Comparison of Liraglutide Versus Placebo in Weight Loss Maintenance in Obese Subjects: SCALE - Maintenance
Effect of Liraglutide on Long-term Weight Maintenance and Additional Weight Loss Induced by a 4 to 12 Week Low Calorie Diet in Obese Subjects; A 56 Week Randomised, Double-blind, Placebo Controlled, Parallel Group, Multicentre Trial With a 12 Week Follow-up Period
1 other identifier
interventional
422
2 countries
37
Brief Summary
This trial is conducted in North America. The aim of this clinical trial is to evaluate the potential of liraglutide to maintain long term weight loss in obese non-diabetic subjects, as well as in overweight subjects who have medical problems such as hypertension (high blood pressure) or dyslipidaemia (an abnormal amount of lipids in the blood). Trial has following trial periods: A 12-week run-in period (from week -12 to week 0) followed by a 56-week main trial period (weeks 0-56) and a 12-week follow-up period (weeks 56-68).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Oct 2008
37 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 28, 2008
CompletedFirst Posted
Study publicly available on registry
October 29, 2008
CompletedStudy Start
First participant enrolled
October 30, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2010
CompletedResults Posted
Study results publicly available
November 28, 2011
CompletedNovember 1, 2017
September 1, 2017
1.8 years
October 28, 2008
September 1, 2011
September 29, 2017
Conditions
Outcome Measures
Primary Outcomes (3)
Mean Percentage Change in Fasting Body Weight From Baseline
Subjects were weighed having fasted (consumed only water) since midnight the night before the visit.
Week 0, week 56
Percentage of Subjects Who Maintained Their run-in Fasting Weight Loss From Week 0
Subjects who had a weight regain less than or equal to 0.5% of weight from Week 0 were regarded as maintenance of run-in fasting weight loss. Subjects were weighed having fasted (consumed only water) since midnight the night before the visit.
Week 0, week 56
Percentage of Subjects Who Lost More Than or Equal to 5% of Fasting Body Weight From Week 0
Subjects were weighed having fasted (consumed only water) since midnight the night before the visit.
Week 0, week 56
Secondary Outcomes (23)
Percentage of Subjects Who Lost More Than 10% of Fasting Body Weight From Week 0
Week 0, week 56
Percentage of Subjects With Weight Regain (Fasting) More Than or Equal to 5% From Week 0
Week 0, week 56
Percentage of Subjects With Weight Regain (Fasting) More Than or Equal to 10% From Week 0
Week 0, week 56
Percentage of Subjects With Greater Than 50% of Fasting run-in Weight Loss Maintained From Week 0
Week 0, week 56
Percentage of Subjects With Greater Than 75% of Fasting run-in Weight Loss Maintained From Week 0
Week 0, week 56
- +18 more secondary outcomes
Study Arms (2)
Lira 3.0 mg
EXPERIMENTALA 12-week run-in period where screened subjects were treated with a low calorie diet. Randomised subjects (those who lost more than or equal to 5% of screening body weight) were treated with liraglutide 3.0 mg, once daily, injected subcutaneously and instructed to follow a standard energy-restricted diet in the 56-week main trial period. Subjects discontinued treatment in the 12-week follow-up period. The starting dose of liraglutide was 0.6 mg, with weekly increments of 0.6 mg every 7 days until the target dose of 3.0 mg was reached
Placebo
PLACEBO COMPARATORA 12-week run-in period where screened subjects were treated with a low calorie diet. Randomised subjects (those who lost more than or equal to 5% of screening body weight) were treated with liraglutide placebo, once daily, injected subcutaneously for 56 weeks and instructed to follow a standard energy-restricted diet in the 56-week main trial period. Subjects discontinued treatment in the 12-week follow-up period
Interventions
Liraglutide 3.0 mg per day administered in a 6.0 mg/mL, 3 mL FlexPen® for subcutaneous (under the skin) injection, once daily
Liraglutide placebo 3 mL FlexPen® for subcutaneous (under the skin) injection, once daily
Eligibility Criteria
You may qualify if:
- Body Mass Index (BMI) of either 30 kg/m\^2 or more or BMI of less than 30 kg/m\^2 to 27 kg/m\^2 with presence of co-morbidities
- Stable body weight during the previous 3 months (less than 5 kg self-reported weight change)
- Previously undergone dietary weight loss and was not able to maintain reduced weight
You may not qualify if:
- Diagnosis of type 1 or type 2 diabetes
- Previous treatment with GLP-1 (glucagon-like peptide-1) receptor agonists (including liraglutide or exenatide), within the last 3 months
- Visit 1 thryoid stimulating hormone (TSH) outside of the range of 0.4-6.0 mIU/L
- History of chronic pancreatitis or idiopathic acute pancreatitis
- Obesity induced by other endocrinologic disorders (e.g., Cushing Syndrome)
- Current or history of treatment with medications that may cause significant weight gain for at least 3 months before this trial
- Current participation in an organized diet reduction program (or within the last 3 months)
- Currently using or have used within three months before this trial: pramlintide, sibutramine, orlistat, zonisamide, topiramate, phenteremine, or metformin
- Previous surgical treatment for obesity (excluding liposuction if performed more than one year before trial entry)
- History of major depressive disorder or a PHQ-9 (Patient Health Questionnaire-9) score of more than 15 within the last 2 years or history of other severe psychiatric disorders or diagnosis of an eating disorder
- Subjects with a lifetime history of a suicide attempt or history of any suicidal behavior within the past month before entry into the trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (37)
Novo Nordisk Investigational Site
Goodyear, Arizona, 85395, United States
Novo Nordisk Investigational Site
Peoria, Arizona, 85381, United States
Novo Nordisk Investigational Site
Huntington Beach, California, 92648, United States
Novo Nordisk Investigational Site
Montclair, California, 91763, United States
Novo Nordisk Investigational Site
Colorado Springs, Colorado, 80909, United States
Novo Nordisk Investigational Site
Hialeah, Florida, 33013-3835, United States
Novo Nordisk Investigational Site
Pembroke Pines, Florida, 33024, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30106, United States
Novo Nordisk Investigational Site
Meridian, Idaho, 83642, United States
Novo Nordisk Investigational Site
Louisville, Kentucky, 40213, United States
Novo Nordisk Investigational Site
Madisonville, Kentucky, 42431, United States
Novo Nordisk Investigational Site
Southfield, Michigan, 48034, United States
Novo Nordisk Investigational Site
St Louis, Missouri, 63110, United States
Novo Nordisk Investigational Site
Butte, Montana, 59701, United States
Novo Nordisk Investigational Site
Endwell, New York, 13760, United States
Novo Nordisk Investigational Site
New York, New York, 10065, United States
Novo Nordisk Investigational Site
Wilmington, North Carolina, 28401, United States
Novo Nordisk Investigational Site
Winston-Salem, North Carolina, 27103, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45236, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45245, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19104, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107, United States
Novo Nordisk Investigational Site
Charleston, South Carolina, 29406, United States
Novo Nordisk Investigational Site
Nashville, Tennessee, 37212, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75246, United States
Novo Nordisk Investigational Site
Round Rock, Texas, 78681, United States
Novo Nordisk Investigational Site
Norfolk, Virginia, 23502, United States
Novo Nordisk Investigational Site
Winnipeg, Manitoba, R3E 3P4, Canada
Novo Nordisk Investigational Site
Burlington, Ontario, L7M 4Y1, Canada
Novo Nordisk Investigational Site
Hamilton, Ontario, L8L 5G8, Canada
Novo Nordisk Investigational Site
Sarnia, Ontario, N7T 4X3, Canada
Novo Nordisk Investigational Site
Laval, Quebec, H7T 2P5, Canada
Novo Nordisk Investigational Site
Mirabel, Quebec, J7J 2K8, Canada
Novo Nordisk Investigational Site
Sherbrooke, Quebec, J1H 4J6, Canada
Novo Nordisk Investigational Site
Trois-Rivières, Quebec, G8T 7A1, Canada
Novo Nordisk Investigational Site
London, N5Y 5K7, Canada
Novo Nordisk Investigational Site
Montreal, H2W 1R7, Canada
Related Publications (7)
O'Neil PM, Garvey WT, Gonzalez-Campoy JM, Mora P, Ortiz RV, Guerrero G, Claudius B, Pi-Sunyer X; Satiety and Clinical Adiposity - Liraglutide Evidence in individuals with and without diabetes (SCALE) study groups. EFFECTS OF LIRAGLUTIDE 3.0 MG ON WEIGHT AND RISK FACTORS IN HISPANIC VERSUS NON-HIPANIC POPULATIONS: SUBGROUP ANALYSIS FROM SCALE RANDOMIZED TRIALS. Endocr Pract. 2016 Nov;22(11):1277-1287. doi: 10.4158/EP151181.OR. Epub 2016 Aug 2.
PMID: 27482610RESULTBays H, Pi-Sunyer X, Hemmingsson JU, Claudius B, Jensen CB, Van Gaal L. Liraglutide 3.0 mg for weight management: weight-loss dependent and independent effects. Curr Med Res Opin. 2017 Feb;33(2):225-229. doi: 10.1080/03007995.2016.1251892. Epub 2016 Nov 6.
PMID: 27817208RESULTWadden TA, Hollander P, Klein S, Niswender K, Woo V, Hale PM, Aronne L; NN8022-1923 Investigators. Weight maintenance and additional weight loss with liraglutide after low-calorie-diet-induced weight loss: the SCALE Maintenance randomized study. Int J Obes (Lond). 2013 Nov;37(11):1443-51. doi: 10.1038/ijo.2013.120. Epub 2013 Jul 1.
PMID: 23812094RESULTMcEvoy BW. Missing data in clinical trials for weight management. J Biopharm Stat. 2016;26(1):30-6. doi: 10.1080/10543406.2015.1094814.
PMID: 26418188RESULTSteinberg WM, Rosenstock J, Wadden TA, Donsmark M, Jensen CB, DeVries JH. Impact of Liraglutide on Amylase, Lipase, and Acute Pancreatitis in Participants With Overweight/Obesity and Normoglycemia, Prediabetes, or Type 2 Diabetes: Secondary Analyses of Pooled Data From the SCALE Clinical Development Program. Diabetes Care. 2017 Jul;40(7):839-848. doi: 10.2337/dc16-2684. Epub 2017 May 4.
PMID: 28473337RESULTO'Neil PM, Aroda VR, Astrup A, Kushner R, Lau DCW, Wadden TA, Brett J, Cancino AP, Wilding JPH; Satiety and Clinical Adiposity - Liraglutide Evidence in individuals with and without diabetes (SCALE) study groups. Neuropsychiatric safety with liraglutide 3.0 mg for weight management: Results from randomized controlled phase 2 and 3a trials. Diabetes Obes Metab. 2017 Nov;19(11):1529-1536. doi: 10.1111/dom.12963. Epub 2017 Jul 21.
PMID: 28386912RESULTDavies MJ, Aronne LJ, Caterson ID, Thomsen AB, Jacobsen PB, Marso SP; Satiety and Clinical Adiposity - Liraglutide Evidence in individuals with and without diabetes (SCALE) study groups. Liraglutide and cardiovascular outcomes in adults with overweight or obesity: A post hoc analysis from SCALE randomized controlled trials. Diabetes Obes Metab. 2018 Mar;20(3):734-739. doi: 10.1111/dom.13125. Epub 2017 Nov 1.
PMID: 28950422RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Public Access to Clinical Trials
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 28, 2008
First Posted
October 29, 2008
Study Start
October 30, 2008
Primary Completion
September 1, 2010
Study Completion
September 1, 2010
Last Updated
November 1, 2017
Results First Posted
November 28, 2011
Record last verified: 2017-09