NCT02906930

Brief Summary

This trial is conducted globally. The aim of this trial is to investigate efficacy and safety of oral semaglutide versus placebo in subjects with type 2 diabetes mellitus treated with diet and exercise only.

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
703

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Sep 2016

Geographic Reach
11 countries

105 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

September 15, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 20, 2016

Completed
Same day until next milestone

Study Start

First participant enrolled

September 20, 2016

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2017

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 8, 2017

Completed
2.2 years until next milestone

Results Posted

Study results publicly available

February 17, 2020

Completed
Last Updated

July 20, 2022

Status Verified

July 1, 2022

Enrollment Period

1.1 years

First QC Date

September 15, 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) to week 26 in glycosylated haemoglobin (HbA1c). The endpoint was evaluated based on data from the in-trial observation period. The in-trial observation period - time period from when a subject was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature discontinuation of trial product. The primary endpoint was also analysed based on data from the on-treatment without rescue medication observation period. The on-treatment without rescue medication observation period - time period when a subject was on treatment with trial product, excluding any period after initiation of rescue medication.

    Week 0, week 26

Secondary Outcomes (47)

  • Change in Body Weight (kg)

    Week 0, week 26

  • Change in Fasting Plasma Glucose

    Week 0, week 26

  • Change in Mean 7-point SMPG Profile

    Week 0, week 26

  • Change in Mean Postprandial Increment Over All Meals in SMPG

    Week 0, week 26

  • Change in Fasting Insulin - Ratio to Baseline

    Week 0, week 26

  • +42 more secondary outcomes

Study Arms (4)

3 mg oral semaglutide

EXPERIMENTAL
Drug: semaglutide

7 mg oral semaglutide

EXPERIMENTAL
Drug: semaglutide

14 mg oral semaglutide

EXPERIMENTAL
Drug: semaglutide

Placebo

PLACEBO COMPARATOR
Drug: placebo

Interventions

Oral administration once daily.

14 mg oral semaglutide3 mg oral semaglutide7 mg oral semaglutide

Oral administration once daily.

Placebo

Eligibility Criteria

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (105)

Novo Nordisk Investigational Site

Lancaster, California, 93534, United States

Location

Novo Nordisk Investigational Site

Los Angeles, California, 90057, United States

Location

Novo Nordisk Investigational Site

Montclair, California, 91763, United States

Location

Novo Nordisk Investigational Site

North Hollywood, California, 91606, United States

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Novo Nordisk Investigational Site

Riverside, California, 92506, United States

Location

Novo Nordisk Investigational Site

San Diego, California, 92111, United States

Location

Novo Nordisk Investigational Site

San Jose, California, 95148, United States

Location

Novo Nordisk Investigational Site

San Mateo, California, 94401, United States

Location

Novo Nordisk Investigational Site

Doral, Florida, 33166, United States

Location

Novo Nordisk Investigational Site

Hialeah, Florida, 33012, United States

Location

Novo Nordisk Investigational Site

Miami, Florida, 33143, United States

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Novo Nordisk Investigational Site

Miami, Florida, 33173, United States

Location

Novo Nordisk Investigational Site

Miami, Florida, 33186, United States

Location

Novo Nordisk Investigational Site

Palm Harbor, Florida, 34684-3609, United States

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Novo Nordisk Investigational Site

Pembroke Pines, Florida, 33026, United States

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Novo Nordisk Investigational Site

Port Charlotte, Florida, 33952, United States

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Novo Nordisk Investigational Site

Spring Hill, Florida, 34609, United States

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Novo Nordisk Investigational Site

Tampa, Florida, 33607, United States

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Novo Nordisk Investigational Site

Woodstock, Georgia, 30189-4255, United States

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Novo Nordisk Investigational Site

Honolulu, Hawaii, 96814, United States

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Novo Nordisk Investigational Site

Blackfoot, Idaho, 83221, United States

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Novo Nordisk Investigational Site

Nampa, Idaho, 83686-6011, United States

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Novo Nordisk Investigational Site

Skokie, Illinois, 60077, United States

Location

Novo Nordisk Investigational Site

Muncie, Indiana, 47304, United States

Location

Novo Nordisk Investigational Site

Louisville, Kentucky, 40213, United States

Location

Novo Nordisk Investigational Site

Metairie, Louisiana, 70002, United States

Location

Novo Nordisk Investigational Site

Hyattsville, Maryland, 20782, United States

Location

Novo Nordisk Investigational Site

Kalamazoo, Michigan, 49009, United States

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Novo Nordisk Investigational Site

Rochester, Michigan, 48307, United States

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Novo Nordisk Investigational Site

Troy, Michigan, 48098, United States

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Novo Nordisk Investigational Site

Elkhorn, Nebraska, 68022, United States

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Novo Nordisk Investigational Site

Brooklyn, New York, 11215, United States

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Novo Nordisk Investigational Site

West Seneca, New York, 14224, United States

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Novo Nordisk Investigational Site

Asheboro, North Carolina, 27203, United States

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Novo Nordisk Investigational Site

Charlotte, North Carolina, 28277, United States

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Novo Nordisk Investigational Site

Greensboro, North Carolina, 27408, United States

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Novo Nordisk Investigational Site

Fargo, North Dakota, 58104, United States

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Novo Nordisk Investigational Site

Cincinnati, Ohio, 45255, United States

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Novo Nordisk Investigational Site

Willoughby Hills, Ohio, 44094, United States

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Novo Nordisk Investigational Site

Norman, Oklahoma, 73069, United States

Location

Novo Nordisk Investigational Site

Oklahoma City, Oklahoma, 73112, United States

Location

Novo Nordisk Investigational Site

Philadelphia, Pennsylvania, 19140, United States

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Novo Nordisk Investigational Site

Spartanburg, South Carolina, 29303, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75230, United States

Location

Novo Nordisk Investigational Site

Houston, Texas, 77058, United States

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Novo Nordisk Investigational Site

Mesquite, Texas, 75149, United States

Location

Novo Nordisk Investigational Site

San Antonio, Texas, 78215, United States

Location

Novo Nordisk Investigational Site

San Antonio, Texas, 78224, United States

Location

Novo Nordisk Investigational Site

San Antonio, Texas, 78228-3419, United States

Location

Novo Nordisk Investigational Site

San Antonio, Texas, 78230, United States

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Novo Nordisk Investigational Site

Sugar Land, Texas, 77479, United States

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Novo Nordisk Investigational Site

Waco, Texas, 76710, United States

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Novo Nordisk Investigational Site

Bountiful, Utah, 84010, United States

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Novo Nordisk Investigational Site

Norfolk, Virginia, 23510-2015, United States

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Novo Nordisk Investigational Site

Richmond, Virginia, 23219, United States

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Novo Nordisk Investigational Site

Salem, Virginia, 24153-6404, United States

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Novo Nordisk Investigational Site

Algiers, 16000, Algeria

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Novo Nordisk Investigational Site

Algiers, 16003, Algeria

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Novo Nordisk Investigational Site

Algiers, 16049, Algeria

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Novo Nordisk Investigational Site

Algiers, Algeria

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Novo Nordisk Investigational Site

Sofia, 1233, Bulgaria

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Novo Nordisk Investigational Site

Sofia, 1431, Bulgaria

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Novo Nordisk Investigational Site

Broumov, 550 01, Czechia

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Novo Nordisk Investigational Site

Chrudim, 537 01, Czechia

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Novo Nordisk Investigational Site

Mladá Boleslav, 293 50, Czechia

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Novo Nordisk Investigational Site

Olomouc, 77900, Czechia

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Novo Nordisk Investigational Site

Prague, 11694, Czechia

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Novo Nordisk Investigational Site

Como, 22042, Italy

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Novo Nordisk Investigational Site

Palermo, 90129, Italy

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Novo Nordisk Investigational Site

Pisa, 56124, Italy

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Novo Nordisk Investigational Site

Rome, 00168, Italy

Location

Novo Nordisk Investigational Site

Siena, 53100, Italy

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Novo Nordisk Investigational Site

Suita-shi, Osaka, 565-0853, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 103-0027, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 103-0028, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 104-0031, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 160-0008, Japan

Location

Novo Nordisk Investigational Site

Yokohama-shi, Kanagawa, 236-0004, Japan

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Novo Nordisk Investigational Site

Ciudad Madero, Tamaulipas, 89440, Mexico

Location

Novo Nordisk Investigational Site

Aguascalientes, 20230, Mexico

Location

Novo Nordisk Investigational Site

Târgovişte, Dâmbovița County, 130086, Romania

Location

Novo Nordisk Investigational Site

Târgovişte, Dâmbovița County, 130095, Romania

Location

Novo Nordisk Investigational Site

Ploieşti, Prahova, 100018, Romania

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Novo Nordisk Investigational Site

Bucharest, 010825, Romania

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Novo Nordisk Investigational Site

Bucharest, 011234, Romania

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Novo Nordisk Investigational Site

Dzerzhinskiy, 140091, Russia

Location

Novo Nordisk Investigational Site

Kazan', 420073, Russia

Location

Novo Nordisk Investigational Site

Novosibirsk, 630099, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 194358, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 199226, Russia

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Novo Nordisk Investigational Site

Tomsk, 634050, Russia

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Novo Nordisk Investigational Site

Voronezh, 394018, Russia

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Novo Nordisk Investigational Site

Yaroslavl, 150003, Russia

Location

Novo Nordisk Investigational Site

Yoshkar-Ola, 424004, Russia

Location

Novo Nordisk Investigational Site

Belgrade, 11000, Serbia

Location

Novo Nordisk Investigational Site

Adana, 01250, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, 34096, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, 34147, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34303, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34371, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34400, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34718, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34722, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, 34752, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, Turkey (Türkiye)

Location

Related Publications (10)

  • Kolotkin RL, Williams VSL, Ervin CM, Williams N, Meincke HH, Qin S, von Huth Smith L, Fehnel SE. Validation of a new measure of quality of life in obesity trials: Impact of Weight on Quality of Life-Lite Clinical Trials Version. Clin Obes. 2019 Jun;9(3):e12310. doi: 10.1111/cob.12310. Epub 2019 Apr 16.

    PMID: 30993900BACKGROUND
  • Aroda VR, Saugstrup T, Buse JB, Donsmark M, Zacho J, Davies MJ. Incorporating and interpreting regulatory guidance on estimands in diabetes clinical trials: The PIONEER 1 randomized clinical trial as an example. Diabetes Obes Metab. 2019 Oct;21(10):2203-2210. doi: 10.1111/dom.13804. Epub 2019 Jun 30.

    PMID: 31168921BACKGROUND
  • Aroda VR, Rosenstock J, Terauchi Y, Altuntas Y, Lalic NM, Morales Villegas EC, Jeppesen OK, Christiansen E, Hertz CL, Haluzik M; PIONEER 1 Investigators. PIONEER 1: Randomized Clinical Trial of the Efficacy and Safety of Oral Semaglutide Monotherapy in Comparison With Placebo in Patients With Type 2 Diabetes. Diabetes Care. 2019 Sep;42(9):1724-1732. doi: 10.2337/dc19-0749. Epub 2019 Jun 11.

  • 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.

  • Gorst-Rasmussen A, Tarp-Johansen MJ. Fast tipping point sensitivity analyses in clinical trials with missing continuous outcomes under multiple imputation. J Biopharm Stat. 2022 Nov 2;32(6):942-953. doi: 10.1080/10543406.2022.2058525. Epub 2022 Jun 2.

  • 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.

  • Husain 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.

  • 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

semaglutide

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
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 15, 2016

First Posted

September 20, 2016

Study Start

September 20, 2016

Primary Completion

October 30, 2017

Study Completion

December 8, 2017

Last Updated

July 20, 2022

Results First Posted

February 17, 2020

Record last verified: 2022-07

Data Sharing

IPD Sharing
Will share

According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Locations