NCT03611582

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

87
On Track

Trial Health Score

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

Enrollment
611

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Aug 2018

Geographic Reach
1 country

41 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

July 17, 2018

Completed
15 days until next milestone

Study Start

First participant enrolled

August 1, 2018

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 2, 2018

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 18, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

April 28, 2020

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

July 9, 2021

Completed
Last Updated

November 11, 2021

Status Verified

November 1, 2021

Enrollment Period

1.6 years

First QC Date

July 17, 2018

Results QC Date

June 16, 2021

Last Update Submit

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

EXPERIMENTAL

Participants will receive semaglutide 2.4 mg during 68-week treatment period in addition to intensive behavioural therapy.

Drug: Semaglutide

Semaglutide placebo

PLACEBO COMPARATOR

Participants will receive semaglutide placebo during 68-week treatment period in addition to intensive behavioural therapy.

Drug: Placebo (semaglutide)

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.

Semaglutide

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.

Semaglutide placebo

Eligibility Criteria

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

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

Study Sites (41)

Novo Nordisk Investigational Site

Birmingham, Alabama, 35294, United States

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Novo Nordisk Investigational Site

Montgomery, Alabama, 36106, United States

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Novo Nordisk Investigational Site

Peoria, Arizona, 85381, United States

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Novo Nordisk Investigational Site

Anaheim, California, 92801, United States

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Novo Nordisk Investigational Site

Escondido, California, 92025, United States

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Novo Nordisk Investigational Site

Fresno, California, 93720, United States

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Novo Nordisk Investigational Site

Fullerton, California, 92835, United States

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Novo Nordisk Investigational Site

Huntington Beach, California, 92648, United States

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Novo Nordisk Investigational Site

Los Angeles, California, 90057, United States

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Novo Nordisk Investigational Site

Walnut Creek, California, 94598, United States

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Novo Nordisk Investigational Site

Golden, Colorado, 80401, United States

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Novo Nordisk Investigational Site

Kissimmee, Florida, 34744, United States

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Novo Nordisk Investigational Site

Panama City, Florida, 32401, United States

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Novo Nordisk Investigational Site

Plantation, Florida, 33324, United States

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Novo Nordisk Investigational Site

Roswell, Georgia, 30076, United States

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Novo Nordisk Investigational Site

Honolulu, Hawaii, 96814, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60607, United States

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Novo Nordisk Investigational Site

Evanston, Illinois, 60201-2477, United States

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Novo Nordisk Investigational Site

Skokie, Illinois, 60077, United States

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Novo Nordisk Investigational Site

Albany, New York, 12203, United States

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Novo Nordisk Investigational Site

Endwell, New York, 13760, United States

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Novo Nordisk Investigational Site

Chapel Hill, North Carolina, 27517, United States

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Novo Nordisk Investigational Site

Greensboro, North Carolina, 27408, United States

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Novo Nordisk Investigational Site

Hickory, North Carolina, 28601, United States

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Novo Nordisk Investigational Site

Raleigh, North Carolina, 27609, United States

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Novo Nordisk Investigational Site

Wilmington, North Carolina, 28401, United States

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Novo Nordisk Investigational Site

Philadelphia, Pennsylvania, 19104-3317, United States

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Novo Nordisk Investigational Site

Charleston, South Carolina, 29425, United States

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Novo Nordisk Investigational Site

Mt. Pleasant, South Carolina, 29464, United States

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Novo Nordisk Investigational Site

Knoxville, Tennessee, 37912, 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

Rockwall, Texas, 75032, United States

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Novo Nordisk Investigational Site

Round Rock, Texas, 78681, United States

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Novo Nordisk Investigational Site

St. George, Utah, 84790, United States

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Novo Nordisk Investigational Site

Arlington, Virginia, 22206, United States

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Novo Nordisk Investigational Site

Newport News, Virginia, 23606, United States

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Novo Nordisk Investigational Site

Winchester, Virginia, 22601-3834, United States

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Novo Nordisk Investigational Site

Olympia, Washington, 98502, United States

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
  • Wadden 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.

  • Wadden 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.

  • Heerspink 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.

  • 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

OverweightObesity

Interventions

semaglutide

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody 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
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

More information

Locations