DiabetesPhase 2NCT00696657
A Randomised Controlled Clinical Trial in Type 2 Diabetes Comparing Semaglutide to Placebo and Liraglutide
A Phase 2 study testing semaglutide and liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 77 sites in 14 countries.
Trial summary
This trial was conducted in Europe,Asia and Africa. Study participants were randomised evenly to treatment with semaglutide (0.1 mg QW - 1.6 mg QW, 6 treatment arms, placebo or liraglutide (1.2 mg QD, or 1.8 mg QD).Treatment allocation to semaglutide or placebo was double-blind, whereas liraglutide treatment was… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes, Diabetes Mellitus, Type 2
- What is being tested?
- semaglutide and liraglutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 415 participants
- Where
- 77 sitesin 14 countries
- Study dates
- 3 Jun 2008to 5 Feb 2009
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men and women-not-of-childbearing potential diagnosed with type 2 diabetes for at least three months
- Stable treatment regimen with either metformin (at least 1500 mg) or diet and exercise alone for at least three months
- HbA1c: 7.0-10.0 % (both inclusive)
- Body weight between 60 kg and 110 kg
Who cannot join
- Treatment with insulin, GLP-1 receptor agonists (including liraglutide), dipeptidyl peptidase-4 inhibitors, sulphonylurea, thiazolidinediones, Alpha-GIs, or any investigational drug, within the last three months
- Impaired liver or kidney function
- Proliferative retinopathy or maculopathy requiring acute treatment
- Clinically significant active cardiovascular disease and uncontrolled treated/untreated hypertension
- Recurrent major hypoglycaemia or hypoglycaemic unawareness
- Present or planned use of any drug which could interfere with the glucose levels (e.g. systemic corticosteroids)
Trial locations and contacts
77 sites in 14 countries.
77 sites in 14 countries
United Kingdom11 sites
Novo Nordisk Investigational Site
Addlestone, KT15 2BH
Novo Nordisk Investigational Site
Bath, BA2 1NH
Novo Nordisk Investigational Site
Bexhill-on-Sea, TN39 4SP
Novo Nordisk Investigational Site
Bradford, BD9 6RJ
Novo Nordisk Investigational Site
Dundee, DD1 9SY
Novo Nordisk Investigational Site
Guildford, GU2 7XX
Novo Nordisk Investigational Site
Hull, HU3 2RW
Novo Nordisk Investigational Site
Inverness, IV2 3UJ
Novo Nordisk Investigational Site
Llanelli, SA14 8QF
Novo Nordisk Investigational Site
Sheffield, S5 7AU
Novo Nordisk Investigational Site
Trowbridge, BA14 8QA
Austria8 sites
Novo Nordisk Investigational Site
Gratwein, 8112
Novo Nordisk Investigational Site
Graz, 8036
Novo Nordisk Investigational Site
Innsbruck, 6020
Novo Nordisk Investigational Site
Mödling, 2340
Novo Nordisk Investigational Site
Vienna, 1010
Novo Nordisk Investigational Site
Vienna, 1030
Novo Nordisk Investigational Site
Vienna, 1090
Novo Nordisk Investigational Site
Vienna, 1130
Germany7 sites
Novo Nordisk Investigational Site
Bad Lauterberg im Harz, 37431
Novo Nordisk Investigational Site
Falkensee, 14612
Novo Nordisk Investigational Site
Hamburg, 22607
Novo Nordisk Investigational Site
Ludwigshafen, 67059
Novo Nordisk Investigational Site
Marburg, 35037
Novo Nordisk Investigational Site
Münster, 48145
Novo Nordisk Investigational Site
Pohlheim, 35415
Bulgaria6 sites
Novo Nordisk Investigational Site
Plovdiv, 4002
Novo Nordisk Investigational Site
Rousse, 7000
Novo Nordisk Investigational Site
Sofia, 1233
Novo Nordisk Investigational Site
Sofia, 1431
Novo Nordisk Investigational Site
Sofia, 1606
Novo Nordisk Investigational Site
Varna, 9010
Finland6 sites
Novo Nordisk Investigational Site
Helsinki, 00270
Novo Nordisk Investigational Site
Imatra, FI-55120
Novo Nordisk Investigational Site
Mikkeli, FI-50100
Novo Nordisk Investigational Site
Oulu, 90029
Novo Nordisk Investigational Site
Tampere, 33101
Novo Nordisk Investigational Site
Turku, 20520
Italy6 sites
Novo Nordisk Investigational Site
Catanzaro, 88100
Novo Nordisk Investigational Site
Chieti, 66100
Novo Nordisk Investigational Site
Florence, 50141
Novo Nordisk Investigational Site
Milano (MI), 20132
Novo Nordisk Investigational Site
Naples, 80131
Novo Nordisk Investigational Site
Perugia, 06126
Spain6 sites
Novo Nordisk Investigational Site
Almería, 04001
Novo Nordisk Investigational Site
Gijón, 33206
Novo Nordisk Investigational Site
Madrid, 28007
Novo Nordisk Investigational Site
Madrid, 28040
Novo Nordisk Investigational Site
Seville, 41009
Novo Nordisk Investigational Site
Valencia, 46026
France5 sites
Novo Nordisk Investigational Site
Dommartin-lès-Toul, 54201
Novo Nordisk Investigational Site
La Rochelle, 17019
Novo Nordisk Investigational Site
Montpellier, 34295
Novo Nordisk Investigational Site
Narbonne, 11108
Novo Nordisk Investigational Site
Vénissieux, 69200
Hungary5 sites
Novo Nordisk Investigational Site
Budapest, 1041
Novo Nordisk Investigational Site
Debrecen, 4043
Novo Nordisk Investigational Site
Gyula, 5700
Novo Nordisk Investigational Site
Pécs, 7631
Novo Nordisk Investigational Site
Szekszárd, 7100
Turkey (Türkiye)5 sites
Novo Nordisk Investigational Site
Antalya, 07058
Novo Nordisk Investigational Site
Istanbul, 34390
Novo Nordisk Investigational Site
Istanbul, 34400
Novo Nordisk Investigational Site
Istanbul, 34722
Novo Nordisk Investigational Site
Istanbul, 34890
India4 sites
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600086
Novo Nordisk Investigational Site
Chennai, 600008
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500082
Novo Nordisk Investigational Site
Hyderabad, 600034
Switzerland4 sites
Novo Nordisk Investigational Site
Bern, 3010
Novo Nordisk Investigational Site
Geneva, 1211
Novo Nordisk Investigational Site
Lausanne, 1011
Novo Nordisk Investigational Site
Sankt Gallen, 9007
South Africa3 sites
Novo Nordisk Investigational Site
Cape Town, Western Cape, 7925
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4091
Novo Nordisk Investigational Site
Pretoria, Gauteng, 0001
Serbia and Montenegro1 site
Novo Nordisk Investigational Site
Belgrade, 11000
About this study
Official title: Investigation of Safety and Efficacy of Five Doses of Semaglutide Versus Placebo and Open-label Liraglutide, as Add on Therapy, in Subjects Diagnosed With Type 2 Diabetes Currently Treated With Metformin or Controlled With Diet and Exercise A 12 Week Multi-centre, Multi National, Double-blind, Placebo-controlled, Randomised, Nine Armed Parallel Group, Dose Finding Trial
This trial was conducted in Europe,Asia and Africa. Study participants were randomised evenly to treatment with semaglutide (0.1 mg QW - 1.6 mg QW, 6 treatment arms, placebo or liraglutide (1.2 mg QD, or 1.8 mg QD).Treatment allocation to semaglutide or placebo was double-blind, whereas liraglutide treatment was administered open-label.Primary efficacy parameter was HbA1c and the treatment duration was 12 weeks.
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Being tested
- semaglutide, placebo, liraglutide
- Medical subject headings
- Diabetes Mellitus, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
semaglutideDrug
Also called NN9535
0.1 mg, once weekly, s.c. injection
semaglutideDrug
Also called NN9535
0.2 mg, once weekly, s.c. injection
semaglutideDrug
Also called NN9535
0.4 mg, once weekly, s.c. injection
semaglutideDrug
Also called NN9535
0.8 mg, once weekly, s.c. injection
semaglutideDrug
Also called NN9535
0.8 mg with titration, once weekly, s.c. injection
semaglutideDrug
Also called NN9535
1.6 mg with titration, once weekly, s.c. injection
placeboDrug
0.1 mg, once weekly, s.c. injection
placeboDrug
0.2 mg, once weekly, s.c. injection
placeboDrug
0.4 mg, once weekly, s.c. injection
placeboDrug
0.8 mg with titration, once weekly, s.c. injection
placeboDrug
1.6 mg, once weekly, s.c. injection
liraglutideDrug
1.2 mg with titration, once daily, s.c. injection
liraglutideDrug
1.8 mg with titration, once daily, s.c. injection
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Not described Receives: Drug: semaglutide |
| B | Experimental | Not described Receives: Drug: semaglutide |
| C | Experimental | Not described Receives: Drug: semaglutide |
| D | Experimental | Not described Receives: Drug: semaglutide |
| E | Experimental | Not described Receives: Drug: semaglutide |
| F | Experimental | Not described Receives: Drug: semaglutide |
| G1 | Placebo comparator | Not described Receives: Drug: placebo |
| G2 | Placebo comparator | Not described Receives: Drug: placebo |
| G3 | Placebo comparator | Not described Receives: Drug: placebo |
| G4 | Placebo comparator | Not described Receives: Drug: placebo |
| G5 | Placebo comparator | Not described Receives: Drug: placebo |
| G6 | Placebo comparator | Not described Receives: Drug: placebo |
| H | Experimental | Not described Receives: Drug: liraglutide |
| I | Experimental | Not described Receives: Drug: liraglutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
HbA1c
Change from baseline in HbA1c was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the last observation carried forward (LOCF) approach.
Measured: After 12 weeks of treatment.
Secondary outcomes (34)
Percentage of Subjects With an Adverse Events
The results of adverse event presented here are treatment emergent, i.e., TEAE. A TEAE was defined as an event that had onset on or after the first date (week 0) on trial product and no later than 5 weeks after the last date on trial product (week 17), or that had onset before the first date on trial product and increases in severity during the treatment period until 5 weeks after the last date on trial product.
Measured: After 12 weeks of treatment.
Percentage of Subjects With Hypoglycaemic Episode
The results of hypoglycaemic episode presented here are treatment emergent. Hypoglycaemic episodes were defined as treatment emergent if they had onset on or after the first day of randomised treatment (in week 0) and no later than 5 weeks after the last date on trial product (week 17). Hypoglycaemic episodes are classified as follows: Major: If the subject was not able to treat himself or herself and was needed to be administered food, glucagon or intravenous (i.v.) glucose by another person. Minor: If the subject was able to treat himself or herself and measured plasma glucose was <3.1 mmol/L (56 mg/dL). Symptoms only: If the subject was able to treat himself or herself and measured plasma glucose was >=3.1 mmol/L (56 mg/dL) or no plasma glucose measurement was done.
Measured: After 12 weeks of treatment
Change From Baseline in ECG
A standard 12 lead electrocardiogram (ECG) with a 10-second rhythm strip was performed at screening (week -2) and at the end of treatment (week 12). The time frame should be read as "week -2, week 12". Change from baseline in ECG was measured in terms of number of subjects in each category (normal, abnormal, not clinically significant [NCS] or abnormal clinically significant [CS]) at week -2 and week 12 (i.e., change in each category in terms of number of subjects from week -2 to week 12).
Measured: Week 0, week 12.
Change From Baseline in Vital Signs (Pulse)
Change from baseline in pulse was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Vital Signs (Blood Pressure; SBP)
Change from baseline in systolic blood pressure (SBP) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Vital Signs (Blood Pressure; DBP)
Change from baseline in diastolic blood pressure (DBP) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Basophils)
Change from baseline in basophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Eosinophils)
Change from baseline in eosinophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haematocrit)
Change from baseline in haematocrit (the proportion of blood that consists of red blood cells) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haemoglobin)
Change from baseline in haemoglobin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Lymphocytes)
Change from baseline in lymphocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Monocytes)
Change from baseline in monocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Neutrophils)
Change from baseline in neutrophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Thrombocytes)
Change from baseline in thrombocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Erythrocytes)
Change from baseline in erythrocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Leukocytes)
Change from baseline in leukocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Albumin)
Change from baseline in albumin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Alkaline Phosphatase)
Change from baseline in alkaline phosphatase was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; AST)
Change from baseline in aspartate aminotransferase (AST) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; ALAT)
Change from baseline in alanine aminotransferase (ALAT) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Total Bilirubin)
Change from baseline in total bilirubin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Calcium, Total)
Change from baseline in calcium, total was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Calcium, Ionised)
Change from baseline in calcium, ionised was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Creatinine)
Change from baseline in creatinine was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Potassium)
Change from baseline in potassium was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Sodium)
Change from baseline in sodium was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Urea)
Change from baseline in urea was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Glucose)
Change from baseline in urine-glucose was measured in terms of number of subjects in each category (negative, positive, >=55 mmol/L, or missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Haemoglobin)
Change from baseline in urine-haemoglobin was measured in terms of number of subjects in each category (negative, trace, small, moderate/large and missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Ketones)
Change from baseline in urine-ketone was measured in terms of number of subjects in each category (negative, positive, >=55 mmol/L and missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; pH)
Change from baseline in urine-pH was measured in terms of number of subjects in each category (pH=6.0, 6.5, 7.0, 7.5, 8.0, >=8.5 and missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Measured: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Protein)
Change from baseline in urine-protein was measured in terms of number of subjects in each category at week 0 (negative, 0.3 g/L, 1.0 g/L and missing) and week 12 (negative, trace, 0.3 g/L, 1.0 g/L, >=3.0 g/L and missing). i.e., change in each category in terms of number of subjects from week 0 to week 12.
Measured: Week 0, week 12
Change From Baseline in Calcitonin
Change from baseline in calcitonin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Measured: Week 0, week 12.
Percentage of Subjects Developing Anti-semaglutide Antibodies
Antibodies were measured after 12-week of treatment at week 17; percentage of participants with positive anti-semaglutide antibodies are presented here. Assessments of antibodies were not done for subjects allocated to the open-label liraglutide treatment arms.
Measured: After 12 weeks of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jun 2008 (estimated)
- Study start3 Jun 2008
- Primary completion5 Feb 2009
- Study completion5 Feb 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 415 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Registry B. (GCR, 1452), MD, PhD, Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00696657
- Sponsor's protocol ID
- NN9535-1821
- Other IDs
- 2007-003956-12
- Status last verified
- Jul 2019
- First submitted
- 11 Jun 2008
- Last updated
- 14 Aug 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Nauck MA, Petrie JR, Sesti G, Mannucci E, Courreges JP, Lindegaard ML, Jensen CB, Atkin SL; Study 1821 Investigators. A Phase 2, Randomized, Dose-Finding Study of the Novel Once-Weekly Human GLP-1 Analog, Semaglutide, Compared With Placebo and Open-Label Liraglutide in Patients With Type 2 Diabetes. Diabetes Care. 2016 Feb;39(2):231-41. doi: 10.2337/dc15-0165. Epub 2015 Sep 10.
PubMed 26358288
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of Safety and Efficacy of Five Doses of Semaglutide Versus Placebo and Open-label Liraglutide, as Add on Therapy, in Subjects Diagnosed With Type 2 Diabetes Currently Treated With Metformin or Controlled With Diet and Exercise A 12 Week Multi-centre, Multi National, Double-blind, Placebo-controlled, Randomised, Nine Armed Parallel Group, Dose Finding Trial
- ClinicalTrials.gov ID
- NCT00696657
- Acronym / sponsor ID
- NN9535-1821
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 415 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 3 Jun 2008 (actual)
- Primary completion
- 5 Feb 2009 (actual)
- Study completion
- 5 Feb 2009 (actual)
- First posted
- 13 Jun 2008 (estimated)
- Results
- Posted 12 Sep 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial was conducted in Europe,Asia and Africa. Study participants were randomised evenly to treatment with semaglutide (0.1 mg QW - 1.6 mg QW, 6 treatment arms, placebo or liraglutide (1.2 mg QD, or 1.8 mg QD).Treatment allocation to semaglutide or placebo was double-blind, whereas liraglutide treatment was administered open-label.Primary efficacy parameter was HbA1c and the treatment duration was 12 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 14
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: semaglutide |
| B | Experimental | Drug: semaglutide |
| C | Experimental | Drug: semaglutide |
| D | Experimental | Drug: semaglutide |
| E | Experimental | Drug: semaglutide |
| F | Experimental | Drug: semaglutide |
| G1 | Placebo comparator | Drug: placebo |
| G2 | Placebo comparator | Drug: placebo |
| G3 | Placebo comparator | Drug: placebo |
| G4 | Placebo comparator | Drug: placebo |
| G5 | Placebo comparator | Drug: placebo |
| G6 | Placebo comparator | Drug: placebo |
| H | Experimental | Drug: liraglutide |
| I | Experimental | Drug: liraglutide |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Men and women-not-of-childbearing potential diagnosed with type 2 diabetes for at least three months
- Stable treatment regimen with either metformin (at least 1500 mg) or diet and exercise alone for at least three months
- HbA1c: 7.0-10.0 % (both inclusive)
- Body weight between 60 kg and 110 kg
Key exclusion criteria (6 listed)
- Treatment with insulin, GLP-1 receptor agonists (including liraglutide), dipeptidyl peptidase-4 inhibitors, sulphonylurea, thiazolidinediones, Alpha-GIs, or any investigational drug, within the last three months
- Impaired liver or kidney function
- Proliferative retinopathy or maculopathy requiring acute treatment
- Clinically significant active cardiovascular disease and uncontrolled treated/untreated hypertension
- Recurrent major hypoglycaemia or hypoglycaemic unawareness
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| semaglutideAlso: NN95350.1 mg, once weekly, s.c. injection | Drug | A |
| semaglutideAlso: NN95350.2 mg, once weekly, s.c. injection | Drug | B |
| semaglutideAlso: NN95350.4 mg, once weekly, s.c. injection | Drug | C |
| semaglutideAlso: NN95350.8 mg, once weekly, s.c. injection | Drug | D |
| semaglutideAlso: NN95350.8 mg with titration, once weekly, s.c. injection | Drug | E |
| semaglutideAlso: NN95351.6 mg with titration, once weekly, s.c. injection | Drug | F |
| placebo0.1 mg, once weekly, s.c. injection | Drug | G1 |
| placebo0.2 mg, once weekly, s.c. injection | Drug | G2 |
| placebo0.4 mg, once weekly, s.c. injection | Drug | G3 |
| placebo0.8 mg with titration, once weekly, s.c. injection | Drug | G4, G5 |
| placebo1.6 mg, once weekly, s.c. injection | Drug | G6 |
| liraglutide1.2 mg with titration, once daily, s.c. injection | Drug | H |
| liraglutide1.8 mg with titration, once daily, s.c. injection | Drug | I |
Primary outcome
HbA1c
Time frame: After 12 weeks of treatment.
Change from baseline in HbA1c was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the last observation carried forward (LOCF) approach.
34 secondary outcomes
Percentage of Subjects With an Adverse Events
Time frame: After 12 weeks of treatment.
Percentage of Subjects With Hypoglycaemic Episode
Time frame: After 12 weeks of treatment
Change From Baseline in ECG
Time frame: Week 0, week 12.
Change From Baseline in Vital Signs (Pulse)
Time frame: Week 0, week 12
Change From Baseline in Vital Signs (Blood Pressure; SBP)
Time frame: Week 0, week 12
Change From Baseline in Vital Signs (Blood Pressure; DBP)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Basophils)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Eosinophils)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haematocrit)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haemoglobin)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Lymphocytes)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Monocytes)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Neutrophils)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Thrombocytes)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Erythrocytes)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Leukocytes)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Albumin)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Alkaline Phosphatase)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; AST)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; ALAT)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Total Bilirubin)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Calcium, Total)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Calcium, Ionised)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Creatinine)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Potassium)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Sodium)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Urea)
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Glucose)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Haemoglobin)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Ketones)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; pH)
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Protein)
Time frame: Week 0, week 12
Change From Baseline in Calcitonin
Time frame: Week 0, week 12.
Percentage of Subjects Developing Anti-semaglutide Antibodies
Time frame: After 12 weeks of treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26358288Nauck MA, Petrie JR, Sesti G, Mannucci E, Courreges JP, Lindegaard ML, Jensen CB, Atkin SL; Study 1821 Investigators. A Phase 2, Randomized, Dose-Finding Study of the Novel Once-Weekly Human GLP-1 Analog, Semaglutide, Compared With Placebo and Open-Label Liraglutide in Patients With Type 2 Diabetes. Diabetes Care. 2016 Feb;39(2):231-41. doi: 10.2337/dc15-0165. Epub 2015 Sep 10.
- Clinical Trials at Novo NordiskLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Global Clinical Registry B. (GCR, 1452), MD, PhD study director
Novo Nordisk A/S
77 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing semaglutide and liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 77 sites in 14 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 77 sites in United Kingdom, Austria, Germany, Bulgaria, Finland and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Sep 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
HbA1c (time frame: After 12 weeks of treatment.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00696657, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2019.