Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes

NCT ID: NCT06083675

Last Updated: 2024-02-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-26

Study Completion Date

2027-05-28

Brief Summary

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This study compares the medicines semaglutide with empagliflozin or metformin in people with newly diagnosed type 2 diabetes. This study will look mainly at how well participant's blood sugar and body weight are controlled when they are taking the study medicines. Participants will either get semaglutide tablets, empagliflozin tablets or metformin tablets. Which treatment participants will get is decided by chance. Currently, doses of 3 milligram (mg), 7 mg and 14 mg semaglutide tablets (Rybelsus) can be prescribed in some countries. 25 mg and 50 mg semaglutide tablets are new doses. 10 mg and 25 mg empagliflozin tablets (Jardiance) can be prescribed in some countries. 500 mg metformin tablets (STADA) can be prescribed in some countries. Participants will get 1 to 4 tablets per day for 104 weeks. The study will last for about 2 years and 7 weeks (111 weeks). Participants should not have been treated for weight management 90 days before screening or never been treated with any medicine for type 2 diabetes (except diabetes during pregnancy) before screening. Women cannot take part if pregnant, breast-feeding or plan to get 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

NONE

Study Groups

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Semaglutide 25 mg

Participants will receive 25 mg oral semaglutide once daily in maintenance period after dose escalation period.

Group Type EXPERIMENTAL

Semaglutide

Intervention Type DRUG

Administered as oral tablets.

Semaglutide 50 mg

Participants will receive 50 mg oral semaglutide once daily in maintenance period after dose escalation period.

Group Type EXPERIMENTAL

Semaglutide

Intervention Type DRUG

Administered as oral tablets.

Empagliflozin 25 mg

Participants will 25 mg empagliflozin oral once daily in maintenance period after dose escalation period.

Group Type EXPERIMENTAL

Empagliflozin

Intervention Type DRUG

Administered as oral tablets.

Metformin 2000 mg

Participants will receive metformin 1000 mg orally twice daily (total 2000 mg) in maintenance period after dose escalation period.

Group Type EXPERIMENTAL

Metformin

Intervention Type DRUG

Administered as oral tablets.

Interventions

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Semaglutide

Administered as oral tablets.

Intervention Type DRUG

Empagliflozin

Administered as oral tablets.

Intervention Type DRUG

Metformin

Administered as oral tablets.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female.
* Age ≥18 and \<60 years at the time of signing the informed consent.
* Diagnosed with type 2 diabetes mellitus within 24 months from the day of screening.
* HbA1c of 7.0-10.0% (53-86 millimoles per mole \[mmol/mol\])
* Body mass index ≥25.0 kilogram per square meter (kg/m\^2)

Exclusion Criteria

* Treatment with any medication for the indication of diabetes. Prior insulin treatment for gestational diabetes is allowed.
* Treatment with any medication for the indication of weight management 90 days prior to screening.
* Renal impairment measured as estimated glomerular filtration rate (eGFR) \<60 milliliters per minute per 1.73 meter sqaure (mL/min/1.73 m\^2) at screening.
* Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
* C-peptide \<1.5 nanograms per milliliter (ng/mL) at screening.
* Positive insulinoma associated-protein 2 (IA-2) antibodies ≥7.5 Units/mL or anti-glutamic acid decarboxylase (anti-GAD) antibodies greater than (\>) 5.0 international units per milliliter (IU/mL).
* Impaired liver function, defined as Alanine aminotransferase (ALT) ≥2.5 times or Bilirubin \>1.5 times upper normal limit at screening.
* History of major surgical procedures involving the stomach potentially affecting absorption of trial products (example subtotal or total gastrectomy, sleeve gastrectomy, gastric bypass surgery) or current presence of gastrointestinal implant.
* Presence of clinically significant gastrointestinal disorders affecting absorption of drugs and/or nutrients, as judged by the investigator.
* Any contraindications for empagliflozin or metformin according to local labelling at the investigator's discretion
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 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. 2834)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Hillcrest Family Health Center

Waco, Texas, United States

Site Status

Instituto de Ciências Farmacêuticas

Goiânia, Goiás, Brazil

Site Status

Núcleo de Pesquisa Clínica do Rio Grande do Sul Ltda.

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

CPQuali Pesquisa Clínica Ltda

São Paulo, São Paulo, Brazil

Site Status

CPCLIN - Centro de Pesquisas Clínicas

São Paulo, São Paulo, Brazil

Site Status

Individual Practice For Specialized Outpatient Medical Care Doctor Miglena Rizova Ltd.

Kyustendil, , Bulgaria

Site Status

Diagnostic-Consultative Centre "Sveti Georgi" Eood

Plovdiv, , Bulgaria

Site Status

"Aipsomcemd - Dr. Petya Georgieva" Eood

Plovdiv, , Bulgaria

Site Status

''Aipsomcidemd - Dr. Lilyana Bodurova-Troharova" Eood

Samokov, , Bulgaria

Site Status

"Medical center Medishtit Velisia" OOD

Stara Zagora, , Bulgaria

Site Status

Diagnostic Consulting Center 1 Velingrad EOOD

Velingrad, , Bulgaria

Site Status

MHAT- Hristo Botev AD

Vratsa, , Bulgaria

Site Status

Poliklinika SLAVONIJA OSIJEK

Osijek, County of Osijek-Baranja, Croatia

Site Status

Opca bolnica Karlovac

Karlovac, , Croatia

Site Status

Specijalna bolnica Krapinske Toplice - Endokrinologija

Krapinske Toplice, , Croatia

Site Status

Opca bolnica Pula

Pula, , Croatia

Site Status

Specijalna bolnica Medico

Rijeka, , Croatia

Site Status

Iatriko Psychicou Private Clinic

Athens, , Greece

Site Status

"Laiko" General Hospital of Athens

Athens, , Greece

Site Status

Iatriko Athinon (Athens Medical Canter)

Athens, , Greece

Site Status

Iatriko Athinon 'Palaiou Falirou'

Athens, , Greece

Site Status

University Hospital of Athens ATTIKON

Haidari-Athens, , Greece

Site Status

University General Hospital of Ioannina,Internal Medicine

Ioannina, , Greece

Site Status

General Hospital of Thessaloniki 'G. Gennimatas

Thessaloniki, , Greece

Site Status

EUROMEDICA Gen Clinic The/ki, Endocrin,Metabolism,Diabetes

Thessaloniki, , Greece

Site Status

"Thermi" Private Hosital

Thessaloniki, , Greece

Site Status

General Hospital of Thessaloniki "G.Papanikolaou"

Thessaloniki, , Greece

Site Status

ClinDiab Egészségügyi Szolgáltató és Kereskedelmi Kft.

Budapest, , Hungary

Site Status

Belinus Bt.

Debrecen, , Hungary

Site Status

Osmania General Hospital

Hyderabad, A.P., India

Site Status

Endolife Specialty Hospitals

Guntur, Andhra Pradesh, India

Site Status

Yalamanchi Hospitals and Research centres pvt ltd

Vijaywada, Andhra Pradesh, India

Site Status

Navneeth Memorial Hospital

Ahmedabad, Gujarat, India

Site Status

Govt Medical College

Vadodara, Gujarat, India

Site Status

Ramaiah Memorial Hospital

Bangalore, Karnataka, India

Site Status

Lifecare Hospital and Research Centre

Bangalore, Karnataka, India

Site Status

K R Hospital

Mysuru, Karnataka, India

Site Status

TOTALL Diabetes Hormone Institute

Indore, Madhya Pradesh, India

Site Status

Goa Medical College

Goa, Maharashtra, India

Site Status

Excel Endocrine Centre

Kolhāpur, Maharashtra, India

Site Status

Seth GS Medical College & KEM Hospital

Mumbai, Maharashtra, India

Site Status

BSES MG hospital

Mumbai, Maharashtra, India

Site Status

Ashirwad Hospital and Research Centre

Thāne, Maharashtra, India

Site Status

Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha

Wardha, Maharashtra, India

Site Status

Maulana Azad Medical College

Delhi, New Delhi, India

Site Status

Dayanand Medical College & Hospital_Ludhiana

Ludhiana, Punjab, India

Site Status

Jawahar Lal Nehru Govt. Medical College

Ajmer, Rajasthan, India

Site Status

Diabetes, Thyroid and Endocrine Centre

Jaipur, Rajasthan, India

Site Status

M.V.Hospital for Diabetes Pvt. Ltd.

Chennai, Tamil Nadu, India

Site Status

Gandhi Hospital & Medical college

Hyderabad, Telangana, India

Site Status

Yashoda hospital

Hyderabad, Telangana, India

Site Status

Medanta Lucknow Hospital

Lucknow, Uttar Pradesh, India

Site Status

BP Poddar Hospital

Kolkata, West Bengal, India

Site Status

Swasthya Diabetes Care

Ahmedabad, , India

Site Status

Aligarh Muslim University

Aligarh, , India

Site Status

Sparsh Hospital, Bhubaneshwar

Bhubaneshwar, , India

Site Status

All India Institute of Medical Sciences (AIIMS), Nagpur

Maharashtra, , India

Site Status

JIPMER

Puducherry, , India

Site Status

Lifepoint Multispecialty Hospital

Pune, , India

Site Status

Mahatma Gandhi Memorial Hospital, Sherpura

Warangal, , India

Site Status

Hospital Miri

Sarawak, Miri, Malaysia

Site Status

Klinik Kesihatan Kuang

Rawang, Selangor, Malaysia

Site Status

Klinik Kesihatan Bintulu

Bintulu, , Malaysia

Site Status

Klinik Kesihatan Greentown Ipoh

Ipoh, , Malaysia

Site Status

Klinik Kesihatan Cheras Baru

Kuala Lumpur, , Malaysia

Site Status

Hospital Melaka

Malacca, , Malaysia

Site Status

Hospital Seri Manjung

Seri Manjung, , Malaysia

Site Status

Hospital Sultan Haji Ahmad Shah

Temerloh,Pahang, , Malaysia

Site Status

Eme Red Hospitalaria

Mérida, Yucatán, Mexico

Site Status

Medical Care and Research S. A de C.V

Mérida, Yucatán, Mexico

Site Status

FAICIC S. de R.L. de C.V.

Veracruz, , Mexico

Site Status

ETG Siedlce

Siedlce, Masovian Voivodeship, Poland

Site Status

NZOZ Vita-Diabetica Malgorzata Buraczyk

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Centrum Medyczne Intercor Sp. z o.o.

Bydgoszcz, , Poland

Site Status

Diab Serwis Popenda Spółka Jawna

Chorzów, , Poland

Site Status

NZOZ Euromedica

Grudziądz, , Poland

Site Status

Centra Medyczne Medyceusz Sp. z o.o.

Lodz, , Poland

Site Status

Etyka Ośrodek Badań Klinicznych Tomasz Pesta S.K.A.

Olsztyn, , Poland

Site Status

ENDOPRACTICA W.Beker, D.Mielczarek, P.Mielczarek, J.Struzik spółka cywilna

Opole, , Poland

Site Status

NZOZ NEURO-KARD Ilkowski i Partnerzy Spółka Partnerska Lekarzy

Poznan, , Poland

Site Status

Centrum Medyczne Oporow

Wroclaw, , Poland

Site Status

Trialmed CRS

Piotrkow Trybunalski, Łódź Voivodeship, Poland

Site Status

Clinmedica Research sp. z o.o.

Skierniewice, Łódź Voivodeship, Poland

Site Status

Institutul National De Diabet Nutritie Si Boli Metabolice Prof.Dr.N.Paulescu Bucuresti- Ion Movila

Bucharest, Bucurestii, Romania

Site Status

Sc Mediab Srl

Târgu Mureş, Mureș County, Romania

Site Status

Clinica Grivitei 224 S.R.L.

Brăila, , Romania

Site Status

SC Nutrilife SRL

Bucharest, , Romania

Site Status

Diabet Med SRL

Bucharest, , Romania

Site Status

S.C. Dianutrilife Medica S.R.L.

Ploieşti, , Romania

Site Status

Clinica Korall S.R.L. Satu Mare

Satu Mare, , Romania

Site Status

Healthcare centre Zvezdara

Belgrade, RS, Serbia

Site Status

Healthcare centre Kragujevac

Kragujevac, RS, Serbia

Site Status

Healthcare centre Nis

Niš, RS, Serbia

Site Status

Siriraj Hospital

Bangkok Noi, Bangkok, Thailand

Site Status

Thammasat University Hospital

Klong Luang, Changwat Pathum Thani, Thailand

Site Status

Rajavithi Hospital

Bangkok, , Thailand

Site Status

Ramathibodi Hospital

Bangkok, , Thailand

Site Status

Maharaj Nakorn Chiang Mai Hospital

Chiang Mai, , Thailand

Site Status

Srinagarind Hospital

Khon Kaen, , Thailand

Site Status

Songklanagarind Hospital

Songkhla, , Thailand

Site Status

Countries

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United States Brazil Bulgaria Croatia Greece Hungary India Malaysia Mexico Poland Romania Serbia Thailand

Other Identifiers

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U1111-1291-4976

Identifier Type: OTHER

Identifier Source: secondary_id

NN9924-7663

Identifier Type: -

Identifier Source: org_study_id

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