Efficacy and Safety of Oral Semaglutide Versus Placebo in Subjects With Type 2 Diabetes Mellitus Treated With Insulin
PIONEER 8
4 other identifiers
interventional
731
10 countries
118
Brief Summary
This trial is conducted globally. The aim of the trial is to investigate the efficacy and safety of oral semaglutide versus placebo in subjects with Type 2 Diabetes Mellitus treated with insulin. All subjects should continue their pre-trial insulin therapy (basal, basal-bolus or premixed regimen including combinations of soluble insulins) throughout the trial. Subjects treated with metformin in addition to insulin treatment must continue their metformin treatment throughout the entire trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes
Started Feb 2017
Typical duration for phase_3 diabetes
118 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 12, 2017
CompletedFirst Posted
Study publicly available on registry
January 13, 2017
CompletedStudy Start
First participant enrolled
February 2, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 18, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 22, 2018
CompletedResults Posted
Study results publicly available
November 7, 2019
CompletedMarch 2, 2020
February 1, 2020
12 months
January 12, 2017
October 15, 2019
February 14, 2020
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 data from the in-trial observation period. In-trial observation period started at the date of randomisation and included the period after initiation of rescue medication and/or premature trial product discontinuation, if any. The endpoint was also analysed based on data from the on-treatment without rescue medication observation period. On-treatment without rescue medication observation period started at the date of the first dose of trial product and includes the period after initiation of rescue medication, if any, and excludes the period after premature trial discontinuation, if any.
Week 0, week 26
Secondary Outcomes (36)
Change in Body Weight (Week 26)
Week 0, week 26
Change in HbA1c (Week 52)
Week 0, week 52
Change in Body Weight (kg) (Week 52)
Week 0, week 52
Change in Fasting Plasma Glucose (FPG)
Week 0, week 26, week 52
Change in Self-measured Plasma Glucose (SMPG) Mean 7-point Profile
Week 0, week 26, week 52
- +31 more secondary outcomes
Study Arms (4)
Semaglutide 3 mg
EXPERIMENTALSemaglutide 3 mg + 7 mg
EXPERIMENTALSemaglutide 3 mg + 7 mg + 14 mg
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Oral semaglutide administered once-daily for 52 weeks as an add-on to the subjects' pre-trial insulin treatment
Oral semaglutide placebo administered once-daily for 52 weeks as an add-on to the subjects' pre-trial insulin treatment
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (118)
Novo Nordisk Investigational Site
Anniston, Alabama, 36207, United States
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Birmingham, Alabama, 35211, United States
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Fountain Hills, Arizona, 85268, United States
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Glendale, Arizona, 85308, United States
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Mesa, Arizona, 85213, United States
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Phoenix, Arizona, 85037, United States
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Tucson, Arizona, 85723-0001, United States
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Tucson, Arizona, 85741, United States
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Anaheim, California, 92801, United States
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Fresno, California, 93720, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90017, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Riverside, California, 92506, United States
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Van Nuys, California, 91405, United States
Novo Nordisk Investigational Site
Vista, California, 92083, United States
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Colorado Springs, Colorado, 80904, United States
Novo Nordisk Investigational Site
Denver, Colorado, 80246, United States
Novo Nordisk Investigational Site
Hialeah, Florida, 33016, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30342, United States
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Chicago, Illinois, 60607, United States
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Franklin, Indiana, 46131, United States
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Lexington, Kentucky, 40503, United States
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Paducah, Kentucky, 42003, United States
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Metairie, Louisiana, 70002, United States
Novo Nordisk Investigational Site
Natchitoches, Louisiana, 71457-5881, United States
Novo Nordisk Investigational Site
Hyattsville, Maryland, 20782, United States
Novo Nordisk Investigational Site
Rockville, Maryland, 20852, United States
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Boston, Massachusetts, 02215, United States
Novo Nordisk Investigational Site
Troy, Michigan, 48098, United States
Novo Nordisk Investigational Site
Henderson, Nevada, 89052-2649, United States
Novo Nordisk Investigational Site
Las Vegas, Nevada, 89148, United States
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West Seneca, New York, 14224, United States
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Asheville, North Carolina, 28803, United States
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Chapel Hill, North Carolina, 27517, United States
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Cincinnati, Ohio, 45245, United States
Novo Nordisk Investigational Site
Dayton, Ohio, 45439, United States
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Beaver, Pennsylvania, 15009, United States
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Lansdale, Pennsylvania, 19446-1002, United States
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Summerville, South Carolina, 29485, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411, United States
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660-4652, United States
Novo Nordisk Investigational Site
Austin, Texas, 78731, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75251, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75390-9302, United States
Novo Nordisk Investigational Site
Houston, Texas, 77090, United States
Novo Nordisk Investigational Site
Mesquite, Texas, 75149, United States
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Midland, Texas, 79707, United States
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Round Rock, Texas, 78681, United States
Novo Nordisk Investigational Site
Murray, Utah, 84123, United States
Novo Nordisk Investigational Site
Winchester, Virginia, 22601, United States
Novo Nordisk Investigational Site
Winnipeg, Manitoba, R3E 3P4, Canada
Novo Nordisk Investigational Site
Moncton, New Brunswick, E1G 1A7, Canada
Novo Nordisk Investigational Site
Brampton, Ontario, L6S 0C6, Canada
Novo Nordisk Investigational Site
Etobicoke, Ontario, M9W 1P1, Canada
Novo Nordisk Investigational Site
London, Ontario, N6G 2M1, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M5T 3L9, Canada
Novo Nordisk Investigational Site
Waterloo, Ontario, N2J 1C4, Canada
Novo Nordisk Investigational Site
Besançon, 25030, France
Novo Nordisk Investigational Site
Bourgoin, 38302, France
Novo Nordisk Investigational Site
Brest, 29200, France
Novo Nordisk Investigational Site
La Roche-sur-Yon, 85295, France
Novo Nordisk Investigational Site
La Rochelle, 17019, France
Novo Nordisk Investigational Site
Le Coudray, 28630, France
Novo Nordisk Investigational Site
Le Creusot, 71200, France
Novo Nordisk Investigational Site
Narbonne, 11108, France
Novo Nordisk Investigational Site
Paris, 75014, France
Novo Nordisk Investigational Site
Saint-Herblain, 44800, France
Novo Nordisk Investigational Site
Toulouse, 31054, France
Novo Nordisk Investigational Site
Vénissieux, 69200, France
Novo Nordisk Investigational Site
Athens, GR-11527, Greece
Novo Nordisk Investigational Site
Athens, GR-17562, Greece
Novo Nordisk Investigational Site
Ioannina, 45500, Greece
Novo Nordisk Investigational Site
Larissa, GR-41110, Greece
Novo Nordisk Investigational Site
Piraeus, GR-18536, Greece
Novo Nordisk Investigational Site
Thessaloniki, GR-54649, Greece
Novo Nordisk Investigational Site
Ahmedabad, Gujarat, 380007, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560 017, India
Novo Nordisk Investigational Site
Kozhikode, Kerala, 673017, India
Novo Nordisk Investigational Site
Indore, Madhya Pradesh, 452010, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400008, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400010, India
Novo Nordisk Investigational Site
Pune, Maharashtra, 411001, India
Novo Nordisk Investigational Site
New Dehli, New Delhi, 110029, India
Novo Nordisk Investigational Site
Jaipur, Rajasthan, 302004, India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600086, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700054, India
Novo Nordisk Investigational Site
Kolkata, 700020, India
Novo Nordisk Investigational Site
Amagasaki-shi, Hyogo, 661-0002, Japan
Novo Nordisk Investigational Site
Chuo-ku, Tokyo, 103-0002, Japan
Novo Nordisk Investigational Site
Ebina-shi, Kanagawa, 243-0432, Japan
Novo Nordisk Investigational Site
Iruma-shi, Saitama, 358-0011, Japan
Novo Nordisk Investigational Site
Kanagawa, 247-0055, Japan
Novo Nordisk Investigational Site
Kumamoto, 862-0976, Japan
Novo Nordisk Investigational Site
Kumamoto-shi, Kumamoto, 860-0811, Japan
Novo Nordisk Investigational Site
Miyazaki, 880-0034, Japan
Novo Nordisk Investigational Site
Naka, 311 0113, Japan
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Osaka, 569-1045, Japan
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Saga-shi, Saga, 849-0937, Japan
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Sapporo, 062 0007, Japan
Novo Nordisk Investigational Site
Shimotsuke-shi, Tochigi, 329-0433, Japan
Novo Nordisk Investigational Site
Shizuoka-shi, Shizuoka, 424-0853, Japan
Novo Nordisk Investigational Site
Suita-shi, Osaka, 565-0853, Japan
Novo Nordisk Investigational Site
Tokyo, 103-0027, Japan
Novo Nordisk Investigational Site
Tokyo, 103-0028, Japan
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Tokyo, 105-8471, Japan
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Ube-shi, Yamaguchi, 755-0046, Japan
Novo Nordisk Investigational Site
Durango, 34000, Mexico
Novo Nordisk Investigational Site
San Luis Potosí City, 78200, Mexico
Novo Nordisk Investigational Site
Bialystok, 15-404, Poland
Novo Nordisk Investigational Site
Lublin, 20-044, Poland
Novo Nordisk Investigational Site
Poznan, 60-589, Poland
Novo Nordisk Investigational Site
Puławy, 24-100, Poland
Novo Nordisk Investigational Site
Manatí, 00674, Puerto Rico
Novo Nordisk Investigational Site
Kazan', 420073, Russia
Novo Nordisk Investigational Site
Moscow, 115478, Russia
Novo Nordisk Investigational Site
Penza, 440026, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 191119, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194354, Russia
Related Publications (5)
Zinman B, Aroda VR, Buse JB, Cariou B, Harris SB, Hoff ST, Pedersen KB, Tarp-Johansen MJ, Araki E; PIONEER 8 Investigators. Efficacy, Safety, and Tolerability of Oral Semaglutide Versus Placebo Added to Insulin With or Without Metformin in Patients With Type 2 Diabetes: The PIONEER 8 Trial. Diabetes Care. 2019 Dec;42(12):2262-2271. doi: 10.2337/dc19-0898. Epub 2019 Sep 17.
PMID: 31530667RESULTPratley 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.
PMID: 33660198DERIVEDHusain 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.
PMID: 32998732DERIVEDThethi 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.
PMID: 32267058DERIVEDHusain 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.
PMID: 31903692DERIVED
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 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
January 12, 2017
First Posted
January 13, 2017
Study Start
February 2, 2017
Primary Completion
January 18, 2018
Study Completion
August 22, 2018
Last Updated
March 2, 2020
Results First Posted
November 7, 2019
Record last verified: 2020-02
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com