Efficacy and Safety of Semaglutide Versus Canagliflozin as add-on to Metformin in Subjects With Type 2 Diabetes
SUSTAIN 8
3 other identifiers
interventional
788
12 countries
119
Brief Summary
This trial is conducted in Africa, Asia, Europe, North and South America. The aim of the trial is to compare the effect of once-weekly (OW) dosing of subcutaneous semaglutide (1.0 mg) versus once-daily dosing of oral canagliflozin (300 mg) on glycaemic control in subjects with type 2 diabetes (T2D) on a background treatment of metformin
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 Mar 2017
Typical duration for phase_3 diabetes
119 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
March 14, 2017
CompletedStudy Start
First participant enrolled
March 15, 2017
CompletedFirst Posted
Study publicly available on registry
May 2, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 16, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 16, 2018
CompletedResults Posted
Study results publicly available
December 17, 2019
CompletedJanuary 21, 2020
January 1, 2020
1.6 years
March 14, 2017
October 15, 2019
January 8, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Change in HbA1c
Change from baseline (week 0) to week 52 in HbA1c (glycosylated haemoglobin) was evaluated. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first; and 'In-trial' observation period which started at the date of randomisation and include the period after initiation of rescue medication and/or premature trial product discontinuation, if any and ended at the last contact, withdrawal of consent or death, whichever came first.
Week 0, week 52
Secondary Outcomes (60)
Change in Body Weight (kg)
Week 0, week 52
Change in Total Fat Mass (kg)
Week 0, week 52
Change in FPG (Fasting Plasma Glucose)
Week 0, week 52
Change in SMPG (Self-measured Plasma Glucose)- Mean 7-point Profile
Week 0, week 52
Change in SMPG- Mean Postprandial Increment Over All Meals
Week 0, week 52
- +55 more secondary outcomes
Study Arms (2)
Semaglutide + canagliflozin placebo
EXPERIMENTALCanagliflozin + semaglutide placebo
ACTIVE COMPARATORInterventions
Following a dose escalation phase of 8 weeks, semaglutide 1.0 mg once-weekly(administered subcutaneously, s.c., under the skin) and canagliflozin placebo once-daily (administered orally, as a tablet). Subjects will continue on their pre-trial daily dose of metformin.
Following a dose escalation phase of 8 weeks, canagliflozin 300 mg once-daily (administered orally, as a tablet) and semaglutide placebo (administered subcutaneously, s.c., under the skin). Subjects will continue on their pre-trial daily dose of metformin.
Following a dose escalation phase of 8 weeks, semaglutide 1.0 mg once-weekly(administered subcutaneously, s.c., under the skin) and canagliflozin placebo once-daily (administered orally, as a tablet). Subjects will continue on their pre-trial daily dose of metformin.
Following a dose escalation phase of 8 weeks, canagliflozin 300 mg once-daily (administered orally, as a tablet) and semaglutide placebo (administered subcutaneously, s.c., under the skin). Subjects will continue on their pre-trial daily dose of metformin.
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (119)
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
La Mesa, California, 91942, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Montclair, California, 91763, United States
Novo Nordisk Investigational Site
San Diego, California, 92111, United States
Novo Nordisk Investigational Site
Spring Valley, California, 91978, United States
Novo Nordisk Investigational Site
Tustin, California, 92780, United States
Novo Nordisk Investigational Site
Walnut Creek, California, 94598, United States
Novo Nordisk Investigational Site
Fleming Island, Florida, 32003, United States
Novo Nordisk Investigational Site
Hallandale, Florida, 33009, United States
Novo Nordisk Investigational Site
Hialeah, Florida, 33012, United States
Novo Nordisk Investigational Site
Miami, Florida, 33135, United States
Novo Nordisk Investigational Site
Miami, Florida, 33155, United States
Novo Nordisk Investigational Site
Miami, Florida, 33174, United States
Novo Nordisk Investigational Site
Miami, Florida, 33175, United States
Novo Nordisk Investigational Site
Miami, Florida, 33186, United States
Novo Nordisk Investigational Site
Spring Hill, Florida, 34609, United States
Novo Nordisk Investigational Site
Conyers, Georgia, 30094-5965, United States
Novo Nordisk Investigational Site
Marietta, Georgia, 30060, United States
Novo Nordisk Investigational Site
Meridian, Idaho, 83646, United States
Novo Nordisk Investigational Site
Council Bluffs, Iowa, 51501, United States
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503, United States
Novo Nordisk Investigational Site
Lake Charles, Louisiana, 70601, United States
Novo Nordisk Investigational Site
Metairie, Louisiana, 70002, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21239, United States
Novo Nordisk Investigational Site
Hyattsville, Maryland, 20782, United States
Novo Nordisk Investigational Site
Detroit, Michigan, 48202, United States
Novo Nordisk Investigational Site
Flint, Michigan, 48504, United States
Novo Nordisk Investigational Site
Flint, Michigan, 48532, United States
Novo Nordisk Investigational Site
Sterling Heights, Michigan, 48310-3503, United States
Novo Nordisk Investigational Site
Troy, Michigan, 48098, United States
Novo Nordisk Investigational Site
Trenton, New Jersey, 08611, United States
Novo Nordisk Investigational Site
Brooklyn, New York, 11229, United States
Novo Nordisk Investigational Site
New Windsor, New York, 12553, United States
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45212, United States
Novo Nordisk Investigational Site
Maumee, Ohio, 43537, United States
Novo Nordisk Investigational Site
Toledo, Ohio, 43614, United States
Novo Nordisk Investigational Site
Toledo, Ohio, 43623, United States
Novo Nordisk Investigational Site
Corvallis, Oregon, 97330-3737, United States
Novo Nordisk Investigational Site
Anderson, South Carolina, 29621, United States
Novo Nordisk Investigational Site
Amarillo, Texas, 79106, United States
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78404, United States
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78413, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, 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, 77058, United States
Novo Nordisk Investigational Site
Houston, Texas, 77074, United States
Novo Nordisk Investigational Site
Houston, Texas, 77081, United States
Novo Nordisk Investigational Site
Katy, Texas, 77450, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78230, United States
Novo Nordisk Investigational Site
Splendora, Texas, 77372, United States
Novo Nordisk Investigational Site
St. George, Utah, 84790, United States
Novo Nordisk Investigational Site
Herndon, Virginia, 20171, United States
Novo Nordisk Investigational Site
Olympia, Washington, 98502, United States
Novo Nordisk Investigational Site
Wenatchee, Washington, 98801-2028, United States
Novo Nordisk Investigational Site
Buenos Aires, C1250AAN, Argentina
Novo Nordisk Investigational Site
CABA, C1093AAS, Argentina
Novo Nordisk Investigational Site
CABA, C1430CKE, Argentina
Novo Nordisk Investigational Site
Rosario, S2000CUD, Argentina
Novo Nordisk Investigational Site
Salta, 4400, Argentina
Novo Nordisk Investigational Site
Porto Alegre, 90035-170, Brazil
Novo Nordisk Investigational Site
Rio de Janeiro, 22271-100, Brazil
Novo Nordisk Investigational Site
Surrey, British Columbia, V3S 2N6, Canada
Novo Nordisk Investigational Site
Brampton, Ontario, L6T 0G1, Canada
Novo Nordisk Investigational Site
Burlington, Ontario, L7M 4Y1, Canada
Novo Nordisk Investigational Site
London, Ontario, N5W 6A2, Canada
Novo Nordisk Investigational Site
Sarnia, Ontario, N7T 4X3, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M9V 4B4, Canada
Novo Nordisk Investigational Site
Pointe-Claire, Quebec, H9R 3J1, Canada
Novo Nordisk Investigational Site
Pointe-Claire, Quebec, H9R 4S3, Canada
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500034, India
Novo Nordisk Investigational Site
Rohtak, Haryana, 124001, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560054, India
Novo Nordisk Investigational Site
Kochi, Kerala, 682041, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400008, India
Novo Nordisk Investigational Site
Nagpur, Maharashtra, 440008, India
Novo Nordisk Investigational Site
Jaipur, Rajasthan, 302006, India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600 013, India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600001, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700020, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700054, India
Novo Nordisk Investigational Site
Dublin, DUBLIN 15, Ireland
Novo Nordisk Investigational Site
Dublin, DUBLIN 4, Ireland
Novo Nordisk Investigational Site
Dublin, DUBLIN 7, Ireland
Novo Nordisk Investigational Site
Galway, H91 YR71, Ireland
Novo Nordisk Investigational Site
Mallow, P51Y8EC, Ireland
Novo Nordisk Investigational Site
Milan, 20100, Italy
Novo Nordisk Investigational Site
El Achrafiyé, Lebanon
Novo Nordisk Investigational Site
Hazmiyeh, Lebanon
Novo Nordisk Investigational Site
Lebanon - Beirut, 9611, Lebanon
Novo Nordisk Investigational Site
Mansourieh, Lebanon
Novo Nordisk Investigational Site
Zghartā, 9616, Lebanon
Novo Nordisk Investigational Site
Alor Gajah, 78300, Malaysia
Novo Nordisk Investigational Site
George Town, 10450, Malaysia
Novo Nordisk Investigational Site
Ipoh, 30450, Malaysia
Novo Nordisk Investigational Site
Malacca, 75400, Malaysia
Novo Nordisk Investigational Site
Sandakan, 90000, Malaysia
Novo Nordisk Investigational Site
Seremban, 70300, Malaysia
Novo Nordisk Investigational Site
Cuernavaca, Morelos, 62250, Mexico
Novo Nordisk Investigational Site
Mexico City, México, D.F., 02230, Mexico
Novo Nordisk Investigational Site
Monterrey, Nuevo León, 64620, Mexico
Novo Nordisk Investigational Site
Eksjö, 575 35, Sweden
Novo Nordisk Investigational Site
Kristianstad, 291 85, Sweden
Novo Nordisk Investigational Site
Lund, 221 85, Sweden
Novo Nordisk Investigational Site
Malmo, 205 02, Sweden
Novo Nordisk Investigational Site
Örebro, 701 85, Sweden
Novo Nordisk Investigational Site
Basingstoke, RG24 9GT, United Kingdom
Novo Nordisk Investigational Site
Bradford-on-Avon, BA15 1DQ, United Kingdom
Novo Nordisk Investigational Site
Dundee, DD1 9SY, United Kingdom
Novo Nordisk Investigational Site
Haxey, DN9 2HY, United Kingdom
Novo Nordisk Investigational Site
Nottingham, NG7 2UH, United Kingdom
Novo Nordisk Investigational Site
Plymouth, PL8 8DQ, United Kingdom
Novo Nordisk Investigational Site
Soham, CB7 5JD, United Kingdom
Novo Nordisk Investigational Site
Southampton, SO30 3JB, United Kingdom
Novo Nordisk Investigational Site
Stevenage, SG1 4AB, United Kingdom
Novo Nordisk Investigational Site
Torquay, TQ2 7AA, United Kingdom
Novo Nordisk Investigational Site
Wellingborough, NN8 4RW, United Kingdom
Related Publications (5)
Lingvay I, Catarig AM, Frias JP, Kumar H, Lausvig NL, le Roux CW, Thielke D, Viljoen A, McCrimmon RJ. Efficacy and safety of once-weekly semaglutide versus daily canagliflozin as add-on to metformin in patients with type 2 diabetes (SUSTAIN 8): a double-blind, phase 3b, randomised controlled trial. Lancet Diabetes Endocrinol. 2019 Nov;7(11):834-844. doi: 10.1016/S2213-8587(19)30311-0. Epub 2019 Sep 17.
PMID: 31540867RESULTMcCrimmon RJ, Catarig AM, Frias JP, Lausvig NL, le Roux CW, Thielke D, Lingvay I. Effects of once-weekly semaglutide vs once-daily canagliflozin on body composition in type 2 diabetes: a substudy of the SUSTAIN 8 randomised controlled clinical trial. Diabetologia. 2020 Mar;63(3):473-485. doi: 10.1007/s00125-019-05065-8. Epub 2020 Jan 2.
PMID: 31897524RESULTNatale P, Green SC, Tunnicliffe DJ, Pellegrino G, Toyama T, Strippoli GF. Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2025 Feb 18;2(2):CD015849. doi: 10.1002/14651858.CD015849.pub2.
PMID: 39963952DERIVEDPulleyblank R, Larsen NB. Cost-Effectiveness of Semaglutide vs. Empagliflozin, Canagliflozin, and Sitagliptin for Treatment of Patients with Type 2 Diabetes in Denmark: A Decision-Analytic Modelling Study. Pharmacoecon Open. 2023 Jul;7(4):579-591. doi: 10.1007/s41669-023-00416-z. Epub 2023 May 13.
PMID: 37178435DERIVEDLingvay I, Capehorn MS, Catarig AM, Johansen P, Lawson J, Sandberg A, Shaw R, Paine A. Efficacy of Once-Weekly Semaglutide vs Empagliflozin Added to Metformin in Type 2 Diabetes: Patient-Level Meta-analysis. J Clin Endocrinol Metab. 2020 Dec 1;105(12):e4593-604. doi: 10.1210/clinem/dgaa577.
PMID: 32827435DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention 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
May 2, 2017
Study Start
March 15, 2017
Primary Completion
October 16, 2018
Study Completion
November 16, 2018
Last Updated
January 21, 2020
Results First Posted
December 17, 2019
Record last verified: 2020-01
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com