NCT02863328

Brief Summary

This trial is conducted globally. The aim of this trial is to investigate Efficacy and Safety of Oral Semaglutide versus Empagliflozin in Subjects with Type 2 Diabetes Mellitus.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
822

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Aug 2016

Typical duration for phase_3 diabetes

Geographic Reach
12 countries

106 active sites

Status
completed

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 8, 2016

Completed
2 days until next milestone

Study Start

First participant enrolled

August 10, 2016

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 11, 2016

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2017

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 8, 2018

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

December 24, 2019

Completed
Last Updated

July 20, 2022

Status Verified

July 1, 2022

Enrollment Period

12 months

First QC Date

August 8, 2016

Results QC Date

October 15, 2019

Last Update Submit

July 11, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c

    Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 26. The endpoint was evaluated based on data from the in-trial observation period which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication.

    Week 0, week 26

Secondary Outcomes (49)

  • Change in Body Weight (Kg)

    Week 0, week 26

  • Change in HbA1c (%)

    Week 0, week 52

  • Change in Body Weight (kg)

    Week 0, week 52

  • Change in Fasting Plasma Glucose

    Week 0, week 26, week 52

  • Change in SMPG : Mean of the 7-point Profile

    Week 0, week 26 and week 52

  • +44 more secondary outcomes

Study Arms (2)

14 mg oral semaglutide

EXPERIMENTAL
Drug: semaglutide

25 mg empagliflozin

ACTIVE COMPARATOR
Drug: empagliflozin

Interventions

Oral administration once-daily.

14 mg oral semaglutide

Oral administration once-daily.

25 mg empagliflozin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Informed consent 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, age above or equal to 18 years at the time of signing informed consent
  • Diagnosed with type 2 diabetes mellitus at least 90 days prior to day of screening
  • HbA1c (glycosylated haemoglobin) of 7.0-10.5 % (53-91 mmol/mol) (both inclusive)
  • Stable daily dose of metformin (at least 1500 mg or maximum tolerated dose as documented in the subject medical record) at least 90 days prior to the day of screening

You may not qualify if:

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice).For certain specific countries: Additional specific requirements apply
  • Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol
  • Family or personal history of Multiple Endocrine Neoplasia Type 2 or Medullary Thyroid Carcinoma
  • History of pancreatitis (acute or chronic)
  • History of major surgical procedures involving the stomach potentially affecting absorption of trial product (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery)
  • Any of the following: myocardial infarction, stroke or hospitalisation for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening
  • Subjects presently classified as being in New York Heart Association Class IV
  • Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
  • Subjects with ALT (alanine aminotransferase) above 2.5 x upper normal limit
  • Renal impairment defined as Estimated Glomerular Filtration Rate below 60 mL/min/1.73 m\^2 as per Chronic Kidney Disease Epidemiology Collaboration formula (CKD-EPI)
  • Proliferative retinopathy or maculopathy requiring acute treatment. Verified by fundus photography or dilated fundoscopy performed within 90 days prior to randomisation
  • History or presence of malignant neoplasms within the last 5 years (except basal and squamous cell skin cancer and carcinoma in situ)
  • History of diabetic ketoacidosis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (106)

Novo Nordisk Investigational Site

Tuscumbia, Alabama, 35674, United States

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Novo Nordisk Investigational Site

Encino, California, 91436, United States

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Novo Nordisk Investigational Site

La Mesa, California, 91942, United States

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Novo Nordisk Investigational Site

Northridge, California, 91325, United States

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Novo Nordisk Investigational Site

Palm Springs, California, 92262-6972, United States

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Novo Nordisk Investigational Site

Poway, California, 92064, United States

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Novo Nordisk Investigational Site

Riverside, California, 92506, United States

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Novo Nordisk Investigational Site

Spring Valley, California, 91978, United States

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Novo Nordisk Investigational Site

Bradenton, Florida, 34201, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32216, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32256, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32277, United States

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Novo Nordisk Investigational Site

Miami, Florida, 33143, United States

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Novo Nordisk Investigational Site

Miami Lakes, Florida, 33014, United States

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Novo Nordisk Investigational Site

Orlando, Florida, 32801, United States

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Novo Nordisk Investigational Site

Oviedo, Florida, 32765, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30328, United States

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Novo Nordisk Investigational Site

Perry, Georgia, 31069, United States

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Novo Nordisk Investigational Site

Meridian, Idaho, 83646, United States

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Novo Nordisk Investigational Site

Peoria, Illinois, 61603, United States

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Novo Nordisk Investigational Site

Evansville, Indiana, 47713, United States

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Novo Nordisk Investigational Site

Indianapolis, Indiana, 46254, United States

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Novo Nordisk Investigational Site

Lexington, Kentucky, 40502, United States

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Novo Nordisk Investigational Site

Lexington, Kentucky, 40503, United States

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Novo Nordisk Investigational Site

Baton Rouge, Louisiana, 70808-4124, United States

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Novo Nordisk Investigational Site

Rockville, Maryland, 20852, United States

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Novo Nordisk Investigational Site

Boston, Massachusetts, 02118, United States

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Novo Nordisk Investigational Site

Buckley, Michigan, 49620, United States

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Novo Nordisk Investigational Site

Kalamazoo, Michigan, 49009, United States

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Novo Nordisk Investigational Site

Butte, Montana, 59701, United States

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Novo Nordisk Investigational Site

Albany, New York, 12203, United States

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Novo Nordisk Investigational Site

Northport, New York, 11768, United States

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Novo Nordisk Investigational Site

Wilmington, North Carolina, 28401, United States

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Novo Nordisk Investigational Site

Cincinnati, Ohio, 45245, United States

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Novo Nordisk Investigational Site

Mason, Ohio, 45040-6815, United States

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Novo Nordisk Investigational Site

Philadelphia, Pennsylvania, 19140, United States

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Novo Nordisk Investigational Site

Greer, South Carolina, 29651, United States

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Novo Nordisk Investigational Site

Humboldt, Tennessee, 38343, United States

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Novo Nordisk Investigational Site

Kingsport, Tennessee, 37660, United States

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Novo Nordisk Investigational Site

Arlington, Texas, 76012-4637, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75230, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77004, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77074, United States

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Novo Nordisk Investigational Site

Katy, Texas, 77450, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78209, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78228-3419, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78258, United States

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Novo Nordisk Investigational Site

Richmond, Virginia, 23219, United States

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Novo Nordisk Investigational Site

CABA, C1417EYG, Argentina

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Novo Nordisk Investigational Site

Capital Federal, 1405, Argentina

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Novo Nordisk Investigational Site

Córdoba, X5006IKK, Argentina

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Novo Nordisk Investigational Site

Córdoba, X5016KEH, Argentina

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Novo Nordisk Investigational Site

São Paulo, São Paulo, 01228-000, Brazil

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Novo Nordisk Investigational Site

Porto Alegre, 90035-170, Brazil

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Novo Nordisk Investigational Site

São Paulo, 05437-010, Brazil

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Novo Nordisk Investigational Site

Karlovac, 47000, Croatia

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Novo Nordisk Investigational Site

Krapinske Toplice, 49217, Croatia

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Novo Nordisk Investigational Site

Pula, 52100, Croatia

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Novo Nordisk Investigational Site

Virovitica, 33000, Croatia

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Novo Nordisk Investigational Site

Zagreb, 10 000, Croatia

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Novo Nordisk Investigational Site

Zagreb, 10000, Croatia

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Novo Nordisk Investigational Site

Athens, 115 25, Greece

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Novo Nordisk Investigational Site

Athens, GR-10552, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-54636, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-54642, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-54643, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-57001, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-57010, Greece

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Novo Nordisk Investigational Site

Budapest, 1139, Hungary

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Novo Nordisk Investigational Site

Budapest, 1152, Hungary

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Novo Nordisk Investigational Site

Cegléd, 2700, Hungary

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Novo Nordisk Investigational Site

Nyíregyhaza, 4400, Hungary

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Novo Nordisk Investigational Site

Salgótarján, 3100, Hungary

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Novo Nordisk Investigational Site

Szekszárd, 7100, Hungary

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Novo Nordisk Investigational Site

Bologna, 40138, Italy

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Novo Nordisk Investigational Site

Lucca, 55100, Italy

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Novo Nordisk Investigational Site

Palermo, 90127, Italy

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Novo Nordisk Investigational Site

Roma, 00133, Italy

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Novo Nordisk Investigational Site

Roma, 00161, Italy

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Novo Nordisk Investigational Site

Siena, 53100, Italy

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Novo Nordisk Investigational Site

Bialystok, 15-435, Poland

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Novo Nordisk Investigational Site

Lublin, 20-538, Poland

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Novo Nordisk Investigational Site

Puławy, 24-100, Poland

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Novo Nordisk Investigational Site

Warsaw, 00-911, Poland

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Novo Nordisk Investigational Site

Wroclaw, 50-127, Poland

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Novo Nordisk Investigational Site

Zabrze, 41-800, Poland

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Novo Nordisk Investigational Site

Kazan', 420012, Russia

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Novo Nordisk Investigational Site

Moscow, 117292, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 194291, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 194356, Russia

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Novo Nordisk Investigational Site

Saratov, 410053, Russia

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Novo Nordisk Investigational Site

Tyumen, 625023, Russia

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Novo Nordisk Investigational Site

Kragujevac, 34000, Serbia

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Novo Nordisk Investigational Site

Niš, 18000, Serbia

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Novo Nordisk Investigational Site

Novi Sad, 21000, Serbia

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Novo Nordisk Investigational Site

Almería, 04001, Spain

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Novo Nordisk Investigational Site

Centelles (Barcelona), 08540, Spain

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Novo Nordisk Investigational Site

L'Hospitalet de Llobregat, 08907, Spain

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Novo Nordisk Investigational Site

La Roca Del Vallés, 08430, Spain

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Novo Nordisk Investigational Site

Pozuelo de Alarcón, 28223, Spain

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Novo Nordisk Investigational Site

Seville, 41009, Spain

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Novo Nordisk Investigational Site

Seville, 41010, Spain

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Novo Nordisk Investigational Site

Valencia, 46010, Spain

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Novo Nordisk Investigational Site

Vic (Barcelona), 08500, Spain

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Novo Nordisk Investigational Site

Bangkok, 10400, Thailand

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Novo Nordisk Investigational Site

Bangkoknoi, Bangkok, 10700, Thailand

Location

Related Publications (8)

  • Rodbard HW, Rosenstock J, Canani LH, Deerochanawong C, Gumprecht J, Lindberg SO, Lingvay I, Sondergaard AL, Treppendahl MB, Montanya E; PIONEER 2 Investigators. Oral Semaglutide Versus Empagliflozin in Patients With Type 2 Diabetes Uncontrolled on Metformin: The PIONEER 2 Trial. Diabetes Care. 2019 Dec;42(12):2272-2281. doi: 10.2337/dc19-0883. Epub 2019 Sep 17.

  • Eliasson B, Ericsson A, Fridhammar A, Nilsson A, Persson S, Chubb B. Long-Term Cost Effectiveness of Oral Semaglutide Versus Empagliflozin and Sitagliptin for the Treatment of Type 2 Diabetes in the Swedish Setting. Pharmacoecon Open. 2022 May;6(3):343-354. doi: 10.1007/s41669-021-00317-z. Epub 2022 Jan 21.

  • Aroda VR, Bauer R, Christiansen E, Haluzik M, Kallenbach K, Montanya E, Rosenstock J, Meier JJ. Efficacy and safety of oral semaglutide by subgroups of patient characteristics in the PIONEER phase 3 programme. Diabetes Obes Metab. 2022 Jul;24(7):1338-1350. doi: 10.1111/dom.14710. Epub 2022 May 9.

  • Pulleyblank 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.

  • Mosenzon O, Capehorn MS, De Remigis A, Rasmussen S, Weimers P, Rosenstock J. Impact of semaglutide on high-sensitivity C-reactive protein: exploratory patient-level analyses of SUSTAIN and PIONEER randomized clinical trials. Cardiovasc Diabetol. 2022 Sep 2;21(1):172. doi: 10.1186/s12933-022-01585-7.

  • Lingvay 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.

  • Thethi TK, Pratley R, Meier JJ. Efficacy, safety and cardiovascular outcomes of once-daily oral semaglutide in patients with type 2 diabetes: The PIONEER programme. Diabetes Obes Metab. 2020 Aug;22(8):1263-1277. doi: 10.1111/dom.14054. Epub 2020 May 13.

  • Husain 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.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

semaglutideempagliflozin

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Results Point of Contact

Title
Clinical Reporting Anchor and Disclosure (1452)
Organization
Novo Nordisk A/S

Study Officials

  • Global Clinical Registry (GCR, 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 8, 2016

First Posted

August 11, 2016

Study Start

August 10, 2016

Primary Completion

August 1, 2017

Study Completion

March 8, 2018

Last Updated

July 20, 2022

Results First Posted

December 24, 2019

Record last verified: 2022-07

Locations