NCT04916470

Brief Summary

This study will look at how participants' daily life is affected by their heart failure. The study will also look at the change in participants' body weight. This study will compare the effect of semaglutide (a new medicine) compared to "dummy" medicine on body weight and heart failure symptoms. Participants will either get semaglutide or "dummy" medicine, which treatment participants get 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 area, thigh or upper arm. During the study participants will have talks with the study staff about healthy lifestyle and physical activity. The study will last for about 59 weeks, that is a little more than 1 year. Participants will have 12 clinic visits with the study doctor.

  • At 6 of the visits participants will have blood samples taken.
  • At 5 of the visits participants will be asked to fill in a questionnaire
  • At 4 of the visits participants will have to do a 6-minute walking test
  • At 3 of the visits participants will have a test to check the heart.
  • participants will have their eyes checked before or at the start of the study and at the end of the study Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
617

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jun 2021

Geographic Reach
16 countries

180 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

June 1, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 7, 2021

Completed
8 days until next milestone

Study Start

First participant enrolled

June 15, 2021

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 11, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 11, 2023

Completed
Last Updated

November 26, 2025

Status Verified

November 1, 2025

Enrollment Period

2.3 years

First QC Date

June 1, 2021

Last Update Submit

November 24, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Change in KCCQ (Kansas City Cardiomyopathy Questionnaire) clinical summary score

    Score on a scale of 0 to 100 where the score 100 means the least burden for the participant.

    From baseline (week 0) to end of treatment (week 52)

  • Change in body weight

    Percentage (%)

    From baseline (week 0) to end of treatment (week 52)

Secondary Outcomes (21)

  • Change in 6-minute walking distance

    From baseline (week 0) to end of treatment (week 52)

  • Hierarchical composite of time to all-cause death

    From baseline (week 0) to end of study (week 57)

  • Hierarchical composite of number of heart failure events requiring hospitalisation or urgent heart failure visit

    From baseline (week 0) to end of study (week 57)

  • Hierarchical composite of time to first heart failure event requiring hospitalisation or urgent heart failure visit

    From baseline (week 0) to end of study (week 57)

  • Hierarchical composite of difference at least 15 inKansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary score change from baseline to 52 weeks

    From baseline (week 0) to end of study (week 57)

  • +16 more secondary outcomes

Study Arms (2)

Semaglutide 2.4 mg once weekly (OW)

EXPERIMENTAL

Participants will receive semaglutide injections for 52 weeks.

Drug: Semaglutide

Semaglutide placebo OW

PLACEBO COMPARATOR

Participants will receive semaglutide placebo injections for 52 weeks.

Drug: Placebo (Semaglutide)

Interventions

Participants will receive semaglutide subcutaneous (s.c.; under the skin) injection(s) once-weekly for 52 weeks. Dose will be gradually increased to 2.4 mg: 0.25 mg from week 1 to 4, 0.5 mg from week 5 to 8, 1.0 mg from week 9 to 12, 1.7 mg from week 13 to 16 and 2.4 mg from week 17 to week 52.

Semaglutide 2.4 mg once weekly (OW)

Participants will receive semaglutide matching placebo s.c. injection(s) once-weekly for 52 weeks.

Semaglutide placebo OW

Eligibility Criteria

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

You may qualify if:

  • Male or female, age above or equal to 18 years at the time of signing informed consent.
  • Body mass index (BMI) greater than or equal to 30.0 kg/m\^2
  • New York Heart Association (NYHA) Class II-IV
  • Left ventricular ejection fraction (LVEF) greater than or equal to 45% at screening
  • Diagnosed with T2D greater than or equal to 90 days prior to the day of screening
  • HbA1c of below or equal to 10.0% as measured at the screening visit

You may not qualify if:

  • A self-reported change in body weight greater than 5 kg (11 lbs) within 90 days before screening irrespective of medical records
  • Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days prior to screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (180)

Eastern Shore Rsrch Inst, LLC

Fairhope, Alabama, 36532, United States

Location

Mobile Heart Specialists

Mobile, Alabama, 36608, United States

Location

National Heart Institute Cal

Beverly Hills, California, 90211, United States

Location

John Muir Physicians Network

Concord, California, 94520, United States

Location

Valley Clinical Trials

Covina, California, 91723, United States

Location

Keck Medical Center of USC - Outpatient Clinic

Los Angeles, California, 90033, United States

Location

Valley Clinical Trials, Inc.

Northridge, California, 91325, United States

Location

Lundquist Inst-Biomed Innovtn

Torrance, California, 90502, United States

Location

New West Physicians,Inc.

Golden, Colorado, 80401, United States

Location

Excel Med Ctr Clinical Trials

Boca Raton, Florida, 33434, United States

Location

Bay Area Cardiology Associates, P.A.

Brandon, Florida, 33511, United States

Location

Baptist Heart Specialists_Jacksonville

Jacksonville, Florida, 32258, United States

Location

CV Res Ctr of S Florida

Miami, Florida, 33173, United States

Location

Endeavor Health Clinical Operations-NCH

Arlington Heights, Illinois, 60005, United States

Location

Endeavor Health Glenbook Hosp

Evanston, Illinois, 60201, United States

Location

Northwestern University_Chicago_0

Evanston, Illinois, 60208, United States

Location

Chicago Medical Research LLC

Hazel Crest, Illinois, 60429, United States

Location

Deaconess Specialty Physicians

Evansville, Indiana, 47747, United States

Location

Ascension St. Vincent Medical Group

Indianapolis, Indiana, 46260, United States

Location

Cardiovascular Rsrch of NW_IN

Munster, Indiana, 46321, United States

Location

Cotton-O'Neil Heart Center

Topeka, Kansas, 66606, United States

Location

Baptist Health Woodland

Elizabethtown, Kentucky, 42701, United States

Location

The Research Group of Lexington LLC

Lexington, Kentucky, 40503, United States

Location

Baptist Health Louisville

Louisville, Kentucky, 40207, United States

Location

Grace Research, LLC

Bossier City, Louisiana, 71111, United States

Location

Heart Clinic of Hammond

Hammond, Louisiana, 70403, United States

Location

Clinical Trials of Ame, LLC

Monroe, Louisiana, 71201, United States

Location

Grace Research, LLC_Shreveport

Shreveport, Louisiana, 71105, United States

Location

Louisiana Heart Center_Slidell

Slidell, Louisiana, 70458, United States

Location

Ascension Saint Agnes Heart Ca

Baltimore, Maryland, 21229, United States

Location

MedStar Good Samaritan Hosp

Baltimore, Maryland, 21239, United States

Location

John Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

Elite Research Center

Flint, Michigan, 48532, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Univ of Mississippi Med Ctr

Jackson, Mississippi, 39216, United States

Location

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, 64111, United States

Location

St Louis Heart & Vascular, P.C.

St Louis, Missouri, 63136, United States

Location

Bryan Heart

Lincoln, Nebraska, 68506, United States

Location

CHI Health Clinic Cardiology (CUMC - Bergan Mercy)

Omaha, Nebraska, 68124, United States

Location

St Francis Hospital Lindner Research Center

Greenvale, New York, 11548, United States

Location

NY Presbyt Hosp-W Cornell Med

New York, New York, 10021, United States

Location

Carteret Medical Group

Morehead City, North Carolina, 28557, United States

Location

Wake Forest Baptist Health

Winston-Salem, North Carolina, 27157, United States

Location

Lindner Center,Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

Abington Memorial Hospital

Abington, Pennsylvania, 19001, United States

Location

Hospital of University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Sanford Health_Sioux Falls

Sioux Falls, South Dakota, 57117, United States

Location

Tennessee Center for Clinical Trials

Tullahoma, Tennessee, 37388, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Angio Cardiac Care of Texas

Houston, Texas, 77025, United States

Location

Cardiology Consultants of Danville Inc.

Danville, Virginia, 24541, United States

Location

Virginia Heart

Falls Church, Virginia, 22042, United States

Location

Virginia Commonwealth University

Richmond, Virginia, 23298-5058, United States

Location

Virginia Commonwealth University

Richmond, Virginia, 23298, United States

Location

CEMEDIC

CABA, Buenos Aires, C1440CFD, Argentina

Location

Centro de Investigación y Prevención Cardiovascular

CABA, C1061AAS., Argentina

Location

Centro de Investigación y Prevención Cardiovascular

CABA, C1119ACN, Argentina

Location

CEMEDIC

CABA, C1440CFD, Argentina

Location

Cardiología Palermo Duplicate

Ciudad Autónoma de Buenos Aire, 1425, Argentina

Location

Cardiología Palermo

Ciudad Autónoma de Buenos Aire, 1425, Argentina

Location

Instituto de Cardiología de Corrientes

Corrientes, W3400AMZ, Argentina

Location

Consultorio Integral de Atención al Diabético

Morón, B1708IFF, Argentina

Location

Sanatorio Britanico S.A.

Rosario, Santa Fe, S2000CVB, Argentina

Location

Krankenhaus St. Josef Braunau

Braunau am Inn, 5280, Austria

Location

Medizinische Universität Graz

Graz, 8036, Austria

Location

Medizinische Universität Graz

Graz, A 8036, Austria

Location

Fließer-Görzer [Ordination]

Saint Stefan, 8511, Austria

Location

Medizinische Universität Wien

Vienna, 1090, Austria

Location

Klinik Favoriten

Vienna, 1100, Austria

Location

Imed 19- privat

Vienna, 1190, Austria

Location

AKH Universitätsklinik für Innere Medizin II

Vienna, A 1090, Austria

Location

Universitätsklinik für Innere Medizin II

Vienna, A 1090, Austria

Location

University of Calgary_Calgary

Calgary, Alberta, T2N 4Z6, Canada

Location

Univ of Alberta Hosp Edmonton

Edmonton, Alberta, T6G 2B7, Canada

Location

North Shore Heart Centre

North Vancouver, British Columbia, V7M 2H4, Canada

Location

SMH Cardiology Clinical Trials Inc.

Surrey, British Columbia, V3V 0C6, Canada

Location

St. Boniface Hospital

Winnipeg, Manitoba, R2H 2HA6, Canada

Location

Cambridge Cardiac Care Centre

Cambridge, Ontario, N1R 6V6, Canada

Location

Partnrs Adv Cardio Eval (PACE)

Newmarket, Ontario, L3Y 2P6, Canada

Location

Oakville Cardiovascular Research LP

Oakville, Ontario, L6K 3W7, Canada

Location

Heart Health Institute Research, Inc.

Scarborough Village, Ontario, M1B 4Z8, Canada

Location

Dr. Louis Yao

Weston, Ontario, M9N 1W4, Canada

Location

ViaCar Recherche Clinique Inc

Brossard, Quebec, J4Z 2K9, Canada

Location

Applied Med Inf Res

Montreal, Quebec, H4A 3T2, Canada

Location

Ctr de Med Metab de Lanaudiere

Terrebonne, Quebec, J6X 4P7, Canada

Location

Institut universitaire de cardiologie

Québec, G1V 4G5, Canada

Location

Edumed Broumov

Broumov, 550 01, Czechia

Location

Fakultní poliklinika VFN ambulance Srdecniho selhani

Prague, 120 00, Czechia

Location

IKEM

Prague, 140 21, Czechia

Location

MEDICON a.s.

Prague, 170 00, Czechia

Location

Poliklinika Holešovice VISIONARY - Medicon Pharm s.r.o.

Prague, 170 00, Czechia

Location

Charité - Campus Virchow-Klinikum - Kardiologie, Angiologie und Intensivmedizin (CRU)

Berlin, 13353, Germany

Location

Cardiologicum Dresden und Pirna - MVZ "Am Felsenkeller" (Dresden)

Dresden, 01277, Germany

Location

Zentrum fuer klinische Studien Suedbrandenburg GmbH

Elsterwerda, 04910, Germany

Location

MVZ CCB Frankfurt und Main-Taunus GbR

Frankfurt, 60389, Germany

Location

Medical Center - University Of Freiburg

Freiburg im Breisgau, 79106, Germany

Location

Universitätsklinikum Freiburg - Medical Center

Freiburg im Breisgau, 79106, Germany

Location

B. Braun Ambulantes Herzzentrum Kassel MVZ GmbH

Kassel, 34121, Germany

Location

Universitätsklinikum Leipzig - Klinik und Poliklinik für Kardiologie

Leipzig, 04103, Germany

Location

Universitätsmedizin Mainz, Kardiologie I, Studienzentrum

Mainz, 55131, Germany

Location

Universitatsklinikum Würzburg - Zentrum für Herzinsuffizienz

Würzburg, 97078, Germany

Location

Lausmed Kft.

Baja, Bács-Kiskun county, 6500, Hungary

Location

Selye János Kórház

Komárom, Komárom-Esztergom, 2921, Hungary

Location

Szent Margit Rendelőintézet Nonprofit Kft.

Budapest, 1032, Hungary

Location

Semmelweis Egyetem Szent Rókus Klinikai Tömb

Budapest, 1085, Hungary

Location

Gottsegen György Országos Kardiológiai Intézet

Budapest, 1096, Hungary

Location

Semmelweis Egyetem Városmajori Szív- és Érgyógyászat

Budapest, 1122, Hungary

Location

Jahn Ferenc Dél-pesti Kórház és Rendelőintézet

Budapest, 1204, Hungary

Location

DE KK Kardiológiai és Szívsebészeti klinika

Debrecen, 4032, Hungary

Location

Borsod-Abaúj-Zemplén Megyei Központi Kórház

Miskolc, 3526, Hungary

Location

Zala Megyei Szent Rafael Kórház

Zalaegerszeg, 8900, Hungary

Location

Krishna Institute of medical sciences Ltd

Secunderabad, A.P., 500 003, India

Location

CIMS- Care Institute of Medical Sciences

Ahmedabad, Gujarat, 380060, India

Location

Rhythm Heart Institute

Vadodara, Gujarat, 390022, India

Location

K R Hospital

Mysore, Karnataka, 570001, India

Location

Lisie Hospital

Kochi, Kerala, 682018, India

Location

Vijan Cardiac & Critical Care

Nashik, Maharashtra, 422005, India

Location

Vijan Hospital & Research Centre

Nashik, Maharashtra, 422005, India

Location

G B Pant Institute of Postgraduate Medical Education and Research

New Delhi, National Capital Territory of Delhi, 110002, India

Location

Max Super Speciality Hospital, Saket

New Delhi, National Capital Territory of Delhi, 110017, India

Location

Batra Hospital and Medical Research Center

New Delhi, National Capital Territory of Delhi, 110062, India

Location

VMMC & Safdarjung Hospital

New Dehli, New Delhi, 110029, India

Location

SP Medical College & A.G.Hospital Bikaner

Bikaner, Rajasthan, 334003, India

Location

SP Medical College

Bikaner, Rajasthan, 334003, India

Location

Apollo Hospitals Education & Research Foundation

Chennai, Tamil Nadu, 600006, India

Location

Gandhi Memorial Hospital- King George's Medical University

Lucknow, Uttar Pradesh, 226003, India

Location

G B Pant Institute of Postgraduate Medical Education and Res

New Delhi, 110002, India

Location

Dr. BL Kapur Memorial Hospital

New Delhi, 110005, India

Location

Max Super Speciality Hospital_New Delhi

New Delhi, 110017, India

Location

Sir Ganga Ram Hospital

New Delhi, 110060, India

Location

Hadassah Ein Karam MC - Cardio Department

Jerusalem, 91120, Israel

Location

Western Galilee MC - Cardiology Department

Nahariya, 22100, Israel

Location

Rabin MC Beilinson - Heart Failure Unit

Petah Tikva, 49100, Israel

Location

Sourasky MC - Cardio Vascular Research Center

Tel Aviv, 6423906, Israel

Location

Sheba MC - Cardiology Clinical Research Unit

Tel Litwinsky, 5265601, Israel

Location

Spedali Civili Brescia

Brescia, Bs, 25123, Italy

Location

A.O.U. Ferrara, Sant'Anna

Cona (Ferrara), Fe, 44124, Italy

Location

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII

Bergamo, Lombardy, 24127, Italy

Location

Centro Cardiologico Monzino

Milan, 20138, Italy

Location

Azienda Ospedaliera di Padova - MASTER

Padua, 35128, Italy

Location

A.O.U. Policlinico Umberto I

Roma, 00161, Italy

Location

Policlinico A. Gemelli IRCCS

Rome, 00168, Italy

Location

Hyogo Prefectural HarimaHimeji General Medical Center_Cardiology

Himeji-shi, Hyogo, 670-8560, Japan

Location

Kokura Memorial Hospital_Cardiology

Kitakyushu-shi,Fukuoka, 802-8555, Japan

Location

Okayama University Hospital_Cardiovascular Medicine

Okayama-shi, Okayama, 700-8558, Japan

Location

Omihachiman Community Medical Center_Omihachiman-shi, Siga

Omihachiman-shi, Siga, 523-0082, Japan

Location

Osaka City General Hospital_Endocrinology and Diabetes Mellitus

Osaka, 534-0021, Japan

Location

Medical Research Institute KITANO HOSPITAL_Cardiovascular Medicine

Osaka-shi, Osaka, 530-8480, Japan

Location

Hanaoka Seishu Memorial Hosp._Cardiovascular Medicine

Sapporo-shi, Hokkaido, 062-0003, Japan

Location

Tokyo Shinagawa Hospital_Cardiovascular Medicine

Tokyo, 140-8522, Japan

Location

Gelre Ziekenhuizen Apeldoorn

Apeldoorn, 7334 DZ, Netherlands

Location

Rijnstate Ziekenhuis

Arnhem, 6815 AD, Netherlands

Location

Rode Kruis Ziekenhuis Beverwijk

Beverwijk, 1942 LE, Netherlands

Location

UMC Groningen

Groningen, 9713 GZ, Netherlands

Location

Saxenburgh Medisch Centrum

Hardenberg, 7772 SE, Netherlands

Location

Frisius MC Leeuwarden

Leeuwarden, 8934 AD, Netherlands

Location

Bravis Ziekenhuis

Roosendaal, 4708 AE, Netherlands

Location

Malopolskie Centrum Sercowo-Naczyniowe

Chrzanów, Lesser Poland Voivodeship, 32-500, Poland

Location

Uniwersytecki Szpital Kliniczny w Bialymstoku K. Kardio

Bialystok, Podlaskie Voivodeship, 15-276, Poland

Location

Uniwersytecki Szpital Kliniczny w Bialymstoku K. Kardio

Bialystok, Podlaskie Voivodeship, 15-540, Poland

Location

Ind. Prak. Lek. w dziedz. Kardiologii lek. med. K. Cymerman

Gdynia, Pomeranian Voivodeship, 81-157, Poland

Location

Pro Familia Altera Sp. z o.o.

Katowice, Silesian Voivodeship, 40-648, Poland

Location

I Katedra i Klinika Kardiologii WUM SPCSK

Warsaw, 02-097, Poland

Location

Uniwersytecki Szpital Kliniczny nr 2 Uniwersytetu Medycznego w Łodzi

Lodz, Łódź Voivodeship, 90-549, Poland

Location

Complejo Hospitalario Universitario de Santiago

Santiago de Compostela, 15706, Spain

Location

Clínica Nuevas Tecnologías en Diabetes y Endocrinología

Seville, 41003, Spain

Location

Hospital Clinico Universitario de Valencia

Valencia, 46010, Spain

Location

Dept of Med Sahlgrenska/Östra

Gothenburg, 416 50, Sweden

Location

Medicinkliniken Ryhov

Jönköping, 551 85, Sweden

Location

Hjärtmottagningen

Uppsala, 751 85, Sweden

Location

Ninewells Hospital

Dundee, DD1 9SY, United Kingdom

Location

Glasgow Clinical Research Facility

Glasgow, G31 2ER, United Kingdom

Location

Glasgow Royal Infirmary

Glasgow, G31 2ER, United Kingdom

Location

Queen Elizabeth University Hospital

Glasgow, G51 4TF, United Kingdom

Location

Wycombe General Hospital

High Wycombe, HP11 2TT, United Kingdom

Location

Aintree University Hospital

Liverpool, L9 7AL, United Kingdom

Location

University Hospital Aintree

Liverpool, L9 7AL, United Kingdom

Location

Manchester Royal Infirmary_Manchester_0

Manchester, M13 9WL, United Kingdom

Location

Manchester Royal Infirmary

Manchester, M13 9WL, United Kingdom

Location

Great Western Hospital

Swindon, SN3 6BB, United Kingdom

Location

Related Publications (13)

  • Kosiborod MN, Abildstrom SZ, Borlaug BA, Butler J, Christensen L, Davies M, Hovingh KG, Kitzman DW, Lindegaard ML, Moller DV, Shah SJ, Treppendahl MB, Verma S, Petrie MC. Design and Baseline Characteristics of STEP-HFpEF Program Evaluating Semaglutide in Patients With Obesity HFpEF Phenotype. JACC Heart Fail. 2023 Aug;11(8 Pt 1):1000-1010. doi: 10.1016/j.jchf.2023.05.010. Epub 2023 May 21.

    PMID: 37294245BACKGROUND
  • Borlaug BA, Kitzman DW, Patel S, Chinnakondepalli KM, Butler J, Davies MJ, Petrie MC, Shah SJ, Verma S, Nunez J, Einfeldt MN, Liisberg K, Salsali A, Kosiborod MN; STEP-HFpEF Trial Committees and Investigators. Semaglutide and Exercise Function in Obesity-Related HFpEF: Insights From the STEP-HFpEF Program. JACC Heart Fail. 2025 Nov;13(11):102660. doi: 10.1016/j.jchf.2025.102660. Epub 2025 Oct 3.

  • Pandey A, Kitzman DW, Chinnakondepalli KM, Patel S, Borlaug BA, Butler J, Davies MJ, Shah SJ, Verma S, Ronnback C, Domdey A, Liisberg K, Schou M, Perna E, Ahmed FZ, Fu M, Petrie MC, Kosiborod MN. Frailty and Effects of Semaglutide in Obesity-Related HFpEF: Findings From the STEP-HFpEF Program. JACC Heart Fail. 2025 Oct;13(10):102610. doi: 10.1016/j.jchf.2025.102610. Epub 2025 Sep 15.

  • Davies MJ, van der Meer P, Verma S, Patel S, Chinnakondepalli KM, Borlaug BA, Butler J, Kitzman DW, Shah SJ, Harring S, Salsali A, Rasmussen S, von Lewinski D, Abhayaratna W, Petrie MC, Kosiborod MN; STEP-HFpEF Trials Committees and Investigators. Semaglutide in obesity-related heart failure with preserved ejection fraction and type 2 diabetes across baseline HbA1c levels (STEP-HFpEF DM): a prespecified analysis of heart failure and metabolic outcomes from a randomised, placebo-controlled trial. Lancet Diabetes Endocrinol. 2025 Mar;13(3):196-209. doi: 10.1016/S2213-8587(24)00304-8. Epub 2025 Jan 20.

  • Kosiborod MN, Deanfield J, Pratley R, Borlaug BA, Butler J, Davies MJ, Emerson SS, Kahn SE, Kitzman DW, Lingvay I, Mahaffey KW, Petrie MC, Plutzky J, Rasmussen S, Ronnback C, Shah SJ, Verma S, Weeke PE, Lincoff AM; SELECT, FLOW, STEP-HFpEF, and STEP-HFpEF DM Trial Committees and Investigators. Semaglutide versus placebo in patients with heart failure and mildly reduced or preserved ejection fraction: a pooled analysis of the SELECT, FLOW, STEP-HFpEF, and STEP-HFpEF DM randomised trials. Lancet. 2024 Sep 7;404(10456):949-961. doi: 10.1016/S0140-6736(24)01643-X. Epub 2024 Aug 30.

  • Solomon SD, Ostrominski JW, Wang X, Shah SJ, Borlaug BA, Butler J, Davies MJ, Kitzman DW, Verma S, Abildstrom SZ, Nygaard Einfeldt M, Rasmussen S, Abhayaratna WP, Ahmed FZ, Ben-Gal T, Chopra V, Ito H, Merkely B, Nunez J, Senni M, van der Meer P, Wolf D, Petrie MC, Kosiborod MN; STEP-HFpEF Trial Committees and Investigators. Effect of Semaglutide on Cardiac Structure and Function in Patients With Obesity-Related Heart Failure. J Am Coll Cardiol. 2024 Oct 22;84(17):1587-1602. doi: 10.1016/j.jacc.2024.08.021. Epub 2024 Aug 30.

  • Verma S, Butler J, Borlaug BA, Davies MJ, Kitzman DW, Petrie MC, Shah SJ, Jensen TJ, Rasmussen S, Ronnback C, Merkely B, O'Keefe E, Kosiborod MN; STEP-HFpEF and STEP-HFpEF DM Investigators. Atrial Fibrillation and Semaglutide Effects in Obesity-Related Heart Failure With Preserved Ejection Fraction: STEP-HFpEF Program. J Am Coll Cardiol. 2024 Oct 22;84(17):1603-1614. doi: 10.1016/j.jacc.2024.08.023. Epub 2024 Aug 30.

  • Verma S, Petrie MC, Borlaug BA, Butler J, Davies MJ, Kitzman DW, Shah SJ, Ronnback C, Abildstrom SZ, Liisberg K, Wolf D, von Lewinski D, Lelonek M, Melenovsky V, Senni M, Kosiborod MN; STEP-HFpEF Trial Committees and Investigators. Inflammation in Obesity-Related HFpEF: The STEP-HFpEF Program. J Am Coll Cardiol. 2024 Oct 22;84(17):1646-1662. doi: 10.1016/j.jacc.2024.08.028. Epub 2024 Aug 30.

  • Schou M, Petrie MC, Borlaug BA, Butler J, Davies MJ, Kitzman DW, Shah SJ, Verma S, Patel S, Chinnakondepalli KM, Harring S, Abildstrom SZ, Liisberg K, Kosiborod MN; STEP-HFpEF Trial Committees and Investigators. Semaglutide and NYHA Functional Class in Obesity-Related Heart Failure With Preserved Ejection Fraction: The STEP-HFpEF Program. J Am Coll Cardiol. 2024 Jul 16;84(3):247-257. doi: 10.1016/j.jacc.2024.04.038. Epub 2024 Jun 23.

  • Verma S, Butler J, Borlaug BA, Davies M, Kitzman DW, Shah SJ, Petrie MC, Barros E, Ronnback C, Vestergaard LS, Schou M, Ezekowitz JA, Sharma K, Patel S, Chinnakondepalli KM, Kosiborod MN; STEP-HFpEF Trial Committees and Investigators. Efficacy of Semaglutide by Sex in Obesity-Related Heart Failure With Preserved Ejection Fraction: STEP-HFpEF Trials. J Am Coll Cardiol. 2024 Aug 27;84(9):773-785. doi: 10.1016/j.jacc.2024.06.001. Epub 2024 Jun 23.

  • Shah SJ, Sharma K, Borlaug BA, Butler J, Davies M, Kitzman DW, Petrie MC, Verma S, Patel S, Chinnakondepalli KM, Einfeldt MN, Jensen TJ, Rasmussen S, Asleh R, Ben-Gal T, Kosiborod MN. Semaglutide and diuretic use in obesity-related heart failure with preserved ejection fraction: a pooled analysis of the STEP-HFpEF and STEP-HFpEF-DM trials. Eur Heart J. 2024 Sep 14;45(35):3254-3269. doi: 10.1093/eurheartj/ehae322.

  • Butler J, Shah SJ, Petrie MC, Borlaug BA, Abildstrom SZ, Davies MJ, Hovingh GK, Kitzman DW, Moller DV, Verma S, Einfeldt MN, Lindegaard ML, Rasmussen S, Abhayaratna W, Ahmed FZ, Ben-Gal T, Chopra V, Ezekowitz JA, Fu M, Ito H, Lelonek M, Melenovsky V, Merkely B, Nunez J, Perna E, Schou M, Senni M, Sharma K, van der Meer P, Von Lewinski D, Wolf D, Kosiborod MN; STEP-HFpEF Trial Committees and Investigators. Semaglutide versus placebo in people with obesity-related heart failure with preserved ejection fraction: a pooled analysis of the STEP-HFpEF and STEP-HFpEF DM randomised trials. Lancet. 2024 Apr 27;403(10437):1635-1648. doi: 10.1016/S0140-6736(24)00469-0. Epub 2024 Apr 7.

  • Kosiborod MN, Petrie MC, Borlaug BA, Butler J, Davies MJ, Hovingh GK, Kitzman DW, Moller DV, Treppendahl MB, Verma S, Jensen TJ, Liisberg K, Lindegaard ML, Abhayaratna W, Ahmed FZ, Ben-Gal T, Chopra V, Ezekowitz JA, Fu M, Ito H, Lelonek M, Melenovsky V, Merkely B, Nunez J, Perna E, Schou M, Senni M, Sharma K, van der Meer P, Von Lewinski D, Wolf D, Shah SJ; STEP-HFpEF DM Trial Committees and Investigators. Semaglutide in Patients with Obesity-Related Heart Failure and Type 2 Diabetes. N Engl J Med. 2024 Apr 18;390(15):1394-1407. doi: 10.1056/NEJMoa2313917. Epub 2024 Apr 6.

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

semaglutide

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Clinical Transparency (Dept.1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

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

June 1, 2021

First Posted

June 7, 2021

Study Start

June 15, 2021

Primary Completion

October 11, 2023

Study Completion

October 11, 2023

Last Updated

November 26, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will share

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

More information

Locations