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NCT00696657

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

Completed Phase 2 Results posted Last updated 14 August 2019
What this trial tests

Phase 2 trial testing semaglutide in Diabetes in 415 participants. Completed in 5 February 2009.

Timeline
3 June 2008
Primary endpoint
5 February 2009
5 February 2009

Quick facts

Lead sponsorNovo Nordisk A/S
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment415
Start date3 June 2008
Primary completion5 February 2009
Estimated completion5 February 2009
Sites77 locations across France, Italy, Finland, South Africa, Serbia and Montenegro, Austria, United Kingdom, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Novo Nordisk A/S — full company profile →

Who can join

18 and older, any sex, with Diabetes or Diabetes Mellitus, Type 2. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

HbA1c Primary · After 12 weeks of treatment.

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.

GroupValue95% CI
Placebo-0.5± 0.8
Semaglutide 0.1 mg-0.6± 0.7
Semaglutide 0.2 mg-0.9± 0.9
Semaglutide 0.4 mg-1.0± 0.8
Semaglutide 0.8 mg-1.4± 0.8
Semaglutide 0.8 mg (With Titration)-1.4± 1.0
Semaglutide 1.6 mg (With Titration)-1.5± 0.8
Liraglutide 1.2 mg-1.1± 0.7
Liraglutide 1.8 mg-1.3± 0.7
Percentage of Subjects With an Adverse Events Secondary · After 12 weeks of treatment.

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.

GroupValue95% CI
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
Percentage of Subjects With Hypoglycaemic Episode Secondary · After 12 weeks of treatment

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

Major
GroupValue95% CI
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
Minor
GroupValue95% CI
Placebo0
Semaglutide 0.1 mg4.3
Semaglutide 0.2 mg0
Semaglutide 0.4 mg4.2
Semaglutide 0.8 mg0
Semaglutide 0.8 mg (With Titration)2.3
Semaglutide 1.6 mg (With Titration)0
Liraglutide 1.2 mg4.4
Liraglutide 1.8 mg2.0
Symptoms only
GroupValue95% CI
Placebo2.2
Semaglutide 0.1 mg2.1
Semaglutide 0.2 mg2.3
Semaglutide 0.4 mg0
Semaglutide 0.8 mg0
Semaglutide 0.8 mg (With Titration)0
Semaglutide 1.6 mg (With Titration)6.4
Liraglutide 1.2 mg8.9
Liraglutide 1.8 mg2.0
Change From Baseline in ECG Secondary · Week 0, week 12.

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).

Week -2: Normal
GroupValue95% CI
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
Week -2: Abnormal, NCS
GroupValue95% CI
Placebo4
Semaglutide 0.1 mg14
Semaglutide 0.2 mg6
Semaglutide 0.4 mg12
Semaglutide 0.8 mg10
Semaglutide 0.8 mg (With Titration)15
Semaglutide 1.6 mg (With Titration)8
Liraglutide 1.2 mg6
Liraglutide 1.8 mg9
Week -2: Abnormal, CS
GroupValue95% CI
Placebo0
Semaglutide 0.1 mg0
Semaglutide 0.2 mg0
Semaglutide 0.4 mg2
Semaglutide 0.8 mg1
Semaglutide 0.8 mg (With Titration)0
Semaglutide 1.6 mg (With Titration)2
Liraglutide 1.2 mg0
Liraglutide 1.8 mg0
Week 12: Normal
GroupValue95% CI
Placebo39
Semaglutide 0.1 mg32
Semaglutide 0.2 mg34
Semaglutide 0.4 mg36
Semaglutide 0.8 mg29
Semaglutide 0.8 mg (With Titration)33
Semaglutide 1.6 mg (With Titration)36
Liraglutide 1.2 mg37
Liraglutide 1.8 mg42
Week 12: Abnormal, NCS
GroupValue95% CI
Placebo6
Semaglutide 0.1 mg14
Semaglutide 0.2 mg3
Semaglutide 0.4 mg7
Semaglutide 0.8 mg7
Semaglutide 0.8 mg (With Titration)9
Semaglutide 1.6 mg (With Titration)5
Liraglutide 1.2 mg6
Liraglutide 1.8 mg5
Week 12: Abnormal, CS
GroupValue95% CI
Placebo0
Semaglutide 0.1 mg0
Semaglutide 0.2 mg1
Semaglutide 0.4 mg2
Semaglutide 0.8 mg1
Semaglutide 0.8 mg (With Titration)0
Semaglutide 1.6 mg (With Titration)3
Liraglutide 1.2 mg0
Liraglutide 1.8 mg0
Week 12: ECG not done (ND)
GroupValue95% CI
Placebo1
Semaglutide 0.1 mg1
Semaglutide 0.2 mg5
Semaglutide 0.4 mg1
Semaglutide 0.8 mg3
Semaglutide 0.8 mg (With Titration)1
Semaglutide 1.6 mg (With Titration)2
Liraglutide 1.2 mg2
Liraglutide 1.8 mg2
Change From Baseline in Vital Signs (Pulse) Secondary · Week 0, week 12

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

GroupValue95% CI
Placebo0.5± 8.9
Semaglutide 0.1 mg-0.0± 7.6
Semaglutide 0.2 mg0.5± 13.8
Semaglutide 0.4 mg1.5± 8.5
Semaglutide 0.8 mg1.5± 9.6
Semaglutide 0.8 mg (With Titration)2.9± 11.9
Semaglutide 1.6 mg (With Titration)3.9± 12.6
Liraglutide 1.2 mg4.4± 10.2
Liraglutide 1.8 mg2.1± 10.1
Change From Baseline in Vital Signs (Blood Pressure; SBP) Secondary · Week 0, week 12

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.

GroupValue95% CI
Placebo-3.2± 14.8
Semaglutide 0.1 mg3.3± 11.0
Semaglutide 0.2 mg-2.5± 14.1
Semaglutide 0.4 mg-3.6± 13.1
Semaglutide 0.8 mg-6.7± 14.9
Semaglutide 0.8 mg (With Titration)-7.7± 13.0
Semaglutide 1.6 mg (With Titration)-5.9± 11.6
Liraglutide 1.2 mg-2.9± 12.0
Liraglutide 1.8 mg-5.4± 14.0
Change From Baseline in Vital Signs (Blood Pressure; DBP) Secondary · Week 0, week 12

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.

GroupValue95% CI
Placebo-2.3± 9.8
Semaglutide 0.1 mg1.5± 7.9
Semaglutide 0.2 mg-0.4± 8.5
Semaglutide 0.4 mg-1.5± 9.7
Semaglutide 0.8 mg-1.5± 7.9
Semaglutide 0.8 mg (With Titration)-2.3± 9.7
Semaglutide 1.6 mg (With Titration)-3.0± 7.7
Liraglutide 1.2 mg-2.1± 10.0
Liraglutide 1.8 mg-0.0± 8.8
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Basophils) Secondary · Week 0, week 12

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

GroupValue95% CI
Placebo-0.0± 0.0
Semaglutide 0.1 mg0.0± 0.0
Semaglutide 0.2 mg-0.0± 0.0
Semaglutide 0.4 mg0.0± 0.0
Semaglutide 0.8 mg-0.0± 0.0
Semaglutide 0.8 mg (With Titration)-0.0± 0.0
Semaglutide 1.6 mg (With Titration)-0.0± 0.0
Liraglutide 1.2 mg0.0± 0.0
Liraglutide 1.8 mg0.0± 0.0
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Eosinophils) Secondary · Week 0, week 12

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

GroupValue95% CI
Placebo-0.0± 0.2
Semaglutide 0.1 mg0.0± 0.2
Semaglutide 0.2 mg-0.0± 0.1
Semaglutide 0.4 mg0.0± 0.1
Semaglutide 0.8 mg-0.0± 0.2
Semaglutide 0.8 mg (With Titration)0.0± 0.3
Semaglutide 1.6 mg (With Titration)0.1± 0.2
Liraglutide 1.2 mg0.0± 0.2
Liraglutide 1.8 mg-0.0± 0.1
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haematocrit) Secondary · Week 0, week 12

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.

GroupValue95% CI
Placebo-0.01± 0.02
Semaglutide 0.1 mg-0.01± 0.03
Semaglutide 0.2 mg-0.01± 0.03
Semaglutide 0.4 mg0.00± 0.03
Semaglutide 0.8 mg-0.01± 0.02
Semaglutide 0.8 mg (With Titration)-0.00± 0.03
Semaglutide 1.6 mg (With Titration)-0.00± 0.03
Liraglutide 1.2 mg0.00± 0.03
Liraglutide 1.8 mg-0.01± 0.03
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haemoglobin) Secondary · Week 0, week 12

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

GroupValue95% CI
Placebo0.1± 6.3
Semaglutide 0.1 mg-0.4± 5.9
Semaglutide 0.2 mg-1.2± 9.3
Semaglutide 0.4 mg2.8± 9.5
Semaglutide 0.8 mg-0.3± 7.7
Semaglutide 0.8 mg (With Titration)1.5± 6.9
Semaglutide 1.6 mg (With Titration)1.0± 7.1
Liraglutide 1.2 mg2.1± 6.7
Liraglutide 1.8 mg1.1± 10.7
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Lymphocytes) Secondary · Week 0, week 12

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

GroupValue95% CI
Placebo-0.1± 0.6
Semaglutide 0.1 mg0.0± 0.4
Semaglutide 0.2 mg-0.1± 0.6
Semaglutide 0.4 mg0.2± 0.9
Semaglutide 0.8 mg-0.0± 0.7
Semaglutide 0.8 mg (With Titration)-0.1± 0.7
Semaglutide 1.6 mg (With Titration)0.1± 0.5
Liraglutide 1.2 mg0.0± 0.4
Liraglutide 1.8 mg-0.1± 0.8

Adverse events — posted to ClinicalTrials.gov

Time frame: The results for 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.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/46 (2%)
Deaths: 0/46
Semaglutide 0.1 mg
Serious: 1/47 (2%)
Deaths: 0/47
Semaglutide 0.2 mg
Serious: 1/43 (2%)
Deaths: 0/43
Semaglutide 0.4 mg
Serious: 2/48 (4%)
Deaths: 0/48
Semaglutide 0.8 mg
Serious: 0/42 (0%)
Deaths: 0/42
Semaglutide 0.8 mg (With Titration)
Serious: 1/43 (2%)
Deaths: 0/43
Semaglutide 1.6 mg (With Titration)
Serious: 2/47 (4%)
Deaths: 0/47
Liraglutide 1.2 mg
Serious: 0/45 (0%)
Deaths: 0/45
Liraglutide 1.8 mg
Serious: 0/50 (0%)
Deaths: 0/50

Serious adverse events (9 terms)

ReactionSystemPlaceboSemaglutide 0.1 mgSemaglutide 0.2 mgSemaglutide 0.4 mgSemaglutide 0.8 mgSemaglutide 0.8 mg (With T…Semaglutide 1.6 mg (With T…Liraglutide 1.2 mgLiraglutide 1.8 mg
Acute left ventricular failureCardiac disorders
Acute myocardial infarctionCardiac disorders
Arterial occlusive diseaseVascular disorders
Coronary artery diseaseCardiac disorders
EpilepsyNervous system disorders
Herpes zosterInfections and infestations
HypertensionVascular disorders
Myocardial infarctionCardiac disorders
NephrolithiasisRenal and urinary disorders
Other adverse events (17 terms — click to expand)

ReactionSystemPlaceboSemaglutide 0.1 mgSemaglutide 0.2 mgSemaglutide 0.4 mgSemaglutide 0.8 mgSemaglutide 0.8 mg (With T…Semaglutide 1.6 mg (With T…Liraglutide 1.2 mgLiraglutide 1.8 mg
NauseaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
DyspepsiaGastrointestinal disorders
FatigueGeneral disorders
NasopharyngitisInfections and infestations
AstheniaGeneral disorders
Abdominal discomfortGastrointestinal disorders
HypertensionVascular disorders
ConstipationGastrointestinal disorders
Diabetic retinopathyEye disorders
DizzinessNervous system disorders
GastroenteritisInfections and infestations
LethargyNervous system disorders
Urinary tract infectionInfections and infestations

Most-reported serious reactions: Acute left ventricular failure, Acute myocardial infarction, Arterial occlusive disease, Coronary artery disease, Epilepsy, Herpes zoster, Hypertension, Myocardial infarction.

Data from ClinicalTrials.gov NCT00696657 adverse events section.

Sponsor's own description

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.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Glucagon-like peptide analogues for type 2 diabetes mellitus.
    Shyangdan DS, Royle P, Clar C, Sharma P, et al · · 2011 · cited 123× · PMID 21975753 · DOI 10.1002/14651858.cd006423.pub2
  2. Semaglutide, a glucagon like peptide-1 receptor agonist with cardiovascular benefits for management of type 2 diabetes.
    Mahapatra MK, Karuppasamy M, Sahoo BM. · · 2022 · cited 92× · PMID 34993760 · DOI 10.1007/s11154-021-09699-1
  3. Glucagon-like peptide-1 receptor agonists and cardiovascular events: a meta-analysis of randomized clinical trials.
    Monami M, Cremasco F, Lamanna C, Colombi C, et al · · 2011 · cited 76× · PMID 21584276 · DOI 10.1155/2011/215764
  4. Efficacy and tolerability of the Subcutaneous Semaglutide for type 2 Diabetes patients: an updated systematic review and meta-analysis.
    Hu S, Su X, Fan G. · · 2023 · cited 16× · PMID 37891683 · DOI 10.1186/s13098-023-01195-7
  5. Liraglutide for the Treatment of Type 2 Diabetes and Safety in Diabetic Kidney Disease: Liraglutide and Diabetic Kidney Disease.
    Cherney DZ, Tuttle KR. · · 2020 · cited 9× · PMID 32149722 · DOI 10.2215/cjn.01260120

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00696657.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing