Efficacy and Safety of Semaglutide Once-weekly Versus Placebo as add-on to SGLT-2i in Subjects With Type 2 Diabetes Mellitus
SUSTAIN 9
4 other identifiers
interventional
302
7 countries
72
Brief Summary
This trial is conducted in Asia, Europe and North America. The aim of the trial is to compare the effect of semaglutide s.c. 1.0 mg once-weekly versus placebo as add-on to sodium glucose co-transporter-2 inhibitor (SGLT-2i) monotherapy or in combination with either metformin or sulfonylurea on glycaemic control after 30 weeks of treatment in subjects with type 2 diabetes. Subjects will remain on their pre-trial medication.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 diabetes
Started Mar 2017
Typical duration for phase_3 diabetes
72 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
March 14, 2017
CompletedStudy Start
First participant enrolled
March 15, 2017
CompletedFirst Posted
Study publicly available on registry
March 22, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 4, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 6, 2018
CompletedResults Posted
Study results publicly available
August 20, 2019
CompletedJuly 2, 2021
July 1, 2021
1.3 years
March 14, 2017
July 2, 2019
July 1, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Change in HbA1c
Change from baseline (week 0) in HbA1c was evaluated at week 30. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose of trial product and ended at the first date of any of the following: 1) the last dose of trial product + 7 days or 2) initiation of rescue medication.
Week 0, week 30
Secondary Outcomes (57)
Change in Body Weight (kg)
Week 0, week 30
Change in Fasting Plasma Glucose (FPG)
Week 0, week 30
Change in Self-measured Plasma Glucose (SMPG), 7-point Profile: Mean 7-point Profile
Week 0, week 30
Change in Self-measured Plasma Glucose (SMPG), 7-point Profile: Mean Post Prandial Increment (Over All Meals)
Week 0, week 30
Change in Fasting Blood Lipid, Total Cholesterol
Week 0, week 30
- +52 more secondary outcomes
Study Arms (2)
Semaglutide
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Semaglutide, gradually increased to 1.0 mg, injected once weekly under the skin (subcutaneously, s.c.) for 30 weeks
Semaglutide placebo, gradually increased to 1.0 mg, injected once weekly under the skin (subcutaneously, s.c.) for 30 weeks
Eligibility Criteria
You may qualify if:
- Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial
- Male or female, above or equal to 18 years at the time of signing informed consent. For Japan only: Male or female, age equal to or above 20 years at the time of signing informed consent
- Diagnosed with type 2 diabetes mellitus
- HbA1c of 7.0-10.0% (53-86 mmol/mol) (both inclusive)
- Stable dose of an SGLT-2 inhibitor as monotherapy or in combination (including fixed-dose drug combination) with a stable dose of metformin (equal to or above 1500 mg or maximum tolerated dose) or a SU for at least 90 days prior to the day of screening. All medications in compliance with current local label
You may not qualify if:
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice)
- Any disorder which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol
- Subjects with alanine aminotransferase above 2.5 x upper normal limit
- Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative
- History or presence of pancreatitis (acute or chronic)
- History of diabetic ketoacidosis
- Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening
- Subjects presently classified as being in New York Heart Association Class IV
- Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
- Renal impairment measured as estimated Glomerular Filtration Rate value of eGFR below 60 ml/min/1.73 m\^2 as defined by KDIGO 2012 classification using isotope dilution mass spectrometry for serum creatinine measured at screening
- Proliferative retinopathy or maculopathy requiring acute treatment. Verified by fundus photography or dilated fundoscopy performed within the past 90 days prior to randomisation
- Presence or history of malignant neoplasms within the past 5 years prior to the day of screening. Basal and squamous cell skin cancer and any carcinoma in-situ is allowed
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (72)
Novo Nordisk Investigational Site
Andalusia, Alabama, 36420, United States
Novo Nordisk Investigational Site
Anniston, Alabama, 36207, United States
Novo Nordisk Investigational Site
Glendale, Arizona, 85308, United States
Novo Nordisk Investigational Site
Phoenix, Arizona, 85037, United States
Novo Nordisk Investigational Site
Tempe, Arizona, 85283, United States
Novo Nordisk Investigational Site
Little Rock, Arkansas, 72211, United States
Novo Nordisk Investigational Site
La Jolla, California, 92037, United States
Novo Nordisk Investigational Site
Lincoln, California, 95648, United States
Novo Nordisk Investigational Site
Northridge, California, 91325, United States
Novo Nordisk Investigational Site
Edgewater, Florida, 32132, United States
Novo Nordisk Investigational Site
Maitland, Florida, 32751-4422, United States
Novo Nordisk Investigational Site
Lawrenceville, Georgia, 30046, United States
Novo Nordisk Investigational Site
Woodstock, Georgia, 30189-4255, United States
Novo Nordisk Investigational Site
Hutchinson, Kansas, 67502-1131, United States
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21204, United States
Novo Nordisk Investigational Site
Troy, Michigan, 48098, United States
Novo Nordisk Investigational Site
Jefferson City, Missouri, 65109, United States
Novo Nordisk Investigational Site
Albany, New York, 12206, United States
Novo Nordisk Investigational Site
Smithtown, New York, 11787, United States
Novo Nordisk Investigational Site
West Seneca, New York, 14224, United States
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28207, United States
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28226, United States
Novo Nordisk Investigational Site
Gastonia, North Carolina, 28054, United States
Novo Nordisk Investigational Site
Greenville, North Carolina, 27834, United States
Novo Nordisk Investigational Site
Kinston, North Carolina, 28501, United States
Novo Nordisk Investigational Site
Morehead City, North Carolina, 28557-4346, United States
Novo Nordisk Investigational Site
Norman, Oklahoma, 73069, United States
Novo Nordisk Investigational Site
Beaver, Pennsylvania, 15009, United States
Novo Nordisk Investigational Site
McMurray, Pennsylvania, 15317, United States
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15243, United States
Novo Nordisk Investigational Site
Arlington, Texas, 76012-4637, United States
Novo Nordisk Investigational Site
Austin, Texas, 78745, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75208, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75231, United States
Novo Nordisk Investigational Site
Houston, Texas, 77081, United States
Novo Nordisk Investigational Site
Irving, Texas, 75061-2210, United States
Novo Nordisk Investigational Site
Shavano Park, Texas, 78231, United States
Novo Nordisk Investigational Site
Sugar Land, Texas, 77479, United States
Novo Nordisk Investigational Site
Victoria, Texas, 77901, United States
Novo Nordisk Investigational Site
Murray, Utah, 84123, United States
Novo Nordisk Investigational Site
Chesapeake, Virginia, 23321, United States
Novo Nordisk Investigational Site
Olympia, Washington, 98502, United States
Novo Nordisk Investigational Site
Saint Stefan, 8511, Austria
Novo Nordisk Investigational Site
Vienna, 1030, Austria
Novo Nordisk Investigational Site
Vienna, 1060, Austria
Novo Nordisk Investigational Site
Vienna, 1130, Austria
Novo Nordisk Investigational Site
Edmonton, Alberta, T6H 2L4, Canada
Novo Nordisk Investigational Site
Winnipeg, Manitoba, R3E 3P4, Canada
Novo Nordisk Investigational Site
Brampton, Ontario, L6S 0C6, Canada
Novo Nordisk Investigational Site
Brampton, Ontario, L6T 0G1, Canada
Novo Nordisk Investigational Site
Etobicoke, Ontario, M9R 4E1, Canada
Novo Nordisk Investigational Site
Smiths Falls, Ontario, K7A 4W8, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M5T 3L9, Canada
Novo Nordisk Investigational Site
Waterloo, Ontario, N2J 1C4, Canada
Novo Nordisk Investigational Site
Kanagawa, 232-0064, Japan
Novo Nordisk Investigational Site
Nagakute-shi, Aichi, 480-1195, Japan
Novo Nordisk Investigational Site
Suita-shi, Osaka, 565-0853, Japan
Novo Nordisk Investigational Site
Tokyo, 160-0008, Japan
Novo Nordisk Investigational Site
Hamar, 2317, Norway
Novo Nordisk Investigational Site
Hoenefoss, 3515, Norway
Novo Nordisk Investigational Site
Namsos, 7801, Norway
Novo Nordisk Investigational Site
Olso, 0953, Norway
Novo Nordisk Investigational Site
Oslo, 0176, Norway
Novo Nordisk Investigational Site
Skedsmokorset, NO-2020, Norway
Novo Nordisk Investigational Site
Stavanger, 4005, Norway
Novo Nordisk Investigational Site
Ponce, 00716, Puerto Rico
Novo Nordisk Investigational Site
Barnaul, 656045, Russia
Novo Nordisk Investigational Site
Novosibirsk, 630099, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 191119, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194354, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194358, Russia
Related Publications (1)
Zinman B, Bhosekar V, Busch R, Holst I, Ludvik B, Thielke D, Thrasher J, Woo V, Philis-Tsimikas A. Semaglutide once weekly as add-on to SGLT-2 inhibitor therapy in type 2 diabetes (SUSTAIN 9): a randomised, placebo-controlled trial. Lancet Diabetes Endocrinol. 2019 May;7(5):356-367. doi: 10.1016/S2213-8587(19)30066-X. Epub 2019 Mar 1.
PMID: 30833170RESULT
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
March 14, 2017
First Posted
March 22, 2017
Study Start
March 15, 2017
Primary Completion
July 4, 2018
Study Completion
August 6, 2018
Last Updated
July 2, 2021
Results First Posted
August 20, 2019
Record last verified: 2021-07
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com