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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View full resultsBasic Information
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COMPLETED
PHASE3
902 participants
INTERVENTIONAL
2018-06-04
2020-03-20
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
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.
Semaglutide
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.
Semaglutide
Subcutaneous (under the skin) injection of semaglutide once-weekly.
Placebo
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.
Placebo
Subcutaneous (under the skin) injection of semaglutide placebo once-weekly.
Eligibility Criteria
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Inclusion Criteria
* 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
* A self-reported change in body weight more than 5 kg (11 lbs) within 90 days before screening irrespective of medical records
18 Years
ALL
No
Sponsors
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Novo Nordisk A/S
INDUSTRY
Responsible Party
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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
Novo Nordisk Investigational Site
Odesa, , Ukraine
Countries
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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.
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.
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.
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.
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.
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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
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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