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NCT04560998: STRIDE

A Research Study to Compare a Medicine Called Semaglutide Against Placebo in People With Peripheral Arterial Disease and Type 2 Diabetes

Completed Phase 3 Results posted Last updated 12 December 2025
What this trial tests

Phase 3 trial testing Semaglutide in Diabetes Mellitus, Type 2 in 792 participants. Completed in 12 July 2024.

Timeline
1 October 2020
Primary endpoint
5 June 2024
12 July 2024

Quick facts

Lead sponsorNovo Nordisk A/S
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment792
Start date1 October 2020
Primary completion5 June 2024
Estimated completion12 July 2024
Sites194 locations across Japan, Malaysia, Taiwan, Poland, Denmark, Russia, Belgium, Sweden

Drugs / interventions tested

Conditions studied

Sponsor

Novo Nordisk A/S — full company profile →

Who can join

18 and older, any sex, with Diabetes Mellitus, Type 2 or Peripheral Arterial Disease. 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 Maximum Walking Distance on a Constant Load Treadmill Test Primary · Baseline (week 0), end of treatment (week 52)

Change in maximum walking distance on a constant load treadmill test is presented. The constant-load treadmill test with fixed speed (3.2 km/h, 2 mph) and fixed inclination (12%) is a standardised method for functional assessment of patients with peripheral artery disease. Participants continue on the treadmill after indicating onset of pain and should continue as long as possible until pain limits further activity. This distance is noted as the maximum walking distance. The outcome measure was evaluated based on data from in-study observation period. In-study observation period is defined as

GroupValue95% CI
Semaglutide1.210.95 – 1.55
Placebo1.080.86 – 1.36
Follow-up Change in Maximum Walking Distance on a Constant Load Treadmill Test Secondary · Baseline (week 0), end of follow-up (week 57)

Change in maximum walking distance on a constant load treadmill test is presented. The constant-load treadmill test with fixed speed (3.2 km/h, 2 mph) and fixed inclination (12%) is a standardised method for functional assessment of patients with peripheral artery disease. Participants continue on the treadmill after indicating onset of pain and should continue as long as possible until pain limits further activity. This distance is noted as the maximum walking distance. The outcome measure was evaluated based on data from in-study observation period. In-study observation period is defined as

GroupValue95% CI
Semaglutide1.160.92 – 1.48
Placebo1.100.87 – 1.40
Change in Vascular Quality of Life Questionnaire-6 (VascuQoL-6) Score Secondary · Baseline (week 0), end of treatment (week 52)

Change in VascuQoL-6 score is presented. VascuQoL-6 is a peripheral artery disease-specific questionnaire with 6 items covering social, emotional, functional as well as pain- and symptom-related aspects of the patient´s overall quality of life. Each item has a 4-point response scale (where 1 = worst score and 4 = best score). The endpoint analysed is the total score (range: 6-24) generated by summing the scores from all items. A higher score indicates better health status. The outcome measure was evaluated based on data from in-study observation period. In-study observation period is defined a

GroupValue95% CI
Semaglutide2.00.00 – 4.00
Placebo1.0-1.00 – 4.00
Change in Pain-free Walking Distance on a Constant Load Treadmill Test Secondary · Baseline (week 0), end of treatment (week 52)

Change in pain-free walking distance on a constant load treadmill test is presented. The constant-load treadmill test with fixed speed (3.2 km/h, 2 mph) and fixed inclination (12%) is a standardised method for functional assessment of patients with peripheral artery disease. Participants are instructed to when pain starts in either leg and to continue on the treadmill without stopping at this stage. The distance walked is noted as the pain-free walking distance. The outcome measure was evaluated based on data from in-study observation period. In-study observation period is defined as the perio

GroupValue95% CI
Semaglutide1.210.92 – 1.52
Placebo1.100.86 – 1.44
Follow-up Change in Pain-free Walking Distance on a Constant Load Treadmill Test Secondary · Baseline (week 0), end of follow-up (week 57)

Change in pain-free walking distance on a constant load treadmill test is presented. The constant-load treadmill test with fixed speed (3.2 km/h, 2 mph) and fixed inclination (12%) is a standardised method for functional assessment of patients with peripheral artery disease. Participants are instructed to when pain starts in either leg and to continue on the treadmill without stop-ping at this stage. The distance walked is noted as the pain-free walking distance. The outcome measure was evaluated based on data from in-study observation period. In-study observation period is defined as the peri

GroupValue95% CI
Semaglutide1.180.92 – 1.59
Placebo1.100.83 – 1.48
Change in Glycosylated Haemoglobin (HbA1c) Secondary · Baseline (week 0), end of treatment (week 52)

Change in HbA1c from baseline to week 52 in percentage-point is presented. The outcome measure is evaluated based on the on treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide-0.8± 1.1
Placebo0.2± 1.1
Change in Body Weight Secondary · Baseline (week 0), end of treatment (week 52)

Change in body weight from baseline to week 52 in kilogram (kg) is presented. The outcome measure is evaluated based on the on-treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide-5.2± 4.8
Placebo-1.2± 4.2
Change in Systolic Blood Pressure Secondary · Baseline (week 0), end of treatment (week 52)

Change in systolic blood pressure from baseline to week 52 is presented.The outcome measure is evaluated based on the on treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide-4± 15
Placebo-1± 18
Change in Total Cholesterol Secondary · Baseline (week 0), end of treatment (week 52)

Change in total cholesterol from baseline to week 52 is presented as ratio to baseline. The outcome measure is evaluated based on the on-treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide0.96± 20.18
Placebo1.00± 19.88
Change in Low-density Lipoprotein (LDL)-Cholesterol Secondary · Baseline (week 0), end of treatment (week 52)

Change in LDL-cholesterol from baseline to week 52 is presented as ratio to baseline. The outcome measure is evaluated based on the on-treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide0.99± 38.37
Placebo1.03± 42.27
Change in High Density Lipoprotein (HDL)-Cholesterol Secondary · Baseline (week 0), end of treatment (week 52)

Change in HDL-cholesterol from baseline to week 52 is presented as ratio to baseline. The outcome measure is evaluated based on the on-treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide1.04± 15.95
Placebo0.99± 13.91
Change in Triglycerides Secondary · Baseline (week 0), end of treatment (week 52)

Change in Triglycerides from baseline to week 52 is presented as ratio to baseline. The outcome measure is evaluated based on the on-treatment without rescue treatment observation period. This period includes assessments and events for the time period where participants were exposed to trial product and before rescue treatment (medication or revascularisation procedure).

GroupValue95% CI
Semaglutide0.80± 45.95
Placebo0.95± 41.73

Adverse events — posted to ClinicalTrials.gov

Time frame: Until week 57. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Semaglutide
Serious: 74/396 (19%)
Deaths: 4/396
Placebo
Serious: 78/395 (20%)
Deaths: 9/395

Serious adverse events (150 terms)

ReactionSystemSemaglutidePlacebo
Acute myocardial infarctionCardiac disorders
Peripheral arterial occlusive diseaseVascular disorders
PneumoniaInfections and infestations
Coronary artery diseaseCardiac disorders
Acute kidney injuryRenal and urinary disorders
Angina unstableCardiac disorders
Cerebral infarctionNervous system disorders
Coronary artery stenosisCardiac disorders
DiverticulitisInfections and infestations
Peripheral ischaemiaVascular disorders
AnaemiaBlood and lymphatic system disorders
Angina pectorisCardiac disorders
AsthmaRespiratory, thoracic and mediastinal disorders
COVID-19Infections and infestations
COVID-19 pneumoniaInfections and infestations
Cardiac failureCardiac disorders
Cardiac failure acuteCardiac disorders
Cardiac failure chronicCardiac disorders
CataractEye disorders
CellulitisInfections and infestations
ConcussionInjury, poisoning and procedural complications
DeathGeneral disorders
Diabetic footSkin and subcutaneous tissue disorders
Femur fractureInjury, poisoning and procedural complications
Hypertensive urgencyVascular disorders
Other adverse events (2 terms — click to expand)

ReactionSystemSemaglutidePlacebo
COVID-19Infections and infestations
NauseaGastrointestinal disorders

Most-reported serious reactions: Acute myocardial infarction, Peripheral arterial occlusive disease, Pneumonia, Coronary artery disease, Acute kidney injury, Angina unstable, Cerebral infarction, Coronary artery stenosis.

Data from ClinicalTrials.gov NCT04560998 adverse events section.

Sponsor's own description

This study is done to see if semaglutide has an effect on walking ability compared with placebo (dummy medicine) in people with peripheral arterial disease (PAD) and type 2 diabetes. Participants will either get semaglutide or placebo ("dummy") medicine - which treatment participants get is decided by chance. Semaglutide is a medicine for type 2 diabetes that can be prescribed by doctors in some countries. Participants will get the study medicine (semaglutide or placebo) in a pre-filled pen for injection. Participants must inject it once a week into the stomach area, thigh, or upper arm, at any time of the day. The study will last for about 59 weeks. Participants will have 8 clinic visits and 1 phone call with the study doctor. At some clinic visits, participants will have blood tests. At some visits participants will also do a treadmill test to measure how far they can walk. Women cannot take part if pregnant, breast-feeding or planning to become pregnant during the study period.

Publications & conference data

8 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. Semaglutide and walking capacity in people with symptomatic peripheral artery disease and type 2 diabetes (STRIDE): a phase 3b, double-blind, randomised, placebo-controlled trial.
    Bonaca MP, Catarig AM, Houlind K, Ludvik B, et al · · 2025 · cited 62× · PMID 40169145 · DOI 10.1016/s0140-6736(25)00509-4
  3. Cardiovascular Protective Properties of GLP-1 Receptor Agonists: More than Just Diabetic and Weight Loss Drugs.
    Le R, Nguyen MT, Allahwala MA, Psaltis JP, et al · · 2024 · cited 29× · PMID 39200816 · DOI 10.3390/jcm13164674
  4. Glucagon-like peptide-1 receptor agonists to expand the healthy lifespan: Current and future potentials.
    Kreiner FF, von Scholten BJ, Kurtzhals P, Gough SCL. · · 2023 · cited 20× · PMID 37191234 · DOI 10.1111/acel.13818
  5. Design and baseline characteristics of the STRIDE trial: evaluating semaglutide in people with symptomatic peripheral artery disease and type 2 diabetes.
    Bonaca MP, Catarig AM, Hansen Y, Houlind K, et al · · 2025 · cited 18× · PMID 39424598 · DOI 10.1093/ehjcvp/pvae071
  6. Challenges and opportunities in the management of type 2 diabetes in patients with lower extremity peripheral artery disease: a tailored diagnosis and treatment review.
    Mahé G, Aboyans V, Cosson E, Mohammedi K, et al · · 2024 · cited 16× · PMID 38926722 · DOI 10.1186/s12933-024-02325-9
  7. Management of Peripheral Arterial Disease: Lifestyle Modifications and Medical Therapies.
    King RW, Canonico ME, Bonaca MP, Hess CN. · · 2022 · cited 15× · PMID 39132343 · DOI 10.1016/j.jscai.2022.100513
  8. Semaglutide-eye-catching results.
    Cigrovski Berkovic M, Strollo F. · · 2023 · cited 11× · PMID 37122431 · DOI 10.4239/wjd.v14.i4.424

Verify or expand the search:

Other trials of Semaglutide

Trials testing the same drug.

Other recruiting trials for Diabetes Mellitus, Type 2

Currently open trials in the same condition.

Other Novo Nordisk A/S trials

Trials by the same sponsor.

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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/NCT04560998.

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