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NCT02461589

Dose-finding of Semaglutide Administered Subcutaneously Once Daily Versus Placebo and Liraglutide in Subjects With Type 2 Diabetes

Completed Phase 2 Results posted Last updated 31 July 2019
What this trial tests

Phase 2 trial testing semaglutide in Diabetes in 706 participants. Completed in 13 October 2016.

Timeline
21 September 2015
Primary endpoint
13 October 2016
13 October 2016

Quick facts

Lead sponsorNovo Nordisk A/S
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment706
Start date21 September 2015
Primary completion13 October 2016
Estimated completion13 October 2016
Sites150 locations across South Africa, Russia, Malaysia, Serbia, Austria, United Kingdom, Germany, Canada

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.

Change in HbA1c (Glycosylated Haemoglobin) Primary · Week 0, week 26

Estimated mean change from baseline in HbA1c at week 26. The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.

GroupValue95% CI
Semaglutide 0.05 mg/Day-0.97± 0.85
Semaglutide 0.1 mg/Day-1.30± 1.03
Semaglutide 0.2 mg/Day-1.65± 0.79
Semaglutide 0.3 mg/Day-1.96± 0.95
Liraglutide 0.3 mg/Day-0.50± 0.93
Liraglutide 0.6 mg/Day-0.88± 0.90
Liraglutide 1.2 mg/Day-0.86± 0.92
Liraglutide 1.8 mg/Day-1.32± 0.78
Placebo-0.05± 0.90
Semaglutide Flexible-1.72± 0.97
Change in Fasting Plasma Glucose (FPG) Secondary · Week 0, Week 26

Estimated mean change from baseline in FPG at week 26. The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.

GroupValue95% CI
Semaglutide 0.05 mg/Day-2.09± 1.96
Semaglutide 0.1 mg/Day-2.08± 2.23
Semaglutide 0.2 mg/Day-2.64± 2.07
Semaglutide 0.3 mg/Day-3.53± 2.20
Liraglutide 0.3 mg/Day-1.33± 2.06
Liraglutide 0.6 mg/Day-1.56± 1.74
Liraglutide 1.2 mg/Day-1.51± 2.41
Liraglutide 1.8 mg/Day-1.92± 2.34
Placebo-0.54± 2.45
Semaglutide Flexible-3.40± 2.84
Body Weight Change Secondary · Week 0, Week 26

The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.

GroupValue95% CI
Semaglutide 0.05 mg/Day-2.75± 2.82
Semaglutide 0.1 mg/Day-4.36± 4.24
Semaglutide 0.2 mg/Day-6.70± 4.57
Semaglutide 0.3 mg/Day-8.23± 5.34
Liraglutide 0.3 mg/Day-1.48± 3.06
Liraglutide 0.6 mg/Day-1.81± 3.06
Liraglutide 1.2 mg/Day-1.78± 3.41
Liraglutide 1.8 mg/Day-3.68± 4.26
Placebo-1.22± 3.42
Semaglutide Flexible-6.60± 4.98
Change in Systolic and Diastolic Blood Pressure Secondary · Week 0, Week 26

The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.

Systolicblood pressure
GroupValue95% CI
Semaglutide 0.05 mg/Day-5.74± 12.30
Semaglutide 0.1 mg/Day-2.77± 13.21
Semaglutide 0.2 mg/Day-4.25± 12.24
Semaglutide 0.3 mg/Day-9.85± 11.58
Liraglutide 0.3 mg/Day-3.77± 9.79
Liraglutide 0.6 mg/Day-3.20± 10.89
Liraglutide 1.2 mg/Day-4.69± 12.73
Liraglutide 1.8 mg/Day-2.99± 11.94
Placebo-2.34± 11.40
Semaglutide Flexible-6.62± 14.02
Diastolic blood pressure
GroupValue95% CI
Semaglutide 0.05 mg/Day-0.60± 8.78
Semaglutide 0.1 mg/Day0.66± 8.26
Semaglutide 0.2 mg/Day-1.62± 9.38
Semaglutide 0.3 mg/Day-4.02± 8.56
Liraglutide 0.3 mg/Day-1.77± 7.37
Liraglutide 0.6 mg/Day-1.89± 8.20
Liraglutide 1.2 mg/Day-0.60± 6.78
Liraglutide 1.8 mg/Day0.63± 8.13
Placebo-0.61± 8.50
Semaglutide Flexible-1.69± 8.25

Adverse events — posted to ClinicalTrials.gov

Time frame: From baseline up to week 33.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Semaglutide 0.05 mg/Day
Serious: 7/64 (11%)
Deaths:
Semaglutide 0.1 mg/Day
Serious: 3/63 (5%)
Deaths:
Semaglutide 0.2 mg/Day
Serious: 2/65 (3%)
Deaths:
Semaglutide 0.3 mg/Day
Serious: 2/63 (3%)
Deaths:
Liraglutide 0.3 mg/Day
Serious: 1/64 (2%)
Deaths:
Liraglutide 0.6 mg/Day
Serious: 2/64 (3%)
Deaths:
Liraglutide 1.2 mg/Day
Serious: 2/64 (3%)
Deaths:
Liraglutide 1.8 mg/Day
Serious: 7/65 (11%)
Deaths:
Placebo
Serious: 0/129 (0%)
Deaths:
Semaglutide Flexible
Serious: 4/64 (6%)
Deaths:

Serious adverse events (41 terms)

ReactionSystemSemaglutide 0.05 mg/DaySemaglutide 0.1 mg/DaySemaglutide 0.2 mg/DaySemaglutide 0.3 mg/DayLiraglutide 0.3 mg/DayLiraglutide 0.6 mg/DayLiraglutide 1.2 mg/DayLiraglutide 1.8 mg/DayPlaceboSemaglutide Flexible
Abortion spontaneousPregnancy, puerperium and perinatal conditions
Acute myocardial infarctionCardiac disorders
Adenocarcinoma of colonNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Anal fistulaGastrointestinal disorders
ArteriosclerosisVascular disorders
Atrioventricular block completeCardiac disorders
Back painMusculoskeletal and connective tissue disorders
Bundle branch block leftCardiac disorders
Carotid artery stenosisNervous system disorders
Catheterisation cardiacInvestigations
Clear cell renal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Coronary artery diseaseCardiac disorders
Coronary revascularisationSurgical and medical procedures
CystoscopyInvestigations
DiverticulitisInfections and infestations
Dupuytren's contractureMusculoskeletal and connective tissue disorders
EndarterectomySurgical and medical procedures
Endometrial hyperplasiaReproductive system and breast disorders
Escherichia pyelonephritisInfections and infestations
Gastroenteritis viralInfections and infestations
Ischaemic strokeNervous system disorders
Myocardial infarctionCardiac disorders
Pancreatic carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Percutaneous coronary interventionSurgical and medical procedures
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (25 terms — click to expand)

ReactionSystemSemaglutide 0.05 mg/DaySemaglutide 0.1 mg/DaySemaglutide 0.2 mg/DaySemaglutide 0.3 mg/DayLiraglutide 0.3 mg/DayLiraglutide 0.6 mg/DayLiraglutide 1.2 mg/DayLiraglutide 1.8 mg/DayPlaceboSemaglutide Flexible
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
NasopharyngitisInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
Lipase increasedInvestigations
Upper respiratory tract infectionInfections and infestations
VomitingGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DizzinessNervous system disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Abdominal painGastrointestinal disorders
SinusitisInfections and infestations
Abdominal discomfortGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
HypertensionVascular disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Abortion spontaneous, Acute myocardial infarction, Adenocarcinoma of colon, Anal fistula, Arteriosclerosis, Atrioventricular block complete, Back pain, Bundle branch block left.

Data from ClinicalTrials.gov NCT02461589 adverse events section.

Sponsor's own description

This trial is conducted globally. The aim of this trial is to investigate dose-finding of semaglutide administered subcutaneously once daily versus placebo and liraglutide in subjects with type 2 diabetes

Publications & conference data

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

  1. 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
  2. Metabolic and cardiovascular benefits of GLP-1 agonists, besides the hypoglycemic effect (Review).
    Iorga RA, Bacalbasa N, Carsote M, Bratu OG, et al · · 2020 · cited 63× · PMID 32765722 · DOI 10.3892/etm.2020.8714
  3. Impact on HbA1c and body weight of switching from other GLP-1 receptor agonists to semaglutide: A model-based approach.
    Overgaard RV, Lindberg SØ, Thielke D. · · 2019 · cited 25× · PMID 30047216 · DOI 10.1111/dom.13479
  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

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