This trial was conducted in Europe,Asia and Africa. Study participants were randomised evenly to treatment with semaglutide (0.1 mg QW - 1.6 mg QW, 6 treatment arms, placebo or liraglutide (1.2 mg QD, or 1.8 mg QD).Treatment allocation to semaglutide or placebo was double-blind, whereas liraglutide treatment was administered open-label.Primary efficacy parameter was HbA1c and the treatment duration was 12 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
415
0.1 mg, once weekly, s.c. injection
0.2 mg, once weekly, s.c. injection
0.4 mg, once weekly, s.c. injection
HbA1c
Change from baseline in HbA1c was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the last observation carried forward (LOCF) approach.
Time frame: After 12 weeks of treatment.
Percentage of Subjects With an Adverse Events
The results of adverse event presented here are treatment emergent, i.e., TEAE. A TEAE was defined as an event that had onset on or after the first date (week 0) on trial product and no later than 5 weeks after the last date on trial product (week 17), or that had onset before the first date on trial product and increases in severity during the treatment period until 5 weeks after the last date on trial product.
Time frame: After 12 weeks of treatment.
Percentage of Subjects With Hypoglycaemic Episode
The results of hypoglycaemic episode presented here are treatment emergent. Hypoglycaemic episodes were defined as treatment emergent if they had onset on or after the first day of randomised treatment (in week 0) and no later than 5 weeks after the last date on trial product (week 17). Hypoglycaemic episodes are classified as follows: Major: If the subject was not able to treat himself or herself and was needed to be administered food, glucagon or intravenous (i.v.) glucose by another person. Minor: If the subject was able to treat himself or herself and measured plasma glucose was \<3.1 mmol/L (56 mg/dL). Symptoms only: If the subject was able to treat himself or herself and measured plasma glucose was \>=3.1 mmol/L (56 mg/dL) or no plasma glucose measurement was done.
Time frame: After 12 weeks of treatment
Change From Baseline in ECG
A standard 12 lead electrocardiogram (ECG) with a 10-second rhythm strip was performed at screening (week -2) and at the end of treatment (week 12). The time frame should be read as "week -2, week 12". Change from baseline in ECG was measured in terms of number of subjects in each category (normal, abnormal, not clinically significant \[NCS\] or abnormal clinically significant \[CS\]) at week -2 and week 12 (i.e., change in each category in terms of number of subjects from week -2 to week 12).
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0.8 mg, once weekly, s.c. injection
0.8 mg with titration, once weekly, s.c. injection
1.6 mg with titration, once weekly, s.c. injection
0.1 mg, once weekly, s.c. injection
0.2 mg, once weekly, s.c. injection
0.4 mg, once weekly, s.c. injection
0.8 mg with titration, once weekly, s.c. injection
1.6 mg, once weekly, s.c. injection
1.2 mg with titration, once daily, s.c. injection
1.8 mg with titration, once daily, s.c. injection
Novo Nordisk Investigational Site
Gratwein, Austria
Novo Nordisk Investigational Site
Graz, Austria
Novo Nordisk Investigational Site
Innsbruck, Austria
Novo Nordisk Investigational Site
Mödling, Austria
Novo Nordisk Investigational Site
Vienna, Austria
Novo Nordisk Investigational Site
Vienna, Austria
Novo Nordisk Investigational Site
Vienna, Austria
Novo Nordisk Investigational Site
Vienna, Austria
Novo Nordisk Investigational Site
Plovdiv, Bulgaria
Novo Nordisk Investigational Site
Rousse, Bulgaria
...and 67 more locations
Time frame: Week 0, week 12.
Change From Baseline in Vital Signs (Pulse)
Change from baseline in pulse was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Vital Signs (Blood Pressure; SBP)
Change from baseline in systolic blood pressure (SBP) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Vital Signs (Blood Pressure; DBP)
Change from baseline in diastolic blood pressure (DBP) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Basophils)
Change from baseline in basophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Eosinophils)
Change from baseline in eosinophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haematocrit)
Change from baseline in haematocrit (the proportion of blood that consists of red blood cells) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Haemoglobin)
Change from baseline in haemoglobin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Lymphocytes)
Change from baseline in lymphocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Monocytes)
Change from baseline in monocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Neutrophils)
Change from baseline in neutrophils was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Thrombocytes)
Change from baseline in thrombocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Erythrocytes)
Change from baseline in erythrocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Haematology; Leukocytes)
Change from baseline in leukocytes was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Albumin)
Change from baseline in albumin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Alkaline Phosphatase)
Change from baseline in alkaline phosphatase was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; AST)
Change from baseline in aspartate aminotransferase (AST) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; ALAT)
Change from baseline in alanine aminotransferase (ALAT) was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Total Bilirubin)
Change from baseline in total bilirubin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Calcium, Total)
Change from baseline in calcium, total was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Calcium, Ionised)
Change from baseline in calcium, ionised was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Creatinine)
Change from baseline in creatinine was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Potassium)
Change from baseline in potassium was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Sodium)
Change from baseline in sodium was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Biochemistry; Urea)
Change from baseline in urea was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Glucose)
Change from baseline in urine-glucose was measured in terms of number of subjects in each category (negative, positive, \>=55 mmol/L, or missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Haemoglobin)
Change from baseline in urine-haemoglobin was measured in terms of number of subjects in each category (negative, trace, small, moderate/large and missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Ketones)
Change from baseline in urine-ketone was measured in terms of number of subjects in each category (negative, positive, \>=55 mmol/L and missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; pH)
Change from baseline in urine-pH was measured in terms of number of subjects in each category (pH=6.0, 6.5, 7.0, 7.5, 8.0, \>=8.5 and missing) at week 0 and week 12 (i.e., change in each category in terms of number of subjects from week 0 to week 12).
Time frame: Week 0, week 12
Change From Baseline in Standard Safety Laboratory Parameter (Urinalysis; Protein)
Change from baseline in urine-protein was measured in terms of number of subjects in each category at week 0 (negative, 0.3 g/L, 1.0 g/L and missing) and week 12 (negative, trace, 0.3 g/L, 1.0 g/L, \>=3.0 g/L and missing). i.e., change in each category in terms of number of subjects from week 0 to week 12.
Time frame: Week 0, week 12
Change From Baseline in Calcitonin
Change from baseline in calcitonin was evaluated after 12 weeks of treatment. Post baseline (week 0) missing values were replaced using the LOCF approach.
Time frame: Week 0, week 12.
Percentage of Subjects Developing Anti-semaglutide Antibodies
Antibodies were measured after 12-week of treatment at week 17; percentage of participants with positive anti-semaglutide antibodies are presented here. Assessments of antibodies were not done for subjects allocated to the open-label liraglutide treatment arms.
Time frame: After 12 weeks of treatment