Research Study to Look at How Well Semaglutide is at Lowering Weight When Taken Together With an Intensive Lifestyle Program
STEP 3
Effect and Safety of Semaglutide 2.4 mg Once-weekly as Adjunct to Intensive Behavioural Therapy in Subjects With Overweight or Obesity
2 other identifiers
interventional
611
1 country
41
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. Together with the medicine, the participant will also be part of an intensive lifestyle program where the participant will have talks with study staff about healthy food choices, what the participant can do to lose weight and be more physically active. The participant will either get semaglutide or "dummy" medicine - which treatment the participant gets is decided by chance. The participant 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. For the first 2 months the participant will be on a low calorie diet. The diet is made up of bars, shakes and 1 low calorie pre-prepared meal for each day. The study will last for about 1.5 years. The participant will have 32 clinic visits with the study doctor.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Aug 2018
41 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
July 17, 2018
CompletedStudy Start
First participant enrolled
August 1, 2018
CompletedFirst Posted
Study publicly available on registry
August 2, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 18, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
April 28, 2020
CompletedResults Posted
Study results publicly available
July 9, 2021
CompletedNovember 11, 2021
November 1, 2021
1.6 years
July 17, 2018
June 16, 2021
November 10, 2021
Conditions
Outcome Measures
Primary Outcomes (2)
Change in Body Weight (%)
Change in body weight from baseline (week 0) to week 68 is presented. The endpoint was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from the start of randomisation (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).
Baseline (week 0) to week 68
Participants Who Achieve (Yes/no): Body Weight Reduction More Than or Equal to 5%
Number of participants who achieved greater than or equal to (≥) 5% weight loss after 68 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved ≥ 5% weight loss, whereas 'No' infers the number of participants who have not achieved ≥ 5% weight loss. 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 randomization (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.
After 68 weeks
Secondary Outcomes (29)
Participants Who Achieve (Yes/no): Body Weight Reduction More Than or Equal to 10%
After 68 weeks
Participants Who Achieve (Yes/no): Body Weight Reduction More Than or Equal to 15%
After 68 weeks
Participants Who Achieve (Yes/no): Body Weight Reduction More Than or Equal to 20%
After 68 weeks
Change in Waist Circumference
Baseline (week 0) to week 68
Change in Systolic Blood Pressure
Baseline (week 0) to week 68
- +24 more secondary outcomes
Study Arms (2)
Semaglutide
EXPERIMENTALParticipants will receive semaglutide 2.4 mg during 68-week treatment period in addition to intensive behavioural therapy.
Semaglutide placebo
PLACEBO COMPARATORParticipants will receive semaglutide placebo during 68-week treatment period in addition to intensive behavioural therapy.
Interventions
Subcutaneous (s.c., under the skin) injections of semaglutide once weekly at escalating doses (0.25 mg/week, 0.5 mg/week, 1.0 mg/week, 1.7 mg/week, 2.4 mg/week). The dose will be escalated to next level every 4 weeks.
S.c. injections of placebo once weekly at a similar dose escalation manner as semaglutide (placebo matched to semaglutide 0.25 mg/week, 0.5 mg/week, 1.0 mg/week, 1.7 mg/week, 2.4 mg/week). The dose will be escalated to next level every 4 weeks.
Eligibility Criteria
You may qualify if:
- Male or female, age more than or equal to 18 years at the time of signing informed consent
- Body mass index more than or equal to 30 kg/m\^2 or more than or equal to 27 kg/m\^2 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:
- Hemoglobin A1c more than or equal to 48 mmol/mol (6.5%) as measured by the 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 (41)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35294, United States
Novo Nordisk Investigational Site
Montgomery, Alabama, 36106, United States
Novo Nordisk Investigational Site
Peoria, Arizona, 85381, United States
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
Escondido, California, 92025, United States
Novo Nordisk Investigational Site
Fresno, California, 93720, United States
Novo Nordisk Investigational Site
Fullerton, California, 92835, United States
Novo Nordisk Investigational Site
Huntington Beach, California, 92648, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Walnut Creek, California, 94598, United States
Novo Nordisk Investigational Site
Golden, Colorado, 80401, United States
Novo Nordisk Investigational Site
Kissimmee, Florida, 34744, United States
Novo Nordisk Investigational Site
Panama City, Florida, 32401, United States
Novo Nordisk Investigational Site
Plantation, Florida, 33324, United States
Novo Nordisk Investigational Site
Roswell, Georgia, 30076, United States
Novo Nordisk Investigational Site
Honolulu, Hawaii, 96814, United States
Novo Nordisk Investigational Site
Chicago, Illinois, 60607, United States
Novo Nordisk Investigational Site
Evanston, Illinois, 60201-2477, United States
Novo Nordisk Investigational Site
Skokie, Illinois, 60077, United States
Novo Nordisk Investigational Site
Albany, New York, 12203, United States
Novo Nordisk Investigational Site
Endwell, New York, 13760, United States
Novo Nordisk Investigational Site
Chapel Hill, North Carolina, 27517, United States
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408, United States
Novo Nordisk Investigational Site
Hickory, North Carolina, 28601, United States
Novo Nordisk Investigational Site
Raleigh, North Carolina, 27609, United States
Novo Nordisk Investigational Site
Wilmington, North Carolina, 28401, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19104-3317, United States
Novo Nordisk Investigational Site
Charleston, South Carolina, 29425, United States
Novo Nordisk Investigational Site
Mt. Pleasant, South Carolina, 29464, United States
Novo Nordisk Investigational Site
Knoxville, Tennessee, 37912, United States
Novo Nordisk Investigational Site
Austin, Texas, 78731, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75226, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75231, United States
Novo Nordisk Investigational Site
Rockwall, Texas, 75032, United States
Novo Nordisk Investigational Site
Round Rock, Texas, 78681, United States
Novo Nordisk Investigational Site
St. George, Utah, 84790, United States
Novo Nordisk Investigational Site
Arlington, Virginia, 22206, United States
Novo Nordisk Investigational Site
Newport News, Virginia, 23606, United States
Novo Nordisk Investigational Site
Winchester, Virginia, 22601-3834, United States
Novo Nordisk Investigational Site
Olympia, Washington, 98502, United States
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: 32441473BACKGROUNDWadden TA, Bailey TS, Billings LK, Davies M, Frias JP, Koroleva A, Lingvay I, O'Neil PM, Rubino DM, Skovgaard D, Wallenstein SOR, Garvey WT; STEP 3 Investigators. Effect of Subcutaneous Semaglutide vs Placebo as an Adjunct to Intensive Behavioral Therapy on Body Weight in Adults With Overweight or Obesity: The STEP 3 Randomized Clinical Trial. JAMA. 2021 Apr 13;325(14):1403-1413. doi: 10.1001/jama.2021.1831.
PMID: 33625476RESULTWadden TA, Brown GK, Egebjerg C, Frenkel O, Goldman B, Kushner RF, McGowan B, Overvad M, Fink-Jensen A. Psychiatric Safety of Semaglutide for Weight Management in People Without Known Major Psychopathology: Post Hoc Analysis of the STEP 1, 2, 3, and 5 Trials. JAMA Intern Med. 2024 Nov 1;184(11):1290-1300. doi: 10.1001/jamainternmed.2024.4346.
PMID: 39226070DERIVEDHeerspink HJL, Apperloo E, Davies M, Dicker D, Kandler K, Rosenstock J, Sorrig R, Lawson J, Zeuthen N, Cherney D. Effects of Semaglutide on Albuminuria and Kidney Function in People With Overweight or Obesity With or Without Type 2 Diabetes: Exploratory Analysis From the STEP 1, 2, and 3 Trials. Diabetes Care. 2023 Apr 1;46(4):801-810. doi: 10.2337/dc22-1889.
PMID: 36801984DERIVEDPerreault 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
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 17, 2018
First Posted
August 2, 2018
Study Start
August 1, 2018
Primary Completion
March 18, 2020
Study Completion
April 28, 2020
Last Updated
November 11, 2021
Results First Posted
July 9, 2021
Record last verified: 2021-11
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com