Trial Outcomes & Findings for Efficacy and Safety of Oral Semaglutide Versus Placebo in Subjects With Type 2 Diabetes and Moderate Renal Impairment (NCT NCT02827708)

NCT ID: NCT02827708

Last Updated: 2020-02-17

Results Overview

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

324 participants

Primary outcome timeframe

Week 0, week 26

Results posted on

2020-02-17

Participant Flow

The trial was conducted in 8 countries (107 sites screened/88 randomised subjects), as follows: Denmark: 7/4; Finland: 7/7; Israel: 7/6; Poland: 2/2; Russian Federation: 19/18; Sweden: 6/4; United Kingdom: 9/7; United States (US):50/40. In addition, 10 sites in the US were approved by the institutional review board, but didn't randomise any subject

Data presented in "participant flow" is based on the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Participant milestones

Participant milestones
Measure
Oral Semaglutide 14 mg
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Overall Study
STARTED
163
161
Overall Study
Full Analysis Set (FAS)
163
161
Overall Study
Safety Analysis Set (SAS)
163
161
Overall Study
COMPLETED
158
156
Overall Study
NOT COMPLETED
5
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Oral Semaglutide 14 mg
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Overall Study
Lost to Follow-up
3
1
Overall Study
Withdrawal by Subject
1
2
Overall Study
Death
1
2

Baseline Characteristics

Efficacy and Safety of Oral Semaglutide Versus Placebo in Subjects With Type 2 Diabetes and Moderate Renal Impairment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Total
n=324 Participants
Total of all reporting groups
Age, Continuous
71 Years
STANDARD_DEVIATION 8 • n=5 Participants
70 Years
STANDARD_DEVIATION 8 • n=7 Participants
70 Years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
80 Participants
n=5 Participants
88 Participants
n=7 Participants
168 Participants
n=5 Participants
Sex: Female, Male
Male
83 Participants
n=5 Participants
73 Participants
n=7 Participants
156 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
14 Participants
n=7 Participants
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
156 Participants
n=5 Participants
147 Participants
n=7 Participants
303 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
White
158 Participants
n=5 Participants
152 Participants
n=7 Participants
310 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Glycosylated haemoglobin (HbA1c)
8.0 Percentage of HbA1c
STANDARD_DEVIATION 0.7 • n=5 Participants
7.9 Percentage of HbA1c
STANDARD_DEVIATION 0.7 • n=7 Participants
8.0 Percentage of HbA1c
STANDARD_DEVIATION 0.7 • n=5 Participants

PRIMARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in HbA1c
In-trial
-1.1 Percentage of HbA1c
Standard Deviation 1.0
-0.2 Percentage of HbA1c
Standard Deviation 0.9
Change in HbA1c
On-treatment without rescue medication
-1.2 Percentage of HbA1c
Standard Deviation 0.9
-0.1 Percentage of HbA1c
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

Change from baseline (week 0) in body weight was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Body Weight (kg)
In-trial
-3.5 kg
Standard Deviation 3.8
-0.9 kg
Standard Deviation 2.9
Change in Body Weight (kg)
On-treatment without rescue medication
-3.9 kg
Standard Deviation 3.6
-0.9 kg
Standard Deviation 2.9

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in fasting plasma glucose (FPG) was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=151 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=151 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in FPG
-1.58 mmol/L
Standard Deviation 2.96
-0.34 mmol/L
Standard Deviation 3.03

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Relative change from baseline (week 0) in body weight (kg) was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Body Weight (%)
-3.75 Percentage change
Standard Deviation 4.10
-0.92 Percentage change
Standard Deviation 3.13

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in body mass index (BMI) was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in BMI
-1.2 kg/m^2
Standard Deviation 1.3
-0.3 kg/m^2
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in waist circumference was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=152 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=154 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Waist Circumference
-2.8 Centimetre (cm)
Standard Deviation 4.9
-0.7 Centimetre (cm)
Standard Deviation 3.8

SECONDARY outcome

Timeframe: Week 26

Population: Overall number of participants analyzed = number of participants with available data.

Participants who achieved HbA1c \<7.0% (American Diabetes Association (ADA) target) (yes/no), was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol), ADA Target (Yes/no)
Yes
89 Participants
35 Participants
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol), ADA Target (Yes/no)
No
65 Participants
120 Participants

SECONDARY outcome

Timeframe: Week 26

Population: Overall number of participants analyzed = number of participants with available data.

Participants who achieved HbA1c ≤6.5% (American Association of Clinical Endocrinologists (AACE) target) (yes/no), was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants Who Achieve HbA1c ≤6.5% (48 mmol/Mol), AACE Target (Yes/no)
Yes
60 Participants
12 Participants
Participants Who Achieve HbA1c ≤6.5% (48 mmol/Mol), AACE Target (Yes/no)
No
94 Participants
143 Participants

SECONDARY outcome

Timeframe: Week 26

Population: Overall number of participants analyzed = number of participants with available data.

Participants who achieved weight loss ≥5% of their baseline body weight (yes/no) was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants Who Achieve Weight Loss ≥5% (Yes/no)
Yes
55 Participants
15 Participants
Participants Who Achieve Weight Loss ≥5% (Yes/no)
No
99 Participants
140 Participants

SECONDARY outcome

Timeframe: Week 26

Population: Overall number of participants analyzed = number of participants with available data.

Participants who achieved weight loss of ≥10% of their baseline body weight (yes/no) was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants Who Achieve Weight Loss ≥10% (Yes/no)
Yes
13 Participants
0 Participants
Participants Who Achieve Weight Loss ≥10% (Yes/no)
No
141 Participants
155 Participants

SECONDARY outcome

Timeframe: Week 26

Population: Overall number of participants analyzed = number of participants with available data.

Participants who achieved HbA1c \<7.0 % without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia and without weight gain (yes/no) was evaluated at week 26. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia was defined as an episode with plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)
Yes
78 Participants
27 Participants
Participants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)
No
76 Participants
128 Participants

SECONDARY outcome

Timeframe: Week 26

Population: Overall number of participants analyzed = number of participants with available data.

Participants who achieved HbA1c reduction ≥1% and weight loss of ≥3% (yes/no) was evaluated at week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=154 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=155 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)
Yes
60 Participants
12 Participants
Participants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)
No
94 Participants
143 Participants

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in total cholesterol (mmol/L) at week 26 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=148 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=153 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Total Cholesterol (Ratio to Baseline)
0.97 Ratio of total cholesterol
Geometric Coefficient of Variation 20.1
1.00 Ratio of total cholesterol
Geometric Coefficient of Variation 23.0

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in low-density lipoprotein (LDL) cholesterol (mmol/L) at week 26 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=148 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=152 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in LDL Cholesterol (Ratio to Baseline)
0.97 Ratio of LDL cholesterol
Geometric Coefficient of Variation 32.7
1.00 Ratio of LDL cholesterol
Geometric Coefficient of Variation 38.2

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in high-density lipoprotein (HDL) cholesterol (mmol/L) at week 26 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=148 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=153 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in HDL Cholesterol (Ratio to Baseline)
1.02 Ratio of HDL cholesterol
Geometric Coefficient of Variation 17.5
1.02 Ratio of HDL cholesterol
Geometric Coefficient of Variation 15.4

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in triglycerides (mmol/L) at week 26 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=148 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=153 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Triglycerides (Ratio to Baseline)
0.87 Ratio of triglycerides
Geometric Coefficient of Variation 37.7
0.95 Ratio of triglycerides
Geometric Coefficient of Variation 37.1

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in C-reactive protein (CRP) (mg/L) at week 26 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=152 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=154 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in CRP (Ratio to Baseline)
0.86 Ratio of CRP
Geometric Coefficient of Variation 135.1
1.00 Ratio of CRP
Geometric Coefficient of Variation 136.0

SECONDARY outcome

Timeframe: Weeks 0-26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants.

Presented results are the number of participants who had taken additional anti-diabetic medication anytime during the period, from week 0 to week 26. Additional anti-diabetic medication was defined as any new anti-diabetic medication used for more than 21 days with the initiation at or after randomisation (week 0) and before (planned) end-of-treatment (week 26), and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before (planned) end-of-treatment. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Time to Additional Anti-diabetic Medication
12 Participants
21 Participants

SECONDARY outcome

Timeframe: Weeks 0-26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants.

Presented results are the number of participants who had taken rescue medication anytime during the period, from week 0 to week 26. Rescue medication was defined as any new anti-diabetic medication used as add-on to trial product and used for more than 21 days with the initiation at or after randomisation (week 0) and before last day on trial product, and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before last day on trial product. Results are based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Time to Rescue Medication
7 Participants
16 Participants

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants who received at least one dose of trial product.

Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Adverse events (AEs) with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Number of TEAEs
463 Events
331 Events

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product.

Treatment emergent severe or BG-confirmed symptomatic hypoglycaemic episodes were recorded from week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Hypoglycaemic episodes with onset during the first dose of trial product until last dose of trial product were considered treatment -emergent. Severe or BG-confirmed symptomatic hypoglycaemia was defined as an episode, that is severe according to the ADA classification or BG-confirmed by a plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Number of Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes
17 Episodes
3 Episodes

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product.

Number of participants with treatment emergent severe or BG-confirmed symptomatic hypoglycaemic episodes was recorded from week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Hypoglycaemic episodes with onset during the first dose of trial product until last dose of trial product were considered treatment -emergent. Severe or BG-confirmed symptomatic hypoglycaemia was defined as an episode, that is severe according to the ADA classification or BG-confirmed by a plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Participants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes (Yes/no)
9 Participants
3 Participants

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in amylase (units/litre (U/L)) at week 26 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=129 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=140 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Amylase (Ratio to Baseline)
1.09 Ratio of amylase
Geometric Coefficient of Variation 22.9
0.99 Ratio of amylase
Geometric Coefficient of Variation 25.6

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in lipase (U/L) at week 26 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=129 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=140 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Lipase (Ratio to Baseline)
1.16 Ratio of lipase
Geometric Coefficient of Variation 57.6
0.94 Ratio of lipase
Geometric Coefficient of Variation 52.5

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in pulse rate was evaluated at week 26. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=133 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=141 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Pulse Rate
1 Beats/minute
Standard Deviation 9
-1 Beats/minute
Standard Deviation 9

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in systolic and diastolic blood pressure was evaluated at week 26. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=133 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=141 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Systolic blood pressure
-8 mmHg
Standard Deviation 14
0 mmHg
Standard Deviation 13
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Diastolic blood pressure
-3 mmHg
Standard Deviation 9
0 mmHg
Standard Deviation 8

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in urinary albumin to creatinine ratio (mg/mmol) at week 26 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=131 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=136 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Urinary Albumin to Creatinine Ratio (Ratio to Baseline)
0.86 Ratio
Geometric Coefficient of Variation 119.7
1.19 Ratio
Geometric Coefficient of Variation 145.4

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

Change from baseline (week 0) in electrocardiogram (ECG) was evaluated at week 26. Change from baseline results are presented as shift in findings (normal, abnormal and not clinically significant (NCS) and abnormal and clinically significant (CS)) from week 0 to week 26. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in ECG
Normal (week 0) to normal (week 26)
38 Participants
39 Participants
Change in ECG
Normal (week 0) to abnormal NCS (week 26)
13 Participants
9 Participants
Change in ECG
Normal (week 0) to abnormal CS (week 26)
1 Participants
0 Participants
Change in ECG
Abnormal (week 0) NCS to normal (week 26)
12 Participants
13 Participants
Change in ECG
Abnormal (week 0) NCS to abnormal NCS (week 26)
84 Participants
88 Participants
Change in ECG
Abnormal (week 0) NCS to abnormal CS (week 26)
1 Participants
2 Participants
Change in ECG
Abnormal (week 0) CS to normal (week 26)
0 Participants
0 Participants
Change in ECG
Abnormal (week 0) CS to abnormal NCS (week 26)
1 Participants
0 Participants
Change in ECG
Abnormal (week 0) CS to abnormal CS (week 26)
4 Participants
2 Participants

SECONDARY outcome

Timeframe: Week -2, week 26

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

Participants with physical examination findings, normal, abnormal NCS and abnormal CS at baseline (week \[wk\] -2) and wk 26 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. Results are presented for the following examinations: 1) Cardiovascular system; 2) Nervous system (central and peripheral); 3) Gastrointestinal system, incl. mouth; 4) General appearance; 5) Head (ears, eyes, nose), throat, neck; 6) Lymph node palpation; 7) Musculoskeletal system; 8) Respiratory system; 9) Skin; 10) Thyroid gland.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Physical Examination
1) Cardiovascular system (wk -2): Normal
107 Participants
103 Participants
Change in Physical Examination
1) Cardiovascular system (wk -2): Abnormal NCS
50 Participants
55 Participants
Change in Physical Examination
1) Cardiovascular system (wk -2): Abnormal CS
6 Participants
3 Participants
Change in Physical Examination
1) Cardiovascular system (wk 26): Normal
101 Participants
104 Participants
Change in Physical Examination
1) Cardiovascular system (wk 26): Abnormal NCS
48 Participants
47 Participants
Change in Physical Examination
1) Cardiovascular system (wk 26): Abnormal CS
6 Participants
3 Participants
Change in Physical Examination
2) Nervous system (wk -2): Normal
114 Participants
116 Participants
Change in Physical Examination
2) Nervous system (wk -2): Abnormal NCS
41 Participants
45 Participants
Change in Physical Examination
2) Nervous system (wk -2): Abnormal CS
8 Participants
0 Participants
Change in Physical Examination
2) Nervous system (wk 26): Normal
109 Participants
115 Participants
Change in Physical Examination
2) Nervous system (wk 26): Abnormal NCS
40 Participants
39 Participants
Change in Physical Examination
2) Nervous system (wk 26): Abnormal CS
6 Participants
0 Participants
Change in Physical Examination
3) Gastrointestinal system (wk -2): Normal
149 Participants
152 Participants
Change in Physical Examination
3) Gastrointestinal system (wk -2): Abnormal NCS
14 Participants
9 Participants
Change in Physical Examination
3) Gastrointestinal system (wk -2): Abnormal CS
0 Participants
0 Participants
Change in Physical Examination
3) Gastrointestinal system (wk 26): Normal
146 Participants
145 Participants
Change in Physical Examination
3) Gastrointestinal system (wk 26): Abnormal NCS
9 Participants
7 Participants
Change in Physical Examination
3) Gastrointestinal system (wk 26): Abnormal CS
0 Participants
1 Participants
Change in Physical Examination
4) General appearance (wk -2): Normal
133 Participants
138 Participants
Change in Physical Examination
4) General appearance (wk -2): Abnormal NCS
27 Participants
20 Participants
Change in Physical Examination
4) General appearance (wk -2): Abnormal CS
3 Participants
3 Participants
Change in Physical Examination
4) General appearance (wk 26): Normal
139 Participants
137 Participants
Change in Physical Examination
4) General appearance (wk 26): Abnormal NCS
15 Participants
16 Participants
Change in Physical Examination
4) General appearance (wk 26): Abnormal CS
1 Participants
1 Participants
Change in Physical Examination
5) Head, throat, neck (wk -2): Normal
151 Participants
143 Participants
Change in Physical Examination
5) Head, throat, neck (wk -2): Abnormal NCS
10 Participants
15 Participants
Change in Physical Examination
5) Head, throat, neck (wk -2): Abnormal CS
2 Participants
3 Participants
Change in Physical Examination
5) Head, throat, neck (wk 26): Normal
142 Participants
139 Participants
Change in Physical Examination
5) Head, throat, neck (wk 26): Abnormal NCS
10 Participants
11 Participants
Change in Physical Examination
5) Head, throat, neck (wk 26): Abnormal CS
3 Participants
3 Participants
Change in Physical Examination
6) Lymph node palpation (wk -2): Normal
161 Participants
161 Participants
Change in Physical Examination
6) Lymph node palpation (wk -2): Abnormal NCS
1 Participants
0 Participants
Change in Physical Examination
6) Lymph node palpation (wk -2): Abnormal CS
0 Participants
0 Participants
Change in Physical Examination
6) Lymph node palpation (wk 26): Normal
155 Participants
154 Participants
Change in Physical Examination
6) Lymph node palpation (wk 26): Abnormal NCS
0 Participants
0 Participants
Change in Physical Examination
6) Lymph node palpation (wk 26): Abnormal CS
0 Participants
0 Participants
Change in Physical Examination
7) Musculoskeletal system (wk -2): Normal
131 Participants
135 Participants
Change in Physical Examination
7) Musculoskeletal system (wk -2): Abnormal NCS
27 Participants
24 Participants
Change in Physical Examination
7) Musculoskeletal system (wk -2): Abnormal CS
5 Participants
2 Participants
Change in Physical Examination
7) Musculoskeletal system (wk 26): Normal
131 Participants
130 Participants
Change in Physical Examination
7) Musculoskeletal system (wk 26): Abnormal NCS
22 Participants
21 Participants
Change in Physical Examination
7) Musculoskeletal system (wk 26): Abnormal CS
2 Participants
2 Participants
Change in Physical Examination
8) Respiratory system (wk -2): Normal
154 Participants
150 Participants
Change in Physical Examination
8) Respiratory system (wk -2): Abnormal NCS
9 Participants
8 Participants
Change in Physical Examination
8) Respiratory system (wk -2): Abnormal CS
0 Participants
3 Participants
Change in Physical Examination
8) Respiratory system (wk 26): Normal
151 Participants
147 Participants
Change in Physical Examination
8) Respiratory system (wk 26): Abnormal NCS
4 Participants
5 Participants
Change in Physical Examination
8) Respiratory system (wk 26): Abnormal CS
0 Participants
2 Participants
Change in Physical Examination
9) Skin (wk -2): Normal
129 Participants
129 Participants
Change in Physical Examination
9) Skin (wk -2): Abnormal NCS
33 Participants
32 Participants
Change in Physical Examination
9) Skin (wk -2): Abnormal CS
1 Participants
0 Participants
Change in Physical Examination
9) Skin (wk 26): Normal
128 Participants
136 Participants
Change in Physical Examination
9) Skin (wk 26): Abnormal NCS
23 Participants
18 Participants
Change in Physical Examination
9) Skin (wk 26): Abnormal CS
4 Participants
0 Participants
Change in Physical Examination
10) Thyroid gland (wk -2): Normal
150 Participants
146 Participants
Change in Physical Examination
10) Thyroid gland (wk -2): Abnormal NCS
12 Participants
15 Participants
Change in Physical Examination
10) Thyroid gland (wk -2): Abnormal CS
1 Participants
0 Participants
Change in Physical Examination
10) Thyroid gland (wk 26): Normal
142 Participants
140 Participants
Change in Physical Examination
10) Thyroid gland (wk 26): Abnormal NCS
12 Participants
14 Participants
Change in Physical Examination
10) Thyroid gland (wk 26): Abnormal CS
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Week -2, week 26

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

Participants with eye examination findings, normal, abnormal NCS and abnormal CS at baseline (week -2) and week 26 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Eye Examination
Left eye (week -2): Normal
57 Participants
66 Participants
Change in Eye Examination
Left eye (week -2): Abnormal NCS
98 Participants
93 Participants
Change in Eye Examination
Left eye (week -2): Abnormal CS
8 Participants
0 Participants
Change in Eye Examination
Left eye (week 26): Normal
54 Participants
55 Participants
Change in Eye Examination
Left eye (week 26): Abnormal NCS
92 Participants
95 Participants
Change in Eye Examination
Left eye (week 26): Abnormal CS
5 Participants
0 Participants
Change in Eye Examination
Right eye (week -2): Normal
59 Participants
66 Participants
Change in Eye Examination
Right eye (week -2): Abnormal NCS
97 Participants
93 Participants
Change in Eye Examination
Right eye (week -2): Abnormal CS
7 Participants
0 Participants
Change in Eye Examination
Right eye (week 26): Normal
52 Participants
55 Participants
Change in Eye Examination
Right eye (week 26): Abnormal NCS
97 Participants
95 Participants
Change in Eye Examination
Right eye (week 26): Abnormal CS
2 Participants
0 Participants

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = number of participants with available data.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide binding antibodies anytime during post-baseline visits (weeks 0-31) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=162 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Occurrence of Anti-semaglutide Binding Antibodies (Yes/no)
1 Participants

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = number of participants with available data.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide neutralising antibodies anytime during post-baseline visits (weeks 0-31) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=162 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Occurrence of Anti-semaglutide Neutralising Antibodies (Yes/no)
0 Participants

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = number of participants with available data.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) anytime during post-baseline visits (weeks 0-31) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=162 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Occurrence of Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 (Yes/no)
1 Participants

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analyzed = number of participants with available data.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide neutralising antibodies cross reacting with native GLP-1 anytime during post-baseline visits (weeks 0-31) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=162 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Occurrence of Anti-semaglutide Neutralising Antibodies Cross Reacting With Native GLP-1 (Yes/no)
0 Participants

SECONDARY outcome

Timeframe: Weeks 0-31

Population: Overall number of participants analysed = participants who were found positive for anti-semaglutide antibodies. As only one subject was analyzed, standard deviation could not be calculated.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. It is based on the data from participants who were measured with anti-semaglutide antibodies anytime during post-baseline visits (weeks 0-31). Results are presented as percentage of bound radioactivity-labelled semaglutide /total added radioactivity-labelled semaglutide (%B/T). Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=1 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Anti-semaglutide Binding Antibody Levels
Week 4
3.1 %B/T
Standard Deviation NA
As only one subject was analyzed, standard deviation could not be calculated.
Anti-semaglutide Binding Antibody Levels
Week 31
2.2 %B/T
Standard Deviation NA
As only one subject was analyzed, standard deviation could not be calculated.

SECONDARY outcome

Timeframe: Weeks 0-26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Semaglutide plasma concentrations were measured at weeks 4, 8, 14 and 26. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Semaglutide Plasma Concentrations for Population PK Analyses
Week 4
1.8 Nanomoles per litre (nmol/L)
Geometric Coefficient of Variation 113.5
Semaglutide Plasma Concentrations for Population PK Analyses
Week 8
5.2 Nanomoles per litre (nmol/L)
Geometric Coefficient of Variation 143.4
Semaglutide Plasma Concentrations for Population PK Analyses
Week 14
9.4 Nanomoles per litre (nmol/L)
Geometric Coefficient of Variation 206.6
Semaglutide Plasma Concentrations for Population PK Analyses
Week 26
6.9 Nanomoles per litre (nmol/L)
Geometric Coefficient of Variation 251.3

SECONDARY outcome

Timeframe: Weeks 0-26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Sodium N-\[8-(2-hydroxybenzoyl) amino\]caprylate (SNAC) plasma concentrations were measured after 25 and 40 minutes post-dose at weeks 4, 14 and 26. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
SNAC Plasma Concentrations
Week 4: 40 minutes post-dose
364 Nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 308.5
SNAC Plasma Concentrations
Week 4: 25 minutes post-dose
578 Nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 347.4
SNAC Plasma Concentrations
Week 14: 25 minutes post-dose
418 Nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 389.7
SNAC Plasma Concentrations
Week 14: 40 minutes post-dose
330 Nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 349.2
SNAC Plasma Concentrations
Week 26: 25 minutes post-dose
435 Nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 688.0
SNAC Plasma Concentrations
Week 26: 40 minutes post-dose
288 Nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 596.1

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

SF-36 is a 36-item patient-reported survey of patient health that measures the participant's overall health-related quality of life (HRQoL). SF-36v2™ (acute version) questionnaire measured eight domains of functional health and well-being as well as two component summary scores (physical component summary (PCS) and mental component summary (MCS)). The 0-100 scale scores (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively of the 2009 U.S. general population. Change from baseline (week 0) in the domain scores and component summary (PCS and MCS) scores were evaluated at week 26. A positive change score indicates an improvement since baseline. Results are based on the data from the in-trial observation period.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
1) Physical functioning
0.71 Score
Standard Deviation 7.21
-0.41 Score
Standard Deviation 6.43
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
2) Role functioning
1.97 Score
Standard Deviation 8.43
-0.36 Score
Standard Deviation 7.76
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
3) Bodily pain
3.18 Score
Standard Deviation 10.14
-0.33 Score
Standard Deviation 11.47
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
4) General health
0.18 Score
Standard Deviation 6.01
-0.13 Score
Standard Deviation 5.77
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
5) Vitality
0.05 Score
Standard Deviation 7.53
0.56 Score
Standard Deviation 8.02
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
6) Social functioning
1.87 Score
Standard Deviation 7.81
-0.06 Score
Standard Deviation 9.64
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
7) Role emotional
0.62 Score
Standard Deviation 10.83
-1.18 Score
Standard Deviation 12.32
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
8) Mental health
0.34 Score
Standard Deviation 8.72
-0.19 Score
Standard Deviation 9.48
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
Physical component summary (PCS)
1.78 Score
Standard Deviation 7.16
-0.15 Score
Standard Deviation 6.10
Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
Mental component summary (MCS)
0.26 Score
Standard Deviation 8.74
-0.32 Score
Standard Deviation 10.15

SECONDARY outcome

Timeframe: Week 0, week 26

Population: Overall number of participants analyzed = number of participants with available data.

Change from baseline (week 0) in Diabetes Treatment Satisfaction Questionnaire - status version (DTSQs) was evaluated at week 26. The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 1, 4 -8. For items 2 and 3 a higher score indicates a higher patient perceived experience of hyperglycaemia and hypoglycaemia, respectively. Thus, lower scores indicate a perception of blood glucose levels being "none of the time" unacceptably high (item 2) or low (item 3). The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 1, 4-8. The score has a minimum of 0 and a maximum of 36. A higher treatment satisfaction score indicates a higher level of treatment satisfaction.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=152 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=154 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
1) Satisfaction with treatment
0.41 Score
Standard Deviation 1.56
0.74 Score
Standard Deviation 1.57
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
2) Feeling of unacceptably high blood sugars
-1.26 Score
Standard Deviation 2.17
-0.30 Score
Standard Deviation 2.08
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
3) Feeling of unacceptably low blood sugars
0.11 Score
Standard Deviation 1.84
-0.32 Score
Standard Deviation 1.82
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
4) Convenience of treatment
0.43 Score
Standard Deviation 1.41
0.42 Score
Standard Deviation 1.76
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
5) Flexibility of treatment
0.37 Score
Standard Deviation 1.45
0.52 Score
Standard Deviation 1.45
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
6) Satisfaction with understanding of diabetes
0.31 Score
Standard Deviation 1.42
0.60 Score
Standard Deviation 1.59
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
7) Recommending treatment to others
0.71 Score
Standard Deviation 1.73
0.37 Score
Standard Deviation 1.61
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
8) Satisfaction to continue with present treatment
0.58 Score
Standard Deviation 1.84
0.47 Score
Standard Deviation 1.87
Change in DTSQs: Individual Items and Treatment Satisfaction Score (6 of the 8 Items Summed)
Total treatment satisfaction
2.82 Score
Standard Deviation 6.61
3.13 Score
Standard Deviation 7.25

SECONDARY outcome

Timeframe: Week -2, week 26

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

Participants with urinalysis, "leukocytes and erythrocytes" findings, negative, trace, small, moderate or large at baseline (week \[wk\] 0) and wk 26 are presented. Participants with urinalysis, "nitrit" findings, negative or positive at baseline (wk 0) and wk 26 are presented. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Outcome measures

Outcome measures
Measure
Oral Semaglutide 14 mg
n=163 Participants
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 Participants
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Change in Urinalysis
Leucocytes (wk 0): Negative
121 Participants
122 Participants
Change in Urinalysis
Leucocytes (wk 0): Trace
14 Participants
7 Participants
Change in Urinalysis
Leucocytes (wk 0): Small
8 Participants
12 Participants
Change in Urinalysis
Leucocytes (wk 0): Moderate
10 Participants
9 Participants
Change in Urinalysis
Leucocytes (wk 0): Large
5 Participants
5 Participants
Change in Urinalysis
Leucocytes (wk 26): Negative
91 Participants
103 Participants
Change in Urinalysis
Leucocytes (wk 26): Trace
9 Participants
11 Participants
Change in Urinalysis
Leucocytes (wk 26): Small
13 Participants
10 Participants
Change in Urinalysis
Leucocytes (wk 26): Moderate
10 Participants
10 Participants
Change in Urinalysis
Leucocytes (wk 26): Large
6 Participants
4 Participants
Change in Urinalysis
Erythrocytes (wk 0): Negative
147 Participants
137 Participants
Change in Urinalysis
Erythrocytes (wk 0): Trace
4 Participants
10 Participants
Change in Urinalysis
Erythrocytes (wk 0): Small
4 Participants
4 Participants
Change in Urinalysis
Erythrocytes (wk 0): Moderate
1 Participants
1 Participants
Change in Urinalysis
Erythrocytes (wk 0): Large
2 Participants
3 Participants
Change in Urinalysis
Erythrocytes (wk 26): Negative
115 Participants
122 Participants
Change in Urinalysis
Erythrocytes (wk 26): Trace
6 Participants
7 Participants
Change in Urinalysis
Erythrocytes (wk 26): Small
6 Participants
3 Participants
Change in Urinalysis
Erythrocytes (wk 26): Moderate
2 Participants
4 Participants
Change in Urinalysis
Erythrocytes (wk 26): Large
0 Participants
2 Participants
Change in Urinalysis
Nitrit (wk 0): Negative
149 Participants
146 Participants
Change in Urinalysis
Nitrit (wk 0): Positive
9 Participants
9 Participants
Change in Urinalysis
Nitrit (wk 26): Negative
118 Participants
126 Participants
Change in Urinalysis
Nitrit (wk 26): Positive
11 Participants
12 Participants

Adverse Events

Oral Semaglutide 14 mg

Serious events: 17 serious events
Other events: 75 other events
Deaths: 1 deaths

Placebo

Serious events: 17 serious events
Other events: 32 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Oral Semaglutide 14 mg
n=163 participants at risk
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 participants at risk
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Renal and urinary disorders
Acute kidney injury
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Cardiac disorders
Acute myocardial infarction
1.2%
2/163 • Number of events 2 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Cardiac disorders
Angina unstable
1.2%
2/163 • Number of events 2 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Animal bite
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Arteriosclerotic gangrene
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Cardiac disorders
Atrial fibrillation
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Biliary sepsis
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder transitional cell carcinoma
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Psychiatric disorders
Confusional state
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Cardiac disorders
Coronary artery disease
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Device related infection
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Nervous system disorders
Dysarthria
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Escherichia urinary tract infection
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Eye disorders
Eyelid ptosis
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Musculoskeletal and connective tissue disorders
Flank pain
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Gastroenteritis
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Gastroenteritis bacterial
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Metabolism and nutrition disorders
Gout
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Nervous system disorders
Haemorrhagic stroke
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Vascular disorders
Hypertensive crisis
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Infected bite
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Injection site abscess
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Nervous system disorders
Ischaemic stroke
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Limb crushing injury
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma in situ
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Musculoskeletal and connective tissue disorders
Muscular weakness
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Renal and urinary disorders
Nephrolithiasis
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Postoperative wound infection
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Pubis fracture
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
General disorders
Pyrexia
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Renal and urinary disorders
Renal impairment
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Rib fracture
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Sepsis
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Spinal compression fracture
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
General disorders
Sudden death
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Musculoskeletal and connective tissue disorders
Synovial cyst
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Nervous system disorders
Transient global amnesia
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Nervous system disorders
Transient ischaemic attack
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Renal and urinary disorders
Urinary retention
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Infections and infestations
Urosepsis
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.00%
0/163 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.62%
1/161 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Other adverse events

Other adverse events
Measure
Oral Semaglutide 14 mg
n=163 participants at risk
Participants were to take oral semaglutide tablets once daily in a dose escalation manner from week 0 to week 26: 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 26.
Placebo
n=161 participants at risk
Participants were to take oral semaglutide placebo tablets once daily from week 0 to week 26.
Musculoskeletal and connective tissue disorders
Back pain
0.61%
1/163 • Number of events 1 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
5.6%
9/161 • Number of events 9 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Gastrointestinal disorders
Constipation
11.7%
19/163 • Number of events 23 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
3.7%
6/161 • Number of events 6 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Metabolism and nutrition disorders
Decreased appetite
6.7%
11/163 • Number of events 12 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
0.00%
0/161 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Gastrointestinal disorders
Diarrhoea
10.4%
17/163 • Number of events 24 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
3.7%
6/161 • Number of events 16 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Gastrointestinal disorders
Dyspepsia
9.8%
16/163 • Number of events 20 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
1.2%
2/161 • Number of events 2 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Nervous system disorders
Headache
6.1%
10/163 • Number of events 13 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
5.0%
8/161 • Number of events 21 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Gastrointestinal disorders
Nausea
19.0%
31/163 • Number of events 38 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
7.5%
12/161 • Number of events 12 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Gastrointestinal disorders
Vomiting
11.7%
19/163 • Number of events 29 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
1.2%
2/161 • Number of events 2 • Week 0 to week 31 (26 weeks treatment period + 5 weeks follow-up period). Results are based on the safety analysis set (SAS), which comprised all randomised participants who received at least one dose of trial product.
Serious adverse events and other AEs were based on the on-treatment observation period, i.e., the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication. All-cause mortality were based on the in-trial observation period, i.e., the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Additional Information

Clinical Reporting Anchor and Disclosure (1452)

Novo Nordisk A/S

Phone: (+1) 866-867-7178

Results disclosure agreements

  • Principal investigator is a sponsor employee At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER