NCT07662213

Brief Summary

The purpose of this study is to evaluate the efficacy, safety, and tolerability of elecoglipron compared with oral semaglutide in adults with T2DM and increased cardiovascular risk that is inadequately managed alone or on stable treatment with other background glucose-lowering medication(s).

Trial Health

88
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
1,200

participants targeted

Target at P75+ for phase_3 type-2-diabetes-mellitus

Timeline
22mo left

Started Jul 2026

Typical duration for phase_3 type-2-diabetes-mellitus

Geographic Reach
15 countries

201 active sites

Status
recruiting

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

Study Progress4%
Jul 2026May 2028

First Submitted

Initial submission to the registry

June 18, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 23, 2026

Completed
13 days until next milestone

Study Start

First participant enrolled

July 6, 2026

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 23, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 23, 2028

Last Updated

July 14, 2026

Status Verified

May 1, 2026

Enrollment Period

1.9 years

First QC Date

June 18, 2026

Last Update Submit

July 13, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change from baseline in Hemoglobin A1c (HbA1c)

    Baseline to Week 52

Secondary Outcomes (7)

  • Percent change from baseline to Week 52 in body weight

    Baseline to Week 52

  • Change from baseline to Week 52 in body weight (kg)

    Baseline to Week 52

  • Achieved ≥ 5% weight loss from baseline at Week 52 and achieved HbA1c < 7% (53 mmol/mol) at Week 52

    Baseline to Week 52

  • Achieved HbA1c ≤ 6.5% (48 mmol/mol) at Week 52

    Week 52

  • Achieved HbA1c < 7% (53 mmol/mol) at Week 52

    Week 52

  • +2 more secondary outcomes

Study Arms (2)

Elecoglipron

EXPERIMENTAL

Participants will receive elecoglipron dose XX mg administered orally once daily.

Drug: Elecoglipron

Semaglutide

ACTIVE COMPARATOR

Participants will receive semaglutide dose XX mg administered orally once daily.

Drug: Semaglutide

Interventions

Elecoglipron is administered orally once daily.

Elecoglipron

Semaglutide is administered orally once daily.

Semaglutide

Eligibility Criteria

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

You may qualify if:

  • Diagnosed with Type 2 Diabetes Mellitus (T2DM) for at least 90 days prior to screening
  • T2DM inadequately managed with lifestyle management alone or on stable treatment with other background glucose-lowering medication(s)
  • HbA1c value of ≥ 7% to ≤ 10.5% (53 to 91.3 mmol/mol)
  • Increased risk of cardiovascular (CV) events defined by ≥1 of: documented coronary heart disease, peripheral arterial disease, ischemic cerebrovascular disease, or heart failure (NYHA II-III); or ≥2 CV risk factors
  • Body mass index (BMI) of ≥ 23 kg/m2 at screening
  • Stable body weight (self-reported or documented) for 90 days prior to screening

You may not qualify if:

  • Type 1 Diabetes Mellitus (T1DM), secondary forms of diabetes (including congenital forms), or history of ketoacidosis or hyperosmolar coma
  • Currently receiving or anticipated to receive, therapeutic intervention for diabetic retinopathy and/or macular edema
  • Have had more than one episode of severe hypoglycemia within 180 days prior to screening or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms
  • Clinically significant condition affecting the upper Gastrointestinal (GI) tract or chronic use of any medication that affects gastric motility or gastric emptying
  • History of acute or chronic pancreatitis
  • Severe congestive heart failure (NYHA IV)
  • History/family history of medullary thyroid cancer or multiple endocrine neoplasia type 2

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (201)

Research Site

Birmingham, Alabama, 35205, United States

NOT YET RECRUITING

Research Site

Mesa, Arizona, 85213, United States

NOT YET RECRUITING

Research Site

Phoenix, Arizona, 85016, United States

NOT YET RECRUITING

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Tempe, Arizona, 85281, United States

NOT YET RECRUITING

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Covina, California, 91723, United States

NOT YET RECRUITING

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Encinitas, California, 92024, United States

NOT YET RECRUITING

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Garden Grove, California, 92844, United States

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Loma Linda, California, 92350, United States

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Long Beach, California, 90807, United States

NOT YET RECRUITING

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Pomona, California, 91768, United States

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Sacramento, California, 95821, United States

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Bridgeport, Connecticut, 06606, United States

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Crystal River, Florida, 34429, United States

NOT YET RECRUITING

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Hollywood, Florida, 33021, United States

NOT YET RECRUITING

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Jacksonville, Florida, 32209, United States

NOT YET RECRUITING

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Leesburg, Florida, 34748, United States

NOT YET RECRUITING

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Orlando, Florida, 32806, United States

NOT YET RECRUITING

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Lilburn, Georgia, 30047, United States

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Idaho Falls, Idaho, 83404, United States

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Melrose Park, Illinois, 60160, United States

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Evansville, Indiana, 47710, United States

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Ames, Iowa, 50010, United States

NOT YET RECRUITING

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Wichita, Kansas, 67226, United States

NOT YET RECRUITING

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Bowling Green, Kentucky, 42101, United States

NOT YET RECRUITING

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Rockville, Maryland, 20852, United States

NOT YET RECRUITING

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Southfield, Michigan, 48076, United States

NOT YET RECRUITING

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Minneapolis, Minnesota, 55416, United States

NOT YET RECRUITING

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Jefferson City, Missouri, 65109, United States

NOT YET RECRUITING

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Kansas City, Missouri, 64114, United States

NOT YET RECRUITING

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Omaha, Nebraska, 68114, United States

NOT YET RECRUITING

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Henderson, Nevada, 89052, United States

NOT YET RECRUITING

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Las Vegas, Nevada, 89128, United States

NOT YET RECRUITING

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Albuquerque, New Mexico, 87112, United States

NOT YET RECRUITING

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Durham, North Carolina, 27701, United States

NOT YET RECRUITING

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Morehead City, North Carolina, 28557, United States

NOT YET RECRUITING

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Raleigh, North Carolina, 27612, United States

NOT YET RECRUITING

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Statesville, North Carolina, 28625, United States

NOT YET RECRUITING

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Wilmington, North Carolina, 28403, United States

NOT YET RECRUITING

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Columbus, Ohio, 43215, United States

NOT YET RECRUITING

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Yukon, Oklahoma, 73099, United States

NOT YET RECRUITING

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Feasterville-Trevose, Pennsylvania, 19053, United States

NOT YET RECRUITING

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Philadelphia, Pennsylvania, 19114, United States

NOT YET RECRUITING

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Myrtle Beach, South Carolina, 29572, United States

NOT YET RECRUITING

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North Charleston, South Carolina, 29405, United States

NOT YET RECRUITING

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Memphis, Tennessee, 38119, United States

NOT YET RECRUITING

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Morristown, Tennessee, 37813, United States

NOT YET RECRUITING

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Dallas, Texas, 75390, United States

NOT YET RECRUITING

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Houston, Texas, 77004, United States

NOT YET RECRUITING

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Houston, Texas, 77040, United States

NOT YET RECRUITING

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Houston, Texas, 77079, United States

NOT YET RECRUITING

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Katy, Texas, 77450, United States

NOT YET RECRUITING

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San Antonio, Texas, 78229, United States

NOT YET RECRUITING

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San Antonio, Texas, 78231, United States

NOT YET RECRUITING

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Sugar Land, Texas, 77478, United States

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Weslaco, Texas, 78596, United States

NOT YET RECRUITING

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Bountiful, Utah, 84010, United States

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Salt Lake City, Utah, 84124, United States

NOT YET RECRUITING

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Leesburg, Virginia, 20176, United States

NOT YET RECRUITING

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Norfolk, Virginia, 23502, United States

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Renton, Washington, 98057, United States

NOT YET RECRUITING

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Seattle, Washington, 98104, United States

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Seattle, Washington, 98105, United States

NOT YET RECRUITING

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Morgantown, West Virginia, 26505, United States

NOT YET RECRUITING

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Buenos Aires, C1425AGC, Argentina

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CABA, C1120AAC, Argentina

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Caba, C1128AAF, Argentina

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Ciudad de Buenos Aires, C1094AAD, Argentina

NOT YET RECRUITING

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Rosario, S2000CVD, Argentina

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San Nicolás, B2900DMH, Argentina

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San Vicente, 5006, Argentina

NOT YET RECRUITING

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Botany, 2019, Australia

NOT YET RECRUITING

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East Toowoomba, 4350, Australia

RECRUITING

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Fitzroy, 3065, Australia

NOT YET RECRUITING

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Heidelberg Heights, 3081, Australia

NOT YET RECRUITING

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Kingswood, 2747, Australia

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Melbourne, 3004, Australia

NOT YET RECRUITING

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Parkville, 3050, Australia

NOT YET RECRUITING

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St Leonards, 2065, Australia

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Brasília, 71625-009, Brazil

NOT YET RECRUITING

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Campinas, 13060-904, Brazil

NOT YET RECRUITING

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Curitiba, 80030-480, Brazil

NOT YET RECRUITING

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Natal, 59020-035, Brazil

NOT YET RECRUITING

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Porto Alegre, 90630-165, Brazil

NOT YET RECRUITING

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São José dos Campos, 12243-280, Brazil

NOT YET RECRUITING

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São Paulo, 04012-180, Brazil

NOT YET RECRUITING

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Plovdiv, 4001, Bulgaria

NOT YET RECRUITING

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Sofia, 1407, Bulgaria

NOT YET RECRUITING

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Sofia, 1618, Bulgaria

NOT YET RECRUITING

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Sofia, 1700, Bulgaria

NOT YET RECRUITING

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Yambol, 8600, Bulgaria

NOT YET RECRUITING

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Vancouver, British Columbia, V5Y 3W2, Canada

RECRUITING

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Guelph, Ontario, N1H 1B1, Canada

NOT YET RECRUITING

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Sarnia, Ontario, N7T 4X3, Canada

NOT YET RECRUITING

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Scarborough Village, Ontario, M1R 0B1, Canada

NOT YET RECRUITING

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Stouffville, Ontario, L4A1H2, Canada

NOT YET RECRUITING

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Toronto, Ontario, M4G3E8, Canada

RECRUITING

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Toronto, Ontario, M6G 1M2, Canada

NOT YET RECRUITING

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Toronto, Ontario, M9V 4B4, Canada

NOT YET RECRUITING

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Montreal, Quebec, H4N 2W2, Canada

NOT YET RECRUITING

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Saint-Charles-Borromée, Quebec, J6E 2B4, Canada

NOT YET RECRUITING

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Changsha, 410013, China

NOT YET RECRUITING

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Changsha, 410015, China

NOT YET RECRUITING

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Hefei, 230000, China

NOT YET RECRUITING

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Hefei, 230601, China

NOT YET RECRUITING

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Huai'an, 223005, China

NOT YET RECRUITING

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Langfang, 065000, China

NOT YET RECRUITING

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Liangyugang, 222002, China

NOT YET RECRUITING

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Luoyang, 471009, China

NOT YET RECRUITING

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Nanjing, 2100008, China

NOT YET RECRUITING

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Nanyang, 473009, China

NOT YET RECRUITING

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Pinggu, 101200, China

NOT YET RECRUITING

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Pingxiang, 337055, China

NOT YET RECRUITING

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Shijiazhuang, 050000, China

NOT YET RECRUITING

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Tianjin, 300134, China

NOT YET RECRUITING

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Yueyang, 414000, China

NOT YET RECRUITING

Research Site

Bad Oeynhausen, 32545, Germany

NOT YET RECRUITING

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Berlin, 13597, Germany

NOT YET RECRUITING

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Chemnitz, 09116, Germany

NOT YET RECRUITING

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Damme, 49401, Germany

NOT YET RECRUITING

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Duisburg, 47051, Germany

NOT YET RECRUITING

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Elsterwerda, 04910, Germany

NOT YET RECRUITING

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Erlangen, 91054, Germany

NOT YET RECRUITING

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Essen, 45359, Germany

WITHDRAWN

Research Site

Falkensee, 14612, Germany

NOT YET RECRUITING

Research Site

Gladbeck, 45968, Germany

NOT YET RECRUITING

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Hamburg, 21109, Germany

NOT YET RECRUITING

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Hamburg, 22607, Germany

NOT YET RECRUITING

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Leipzig, 04249, Germany

NOT YET RECRUITING

Research Site

Mannheim, 68167, Germany

WITHDRAWN

Research Site

Münster, 48145, Germany

NOT YET RECRUITING

Research Site

Oldenburg, 23758, Germany

NOT YET RECRUITING

Research Site

Pirna, 01796, Germany

NOT YET RECRUITING

Research Site

Sankt Ingbert, 66386, Germany

NOT YET RECRUITING

Research Site

Wangen, 88239, Germany

NOT YET RECRUITING

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Budapest, 1036, Hungary

NOT YET RECRUITING

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Budapest, 1089, Hungary

NOT YET RECRUITING

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Budapest, 1132, Hungary

NOT YET RECRUITING

Research Site

Debrecen, 4032, Hungary

NOT YET RECRUITING

Research Site

Salgótarján, 3100, Hungary

WITHDRAWN

Research Site

Szeged, 6725, Hungary

NOT YET RECRUITING

Research Site

Szolnok, 5000, Hungary

WITHDRAWN

Research Site

Zalaegerszeg, 8900, Hungary

WITHDRAWN

Research Site

Bari, 70124, Italy

NOT YET RECRUITING

Research Site

Bologna, 40138, Italy

NOT YET RECRUITING

Research Site

Chieti, 66100, Italy

NOT YET RECRUITING

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Milan, 20132, Italy

NOT YET RECRUITING

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Milan, 20138, Italy

NOT YET RECRUITING

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Modena, 41100, Italy

NOT YET RECRUITING

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Naples, 80138, Italy

NOT YET RECRUITING

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Roma, 00161, Italy

NOT YET RECRUITING

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Roma, 00168, Italy

NOT YET RECRUITING

Research Site

Asahikawa-shi, 070-8530, Japan

NOT YET RECRUITING

Research Site

Chūōku, 103-0002, Japan

NOT YET RECRUITING

Research Site

Kamakura-shi, 247-0056, Japan

RECRUITING

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Koga-shi, 306-0232, Japan

NOT YET RECRUITING

Research Site

Mitaka-shi, 181-0013, Japan

NOT YET RECRUITING

Research Site

Mito, 310-0826, Japan

NOT YET RECRUITING

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Miyazaki, 880-0034, Japan

NOT YET RECRUITING

Research Site

Nagoya, 467-8602, Japan

NOT YET RECRUITING

Research Site

Nagoya, 468-0009, Japan

RECRUITING

Research Site

Naka, 311-0113, Japan

RECRUITING

Research Site

Naka, 311-0133, Japan

NOT YET RECRUITING

Research Site

Nishinomiya-shi, 663-8113, Japan

NOT YET RECRUITING

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Sapporo, 062-0007, Japan

NOT YET RECRUITING

Research Site

Takamatsu, 760-0018, Japan

NOT YET RECRUITING

Research Site

Bialystok, 15-897, Poland

NOT YET RECRUITING

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Krakow, 31-261, Poland

NOT YET RECRUITING

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Lodz, 90-338, Poland

NOT YET RECRUITING

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Lublin, 20-718, Poland

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Poznan, 60-354, Poland

NOT YET RECRUITING

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Radom, 26-600, Poland

NOT YET RECRUITING

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Warsaw, 00-124, Poland

NOT YET RECRUITING

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Warsaw, 02-507, Poland

NOT YET RECRUITING

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Daegu, 41404, South Korea

NOT YET RECRUITING

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Daejeon, 35015, South Korea

NOT YET RECRUITING

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Guri-si, 11923, South Korea

NOT YET RECRUITING

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Incheon, 21565, South Korea

NOT YET RECRUITING

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Seoul, 05278, South Korea

NOT YET RECRUITING

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Seoul, 06351, South Korea

NOT YET RECRUITING

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Changhua, 50006, Taiwan

NOT YET RECRUITING

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Kaohsiung City, 81362, Taiwan

NOT YET RECRUITING

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New Taipei City, 220, Taiwan

NOT YET RECRUITING

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Taichung, 40201, Taiwan

NOT YET RECRUITING

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Taichung, 40705, Taiwan

NOT YET RECRUITING

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Taichung, 433004, Taiwan

NOT YET RECRUITING

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Tainan, 704, Taiwan

NOT YET RECRUITING

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Taipei, 10002, Taiwan

NOT YET RECRUITING

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Taoyuan, 333, Taiwan

NOT YET RECRUITING

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Yung Kang City, 71044, Taiwan

NOT YET RECRUITING

Research Site

Aberdeen, AB25 2ZN, United Kingdom

NOT YET RECRUITING

Research Site

Addlestone, KT15 2BH, United Kingdom

NOT YET RECRUITING

Research Site

Banbury, OX16 9AD, United Kingdom

NOT YET RECRUITING

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Bristol, BS34 5TF, United Kingdom

NOT YET RECRUITING

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Bristol, BS34 6BQ, United Kingdom

NOT YET RECRUITING

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Edinburgh, EH4 2XU, United Kingdom

NOT YET RECRUITING

Research Site

Hounslow, TW3 3LN, United Kingdom

NOT YET RECRUITING

Research Site

Penzance, TR18 3DX, United Kingdom

RECRUITING

Research Site

Poole, BH16 5PW, United Kingdom

NOT YET RECRUITING

Research Site

Soham, CB7 5JD, United Kingdom

RECRUITING

Research Site

Wansford, PE8 6PL, United Kingdom

WITHDRAWN

Research Site

Yate, BS37 4AX, United Kingdom

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

semaglutide

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 18, 2026

First Posted

June 23, 2026

Study Start

July 6, 2026

Primary Completion (Estimated)

May 23, 2028

Study Completion (Estimated)

May 23, 2028

Last Updated

July 14, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
More information

Locations