Two-year Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity
STEP 5
Two-year Effect and Safety of Semaglutide 2.4 mg Once-weekly in Subjects With Overweight or Obesity
3 other identifiers
interventional
304
5 countries
41
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Oct 2018
41 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 1, 2018
CompletedFirst Posted
Study publicly available on registry
October 3, 2018
CompletedStudy Start
First participant enrolled
October 5, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 29, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 23, 2021
CompletedResults Posted
Study results publicly available
March 23, 2022
CompletedJuly 6, 2023
July 1, 2023
2.3 years
October 1, 2018
February 2, 2022
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
EXPERIMENTALParticipants will receive semaglutide 2.4 mg during 104-week treatment period in addition to a reduced-calorie diet and increased physical activity.
Placebo
PLACEBO COMPARATORParticipants will receive placebo (semaglutide) during 104-week treatment period in addition to a reduced-calorie diet and increased physical activity.
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 (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
- Novo Nordisk A/Slead
Study Sites (41)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35222, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Aurora, Colorado, 80045, United States
Novo Nordisk Investigational Site
Golden, Colorado, 80401, United States
Novo Nordisk Investigational Site
Waterbury, Connecticut, 06708, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32205, United States
Novo Nordisk Investigational Site
Ocala, Florida, 34471, United States
Novo Nordisk Investigational Site
City of Saint Peters, Missouri, 63303, United States
Novo Nordisk Investigational Site
Butte, Montana, 59701, United States
Novo Nordisk Investigational Site
Albany, New York, 12203, United States
Novo Nordisk Investigational Site
Rochester, New York, 14609, United States
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660, United States
Novo Nordisk Investigational Site
Austin, Texas, 78731, United States
Novo Nordisk Investigational Site
Round Rock, Texas, 78681, United States
Novo Nordisk Investigational Site
Arlington, Virginia, 22206, United States
Novo Nordisk Investigational Site
Surrey, British Columbia, V3Z 2N6, Canada
Novo Nordisk Investigational Site
Moncton, New Brunswick, E1G 1A7, Canada
Novo Nordisk Investigational Site
Halifax, Nova Scotia, B3H 1V7, Canada
Novo Nordisk Investigational Site
Hamilton, Ontario, L8L 5G8, Canada
Novo Nordisk Investigational Site
Hamilton, Ontario, L8M 1K7, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M4G 3E8, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M4P 1P2, Canada
Novo Nordisk Investigational Site
Montreal, Quebec, H4N 2W2, Canada
Novo Nordisk Investigational Site
Québec, G1V 4G2, Canada
Novo Nordisk Investigational Site
Budapest, 1132, Hungary
Novo Nordisk Investigational Site
Budapest, 1152, Hungary
Novo Nordisk Investigational Site
Budapest, H-1134, Hungary
Novo Nordisk Investigational Site
Debrecen, 4043, Hungary
Novo Nordisk Investigational Site
Komárom, 2900, Hungary
Novo Nordisk Investigational Site
Szekszárd, 7100, Hungary
Novo Nordisk Investigational Site
Bologna, 40138, Italy
Novo Nordisk Investigational Site
Palermo, 90127, Italy
Novo Nordisk Investigational Site
Pisa, 56124, Italy
Novo Nordisk Investigational Site
Rome, 00168, Italy
Novo Nordisk Investigational Site
Siena, 53100, Italy
Novo Nordisk Investigational Site
Alcorcón, 28922, Spain
Novo Nordisk Investigational Site
Almería, 04009, Spain
Novo Nordisk Investigational Site
L'Hospitalet de Llobregat, 08907, Spain
Novo Nordisk Investigational Site
Pamplona, 31008, Spain
Novo Nordisk Investigational Site
Pozuelo de Alarcón, 28223, Spain
Novo Nordisk Investigational Site
Seville, 41010, Spain
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: 32441473BACKGROUNDWharton 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: 36655300BACKGROUNDWadden 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: 39226070DERIVEDWilkinson 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: 37605636DERIVEDGarvey 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.
PMID: 36216945DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Office (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
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