A Research Study to See if Two Different Formulations of Oral Semaglutide Are Equally Safe and Effective in Reducing the Blood Sugar Level in Japanese People With Type 2 Diabetes

NCT ID: NCT07271251

Last Updated: 2026-01-02

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

264 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2026-08-21

Brief Summary

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The purpose of the study is to find out if the new tablet formulation oral semaglutide D is equally safe and effective as the approved oral semaglutide for treating Japanese people with type 2 diabetes. Participants will receive either oral semaglutide D (the treatment being tested) or oral semaglutide (the comparator); which treatment a participant gets is decided by chance. Oral semaglutide is an approved tablet (a treatment used as a comparator), while oral semaglutide D is described as the new tablet formulation being tested in this study. The study will last approximately 27 weeks.

Detailed Description

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Conditions

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Type 2 Diabetes

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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Oral semaglutide D

Participants will receive oral semaglutide D once daily.

Group Type EXPERIMENTAL

Oral semaglutide

Intervention Type DRUG

Semaglutide will be administered orally once daily.

Oral semaglutide

Participants will receive oral semaglutide once daily.

Group Type EXPERIMENTAL

Oral semaglutide

Intervention Type DRUG

Semaglutide will be administered orally once daily.

Interventions

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Oral semaglutide

Semaglutide will be administered orally once daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
* Japanese male or female.
* Age 18 years or above at the time of signing the informed consent.
* Diagnosed with type 2 diabetes (T2D) greater than or equal to (≥) 90 days prior to day of screening.
* Glycated haemoglobin (HbA1c) of 7.0-10.5 percent (%) (53-91 millimoles per mole \[mmol /mol\]) (both inclusive) at screening.
* Stable daily dose(s) ≥ 60 days before screening with any 1-2 of the following oral antidiabetic drugs (OADs): Sulfonylurea (SU), glinide, thiazolidinedione (TZD), alpha-glucosidase inhibitor (α-GI), sodium-glucose cotransporter 2 (SGLT-2) inhibitor or metformin (effective or maximum tolerated dose as judged by the investigator) according to Japanese labelling.

* Presence or history of malignant neoplasms or in situ carcinomas within 5 years before screening.
* Any episodes of diabetic ketoacidosis within 90 days before screening.

Exclusion Criteria

* Known or suspected hypersensitivity to study intervention(s) or related products.
* Previous participation in this study. Participation is defined as signed informed consent.
* Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using adequate contraceptive method.
* Current participation (i.e., signed informed consent) in any other interventional clinical study.
* Exposure to an investigational medicinal product within 90 days or 5 half-lives of the investigational medicinal product (if known), whichever is longer, before screening.
* Any disorder, unwillingness or inability which in the investigator's opinion, might jeopardise the participant's safety or compliance with the protocol.
* Previous or planned (during the study period) obesity treatment with surgery or a weight loss device.
* Anticipated initiation or change in concomitant medications for more than 14 consecutive days affecting weight or glucose metabolism.
* Use of any medication with unknown or unspecified content within 90 days before screening.
* Personal or first degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma.
* Presence of clinically significant gastrointestinal disorders potentially affecting absorption of drugs and/or nutrients, as judged by the investigator.
* History or presence of pancreatitis (acute or chronic).
* History of major surgical procedures involving the stomach potentially affecting absorption of study products or current presence of gastrointestinal implant.
* Myocardial infarction, stroke, transient ischaemic attack or hospitalization for unstable angina pectoris within 60 days before screening.
* Chronic heart failure classified as being in New York Heart Association (NYHA) Class IV at screening.
* Planned coronary, carotid or peripheral artery revascularisation.
* Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified within 90 days before screening or in the period between screening and randomisation.
* Impaired liver function, defined as Alanine Aminotransferase (ALT) ≥ 2.5 times or Bilirubin \>1.5 times upper normal limit at screening.
* Renal impairment with estimated glomerular filtration rate (eGFR) less than (\<) 30 millilitres per minute per meter square (mL/min/1.73 m\^2) as per 2021 Chronic Kidney Disease Epidemiology Collaboration formula (CKD-EPI) formula (by creatinine) at 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. 2834

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Seino Internal Medicine Clinic_Internal medicine

Koriyama-shi, Fukushima, Fukushima, Japan, Japan

Site Status RECRUITING

Hayashi Diabetes Clinic_Internal Medicine and Diabetes Medicine

Chigasaki-shi, Kanagawa, Japan, Japan

Site Status RECRUITING

Jinnouchi Hospital_Internal Medicine

Kumamoto, Kumamoto, Japan, Japan

Site Status RECRUITING

Heiwadai Hospital_Internal Medicine

Miyazaki, Miyazaki, Japan

Site Status RECRUITING

TOSAKI Clinic for Diabetes and Endocrinology_Diabetes and Endocrinology

Aichi, , Japan

Site Status RECRUITING

Tokuyama clinic_Diabetic internal medicine

Chiba, , Japan

Site Status RECRUITING

Futata Tetsuhiro Clinic Meinohama_Internal medicine

Fukuoka-shi, Fukuoka, , Japan

Site Status RECRUITING

Oodouri Diabetes, Internal medicine Clinic_Internal Medicine, Diabetes Internal Medicine

Hokkaido, , Japan

Site Status RECRUITING

Naka Kinen Clinic_Internal medicine

Ibaraki, , Japan

Site Status RECRUITING

Yokohama Minoru Clinic_Internal medicine

Kanagawa, , Japan

Site Status RECRUITING

Shonan Takai Clinic_Internal Medicine

Kanagawa, , Japan

Site Status RECRUITING

Soka Sugiura Internal Medicine Clinic

Soka-shi, Saitama, , Japan

Site Status RECRUITING

Oyama East Clinic_Internal Medicine

Tochigi, , Japan

Site Status RECRUITING

Tokyo-Eki Center-building Clinic_Internal Medicine

Tokyo, , Japan

Site Status RECRUITING

Kato Clinic of Internal Medicine_Internal Medicine

Tokyo, , Japan

Site Status RECRUITING

Countries

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Japan

Central Contacts

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Novo Nordisk

Role: CONTACT

(+1) 866-867-7178

Other Identifiers

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U1111-1321-8272

Identifier Type: OTHER

Identifier Source: secondary_id

NN9924-8485

Identifier Type: -

Identifier Source: org_study_id

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