NCT02970942

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

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
320

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2016

Typical duration for phase_2

Geographic Reach
16 countries

153 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

November 18, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 22, 2016

Completed
8 days until next milestone

Study Start

First participant enrolled

November 30, 2016

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 13, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 19, 2020

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

April 21, 2021

Completed
Last Updated

November 16, 2021

Status Verified

November 1, 2021

Enrollment Period

3.2 years

First QC Date

November 18, 2016

Results QC Date

February 11, 2021

Last Update Submit

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

EXPERIMENTAL
Drug: Semaglutide

Semaglutide 0,2 mg

EXPERIMENTAL
Drug: Semaglutide

Semaglutide 0,4 mg

EXPERIMENTAL
Drug: Semaglutide

Placebo 1

PLACEBO COMPARATOR
Drug: Placebo

Placebo 2

PLACEBO COMPARATOR
Drug: Placebo

Placebo 3

PLACEBO COMPARATOR
Drug: Placebo

Interventions

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)

Semaglutide 0,1 mgSemaglutide 0,2 mgSemaglutide 0,4 mg

Once daily administration subcutaneously ( s.c., under the skin)

Placebo 1Placebo 2Placebo 3

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (158)

Novo Nordisk Investigational Site

Birmingham, Alabama, 35233, United States

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Novo Nordisk Investigational Site

Chandler, Arizona, 85224, United States

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Novo Nordisk Investigational Site

Tucson, Arizona, 85712, United States

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Novo Nordisk Investigational Site

Coronado, California, 92118, United States

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Novo Nordisk Investigational Site

Costa Mesa, California, 92627, United States

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Novo Nordisk Investigational Site

La Mesa, California, 91942, United States

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Novo Nordisk Investigational Site

Los Angeles, California, 90057, United States

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Novo Nordisk Investigational Site

Northridge, California, 91325, United States

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Novo Nordisk Investigational Site

Panorama City, California, 91402, United States

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Novo Nordisk Investigational Site

Rialto, California, 92377, United States

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Novo Nordisk Investigational Site

Boca Raton, Florida, 33434, United States

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Novo Nordisk Investigational Site

Gainesville, Florida, 32610, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32207, United States

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Novo Nordisk Investigational Site

Lakewood Rch, Florida, 34211, United States

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Novo Nordisk Investigational Site

Miami, Florida, 33014, United States

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Novo Nordisk Investigational Site

Miami, Florida, 33136, United States

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Novo Nordisk Investigational Site

Ocoee, Florida, 34761, United States

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Novo Nordisk Investigational Site

Sarasota, Florida, 34240, United States

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Novo Nordisk Investigational Site

Monroe, Louisiana, 71201, United States

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Novo Nordisk Investigational Site

Baltimore, Maryland, 21202, United States

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Novo Nordisk Investigational Site

Detroit, Michigan, 48202, United States

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Novo Nordisk Investigational Site

Rochester, Minnesota, 55905, United States

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Novo Nordisk Investigational Site

Omaha, Nebraska, 68198, United States

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Novo Nordisk Investigational Site

Las Vegas, Nevada, 89106, United States

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Novo Nordisk Investigational Site

Las Vegas, Nevada, 89109, United States

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Novo Nordisk Investigational Site

Manhasset, New York, 11030, United States

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Novo Nordisk Investigational Site

Danville, Pennsylvania, 17822-2111, United States

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Novo Nordisk Investigational Site

Pittsburgh, Pennsylvania, 15213, United States

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Novo Nordisk Investigational Site

Hermitage, Tennessee, 37076, United States

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Novo Nordisk Investigational Site

Austin, Texas, 78731, 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, 77030, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77058, United States

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Novo Nordisk Investigational Site

Rollingwood, Texas, 78746, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78229, United States

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Novo Nordisk Investigational Site

Burlington, Vermont, 05401, United States

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Novo Nordisk Investigational Site

Richmond, Virginia, 23249, United States

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Novo Nordisk Investigational Site

Seattle, Washington, 98104, United States

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Novo Nordisk Investigational Site

Camperdown, New South Wales, 2050, Australia

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Novo Nordisk Investigational Site

Kingswood, New South Wales, 2747, Australia

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Novo Nordisk Investigational Site

Westmead, New South Wales, 2145, Australia

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Novo Nordisk Investigational Site

Box Hill, Victoria, 3128, Australia

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Novo Nordisk Investigational Site

Fitzroy, Victoria, 3065, Australia

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Novo Nordisk Investigational Site

Graz, 8036, Austria

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Novo Nordisk Investigational Site

Salzburg, 5020, Austria

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Novo Nordisk Investigational Site

Vienna, 1030, Austria

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Novo Nordisk Investigational Site

Brussels, 1070, Belgium

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Novo Nordisk Investigational Site

Brussels, 1200, Belgium

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Novo Nordisk Investigational Site

Edegem, 2650, Belgium

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Novo Nordisk Investigational Site

Ghent, 9000, Belgium

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Novo Nordisk Investigational Site

Sofia, 1407, Bulgaria

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Novo Nordisk Investigational Site

Sofia, 1431, Bulgaria

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Novo Nordisk Investigational Site

Calgary, Alberta, T2N 4Z6, Canada

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Winnipeg, Manitoba, R3E 3P4, Canada

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Novo Nordisk Investigational Site

Halifax, Nova Scotia, B3H 2Y9, Canada

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Novo Nordisk Investigational Site

Brampton, Ontario, L6T 0G1, Canada

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Novo Nordisk Investigational Site

Hamilton, Ontario, L8S 4K1, Canada

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Novo Nordisk Investigational Site

London, Ontario, N6A 5A5, Canada

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Novo Nordisk Investigational Site

Toronto, Ontario, M5G 2C4, Canada

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Toronto, Ontario, M6H 3M1, Canada

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Novo Nordisk Investigational Site

Montreal, Quebec, H4A 3J1, Canada

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Novo Nordisk Investigational Site

Aarhus N, 8200, Denmark

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Novo Nordisk Investigational Site

Hvidovre, 2650, Denmark

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Novo Nordisk Investigational Site

Helsinki, 00290, Finland

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Novo Nordisk Investigational Site

Besançon, 25000, France

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Novo Nordisk Investigational Site

Clermont-Ferrand, 63003, France

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Novo Nordisk Investigational Site

Lyon, 69317, France

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Novo Nordisk Investigational Site

Marseille, 13285, France

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Novo Nordisk Investigational Site

Montpellier, 34090, France

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Novo Nordisk Investigational Site

Nice, 06202, France

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Novo Nordisk Investigational Site

Paris, 75571, France

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Novo Nordisk Investigational Site

Paris, 75651, France

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Novo Nordisk Investigational Site

Pessac, 33604, France

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Novo Nordisk Investigational Site

Toulouse, 31059, France

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Novo Nordisk Investigational Site

Vénissieux, 69200, France

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Novo Nordisk Investigational Site

Athens, 10676, Greece

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Novo Nordisk Investigational Site

Athens, GR-11527, Greece

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Novo Nordisk Investigational Site

Goudi, Athens, GR-115 27, Greece

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Novo Nordisk Investigational Site

Larissa, GR-41110, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-54621, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-54642, Greece

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Novo Nordisk Investigational Site

Asahikawa-shi, Hokkaido, 078-8510, Japan

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Novo Nordisk Investigational Site

Fukui-shi, Fukui, 918-8503, Japan

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Novo Nordisk Investigational Site

Kamigyo-ku, Kyoto, 602-8566, Japan

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Kumamoto-shi, Kumamoto, 862-8655, Japan

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Novo Nordisk Investigational Site

Nagakute-shi, Aichi, 480-1195, Japan

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Novo Nordisk Investigational Site

Nara-shi, Nara, 630-8305, Japan

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Novo Nordisk Investigational Site

Nishinomiya-shi, Hyogo, 663-8501, Japan

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Osaka-shi, Osaka, 545-8586, Japan

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Otsu-shi, Shiga, 520-0804, Japan

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Novo Nordisk Investigational Site

Saga-shi, Saga, 849-8501, Japan

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Novo Nordisk Investigational Site

Shimonoseki-shi, Yamaguchi, 750-0061, Japan

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Novo Nordisk Investigational Site

Suita-shi, Osaka, 564-0013, Japan

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Novo Nordisk Investigational Site

Suita-shi, Osaka, 565-0862, Japan

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Novo Nordisk Investigational Site

Takamatsu-shi, Kagawa, 760-8557, Japan

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Novo Nordisk Investigational Site

Toyoake-shi, Aichi, 470-1192, Japan

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Novo Nordisk Investigational Site

Alkmaar, 1815 JD, Netherlands

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Novo Nordisk Investigational Site

Amstelveen, 1186 AM, Netherlands

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Amsterdam, 1105 AZ, Netherlands

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Delft, 2625 AD, Netherlands

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Groningen, 9713 GZ, Netherlands

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Leiden, 2333 ZA, Netherlands

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Maastricht, 6229 HX, Netherlands

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Nijmegen, 6525 GA, Netherlands

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Novo Nordisk Investigational Site

San Juan, 00927, Puerto Rico

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Novo Nordisk Investigational Site

Barnaul, 656045, Russia

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Novo Nordisk Investigational Site

Kazan', 420012, Russia

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Novo Nordisk Investigational Site

Kemerovo, 650066, Russia

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Novo Nordisk Investigational Site

Krasnoyarsk, 660022, Russia

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Novo Nordisk Investigational Site

Moscow, 111123, Russia

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Moscow, 121170, Russia

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Moscow, 121293, Russia

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Novo Nordisk Investigational Site

Moscow, 123423, Russia

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Novo Nordisk Investigational Site

Moscow, 125367, Russia

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Novo Nordisk Investigational Site

Novosibirsk, 630005, Russia

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Novo Nordisk Investigational Site

Novosibirsk, 630099, Russia

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Novo Nordisk Investigational Site

Penza, 440026, Russia

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Saint Petersburg, 190013, Russia

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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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Novo Nordisk Investigational Site

Saint Petersburg, 197342, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 199226, Russia

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Novo Nordisk Investigational Site

Saratov, 410039, Russia

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Novo Nordisk Investigational Site

Saratov, 410053, Russia

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Novo Nordisk Investigational Site

Stavropol, 355017, Russia

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Stavropol, 355035, Russia

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Tomsk, 634028, Russia

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Ulyanovsk, 432063, Russia

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Novo Nordisk Investigational Site

Yoshkar-Ola, 424004, Russia

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Novo Nordisk Investigational Site

Madrid, 28034, Spain

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Novo Nordisk Investigational Site

Majadahonda, 28222, Spain

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Novo Nordisk Investigational Site

Santander, 39008, Spain

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Santiago de Compostela, 15706, Spain

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Novo Nordisk Investigational Site

Seville, 41013, Spain

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Novo Nordisk Investigational Site

Valencia, 46026, Spain

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Novo Nordisk Investigational Site

Gothenburg, 413 45, Sweden

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Novo Nordisk Investigational Site

Malmo, 205 02, Sweden

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Novo Nordisk Investigational Site

Stockholm, 112 81, Sweden

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Novo Nordisk Investigational Site

Stockholm, 14186, Sweden

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Novo Nordisk Investigational Site

Birmingham, B15 2TH, United Kingdom

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Birmingham, B9 5SS, United Kingdom

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Bolton, BL4 0JR, United Kingdom

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Cambridge, CB2 2QQ, United Kingdom

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Derby, DE22 3NE, United Kingdom

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Dundee, DD1 9SY, United Kingdom

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Edinburgh, EH16 4SA, United Kingdom

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Glasgow, G31 2ER, United Kingdom

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Hull, HU3 2GZ, United Kingdom

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Leeds, LS9 7TF, United Kingdom

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London, NW3 2QG, United Kingdom

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Novo Nordisk Investigational Site

London, SE1 7EH, United Kingdom

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Novo Nordisk Investigational Site

London, SE5 9RS, United Kingdom

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Novo Nordisk Investigational Site

Nottingham, NG7 2UH, United Kingdom

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Novo Nordisk Investigational Site

Portsmouth, PO6 3LY, United Kingdom

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Novo Nordisk Investigational Site

Swansea, SA2 8PP, United Kingdom

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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.

  • Nitze 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.

  • Schattenberg 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.

  • Ratziu 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.

  • Wai-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.

  • Romero-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.

  • Harrison 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.

MeSH Terms

Conditions

Digestive System DiseasesNon-alcoholic Fatty Liver Disease

Interventions

semaglutide

Condition Hierarchy (Ancestors)

Fatty LiverLiver Diseases

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

Locations