NCT03693430

Brief Summary

This study will look at the change in body weight from the start to the end of the study. Researchers will compare the weight loss in people taking semaglutide (a new medicine) to people taking "dummy" medicine. In addition to taking the medicine, participants will also have talks with study staff about healthy food choices, how the participant can be more physically active and what participants can do to lose weight. Participants will either get semaglutide or "dummy" medicine - which treatment the participant gets is decided by chance. 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 2 years. The participants will have 19 clinic visits and 15 phone calls with the study doctor.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
304

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Oct 2018

Geographic Reach
5 countries

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

October 1, 2018

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 3, 2018

Completed
2 days until next milestone

Study Start

First participant enrolled

October 5, 2018

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 29, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 23, 2021

Completed
1 year until next milestone

Results Posted

Study results publicly available

March 23, 2022

Completed
Last Updated

July 6, 2023

Status Verified

July 1, 2023

Enrollment Period

2.3 years

First QC Date

October 1, 2018

Results QC Date

February 2, 2022

Last Update Submit

July 5, 2023

Conditions

Outcome Measures

Primary Outcomes (2)

  • Percentage Change From Baseline (Week 0) to Week 104 in Body Weight

    Percentage change in body weight for both in-trial and on-treatment observation period from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site. On-treatment observation period: the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

    From Baseline (Week 0) to Week 104

  • Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%

    Number of participants who achieved greater than or equal to (\>=) 5% weight loss at 104 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 outcome measure was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site. On-treatment observation period: the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

    At Week 104

Secondary Outcomes (35)

  • Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%

    At Week 104

  • Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%

    At Week 104

  • Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%

    At Week 104

  • Change From Baseline (Week 0) to Week 104 in Waist Circumference

    From Baseline (Week 0) to Week 104

  • Change From Baseline (Week 0) to Week 104 in Body Weight (kg)

    From Baseline (Week 0) to Week 104

  • +30 more secondary outcomes

Study Arms (2)

Semaglutide

EXPERIMENTAL

Participants will receive semaglutide 2.4 mg during 104-week treatment period in addition to a reduced-calorie diet and increased physical activity.

Drug: Semaglutide

Placebo

PLACEBO COMPARATOR

Participants will receive placebo (semaglutide) during 104-week treatment period in addition to a reduced-calorie diet and increased physical activity.

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

Placebo

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (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 (BMI) 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:

  • HbA1c 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, 35222, United States

Location

Novo Nordisk Investigational Site

Los Angeles, California, 90057, United States

Location

Novo Nordisk Investigational Site

Aurora, Colorado, 80045, United States

Location

Novo Nordisk Investigational Site

Golden, Colorado, 80401, United States

Location

Novo Nordisk Investigational Site

Waterbury, Connecticut, 06708, United States

Location

Novo Nordisk Investigational Site

Jacksonville, Florida, 32205, United States

Location

Novo Nordisk Investigational Site

Ocala, Florida, 34471, United States

Location

Novo Nordisk Investigational Site

City of Saint Peters, Missouri, 63303, United States

Location

Novo Nordisk Investigational Site

Butte, Montana, 59701, United States

Location

Novo Nordisk Investigational Site

Albany, New York, 12203, United States

Location

Novo Nordisk Investigational Site

Rochester, New York, 14609, United States

Location

Novo Nordisk Investigational Site

Kingsport, Tennessee, 37660, United States

Location

Novo Nordisk Investigational Site

Austin, Texas, 78731, United States

Location

Novo Nordisk Investigational Site

Round Rock, Texas, 78681, United States

Location

Novo Nordisk Investigational Site

Arlington, Virginia, 22206, United States

Location

Novo Nordisk Investigational Site

Surrey, British Columbia, V3Z 2N6, Canada

Location

Novo Nordisk Investigational Site

Moncton, New Brunswick, E1G 1A7, Canada

Location

Novo Nordisk Investigational Site

Halifax, Nova Scotia, B3H 1V7, Canada

Location

Novo Nordisk Investigational Site

Hamilton, Ontario, L8L 5G8, Canada

Location

Novo Nordisk Investigational Site

Hamilton, Ontario, L8M 1K7, Canada

Location

Novo Nordisk Investigational Site

Toronto, Ontario, M4G 3E8, Canada

Location

Novo Nordisk Investigational Site

Toronto, Ontario, M4P 1P2, Canada

Location

Novo Nordisk Investigational Site

Montreal, Quebec, H4N 2W2, Canada

Location

Novo Nordisk Investigational Site

Québec, G1V 4G2, Canada

Location

Novo Nordisk Investigational Site

Budapest, 1132, Hungary

Location

Novo Nordisk Investigational Site

Budapest, 1152, Hungary

Location

Novo Nordisk Investigational Site

Budapest, H-1134, Hungary

Location

Novo Nordisk Investigational Site

Debrecen, 4043, Hungary

Location

Novo Nordisk Investigational Site

Komárom, 2900, Hungary

Location

Novo Nordisk Investigational Site

Szekszárd, 7100, Hungary

Location

Novo Nordisk Investigational Site

Bologna, 40138, Italy

Location

Novo Nordisk Investigational Site

Palermo, 90127, Italy

Location

Novo Nordisk Investigational Site

Pisa, 56124, Italy

Location

Novo Nordisk Investigational Site

Rome, 00168, Italy

Location

Novo Nordisk Investigational Site

Siena, 53100, Italy

Location

Novo Nordisk Investigational Site

Alcorcón, 28922, Spain

Location

Novo Nordisk Investigational Site

Almería, 04009, Spain

Location

Novo Nordisk Investigational Site

L'Hospitalet de Llobregat, 08907, Spain

Location

Novo Nordisk Investigational Site

Pamplona, 31008, Spain

Location

Novo Nordisk Investigational Site

Pozuelo de Alarcón, 28223, Spain

Location

Novo Nordisk Investigational Site

Seville, 41010, Spain

Location

Related Publications (5)

  • 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
  • Wharton S, Batterham RL, Bhatta M, Buscemi S, Christensen LN, Frias JP, Jodar E, Kandler K, Rigas G, Wadden TA, Garvey WT. Two-year effect of semaglutide 2.4 mg on control of eating in adults with overweight/obesity: STEP 5. Obesity (Silver Spring). 2023 Mar;31(3):703-715. doi: 10.1002/oby.23673. Epub 2023 Jan 18.

    PMID: 36655300BACKGROUND
  • 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.

  • 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.

  • Garvey WT, Batterham RL, Bhatta M, Buscemi S, Christensen LN, Frias JP, Jodar E, Kandler K, Rigas G, Wadden TA, Wharton S; STEP 5 Study Group. Two-year effects of semaglutide in adults with overweight or obesity: the STEP 5 trial. Nat Med. 2022 Oct;28(10):2083-2091. doi: 10.1038/s41591-022-02026-4. Epub 2022 Oct 10.

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 Office (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

October 1, 2018

First Posted

October 3, 2018

Study Start

October 5, 2018

Primary Completion

January 29, 2021

Study Completion

March 23, 2021

Last Updated

July 6, 2023

Results First Posted

March 23, 2022

Record last verified: 2023-07

Data Sharing

IPD Sharing
Will share

According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

More information

Locations