Research Study Looking at How Well Semaglutide Works in People Living With Obesity and Prediabetes

NCT ID: NCT05040971

Last Updated: 2026-01-29

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-06

Study Completion Date

2023-07-14

Brief Summary

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This study looks at how well a new medicine, called semaglutide, works at helping people with obesity and prediabetes.

This study will look at how much weight participants lose, and if participants can go from having blood sugar that is higher than normal (prediabetes) to having normal blood sugar.

Semaglutide is compared to a "dummy" medicine. The "dummy" medicine looks like semaglutide but has no effect on the body.

In addition to taking the medicine, participants will have talks with study staff about healthy food choices, how to be more physically active and what participants can do to lose weight.

Participants will either get semaglutide or "dummy" medicine - which treatment they get is decided by chance. Participants are 2 times as likely to get semaglutide as "dummy" medicine.

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 19 months. Participants have to take the study medicine every week for the first 12 months. The last 7 months participants will not take any medication.

Participants will have 14 clinic visits and 1 phone call with the study staff. At 9 of the clinic visits Participants will have blood samples taken. Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

Detailed Description

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Conditions

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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

Study Groups

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Semaglutide

Participants will receive subcutaneus (s.c.) semaglutide 2.4 mg once weekly for 52 weeks

Group Type EXPERIMENTAL

Semaglutide 2.4 mg

Intervention Type DRUG

Administered subcutaneously (s.c., under the skin) once weekly as well as reduced-calorie diet and increased physical activity for 52 weeks. Doses gradually increased to 2.4 mg

Placebo (semaglutide)

Participants will receive subcutaneus (s.c.) placebo (semaglutide) once weekly for 52 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered subcutaneously once weekly (s.c., under the skin) as well as reduced-calorie diet and increased physical activity for 52 week

Interventions

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Semaglutide 2.4 mg

Administered subcutaneously (s.c., under the skin) once weekly as well as reduced-calorie diet and increased physical activity for 52 weeks. Doses gradually increased to 2.4 mg

Intervention Type DRUG

Placebo

Administered subcutaneously once weekly (s.c., under the skin) as well as reduced-calorie diet and increased physical activity for 52 week

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female aged greater than or equal to 18 years at the time of signing informed consent.
* BMI greater than or equal to 30.0 kg/m\^2
* Prediabetes defined as at least one of the following:

* HbA1c between 6.0 and 6.4 percent (42 and 47 mmol/mol) (both inclusive) as measured by central laboratory at screening.
* FPG between 5.5 and 6.9 mmol/L (99 and 125 mg/dL) (both inclusive) as measured by central laboratory at screening.

Exclusion Criteria

* History of type 1 or type 2 diabetes.
* Treatment with glucose-lowering agent(s) within 90 days before screening.
* HbA1c greater than or equal to 6.5 percent (greater than or equal to 48 mmol/mol) as measured by central laboratory at screening.
* FPG greater than or equal to 7.0mmol/L (126 mg/dL) as measured by central laboratory at screening.

A self-reported change in body weight greater than 5 kg (11 lbs) within 90 days before screening irrespective of medical records.

* Treatment with any medication for the indication of obesity within the past 90 days before screening.
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 Transparency (dept. 1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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LMC Clin Res Inc. Calgary

Calgary, Alberta, Canada

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

C-endo Diab Endo Clin Calgery

Calgary, Alberta, Canada

Site Status

Weight Wise Clinic

Edmonton, Alberta, Canada

Site Status

Ocean West Research Clinic

Surrey, British Columbia, Canada

Site Status

G.A. Research Associates Ltd.

Moncton, New Brunswick, Canada

Site Status

Nova Scotia Hlth Halifax

Halifax, Nova Scotia, Canada

Site Status

LMC Diabetes & Endocrinology (Barrie)

Barrie, Ontario, Canada

Site Status

LMC ClinRsrh Inc.Brampton

Brampton, Ontario, Canada

Site Status

LMC Clin Res Inc. Thornhill

Concord, Ontario, Canada

Site Status

LMC Endo Ctr (Etobicoke) Ltd

Etobicoke, Ontario, Canada

Site Status

Wharton Med Clin Trials

Hamilton, Ontario, Canada

Site Status

Premier Clinical Trial Research Network (PCTRN)

Hamilton, Ontario, Canada

Site Status

Milestone Research

London, Ontario, Canada

Site Status

LMC Research Inc. Ottawa

Nepean, Ontario, Canada

Site Status

LMC Clinical Research Inc. Oakville

Oakville, Ontario, Canada

Site Status

Centricity Research LMC

Toronto, Ontario, Canada

Site Status

Toronto Sleep Institute/MedSleep

Toronto, Ontario, Canada

Site Status

Diabetes Heart Research Centre

Toronto, Ontario, Canada

Site Status

Dr Anil K Gupta Med Prof Corp

Toronto, Ontario, Canada

Site Status

Manna Research Mirabel

Mirabel, Quebec, Canada

Site Status

Centre Medical Acadie

Montreal, Quebec, Canada

Site Status

Clinique Medicine Urbaine du Quartier Latin, Inc.

Montreal, Quebec, Canada

Site Status

LMC Clin Rsrch Inc. (Montreal)

Saint-Laurent, Quebec, Canada

Site Status

Centre de recherché du CHUS

Sherbrooke, Quebec, Canada

Site Status

Ctr de Med Metab de Lanaudiere

Terrebonne, Quebec, Canada

Site Status

CHU de Quebec-Universite Laval

Québec, , Canada

Site Status

Institut universitaire de cardiologie

Québec, , Canada

Site Status

Aarhus Universitetshospital Diabetes og Hormonsygdomme

Aarhus N, , Denmark

Site Status

Hvidovre Hospital Endokrinologisk forsknings afsnit 159

Hvidovre, , Denmark

Site Status

Obesity Research Unit

Helsinki, , Finland

Site Status

StudyCor

Jyväskylä, , Finland

Site Status

Hospital Gregorio Marañón

Madrid, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Infanta Luisa

Seville, , Spain

Site Status

Clifton Medical Centre

Rotherham, South Yorkshire, United Kingdom

Site Status

The Health Centre

Bradford-on-Avon, , United Kingdom

Site Status

University Hospital Coventry - WISDEM Centre

Coventry, , United Kingdom

Site Status

Claremont Medical Practice

Exmouth, , United Kingdom

Site Status

GP Direct

Harrow, , United Kingdom

Site Status

Guys Hospital

London, , United Kingdom

Site Status

The Staploe Medical Centre

Soham, , United Kingdom

Site Status

MyHealth - Strensall Health Care Centre

Strensall, , United Kingdom

Site Status

Countries

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Canada Denmark Finland Spain United Kingdom

References

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McGowan BM, Bruun JM, Capehorn M, Pedersen SD, Pietilainen KH, Muniraju HAK, Quiroga M, Varbo A, Lau DCW; STEP 10 Study Group. Efficacy and safety of once-weekly semaglutide 2.4 mg versus placebo in people with obesity and prediabetes (STEP 10): a randomised, double-blind, placebo-controlled, multicentre phase 3 trial. Lancet Diabetes Endocrinol. 2024 Sep;12(9):631-642. doi: 10.1016/S2213-8587(24)00182-7. Epub 2024 Jul 29.

Reference Type RESULT
PMID: 39089293 (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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U1111-1253-1956

Identifier Type: OTHER

Identifier Source: secondary_id

2020-002939-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NN9536-4734

Identifier Type: -

Identifier Source: org_study_id

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