Trial Outcomes & Findings for A Study Comparing the Injection Site Pain Experience After the Injection of Semaglutide B and Semaglutide D With 2 Different Injection Pens, a Compound for the Treatment of Type 2 Diabetes and Obesity (NCT NCT04143945)

NCT ID: NCT04143945

Last Updated: 2021-01-20

Results Overview

The intensity of injection site pain was measured on a visual analogue scale (VAS). The VAS consists of a horizontal 100 millimetres (mm) line where 0 mm corresponded to no pain and 100 mm corresponded to unbearable pain. After each injection, the participants rated their pain perception at the VAS by marking a vertical line across the 100 mm line. The distance (mm) between the endpoint "no pain" and the vertical line on the VAS was recorded and analysed.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

104 participants

Primary outcome timeframe

After 1 minute of each injection (Day 1)

Results posted on

2021-01-20

Participant Flow

The trial was conducted at one site in The Netherlands.

Participants were randomised in a 2×2 scheme evenly to 4 sequences (A, B, C and D) of either DV3396 or PDS290 and side of injection (right/left) on abdomen.

Participant milestones

Participant milestones
Measure
Sequence A: DV3396 (Right) Then PDS290 (Left)
Participants were to receive a subcutaneous (s.c.) injection of DV3396 product (0.25 milligrams (mg) of semaglutide) on the right side of abdomen (in treatment period 1); followed by an s.c. injection of PDS290 product (0.25 mg of semaglutide) on the left side of abdomen (in treatment period 2). The 2 products were administered on the same day (Day 1) with at least 30 minutes apart from each other.
Sequence B: DV3396 (Left) Then PDS290 (Right)
Participants were to receive an s.c. injection of DV3396 product (0.25 mg of semaglutide) on the left side of abdomen (in treatment period 1); followed by an s.c. injection of PDS290 product (0.25 mg of semaglutide) on the right side of abdomen (in treatment period 2). The 2 products were administered on the same day (Day 1) with at least 30 minutes apart from each other.
Sequence C: PDS290 (Right) Then DV3396 (Left)
Participants were to receive an s.c. injection of PDS290 product (0.25 mg of semaglutide) on the right side of abdomen (in treatment period 1); followed by an s.c. injection of DV3396 product (0.25 mg of semaglutide) on the left side of abdomen (in treatment period 2). The 2 products were administered on the same day (Day 1) with at least 30 minutes apart from each other.
Sequence D: PDS290 (Left) Then DV3396 (Right)
Participants were to receive an s.c. injection of PDS290 product (0.25 mg of semaglutide) on the left side of abdomen (in treatment period 1); followed by an s.c. injection of DV3396 product (0.25 mg of semaglutide) on the right side of abdomen (in treatment period 2). The 2 products were administered on the same day (Day 1) with at least 30 minutes apart from each other.
Treatment Period 1 (Day 1)
STARTED
26
26
26
26
Treatment Period 1 (Day 1)
Full Analysis Set (FAS)
26
26
26
26
Treatment Period 1 (Day 1)
Safety Analysis Set (SAS)
26
26
26
26
Treatment Period 1 (Day 1)
Per Protocol Set
26
26
26
26
Treatment Period 1 (Day 1)
COMPLETED
26
26
26
26
Treatment Period 1 (Day 1)
NOT COMPLETED
0
0
0
0
Treatment Period 2 (Day 1)
STARTED
26
26
26
26
Treatment Period 2 (Day 1)
COMPLETED
26
26
26
26
Treatment Period 2 (Day 1)
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study Comparing the Injection Site Pain Experience After the Injection of Semaglutide B and Semaglutide D With 2 Different Injection Pens, a Compound for the Treatment of Type 2 Diabetes and Obesity

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=104 Participants
Participants were to receive 2 s.c. injections of 0.25 mg semaglutide; 1 each of PDS290 product and DV3396 product from any of the sequences A/B/C/D on Day 1. The 2 products were administered at least 30 minutes apart from each other.
Age, Continuous
39.1 Years
STANDARD_DEVIATION 18.3 • n=5 Participants
Sex: Female, Male
Female
59 Participants
n=5 Participants
Sex: Female, Male
Male
45 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
103 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
100 Participants
n=5 Participants
Race/Ethnicity, Customized
White + Black or African American
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White + Asian
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian + Black or African American
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: After 1 minute of each injection (Day 1)

Population: The per protocol (PP) set included all participants who had received both injections of semaglutide and had completed both intensity of injection site pain assessments.

The intensity of injection site pain was measured on a visual analogue scale (VAS). The VAS consists of a horizontal 100 millimetres (mm) line where 0 mm corresponded to no pain and 100 mm corresponded to unbearable pain. After each injection, the participants rated their pain perception at the VAS by marking a vertical line across the 100 mm line. The distance (mm) between the endpoint "no pain" and the vertical line on the VAS was recorded and analysed.

Outcome measures

Outcome measures
Measure
DV3396
n=104 Participants
Participants were to receive a s.c. injection of DV3396 product (0.25 mg of semaglutide) on either (left or right) sides of abdomen in any of the sequences A/B/C/D on Day 1.
PDS290
n=104 Participants
Participants were to receive a s.c. injection of PDS290 product (0.25 mg of semaglutide) on either (left or right) sides of abdomen in any of the sequences A/B/C/D on Day 1.
Intensity of Injection Site Pain
8.3 Score on a scale
Standard Deviation 12.9
5.7 Score on a scale
Standard Deviation 9.3

Adverse Events

Overall Study

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Overall Study
n=104 participants at risk
Participants were to receive 2 s.c. injections of 0.25 mg semaglutide; 1 each of PDS290 product and DV3396 product from any of the sequences A/B/C/D on Day 1. The 2 products were administered at least 30 minutes apart from each other.
Gastrointestinal disorders
Nausea
16.3%
17/104 • Number of events 18 • Day 1 to Day 28. Results are based on the safety analysis set which included all participants who had received at least 1 injection of semaglutide (included any skin contact with trial product whether the injection was completed or not).
All presented adverse events are treatment emergent adverse events (TEAEs). TEAE was defined as an event that had onset date on or after the day of first injection and no later than 28 days after the day of last injection. The trial was crossover and injections were given only 30 minutes apart. Therefore it was not possible to say which product the AE was related to. Hence, AE data are presented for the overall study.
Gastrointestinal disorders
Dyspepsia
10.6%
11/104 • Number of events 12 • Day 1 to Day 28. Results are based on the safety analysis set which included all participants who had received at least 1 injection of semaglutide (included any skin contact with trial product whether the injection was completed or not).
All presented adverse events are treatment emergent adverse events (TEAEs). TEAE was defined as an event that had onset date on or after the day of first injection and no later than 28 days after the day of last injection. The trial was crossover and injections were given only 30 minutes apart. Therefore it was not possible to say which product the AE was related to. Hence, AE data are presented for the overall study.

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