseline (Week 0) to Week 26

Rescue medication was defined as any new anti-diabetic medication used as add-on to trial product and used for more than 21 days with the initiation at or after randomization and before last day on trial product, and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomization and before last day on trial product. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Potassium (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in potassium (measured in milliequivalents per liter \[mEq/L\]) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Semaglutide Plasma ConcentrationsWeek 26: post dose any time

Semaglutide plasma concentrations at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Biochemistry - Total Bilirubin (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in total bilirubin (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Lipase (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in lipase (measured in U/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Number of Treatment-emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic EpisodesUp to 31 weeks

Severe or BG confirmed symptomatic hypoglycaemia was defined as an episode that was severe according to the ADA classification or BG confirmed by a plasma glucose (PG) value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the first date of any of the following: follow-up visit, follow-up prematurely discontinuation visit, last date on trial product plus 38 days or the end-date for the in-trial observation period.

Number of Participants Who Achieved Body Weight Loss >= 10 Percent (Yes/no)Week 26

Number of participants who achieved body weight loss \>= 10 percent (yes/no) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Number of Participants Who Achieved HbA1c < 7.0 Percent (53 mmol/Mol) Without Hypoglycaemia (Treatment-emergent Severe or Blood Glucose [BG] Confirmed Symptomatic Hypoglycaemic Episodes) and no Body Weight Gain (Yes/no)Week 26

Number of participants who achieved HbA1c \< 7.0 percent (53 mmol/mol) without hypoglycaemia (treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes) and no body weight gain (yes/no) at week 26 is presented. The outcome data was evaluated based on the on-treatment without rescue medication observation period: from date of first dose of trial product following randomization up to the end date which was the first date of any of the following: the last dose of trial product plus 3 days or initiation of rescue medication.

Change From Baseline in Haematology - Basophils, Eosinophils, Lymphocytes, Monocytes and NeutrophilsBaseline (Week 0), Week 26

Change from baseline (week 0) in basophils, eosinophils, lymphocytes, monocytes and neutrophils at week 26 is presented. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Alanine Aminotransferase (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in alanine aminotransferase (measured in units per liter \[U/L\]) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Creatine Kinase (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in creatine kinase (measured in U/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Calcium (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in calcium (measured in mg/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Sodium (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in sodium (measured in mEq/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Albumin (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in albumin (measured in g/dL) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Haematology - Thrombocytes (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in thrombocytes (measured in 10\^9/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Aspartate Aminotransferase (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in aspartate aminotransferase (measured in U/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Calcitonin (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in calcitonin (measured in picograms per milliliter \[pg/mL\]) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Diastolic Blood PressureBaseline (Week 0), Week 26

Change from baseline (week 0) in diastolic blood pressure at week 26 is presented. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Physical Examination CategoryBaseline (Week 0), Week 26

Change from baseline (week 0) in physical examination category at week 26 is presented. The physical examination shift in findings were categorized as normal, abnormal NCS and abnormal CS and are presented for the following body systems: cardiovascular system; central and peripheral nervous system; gastrointestinal system, including mouth; general appearance; head, ears, eyes, nose, throat, neck; lymph node palpation; musculoskeletal system; respiratory system; skin; and thyroid gland. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Eye Examination CategoryBaseline (Week 0), Week 26

Change from baseline (week 0) in eye examination category at week 26 is presented. Eye examination shift in findings were categorized as normal, abnormal NCS and abnormal CS. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the first date of any of the following: follow-up visit, follow-up prematurely discontinuation visit, last date on trial product plus 38 days or the end-date for the in-trial observation period.

Number of Treatment-emergent Adverse Events (TEAEs)Up to 31 weeks

An adverse event (AE) is any untoward medical occurrence in a participant administered a medicinal product, and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. TEAE was defined as an AE with onset in the on-treatment observation period. On-treatment observation period: from date of first dose of trial product following randomization up to the first date of any of the following: follow-up visit, follow-up prematurely discontinuation visit, last date on trial product plus 38 days or the end-date for the in-trial observation period.

Number of Participants With Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic EpisodesUp to 31 weeks

Severe or BG confirmed symptomatic hypoglycaemia was defined as an episode that was severe according to the ADA classification or BG confirmed by a plasma glucose (PG) value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the first date of any of the following: follow-up visit, follow-up prematurely discontinuation visit, last date on trial product plus 38 days or the end-date for the in-trial observation period.

Change From Baseline in Biochemistry - Alkaline Phosphatase (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in alkaline phosphatase (measured in U/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Biochemistry - Amylase (Ratio to Baseline)Baseline (Week 0), Week 26

Change from baseline (week 0) in amylase (measured in U/L) at week 26 is presented as ratio to baseline. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Pulse RateBaseline (Week 0), Week 26

Change from baseline (week 0) in pulse rate at week 26 is presented. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Systolic Blood PressureBaseline (Week 0), Week 26

Change from baseline (week 0) in systolic blood pressure at week 26 is presented. The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the last date on trial product plus 3 days.

Change From Baseline in Electrocardiogram (ECG) CategoryBaseline (Week 0), Week 26

Change from baseline (week 0) in ECG category at week 26 is presented. Change from baseline results are presented as shift in findings categorized as: normal, abnormal and not clinically significant (NCS), and abnormal and clinically significant (CS). The outcome data was evaluated based on the on-treatment observation period: from date of first dose of trial product following randomization up to the first date of any of the following: follow-up visit, follow-up prematurely discontinuation visit, last dose of trial product plus 38 days or the end-date for the in-trial observation period.

Anti-semaglutide Binding Antibody LevelsUp to 31 weeks

Anti-semaglutide binding antibody levels measured anytime during post-baseline visits (week 0 to week 31) are presented. The outcome data are presented as percentage of bound radioactivity-labelled semaglutide/total added radioactivity-labelled semaglutide (%B/T). Results are based on the data from the in-trial observation period - the in-trial observation period started at randomization and ended at the date of: the last direct participant-site contact, withdrawal for participants who withdrew their informed consent, the last participant-investigator contact, and death for participants who died before any of the above.

Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1Up to 31 weeks

Number of participants who had anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) anytime during post-baseline visits (week 0 to week 31) are presented. Results are based on the data from the in-trial observation period - the in-trial observation period started at randomization and ended at the date of: the last direct participant-site contact, withdrawal for participants who withdrew their informed consent, the last participant-investigator contact, and death for participants who died before any of the above.

Number of Participants With Anti-semaglutide Binding AntibodiesUp to 31 weeks

Number of participants who had anti-semaglutide binding antibody levels anytime during post-baseline visits (week 0 to week 31) are presented. Results are based on the data from the in-trial observation period - the in-trial observation period started at randomization and ended at the date of: the last direct participant-site contact, withdrawal for participants who withdrew their informed consent, the last participants-investigator contact, and death for participants who died before any of the above.

Trial Locations

Locations (66)

Bouzareah Diabetic House Algiers Algeria

🇩🇿

Algiers, Algeria

UH of Douera

🇩🇿

Algiers, Algeria

The First Affiliated Hospital of Anhui Medical University

🇨🇳

Hefei, Anhui, China

Beijing Pinggu Hospital

🇨🇳

Beijing, Beijing, China

Beijing Tsinghua Changgung Hospital

🇨🇳

Beijing, Beijing, China

Second Affliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

Chongqing University Three Gorges Hospital

🇨🇳

ChongQing, Chongqing, China

900th Hospital of Joint Logistics Support Force

🇨🇳

Fuzhou, Fujian, China

Szent Borbála Kórház

🇭🇺

Tatabánya, Hungary

Zala Megyei Szent Rafael Kórház

🇭🇺

Zalaegerszeg, Hungary

Clinical Hospital Center Bezanijska Kosa

🇷🇸

Belgrade, Serbia

Clinical Centre Nis, Endocrinology, Diabetes and Metabolism

🇷🇸

Nis, Serbia

Qinghai University Affiliated Hospital

🇨🇳

Xining, Qinghai, China

Sun Yat-sen Memorial Hospital, Sun Yat-sen Universtiy

🇨🇳

Guangzhou, Guangdong, China

The 3rd Affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

Huizhou Central People's Hospital

🇨🇳

Huizhou, Guangdong, China

The 2nd Affiliated Hospital of Shantou Uni Medical College

🇨🇳

Shantou, Guangdong, China

Cangzhou People's Hospital

🇨🇳

Cangzhou, Hebei, China

Handan First Hospital

🇨🇳

Handan, Hebei, China

Harrison International Peace Hospital

🇨🇳

Hengshui, Hebei, China

The Second Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

The Second Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, Henan, China

Taihe Hospital

🇨🇳

Shiyan, Hubei, China

The First People's Hospital of Changde City

🇨🇳

Changde, Hunan, China

Chenzhou No.1 People's Hospital

🇨🇳

Chenzhou, Hunan, China

Yueyang Central Hospital

🇨🇳

Yueyang, Hunan, China

Changzhou No.2 People's Hospital, Yanghu Branch

🇨🇳

Changzhou, Jiangsu, China

The Second People Hospital of Huai'an

🇨🇳

Huai'an, Jiangsu, China

The Second Affiliated Hospital of Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

Nanjing Jiangning Hospital

🇨🇳

Nanjing, Jiangsu, China

Wuxi People's Hospital

🇨🇳

Wuxi, Jiangsu, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

The Affiliated Hospital of Jiangsu University

🇨🇳

Zhenjiang, Jiangsu, China

The First Hospital of Jiaxing

🇨🇳

Jiaxing, Jiangxi, China

Jiangxi Provincial People's Hospital

🇨🇳

Nanchang, Jiangxi, China

The first hospital of Jilin University

🇨🇳

Changchun, Jilin, China

China-Japan Union Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

The Second Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

General Hospital of Ningxia Medical University

🇨🇳

Yinchuan, Ningxia, China

People's Hospital of Ningxia Hui Autonomous Region

🇨🇳

Yinchuan, Ningxia, China

The second Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shaanxi, China

Jinan Central Hospital Affiliated to Shandong University

🇨🇳

Jinan, Shandong, China

The Affiliated Hospital of Jining Medical University

🇨🇳

Jining, Shandong, China

The Affiliated Hospital of Qingdao Medical College

🇨🇳

Qingdao, Shandong, China

Shanghai Pudong New Area People's Hospital

🇨🇳

Pudong New District, Shanghai, China

Rui Jin Hospital,Shanghai Jiao Tong University School of Med

🇨🇳

Shanghai, Shanghai, China

Tongji Hospital of Tongji university

🇨🇳

Shanghai, Shanghai, China

Shanghai Tenth People's Hsopital, Tongji University

🇨🇳

Shanghai, Shanghai, China

The Fifth People's Hospital of Shanghai

🇨🇳

Shanghai, Shanghai, China

Tongren Hospital Shanghai Jiao Tong Univ. School of Medicine

🇨🇳

Shanghai, Shanghai, China

Sichuan Provincial People's Hospital

🇨🇳

Chengdu, Sichuan, China

The Second Hospital of Tianjin Medical University

🇨🇳

Tianjin, Tianjin, China

First Affiated Hospital of Kunming Medical University

🇨🇳

Kunming, Yunnan, China

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, China

Szent Margit Rendelőintézet Nonprofit Kft.

🇭🇺

Budapest, Hungary

Kanizsai Dorottya Kórház

🇭🇺

Nagykanizsa, Hungary

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Chang Gung Medical Foundation - Linko Branch

🇨🇳

Taoyuan city, Taiwan

Clinic of Medical Academy, Dnipro

🇺🇦

Dnipro, Ukraine

CNI "Khmelnytskyi regional hospital" of KRC

🇺🇦

Khmelnytskyi, Ukraine

Institute of Endocrinology and Metabolism of AMSU

🇺🇦

Kyiv, Ukraine

City Hospital #1

🇺🇦

Mykolaiv, Ukraine

CI "1st City Clinical Hospital of Poltava City Council"

🇺🇦

Poltava, Ukraine

CNI "Ternopil University Clinic" of Ternopil Regio. Council

🇺🇦

Ternopil, Ukraine

Zaporizhia Regional Clinical Endocrinology Dispensary

🇺🇦

Zaporizhia, Ukraine

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