A Research Study Comparing a New Medicine Oral Semaglutide to Placebo in People With Type 2 Diabetes

NCT ID: NCT04109547

Last Updated: 2024-09-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

521 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2021-10-27

Brief Summary

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The study compares 2 medicines for type 2 diabetes: oral semaglutide (a new medicine) and placebo (a dummy medicine). Researchers will test semaglutide to see how well it works compared to placebo. The study will also test if semaglutide is safe. Participants will either get semaglutide or placebo - which treatment is decided by chance. Participants will get 1 tablet a day to take with up to half a glass of water. Participants must take the tablet first thing in the morning on an empty stomach. After taking the tablet, participants must not eat or drink anything for at least 30 minutes. After the 30 minutes, participants can have their first meal of the day and take any other medicines they may need. The study will last for about 8 months (36 weeks). Participants will have 9 clinic visits and 2 phone calls with the study doctor. At all 9 of the clinic visits, participants will have blood samples taken. At 5 of the clinic visits, participants must arrive fasting. This means they cannot eat for 8 hours before the visit. It is fine to drink water up to 2 hours before the visit. This is for some of the blood samples that will be taken at the visit. Women cannot take part if pregnant, breastfeeding or planning to become pregnant during the study period.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2

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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Oral semaglutide 3mg

Subjects will remain on 3 mg for the entire treatment period (26 weeks)

Group Type EXPERIMENTAL

Oral semaglutide

Intervention Type DRUG

Tablets to be taken once-daily for 26 weeks

Oral semaglutide 7mg

Subjects will receive 3 mg for for the first 4 weeks, 7 mg for the remainder of the treatment period

Group Type EXPERIMENTAL

Oral semaglutide

Intervention Type DRUG

Tablets to be taken once-daily for 26 weeks

Oral semaglutide 14mg

Subjects will receive 3 mg for the first 4 weeks, 7 mg for the next 4 weeks and 14 mg for the remainder of the treatment period

Group Type EXPERIMENTAL

Oral semaglutide

Intervention Type DRUG

Tablets to be taken once-daily for 26 weeks

Placebo (oral semaglutide)

Subjects will receive placebo tablets for the entire treatment period

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Tablets to be taken once-daily for 26 weeks

Interventions

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Oral semaglutide

Tablets to be taken once-daily for 26 weeks

Intervention Type DRUG

Placebo

Tablets to be taken once-daily for 26 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
* Male or female, age above or equal to 18 years at the time of signing informed consent.

For Algeria only: Male or female, age above or equal to 19 years at the time of signing the informed consent.

For Taiwan only: Male or female, age above or equal to 20 years at the time of signing the informed consent.

* Diagnosed with type 2 diabetes mellitus
* HbA1c between 7.0 -10.0% (53-86 mmol/mol) (both inclusive).

Exclusion Criteria

* \- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an highly effective contraceptive method.
* Family or personal history of multiple endocrine neoplasia type 2 (MEN 2) or medullary thyroid carcinoma (MTC). Family is defined as a first degree relative.
* History or presence of pancreatitis (acute or chronic).
* History of major surgical procedures involving the stomach potentially affecting absorption of trial product (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery).
* Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening.
* Subjects presently classified as being in New York Heart Association (NYHA) Class IV.
* Planned coronary, carotid or peripheral artery revascularisation known on the day of screening.
* Renal impairment measured as estimated glomerular filtration rate (eGFR) below 60 mL/min/1.73 m\^2 as per Chronic Kidney Disease Epidemiology Collaboration formula(CKD-EPI).
* Subjects with alanine aminotransferase (ALT) above 2.5 x upper limit of the normal (ULN).
* Presence or history of malignant neoplasms within the past 5 years prior to the day of screening. Basal and squamous cell skin cancer and any carcinoma in-situ is allowed.
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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Bouzareah Diabetic House Algiers Algeria

Algiers, , Algeria

Site Status

UH of Douera

Algiers, , Algeria

Site Status

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status

Beijing Pinggu Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Tsinghua Changgung Hospital

Beijing, Beijing Municipality, China

Site Status

Second Affliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

Chongqing University Three Gorges Hospital

Chongqing, Chongqing Municipality, China

Site Status

900th Hospital of Joint Logistics Support Force

Fuzhou, Fujian, China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen Universtiy

Guangzhou, Guangdong, China

Site Status

The 3rd Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

Huizhou Central People's Hospital

Huizhou, Guangdong, China

Site Status

The 2nd Affiliated Hospital of Shantou Uni Medical College

Shantou, Guangdong, China

Site Status

Cangzhou People's Hospital

Cangzhou, Hebei, China

Site Status

Handan First Hospital

Handan, Hebei, China

Site Status

Harrison International Peace Hospital

Hengshui, Hebei, China

Site Status

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The Second Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Taihe Hospital

Shiyan, Hubei, China

Site Status

The First People's Hospital of Changde City

Changde, Hunan, China

Site Status

Chenzhou No.1 People's Hospital

Chenzhou, Hunan, China

Site Status

Yueyang Central Hospital

Yueyang, Hunan, China

Site Status

Changzhou No.2 People's Hospital, Yanghu Branch

Changzhou, Jiangsu, China

Site Status

The Second People Hospital of Huai'an

Huai'an, Jiangsu, China

Site Status

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status

Nanjing Jiangning Hospital

Nanjing, Jiangsu, China

Site Status

Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

Site Status

The Affiliated Hospital of Jiangsu University

Zhenjiang, Jiangsu, China

Site Status

The First Hospital of Jiaxing

Jiaxing, Jiangxi, China

Site Status

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status

The first hospital of Jilin University

Changchun, Jilin, China

Site Status

China-Japan Union Hospital of Jilin University

Changchun, Jilin, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status

People's Hospital of Ningxia Hui Autonomous Region

Yinchuan, Ningxia, China

Site Status

Qinghai University Affiliated Hospital

Xining, Qinghai, China

Site Status

The second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Site Status

Jinan Central Hospital Affiliated to Shandong University

Jinan, Shandong, China

Site Status

The Affiliated Hospital of Jining Medical University

Jining, Shandong, China

Site Status

The Affiliated Hospital of Qingdao Medical College

Qingdao, Shandong, China

Site Status

Shanghai Pudong New Area People's Hospital

Pudong New District, Shanghai Municipality, China

Site Status

Rui Jin Hospital,Shanghai Jiao Tong University School of Med

Shanghai, Shanghai Municipality, China

Site Status

Tongji Hospital of Tongji university

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Tenth People's Hsopital, Tongji University

Shanghai, Shanghai Municipality, China

Site Status

The Fifth People's Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Tongren Hospital Shanghai Jiao Tong Univ. School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Site Status

The Second Hospital of Tianjin Medical University

Tianjin, Tianjin Municipality, China

Site Status

First Affiated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status

The Third Xiangya Hospital of Central South University

Changsha, , China

Site Status

Szent Margit Rendelőintézet Nonprofit Kft.

Budapest, , Hungary

Site Status

Kanizsai Dorottya Kórház

Nagykanizsa, , Hungary

Site Status

Szent Borbála Kórház

Tatabánya, , Hungary

Site Status

Zala Megyei Szent Rafael Kórház

Zalaegerszeg, , Hungary

Site Status

Clinical Hospital Center Bezanijska Kosa

Belgrade, , Serbia

Site Status

Clinical Centre Nis, Endocrinology, Diabetes and Metabolism

Niš, , Serbia

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Chang Gung Medical Foundation - Linko Branch

Taoyuan, , Taiwan

Site Status

Clinic of Medical Academy, Dnipro

Dnipro, , Ukraine

Site Status

CNI "Khmelnytskyi regional hospital" of KRC

Khmelnytskyi, , Ukraine

Site Status

Institute of Endocrinology and Metabolism of AMSU

Kyiv, , Ukraine

Site Status

City Hospital #1

Mykolaiv, , Ukraine

Site Status

CI "1st City Clinical Hospital of Poltava City Council"

Poltava, , Ukraine

Site Status

CNI "Ternopil University Clinic" of Ternopil Regio. Council

Ternopil, , Ukraine

Site Status

Zaporizhia Regional Clinical Endocrinology Dispensary

Zaporizhia, , Ukraine

Site Status

Countries

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Algeria China Hungary Serbia Taiwan Ukraine

References

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Wang W, Bain SC, Bian F, Chen R, Gabery S, Huang S, Jensen TB, Luo B, Yuan G, Ning G; PIONEER 11 investigators. Efficacy and safety of oral semaglutide monotherapy vs placebo in a predominantly Chinese population with type 2 diabetes (PIONEER 11): a double-blind, Phase IIIa, randomised trial. Diabetologia. 2024 Sep;67(9):1783-1799. doi: 10.1007/s00125-024-06142-3. Epub 2024 Jul 10.

Reference Type DERIVED
PMID: 38985162 (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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U1111-1188-1173

Identifier Type: OTHER

Identifier Source: secondary_id

2018-002590-22

Identifier Type: REGISTRY

Identifier Source: secondary_id

NN9924-4338

Identifier Type: -

Identifier Source: org_study_id

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