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ObesityPhase 2NCT04969939

A Research Study to Investigate How Well NNC0165-1875 in Combination With Semaglutide Works in People With Obesity

A Phase 2 study testing Semaglutide 2.4 mg and NNC0165-1875 2.0 mg and Semaglutide 2.4 mg and NNC0165-1875 1.0 mg in people with Obesity, run by Novo Nordisk A/S at 25 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The study is looking at a new medicine to help people lose weight. In this study participants will either get semaglutide and NNC0165-1875 or semaglutide and a "dummy" medicine (placebo). Which treatment participants get is decided by chance. Participants will get 2 injections per week, on the same day. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obesity
What is being tested?
Semaglutide 2.4 mg and NNC0165-1875 2.0 mg and Semaglutide 2.4 mg and NNC0165-1875 1.0 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
25 sitesUnited States
Study dates
15 Jul 2021to 30 Jan 2023
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

  • 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.
  • BMI 30.0-45.0 kg/m^2 (both inclusive) at the screening visit.

Who cannot join

  • HbA1c greater than or equal to 48 mmol/mol (6.5%) as measured by a central laboratory at screening.
  • History of type 1 or type 2 diabetes mellitus.
  • Treatment with glucose-lowering agent(s) within 90 days before screening.

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

United States25 sites
  • AMC Community Endocrinology

    Albany, New York, 12206

  • Anaheim Clinical Trials, LLC

    Anaheim, California, 92801

  • Washington Cntr Weight Mgmt

    Arlington, Virginia, 22206

  • Texas Diabetes & Endocrinology, P.A._Austin

    Austin, Texas, 78749

  • Univ of Alabama Birmingham

    Birmingham, Alabama, 35294

  • Medical Uni of SC Charleston

    Charleston, South Carolina, 29425

  • Profil Institute For Clinical Research Inc

    Chula Vista, California, 91911

  • Soltero Cardiovascular Research Center

    Dallas, Texas, 75226

  • PharmQuest Life Sciences LLC

    Greensboro, North Carolina, 27408

  • East West Med Res Inst

    Honolulu, Hawaii, 96814

  • Jacksonville Ctr For Clin Res

    Jacksonville, Florida, 32216

  • Velocity Clin Res Los Angeles

    Los Angeles, California, 90017

  • L-MARC Research Center

    Louisville, Kentucky, 40213

  • NYC Research, Inc.

    New York, New York, 10016

  • Health Res of Hampton Roads

    Newport News, Virginia, 23606

  • Coastal Carolina Res Ctr.

    North Charleston, South Carolina, 29405

  • Altasciences Clinical Kansas, Inc.

    Overland Park, Kansas, 66212

  • National Clin Res Inc.

    Richmond, Virginia, 23294

  • Endo Res Solutions Inc

    Roswell, Georgia, 30076

  • Texas Diabetes & Endocrinology, P.A._Austin

    Round Rock, Texas, 78681

  • Evanston Premier Hlthcr Res

    Skokie, Illinois, 60077

  • Chrysalis Clinical Research

    St. George, Utah, 84790

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • Accellacare

    Wilmington, North Carolina, 28401

  • Selma Medical Associates

    Winchester, Virginia, 22601-3834

Other trials in United States

About this study

Official title: Investigation of Efficacy and Safety of NNC0165-1875 as add-on to Semaglutide for Weight Management in Subjects With Obesity

The study is looking at a new medicine to help people lose weight. In this study participants will either get semaglutide and NNC0165-1875 or semaglutide and a "dummy" medicine (placebo). Which treatment participants get is decided by chance. Participants will get 2 injections per week, on the same day. Participants will have to take the study medicine by use of a pre-filled pen. A pen is a medical tool with a needle used for injections under the skin. The study doctor or staff will show participants how. The study will last for about 26 weeks. Participants will have 17 visits at the clinic with the study doctor. At 4 of the clinic visits participants cannot eat and drink (water is allowed until 2 hours prior to the visit) for 8 hours before the visit.Women: Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period. Women who are able to become pregnant can participate if they agree to use contraception during the study.

Conditions
Obesity
Being tested
Semaglutide 2.4 mg and NNC0165-1875 2.0 mg, Semaglutide 2.4 mg and placebo 2.0 mg, Semaglutide 2.4 mg and NNC0165-1875 1.0 mg, Semaglutide 2.4 mg and placebo 1.0 mg
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Semaglutide 2.4 mg and NNC0165-1875 2.0 mgDrug

    NNC0165-1875 will be co-escalated once-weekly subcutaneously with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

  • Semaglutide 2.4 mg and placebo 2.0 mgDrug

    NNC0165-1875 placebo will be co-escalated subcutaneously once-weekly with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

  • Semaglutide 2.4 mg and NNC0165-1875 1.0 mgDrug

    NNC0165-1875 will be co-escalated subcutaneously once-weekly with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

  • Semaglutide 2.4 mg and placebo 1.0 mgDrug

    NNC0165-1875 placebo will be co-escalated subcutaneously once-weekly with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

Study groups in NCT04969939
Study groupRoleWhat they receive
Semaglutide 2.4 mg and NNC0165-1875 2.0 mgExperimentalParticipants will receive two doses of NNC0165-1875 as an add on to semaglutide s.c. 2.4 mg
Receives: Drug: Semaglutide 2.4 mg and NNC0165-1875 2.0 mg
Semaglutide 2.4 mg and placebo 2.0 mg(NNC0165-1875 2.0 mg)Placebo comparatorParticipants will receive placebo as an add on to semaglutide 2.4 mg.
Receives: Drug: Semaglutide 2.4 mg and placebo 2.0 mg
Semaglutide 2.4 mg and NNC0165-1875 1.0 mgExperimentalParticipants will receive two doses of NNC0165-1875 as an add on to semaglutide s.c. 2.4 mg
Receives: Drug: Semaglutide 2.4 mg and NNC0165-1875 1.0 mg
Semaglutide 2.4 mg and placebo 1.0 mg(NNC0165-1875 1.0 mg)Placebo comparatorParticipants will receive placebo as an add on to semaglutide 2.4 mg.
Receives: Drug: Semaglutide 2.4 mg and placebo 1.0 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1: Number of Treatment-emergent Adverse Events (TEAEs)

    A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visit or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit.

    Measured: Part 1: From time of dosing (day 1) to follow-up (week 24)

  2. Part 2b: Percentage Change in Body Weight

    Percentage change in body weight (%) from week 32 to week 48 is presented. For descriptive analysis and statistical analysis the endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2: Randomisation (week 32), end of treatment (week 48)

Secondary outcomes (13)
  1. Part 2b: Change in Body Weight (kg)

    Change in body weight (kg) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  2. Part 2b: Change in Glycosylated Haemoglobin (HbA1c)

    Change in HbA1c from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Percentage point is calculated by subtraction of baseline HbA1c from HbA1c at end of treatment.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  3. Part 2b: Change in Fasting Plasma Glucose (FPG)

    Change in FPG (measured in millimoles per liter [mmol/l]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  4. Part 2b: Change in Fasting Insulin

    Change in fasting insulin (measured in picomoles per liter [pmol/l]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  5. Part 2b: Change in Waist Circumference

    Change in waist circumference (measured in centimeter [cm]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  6. Part 2b: Relative Change in Total Cholesterol (Ratio to Baseline)

    Relative change in total cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  7. Part 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)

    Relative change in HDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  8. Part 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)

    Relative change in LDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  9. Part 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)

    Relative change in VLDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  10. Part 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)

    Relative change in triglycerides (measured in mmol/l) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  11. Part 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)

    Relative change in free fatty acids (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: Part 2b: Randomisation (week 32), end of treatment (week 48)

  12. Part 2b: Number of Treatment -Emergent Adverse Events (TEAEs)

    An AE is any untoward medical occurrence in a clinical trial participant that is temporally associated with the use of an IMP, whether or not considered related to the IMP. All AEs reported here are TEAEs. A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visits or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit. The TEAEs occurred from week 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: From randomisation (week 32) to end of the trial (week 56)

  13. Part 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)

    A serious adverse event (SAE) is defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. The SAEs occurred from week 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

    Measured: From randomisation (week 32) to end of the trial (week 56)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jul 2021
  2. Study start15 Jul 2021
  3. Primary completion6 Dec 2022
  4. Study completion30 Jan 2023

Resources

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
Model description
Part 1: is a 16-week study were one group of participants will receive two doses of NNC0165-1875 a week, in combination with one injection dose of semaglutide a week. The other group will receive a placebo. Part 2: is a 40-week study were one group of participants will receive one dose of NNC0165 a week, in combination with one injection dose of semaglutide a week. The other group will receive a placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04969939
Sponsor's protocol ID
NN9775-4708
Other IDs
U1111-1254-9046
Status last verified
Jan 2026
First submitted
9 Jul 2021
Last updated
8 Jan 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Semaglutide 2.4 mg and NNC0165-1875 2.0 mg and Semaglutide 2.4 mg and NNC0165-1875 1.0 mg in people with Obesity, run by Novo Nordisk A/S at 25 sites in United States.

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 3 inclusion and 3 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 8 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States. 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 8 Jan 2026). 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?

Part 1: Number of Treatment-emergent Adverse Events (TEAEs) (time frame: Part 1: From time of dosing (day 1) to follow-up (week 24)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Jan 2026.

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