NCT03548987

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

98
On Track

Trial Health Score

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

Enrollment
902

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jun 2018

Geographic Reach
10 countries

72 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

May 25, 2018

Completed
10 days until next milestone

Study Start

First participant enrolled

June 4, 2018

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 7, 2018

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 22, 2020

Completed
27 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 20, 2020

Completed
12 months until next milestone

Results Posted

Study results publicly available

March 15, 2021

Completed
Last Updated

January 19, 2022

Status Verified

January 1, 2022

Enrollment Period

1.7 years

First QC Date

May 25, 2018

Results QC Date

February 19, 2021

Last Update Submit

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

EXPERIMENTAL

Run-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.

Drug: Semaglutide

Placebo

PLACEBO COMPARATOR

Run-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.

Drug: SemaglutideDrug: Placebo

Interventions

Subcutaneous (under the skin) injection of semaglutide once-weekly.

PlaceboSemaglutide

Subcutaneous (under the skin) injection of semaglutide placebo once-weekly.

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (72)

Novo Nordisk Investigational Site

Anniston, Alabama, 36207, United States

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Novo Nordisk Investigational Site

Fresno, California, 93720, United States

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Novo Nordisk Investigational Site

San Diego, California, 92108, United States

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Novo Nordisk Investigational Site

Alpharetta, Georgia, 30022, United States

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Novo Nordisk Investigational Site

Roswell, Georgia, 30076, United States

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Novo Nordisk Investigational Site

Suwanee, Georgia, 30024, United States

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Novo Nordisk Investigational Site

Louisville, Kentucky, 40213, United States

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Novo Nordisk Investigational Site

Baton Rouge, Louisiana, 70808, United States

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Novo Nordisk Investigational Site

Elkridge, Maryland, 21075-6437, United States

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Novo Nordisk Investigational Site

Buckley, Michigan, 49620, United States

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Novo Nordisk Investigational Site

Omaha, Nebraska, 68198-3020, United States

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Novo Nordisk Investigational Site

New York, New York, 10016, United States

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Novo Nordisk Investigational Site

Greensboro, North Carolina, 27408, United States

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Novo Nordisk Investigational Site

Greenville, North Carolina, 27834, United States

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Novo Nordisk Investigational Site

Raleigh, North Carolina, 27612, United States

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Novo Nordisk Investigational Site

Salisbury, North Carolina, 28144, United States

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Novo Nordisk Investigational Site

Cincinnati, Ohio, 45242, United States

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Novo Nordisk Investigational Site

Dayton, Ohio, 45406, United States

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Novo Nordisk Investigational Site

Bristol, Tennessee, 37620-7352, United States

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Novo Nordisk Investigational Site

Bristol, Tennessee, 37620, United States

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Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37404, 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, 75226, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75230, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75231, United States

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Novo Nordisk Investigational Site

Arlington, Virginia, 22206, United States

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Novo Nordisk Investigational Site

Richmond, Virginia, 23226, United States

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Novo Nordisk Investigational Site

Wenatchee, Washington, 98801-2028, United States

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Novo Nordisk Investigational Site

Frederiksberg C, 1958, Denmark

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Novo Nordisk Investigational Site

Køge, 4600, Denmark

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Novo Nordisk Investigational Site

Haifa, 35152, Israel

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Novo Nordisk Investigational Site

Jerusalem, 91120, Israel

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Novo Nordisk Investigational Site

Kfar Saba, 44281, Israel

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Novo Nordisk Investigational Site

Petah Tikva, 49372, Israel

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Novo Nordisk Investigational Site

Tel Aviv, 64239, Israel

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Novo Nordisk Investigational Site

Tel Litwinsky, 52621, Israel

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Novo Nordisk Investigational Site

Amsterdam, 1066 EC, Netherlands

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Novo Nordisk Investigational Site

Amsterdam, 1105 AZ, Netherlands

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Novo Nordisk Investigational Site

Arnhem, 6815 AD, Netherlands

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Novo Nordisk Investigational Site

Braga, 4710-243, Portugal

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Novo Nordisk Investigational Site

Coimbra, 3000-561, Portugal

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Novo Nordisk Investigational Site

Matosinhos Municipality, 4464-513, Portugal

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Novo Nordisk Investigational Site

Porto, 4099-001, Portugal

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Novo Nordisk Investigational Site

Porto, 4200-319, Portugal

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Novo Nordisk Investigational Site

Vila Nova de Gaia, 4400-346, Portugal

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 2001, South Africa

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 2013, South Africa

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Novo Nordisk Investigational Site

Pretoria, Gauteng, 0181, South Africa

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Novo Nordisk Investigational Site

Pretoria, Gauteng, 0184, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4001, South Africa

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Novo Nordisk Investigational Site

Brits, North West, 0250, South Africa

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Novo Nordisk Investigational Site

Almería, 04009, Spain

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Novo Nordisk Investigational Site

Madrid, 28009, Spain

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Novo Nordisk Investigational Site

Madrid, 28040, Spain

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Novo Nordisk Investigational Site

Sabadell, 08208, Spain

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Novo Nordisk Investigational Site

Seville, 41003, Spain

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Novo Nordisk Investigational Site

Seville, 41009, Spain

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Novo Nordisk Investigational Site

Seville, 41013, Spain

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Novo Nordisk Investigational Site

Malmo, 205 02, Sweden

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Novo Nordisk Investigational Site

Stockholm, 141 86, Sweden

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Novo Nordisk Investigational Site

Uppsala, 751 85, Sweden

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Novo Nordisk Investigational Site

Geneva, 1211, Switzerland

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Novo Nordisk Investigational Site

Olten, 4600, Switzerland

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Novo Nordisk Investigational Site

Sankt Gallen, 9007, Switzerland

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Novo Nordisk Investigational Site

Sankt Gallen, 9016, Switzerland

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Novo Nordisk Investigational Site

Zollikerberg, 8125, Switzerland

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Novo Nordisk Investigational Site

Zurich, 8091, Switzerland

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Novo Nordisk Investigational Site

Kharkiv, 61039, Ukraine

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Novo Nordisk Investigational Site

Kyiv, 03039, Ukraine

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Novo Nordisk Investigational Site

Kyiv, 04050, Ukraine

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Novo Nordisk Investigational Site

Kyiv, 04114, Ukraine

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Novo Nordisk Investigational Site

Odesa, 65059, Ukraine

Location

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: 32441473BACKGROUND
  • Rubino 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.

  • Wilkinson 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.

  • Kosiborod 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.

  • Perreault 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.

  • O'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.

MeSH Terms

Conditions

Nutrition DisordersObesity

Interventions

semaglutide

Condition Hierarchy (Ancestors)

Nutritional and Metabolic DiseasesOverweightOvernutritionBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Clinical Reporting Anchor and Disclosure (1452)
Organization
Novo Nordisk A/S

Study Officials

  • Clinical Reporting Anchor and Disclosure (1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

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

More information

Locations