Change in HbA1c
| Group | Value (Percentage of HbA1c) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | -1.6 | 0.8 |
| Placebo | -0.2 | 0.9 |
Trial · Interventional
CompletedPhase 3Results postedRegistry dataShort name SUSTAIN 9
United States, Austria, Canada, Japan, Norway, Puerto Rico, Russia
1 trial · 1 completed · 1 with posted results
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
This trial is conducted in Asia, Europe and North America. The aim of the trial is to compare the effect of semaglutide s.c. 1.0 mg once-weekly versus placebo as add-on to sodium glucose co-transporter-2 inhibitor (SGLT-2i) monotherapy or in combination with either metformin or sulfonylurea on glycaemic control after 30 weeks of treatment in subjects with type 2 diabetes. Subjects will remain on their pre-trial medication.
Experimental
Semaglutide
Placebo comparator
Placebo
Outcomes the sponsor listed as primary.
Change in HbA1c
Time frame · Week 0, week 30
Change from baseline (week 0) in HbA1c was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose of trial product and ended at the first date of any of the following: 1) the last dose of trial product + 7 days or 2) initiation of rescue medication.
Change in Body Weight (kg)
Time frame · Week 0, week 30
Change from baseline (week 0) in body weight was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Fasting Plasma Glucose (FPG)
Time frame · Week 0, week 30
Change from baseline (week 0) in FPG was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Self-measured Plasma Glucose (SMPG), 7-point Profile: Mean 7-point Profile
Time frame · Week 0, week 30
Change from baseline (week 0) in mean of the SMPG, 7-point profile was evaluated at week 30. Mean 7-point profile (the area under the profile) was calculated using the trapezoidal method and divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period. Participants measured their plasma glucose at 7 different time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime.
Change in Self-measured Plasma Glucose (SMPG), 7-point Profile: Mean Post Prandial Increment (Over All Meals)
Time frame · Week 0, week 30
Change from baseline (week 0) in mean post prandial increment (over all meals) in the SMPG, 7-point profile was evaluated at week 30. The mean increment over all meals was derived as the mean of all available meal increments. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Fasting Blood Lipid, Total Cholesterol
Time frame · Week 0, week 30
Change from baseline (week 0) in total cholesterol (measured in mmol/L and presented as ratio to baseline) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Fasting Blood Lipid, Low-density Lipoprotein (LDL) Cholesterol
Time frame · Week 0, week 30
Change from baseline (week 0) in LDL (measured in mmol/L and presented as ratio to baseline) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Fasting Blood Lipid, High-density Lipoprotein (HDL) Cholesterol
Time frame · Week 0, week 30
Change from baseline (week 0) in HDL (measured in mmol/L and presented as ratio to baseline) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Fasting Blood Lipid, Triglycerides
Time frame · Week 0, week 30
Change from baseline (week 0) in triglycerides (measured in mmol/L and presented as ratio to baseline) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Body Weight (%)
Time frame · Week 0, week 30
Percent (%) change from baseline (week 0) in body weight (measured in kilogram (kg)) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Body Mass Index
Time frame · Week 0, week 30
Change from baseline (week 0) in body mass index (BMI) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period. BMI was calculated as 'body weight in kg/(height in meters) x (height in meters)'.
Change in Waist Circumference
Time frame · Week 0, week 30
Change from baseline (week 0) in waist circumference was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Systolic Blood Pressure
Time frame · Week 0, week 30
Change from baseline (week 0) in systolic blood pressure was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Diastolic Blood Pressure
Time frame · Week 0, week 30
Change from baseline (week 0) in diastolic blood pressure was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Change in Scores for Selected Patient Reported Outcomes: Short-form Health Survey (SF-36v2TM): Total Scores (Physical Component and Mental Component) and Scores From the 8 Domains
Time frame · Week 0, week 30
Change from baseline (week 0) in patient reported outcome (PRO) questionnaire, SF-36v2TM was evaluated at week 30. The SF-36v2™ questionnaire was used to assess the overall health related quality of life of participants. This questionnaire contains 36 items and measures the individual overall health related quality of life on 8 domains: 1) Physical functioning, 2) Role functioning, 3) Bodily pain, 4) General health, 5) Vitality, 6) Social functioning, 7) Role emotional and 8) Mental health. Each item is scored on a scale from 1 to either 2, 3, 5, or 6; each item score is then converted to a scale of 0-100, representing the percentage of total possible score achieved and with higher scores indicating a higher health status; items on the same scale are then averaged to obtain the 8 scale scores. Physical component summary (PCS) includes domains 1-4 and mental component summary (MCS) includes domains 5-8. Higher PCS and MCS scores on a scale of 0-100 indicate a higher health status.
Change in Scores for Selected Patient Reported Outcomes: Diabetes Treatment Satisfaction Questionnaire (DTSQ): Treatment Satisfaction Score (Sum of 6 of 8 Items) and the 8 Items Separately
Time frame · Week 0, week 30
Change from baseline (week 0) in PRO questionnaire, DTSQ was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period. The DTSQ measures satisfaction with diabetes treatment. The DTSQ consists of 8 items evaluating 6 aspects of treatment satisfaction and 2 perceived recent event rates of hyperglycemia/hypoglycemia. Each item is scored on a 7- point Likert scale ranging from 0 (very dissatisfied) to 6 (very satisfied). Items evaluating 6 aspects (items 3-8) of treatment satisfaction are summed to produce a total treatment satisfaction score; DTSQ status total scores range from 0-36, with higher scores indicating greater satisfaction; the perceived frequency of hyperglycemia/hypoglycemia items are scored separately, with lower scores indicating better perceived blood glucose control.
HbA1c Below 7.0% (53 mmol/Mol)
Time frame · After 30 weeks
Percentage of participants with HbA1c below 7.0% (53 mmol/mol) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
HbA1c Equal to or Below 6.5% (48 mmol/Mol)
Time frame · After 30 weeks
Percentage of participants with HbA1c equal to or below 6.5% (48 mmol/mol) was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Weight Loss Equal to or Above 3%
Time frame · After 30 weeks
Percentage of participants with weight loss equal to or above 3% of their baseline (week 0) body weight was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Weight Loss Equal to or Above 5%
Time frame · After 30 weeks
Percentage of participants with weight loss equal to or above 5% of their baseline (week 0) body weight was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Weight Loss Equal to or Above 10%
Time frame · After 30 weeks
Percentage of participants with weight loss equal to or above 10% of their baseline (week 0) body weight was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (Percentage of HbA1c) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | -1.6 | 0.8 |
| Placebo | -0.2 | 0.9 |
| Group | Value (Kg) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | -4.7 | 4.3 |
| Placebo | -1.0 | 3.1 |
| Group | Value (mmol/L) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | -2.26 | 2.05 |
| Placebo | 0.07 | 2.07 |
| Group | Value (mmol/L) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | -2.6 | 1.9 |
| Placebo | -0.3 | 2.0 |
| Group | Value (mmol/L) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | -1.2 | 2.0 |
| Placebo | 0.0 | 2.2 |
| Group | Value (Ratio) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | 0.91 | 19.4 |
| Placebo | 1.02 | 18.9 |
| Group | Value (Ratio) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | 0.90 | 31.6 |
| Placebo | 1.04 | 27.7 |
| Group | Value (Ratio) | Spread |
|---|---|---|
| Semaglutide 1.0 mg | 0.99 | 15.8 |
| Placebo | 1.01 | 13.9 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| Semaglutide 1.0 mgParticipants received semaglutide in a dose escalation manner for 30 weeks: 0.25 mg (weeks 1 to 4), 0.50 mg (weeks 5 to 8) and 1.0 mg (weeks 9 to 30). Semaglutide was taken once weekly as s.c. injections. | 0 / 150 | 7 / 150 | 49 / 150 |
| PlaceboParticipants received matching placebo (for semaglutide) in a dose escalation manner for 30 weeks. Placebo was taken once weekly as s.c. injections. Dose escalation for placebo matched that for semaglutide with regards to volume. | 0 / 151 | 6 / 151 | 28 / 151 |
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
Studies that cite this trial.
1 study on this page
Indexing hint: Randomized controlled trial · 2019
Zinman et al. 2019The lancet. Diabetes & endocrinologycited by 286
PMID 30833170DOI 10.1016/s2213-8587(19)30066-xPUB-30833170
Who could join, as posted.
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