Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis.
This Trial is Conducted Globally. The Aim of This Trial is to Investigate Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis
3 other identifiers
interventional
320
16 countries
153
Brief Summary
Investigation of efficacy and safety of three dose levels of subcutaneous semaglutide once daily versus placebo in subjects with non-alcoholic steatohepatitis
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Nov 2016
Typical duration for phase_2
153 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
November 18, 2016
CompletedFirst Posted
Study publicly available on registry
November 22, 2016
CompletedStudy Start
First participant enrolled
November 30, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 13, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 19, 2020
CompletedResults Posted
Study results publicly available
April 21, 2021
CompletedNovember 16, 2021
November 1, 2021
3.2 years
November 18, 2016
February 11, 2021
November 15, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)
NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1 and hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning ranges from 0-2; lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
After 72 weeks
Secondary Outcomes (87)
Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)
After 72 weeks
Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)
Baseline (week 0), Week 72
Percentage of Participants With Change in Steatosis
Baseline (week 0), Week 72
Percentage of Participants With Change in Lobular Inflammation
Baseline (week 0), Week 72
Percentage of Participants With Change in Hepatocyte Ballooning
Baseline (week 0), Week 72
- +82 more secondary outcomes
Study Arms (6)
Semaglutide 0,1 mg
EXPERIMENTALSemaglutide 0,2 mg
EXPERIMENTALSemaglutide 0,4 mg
EXPERIMENTALPlacebo 1
PLACEBO COMPARATORPlacebo 2
PLACEBO COMPARATORPlacebo 3
PLACEBO COMPARATORInterventions
Once daily administration of semaglutide subcutaneously (s.c., under the skin) in three different doses (0.1 mg, 0.2 mg and 0.4 mg)
Once daily administration subcutaneously ( s.c., under the skin)
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (158)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35233, United States
Novo Nordisk Investigational Site
Chandler, Arizona, 85224, United States
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Tucson, Arizona, 85712, United States
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Coronado, California, 92118, United States
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Costa Mesa, California, 92627, United States
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La Mesa, California, 91942, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
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Northridge, California, 91325, United States
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Panorama City, California, 91402, United States
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Rialto, California, 92377, United States
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Boca Raton, Florida, 33434, United States
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Gainesville, Florida, 32610, United States
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Jacksonville, Florida, 32207, United States
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Lakewood Rch, Florida, 34211, United States
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Miami, Florida, 33014, United States
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Miami, Florida, 33136, United States
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Ocoee, Florida, 34761, United States
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Sarasota, Florida, 34240, United States
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Monroe, Louisiana, 71201, United States
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Baltimore, Maryland, 21202, United States
Novo Nordisk Investigational Site
Detroit, Michigan, 48202, United States
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Rochester, Minnesota, 55905, United States
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Omaha, Nebraska, 68198, United States
Novo Nordisk Investigational Site
Las Vegas, Nevada, 89106, United States
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Las Vegas, Nevada, 89109, United States
Novo Nordisk Investigational Site
Manhasset, New York, 11030, United States
Novo Nordisk Investigational Site
Danville, Pennsylvania, 17822-2111, United States
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15213, United States
Novo Nordisk Investigational Site
Hermitage, Tennessee, 37076, United States
Novo Nordisk Investigational Site
Austin, Texas, 78731, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75390-9302, United States
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Houston, Texas, 77030, United States
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Houston, Texas, 77058, United States
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Rollingwood, Texas, 78746, United States
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San Antonio, Texas, 78229, United States
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Burlington, Vermont, 05401, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23249, United States
Novo Nordisk Investigational Site
Seattle, Washington, 98104, United States
Novo Nordisk Investigational Site
Camperdown, New South Wales, 2050, Australia
Novo Nordisk Investigational Site
Kingswood, New South Wales, 2747, Australia
Novo Nordisk Investigational Site
Westmead, New South Wales, 2145, Australia
Novo Nordisk Investigational Site
Box Hill, Victoria, 3128, Australia
Novo Nordisk Investigational Site
Fitzroy, Victoria, 3065, Australia
Novo Nordisk Investigational Site
Graz, 8036, Austria
Novo Nordisk Investigational Site
Salzburg, 5020, Austria
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Vienna, 1030, Austria
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Brussels, 1070, Belgium
Novo Nordisk Investigational Site
Brussels, 1200, Belgium
Novo Nordisk Investigational Site
Edegem, 2650, Belgium
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Ghent, 9000, Belgium
Novo Nordisk Investigational Site
Sofia, 1407, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1431, Bulgaria
Novo Nordisk Investigational Site
Calgary, Alberta, T2N 4Z6, Canada
Novo Nordisk Investigational Site
Winnipeg, Manitoba, R3E 3P4, Canada
Novo Nordisk Investigational Site
Halifax, Nova Scotia, B3H 2Y9, Canada
Novo Nordisk Investigational Site
Brampton, Ontario, L6T 0G1, Canada
Novo Nordisk Investigational Site
Hamilton, Ontario, L8S 4K1, Canada
Novo Nordisk Investigational Site
London, Ontario, N6A 5A5, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M5G 2C4, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M6H 3M1, Canada
Novo Nordisk Investigational Site
Montreal, Quebec, H4A 3J1, Canada
Novo Nordisk Investigational Site
Aarhus N, 8200, Denmark
Novo Nordisk Investigational Site
Hvidovre, 2650, Denmark
Novo Nordisk Investigational Site
Helsinki, 00290, Finland
Novo Nordisk Investigational Site
Besançon, 25000, France
Novo Nordisk Investigational Site
Clermont-Ferrand, 63003, France
Novo Nordisk Investigational Site
Lyon, 69317, France
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Marseille, 13285, France
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Montpellier, 34090, France
Novo Nordisk Investigational Site
Nice, 06202, France
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Paris, 75571, France
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Paris, 75651, France
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Pessac, 33604, France
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Toulouse, 31059, France
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Vénissieux, 69200, France
Novo Nordisk Investigational Site
Athens, 10676, Greece
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Athens, GR-11527, Greece
Novo Nordisk Investigational Site
Goudi, Athens, GR-115 27, Greece
Novo Nordisk Investigational Site
Larissa, GR-41110, Greece
Novo Nordisk Investigational Site
Thessaloniki, GR-54621, Greece
Novo Nordisk Investigational Site
Thessaloniki, GR-54642, Greece
Novo Nordisk Investigational Site
Asahikawa-shi, Hokkaido, 078-8510, Japan
Novo Nordisk Investigational Site
Fukui-shi, Fukui, 918-8503, Japan
Novo Nordisk Investigational Site
Kamigyo-ku, Kyoto, 602-8566, Japan
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Kumamoto-shi, Kumamoto, 862-8655, Japan
Novo Nordisk Investigational Site
Nagakute-shi, Aichi, 480-1195, Japan
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Nara-shi, Nara, 630-8305, Japan
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Nishinomiya-shi, Hyogo, 663-8501, Japan
Novo Nordisk Investigational Site
Osaka-shi, Osaka, 545-8586, Japan
Novo Nordisk Investigational Site
Otsu-shi, Shiga, 520-0804, Japan
Novo Nordisk Investigational Site
Saga-shi, Saga, 849-8501, Japan
Novo Nordisk Investigational Site
Shimonoseki-shi, Yamaguchi, 750-0061, Japan
Novo Nordisk Investigational Site
Suita-shi, Osaka, 564-0013, Japan
Novo Nordisk Investigational Site
Suita-shi, Osaka, 565-0862, Japan
Novo Nordisk Investigational Site
Takamatsu-shi, Kagawa, 760-8557, Japan
Novo Nordisk Investigational Site
Toyoake-shi, Aichi, 470-1192, Japan
Novo Nordisk Investigational Site
Alkmaar, 1815 JD, Netherlands
Novo Nordisk Investigational Site
Amstelveen, 1186 AM, Netherlands
Novo Nordisk Investigational Site
Amsterdam, 1105 AZ, Netherlands
Novo Nordisk Investigational Site
Delft, 2625 AD, Netherlands
Novo Nordisk Investigational Site
Groningen, 9713 GZ, Netherlands
Novo Nordisk Investigational Site
Leiden, 2333 ZA, Netherlands
Novo Nordisk Investigational Site
Maastricht, 6229 HX, Netherlands
Novo Nordisk Investigational Site
Nijmegen, 6525 GA, Netherlands
Novo Nordisk Investigational Site
San Juan, 00927, Puerto Rico
Novo Nordisk Investigational Site
Barnaul, 656045, Russia
Novo Nordisk Investigational Site
Kazan', 420012, Russia
Novo Nordisk Investigational Site
Kemerovo, 650066, Russia
Novo Nordisk Investigational Site
Krasnoyarsk, 660022, Russia
Novo Nordisk Investigational Site
Moscow, 111123, Russia
Novo Nordisk Investigational Site
Moscow, 121170, Russia
Novo Nordisk Investigational Site
Moscow, 121293, Russia
Novo Nordisk Investigational Site
Moscow, 123423, Russia
Novo Nordisk Investigational Site
Moscow, 125367, Russia
Novo Nordisk Investigational Site
Novosibirsk, 630005, Russia
Novo Nordisk Investigational Site
Novosibirsk, 630099, Russia
Novo Nordisk Investigational Site
Penza, 440026, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 190013, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194356, Russia
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Saint Petersburg, 194358, Russia
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Saint Petersburg, 195067, Russia
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Saint Petersburg, 197110, Russia
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Saint Petersburg, 197342, Russia
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Saint Petersburg, 199226, Russia
Novo Nordisk Investigational Site
Saratov, 410039, Russia
Novo Nordisk Investigational Site
Saratov, 410053, Russia
Novo Nordisk Investigational Site
Stavropol, 355017, Russia
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Stavropol, 355035, Russia
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Tomsk, 634028, Russia
Novo Nordisk Investigational Site
Ulyanovsk, 432063, Russia
Novo Nordisk Investigational Site
Yoshkar-Ola, 424004, Russia
Novo Nordisk Investigational Site
Madrid, 28034, Spain
Novo Nordisk Investigational Site
Majadahonda, 28222, Spain
Novo Nordisk Investigational Site
Santander, 39008, Spain
Novo Nordisk Investigational Site
Santiago de Compostela, 15706, Spain
Novo Nordisk Investigational Site
Seville, 41013, Spain
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Valencia, 46026, Spain
Novo Nordisk Investigational Site
Gothenburg, 413 45, Sweden
Novo Nordisk Investigational Site
Malmo, 205 02, Sweden
Novo Nordisk Investigational Site
Stockholm, 112 81, Sweden
Novo Nordisk Investigational Site
Stockholm, 14186, Sweden
Novo Nordisk Investigational Site
Birmingham, B15 2TH, United Kingdom
Novo Nordisk Investigational Site
Birmingham, B9 5SS, United Kingdom
Novo Nordisk Investigational Site
Bolton, BL4 0JR, United Kingdom
Novo Nordisk Investigational Site
Cambridge, CB2 2QQ, United Kingdom
Novo Nordisk Investigational Site
Derby, DE22 3NE, United Kingdom
Novo Nordisk Investigational Site
Dundee, DD1 9SY, United Kingdom
Novo Nordisk Investigational Site
Edinburgh, EH16 4SA, United Kingdom
Novo Nordisk Investigational Site
Glasgow, G31 2ER, United Kingdom
Novo Nordisk Investigational Site
Hull, HU3 2GZ, United Kingdom
Novo Nordisk Investigational Site
Leeds, LS9 7TF, United Kingdom
Novo Nordisk Investigational Site
London, NW3 2QG, United Kingdom
Novo Nordisk Investigational Site
London, SE1 7EH, United Kingdom
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London, SE5 9RS, United Kingdom
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Nottingham, NG7 2UH, United Kingdom
Novo Nordisk Investigational Site
Portsmouth, PO6 3LY, United Kingdom
Novo Nordisk Investigational Site
Swansea, SA2 8PP, United Kingdom
Related Publications (7)
Newsome PN, Buchholtz K, Cusi K, Linder M, Okanoue T, Ratziu V, Sanyal AJ, Sejling AS, Harrison SA; NN9931-4296 Investigators. A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis. N Engl J Med. 2021 Mar 25;384(12):1113-1124. doi: 10.1056/NEJMoa2028395. Epub 2020 Nov 13.
PMID: 33185364RESULTNitze LM, Ratziu V, Sanyal AJ, Wong VW, Balendran C, Fleckner J, Skalshoi Kjaer M, Krarup N, Anstee QM. Exploration of Multiple Non-Invasive Tests for Assessing Response to Treatment in a Semaglutide Phase 2b Trial in Patients with MASH. Aliment Pharmacol Ther. 2026 Feb;63(3):396-404. doi: 10.1111/apt.70376. Epub 2025 Sep 23.
PMID: 40985232DERIVEDSchattenberg JM, Gronbaek H, Kliers I, Ladelund S, Long MT, Nygard SB, Sanyal AJ, Davies MJ. Proteomic signatures reflect effects of semaglutide treatment for MASH. JHEP Rep. 2025 Jul 22;7(10):101521. doi: 10.1016/j.jhepr.2025.101521. eCollection 2025 Oct.
PMID: 40980163DERIVEDRatziu V, Francque S, Behling CA, Cejvanovic V, Cortez-Pinto H, Iyer JS, Krarup N, Le Q, Sejling AS, Tiniakos D, Harrison SA. Artificial intelligence scoring of liver biopsies in a phase II trial of semaglutide in nonalcoholic steatohepatitis. Hepatology. 2024 Jul 1;80(1):173-185. doi: 10.1097/HEP.0000000000000723. Epub 2023 Dec 19.
PMID: 38112484DERIVEDWai-Sun Wong V, Anstee QM, Nitze LM, Geerts A, George J, Nolasco V, Kjaer MS, Ladelund S, Newsome PN, Ratziu V. FibroScan-aspartate aminotransferase (FAST) score for monitoring histological improvement in non-alcoholic steatohepatitis activity during semaglutide treatment: post-hoc analysis of a randomised, double-blind, placebo-controlled, phase 2b trial. EClinicalMedicine. 2023 Nov 20;66:102310. doi: 10.1016/j.eclinm.2023.102310. eCollection 2023 Dec.
PMID: 38058795DERIVEDRomero-Gomez M, Armstrong MJ, Funuyet-Salas J, Mangla KK, Ladelund S, Sejling AS, Shrestha I, Sanyal AJ. Improved health-related quality of life with semaglutide in people with non-alcoholic steatohepatitis: A randomised trial. Aliment Pharmacol Ther. 2023 Aug;58(4):395-403. doi: 10.1111/apt.17598. Epub 2023 Jun 16.
PMID: 37328931DERIVEDHarrison SA, Calanna S, Cusi K, Linder M, Okanoue T, Ratziu V, Sanyal A, Sejling AS, Newsome PN. Semaglutide for the treatment of non-alcoholic steatohepatitis: Trial design and comparison of non-invasive biomarkers. Contemp Clin Trials. 2020 Oct;97:106174. doi: 10.1016/j.cct.2020.106174. Epub 2020 Oct 8.
PMID: 33039693DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (1452)
- Organization
- Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- 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 18, 2016
First Posted
November 22, 2016
Study Start
November 30, 2016
Primary Completion
February 13, 2020
Study Completion
March 19, 2020
Last Updated
November 16, 2021
Results First Posted
April 21, 2021
Record last verified: 2021-11
Data Sharing
- IPD Sharing
- Will share
According to Novo Nordisk disclosure commitment on novonordisk.com