MedPath

Efficacy and safety of semaglutide once weekly versus insulin glargine once daily as add on to metformin with or without sulphonylurea in insulin-naïve subjects with type 2 diabetes

Conditions
Diabetes Mellitus, Type 2
MedDRA version: 17.1Level: LLTClassification code 10045242Term: Type II diabetes mellitusSystem Organ Class: 100000004861
Therapeutic area: Diseases [C] - Nutritional and Metabolic Diseases [C18]
Registration Number
EUCTR2013-004392-12-NL
Lead Sponsor
ovo Nordisk A/S
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
1047
Inclusion Criteria

1. Male or female, age =18 years at the time of signing informed consent
2. Insulin-naïve subjects diagnosed with type 2 diabetes and on stable diabetes treatment with metformin or metformin and SU (metformin =1500 mg or maximum tolerated dose and SU = half of maximum allowed dose according to national label) for at least 90 days before screening. Stable is defined as unchanged medication and unchanged dose
3. HbA1c 7.0 – 10.0% (53 - 86 mmol/mol) both inclusive
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 838
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 209

Exclusion Criteria

1. Female who is pregnant, breast-feeding or intends to become pregnant or of childbearing potential not using adequate contraceptive method (adequate contraceptive measures as required by local regulation or practice) throughout the trial including the 5 week follow-up period
2. Any disorder which, in the opinion of the Investigator might jeopardise subject’s safety or compliance with the protocol
3. Treatment with any glucose lowering agent(s) other than stated in the inclusion criteria in a period of 90 days before screening. An exception is short-term treatment (=7 days in total) with insulin in connection with intercurrent illness
4. History of chronic or idiopathic acute pancreatitis
5. Screening calcitonin value =50 ng/L
6. Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome 2
7. Severe renal impairment defined as eGFR <30 mL/min/1.73 m^2 per modification of diet in renal disease (MDRD) formula (4 variable version)
8. Acute coronary or cerebrovascular event within 90 days before randomisation
9. Heart failure, New York Heart Association Class IV
10. Known proliferative retinopathy or maculopathy requiring acute treatment according to the opinion of the investigator
11. Diagnosis of malignant neoplasm in the previous 5 years (except basal cell skin cancer or squamous cell skin cancer)
12. Mental inability, unwillingness or language barrier precluding adequate understanding of or compliance with study procedures

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath