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Trial · Interventional

CompletedPhase 3Results postedRegistry data

A Research Study to Look Into How Semaglutide, Together With a Lower Dose of Insulin Glargine, Compares to a Higher Dose of Insulin Glargine Alone in People With Type 2 Diabetes (SUSTAIN OPTIMIZE)

NCTNCT05514535 (opens ClinicalTrials.gov in a new tab)Other idNN9535-4801Other idU1111-1267-0312Other id2021-004392-13

Overview

Status
Completed
Phase
Phase 3
Enrollment
573 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Open label (no masking)
Countries
12 countries

United States, Czechia, Greece, Italy, Portugal, Puerto Rico, Romania, Russia, Slovakia, South Africa, Spain, Ukraine

Start
29 Aug 2022
Primary completion
5 Mar 2025
Completion
9 Apr 2025
First posted
24 Aug 2022
Last update posted
11 May 2026
Conditions
Diabetes Mellitus, Type 2 · Obesity

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20222023202420252026
  1. Ph 3

    A Research Study to Look Into How Semaglutide, Together With a Lower Dose of Insulin Glargine, Compares to a Higher Dose of Insulin Glargine Alone in People With Type 2 Diabetes (SUSTAIN OPTIMIZE)

    NCT05514535

    29 Aug 2022 to 9 Apr 2025

Registry summary

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

This study compares semaglutide, together with a lower dose of insulin glargine, to a higher dose of insulin glargine in participants with type 2 diabetes. The study looks at how well the study medicines control blood glucose levels. Participants will either get semaglutide together with a lower dose of insulin glargine or a higher dose of insulin glargine. The study will last for about 47 weeks (approximately 11 months). Participants will have 9 clinic visits, 15 phone/video calls and 1 home visit. Participants will be asked to wear a sensor that measures their blood sugar all the time in 2 periods of 10 days during the study.

Interventions

  • SemaglutideDrug
  • Insuline glargine U100 (reduced)Drug
  • Insuline glargine U100 (titrated)Drug

Arms2

  • Experimental

    Insuline glargine U100 (reduced) + semaglutide

    Participants will initially receive 0.25 milligrams (mg) once-weekly semaglutide subcutaneously (s.c.) and the dose will be gradually escalated to 2 mg as an add-on to dose-reduced insulin glargine s.c. given once-daily. Insulin glargine U100 will be reduced by 10 U at the initiation of semaglutide and then again at each semaglutide dose escalation. Insulin glargine dose will be adjusted based on the mean of three pre-breakfast self-measured plasma glucose (SMPG) values (target SMPG: 4.4-7.2 millimoles per litre (mmol/L)).

  • Active comparator

    Insuline glargine U100 (titrated)

    Participants will receive titrated insuline glargine U100 s.c. once-daily. Insulin glargine U100 dose will be adjusted based on the mean of three pre-breakfast SMPG values (target SMPG: 4.4-7.2 mmol/L).

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in Glycated Haemoglobin (HbA1c) [Noninferiority]

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Change in HbA1c (Noninferiority) from baseline (Week 0) to end of treatment (Week 40) were reported. Here noninferiority was assessed based on the clinically acceptable margin of 0.3%-point for the mean treatment difference in HbA1c.

Secondary outcomes(13)
  1. Change in Body Weight

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Change in body weight from baseline (Week 0) to end of treatment (Week 40) were reported. Body weight was measured in unit 'Kilogram (kg)'.

  2. Percentage Change in Daily Insulin Dose

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Percentage change in daily insulin dose from baseline (Week 0) to end of treatment (Week 40) were reported. Percentage change from baseline to week 40 in insulin dose (%) was calculated as: (\[insulin dose at week 40\] - \[insulin dose at baseline\]) / \[insulin dose at baseline\] × 100.

  3. Change in Glycated Haemoglobin (HbA1c ) [Superiority]

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Change in HbA1c (Superiority) from baseline (Week 0) to end of treatment (Week 40) were reported.

  4. Score of Diabetes Treatment Satisfaction Questionnaire - Change Version (DTSQc)

    Time frame · At end of treatment (week 40)

    Registry description

    Score of Diabetes Treatment Satisfaction Questionnaire - change version (DTSQc) at end of treatment (week 40) were reported. The DTSQc provided a measure of how satisfied participants were with their current diabetes treatment compared with previous treatment. It consisted of 8 questions, which were to be answered on a Likert scale from -3 to +3 (-3 = much less satisfied now to +3 = much more satisfied now), with 0 (midpoint) representing no change. Out of 8 questions, 6 questions related to treatment satisfaction were summed to produce a total score. The DTSQc total treatment satisfaction score ranged from -18 to +18, with higher scores associated with greater treatment satisfaction.

  5. Number of Participants Achieving Insulin Dose = 0 Units/mL (U)

    Time frame · At end of treatment (week 40)

    Registry description

    Number of participants achieving Insulin dose = 0 U at the end of treatment (Week 40) were reported.

  6. Number of Participants Achieving Insulin Dose Reduced From Baseline by at Least 50%

    Time frame · At end of treatment (week 40)

    Registry description

    Number of participants achieving Insulin dose reduced from baseline by at least 50% by end pf treatment (Week 40) were reported.

  7. Number of Participants Achieving HbA1c Less Than (<) 7%

    Time frame · At end of treatment (week 40)

    Registry description

    Number of participants achieving HbA1c \< 7% at the end of treatment (Week 40) were reported.

  8. Number of Severe Hypoglycaemic Episodes (Level 3)

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Number of severe hypoglycaemic episodes (level 3) from baseline (week 0) to end of treatment (week 40) were reported. Severe hypoglycaemia (level 3) was defined as hypoglycaemia with severe cognitive impairment requiring external assistance for recovery.

  9. Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by Blood Glucose (BG) Meter)

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Number of clinically significant hypoglycaemic episodes (level 2) (\<3.0 mmol/L (54 mg/dL), confirmed by BG meter) from baseline (week 0) to end of treatment (week 40) were reported. Clinically significant hypoglycaemia (level 2) was defined as plasma glucose value of less than (\<) 3.0 mmol/L (54 mg/dL) confirmed by BG meter.

  10. Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3)

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Number of clinically significant hypoglycaemic episodes (level 2) (\<3.0 mmol/L (54 mg/dL), confirmed by BG meter) or severe hypoglycaemic episodes (level 3) from baseline (week 0) to end of treatment (week 40) were reported. Clinically significant hypoglycaemia (level 2) was defined as plasma glucose value of less than (\<) 3.0 mmol/L (54 mg/dL) confirmed by BG meter. Severe hypoglycaemia (level 3) was defined as hypoglycaemia with severe cognitive impairment requiring external assistance for recovery.

  11. Number of Participants Achieving HbA1c Reduced From Baseline by at Least 0.3%-Points and Insulin Dose Reduced From Baseline, No Hypoglycaemic Episodes (< 3.9 mmol/L (70 mg/dL) Confirmed by BG Meter) and No Weight Gain

    Time frame · At end of treatment (week 40)

    Registry description

    Number of Participants achieving HbA1c reduced from baseline by at least 0.3%-points and Insulin dose reduced from baseline, No hypoglycaemic episodes (\< 3.9 mmol/L (70 mg/dL) confirmed by BG meter) and No weight gain at the end of treatment (Week 40) were reported.

  12. Change in Score of Diabetes Treatment Satisfaction Questionnaire - Status Version (DTSQs)

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Score of Diabetes Treatment Satisfaction Questionnaire - status version (DTSQs) at end of treatment (week 40) were reported. The status version measures a patient's current satisfaction with treatment using a 0-6 scale for each item; higher scores indicate greater satisfaction with the present treatment (absolute/status level). The DTSQs total treatment satisfaction score ranged from 0 to 36, with higher scores associated with greater treatment satisfaction.

  13. Change in Score of Short Form 36 Version 2 (SF-36 v2)

    Time frame · From baseline (week 0) to end of treatment (week 40)

    Registry description

    Change in SF-36 physical and mental component from baseline (week 0) to end of treatment (Week 40) were presented. SF-36 is self-administered questionnaire that measures each of following 8 health domains: physical functioning, role limitations due to physical problems (role-physical), social functioning, bodily pain, mental health, role limitations due to emotional problems (role-emotional), vitality, and general health perception. There are also 2 component scores derived from the 8 subscale scores: mental component summary and physical component summary. Physical component summary contains physical functioning, role-physical, bodily pain and general health and mental component summary contain vitality, social functioning, role-emotional and mental health. Each SF-36 domain and component summary score ranges from 0 to 100, higher scores reflect better participant health status. A positive change score indicates an improvement since baseline.

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· From baseline (week 0) to end of treatment (week 40)

Change in Glycated Haemoglobin (HbA1c) [Noninferiority]

GroupValue (Percentage point of HbA1c)Spread
Insuline Glargine U100 (Reduced) + Semaglutide-1.370.84
Insuline Glargine U100 (Titrated)-0.650.92
Secondary and other outcome results(7)
Secondary outcomeMean· From baseline (week 0) to end of treatment (week 40)

Change in Body Weight

GroupValue (Kilograms)Spread
Insuline Glargine U100 (Reduced) + Semaglutide-7.975.62
Insuline Glargine U100 (Titrated)0.394.08
Secondary outcomeMean· From baseline (week 0) to end of treatment (week 40)

Percentage Change in Daily Insulin Dose

GroupValue (Percentage change of daily insulin dose)Spread
Insuline Glargine U100 (Reduced) + Semaglutide-15.1187.25
Insuline Glargine U100 (Titrated)103.42142.38
Secondary outcomeMean· From baseline (week 0) to end of treatment (week 40)

Change in Glycated Haemoglobin (HbA1c ) [Superiority]

GroupValue (Percentage-point of HbA1c)Spread
Insuline Glargine U100 (Reduced) + Semaglutide-1.370.84
Insuline Glargine U100 (Titrated)-0.650.92
Secondary outcomeMean· At end of treatment (week 40)

Score of Diabetes Treatment Satisfaction Questionnaire - Change Version (DTSQc)

GroupValue (Score on a scale)Spread
Insuline Glargine U100 (Reduced) + Semaglutide14.694.65
Insuline Glargine U100 (Titrated)12.116.84
Secondary outcomeCount of participants· At end of treatment (week 40)

Number of Participants Achieving Insulin Dose = 0 Units/mL (U)

GroupValue (Participants)
Insuline Glargine U100 (Reduced) + Semaglutide37
Insuline Glargine U100 (Titrated)0
Secondary outcomeCount of participants· At end of treatment (week 40)

Number of Participants Achieving Insulin Dose Reduced From Baseline by at Least 50%

GroupValue (Participants)
Insuline Glargine U100 (Reduced) + Semaglutide103
Insuline Glargine U100 (Titrated)2
Secondary outcomeCount of participants· At end of treatment (week 40)

Number of Participants Achieving HbA1c Less Than (<) 7%

GroupValue (Participants)
Insuline Glargine U100 (Reduced) + Semaglutide224
Insuline Glargine U100 (Titrated)111

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
INSULIN GLARGINE (REDUCED) + SEMAGLUTIDEParticipants initially received semaglutide 0.25 mg s.c. OW and were dose-escalated over 12 weeks with increases at Weeks 4, 8, and 12 to reach a maintenance dose of 2.0 mg, as add-on to dose-reduced insulin glargine U100 administered subcutaneously once daily for 40 weeks.1 / 28817 / 28892 / 288
INSULIN GLARGINE (TITRATED)Participants received titrated insulin glargine U100 administered s.c. once daily for 40 weeks.1 / 28415 / 28413 / 284

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

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Diagnosed with Type 2 Diabetes Mellitus (T2D) mellitus greater than or equal to (\>=) 180 days before screening. * Glycated haemoglobin (HbA1c) of 7-10 percentage \[(53-86 millimoles per mole (mmol/mol)\] (both inclusive) as assessed by central laboratory on the day of screening. * Body mass index (BMI) greater than or equal to (\>=) 25 kilograms per meter square (kg/m\^2) on the day of screening. * Stable daily dose(s) greater than or equal to (\>=) 90 days before screening of any of the following anti-diabetic drugs or combination regimens: * Any metformin formulations greater than or equal to (\>=) 1500 milligrams (mg) or maximum tolerated or effective dose. * Any metformin combination formulation greater than or equal to (\>=) 1500 mg or maximum tolerated or effective dose. The treatment can be with or without sodium glucose cotransporter 2 (SGLT-2) inhibitors. • Treated with a once daily basal insulin (e.g. insulin glargine Unit 100 or U300, neutral protamine hagedorn (NPH) insulin, insulin detemir, insulin degludec) less than or equal to (\<=) 40 units/day (U/day) for greater than or equal to (\>=) 90 days before screening. Short-term bolus insulin treatment for a maximum of 14 days before screening is allowed. Exclusion Criteria: * Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. * Potentially missed diagnosis of Type 1 diabetes (T1D) or latent autoimmune diabetes in adults (LADA) verified by C-peptide less than 0.26 nanomoles per litre (nmol/L) (or 260 picomoles per liter \[pmol/L\] \[0.78 nanograms per millilitre {ng/mL}\]) or antibodies to glutamic acid decarboxylase (anti-GAD) greater than 5 units/millilitre, as measured by the central laboratory at screening. * Presence or history of pancreatitis (acute or chronic). * Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value of less than 30 millilitre per minute per 1.73 meter square at screening as defined by Kidney Disease: Improving Global Outcomes (KDIGO) 2012 classification. * Any episodes of diabetic ketoacidosis within 90 days before screening. * Known hypoglycaemic unawareness as indicated by the investigator according to Clarke's questionnaire question 8.

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