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NCT05040971: STEP 10

Research Study Looking at How Well Semaglutide Works in People Living With Obesity and Prediabetes

Completed Phase 3 Results posted Last updated 29 January 2026
What this trial tests

Phase 3 trial testing Semaglutide 2.4 mg in Obesity in 207 participants. Completed in 14 July 2023.

Timeline
6 September 2021
Primary endpoint
6 January 2023
14 July 2023

Quick facts

Lead sponsorNovo Nordisk A/S
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment207
Start date6 September 2021
Primary completion6 January 2023
Estimated completion14 July 2023
Sites43 locations across Finland, Spain, United Kingdom, Canada, Denmark

Drugs / interventions tested

Conditions studied

Sponsor

Novo Nordisk A/S — full company profile →

Who can join

18 and older, any sex, with Obesity. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This study looks at how well a new medicine, called semaglutide, works at helping people with obesity and prediabetes. This study will look at how much weight participants lose, and if participants can go from having blood sugar that is higher than normal (prediabetes) to having normal blood sugar. Semaglutide is compared to a "dummy" medicine. The "dummy" medicine looks like semaglutide but has no effect on the body. In addition to taking the medicine, participants will have talks with study staff about healthy food choices, how to be more physically active and what participants can do to lose weight. Participants will either get semaglutide or "dummy" medicine - which treatment they get is decided by chance. Participants are 2 times as likely to get semaglutide as "dummy" medicine. Participants will need to take 1 injection once a week. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study will last for about 19 months. Participants have to take the study medicine every week for the first 12 months. The last 7 months participants will not take any medication. Participants will have 14 clinic visits and 1 phone call with the study staff. At 9 of the clinic visits Participants will have blood samples taken. Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

Publications & conference data

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

  1. Pharmacotherapy of obesity: an update on the available medications and drugs under investigation.
    Chakhtoura M, Haber R, Ghezzawi M, Rhayem C, et al · · 2023 · cited 260× · PMID 36992862 · DOI 10.1016/j.eclinm.2023.101882
  2. Efficacy and safety of once-weekly semaglutide 2·4 mg versus placebo in people with obesity and prediabetes (STEP 10): a randomised, double-blind, placebo-controlled, multicentre phase 3 trial.
    McGowan BM, Bruun JM, Capehorn M, Pedersen SD, et al · · 2024 · cited 91× · PMID 39089293 · DOI 10.1016/s2213-8587(24)00182-7
  3. Incretin-based therapies for the treatment of obesity-related diseases.
    Caruso I, Cignarelli A, Sorice GP, Perrini S, et al · · 2024 · cited 17× · PMID 40604322 · DOI 10.1038/s44324-024-00030-5
  4. Once-weekly 2.4 mg Semaglutide for Weight Management in Obesity: A Game Changer?
    Colin IM, Gérard KM. · · 2022 · cited 14× · PMID 35949360 · DOI 10.17925/ee.2022.18.1.35
  5. Comparative Safety of GLP-1/GIP Co-Agonists Versus GLP-1 Receptor Agonists for Weight Loss in Patients with Obesity or Overweight: A Systematic Review.
    Xie Z, Liang Z, Xie Y, Zheng G, et al · · 2025 · cited 6× · PMID 40821754 · DOI 10.2147/dmso.s537229
  6. Metabolic rebound after GLP-1 receptor agonist discontinuation: a systematic review and meta-analysis.
    Tzang CC, Wu PH, Luo CA, Chen ZT, et al · · 2025 · cited 1× · PMID 41399474 · DOI 10.1016/j.eclinm.2025.103680
  7. Effect of semaglutide on arrhythmic, major cardiovascular, and renal outcomes in patients with overweight or obesity: a systematic review and meta-analysis.
    Wu R, Xing B, Zhou Z, Yu L, et al · · 2025 · cited 1× · PMID 40890879 · DOI 10.1186/s40001-025-03124-y
  8. Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists in Obese Patients Without Diabetes: A Systematic Review and Meta-Analysis.
    Mohamed Ali Elbashir R, Elbashir A, Urimuke Basake R, Zakaria Ahmed Mohieldin A, et al · · 2025 · PMID 41341350 · DOI 10.7759/cureus.95938

Verify or expand the search:

Other trials of Semaglutide 2.4 mg

Trials testing the same drug.

Other recruiting trials for Obesity

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

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