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A Research Study to Look Into How Well Semaglutide Medicine Works at Different Doses in People With Type 2 Diabetes and Overweight

Phase 2
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: Placebo
Registration Number
NCT05486065
Lead Sponsor
Novo Nordisk A/S
Brief Summary

This study compares how three doses of semaglutide work in participants with type 2 diabetes (T2D) and overweight who are taking metformin. The study will look mainly at how well participant's blood sugar and participant's body weight are controlled when they are taking the study medicine at different doses. Participants will either get semaglutide \[2 milligrams (mg), 8 mg, or 16 mg\] or semaglutide placebo (a dummy medicine). Participants will take the study medicine with an injection pen called NovoPen®4. The injection pen is a medical tool with a needle used to inject the study medicine under the skin. The study will last for about 52 weeks. Participants will have 13 clinic visits and 4 phone calls.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
245
Inclusion Criteria
  • Male or female.
  • Aged 18-64 years (both inclusive) at the time of signing informed consent.
  • Diagnosed with type 2 diabetes mellitus greater than equal to (≥) 180 days prior to the day of screening.
  • Glycosylated haemoglobin (HbA1c) of 7.0 - 10.5 percentage (%) [53 - 91 millimoles per mole (mmol/mol)] (both inclusive).
  • Body Mass Index (BMI) ≥ 27.0 kilograms per meter square (kg/m^2).
  • Stable daily dose(s) ≥ 90 days prior to the day of screening of any metformin formulations.
Exclusion Criteria
  • Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 days prior to the day of screening is allowed, as is prior insulin treatment for gestational diabetes.
  • Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days prior to day of screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
  • Renal impairment measured as estimated glomerular filtration rate (eGFR) value of less than (<) 30 milliliters per minute (mL/min)/1.73 meter square (m^2) at screening.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Semaglutide 2 mgSemaglutideParticipants will receive once-weekly semaglutide 2 mg subcutaneous (s.c.) injection.
Semaglutide placebo 2 mgPlaceboParticipants will receive once-weekly semaglutide placebo 2 mg s.c. injection.
Semaglutide 8 mgSemaglutideParticipants will receive once-weekly semaglutide 8 mg s.c. injection.
Semaglutide placebo 8 mgPlaceboParticipants will receive once-weekly semaglutide placebo 8 mg s.c. injection.
Semaglutide 16 mgSemaglutideParticipants will receive once-weekly semaglutide 16 mg s.c. injection.
Semaglutide placebo 16 mgPlaceboParticipants will receive once-weekly semaglutide placebo 16 mg s.c. injection.
Primary Outcome Measures
NameTimeMethod
Change in Glycated Haemoglobin (HbA1c)Baseline (week 0) and End of treatment (week 40)

Change in HbA1c from baseline (week 0) to end of treatment (week 40) is presented.

Secondary Outcome Measures
NameTimeMethod
Change in Body WeightBaseline (week 0) and End of treatment (week 40)

Change in body weight from baseline (week 0) to end of treatment (week 40) is presented.

Number of Treatment-emergent Adverse Events (TEAEs)From baseline (week 0) up to end of study (week 49)

An adverse event (AE) is any untoward medical occurrence in a clinical study participant that is temporally associated with use of investigational medicinal products (IMP), whether or not considered related to IMP. AE can therefore be any unfavourable \& unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with use of IMP. TEAE was defined as event that had onset date (or increase in severity) during on-treatment observation period. On treatment observation period data are presented. On-treatment observation period is defined as time points from first drug date until first date of end of data point sets (DPS1) or last administration of randomised treatment +63 days. DPS1 in trial is defined as all observed data points from randomisation until first date of end of study visit or date of death or date of withdrawal of informed consent or contact as defined by investigator for participants that are lost to follow up.

Number of Treatment-emergent Severe Hypoglycaemic EpisodesFrom baseline (week 0) up to end of study (week 49)

Number of treatment-emergent severe Hypoglycaemic episodes are presented. Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. On treatment observation period data are presented. On-treatment oberservation period is defined as time points from first drug date until the first date of end of data point sets (DPS1) or last administration of randomised treatment +63 days. DPS1 in trial is defined as all observed data points from randomisation until the first date of end of study visit or date of death or date of withdrawal of informed consent or date of last contact as defined by investigator for participants that are lost to follow up.

Trial Locations

Locations (72)

Univ of Alabama Birmingham

🇺🇸

Birmingham, Alabama, United States

Velocity Clin Res Gardena

🇺🇸

Gardena, California, United States

First Valley Med Grp Lancaster

🇺🇸

Lancaster, California, United States

Diablo Clinical Research, Inc.

🇺🇸

Walnut Creek, California, United States

University of Alabama Birmingham

🇺🇸

Birmingham, Alabama, United States

Velocity Clin Res Wstlke

🇺🇸

Los Angeles, California, United States

Mills-Peninsula Hlth Services

🇺🇸

San Mateo, California, United States

Velocity Clinical Res-Banning

🇺🇸

Banning, California, United States

Northeast Res Inst. Inc.

🇺🇸

Jacksonville, Florida, United States

Southern California Res Ctr

🇺🇸

Coronado, California, United States

San Diego Family Care_San Diego

🇺🇸

San Diego, California, United States

National Research Institute_Huntington Park

🇺🇸

Huntington Park, California, United States

San Marcus Res Clin Miami Lakes

🇺🇸

Miami Lakes, Florida, United States

Clinical Neuroscience Solution

🇺🇸

Orlando, Florida, United States

Solaris Clinical Research

🇺🇸

Meridian, Idaho, United States

Cedar-Crosse Research Center

🇺🇸

Chicago, Illinois, United States

West Broadway Clinic

🇺🇸

Council Bluffs, Iowa, United States

Cotton O'Neil Clin Research Ctr

🇺🇸

Topeka, Kansas, United States

The Research Group of Lexington LLC

🇺🇸

Lexington, Kentucky, United States

MedStar Community Clin Res Ctr

🇺🇸

Hyattsville, Maryland, United States

Endo And Metab Cons

🇺🇸

Rockville, Maryland, United States

MD Medical Research

🇺🇸

Oxon Hill, Maryland, United States

Brigham & Women's Hospital

🇺🇸

Boston, Massachusetts, United States

Arcturus Healthcare, PLC

🇺🇸

Troy, Michigan, United States

StudyMetrix Research LLC

🇺🇸

Saint Peters, Missouri, United States

Premier Research Inc.

🇺🇸

Trenton, New Jersey, United States

Albany Medical College - Endo

🇺🇸

Albany, New York, United States

Mid Hudson Med Res-New Windsor

🇺🇸

New Windsor, New York, United States

Northport VA Med Ctr Northport

🇺🇸

Northport, New York, United States

Southgate Medical Group, LLP

🇺🇸

West Seneca, New York, United States

UNC Eastowne Clinical Research Unit

🇺🇸

Chapel Hill, North Carolina, United States

Accellacare

🇺🇸

Wilmington, North Carolina, United States

Lillestol Research LLC

🇺🇸

Fargo, North Dakota, United States

Providence Health Partners Ctr

🇺🇸

Dayton, Ohio, United States

Advanced Med Res Maumee

🇺🇸

Maumee, Ohio, United States

Velocity Clin Res Grants Pass

🇺🇸

Grants Pass, Oregon, United States

Velocity Clinical Res Medford

🇺🇸

Medford, Oregon, United States

Clinical Research of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Holston Medical Group

🇺🇸

Kingsport, Tennessee, United States

Clinical Neuroscience Solutions

🇺🇸

Memphis, Tennessee, United States

Amarillo Med Spec LLP

🇺🇸

Amarillo, Texas, United States

Velocity Clinical Res-Dallas

🇺🇸

Dallas, Texas, United States

UT Southwestern Med Cntr

🇺🇸

Dallas, Texas, United States

Consano Clinical Research, LLC

🇺🇸

Shavano Park, Texas, United States

Clinical Inv Spec, Inc.Kenosha

🇺🇸

Kenosha, Wisconsin, United States

University Hospital of Athens ATTIKON

🇬🇷

Haidari-Athens, Attica, Greece

Iatriko Psychicou Private Clinic

🇬🇷

Athens, Greece

Gen Hospital of Athens Laiko,1st Dpt. of Propaedeutic Inter

🇬🇷

Athens, Greece

Alexandra General Hospital, Therapeutic Clinic

🇬🇷

Athens, Greece

Iatriko Athinon (Athens Medical Canter)

🇬🇷

Athens, Greece

Iatriko Athinon 'Palaiou Falirou'

🇬🇷

Athens, Greece

'Ippokrateio' General Hospital of Thessaloniki

🇬🇷

Thessaloniki, Greece

General Hospital of Thessaloniki 'G. Gennimatas

🇬🇷

Thessaloniki, Greece

EUROMEDICA Gen Clinic The/ki, Endocrin,Metabolism,Diabetes

🇬🇷

Thessaloniki, Greece

"Thermi" Private Hosital

🇬🇷

Thessaloniki, Greece

General Hospital of Thessaloniki "G.Papanikolaou"

🇬🇷

Thessaloniki, Greece

Szegedi Tudomanyegyetem St Györgyi Albert Klinikai Központ

🇭🇺

Szeged, Csongrád-Csanád, Hungary

Selye János Kórház és Rendelőintézet

🇭🇺

Komárom, Komárom-Esztergom, Hungary

Szent Margit Rendelőintézet Nonprofit Kft.

🇭🇺

Budapest, Hungary

ClinDiab Egészségügyi Szolgáltató és Kereskedelmi Kft.

🇭🇺

Budapest, Hungary

Bajcsy-Zsilinszky Kórház

🇭🇺

Budapest, Hungary

MH Egészségügyi Központ

🇭🇺

Budapest, Hungary

Markusovszky Egyetemi Oktatókórház

🇭🇺

Szombathely, Hungary

Clinmedica Research sp. z o.o.

🇵🇱

Skierniewice, Lodzkie, Poland

NBR Polska

🇵🇱

Warsaw, Mazowieckie, Poland

NZOZ Vita-Diabetica Malgorzata Buraczyk

🇵🇱

Bialystok, Podlaskie Voivodeship, Poland

Ko-Med Centra Kliniczne Staszow

🇵🇱

Staszow, Poland

Velocity Nova Sp. z o.o.

🇵🇱

Staszow, Poland

NBR Polska Tomasz Klodawski

🇵🇱

Warszawa, Poland

NZOZ Specjalistyczny Osrodek Internistyczno-Diabetologiczny Małgorzata Arciszewska

🇵🇱

Bialystok, Podlaskie, Poland

Manati Ctr For Clin Research

🇵🇷

Manati, Puerto Rico

Pro Familia Altera Sp. z o.o.

🇵🇱

Katowice, Śląskie, Poland

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