Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity

NCT ID: NCT03548987

Last Updated: 2022-01-19

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

902 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-04

Study Completion Date

2020-03-20

Brief Summary

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This study will look at the change in participant's body weight from the start to the end of the study. This is to compare the effect on body weight in people taking semaglutide (a new medicine) and people taking "dummy" medicine. In addition to taking the medicine, the participant will have talks with study staff about healthy food choices, how to be more physically active and what a participant can do to lose weight.

The participant will get semaglutide for the first 20 weeks. Then the participant will get either semaglutide or "dummy" medicine - which treatment the participant gets after the 20 weeks is decided by chance. The participants will need to take 1 injection once a week. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study will last for about 1.5 years.

Detailed Description

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Conditions

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Metabolism and Nutrition Disorder Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Sponsor staff involved in the clinical trial is masked according to company standard procedures.

Study Groups

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Semaglutide

Run-in Period: Participants will receive semaglutide at an escalating doses (0.25 mg, 0.5 mg, 1 mg, 1.7 mg, 2.4 mg) for 20 weeks (week 0 to week 20). The dose will be escalated to next level every 4 weeks.

Maintenance period: Participants will be randomized to receive semaglutide injection for 48 weeks (from week 20 to week 68).

The trial product will be administered as an adjunct to a reduced-calorie diet and increased physical activity during the trial period.

Group Type EXPERIMENTAL

Semaglutide

Intervention Type DRUG

Subcutaneous (under the skin) injection of semaglutide once-weekly.

Placebo

Run-in Period: Participants will receive semaglutide at an escalating doses (0.25 mg, 0.5 mg, 1 mg, 1.7 mg, 2.4 mg) for 20 weeks (week 0 to week 20). The dose will be escalated to next level every 4 weeks.

Maintenance period: Participants will be randomized to receive semaglutide placebo injection for 48 weeks (from week 20 to week 68).

The trial product will be administered as an adjunct to a reduced-calorie diet and increased physical activity during the trial period.

Group Type PLACEBO_COMPARATOR

Semaglutide

Intervention Type DRUG

Subcutaneous (under the skin) injection of semaglutide once-weekly.

Placebo

Intervention Type DRUG

Subcutaneous (under the skin) injection of semaglutide placebo once-weekly.

Interventions

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Semaglutide

Subcutaneous (under the skin) injection of semaglutide once-weekly.

Intervention Type DRUG

Placebo

Subcutaneous (under the skin) injection of semaglutide placebo once-weekly.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female, age greater than or equal to 18 years at the time of signing informed consent
* Body mass index greater than or equal to 30 kg/sqm or greater than or equal to 27 kg/sqm with the presence of at least one of the following weight related comorbidities (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease
* History of at least one self-reported unsuccessful dietary effort to lose body weight

Exclusion Criteria

* Haemoglobin A1c greater than or equal to 48 mmol/mol (6.5%) as measured by central laboratory at screening
* A self-reported change in body weight more than 5 kg (11 lbs) within 90 days before screening irrespective of medical records
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Reporting Anchor and Disclosure (1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Novo Nordisk Investigational Site

Anniston, Alabama, United States

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Fresno, California, United States

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San Diego, California, United States

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Alpharetta, Georgia, United States

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Roswell, Georgia, United States

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Suwanee, Georgia, United States

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Louisville, Kentucky, United States

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Baton Rouge, Louisiana, United States

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Elkridge, Maryland, United States

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Buckley, Michigan, United States

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Omaha, Nebraska, United States

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New York, New York, United States

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Greensboro, North Carolina, United States

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Greenville, North Carolina, United States

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Raleigh, North Carolina, United States

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Salisbury, North Carolina, United States

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Cincinnati, Ohio, United States

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Dayton, Ohio, United States

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Bristol, Tennessee, United States

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Bristol, Tennessee, United States

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Chattanooga, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Arlington, Virginia, United States

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Richmond, Virginia, United States

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Wenatchee, Washington, United States

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Frederiksberg C, , Denmark

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Køge, , Denmark

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Haifa, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Petah Tikva, , Israel

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Tel Aviv, , Israel

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Tel Litwinsky, , Israel

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Amsterdam, , Netherlands

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Amsterdam, , Netherlands

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Arnhem, , Netherlands

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Braga, , Portugal

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Coimbra, , Portugal

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Matosinhos Municipality, , Portugal

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Porto, , Portugal

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Porto, , Portugal

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Vila Nova de Gaia, , Portugal

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Johannesburg, Gauteng, South Africa

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Johannesburg, Gauteng, South Africa

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Pretoria, Gauteng, South Africa

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Pretoria, Gauteng, South Africa

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Durban, KwaZulu-Natal, South Africa

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Brits, North West, South Africa

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Almería, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Sabadell, , Spain

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Seville, , Spain

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Seville, , Spain

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Seville, , Spain

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Malmo, , Sweden

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Stockholm, , Sweden

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Uppsala, , Sweden

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Geneva, , Switzerland

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Olten, , Switzerland

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Sankt Gallen, , Switzerland

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Sankt Gallen, , Switzerland

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Zollikerberg, , Switzerland

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Zurich, , Switzerland

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Kharkiv, , Ukraine

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Kyiv, , Ukraine

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Kyiv, , Ukraine

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Kyiv, , Ukraine

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Odesa, , Ukraine

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Countries

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United States Denmark Israel Netherlands Portugal South Africa Spain Sweden Switzerland Ukraine

References

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Kushner RF, Calanna S, Davies M, Dicker D, Garvey WT, Goldman B, Lingvay I, Thomsen M, Wadden TA, Wharton S, Wilding JPH, Rubino D. Semaglutide 2.4 mg for the Treatment of Obesity: Key Elements of the STEP Trials 1 to 5. Obesity (Silver Spring). 2020 Jun;28(6):1050-1061. doi: 10.1002/oby.22794.

Reference Type BACKGROUND
PMID: 32441473 (View on PubMed)

Rubino D, Abrahamsson N, Davies M, Hesse D, Greenway FL, Jensen C, Lingvay I, Mosenzon O, Rosenstock J, Rubio MA, Rudofsky G, Tadayon S, Wadden TA, Dicker D; STEP 4 Investigators. Effect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance in Adults With Overweight or Obesity: The STEP 4 Randomized Clinical Trial. JAMA. 2021 Apr 13;325(14):1414-1425. doi: 10.1001/jama.2021.3224.

Reference Type RESULT
PMID: 33755728 (View on PubMed)

Wilkinson L, Holst-Hansen T, Laursen PN, Rinnov AR, Batterham RL, Garvey WT. Effect of semaglutide 2.4 mg once weekly on 10-year type 2 diabetes risk in adults with overweight or obesity. Obesity (Silver Spring). 2023 Sep;31(9):2249-2259. doi: 10.1002/oby.23842.

Reference Type DERIVED
PMID: 37605636 (View on PubMed)

Kosiborod MN, Bhatta M, Davies M, Deanfield JE, Garvey WT, Khalid U, Kushner R, Rubino DM, Zeuthen N, Verma S. Semaglutide improves cardiometabolic risk factors in adults with overweight or obesity: STEP 1 and 4 exploratory analyses. Diabetes Obes Metab. 2023 Feb;25(2):468-478. doi: 10.1111/dom.14890. Epub 2022 Oct 28.

Reference Type DERIVED
PMID: 36200477 (View on PubMed)

Perreault L, Davies M, Frias JP, Laursen PN, Lingvay I, Machineni S, Varbo A, Wilding JPH, Wallenstein SOR, le Roux CW. Changes in Glucose Metabolism and Glycemic Status With Once-Weekly Subcutaneous Semaglutide 2.4 mg Among Participants With Prediabetes in the STEP Program. Diabetes Care. 2022 Oct 1;45(10):2396-2405. doi: 10.2337/dc21-1785.

Reference Type DERIVED
PMID: 35724304 (View on PubMed)

O'Neil PM, Birkenfeld AL, McGowan B, Mosenzon O, Pedersen SD, Wharton S, Carson CG, Jepsen CH, Kabisch M, Wilding JPH. Efficacy and safety of semaglutide compared with liraglutide and placebo for weight loss in patients with obesity: a randomised, double-blind, placebo and active controlled, dose-ranging, phase 2 trial. Lancet. 2018 Aug 25;392(10148):637-649. doi: 10.1016/S0140-6736(18)31773-2. Epub 2018 Aug 16.

Reference Type DERIVED
PMID: 30122305 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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U1111-1201-0898

Identifier Type: OTHER

Identifier Source: secondary_id

2017-003473-34

Identifier Type: REGISTRY

Identifier Source: secondary_id

NN9536-4376

Identifier Type: -

Identifier Source: org_study_id

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