ObesityPhase 3AMAZE 8NCT07400107
AMAZE 8: A Research Study Investigating How Well the Medicine NNC0487-0111 Compared to Semaglutide Helps People With Excess Body Weight and Type 2 Diabetes Lose Weight
A Phase 3 study testing NNC0487-0111 and Semaglutide in people with Obesity and Overweight, run by Novo Nordisk A/S at 120 sites in 14 countries.
Trial summary
The purpose of this clinical study is to find out if NNC0487-0111 is safe and effective for treating people who have excess body weight and type 2 diabetes. Participant will receive 2 injections every week: an active medicine and a placebo, both taken as injections under the skin once a week. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Obesity, Overweight, Diabetes Mellitus, Type 2
- What is being tested?
- NNC0487-0111 and Semaglutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,000 participants
- Where
- 120 sitesin 14 countries
- Study dates
- 20 May 2026to 26 Jan 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Male or female (sex at birth).
- Age 18 years or above at the time of signing informed consent.
- Diagnosed with type 2 diabetes mellitus ≥ 180 days before screening.
- Haemoglobin A1c (HbA1c) 7-10 percentage (%) (53-86 millimole per mole [mmol/mol]) (both inclusive) as measured by the central laboratory at screening.
- Treatment with lifestyle intervention, and/or 0-3 marketed oral antidiabetic drugs (OAD)s (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose cotransporter 2 inhibitor (SGLT2i), thiazolidinediones, or sulfonylureas (SU) as a single agent or in combination) according to local label. Treatment with oral antidiabetic drugs should be stable (same drug(s), dose and dosing frequency) before screening.
Who cannot join
- Renal impairment with estimated Glomerular Filtration Rate (eGFR) < 30 milliliter (mL)/ minute (min)/1.73 meter squared (m^2) (2021 Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula), at screening.
- Participant with diabetic retinopathy or maculopathy who received treatment with retinal photocoagulation, vitrectomy or anti-Vascular Endothelial Growth Factor (anti-VEGF) within 180 days before screening or are expected to require treatment within 180 days after screening. Diabetic retinopathy or maculopathy must be verified by an eye examination performed within 90 days before screening or in the period between screening and randomization. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
- Known hypoglycaemic unawareness as indicated by the investigator according to Clarke's questionnaire question 8.
- Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
- Treatment with glucagon-like peptide-1 (GLP-1) receptor agonists (RA), dual GLP-1/gastric inhibitory peptide (GIP) RAs (or any other GLP-1 based treatment), or amylin analogues before screening.
Trial locations and contacts
120 sites in 14 countries. Contact the study team or a site near you to ask about taking part.
120 sites in 14 countries
Poland20 sites
Legeartis Poradnie Specjalistyczne Sp. z o.o.
Bialystok, Podlaskie Voivodeship, 15-404
NZOZ Specjalistyczny Osrodek Internistyczno-Diabetologiczny Małgorzata Arciszewska
Bialystok, 15-435
NZOZ Vita-Diabetica Malgorzata Buraczyk
Bialystok, 15-879
Centrum Kliniczno-Badawcze J.Brzezicki B.Gornikiewicz-Brzezicka Lekarze sp.p.
Elblag, 82-300
Specjalistyczny Gabinet Diabetologiczny Radoslaw Rumianowski
Gorzów Wielkopolski, 66-400
Przychodnie Grudziadz Sp. z o. o.
Grudziądz, Mazovian Voivodeship, 86-300
SP ZOZ w Kalwarii Zebrzydowskiej
Kalwaria Zebrzydowska, 34-130
Linden sp. z o.o. sp. k.
Krakow, 30-105
Diamond Clinic sp zoo
Krakow, 31-559
Beata Miklaszewicz & Dariusz Dabrowski "CARDIAMED" s.j.
Legnica, 59-220
Serce Sp. z o.o.
Leszno, 64-100
Gabinet Lekarski Malgorzata Saryusz-Wolska
Lodz, 90-132
Centrum Terapii Wspolczesnej - J.M. Jasnorzewska S.K.A.
Lodz, 90-338
Gabinety Medyczne MATUSZEK Beata Matyjaszek-Matuszek Prywatna Praktyka Specjalistyczna
Lublin, Lesser Poland Voivodeship, 20-064
EKAMED sp. z o.o.
Lublin, Lublin Voivodeship, 20-718
Niepubliczny Zaklad Opieki Zdrowotnej Przychodnia Specjalistyczna A Wittek H Rudzki Sp. j.
Ruda Śląska, 41-709
Lukmed 2 Sp. z o.o.
Siedlce, 08-110
Szpital Czerniakowski Sp. z o.o.
Warsaw, 00-739
Samodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Szyszko
Zabrze, 41-800
Prywatna Praktyka Lekarska Anna Chudoba
Żyrardów, 96-300
India18 sites
Rajiv Gandhi Centre for Diabetes and Endocrinology, J.N Medical College, Aligarh Muslim University
Aligarh, 202002
Diacon Hospital Private Limited
Bangalore, Karnataka, 560010
Lifecare Hospital and Research Centre
Bengaluru, Karnataka, 560066
Endolife Specialty Hospitals
Guntur, Andhra Pradesh, 522001
NIZAM'S Institute of Medical Sciences
Hyderabad, Telangana, 500082
TOTALL Diabetes Hormone Institute
Indore, Madhya Pradesh, 452010
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004
Diabetes, Thyroid and Endocrine Centre
Jaipur, Rajasthan, 302006
Amrita Institute Of Medical Sciences & Research Centre
Kochi, Kerala, 682041
IPGME&R and SSKM Hospital
Kolkata, West Bengal, 700020
Arthur Asirvatham hospital,
Madurai, Tamil Nadu, 625 020
BSES MG hospital
Mumbai, Maharashtra, 400058
Shalini Tai Meghe Hospital and Research Center
Nagpur, Maharashtra, 441110
All India Institute of Medical Sciences (AIIMS)
New Delhi, 110029
Chellaram Diabetes Institute
Pune, Maharashtra, 411021
Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002
Jothydev's Diabetes & Research Center
Thriruvananthapuram, 695 032
SSG Hospital, Baroda
Vadodara, Gujarat, 390001
Bulgaria11 sites
Dr. Tatyana Metalova - AIPSMCE EOOD
Gotse Delchev, 2900
Medical centre Zdrave 1 OOD
Kozloduy, 3320
UMHAT Pulmed OOD - Pazardzhik, Department of Internal Diseases
Pazardzhik, 4400
MHAT Heart and Brain EAD - Pleven, Endocrinology and Metabolic Diseases
Pleven, 5800
DCC I- Pleven EOOD Endocrinology
Pleven, 5801
MHAT Knyaginya Klementina - Sofia EAD
Sofia, 1233
MHAT Sveta Sofia EOOD, Department of Endocrinology and Metabolic diseases
Sofia, 1404
Acibadem City Clinic UMHAT Tokuda EAD, Endocrinology
Sofia, 1407
USHATE Akad. Ivan Penchev EAD, Second Clinic of Endocrinology
Sofia, 1431
Medical Institute of Ministry of interior
Sofia, 1606
Medical Centre - Clinic Nova EOOD
Varna, 9000
United States10 sites
Elite Clinical Trials
Blackfoot, Idaho, 83221
Velocity Clin Res, Dallas
Dallas, Texas, 75230
Encore Medical Research LLC
Hollywood, Florida, 33024
Optimal Research Sites
Orange City, Florida, 32763
Endo And Metab Cons
Rockville, Maryland, 20852
Endocrine Research Solutions, Inc
Roswell, Georgia, 30076
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Arcturus Healthcare, PLC.
Troy, Michigan, 48098-6368
Encore Medical Research of Weston
Weston, Florida, 33331
Selma Medical Associates
Winchester, Virginia, 22601-3834
Germany10 sites
Herz- und Diabeteszentrum NRW - Bad Oeynhausen
Bad Oeynhausen, 32545
Zentrum fuer klinische Studien Suedbrandenburg GmbH
Elsterwerda, 04910
Praxis am Markt Dr. Becker
Essen, 45355
MVZ im Altstadt-Carree Fulda GmbH - Zentrum für klinische Studien
Fulda, 36037
Diabetes-Zentrum-Wilhelmsburg GbR
Hamburg, 21109
Diabetologische Gemeinschaftspraxis Dr. Staudenmeyer und Dr. Schiwietz
Lingen, 49808
SMO.MD GmbH - Zentrum für klinische Studien
Magdeburg, 39120
Institut für Diabetesforschung Osnabrück
Osnabrück, 49080
ceda - Centrum für Diabetologie und Allgemeinmedizin Pohlheim
Pohlheim, 35415
Forschungszentrum Ruhr KliFoCenter GmbH, Kahrmann
Witten, 58455
Croatia8 sites
Poliklinika Medikol Zagreb
Grad Zagreb, 10000
Opca bolnica Karlovac
Karlovac, 47000
Specijalna Bolnica za medicinsku rehabilitaciju Krapinske Toplice_Endocrinology
Krapinske Toplice, 49217
Poliklinika SLAVONIJA OSIJEK
Osijek, 31000
Clinical Hospital Centre Rijeka_Endocrinology
Rijeka, 51 000
General Hospital Dr. Josip Bencevic_Diabetic department
Slavonski Brod, 35 000
Opca bolnica Varazdin_Endocrinology
Varaždin, 42 000
Poliklinika Solmed
Zagreb, 10000
Portugal8 sites
Hospital de Cascais
Alcabideche, 2755-009
ULS Almada-Seixal E.P.E. - Hospital Garcia de Orta
Almada, 2805-267
ULS De Braga, E.P.E. - Hospital de Braga
Braga, 4710-243
APDP - Associação Protectora dos Diabéticos de Portugal
Lisbon, 1250-189
Hosp. das Forças Armadas_ Endocrinologia
Lisbon, 1649-020
ULS De São João, E.P.E. - Hospital de São João
Porto, 4200-319
ULS De Matosinhos E.P.E.- Hospital Pedro Hispano
Senhora Da Hora, Matosinhos, 4464-513
Hospital da Luz Arrabida, S.A.
Vila Nova de Gaia, 4400-346
Romania8 sites
CMI Dr. Pletea Noemi SRL
Bacau, 600154
Institutul National De Diabet Nutritie Si Boli Metabolice Prof.Dr.N.Paulescu Bucuresti- Ion Movila
Bucharest, Bucharest, 020475
SC Nutrilife SRL
Bucharest, 013764
Diabet Med SRL
Bucharest, 050913
Medical Practice SRL
Oradea, 410001
Poli Cardinal Med Srl
Reghin, Mureș County, 545300
Spital Judetean De Urgenta Satu Mare
Satu Mare, 440055
Cabinet Medical Dr Geru SRL
Timișoara, 300288
Turkey (Türkiye)7 sites
Başkent Üniversitesi Adana-Endokrinoloji
Adana /yüreği̇r, 01240
Ankara Bilkent Şehir Hastanesi-Dahiliye
Ankara, 06800
İnönü Üniversitesi Turgut Özal Tıp Merkezi Hastanesi- Endokrinoloji
Battalgazi / Malatya, 44280
Göztepe Prof. Dr.Süleyman Yalçın Şehir Hastanesi- Dahiliye
Istanbul, 34722
Marmara Üniversitesi Pendik EAH- Endokrinoloji
Pendik/istanbul, 34899
Sivas Cumhuriyet Üniversitesi Hastanesi -Endokrinoloji
Sivas, 58140
Adana Şehir Eğitim ve Araştırma Hastanesi-Endokrinoloji
Yüreğir/Adana, 1370
Hungary5 sites
Óbudai Egészségügyi Centrum
Budapest, Pest County, 1036
Debreceni Egyetem
Debrecen, Hajdú-Bihar, 4032
Békés Vármegyei Központi Kórház
Gyula, 5700
Komáromi Selye János Kórház
Komárom, Komárom-Esztergom, 2900
Borbánya Praxis E.Ü. Kft.
Nyíregyháza, Szabolcs-Szatmar Varmegye, 4405
Thailand5 sites
King Chulalongkorn Memorial Hospital_Endocrinology
Bangkok, 10330
Rajavithi Hospital_Diabetes and Endocrinology
Bangkok, 10400
Ramathibodi Hospital
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Srinagarind Hospital
Khon Kaen, 40002
Brazil4 sites
i9 Pesquisas Clínicas
Campinas, São Paulo, 13092-133
Núcleo de Pesquisa Clínica do Rio Grande do Sul Ltda.
Porto Alegre, Rio Grande do Sul, 90430-001
CPQuali Pesquisa Clínica Ltda
São Paulo, São Paulo, 01228-000
BR Trials - Ensaios Clínicos e Consultoria Ltda.
São Paulo, São Paulo, 01236-030
Argentina3 sites
Centro de Investigaciones Metabólicas
Capital Federal, Buenos Aires, C1056ABI
Centro Médico Privado San Vicente Diabetes
Córdoba, X5006IKK
Centro Médico CIMEL
Lanús Este, Buenos Aires, B1824KAJ
Mexico3 sites
Centro de Estudios de Investigación Metabólicos y Cardio
Ciudad Madero, Tamaulipas, 89440
Diseño y Planeación en Investigación Médica S.C.
Guadalajara, Jalisco, 44600
Alliance CEINV Salud S.A. de C.V.
Monterrey, Nuevo León, 64020
About this study
Official title: Efficacy and Safety of NNC0487-0111 s.c. Once-weekly Compared to Semaglutide s.c. Once-weekly in Participants With Overweight or Obesity, and Type 2 Diabetes (AMAZE 8)
The purpose of this clinical study is to find out if NNC0487-0111 is safe and effective for treating people who have excess body weight and type 2 diabetes. Participant will receive 2 injections every week: an active medicine and a placebo, both taken as injections under the skin once a week. The placebo is a treatment with no active medicine in it and will be given to all participants. In addition to placebo, participants will receive either of the active medicine NNC0487-0111 (the treatment being tested) or Semaglutide (an approved and commonly prescribed treatment used as comparator). Which treatment participants get is decided by chance.
- Conditions
- Obesity, Overweight, Diabetes Mellitus, Type 2
- Being tested
- NNC0487-0111, Semaglutide, Placebo (matched to NNC0487-0111), Placebo (matched to semaglutide)
- Medical subject headings
- Obesity, Overweight, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NNC0487-0111Drug
NNC0487-0111 will be administered subcutaneously using PDS290 pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
SemaglutideDrug
Semaglutide will be administered subcutaneously using PDS290 pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Placebo (matched to NNC0487-0111)Drug
Placebo matched to NNC0487-0111 will be administered subcutaneously using pre- filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Placebo (matched to semaglutide)Drug
Placebo matched to semaglutide will be administered subcutaneously using pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
| Study group | Role | What they receive |
|---|---|---|
| NNC0487-0111 | Experimental | Participants will receive NNC0487-0111 and placebo matched to semaglutide subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity. Receives: Drug: NNC0487-0111; Drug: Placebo (matched to semaglutide) |
| Semaglutide | Active comparator | Participants will receive semaglutide and placebo matched to NNC0487-0111 subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity. Receives: Drug: Semaglutide; Drug: Placebo (matched to NNC0487-0111) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Relative change in body weight
Measured as percentage of body weight.
Measured: From baseline (week 0) to week 84
Secondary outcomes (24)
Change in waist circumference
Measured as centimeter (cm).
Measured: From baseline (week 0) to week 84
Change in systolic blood pressure (SBP)
Measured as millimeter of mercury (mmHg).
Measured: From baseline (week 0) to week 84
Change in body weight
Measured as kilograms (kg).
Measured: From baseline (week 0) to week 84 and week 104
Change in body mass index (BMI)
Measured as kilograms per meter squared (kg/m^2).
Measured: From baseline (week 0) to week 84 and week 104
Number of participants with achievement of in haemoglobin A1c (HbA1c) < 7.0 percent (%) (yes/no)
Measured as count of participants.
Measured: From baseline (week 0) to week 84
Number of participants with achievement of HbA1c ≤ 6.5% (yes/no)
Measured as count of participants.
Measured: From baseline (week 0) to week 84
Number of participants with achievement of HbA1c < 5.7% (yes/no)
Measured as count of participants.
Measured: From baseline (week 0) to week 84
Change in fasting plasma glucose (FPG) measured as millimole per liter (mmol/L)
Measured as mmol/L.
Measured: From baseline (week 0) to week 84
Change in FPG measured as milligrams per deciliter (mg/dL)
Measured as mg/dL.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in fasting insulin
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in urinary albumin-to-creatinine ratio (UACR)
Measured as ratio.
Measured: From baseline (week 0) to week 84
Change in diastolic blood pressure (DBP)
Measured as mmHg.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in total cholesterol
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in high-density lipoprotein (HDL) cholesterol
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in low-density lipoprotein (LDL) cholesterol
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in very low-density lipoprotein (VLDL) cholesterol
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in non-HDL cholesterol
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in triglycerides
Measured as ratio.
Measured: From baseline (week 0) to week 84
Ratio to baseline: change in high-sensitivity C-reactive protein (hsCRP)
Measured as ratio.
Measured: From baseline (week 0) to week 84
Number of Treatment Emergent Adverse Events (TEAEs)
Measured as events.
Measured: From baseline (week 0) to week 84 and week 109
Number of Treatment Emergent Serious Adverse Events (TESAEs)
Measured as events.
Measured: From baseline (week 0) to week 84 and week 109
Number of TEAEs leading to permanent treatment discontinuation
Measured as events.
Measured: From baseline (week 0) to week 84 and week 109
Number of treatment-emergent clinically significant hypoglycaemic episodes (level 2) (< 3.0 millimole per liter [mmol/L] (54 milligrams per deciliter [mg/dL]), confirmed by a blood glucose (BG) meter)
Measured as episodes.
Measured: From baseline (week 0) to week 84 and week 109
Number of treatment-emergent severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Measured as episodes.
Measured: From baseline (week 0) to week 84 and week 109
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Feb 2026
- Study start20 May 2026 (estimated)
- Primary completion12 Dec 2028 (estimated)
- Study completion26 Jan 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ObesityStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 2834), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07400107
- Sponsor's protocol ID
- NN9490-8028
- Other IDs
- U1111-1313-8017, 2024-520446-31
- Acronym
- AMAZE 8
- Status last verified
- Mar 2026
- First submitted
- 3 Feb 2026
- Last updated
- 12 Mar 2026
- Results posted
- No
- 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
Study at a glance
From the registry record, last updated by the sponsor on 12 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of NNC0487-0111 s.c. Once-weekly Compared to Semaglutide s.c. Once-weekly in Participants With Overweight or Obesity, and Type 2 Diabetes (AMAZE 8)
- ClinicalTrials.gov ID
- NCT07400107
- Acronym / sponsor ID
- AMAZE 8 / NN9490-8028
- Conditions
- Obesity, Overweight, Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 20 May 2026 (estimated)
- Primary completion
- 12 Dec 2028 (estimated)
- Study completion
- 26 Jan 2029 (estimated)
- First posted
- 10 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical study is to find out if NNC0487-0111 is safe and effective for treating people who have excess body weight and type 2 diabetes. Participant will receive 2 injections every week: an active medicine and a placebo, both taken as injections under the skin once a week. The placebo is a treatment with no active medicine in it and will be given to all participants. In addition to placebo, participants will receive either of the active medicine NNC0487-0111 (the treatment being tested) or Semaglutide (an approved and commonly prescribed treatment used as comparator). Which treatment participants get is decided by chance.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| NNC0487-0111 | Experimental | Drug: NNC0487-0111, Drug: Placebo (matched to semaglutide)Participants will receive NNC0487-0111 and placebo matched to semaglutide subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity. |
| Semaglutide | Active comparator | Drug: Semaglutide, Drug: Placebo (matched to NNC0487-0111)Participants will receive semaglutide and placebo matched to NNC0487-0111 subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female (sex at birth).
- Age 18 years or above at the time of signing informed consent.
- Diagnosed with type 2 diabetes mellitus ≥ 180 days before screening.
- Haemoglobin A1c (HbA1c) 7-10 percentage (%) (53-86 millimole per mole [mmol/mol]) (both inclusive) as measured by the central laboratory at screening.
- Treatment with lifestyle intervention, and/or 0-3 marketed oral antidiabetic drugs (OAD)s (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose cotransporter 2 inhibitor (SGLT2i), thiazolidinediones, or sulfonylureas (SU) as a single agent or in combination) according to local label. Treatment with oral antidiabetic drugs should be stable (same drug(s), dose and dosing frequency) before screening.
Key exclusion criteria (5 listed)
- Renal impairment with estimated Glomerular Filtration Rate (eGFR) < 30 milliliter (mL)/ minute (min)/1.73 meter squared (m^2) (2021 Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula), at screening.
- Participant with diabetic retinopathy or maculopathy who received treatment with retinal photocoagulation, vitrectomy or anti-Vascular Endothelial Growth Factor (anti-VEGF) within 180 days before screening or are expected to require treatment within 180 days after screening. Diabetic retinopathy or maculopathy must be verified by an eye examination performed within 90 days before screening or in the period between screening and randomization. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
- Known hypoglycaemic unawareness as indicated by the investigator according to Clarke's questionnaire question 8.
- Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
- Treatment with glucagon-like peptide-1 (GLP-1) receptor agonists (RA), dual GLP-1/gastric inhibitory peptide (GIP) RAs (or any other GLP-1 based treatment), or amylin analogues before screening.
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 |
|---|---|---|
| NNC0487-0111NNC0487-0111 will be administered subcutaneously using PDS290 pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm. | Drug | NNC0487-0111 |
| SemaglutideSemaglutide will be administered subcutaneously using PDS290 pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm. | Drug | Semaglutide |
| Placebo (matched to NNC0487-0111)Placebo matched to NNC0487-0111 will be administered subcutaneously using pre- filled pen-injectors to one of the body parts: thigh, abdomen or upper arm. | Drug | Semaglutide |
| Placebo (matched to semaglutide)Placebo matched to semaglutide will be administered subcutaneously using pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm. | Drug | NNC0487-0111 |
Primary outcome
Relative change in body weight
Time frame: From baseline (week 0) to week 84
Measured as percentage of body weight.
24 secondary outcomes
Change in waist circumference
Time frame: From baseline (week 0) to week 84
Change in systolic blood pressure (SBP)
Time frame: From baseline (week 0) to week 84
Change in body weight
Time frame: From baseline (week 0) to week 84 and week 104
Change in body mass index (BMI)
Time frame: From baseline (week 0) to week 84 and week 104
Number of participants with achievement of in haemoglobin A1c (HbA1c) < 7.0 percent (%) (yes/no)
Time frame: From baseline (week 0) to week 84
Number of participants with achievement of HbA1c ≤ 6.5% (yes/no)
Time frame: From baseline (week 0) to week 84
Number of participants with achievement of HbA1c < 5.7% (yes/no)
Time frame: From baseline (week 0) to week 84
Change in fasting plasma glucose (FPG) measured as millimole per liter (mmol/L)
Time frame: From baseline (week 0) to week 84
Change in FPG measured as milligrams per deciliter (mg/dL)
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in fasting insulin
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in urinary albumin-to-creatinine ratio (UACR)
Time frame: From baseline (week 0) to week 84
Change in diastolic blood pressure (DBP)
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in total cholesterol
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in high-density lipoprotein (HDL) cholesterol
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in low-density lipoprotein (LDL) cholesterol
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in very low-density lipoprotein (VLDL) cholesterol
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in non-HDL cholesterol
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in triglycerides
Time frame: From baseline (week 0) to week 84
Ratio to baseline: change in high-sensitivity C-reactive protein (hsCRP)
Time frame: From baseline (week 0) to week 84
Number of Treatment Emergent Adverse Events (TEAEs)
Time frame: From baseline (week 0) to week 84 and week 109
Number of Treatment Emergent Serious Adverse Events (TESAEs)
Time frame: From baseline (week 0) to week 84 and week 109
Number of TEAEs leading to permanent treatment discontinuation
Time frame: From baseline (week 0) to week 84 and week 109
Number of treatment-emergent clinically significant hypoglycaemic episodes (level 2) (< 3.0 millimole per liter [mmol/L] (54 milligrams per deciliter [mg/dL]), confirmed by a blood glucose (BG) meter)
Time frame: From baseline (week 0) to week 84 and week 109
Number of treatment-emergent severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Time frame: From baseline (week 0) to week 84 and week 109
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Mar 2026.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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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.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
120 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing NNC0487-0111 and Semaglutide in people with Obesity and Overweight, run by Novo Nordisk A/S at 120 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 5 inclusion and 5 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: opening soon, as of the sponsor's last update on 12 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 sites in Poland, India, Bulgaria, United States, Germany 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Novo Nordisk ((+1) 866-867-7178, clinicaltrials@novonordisk.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Relative change in body weight (time frame: From baseline (week 0) to week 84). 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 12 Mar 2026.