Efficacy and Safety of Semaglutide Once-weekly Versus Placebo as add-on to Basal Insulin Alone or Basal Insulin in Combination With Metformin in Subjects With Type 2 Diabetes
SUSTAIN™ 5
4 other identifiers
interventional
397
6 countries
99
Brief Summary
This trial is conducted in Asia, Europe and the United States of America (USA). The aim of the trial is to investigate efficacy and safety of semaglutide once weekly versus placebo as add-on to basal insulin alone or basal insulin in combination with metformin 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 P50-P75 for phase_3 diabetes
Started Dec 2014
99 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
November 28, 2014
CompletedStudy Start
First participant enrolled
December 1, 2014
CompletedFirst Posted
Study publicly available on registry
December 2, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 21, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 21, 2015
CompletedResults Posted
Study results publicly available
February 19, 2018
CompletedJune 11, 2019
May 1, 2019
12 months
November 28, 2014
December 14, 2017
May 28, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in HbA1c (Glycosylated Haemoglobin)
Estimated mean change from baseline in HbA1c at week 30. The post-baseline responses are analysed using a mixed model for repeated measurements with treatment, country and stratification variable (HbA1c level at screening \[\<= 8.0% or \> 8.0%\] crossed with use of metformin \[yes or no\]; 2 by 2 levels) as fixed factors and baseline value as covariate, all nested within visit. Mean estimates are adjusted according to observed baseline distribution. Missing data was imputed using mixed model for repeated measurements.
Week 0, week 30
Secondary Outcomes (7)
Change in Body Weight
Week 0, week 30
Change in Fasting Plasma Glucose (FPG)
week 0, week 30
Change in Insulin Dose
week 0, week 30
Change in Systolic and Diastolic Blood Pressure
week 0, week 30
Patient Reported Outcomes, Diabetes Treatment Satisfaction Questionnaire (DTSQ)
week 0, week 30
- +2 more secondary outcomes
Study Arms (4)
Semaglutide 0.5 mg/Week
EXPERIMENTALSemaglutide 1.0 mg/Week
EXPERIMENTALSemaglutide Placebo 0.5 mg/Week
PLACEBO COMPARATORSemaglutide Placebo 1.0 mg/Week
PLACEBO COMPARATORInterventions
Injected subcutaneously (s.c. under the skin) once-weekly. As add-on to the pre-trial background medication.
Injected subcutaneously (s.c. under the skin) once-weekly. As add-on to the pre-trial background medication.
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (99)
Novo Nordisk Investigational Site
Phoenix, Arizona, 85018, United States
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Anaheim, California, 92801, United States
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Fresno, California, 93720, United States
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Lomita, California, 90717, United States
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Los Angeles, California, 90057-3550, United States
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Northridge, California, 91325, United States
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Poway, California, 92064, United States
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Riverside, California, 92506, United States
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Roseville, California, 95661, United States
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San Ramon, California, 94583, United States
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Van Nuys, California, 91405, United States
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Walnut Creek, California, 94598, United States
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Waterbury, Connecticut, 06708, United States
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Bradenton, Florida, 34201, United States
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Fleming Island, Florida, 32003, United States
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Jacksonville, Florida, 32204, United States
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Port Charlotte, Florida, 33952, United States
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Spring Hill, Florida, 34609, United States
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Tampa, Florida, 33634, United States
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Roswell, Georgia, 30076, United States
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Chicago, Illinois, 60607, United States
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Chicago, Illinois, 60611, United States
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Gillespie, Illinois, 62033, United States
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Skokie, Illinois, 60077, United States
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Avon, Indiana, 46123, United States
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Greenfield, Indiana, 46140, United States
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Indianapolis, Indiana, 46254, United States
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Muncie, Indiana, 47304, United States
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Council Bluffs, Iowa, 51501, United States
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Overland Park, Kansas, 66209, United States
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Topeka, Kansas, 66606, United States
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Lexington, Kentucky, 40503, United States
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Paducah, Kentucky, 42003, United States
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Metairie, Louisiana, 70002, United States
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Rockville, Maryland, 20852, United States
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Waltham, Massachusetts, 02453, United States
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Ann Arbor, Michigan, 48106, United States
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Flint, Michigan, 48532, United States
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Kalamazoo, Michigan, 49009, United States
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Jackson, Mississippi, 39209, United States
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Las Vegas, Nevada, 89103, United States
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Las Vegas, Nevada, 89128, United States
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Teaneck, New Jersey, 07666, United States
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Albuquerque, New Mexico, 87102, United States
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West Seneca, New York, 14224, United States
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Cincinnati, Ohio, 45245, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45246, United States
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Cincinnati, Ohio, 45255, United States
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Dayton, Ohio, 45439, United States
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Kettering, Ohio, 45429, United States
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Oklahoma City, Oklahoma, 73162-4704, United States
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Yukon, Oklahoma, 73099, United States
Novo Nordisk Investigational Site
Levittown, Pennsylvania, 19056-2404, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19114, United States
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Athens, Tennessee, 37303, United States
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Bristol, Tennessee, 37620-7352, United States
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Chattanooga, Tennessee, 37411, United States
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Kingsport, Tennessee, 37660, United States
Novo Nordisk Investigational Site
Amarillo, Texas, 79106, United States
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Dallas, Texas, 75251, United States
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Dallas, Texas, 75390-9302, United States
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Fort Worth, Texas, 76132, United States
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Houston, Texas, 77008, United States
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Hurst, Texas, 76054, United States
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Katy, Texas, 77450, United States
Novo Nordisk Investigational Site
Mesquite, Texas, 75149, United States
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San Antonio, Texas, 78224, United States
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Sugar Land, Texas, 77478, United States
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Sugar Land, Texas, 77479, United States
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Bountiful, Utah, 84010, United States
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Richmond, Virginia, 23219, United States
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Kenosha, Wisconsin, 53144, United States
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Essen, 45219, Germany
Novo Nordisk Investigational Site
Falkensee, 14612, Germany
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Friedrichsthal, 66299, Germany
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Hamburg, 21073, Germany
Novo Nordisk Investigational Site
Hamburg, 22587, Germany
Novo Nordisk Investigational Site
Hamburg, 22607, Germany
Novo Nordisk Investigational Site
Hohenmölsen, 06679, Germany
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Münster, 48145, Germany
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Rehlingen-Siersburg, 66780, Germany
Novo Nordisk Investigational Site
Saint Ingbert-Oberwürzbach, 66386, Germany
Novo Nordisk Investigational Site
Stuttgart, 70378, Germany
Novo Nordisk Investigational Site
Sulzbach-Rosenberg, 92237, Germany
Novo Nordisk Investigational Site
Ibaraki, 311-0113, Japan
Novo Nordisk Investigational Site
Kashiwara-shi, Osaka, 582-0005, Japan
Novo Nordisk Investigational Site
Kumamoto-shi, Kumamoto, 860-0811, Japan
Novo Nordisk Investigational Site
Miyazaki, 880-0034, Japan
Novo Nordisk Investigational Site
Osaka, 569-1045, Japan
Novo Nordisk Investigational Site
Tokyo, 103-0027, Japan
Novo Nordisk Investigational Site
Manatí, 00674, Puerto Rico
Novo Nordisk Investigational Site
Belgrade, 11000, Serbia
Novo Nordisk Investigational Site
Kragujevac, 34000, Serbia
Novo Nordisk Investigational Site
Novi Sad, 21000, Serbia
Novo Nordisk Investigational Site
Bratislava, 833 05, Slovakia
Novo Nordisk Investigational Site
Košice, 040 01, Slovakia
Novo Nordisk Investigational Site
Levice, 93401, Slovakia
Novo Nordisk Investigational Site
Lučenec, 984 01, Slovakia
Novo Nordisk Investigational Site
Prešov, 080 01, Slovakia
Related Publications (11)
Rodbard 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: 30865526BACKGROUNDRodbard H, Lingvay I, Reed J, de la Rosa R, Rose L, Sugimoto D, Araki E, Chu P-L, Wijayasinghe N, Norwood P. Efficacy and safety of semaglutide once-weekly vs placebo as add-on to basal insulin alone or in combination with metformin in subjects with type 2 diabetes (SUSTAIN 5). Diabetologia. 2016; 59: S364-5.
RESULTRodbard HW, Lingvay I, Reed J, de la Rosa R, Rose L, Sugimoto D, Araki E, Chu PL, Wijayasinghe N, Norwood P. Semaglutide Added to Basal Insulin in Type 2 Diabetes (SUSTAIN 5): A Randomized, Controlled Trial. J Clin Endocrinol Metab. 2018 Jun 1;103(6):2291-2301. doi: 10.1210/jc.2018-00070.
PMID: 29688502RESULTWarren M, Chaykin L, Trachtenbarg D, Nayak G, Wijayasinghe N, Cariou B. Semaglutide as a therapeutic option for elderly patients with type 2 diabetes: Pooled analysis of the SUSTAIN 1-5 trials. Diabetes Obes Metab. 2018 Sep;20(9):2291-2297. doi: 10.1111/dom.13331. Epub 2018 Jun 7.
PMID: 29687620RESULTAhren 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: 29766634RESULTDeVries 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: 29862621RESULTAroda 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: 30615985RESULTHusain 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: 32998732DERIVEDHusain 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)
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
November 28, 2014
First Posted
December 2, 2014
Study Start
December 1, 2014
Primary Completion
November 21, 2015
Study Completion
November 21, 2015
Last Updated
June 11, 2019
Results First Posted
February 19, 2018
Record last verified: 2019-05