A Phase 2 interventional study of semaglutide and liraglutide in Diabetes and Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 150 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-07-31.
Sponsored by Novo Nordisk A/S · Phase 2, Interventional, and Treatment
This trial is conducted globally. The aim of this trial is to investigate dose-finding of semaglutide administered subcutaneously once daily versus placebo and liraglutide in subjects with type 2 diabetes
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 706 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 102 are open to participants now.
Of its 198 completed or terminated interventional studies of FDA-regulated products, 94 (47%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: semaglutide
Drug: liraglutide
Drug: placebo
Drug: semaglutide
Drug: liraglutide
Drug: placebo
Drug: semaglutide
Drug: liraglutide
Drug: placebo
Drug: semaglutide
Drug: liraglutide
Drug: placebo
Drug: semaglutide
Administered subcutaneously ( s.c., under the skin) once daily. All subjects will follow a 4-week dose-escalation regimen except subjects who received semaglutide flexible dosing.
Administered subcutaneously ( s.c., under the skin) once daily. All subjects will follow a 4-week dose-escalation regimen.
Administered subcutaneously ( s.c., under the skin) once daily.
Change in HbA1c (Glycosylated Haemoglobin)
Estimated mean change from baseline in HbA1c at week 26. The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
Time frame: Week 0, week 26
Change in Fasting Plasma Glucose (FPG)
Estimated mean change from baseline in FPG at week 26. The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
Time frame: Week 0, Week 26
Body Weight Change
The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
Time frame: Week 0, Week 26
Change in Systolic and Diastolic Blood Pressure
The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
Time frame: Week 0, Week 26
The trial was conducted at 139 sites in 10 countries as follows: Austria: 3 sites; Canada: 8 sites; Czech Republic: 9 sites; Germany: 7 sites; Malaysia: 5 sites; Russian Federation: 7 sites; Serbia: 9 sites; South Africa: 7 sites; United Kingdom: 13 sites; United States: 71 sites.
| Milestone | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| Started | 64 | 63 | 65 | 63 | 64 | 64 | 64 | 65 | 129 | 65 |
| Exposed | 64 | 63 | 65 | 63 | 64 | 64 | 64 | 65 | 129 | 64 |
| Completed | 58 | 61 | 60 | 58 | 62 | 61 | 58 | 60 | 123 | 60 |
| Not completed | 6 | 2 | 5 | 5 | 2 | 3 | 6 | 5 | 6 | 5 |
| Withdrew: Withdrawal by subject | 5 | 1 | 3 | 2 | 1 | 2 | 1 | 3 | 3 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 2 | 3 | 1 | 1 | 3 | 1 | 3 | 1 |
| Withdrew: Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Withdrew: Unclassified | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 |
| Withdrew: Missing follow-up information | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal from trial before exposure | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Estimated mean change from baseline in HbA1c at week 26. The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
| percentage of glycosylated haemoglobin | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| Change in HbA1c (Glycosylated Haemoglobin) | -0.97 ± 0.85 | -1.30 ± 1.03 | -1.65 ± 0.79 | -1.96 ± 0.95 | -0.50 ± 0.93 | -0.88 ± 0.90 | -0.86 ± 0.92 | -1.32 ± 0.78 | -0.05 ± 0.90 | -1.72 ± 0.97 |
Estimated mean change from baseline in FPG at week 26. The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
| mmol/L | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| Change in Fasting Plasma Glucose (FPG) | -2.09 ± 1.96 | -2.08 ± 2.23 | -2.64 ± 2.07 | -3.53 ± 2.20 | -1.33 ± 2.06 | -1.56 ± 1.74 | -1.51 ± 2.41 | -1.92 ± 2.34 | -0.54 ± 2.45 | -3.40 ± 2.84 |
The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
| kg | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| Body Weight Change | -2.75 ± 2.82 | -4.36 ± 4.24 | -6.70 ± 4.57 | -8.23 ± 5.34 | -1.48 ± 3.06 | -1.81 ± 3.06 | -1.78 ± 3.41 | -3.68 ± 4.26 | -1.22 ± 3.42 | -6.60 ± 4.98 |
The data were analysed for the "on-treatment until rescue medication" observation period which includes observations recorded at or after date of first dose of trial product and not after the last dose of trial product plus the 7-day visit window or date of initiation of rescue therapy.
| mmHg | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| Systolicblood pressure | -5.74 ± 12.30 | -2.77 ± 13.21 | -4.25 ± 12.24 | -9.85 ± 11.58 | -3.77 ± 9.79 | -3.20 ± 10.89 | -4.69 ± 12.73 | -2.99 ± 11.94 | -2.34 ± 11.40 | -6.62 ± 14.02 |
| Diastolic blood pressure | -0.60 ± 8.78 | 0.66 ± 8.26 | -1.62 ± 9.38 | -4.02 ± 8.56 | -1.77 ± 7.37 | -1.89 ± 8.20 | -0.60 ± 6.78 | 0.63 ± 8.13 | -0.61 ± 8.50 | -1.69 ± 8.25 |
Collected over From baseline up to week 33.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Semaglutide 0.05 mg/Day | — | 7/64 (10.9%) | 31/64 (48.4%) |
| Semaglutide 0.1 mg/Day | — | 3/63 (4.8%) | 34/63 (54%) |
| Semaglutide 0.2 mg/Day | — | 2/65 (3.1%) | 39/65 (60%) |
| Semaglutide 0.3 mg/Day | — | 2/63 (3.2%) | 42/63 (66.7%) |
| Liraglutide 0.3 mg/Day | — | 1/64 (1.6%) | 33/64 (51.6%) |
| Liraglutide 0.6 mg/Day | — | 2/64 (3.1%) | 27/64 (42.2%) |
| Liraglutide 1.2 mg/Day | — | 2/64 (3.1%) | 35/64 (54.7%) |
| Liraglutide 1.8 mg/Day | — | 7/65 (10.8%) | 35/65 (53.8%) |
| Placebo | — | 0/129 (0%) | 0/129 (0%) |
| Semaglutide Flexible | — | 4/64 (6.3%) | 44/64 (68.8%) |
| Event | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| Anal fistulaGastrointestinal disorders | 0/64 | 1/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Atrioventricular block completeCardiac disorders | 0/64 | 0/63 | 0/65 | 1/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| CystoscopyInvestigations | 0/64 | 1/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Escherichia pyelonephritisInfections and infestations | 0/64 | 1/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Spinal meningioma benignNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/64 | 0/63 | 0/65 | 1/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Abortion spontaneousPregnancy, puerperium and perinatal conditions | 1/64 | 0/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Acute myocardial infarctionCardiac disorders | 1/64 | 0/63 | 0/65 | 0/63 | 0/64 | 0/64 | 1/64 | 1/65 | 0/129 | 0/64 |
| ArteriosclerosisVascular disorders | 1/64 | 0/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Carotid artery stenosisNervous system disorders | 1/64 | 0/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 0/64 |
| Clear cell renal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/64 | 0/63 | 0/65 | 0/63 | 0/64 | 0/64 | 0/64 | 0/65 | 0/129 | 1/64 |
| Event | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible |
|---|---|---|---|---|---|---|---|---|---|---|
| NauseaGastrointestinal disorders | 11/64 | 12/63 | 14/65 | 16/63 | 6/64 | 7/64 | 7/64 | 13/65 | 0/129 | 25/64 |
| DiarrhoeaGastrointestinal disorders | 7/64 | 10/63 | 10/65 | 16/63 | 5/64 | 5/64 | 5/64 | 8/65 | 0/129 | 11/64 |
| HeadacheNervous system disorders | 7/64 | 8/63 | 4/65 | 7/63 | 5/64 | 3/64 | 10/64 | 4/65 | 0/129 | 7/64 |
| NasopharyngitisInfections and infestations | 7/64 | 6/63 | 4/65 | 5/63 | 4/64 | 3/64 | 5/64 | 5/65 | 0/129 | 10/64 |
| Decreased appetiteMetabolism and nutrition disorders | 3/64 | 7/63 | 6/65 | 8/63 | 2/64 | 1/64 | 3/64 | 3/65 | 0/129 | 9/64 |
| Upper respiratory tract infectionInfections and infestations | 7/64 | 2/63 | 1/65 | 7/63 | 6/64 | 1/64 | 2/64 | 5/65 | 0/129 | 4/64 |
| VomitingGastrointestinal disorders | 6/64 | 4/63 | 6/65 | 6/63 | 1/64 | 7/64 | 1/64 | 5/65 | 0/129 | 6/64 |
| ConstipationGastrointestinal disorders | 2/64 | 4/63 | 6/65 | 5/63 | 0/64 | 3/64 | 1/64 | 7/65 | 0/129 | 4/64 |
| Lipase increasedInvestigations | 3/64 | 3/63 | 3/65 | 3/63 | 3/64 | 3/64 | 4/64 | 7/65 | 0/129 | 5/64 |
| DyspepsiaGastrointestinal disorders | 1/64 | 5/63 | 5/65 | 6/63 | 2/64 | 3/64 | 1/64 | 3/65 | 0/129 | 4/64 |
Analysis was performed on the full analysis set (FAS) which included all randomised subjects who had received at least 1 dose of either semaglutide, liraglutide or placebo.
| Age, Continuous(years) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 57.53 ± 9.8 | 57.51 ± 10.0 | 58.37 ± 9.58 | 54.76 ± 9.66 | 57.20 ± 10.78 | 59.45 ± 9.77 | 53.73 ± 11.35 | 55.82 ± 9.19 | 57.08 ± 9.25 | 54.81 ± 9.70 | 56.67 ± 9.94 |
| Sex: Female, Male(Participants) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 31 | 28 | 22 | 31 | 35 | 32 | 30 | 32 | 57 | 28 | 326 |
| Male | 33 | 35 | 43 | 32 | 29 | 32 | 34 | 33 | 72 | 36 | 379 |
| HbA1c (glycosylated haemoglobin)(percentage of HbA1c) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 7.87 ± 0.71 | 7.91 ± 0.83 | 7.96 ± 0.82 | 8.23 ± 0.80 | 8.06 ± 0.86 | 8.12 ± 0.81 | 8.14 ± 0.87 | 8.07 ± 0.85 | 8.12 ± 0.87 | 8.10 ± 0.91 | 8.06 ± 0.84 |
| Fasting plasma glucose(mmol/L) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 9.26 ± 2.60 | 8.97 ± 2.22 | 9.20 ± 2.28 | 9.67 ± 2.56 | 9.32 ± 2.54 | 9.34 ± 2.33 | 9.91 ± 2.70 | 9.18 ± 2.45 | 9.67 ± 2.98 | 9.82 ± 2.66 | 9.45 ± 2.59 |
| Body weight(kg) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 93.44 ± 18.27 | 92.40 ± 17.20 | 98.07 ± 17.92 | 94.82 ± 17.84 | 92.25 ± 17.48 | 92.68 ± 16.46 | 96.67 ± 18.28 | 93.40 ± 19.34 | 93.98 ± 17.75 | 95.29 ± 15.43 | 94.28 ± 17.61 |
| Systolic blood pressure(mmHg) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 133.70 ± 15.14 | 130.97 ± 14.92 | 131.34 ± 12.55 | 132.08 ± 11.69 | 134.02 ± 11.30 | 132.41 ± 12.37 | 134.20 ± 12.73 | 131.02 ± 11.86 | 132.17 ± 14.26 | 132.70 ± 12.74 | 132.43 ± 13.10 |
| Diastolic blood pressure(mmHg) | Semaglutide 0.05 mg/Day | Semaglutide 0.1 mg/Day | Semaglutide 0.2 mg/Day | Semaglutide 0.3 mg/Day | Liraglutide 0.3 mg/Day | Liraglutide 0.6 mg/Day | Liraglutide 1.2 mg/Day | Liraglutide 1.8 mg/Day | Placebo | Semaglutide Flexible | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 80.06 ± 8.90 | 79.71 ± 8.56 | 80.48 ± 8.87 | 81.41 ± 8.05 | 81.83 ± 6.98 | 81.28 ± 6.90 | 82.98 ± 6.94 | 80.66 ± 7.62 | 80.98 ± 8.00 | 81.89 ± 8.40 | 81.11 ± 7.96 |
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Novo Nordisk A/S