Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity
STEP 4
Effect and Safety of Semaglutide 2.4 mg Once-weekly in Subjects With Overweight or Obesity Who Have Reached Target Dose During run-in Period
3 other identifiers
interventional
902
10 countries
72
Brief Summary
This study will look at the change in participant's body weight from the start to the end of the study. This is to compare the effect on body weight in people taking semaglutide (a new medicine) and people taking "dummy" medicine. In addition to taking the medicine, the participant will have talks with study staff about healthy food choices, how to be more physically active and what a participant can do to lose weight. The participant will get semaglutide for the first 20 weeks. Then the participant will get either semaglutide or "dummy" medicine - which treatment the participant gets after the 20 weeks is decided by chance. The participants will need to take 1 injection once a week. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study will last for about 1.5 years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jun 2018
72 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
May 25, 2018
CompletedStudy Start
First participant enrolled
June 4, 2018
CompletedFirst Posted
Study publicly available on registry
June 7, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 22, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 20, 2020
CompletedResults Posted
Study results publicly available
March 15, 2021
CompletedJanuary 19, 2022
January 1, 2022
1.7 years
May 25, 2018
February 19, 2021
January 7, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Randomisation to Week 68 in Body Weight (%)
Change in body weight from baseline (week 20) to week 68 is presented. The endpoint was evaluated based on the data from both in-trial and on-treatment observation periods. In-trial observation period: the uninterrupted time interval from start of run-in (week 0) to last trial-related subject-site contact (week 75). On-treatment observation period: includes all time intervals in which participants are considered to be on treatment from the first (week 0) to last trial product administration (week 68) including 2 weeks of follow-up. It excludes any period of temporary treatment interruption. Temporary treatment interruption is defined as more than 2 consecutive missed doses (off-treatment period).
Randomisation (week 20) to week 68
Secondary Outcomes (36)
Change in Waist Circumference
Randomization (week 20) to week 68
Change in Systolic Blood Pressure
Randomization (week 20) to week 68
Change in Diastolic Blood Pressure
Randomization (week 20) to week 68
Change in Physical Functioning Score (Short Form 36 [SF-36])
Randomization (week 20) to week 68
Change in Body Weight [Kilogram (Kg)]
Randomisation (week 20) to week 68
- +31 more secondary outcomes
Study Arms (2)
Semaglutide
EXPERIMENTALRun-in Period: Participants will receive semaglutide at an escalating doses (0.25 mg, 0.5 mg, 1 mg, 1.7 mg, 2.4 mg) for 20 weeks (week 0 to week 20). The dose will be escalated to next level every 4 weeks. Maintenance period: Participants will be randomized to receive semaglutide injection for 48 weeks (from week 20 to week 68). The trial product will be administered as an adjunct to a reduced-calorie diet and increased physical activity during the trial period.
Placebo
PLACEBO COMPARATORRun-in Period: Participants will receive semaglutide at an escalating doses (0.25 mg, 0.5 mg, 1 mg, 1.7 mg, 2.4 mg) for 20 weeks (week 0 to week 20). The dose will be escalated to next level every 4 weeks. Maintenance period: Participants will be randomized to receive semaglutide placebo injection for 48 weeks (from week 20 to week 68). The trial product will be administered as an adjunct to a reduced-calorie diet and increased physical activity during the trial period.
Interventions
Subcutaneous (under the skin) injection of semaglutide once-weekly.
Eligibility Criteria
You may qualify if:
- Male or female, age greater than or equal to 18 years at the time of signing informed consent
- Body mass index greater than or equal to 30 kg/sqm or greater than or equal to 27 kg/sqm with the presence of at least one of the following weight related comorbidities (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease
- History of at least one self-reported unsuccessful dietary effort to lose body weight
You may not qualify if:
- Haemoglobin A1c greater than or equal to 48 mmol/mol (6.5%) as measured by central laboratory at screening
- A self-reported change in body weight more than 5 kg (11 lbs) within 90 days before screening irrespective of medical records
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (72)
Novo Nordisk Investigational Site
Anniston, Alabama, 36207, United States
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Fresno, California, 93720, United States
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San Diego, California, 92108, United States
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Alpharetta, Georgia, 30022, United States
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Roswell, Georgia, 30076, United States
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Suwanee, Georgia, 30024, United States
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Louisville, Kentucky, 40213, United States
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Baton Rouge, Louisiana, 70808, United States
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Elkridge, Maryland, 21075-6437, United States
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Buckley, Michigan, 49620, United States
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Omaha, Nebraska, 68198-3020, United States
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New York, New York, 10016, United States
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Greensboro, North Carolina, 27408, United States
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Greenville, North Carolina, 27834, United States
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Raleigh, North Carolina, 27612, United States
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Salisbury, North Carolina, 28144, United States
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Cincinnati, Ohio, 45242, United States
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Dayton, Ohio, 45406, United States
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Bristol, Tennessee, 37620-7352, United States
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Bristol, Tennessee, 37620, United States
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Chattanooga, Tennessee, 37404, United States
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Austin, Texas, 78731, United States
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Dallas, Texas, 75226, United States
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Dallas, Texas, 75230, United States
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Dallas, Texas, 75231, United States
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Arlington, Virginia, 22206, United States
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Richmond, Virginia, 23226, United States
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Wenatchee, Washington, 98801-2028, United States
Novo Nordisk Investigational Site
Frederiksberg C, 1958, Denmark
Novo Nordisk Investigational Site
Køge, 4600, Denmark
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Haifa, 35152, Israel
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Jerusalem, 91120, Israel
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Kfar Saba, 44281, Israel
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Petah Tikva, 49372, Israel
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Tel Aviv, 64239, Israel
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Tel Litwinsky, 52621, Israel
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Amsterdam, 1066 EC, Netherlands
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Amsterdam, 1105 AZ, Netherlands
Novo Nordisk Investigational Site
Arnhem, 6815 AD, Netherlands
Novo Nordisk Investigational Site
Braga, 4710-243, Portugal
Novo Nordisk Investigational Site
Coimbra, 3000-561, Portugal
Novo Nordisk Investigational Site
Matosinhos Municipality, 4464-513, Portugal
Novo Nordisk Investigational Site
Porto, 4099-001, Portugal
Novo Nordisk Investigational Site
Porto, 4200-319, Portugal
Novo Nordisk Investigational Site
Vila Nova de Gaia, 4400-346, Portugal
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2001, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2013, South Africa
Novo Nordisk Investigational Site
Pretoria, Gauteng, 0181, South Africa
Novo Nordisk Investigational Site
Pretoria, Gauteng, 0184, South Africa
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Durban, KwaZulu-Natal, 4001, South Africa
Novo Nordisk Investigational Site
Brits, North West, 0250, South Africa
Novo Nordisk Investigational Site
AlmerÃa, 04009, Spain
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Madrid, 28009, Spain
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Madrid, 28040, Spain
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Sabadell, 08208, Spain
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Seville, 41003, Spain
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Seville, 41009, Spain
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Seville, 41013, Spain
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Malmo, 205 02, Sweden
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Stockholm, 141 86, Sweden
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Uppsala, 751 85, Sweden
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Geneva, 1211, Switzerland
Novo Nordisk Investigational Site
Olten, 4600, Switzerland
Novo Nordisk Investigational Site
Sankt Gallen, 9007, Switzerland
Novo Nordisk Investigational Site
Sankt Gallen, 9016, Switzerland
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Zollikerberg, 8125, Switzerland
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Zurich, 8091, Switzerland
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Kharkiv, 61039, Ukraine
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Kyiv, 03039, Ukraine
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Kyiv, 04050, Ukraine
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Kyiv, 04114, Ukraine
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Odesa, 65059, Ukraine
Related Publications (6)
Kushner RF, Calanna S, Davies M, Dicker D, Garvey WT, Goldman B, Lingvay I, Thomsen M, Wadden TA, Wharton S, Wilding JPH, Rubino D. Semaglutide 2.4 mg for the Treatment of Obesity: Key Elements of the STEP Trials 1 to 5. Obesity (Silver Spring). 2020 Jun;28(6):1050-1061. doi: 10.1002/oby.22794.
PMID: 32441473BACKGROUNDRubino D, Abrahamsson N, Davies M, Hesse D, Greenway FL, Jensen C, Lingvay I, Mosenzon O, Rosenstock J, Rubio MA, Rudofsky G, Tadayon S, Wadden TA, Dicker D; STEP 4 Investigators. Effect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance in Adults With Overweight or Obesity: The STEP 4 Randomized Clinical Trial. JAMA. 2021 Apr 13;325(14):1414-1425. doi: 10.1001/jama.2021.3224.
PMID: 33755728RESULTWilkinson L, Holst-Hansen T, Laursen PN, Rinnov AR, Batterham RL, Garvey WT. Effect of semaglutide 2.4 mg once weekly on 10-year type 2 diabetes risk in adults with overweight or obesity. Obesity (Silver Spring). 2023 Sep;31(9):2249-2259. doi: 10.1002/oby.23842.
PMID: 37605636DERIVEDKosiborod MN, Bhatta M, Davies M, Deanfield JE, Garvey WT, Khalid U, Kushner R, Rubino DM, Zeuthen N, Verma S. Semaglutide improves cardiometabolic risk factors in adults with overweight or obesity: STEP 1 and 4 exploratory analyses. Diabetes Obes Metab. 2023 Feb;25(2):468-478. doi: 10.1111/dom.14890. Epub 2022 Oct 28.
PMID: 36200477DERIVEDPerreault L, Davies M, Frias JP, Laursen PN, Lingvay I, Machineni S, Varbo A, Wilding JPH, Wallenstein SOR, le Roux CW. Changes in Glucose Metabolism and Glycemic Status With Once-Weekly Subcutaneous Semaglutide 2.4 mg Among Participants With Prediabetes in the STEP Program. Diabetes Care. 2022 Oct 1;45(10):2396-2405. doi: 10.2337/dc21-1785.
PMID: 35724304DERIVEDO'Neil PM, Birkenfeld AL, McGowan B, Mosenzon O, Pedersen SD, Wharton S, Carson CG, Jepsen CH, Kabisch M, Wilding JPH. Efficacy and safety of semaglutide compared with liraglutide and placebo for weight loss in patients with obesity: a randomised, double-blind, placebo and active controlled, dose-ranging, phase 2 trial. Lancet. 2018 Aug 25;392(10148):637-649. doi: 10.1016/S0140-6736(18)31773-2. Epub 2018 Aug 16.
PMID: 30122305DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (1452)
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Clinical Reporting Anchor and Disclosure (1452)
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
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Sponsor staff involved in the clinical trial is masked according to company standard procedures.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 25, 2018
First Posted
June 7, 2018
Study Start
June 4, 2018
Primary Completion
February 22, 2020
Study Completion
March 20, 2020
Last Updated
January 19, 2022
Results First Posted
March 15, 2021
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com