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Trial · Interventional

CompletedPhase 2Results postedRegistry data

A Randomised Controlled Clinical Trial in Type 2 Diabetes Comparing Semaglutide to Placebo and Liraglutide

NCTNCT00696657 (opens ClinicalTrials.gov in a new tab)Other idNN9535-1821Other id2007-003956-12

Overview

Status
Completed
Phase
Phase 2
Enrollment
415 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Double masking
Countries
14 countries

Austria, Bulgaria, Finland, France, Germany, Hungary, India, Italy, Serbia and Montenegro, South Africa, Spain, Switzerland, Turkey (Türkiye), United Kingdom

Start
3 Jun 2008
Primary completion
5 Feb 2009
Completion
5 Feb 2009
First posted
13 Jun 2008 (estimated)
Last update posted
14 Aug 2019
Conditions
Diabetes · Diabetes Mellitus, Type 2

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
200820092010
  1. Ph 2

    A Randomised Controlled Clinical Trial in Type 2 Diabetes Comparing Semaglutide to Placebo and Liraglutide

    NCT00696657

    3 Jun 2008 to 5 Feb 2009

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

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.

Interventions

  • semaglutideDrug
  • semaglutideDrug
  • semaglutideDrug
  • semaglutideDrug
  • semaglutideDrug
  • semaglutideDrug
  • placeboDrug
  • placeboDrug
  • placeboDrug
  • placeboDrug
  • placeboDrug
  • liraglutideDrug
  • liraglutideDrug

Arms14

  • Experimental

    A

  • Experimental

    B

  • Experimental

    C

  • Experimental

    D

  • Experimental

    E

  • Experimental

    F

  • Placebo comparator

    G1

  • Placebo comparator

    G2

  • Placebo comparator

    G3

  • Placebo comparator

    G4

  • Placebo comparator

    G5

  • Placebo comparator

    G6

  • Experimental

    H

  • Experimental

    I

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. HbA1c

    Time frame · After 12 weeks of treatment.

    Registry description

    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.

Secondary outcomes(20)
  1. Percentage of Subjects With an Adverse Events

    Time frame · After 12 weeks of treatment.

    Registry description

    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.

  2. Percentage of Subjects With Hypoglycaemic Episode

    Time frame · After 12 weeks of treatment

    Registry description

    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.

  3. Change From Baseline in ECG

    Time frame · Week 0, week 12.

    Registry description

    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).

  4. Change From Baseline in Vital Signs (Pulse)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in pulse was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  5. Change From Baseline in Vital Signs (Blood Pressure; SBP)

    Time frame · Week 0, week 12

    Registry description

    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.

  6. Change From Baseline in Vital Signs (Blood Pressure; DBP)

    Time frame · Week 0, week 12

    Registry description

    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.

  7. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Basophils)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in basophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  8. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Eosinophils)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in eosinophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  9. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haematocrit)

    Time frame · Week 0, week 12

    Registry description

    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.

  10. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haemoglobin)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in haemoglobin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  11. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Lymphocytes)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in lymphocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  12. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Monocytes)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in monocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  13. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Neutrophils)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in neutrophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  14. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Thrombocytes)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in thrombocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  15. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Erythrocytes)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in erythrocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  16. Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Leukocytes)

    Time frame · Week 0, week 12

    Registry description

    Change from baseline in leukocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  17. Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Albumin)

    Time frame · Week 0, week 12.

    Registry description

    Change from baseline in albumin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.

  18. Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Alkaline Phosphatase)

    Time frame · Week 0, week 12.

    Registry description

    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.

  19. Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; AST)

    Time frame · Week 0, week 12.

    Registry description

    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.

  20. Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; ALAT)

    Time frame · Week 0, week 12.

    Registry description

    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.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· After 12 weeks of treatment.

HbA1c

GroupValue (Percentage (%) of HbA1c)Spread
Placebo-0.50.8
Semaglutide 0.1 mg-0.60.7
Semaglutide 0.2 mg-0.90.9
Semaglutide 0.4 mg-1.00.8
Semaglutide 0.8 mg-1.40.8
Semaglutide 0.8 mg (With Titration)-1.41.0
Semaglutide 1.6 mg (With Titration)-1.50.8
Liraglutide 1.2 mg-1.10.7
Liraglutide 1.8 mg-1.30.7
Secondary and other outcome results(7)
Secondary outcomeNumber· After 12 weeks of treatment.

Percentage of Subjects With an Adverse Events

GroupValue (Percentage (%) of subjects)
Placebo43.5
Semaglutide 0.1 mg59.6
Semaglutide 0.2 mg55.8
Semaglutide 0.4 mg72.9
Semaglutide 0.8 mg85.7
Semaglutide 0.8 mg (With Titration)72.1
Semaglutide 1.6 mg (With Titration)93.6
Liraglutide 1.2 mg55.6
Liraglutide 1.8 mg62.0
Secondary outcomeNumber· After 12 weeks of treatment

Percentage of Subjects With Hypoglycaemic Episode

GroupValue (Percentage (%) of subjects)
Placebo0
Semaglutide 0.1 mg0
Semaglutide 0.2 mg0
Semaglutide 0.4 mg0
Semaglutide 0.8 mg0
Semaglutide 0.8 mg (With Titration)0
Semaglutide 1.6 mg (With Titration)0
Liraglutide 1.2 mg0
Liraglutide 1.8 mg0
Secondary outcomeCount of participants· Week 0, week 12.

Change From Baseline in ECG

GroupValue (Participants)
Placebo42
Semaglutide 0.1 mg33
Semaglutide 0.2 mg37
Semaglutide 0.4 mg34
Semaglutide 0.8 mg31
Semaglutide 0.8 mg (With Titration)28
Semaglutide 1.6 mg (With Titration)37
Liraglutide 1.2 mg39
Liraglutide 1.8 mg41
Secondary outcomeMean· Week 0, week 12

Change From Baseline in Vital Signs (Pulse)

GroupValue (Beats/minute)Spread
Placebo0.58.9
Semaglutide 0.1 mg-0.07.6
Semaglutide 0.2 mg0.513.8
Semaglutide 0.4 mg1.58.5
Semaglutide 0.8 mg1.59.6
Semaglutide 0.8 mg (With Titration)2.911.9
Semaglutide 1.6 mg (With Titration)3.912.6
Liraglutide 1.2 mg4.410.2
Liraglutide 1.8 mg2.110.1
Secondary outcomeMean· Week 0, week 12

Change From Baseline in Vital Signs (Blood Pressure; SBP)

GroupValue (mmHg)Spread
Placebo-3.214.8
Semaglutide 0.1 mg3.311.0
Semaglutide 0.2 mg-2.514.1
Semaglutide 0.4 mg-3.613.1
Semaglutide 0.8 mg-6.714.9
Semaglutide 0.8 mg (With Titration)-7.713.0
Semaglutide 1.6 mg (With Titration)-5.911.6
Liraglutide 1.2 mg-2.912.0
Liraglutide 1.8 mg-5.414.0
Secondary outcomeMean· Week 0, week 12

Change From Baseline in Vital Signs (Blood Pressure; DBP)

GroupValue (mmHg)Spread
Placebo-2.39.8
Semaglutide 0.1 mg1.57.9
Semaglutide 0.2 mg-0.48.5
Semaglutide 0.4 mg-1.59.7
Semaglutide 0.8 mg-1.57.9
Semaglutide 0.8 mg (With Titration)-2.39.7
Semaglutide 1.6 mg (With Titration)-3.07.7
Liraglutide 1.2 mg-2.110.0
Liraglutide 1.8 mg-0.08.8
Secondary outcomeMean· Week 0, week 12

Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Basophils)

GroupValue (Billion cells/litre (10^9/L))Spread
Placebo-0.00.0
Semaglutide 0.1 mg0.00.0
Semaglutide 0.2 mg-0.00.0
Semaglutide 0.4 mg0.00.0
Semaglutide 0.8 mg-0.00.0
Semaglutide 0.8 mg (With Titration)-0.00.0
Semaglutide 1.6 mg (With Titration)-0.00.0
Liraglutide 1.2 mg0.00.0
Liraglutide 1.8 mg0.00.0

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
PlaceboSubjects received placebo once-weekly throughout the 12-week treatment period. Placebo was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Placebo was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 461 / 469 / 46
Semaglutide 0.1 mgSubjects received semaglutide 0.1 mg once-weekly throughout the 12-week treatment period. Semaglutide was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Semaglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 471 / 4723 / 47
Semaglutide 0.2 mgSubjects received semaglutide 0.2 mg once-weekly throughout the 12-week treatment period. Semaglutide was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Semaglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 431 / 4314 / 43
Semaglutide 0.4 mgSubjects received semaglutide 0.4 mg once-weekly throughout the 12-week treatment period. Semaglutide was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Semaglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 482 / 4827 / 48
Semaglutide 0.8 mgSubjects received semaglutide 0.8 mg once-weekly throughout the 12-week treatment period. Semaglutide was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Semaglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 420 / 4232 / 42
Semaglutide 0.8 mg (With Titration)Subjects followed a 1-week titration period (semaglutide 0.4 mg once-weekly at week 1), followed by an 11-week treatment period of fixed doses semaglutide 0.8 mg, once-weekly. Semaglutide was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Semaglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 431 / 4329 / 43
Semaglutide 1.6 mg (With Titration)Subjects followed a 2-week titration period (once-weekly semaglutide 0.4 mg at week 1 and 0.8 mg at week 2), followed by a 10-week treatment period of fixed doses semaglutide 1.6 mg, once-weekly. Semaglutide was injected s.c. in the abdomen, thigh or upper arm by using the NordiPen® on the same day of the week at a convenient time for the subjects. Semaglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 472 / 4739 / 47
Liraglutide 1.2 mgSubjects followed a 1-week titration period (liraglutide 0.6 mg once-daily in week 1), followed by an 11-week treatment period of fixed doses liraglutide 1.2 mg, once-daily. Liraglutide was injected s.c. in the abdomen, upper arm or thigh by using the Flexpen® in the evening before bedtime. Liraglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 450 / 4518 / 45
Liraglutide 1.8 mgSubjects followed a 2-week titration period (once-daily liraglutide 0.6 mg in week 1 and 1.2 mg in week 2), followed by a 10-week treatment period of fixed doses liraglutide 1.8 mg, once-daily. Liraglutide was injected s.c. in the abdomen, upper arm or thigh by using the Flexpen® in the evening before bedtime. Liraglutide was given in adjunct to previous metformin therapy on a stable dose (minimum 1.5 g daily) or as monotherapy in case the diabetes was controlled by diet and exercise alone.0 / 500 / 5021 / 50

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 2016

14 results

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.

Nauck et al. 2016Diabetes carecited by 180

PMID 26358288DOI 10.2337/dc15-0165PUB-26358288

Rights unknown14 results

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * 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 Exclusion Criteria: * 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)

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