NCT03021187

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

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
731

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Feb 2017

Typical duration for phase_3 diabetes

Geographic Reach
10 countries

118 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

January 12, 2017

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 13, 2017

Completed
20 days until next milestone

Study Start

First participant enrolled

February 2, 2017

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 18, 2018

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2018

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

November 7, 2019

Completed
Last Updated

March 2, 2020

Status Verified

February 1, 2020

Enrollment Period

12 months

First QC Date

January 12, 2017

Results QC Date

October 15, 2019

Last Update Submit

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

EXPERIMENTAL
Drug: semaglutide

Semaglutide 3 mg + 7 mg

EXPERIMENTAL
Drug: semaglutide

Semaglutide 3 mg + 7 mg + 14 mg

EXPERIMENTAL
Drug: semaglutide

Placebo

PLACEBO COMPARATOR
Drug: placebo

Interventions

Oral semaglutide administered once-daily for 52 weeks as an add-on to the subjects' pre-trial insulin treatment

Semaglutide 3 mg

Oral semaglutide placebo administered once-daily for 52 weeks as an add-on to the subjects' pre-trial insulin treatment

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 (118)

Novo Nordisk Investigational Site

Anniston, Alabama, 36207, United States

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Novo Nordisk Investigational Site

Birmingham, Alabama, 35211, United States

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Novo Nordisk Investigational Site

Fountain Hills, Arizona, 85268, United States

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Novo Nordisk Investigational Site

Glendale, Arizona, 85308, United States

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Novo Nordisk Investigational Site

Mesa, Arizona, 85213, United States

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Novo Nordisk Investigational Site

Phoenix, Arizona, 85037, United States

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Novo Nordisk Investigational Site

Tucson, Arizona, 85723-0001, United States

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Novo Nordisk Investigational Site

Tucson, Arizona, 85741, United States

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Novo Nordisk Investigational Site

Anaheim, California, 92801, United States

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Novo Nordisk Investigational Site

Fresno, California, 93720, United States

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Novo Nordisk Investigational Site

Los Angeles, California, 90017, United States

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Novo Nordisk Investigational Site

Los Angeles, California, 90057, United States

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Novo Nordisk Investigational Site

Riverside, California, 92506, United States

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Novo Nordisk Investigational Site

Van Nuys, California, 91405, United States

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Novo Nordisk Investigational Site

Vista, California, 92083, United States

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Novo Nordisk Investigational Site

Colorado Springs, Colorado, 80904, United States

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Novo Nordisk Investigational Site

Denver, Colorado, 80246, United States

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Novo Nordisk Investigational Site

Hialeah, Florida, 33016, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30342, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60607, United States

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Novo Nordisk Investigational Site

Franklin, Indiana, 46131, United States

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Novo Nordisk Investigational Site

Lexington, Kentucky, 40503, United States

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Novo Nordisk Investigational Site

Paducah, Kentucky, 42003, United States

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Novo Nordisk Investigational Site

Metairie, Louisiana, 70002, United States

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Novo Nordisk Investigational Site

Natchitoches, Louisiana, 71457-5881, United States

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Novo Nordisk Investigational Site

Hyattsville, Maryland, 20782, United States

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Novo Nordisk Investigational Site

Rockville, Maryland, 20852, United States

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Novo Nordisk Investigational Site

Boston, Massachusetts, 02215, United States

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Novo Nordisk Investigational Site

Troy, Michigan, 48098, United States

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Novo Nordisk Investigational Site

Henderson, Nevada, 89052-2649, United States

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Novo Nordisk Investigational Site

Las Vegas, Nevada, 89148, 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

Asheville, North Carolina, 28803, United States

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Novo Nordisk Investigational Site

Chapel Hill, North Carolina, 27517, United States

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Novo Nordisk Investigational Site

Cincinnati, Ohio, 45245, United States

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Novo Nordisk Investigational Site

Dayton, Ohio, 45439, United States

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Novo Nordisk Investigational Site

Beaver, Pennsylvania, 15009, United States

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Novo Nordisk Investigational Site

Lansdale, Pennsylvania, 19446-1002, United States

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Novo Nordisk Investigational Site

Summerville, South Carolina, 29485, United States

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Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37411, United States

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Novo Nordisk Investigational Site

Kingsport, Tennessee, 37660-4652, 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, 75251, 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, 77090, United States

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Novo Nordisk Investigational Site

Mesquite, Texas, 75149, United States

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Novo Nordisk Investigational Site

Midland, Texas, 79707, United States

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Novo Nordisk Investigational Site

Round Rock, Texas, 78681, United States

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Novo Nordisk Investigational Site

Murray, Utah, 84123, United States

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Novo Nordisk Investigational Site

Winchester, Virginia, 22601, United States

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Novo Nordisk Investigational Site

Winnipeg, Manitoba, R3E 3P4, Canada

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Novo Nordisk Investigational Site

Moncton, New Brunswick, E1G 1A7, Canada

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Novo Nordisk Investigational Site

Brampton, Ontario, L6S 0C6, Canada

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Novo Nordisk Investigational Site

Etobicoke, Ontario, M9W 1P1, Canada

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Novo Nordisk Investigational Site

London, Ontario, N6G 2M1, Canada

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Novo Nordisk Investigational Site

Toronto, Ontario, M5T 3L9, Canada

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Novo Nordisk Investigational Site

Waterloo, Ontario, N2J 1C4, Canada

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Novo Nordisk Investigational Site

Besançon, 25030, France

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Novo Nordisk Investigational Site

Bourgoin, 38302, France

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Novo Nordisk Investigational Site

Brest, 29200, France

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Novo Nordisk Investigational Site

La Roche-sur-Yon, 85295, France

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Novo Nordisk Investigational Site

La Rochelle, 17019, France

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Novo Nordisk Investigational Site

Le Coudray, 28630, France

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Novo Nordisk Investigational Site

Le Creusot, 71200, France

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Novo Nordisk Investigational Site

Narbonne, 11108, France

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Novo Nordisk Investigational Site

Paris, 75014, France

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Novo Nordisk Investigational Site

Saint-Herblain, 44800, France

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Novo Nordisk Investigational Site

Toulouse, 31054, France

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Novo Nordisk Investigational Site

Vénissieux, 69200, France

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Novo Nordisk Investigational Site

Athens, GR-11527, Greece

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Novo Nordisk Investigational Site

Athens, GR-17562, Greece

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Novo Nordisk Investigational Site

Ioannina, 45500, Greece

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Novo Nordisk Investigational Site

Larissa, GR-41110, Greece

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Novo Nordisk Investigational Site

Piraeus, GR-18536, Greece

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Novo Nordisk Investigational Site

Thessaloniki, GR-54649, Greece

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Novo Nordisk Investigational Site

Ahmedabad, Gujarat, 380007, India

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Novo Nordisk Investigational Site

Bangalore, Karnataka, 560 017, India

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Novo Nordisk Investigational Site

Kozhikode, Kerala, 673017, India

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Novo Nordisk Investigational Site

Indore, Madhya Pradesh, 452010, India

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Novo Nordisk Investigational Site

Mumbai, Maharashtra, 400008, India

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Novo Nordisk Investigational Site

Mumbai, Maharashtra, 400010, India

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Novo Nordisk Investigational Site

Pune, Maharashtra, 411001, India

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Novo Nordisk Investigational Site

New Dehli, New Delhi, 110029, India

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Novo Nordisk Investigational Site

Jaipur, Rajasthan, 302004, India

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Novo Nordisk Investigational Site

Chennai, Tamil Nadu, 600086, India

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Novo Nordisk Investigational Site

Kolkata, West Bengal, 700054, India

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Novo Nordisk Investigational Site

Kolkata, 700020, India

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Novo Nordisk Investigational Site

Amagasaki-shi, Hyogo, 661-0002, Japan

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Novo Nordisk Investigational Site

Chuo-ku, Tokyo, 103-0002, Japan

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Novo Nordisk Investigational Site

Ebina-shi, Kanagawa, 243-0432, Japan

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Novo Nordisk Investigational Site

Iruma-shi, Saitama, 358-0011, Japan

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Novo Nordisk Investigational Site

Kanagawa, 247-0055, Japan

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Novo Nordisk Investigational Site

Kumamoto, 862-0976, Japan

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Novo Nordisk Investigational Site

Kumamoto-shi, Kumamoto, 860-0811, Japan

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Novo Nordisk Investigational Site

Miyazaki, 880-0034, Japan

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Novo Nordisk Investigational Site

Naka, 311 0113, Japan

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Novo Nordisk Investigational Site

Osaka, 569-1045, Japan

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Novo Nordisk Investigational Site

Saga-shi, Saga, 849-0937, Japan

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Novo Nordisk Investigational Site

Sapporo, 062 0007, Japan

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Novo Nordisk Investigational Site

Shimotsuke-shi, Tochigi, 329-0433, Japan

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Novo Nordisk Investigational Site

Shizuoka-shi, Shizuoka, 424-0853, Japan

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Novo Nordisk Investigational Site

Suita-shi, Osaka, 565-0853, Japan

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Novo Nordisk Investigational Site

Tokyo, 103-0027, Japan

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Novo Nordisk Investigational Site

Tokyo, 103-0028, Japan

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Novo Nordisk Investigational Site

Tokyo, 105-8471, Japan

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Novo Nordisk Investigational Site

Ube-shi, Yamaguchi, 755-0046, Japan

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Novo Nordisk Investigational Site

Durango, 34000, Mexico

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Novo Nordisk Investigational Site

San Luis Potosí City, 78200, Mexico

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Novo Nordisk Investigational Site

Bialystok, 15-404, Poland

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Novo Nordisk Investigational Site

Lublin, 20-044, Poland

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Novo Nordisk Investigational Site

Poznan, 60-589, Poland

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Novo Nordisk Investigational Site

Puławy, 24-100, Poland

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Novo Nordisk Investigational Site

Manatí, 00674, Puerto Rico

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Novo Nordisk Investigational Site

Kazan', 420073, Russia

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Novo Nordisk Investigational Site

Moscow, 115478, Russia

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Novo Nordisk Investigational Site

Penza, 440026, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 191119, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 194354, Russia

Location

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.

  • 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.

  • 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.

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

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

Locations