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O-SEMA-Fast: A Research Study to Understand How Oral Semaglutide Works in People With Type 2 Diabetes Who Plan to Fast During Ramadan in the United Arab Emirates, Saudi Arabia, and Kuwait

Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Registration Number
NCT05716724
Lead Sponsor
Novo Nordisk A/S
Brief Summary

The purpose of the study is to look at the change in blood sugar levels in people with type 2 diabetes who are using oral semaglutide and planning to fast during Ramadan. Participants will take oral semaglutide as prescribed by the study doctor. The study will last for about 5 months (20 weeks). Participants will be asked to complete a patient diary about how and when they take the oral semaglutide tablets. Participants will complete this diary during the study period as instructed by study doctor.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
288
Inclusion Criteria
  1. Signed consent obtained before any study-related activities (study-related activities are any procedure related to recording of data according to the protocol)
  2. The decision to initiate treatment with commercially available oral semaglutide has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study
  3. Male or female, age above or equal to 18 years at the time of signing informed consent
  4. Patients diagnosed with T2D who intend to fast during Ramadan
  5. Patient should be on oral semaglutide (at least 4 weeks on maintenance dose) with or without other OADs
  6. Available HbA1c value ≤ 30 days prior to the patient enrolment visit (V1) or HbA1c measurement taken in relation with the patient enrolment visit (V1) if in line with local clinical practice
Exclusion Criteria
  1. Previous participation in this study. Participation is defined as having given informed consent in this study
  2. Participation in any clinical trial of an approved or non-approved investigational medicinal product within 30 days prior to the patient enrolment visit (V1) and throughout the duration of the study
  3. Patients with type-1 diabetes and gestational diabetes
  4. Patients who are pregnant or are planning to become pregnant during the conduct of the study
  5. Patients who are breastfeeding
  6. Patients on Insulin therapy within 2 weeks prior to enrolment
  7. Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Participants with T2DSemaglutideThe study is non-interventional as there are no interventions involved and the decision to initiate oral semaglutide treatment is at the discretion of the treating physician and is clearly independent from the decision to include the participant in the study. Participants will be treated with oral semaglutide (at least 4 weeks on maintenance dose) once daily with or without other oral antidiabetics (OADs) as per local label at the discretion of the treating physician.
Primary Outcome Measures
NameTimeMethod
Change in glycated haemoglobin (HbA1c)From participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Percentage (%) of HbA1c.

Secondary Outcome Measures
NameTimeMethod
Decrease in dose of oral semaglutideFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants (yes or no).

Number of participants reporting greater than or equal to (>= 1) severe hypoglycaemic eventsFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants.

Relative change in body weightFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in percentage.

Self-reported hyperglycaemic episodes requiring hospitalisationFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of episodes.

Number of self-reported gastrointestinal (GI) side-effectsFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of events.

Addition of new OAD or increased baseline OAD dose during the study periodAt end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants (yes or no).

Increase in dose of oral semaglutideFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants (yes or no).

Waiting time of at least 30 min after intake of oral semaglutide and before eating or drinking or taking any other oral medicinal product as per local label and as reported in patient diaryFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants (yes or no).

Timing of intake of oral semaglutide as reported in patient diaryFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Time before iftar (before iftar is before breaking the fast)/time before suhour (before suhour is before the last meal)/others.

Self-reported confirmed hypoglycaemic eventsFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of events.

Removal of OAD or reduction of baseline OAD dose during the study periodAt end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants (yes or no).

Intake of oral semaglutide with up to 120 milliliter (mL) of water as reported in patient diaryFrom participant enrolment visit (0 to 8 weeks before Ramadan) to end of follow-up visit (0 to 8 weeks after Ramadan)

Measured in count of participants (yes or no).

Absolute change in body weightFrom participant enrolment visit (0 to 8 weeks before Ramadan) to End of follow-up visit (0 to 8 weeks after Ramadan)

Measured in kilogram (kg).

Trial Locations

Locations (20)

KOC Hospital

🇰🇼

Ahmadi, Kuwait

Al Hammadi

🇸🇦

Riyadh, Saudi Arabia

Dallah Hospital_Riyadh

🇸🇦

Riyadh, Saudi Arabia

New Mowasat Hospital

🇰🇼

Salmiya,, Kuwait

New Mowasat Clinics

🇰🇼

Mangaf, Kuwait

Al Seef Hospital

🇰🇼

Salmiya, Kuwait

Glycemia Clinic

🇰🇼

Salmiya, Kuwait

Mouwasat Hospital Khobar

🇸🇦

Al Khobar, Saudi Arabia

Almoosa Specialist Hospital

🇸🇦

Ihsaa, Saudi Arabia

Dr. Sulaiman Al Habib Medical Group- Olaya

🇸🇦

Riyadh, Saudi Arabia

Saudi German Hospital

🇸🇦

Jeddah, Saudi Arabia

Habib Medical Group

🇸🇦

Riyadh, Saudi Arabia

Thumbay Hospital Ajman

🇦🇪

Ajman, United Arab Emirates

Dr. Sulaiman Al Habib Medical Group- Swedi

🇸🇦

Riyadh, Saudi Arabia

Dubai Hospital

🇦🇪

Dubai, United Arab Emirates

Al Garhoud Private Hospital

🇦🇪

Dubai, United Arab Emirates

NMC Specialty Hospital Dubai

🇦🇪

Dubai, United Arab Emirates

Dubai Diabetes Center

🇦🇪

Dubai, United Arab Emirates

Medcare Hospital

🇦🇪

Dubai, United Arab Emirates

Oriana Hospital Sharjah

🇦🇪

Sharjah, United Arab Emirates

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