Efficacy and Safety of Semaglutide Once-weekly Versus Sitagliptin Once-daily as add-on to Metformin and/or TZD in Subjects With Type 2 Diabetes
SUSTAIN™ 2
5 other identifiers
interventional
1,231
18 countries
141
Brief Summary
This trial is conducted in Africa, Asia, Europe and South America. The aim of the trial is to evaluate efficacy and safety of semaglutide once-weekly versus sitagliptin once-daily as add-on to metformin and/or TZD (thiazolidinedione) in subjects with type 2 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes
Started Dec 2013
Typical duration for phase_3 diabetes
141 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 23, 2013
CompletedFirst Posted
Study publicly available on registry
August 28, 2013
CompletedStudy Start
First participant enrolled
December 2, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 12, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 12, 2015
CompletedResults Posted
Study results publicly available
January 7, 2019
CompletedJune 13, 2019
May 1, 2019
1.9 years
August 23, 2013
December 14, 2017
May 28, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in HbA1c (Glycosylated Haemoglobin) From Baseline
Change in HbA1c from baseline until week 56.Full analysis set (FAS=1225) included all randomised subjects who had received at least one dose of randomised semaglutide or sitagliptin.
Week 0, week 56
Secondary Outcomes (5)
Change in Body Weight From Baseline
Week 0, week 56
Change in Fasting Plasma Glucose (FPG) From Baseline
Week 0, week 56
Change in Systolic and Diastolic Blood Pressure From Baseline
Week 0, week 56
Change in Patient Reported Outcome (PRO) Questionnaire Diabetes Treatment Satisfaction Questionnaire Status (DTSQs) From Baseline
Week 0, week 56
Subjects Who Achieved HbA1c Below or Equal to 6.5% (48 mmol/Mol) American Association of Clinical Endocrinologists (AACE) Target (Yes/no)
After 56 weeks treatment
Study Arms (4)
Semaglutide 0.5 mg + sitagliptin placebo
EXPERIMENTALSemaglutide 1.0 mg + sitagliptin placebo
EXPERIMENTALSitagliptin 100 mg + semaglutide placebo 1.0 mg
ACTIVE COMPARATORSitagliptin 100 mg + semaglutide placebo 0.5 mg
ACTIVE COMPARATORInterventions
For subcutaneous injection (s.c., under the skin) once weekly. Will follow a fixed dose escalation regimen. The trial drug will be added on to the subject's stable pre-trial medication.
Tablets for oral administration once daily. The trial drug will be added on to the subject's stable pre-trial medication.
Tablets for oral administration once daily. The trial drug will be added on to the subject's stable pre-trial medication.
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (141)
Novo Nordisk Investigational Site
Buenos Aires, C1425AGC, Argentina
Novo Nordisk Investigational Site
CABA, C1179AAB, Argentina
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CABA, Argentina
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Mar del Plata, B7600GNY, Argentina
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Burgas, 8000, Bulgaria
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Haskovo, 6300, Bulgaria
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Petrich, 2850, Bulgaria
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Rousse, 7000, Bulgaria
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Sliven, 8800, Bulgaria
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Smolyan, 4700, Bulgaria
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Sofia, 1233, Bulgaria
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Sofia, 1336, Bulgaria
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Stara Zagora, 6000, Bulgaria
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Vratsa, 3001, Bulgaria
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Chrudim, 537 01, Czechia
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Ostrava, 707 02, Czechia
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Pilsen, 304 60, Czechia
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Prague, 150 00, Czechia
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Praha 4- Chodov, 149 00, Czechia
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Shatin, New Territories, Hong Kong
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Budapest, 1076, Hungary
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Budapest, H-1134, Hungary
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Debrecen, 4043, Hungary
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Szeged, H-6720, Hungary
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Szombathely, H-9700, Hungary
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Hyderabad, Andhra Pradesh, 500003, India
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Ahmedabad, Gujarat, 380006, India
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Bangalore, Karnataka, 560034, India
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Bangalore, Karnataka, 560054, India
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Kochi, Kerala, 682041, India
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Kozhikode, Kerala, 673017, India
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Trivandrum, Kerala, 695011, India
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Indore, Madhya Pradesh, 452010, India
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Mumbai, Maharashtra, 400008, India
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Pune, Maharashtra, 411001, India
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Pune, Maharashtra, 411004, India
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Pune, Maharashtra, 411040, India
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Bhubaneswar, Odisha, 751019, India
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Ludhiana, Punjab, 141001, India
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Jaipur, Rajasthan, 302004, India
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Chennai, Tamil Nadu, 600116, India
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Kolkata, West Bengal, 700020, India
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Kolkata, West Bengal, 700054, India
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New Delhi, 110017, India
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Asahikawa-shi, Hokkaido, 070-0002, Japan
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Ibaraki, 311-0113, Japan
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Kashiwara-shi, Osaka, 582-0005, Japan
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Kitakyushu-shi, Fukuoka, 800 0252, Japan
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Mitaka-shi, Tokyo, 181-0013, Japan
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Mito-shi, Ibaraki, 310-0826, Japan
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Miyazaki, 880-0034, Japan
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Okayama-shi, Okayama, 700 8505, Japan
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Osaka, 569-1045, Japan
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Osaka-shi, Osaka, 532 0003, Japan
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Osaka-shi, Osaka, Japan
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Sapporo-shi, Hokkaido, 060-0001, Japan
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Tokyo, 103-0027, Japan
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Tokyo, 125-0054, Japan
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Pachuca, Hidalgo, 42084, Mexico
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Guadalajara, Jalisco, 44670, Mexico
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Monterrey, Nuevo León, 64620, Mexico
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Aguascalientes, 20129, Mexico
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Aguascalientes, 20230, Mexico
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Ålesund, 6003, Norway
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Hamar, 2317, Norway
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Kløfta, 2040, Norway
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Kongsvinger, 2212, Norway
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Stavanger, 4005, Norway
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Almada, 2805-267, Portugal
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Coimbra, 3046-853, Portugal
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Lisbon, 1250-230, Portugal
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Lisbon, 1500-650, Portugal
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Matosinhos Municipality, 4464-513, Portugal
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Tomar, 2304-909, Portugal
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Viana do Castelo, 4901-858, Portugal
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Vila Nova de Gaia, 4434-502, Portugal
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Baia Mare, Maramureş, 430123, Romania
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Ploieşti, Prahova, 100342, Romania
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Brasov, 500365, Romania
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Bucharest, 020359, Romania
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Bucharest, 022441, Romania
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Barnaul, 656024, Russia
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Moscow, 115478, Russia
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Moscow, 117036, Russia
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Moscow, 119435, Russia
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Moscow, 125367, Russia
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Moscow, Russia
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Nizhny Novgorod, 603011, Russia
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Novosibirsk, 630047, Russia
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Novosibirsk, 630099, Russia
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Saint Petersburg, 197762, Russia
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Samara, 443041, Russia
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Saratov, 410018, Russia
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Smolensk, 214019, Russia
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Tomsk, 634063, Russia
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Tyumen, 625023, Russia
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Ufa, 450083, Russia
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Volgograd, 400138, Russia
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Voronezh, 394018, Russia
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Yaroslavl, 150003, Russia
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East London, Eastern Cape, 5201, South Africa
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Bloemfontein, Free State, 9301, South Africa
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Johannesburg, Gauteng, 2001, South Africa
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Krugersdorp, Gauteng, 1739, South Africa
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Pretoria, Gauteng, 0002, South Africa
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Pretoria, Gauteng, 0084, South Africa
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Durban, KwaZulu-Natal, 4001, South Africa
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Durban, KwaZulu-Natal, 4092, South Africa
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A Coruña, 15006, Spain
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Almería, 04001, Spain
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Centelles (Barcelona), 08540, Spain
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La Roca Del Vallés, 08430, Spain
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Lleida, 25198, Spain
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Palma de Mallorca, 07010, Spain
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Seville, 41003, Spain
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Kristianstad, 291 85, Sweden
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Lund, 222 22, Sweden
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Malmo, 205 02, Sweden
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Stockholm, 113 24, Sweden
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Bangkok, 10330, Thailand
Novo Nordisk Investigational Site
Bangkok, 10400, Thailand
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Bangkoknoi, Bangkok, 10700, Thailand
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Nakhon Ratchasima, 30000, Thailand
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Ankara, 06110, Turkey (Türkiye)
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Antalya, 07058, Turkey (Türkiye)
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Çorum, 19200, Turkey (Türkiye)
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Istanbul, 34303, Turkey (Türkiye)
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Istanbul, 34371, Turkey (Türkiye)
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Istanbul, 34718, Turkey (Türkiye)
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Istanbul, 34722, Turkey (Türkiye)
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Istanbul, 34752, Turkey (Türkiye)
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Istanbul, 34890, Turkey (Türkiye)
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Konya, 42090, Turkey (Türkiye)
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Rize, 53020, Turkey (Türkiye)
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Trabzon, 61040, Turkey (Türkiye)
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Cherkasy, 18009, Ukraine
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Ivano-Frankivsk, 76018, Ukraine
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Kyiv, 04114, Ukraine
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Odesa, 65114, Ukraine
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Vinnytsia, 21010, Ukraine
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Zaporizhia, 69600, Ukraine
Related Publications (18)
Fonseca VA, Capehorn MS, Garg SK, Jodar Gimeno E, Hansen OH, Holst AG, Nayak G, Seufert J. Reductions in Insulin Resistance are Mediated Primarily via Weight Loss in Subjects With Type 2 Diabetes on Semaglutide. J Clin Endocrinol Metab. 2019 Sep 1;104(9):4078-4086. doi: 10.1210/jc.2018-02685.
PMID: 30938762BACKGROUNDRodbard HW, Bellary S, Hramiak I, Seino Y, Silver R, Damgaard LH, Nayak G, Zacho J, Aroda VR. GREATER COMBINED REDUCTIONS IN HbA1C >/=1.0% AND WEIGHT >/=5.0% WITH SEMAGLUTIDE VERSUS COMPARATORS IN TYPE 2 DIABETES. Endocr Pract. 2019 Jun;25(6):589-597. doi: 10.4158/EP-2018-0444. Epub 2019 Mar 13.
PMID: 30865526BACKGROUNDAhrén B, Comas LM, Kumar H, Sargin M, Derving Karsbøl J, Jacobsen SH, Chow F. Efficacy and Safety of Once-weekly Semaglutide vs Sitagliptin as add-on to Metformin and/or Thiazolidinediones After 56 Weeks in Subjects With Type 2 Diabetes (SUSTAIN 2). Oral Presentation 12 Jun 2016 at American Diabetes Association - 76th Annual Scientific Sessions.
RESULTAhrén B, Masmiquel L, Kumar H, Sargin M, Derving Karsbøl J, Jacobsen SH, Chow F. Efficacy and Safety of Once-weekly Semaglutide vs Sitagliptin as add-on to Metformin and/or Thiazolidinediones After 56 Weeks in Subjects With Type 2 Diabetes (SUSTAIN 2). ePoster #767 presented 12 Sep 2016 at European Association for the Study of Diabetes - 52nd Annual Meeting.
RESULTAhren B, Masmiquel L, Kumar H, Sargin M, Karsbol JD, Jacobsen SH, Chow F. Efficacy and safety of once-weekly semaglutide versus once-daily sitagliptin as an add-on to metformin, thiazolidinediones, or both, in patients with type 2 diabetes (SUSTAIN 2): a 56-week, double-blind, phase 3a, randomised trial. Lancet Diabetes Endocrinol. 2017 May;5(5):341-354. doi: 10.1016/S2213-8587(17)30092-X. Epub 2017 Apr 3.
PMID: 28385659RESULTPetri KCC, Ingwersen SH, Flint A, Zacho J, Overgaard RV. Exposure-response analysis for evaluation of semaglutide dose levels in type 2 diabetes. Diabetes Obes Metab. 2018 Sep;20(9):2238-2245. doi: 10.1111/dom.13358. Epub 2018 Jun 15.
PMID: 29748996RESULTAhren B, Atkin SL, Charpentier G, Warren ML, Wilding JPH, Birch S, Holst AG, Leiter LA. Semaglutide induces weight loss in subjects with type 2 diabetes regardless of baseline BMI or gastrointestinal adverse events in the SUSTAIN 1 to 5 trials. Diabetes Obes Metab. 2018 Sep;20(9):2210-2219. doi: 10.1111/dom.13353. Epub 2018 Jun 12.
PMID: 29766634RESULTSharma R, Wilkinson L, Vrazic H, Popoff E, Lopes S, Kanters S, Druyts E. Comparative efficacy of once-weekly semaglutide and SGLT-2 inhibitors in type 2 diabetic patients inadequately controlled with metformin monotherapy: a systematic literature review and network meta-analysis. Curr Med Res Opin. 2018 Sep;34(9):1595-1603. doi: 10.1080/03007995.2018.1476332. Epub 2018 May 29.
PMID: 29764222RESULTDeVries JH, Desouza C, Bellary S, Unger J, Hansen OKH, Zacho J, Woo V. Achieving glycaemic control without weight gain, hypoglycaemia, or gastrointestinal adverse events in type 2 diabetes in the SUSTAIN clinical trial programme. Diabetes Obes Metab. 2018 Oct;20(10):2426-2434. doi: 10.1111/dom.13396. Epub 2018 Jul 9.
PMID: 29862621RESULTCarlsson Petri KC, Ingwersen SH, Flint A, Zacho J, Overgaard RV. Semaglutide s.c. Once-Weekly in Type 2 Diabetes: A Population Pharmacokinetic Analysis. Diabetes Ther. 2018 Aug;9(4):1533-1547. doi: 10.1007/s13300-018-0458-5. Epub 2018 Jun 15.
PMID: 29907893RESULTAroda VR, Ahmann A, Cariou B, Chow F, Davies MJ, Jodar E, Mehta R, Woo V, Lingvay I. Comparative efficacy, safety, and cardiovascular outcomes with once-weekly subcutaneous semaglutide in the treatment of type 2 diabetes: Insights from the SUSTAIN 1-7 trials. Diabetes Metab. 2019 Oct;45(5):409-418. doi: 10.1016/j.diabet.2018.12.001. Epub 2019 Jan 4.
PMID: 30615985RESULTPulleyblank R, Larsen NB. Cost-Effectiveness of Semaglutide vs. Empagliflozin, Canagliflozin, and Sitagliptin for Treatment of Patients with Type 2 Diabetes in Denmark: A Decision-Analytic Modelling Study. Pharmacoecon Open. 2023 Jul;7(4):579-591. doi: 10.1007/s41669-023-00416-z. Epub 2023 May 13.
PMID: 37178435DERIVEDHusain M, Bain SC, Holst AG, Mark T, Rasmussen S, Lingvay I. Effects of semaglutide on risk of cardiovascular events across a continuum of cardiovascular risk: combined post hoc analysis of the SUSTAIN and PIONEER trials. Cardiovasc Diabetol. 2020 Sep 30;19(1):156. doi: 10.1186/s12933-020-01106-4.
PMID: 32998732DERIVEDLingvay I, Capehorn MS, Catarig AM, Johansen P, Lawson J, Sandberg A, Shaw R, Paine A. Efficacy of Once-Weekly Semaglutide vs Empagliflozin Added to Metformin in Type 2 Diabetes: Patient-Level Meta-analysis. J Clin Endocrinol Metab. 2020 Dec 1;105(12):e4593-604. doi: 10.1210/clinem/dgaa577.
PMID: 32827435DERIVEDCapehorn M, Ghani Y, Hindsberger C, Johansen P, Jodar E. Once-Weekly Semaglutide Reduces HbA1c and Body Weight in Patients with Type 2 Diabetes Regardless of Background Common OAD: a Subgroup Analysis from SUSTAIN 2-4 and 10. Diabetes Ther. 2020 May;11(5):1061-1075. doi: 10.1007/s13300-020-00796-z. Epub 2020 Mar 19.
PMID: 32193837DERIVEDHusain M, Bain SC, Jeppesen OK, Lingvay I, Sorrig R, Treppendahl MB, Vilsboll T. Semaglutide (SUSTAIN and PIONEER) reduces cardiovascular events in type 2 diabetes across varying cardiovascular risk. Diabetes Obes Metab. 2020 Mar;22(3):442-451. doi: 10.1111/dom.13955. Epub 2020 Feb 5.
PMID: 31903692DERIVEDDeSouza C, Cariou B, Garg S, Lausvig N, Navarria A, Fonseca V. Efficacy and Safety of Semaglutide for Type 2 Diabetes by Race and Ethnicity: A Post Hoc Analysis of the SUSTAIN Trials. J Clin Endocrinol Metab. 2020 Feb 1;105(2):dgz072. doi: 10.1210/clinem/dgz072.
PMID: 31769496DERIVEDJendle J, Birkenfeld AL, Polonsky WH, Silver R, Uusinarkaus K, Hansen T, Hakan-Bloch J, Tadayon S, Davies MJ. Improved treatment satisfaction in patients with type 2 diabetes treated with once-weekly semaglutide in the SUSTAIN trials. Diabetes Obes Metab. 2019 Oct;21(10):2315-2326. doi: 10.1111/dom.13816. Epub 2019 Jul 12.
PMID: 31215727DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
None reported
Results Point of Contact
- Title
- Global Clinical Registry (GCR, 1452)
- 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
August 23, 2013
First Posted
August 28, 2013
Study Start
December 2, 2013
Primary Completion
October 12, 2015
Study Completion
October 12, 2015
Last Updated
June 13, 2019
Results First Posted
January 7, 2019
Record last verified: 2019-05