ClinicalTrials.gg
CompletedNCT03357380Updated Nov 22, 2021

A Study on How Semaglutide Works on Early Stages of Scar Tissue in the Liver Assessed by Pictures of the Liver

A Phase 1 interventional study of Semaglutide and Placebo in Hepatobiliary Disorders and Non-alcoholic Fatty Liver Disease, sponsored by Novo Nordisk A/S. Completed at 2 sites in Germany. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-11-22.

Primary conditionNon-alcoholic Fatty Liver DiseaseRegistry: Digestive System DiseasesReclassifiedWhy we changed it
Registry
Digestive System Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Non-alcoholic Fatty Liver Disease
Why
  1. The study's listed conditions name Non-alcoholic Fatty Liver Disease, a narrower term within Digestive System Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Novo Nordisk A/S · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2020, 6 years 7 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
67
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies testing semaglutide in Non-alcoholic Fatty Liver Disease — 4 open to participants now, 8 under way, 1 of them phase 3. Semaglutide · Non-alcoholic Fatty Liver Disease.

Enrollment
10th of 16
67 · median 88
Started
2017
the only one that year
Phase 1
Only one
of the 16
Registered
2nd of 16
by date
Lead sponsor
4 of 16
Novo Nordisk A/S

Among the 16 studies testing semaglutide in Non-alcoholic Fatty Liver Disease, this one is the 10th largest by enrollment, is the only one that started in 2017, is the only one in phase 1, and was the 2nd registered.

Non-alcoholic Fatty Liver Disease

1,617 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 324 are open to participants now.

Browse Non-alcoholic Fatty Liver Disease studies →

Open to participants now

4 of the 16 studies testing semaglutide in Non-alcoholic Fatty Liver Disease are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

About semaglutide

Semaglutide: first FDA approval 2017 (OZEMPIC), first EMA approval 2018. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 221 Non-alcoholic Fatty Liver Disease studies recruiting now, 66 (30%) set no upper age limit and 126 (57%) stop at 75 or younger; 27 take children under 18; 55 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies testing semaglutide in Non-alcoholic Fatty Liver Disease, or all of them as a file.
02

Study summary

This study is looking at the effect of semaglutide on subjects with nonalcoholic fatty liver disease.This study is comparing the change in early stages of scar tissue in the liver and fat deposition in the liver in people taking semaglutide and placebo (a dummy medicine).

Participants will either get semaglutide or placebo; which treatment participants get is decided by chance. Semaglutide is a medicine under clinical investigation. That means that the medicine has not yet been approved by the authorities. Participants will need to self-inject medicine once daily for 72 weeks. The medicine should be injected under the skin in the stomach, thigh or upper arm.

There are about 3 weeks before participants start the study medicine and 7 weeks after you stop it. The study will last for about 82 weeks in total.

Participants will have 12 clinic visits, 6 phone calls and 4 visits to an MRI centre.

The study includes MRI scans of the stomach. The MRI scans will take place at a different location. Participants will be excluded from the study if the study doctor thinks that there are risks for participants health. Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

03

Conditions studied

  • Hepatobiliary Disorders
  • Non-alcoholic Fatty Liver Disease

Browse trials for

04

In context

Non-alcoholic Fatty Liver Disease Reclassified

1,617 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 324 are open to participants now.

This study's enrollment of 67 is above the median of 60 across 1,176 interventional studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,404 studies on the registry; 101 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 100 (49%) have results posted.

Compared within Non-alcoholic Fatty Liver Disease, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Digestive System Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial
  • Male or female, aged 18-75 years (both inclusive) at the time of signing informed consent
  • Liver steatosis greater than or equal to 10% measured by magnetic resonance imaging proton density fat fraction at screening
  • Liver stiffness between 2.50 and 4.63 kPa (both inclusive) measured by magnetic resonance elastography at screening
  • between 25.0 and 40.0 kg/sqm (both inclusive) at the screening visit

Exclusion criteria

Exclusion Criteria:

  • Known or suspected abuse of alcohol (greater than 12 g/day for women or greater than 24 g/day for men) or alcohol dependence assessed by the Alcohol Use Disorders Identification Test (AUDIT questionnaire)
  • Diagnosis of type 1 diabetes according to medical records
  • Glycosylated (HbA1c) greater than 9.5% at screening
  • History or presence of pancreatitis (acute or chronic) as declared by the subject
  • Screening calcitonin greater than or equal to 100 ng/L
  • Personal or first degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma (as declared by the subject)
  • Female who is pregnant, breast-feeding or intends to become pregnant or is of and not using highly effective methods. (Highly effective contraceptive methods are considered those with a failure rate less than 1% undesired pregnancies per year including surgical sterilisation, hormonal intrauterine devices (coil), oral hormonal contraceptives, sexual abstinence (only acceptable if corresponding to the preferred and usual lifestyle of the subject) or a surgically sterilised partner)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

06

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
67 participants (actual)

Study arms

  • Experimental
    Semaglutide

    Semaglutide will be initiated with a starting dose of 0.05 mg/day for the first 4 weeks. The dose will be increased every 4 weeks until the target dose of 0.4 mg/day has been reached.

    Drug: Semaglutide

  • Placebo comparator
    Placebo

    Placebo will be initiated with a starting volume corresponding to 0.05 mg/day of semaglutide for the first 4 weeks. The volume will then be increased every 4 weeks until the target volume corresponding to 0.4 mg/day of semaglutide has been reached.

    Drug: Placebo

Interventions

  • Subcutaneously (under the skin) once-daily. Will be increased more or less every 4 weeks. It is expected that from week 16 until week 72 The participants take the maximum planned dose (0.4 mg) of study medicine.

  • DrugPlacebo

    Subcutaneously (under the skin) once-daily. Will be increased more or less every 4 weeks. It is expected that from week 16 until week 72 The participants take the maximum planned dose (0.4 mg) of study medicine.

07

What researchers measure

Primary outcomes

  1. Change in liver stiffness (kPa) assessed by magnetic resonance elastography (MRE)

    Measured in KPa

    Time frame: Up to day -20, week 48

Secondary outcomes

  1. Change in liver stiffness (kPa) assessed by magnetic resonance elastography (MRE)

    Measured in KPa

    Time frame: Up to day -20, week 24

  2. Change in liver stiffness (kPa) assessed by magnetic resonance elastography (MRE)

    Measured in KPa

    Time frame: Up to day -20, week 72

  3. Change in relative liver fat content (%) assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured in Percentage (%)

    Time frame: Up to day -20, week 24

  4. Change in relative liver fat content (%) assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured in Percentage (%)

    Time frame: Up to day -20, week 48

  5. Change in relative liver fat content (%) assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured in Percentage (%)

    Time frame: Up to day -20, week 72

  6. Change in absolute liver fat volume (L) assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured in Percentage (%)

    Time frame: Up to day -20, week 24

  7. Change in absolute liver fat volume (L) assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured in L

    Time frame: Up to day -20, week 48

  8. Change in absolute liver fat volume (L) assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured in L

    Time frame: Up to day -20, week 72

  9. Proportion of subjects with at least 30% reduction in relative liver fat content assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Number of subjects

    Time frame: Weeks 0 - 24

  10. Proportion of subjects with at least 30% reduction in relative liver fat content assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Number of subjects

    Time frame: Weeks 0 - 48

  11. Proportion of subjects with at least 30% reduction in relative liver fat content assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Number of subjects

    Time frame: Weeks 0 - 72

  12. Proportion of subjects with at least 15% reduction in liver stiffness assessed by magnetic resonance elastography (MRE)

    Number of subjects

    Time frame: Weeks 0 - 24

  13. Proportion of subjects with at least 15% reduction in liver stiffness assessed by magnetic resonance elastography (MRE)

    Number of subjects

    Time frame: Weeks 0 - 48

  14. Proportion of subjects with at least 15% reduction in liver stiffness assessed by magnetic resonance elastography (MRE)

    Number of subjects

    Time frame: Weeks 0 - 72

  15. Change in visceral adipose tissue (L) assessed by magnetic resonance imaging (MRI)

    Measured in L

    Time frame: Up to day -20, week 24

  16. Change in visceral adipose tissue (L) assessed by magnetic resonance imaging (MRI)

    Measured in L

    Time frame: Up to day -20, week 48

  17. Change in visceral adipose tissue (L) assessed by magnetic resonance imaging (MRI)

    Measured in L

    Time frame: Up to day -20, week 72

  18. Change in abdominal subcutaneous adipose tissue (L) assessed by magnetic resonance imaging (MRI)

    Measured in L

    Time frame: Up to day -20, week 24

  19. Change in abdominal subcutaneous adipose tissue (L) assessed by magnetic resonance imaging (MRI)

    Measured in L

    Time frame: Up to day -20, week 48

  20. Change in abdominal subcutaneous adipose tissue (L) assessed by magnetic resonance imaging (MRI)

    Measured in L

    Time frame: Up to day -20, week 72

  21. Change in Body weight (% and kg)

    Measured in kg and %

    Time frame: Week 0, week 48

  22. Change in Body weight (% and kg)

    Measured in kg and %

    Time frame: Week 0, week 72

  23. Change in Waist circumference

    Measured in cm

    Time frame: Week 0, week 48

  24. Change in Waist circumference

    Measured in cm

    Time frame: Week 0, week 72

  25. Change in Body mass index (BMI)

    Measured in kg/sqm

    Time frame: Week 0, week 48

  26. Change in Body mass index (BMI)

    Measured in kg/sqm

    Time frame: Week 0, week 72

  27. Number of treatment-emergent adverse events (TEAEs)

    Count of adverse events

    Time frame: Weeks 0 - 48

  28. Number of treatment-emergent adverse events (TEAEs)

    Count and % of adverse events

    Time frame: Weeks 0 - 79

  29. Number of treatment-emergent hypoglycaemic episodes

    Count of episodes

    Time frame: Weeks 0 - 48

  30. Number of treatment-emergent hypoglycaemic episodes

    Count of episodes

    Time frame: Weeks 0 - 79

08

Study locations

2 sites
  • Novo Nordisk Investigational Site
    Mainz, 55116, Germany
  • Novo Nordisk Investigational Site
    Neuss, 41460, Germany
09

References and documents

Publications

  • Flint A, Andersen G, Hockings P, Johansson L, Morsing A, Sundby Palle M, Vogl T, Loomba R, Plum-Morschel L. Randomised clinical trial: semaglutide versus placebo reduced liver steatosis but not liver stiffness in subjects with non-alcoholic fatty liver disease assessed by magnetic resonance imaging. Aliment Pharmacol Ther. 2021 Nov;54(9):1150-1161. doi: 10.1111/apt.16608. Epub 2021 Sep 27. PubMed 34570916 ↗
  • Andersen G, Plum-Morschel L, Hockings PD, Morsing A, Palle MS, Svolgaard O, Flint A. Clinical Characteristics of a Non-Alcoholic Fatty Liver Disease Population Across the Fibrosis Spectrum Measured by Magnetic Resonance Elastography: Analysis of Screening Data. Adv Ther. 2020 Dec;37(12):4866-4876. doi: 10.1007/s12325-020-01503-x. Epub 2020 Oct 1. PubMed 33006125 ↗

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Data sharing details ↗ · novonordisk-trials.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Mar 2020, 27 months.

Of 104 industry-sponsored phase 1 interventional studies under Non-alcoholic Fatty Liver Disease, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 16. This study's 27 months is above that.

Counting every sponsor, half of 125 studies reached it within 10 months; a quarter within 5 and three quarters within 21.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 23, 2017
First posted
Nov 29, 2017
StartActual
Nov 28, 2017
Primary completionActual
Mar 20, 2020
CompletionActual
Mar 20, 2020
Last update
Nov 22, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 22, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03357380
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Nov 29, 2017
Start date
Nov 28, 2017
Primary completion
Mar 20, 2020
Completion
Mar 20, 2020
Last update
Nov 22, 2021

Study contacts

Clinical Reporting Anchor and Disclosure (1452)
study director · Novo Nordisk A/S

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Semaglutide

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