NCT02863419

Brief Summary

This trial is conducted globally. The aim of this trial is to investigate efficacy and safety of oral Semaglutide versus Liraglutide and versus Placebo 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
711

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Aug 2016

Typical duration for phase_3 diabetes

Geographic Reach
13 countries

108 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
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 19, 2017

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2018

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

November 7, 2019

Completed
Last Updated

July 20, 2022

Status Verified

July 1, 2022

Enrollment Period

1 year

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 (Week 26)

    Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 26. The endpoint was evaluated based on the 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 and/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 and/or premature trial product discontinuation.

    Week 0, week 26

Secondary Outcomes (39)

  • Change in Body Weight (Week 26)

    Week 0, week 26

  • Change in HbA1c (Week 52)

    Week 0, week 52

  • Change in Body Weight (Week 52)

    Week 0, week 52

  • Change in Body Weight (%)

    Week 0, Week 26, Week 52

  • Change in Fasting Plasma Glucose

    Week 0, week 26, week 52

  • +34 more secondary outcomes

Study Arms (3)

Oral Semaglutide

EXPERIMENTAL
Drug: semaglutide

Liraglutide

ACTIVE COMPARATOR
Drug: liraglutide

Placebo

PLACEBO COMPARATOR
Drug: placebo

Interventions

Oral semaglutide once-daily.

Oral Semaglutide

Subcutaneous (s.c.) injection once-daily.

Liraglutide

Placebo once-daily.

Placebo

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. For Japan only: Male or female, age at least 20 years at the time of signing informed consent
  • Diagnosed with type 2 diabetes mellitus for at least 90 days prior to day of screening.
  • HbA1c (glycosylated haemoglobin) of 7.0-9.5 % (53-80.3 mmol/mol) (both inclusive)
  • Stable daily dose of metformin (above or equal to 1500 mg or maximum tolerated dose as documented in the subject medical record) alone or in combination with a stable daily dose of a SGLT-2 (sodium-glucose co-transporter-2) inhibitor for at least 90 days prior to day of screening (fixed-dose combinations are allowed)

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 (MEN 2) or Medullary Thyroid Carcinoma (MTC)
  • History of pancreatitis (acute or chronic)
  • History of major surgical procedures involving the stomach and potentially affecting absorption of trial product (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery)
  • Any of the following: myocardial infarction (MI), 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 (NYHA) Class IV
  • Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
  • Subjects with ALT (alanine aminotransferase) above 2.5 × upper normal limit (UNL)
  • Renal impairment defined as estimated Glomerular Filtration Rate (eGFR) 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 (108)

Novo Nordisk Investigational Site

Birmingham, Alabama, 35222, United States

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Novo Nordisk Investigational Site

Los Alamitos, California, 90720, United States

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Novo Nordisk Investigational Site

San Diego, California, 92111, United States

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Novo Nordisk Investigational Site

Denver, Colorado, 80246, United States

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Novo Nordisk Investigational Site

Hallandale, Florida, 33009, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32256, United States

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Novo Nordisk Investigational Site

Miami, Florida, 33155, United States

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Novo Nordisk Investigational Site

Ocala, Florida, 34470, United States

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Novo Nordisk Investigational Site

Orlando, Florida, 32801, United States

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Novo Nordisk Investigational Site

Orlando, Florida, 32804, United States

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Novo Nordisk Investigational Site

Ormond Beach, Florida, 32174-6302, United States

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Novo Nordisk Investigational Site

St. Petersburg, Florida, 33713, United States

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Novo Nordisk Investigational Site

West Palm Beach, Florida, 33401, United States

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Novo Nordisk Investigational Site

Peoria, Illinois, 61603, United States

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Novo Nordisk Investigational Site

Topeka, Kansas, 66606, United States

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Novo Nordisk Investigational Site

Slidell, Louisiana, 70461-4231, United States

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Novo Nordisk Investigational Site

Butte, Montana, 59701, United States

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Novo Nordisk Investigational Site

Lebanon, New Hampshire, 03756, United States

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Novo Nordisk Investigational Site

Teaneck, New Jersey, 07666, United States

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Novo Nordisk Investigational Site

Albany, New York, 12203, United States

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Novo Nordisk Investigational Site

Mineola, New York, 11501, United States

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Novo Nordisk Investigational Site

Greensboro, North Carolina, 27408, United States

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Novo Nordisk Investigational Site

Morganton, North Carolina, 28655, United States

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Novo Nordisk Investigational Site

Wilmington, North Carolina, 28401, United States

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Novo Nordisk Investigational Site

Dublin, Ohio, 43016, United States

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Novo Nordisk Investigational Site

Maumee, Ohio, 43537, United States

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Novo Nordisk Investigational Site

Norman, Oklahoma, 73069, United States

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Novo Nordisk Investigational Site

McMurray, Pennsylvania, 15317, United States

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Novo Nordisk Investigational Site

Summerville, South Carolina, 29485, United States

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Novo Nordisk Investigational Site

Bristol, Tennessee, 37620-7352, 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

Dallas, Texas, 75390-9302, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77004-7000, United States

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Novo Nordisk Investigational Site

North Richland Hills, Texas, 76180, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78229, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78249, United States

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Novo Nordisk Investigational Site

Newport News, Virginia, 23606, United States

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Novo Nordisk Investigational Site

Richmond, Virginia, 23219, United States

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Novo Nordisk Investigational Site

Virginia Beach, Virginia, 23454, United States

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Novo Nordisk Investigational Site

Karlovac, 47000, Croatia

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Novo Nordisk Investigational Site

Osijek, 31 000, Croatia

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Novo Nordisk Investigational Site

Slavonski Brod, 35 000, 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

Náchod, 54701, Czechia

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Novo Nordisk Investigational Site

Pilsen, 304 60, Czechia

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Novo Nordisk Investigational Site

Prague, 150 00, Czechia

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Novo Nordisk Investigational Site

Bochum, 44791, Germany

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Novo Nordisk Investigational Site

Duisburg, 47051, Germany

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Novo Nordisk Investigational Site

Falkensee, 14612, Germany

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Novo Nordisk Investigational Site

Hamburg, 22607, Germany

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Novo Nordisk Investigational Site

Ludwigshafen, 67059, Germany

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Novo Nordisk Investigational Site

Oldenburg I. Holst, 23758, Germany

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Novo Nordisk Investigational Site

Saint Ingbert-Oberwürzbach, 66386, Germany

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Novo Nordisk Investigational Site

Villingen-Schwenningen, 78048, Germany

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Novo Nordisk Investigational Site

Budapest, 1032, Hungary

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Novo Nordisk Investigational Site

Budapest, 1042, Hungary

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Novo Nordisk Investigational Site

Gyula, 5700, Hungary

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Novo Nordisk Investigational Site

Kalocsa, 6300, Hungary

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Novo Nordisk Investigational Site

Nagykanizsa, 8800, Hungary

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Novo Nordisk Investigational Site

Szeged, H-6725, Hungary

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Novo Nordisk Investigational Site

Székesfehérvár, 8000, Hungary

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Novo Nordisk Investigational Site

Szigetvár, 7900, Hungary

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Novo Nordisk Investigational Site

Szolnok, 5004, Hungary

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Novo Nordisk Investigational Site

Tatabánya, 2800, Hungary

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Novo Nordisk Investigational Site

Bunkyo-ku, Tokyo, 113-8655, Japan

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Novo Nordisk Investigational Site

Kumamoto-shi,Kumamoto, 862 0976, Japan

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Novo Nordisk Investigational Site

Mito-shi, Ibaraki, 310-0826, Japan

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Novo Nordisk Investigational Site

Okawa-shi, Fukuoka, 831-0016, Japan

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Novo Nordisk Investigational Site

Sapporo-shi, Hokkaido, 060-0001, Japan

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Novo Nordisk Investigational Site

Shimotsuke-shi, Tochigi, 329-0433, Japan

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Novo Nordisk Investigational Site

Suita-shi, Osaka, 564-0051, Japan

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Novo Nordisk Investigational Site

Tochigi, 323-0022, Japan

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Novo Nordisk Investigational Site

Yamato-shi, Kanagawa, 242-0004, Japan

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Novo Nordisk Investigational Site

Ogre, LV-5001, Latvia

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Novo Nordisk Investigational Site

Riga, LV-1002, Latvia

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Novo Nordisk Investigational Site

Riga, LV-1011, Latvia

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Novo Nordisk Investigational Site

Riga, LV-1038, Latvia

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Novo Nordisk Investigational Site

Bialystok, 15-445, Poland

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Novo Nordisk Investigational Site

Bydgoszcz, 85-822, Poland

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Novo Nordisk Investigational Site

Gdansk, 80-214, Poland

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Novo Nordisk Investigational Site

Gniewkowo, 88-140, Poland

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Novo Nordisk Investigational Site

Krakow, 30-363, Poland

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Novo Nordisk Investigational Site

Poznan, 60-589, Poland

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Novo Nordisk Investigational Site

Szczecin, 70-506, Poland

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Novo Nordisk Investigational Site

Warsaw, 02-507, Poland

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Novo Nordisk Investigational Site

Wroclaw, 52-416, Poland

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Novo Nordisk Investigational Site

Toa Baja, 00949, Puerto Rico

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Novo Nordisk Investigational Site

Bardejov, 08501, Slovakia

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Novo Nordisk Investigational Site

Bratislava, 851 01, Slovakia

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Novo Nordisk Investigational Site

Košice, 040 01, Slovakia

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Novo Nordisk Investigational Site

Nitra, 949 01, Slovakia

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Novo Nordisk Investigational Site

Rožňava, 04801, Slovakia

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Novo Nordisk Investigational Site

Vrútky, 038 61, Slovakia

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Novo Nordisk Investigational Site

Benoni, Gauteng, 1501, South Africa

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 2193, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4092, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4450, South Africa

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Novo Nordisk Investigational Site

Cape Town, Western Cape, 7500, South Africa

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Novo Nordisk Investigational Site

Kyiv, 04114, Ukraine

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Novo Nordisk Investigational Site

Odesa, 65059, Ukraine

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Novo Nordisk Investigational Site

Vinnytsia, 21010, Ukraine

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Novo Nordisk Investigational Site

Ajman, 21499, United Arab Emirates

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Novo Nordisk Investigational Site

Al Mafraq, 2951, United Arab Emirates

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Novo Nordisk Investigational Site

Dubai, 4545, United Arab Emirates

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Novo Nordisk Investigational Site

Rahba City, 34555, United Arab Emirates

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Novo Nordisk Investigational Site

Umm Al Quwain City, 24, United Arab Emirates

Location

Related Publications (7)

  • Pratley R, Amod A, Hoff ST, Kadowaki T, Lingvay I, Nauck M, Pedersen KB, Saugstrup T, Meier JJ; PIONEER 4 investigators. Oral semaglutide versus subcutaneous liraglutide and placebo in type 2 diabetes (PIONEER 4): a randomised, double-blind, phase 3a trial. Lancet. 2019 Jul 6;394(10192):39-50. doi: 10.1016/S0140-6736(19)31271-1. Epub 2019 Jun 8.

  • Araki E, Terauchi Y, Watada H, Deenadayalan S, Christiansen E, Horio H, Kadowaki T. Efficacy and safety of oral semaglutide in Japanese patients with type 2 diabetes: A post hoc subgroup analysis of the PIONEER 1, 3, 4 and 8 trials. Diabetes Obes Metab. 2021 Dec;23(12):2785-2794. doi: 10.1111/dom.14536. Epub 2021 Sep 27.

  • 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.

  • Ren H, Berry S, Malkin SJP, Hunt B, Bain S. Early use of oral semaglutide in the UK: A cost-effectiveness analysis versus continuing metformin and SGLT-2 inhibitor therapy. BMJ Open. 2023 Sep 29;13(9):e070473. doi: 10.1136/bmjopen-2022-070473.

  • Pratley RE, Crowley MJ, Gislum M, Hertz CL, Jensen TB, Khunti K, Mosenzon O, Buse JB. Oral Semaglutide Reduces HbA1c and Body Weight in Patients with Type 2 Diabetes Regardless of Background Glucose-Lowering Medication: PIONEER Subgroup Analyses. Diabetes Ther. 2021 Apr;12(4):1099-1116. doi: 10.1007/s13300-020-00994-9. Epub 2021 Mar 4.

  • 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

semaglutideLiraglutide

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Glucagon-Like Peptide 1Glucagon-Like PeptidesProglucagonGastrointestinal HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists

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
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
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 19, 2017

Study Completion

March 30, 2018

Last Updated

July 20, 2022

Results First Posted

November 7, 2019

Record last verified: 2022-07

Locations