SUSTAIN 10: Research Study Comparing a New Medicine Semaglutide to Liraglutide in People With Type 2 Diabetes

Sponsor
Novo Nordisk A/S (Industry)
Overall Status
Completed
CT.gov ID
NCT03191396
Collaborator
(none)
577
92
2
13.5
6.3
0.5

Study Details

Study Description

Brief Summary

This study is conducted in Europe. The aim of the study is to compare the effect of semaglutide subcutaneous (s.c., under the skin) 1.0 mg once-weekly to liraglutide s.c.1.2 mg once-daily on blood sugar levels after 30 weeks of treatment in people with type 2 diabetes. The study will last approximately 9 months (37 weeks). Each participant will have 7 visits at the clinic and 3 phone calls with the study doctor. At the visits, participants will have a number of tests, for example: general health checks, blood samples, heart and eye checks etc. Participants will also fill in some forms about their health and satisfaction with their diabetes treatment.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
577 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Efficacy and Safety of Semaglutide 1.0 mg Once-weekly Versus Liraglutide 1.2 mg Once-daily as add-on to 1-3 Oral Anti-diabetic Drugs (OADs) in Subjects With Type 2 Diabetes
Actual Study Start Date :
Jun 27, 2017
Actual Primary Completion Date :
Jul 9, 2018
Actual Study Completion Date :
Aug 13, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Semaglutide

Half the study participants are randomised to receive semaglutide

Drug: Semaglutide
Dose gradually increased to 1.0 mg, given s.c. (under the skin), once-weekly for 30 weeks. Participants will remain on their pre-study anti-diabetic drugs (tablets), if any

Active Comparator: Liraglutide

Half the study participants are randomised to receive liraglutide

Drug: Liraglutide
Dose gradually increased to 1.2 mg, given s.c. once-daily for 30 weeks. Participants will remain on their pre-study anti-diabetic drugs, if any

Outcome Measures

Primary Outcome Measures

  1. Change in HbA1c [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in glycosylated haemoglobin (HbA1c) %. The endpoint was evaluated based on the 'on-treatment without rescue medication period' where subjects were considered treated with trial product, but had not yet initiated rescue medication. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Secondary Outcome Measures

  1. Change in Body Weight (kg) [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in body weight measured in kilograms. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  2. Change in Fasting Plasma Glucose (FPG) [Week 0, week 30]

    Mean change from baseline in fasting plasma glucose measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  3. Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean 7-point Profile [Week 0, week 30]

    Mean change from baseline in 7-point profile. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. The mean of the 7-point SMPG profile, defined as the area under the profile, was calculated using the trapezoidal method and divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  4. Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean Post Prandial Increment (Over All Meals) [Week 0, week 30]

    Mean post prandial glucose incrememts over all meals. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  5. Change in Fasting Blood Lipids: Total Cholesterol [Week 0, week 30]

    The change from baseline in total cholesterol (measured in mmol/L) is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  6. Change in Fasting Blood Lipids: Low-density Lipoprotein (LDL)-Cholesterol [Week 0, week 30]

    The change from baseline in LDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  7. Change in Fasting Blood Lipids: High-density Lipoprotein (HDL)-Cholesterol [Week 0, week 30]

    The change from baseline in HDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  8. Change in Fasting Blood Lipids: Triglycerides [Week 0, week 30]

    The change from baseline in triglycerides is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  9. Change in Body Mass Index (BMI) [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in BMI. BMI was calculated as 'body weight in kg/(height in meters) x (height in meters)'. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  10. Change in Waist Circumference [Week 0, week 30]

    Mean change in waist circumference (cm) from baseline (week 0) to week 30. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  11. Change in Systolic Blood Pressure [Week 0, week 30]

    Change in systolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  12. Change in Diastolic Blood Pressure [Week 0, week 30]

    Change in diastolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  13. Change in Body Weight (%) [Week 0, week 30]

    Mean relative change from baseline in body weight measured in percentage. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  14. Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association (ADA) Target [After 30 weeks of treatment]

    Percentage of subjects who achieved HbA1c less than 7.0% (53 mmol/mol) according to American Diabetes Association (ADA) target, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  15. Subjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) Target [After 30 weeks of treatment]

    Percentage of subjects who achieved HbA1c less than 6.5% (48 mmol/mol) according to AACE target,after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  16. Subjects Who Achieve Weight Loss Above or Equal to 3% [After 30 weeks of treatment]

    Percentage of subjects who achieved weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  17. Subjects Who Achieve Weight Loss Above or Equal to 5% [After 30 weeks of treatment]

    Percentage of subjects who achieved weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  18. Subjects Who Achieve Weight Loss Above or Equal to 10% [After 30 weeks of treatment]

    Percentage of subjects who achieved weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  19. Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain [After 30 weeks of treatment]

    Percentage of subjects who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  20. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% [After 30 weeks of treatment]

    Percentage of subjects who achieved weight loss above or equal to 1% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  21. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 3% [After 30 weeks of treatment]

    Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  22. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 5% [After 30 weeks of treatment]

    Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  23. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 10% [After 30 weeks of treatment]

    Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

  24. Change in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 Domains [Week 0, week 30]

    Short form-36 version 2 (SF-36v2) is a 36-item patient-reported survey of patient health that measures the subject's overall health-related quality of life (HRQoL). The questionnaire measures the individual overall HRQoL on 8 domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Each domain is scored using the sum of the individual item responses and normalised relative to the 2009 US reference population. Overall, the domain scores range from around 0-100 (higher scores indicated a better HRQoL), where the range of possible scores depends on the 2009 US reference population for each domain. The two total summary scores (mental and physical summary components) are calculated through weighted sums of the 8 domain scores. The presented result is the change from baseline (week 0) to week 30 in SF-36v2 scores. A positive change in score indicates an improvement since baseline.

  25. Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items Separately [Week 0, week 30]

    The DTSQs questionnaire was used to assess subject's treatment satisfaction. This instrument contains 8 items and measures the treatment for diabetes in terms of convenience, flexibility and general feelings regarding treatment. Q 1 = "satisfaction with current treatment"; Q 2 = "hyperglycemia"; Q 3 = "hypoglycemia"; Q 4 = "flexibility"; Q 5 = "convenience"; Q 6 = "understanding of diabetes"; Q 7 = "recommend treatment to others"; and Q 8 = "willingness to continue". Each item is rated on a 7-point Likert scale with a score ranging from 0 (ie, very dissatisfied) to 6 (ie, very satisfied). DTSQ items 2 and 3 are rated differently: 0 reflects 'never' and 6 reflects 'most of the time'. The 'treatment satisfaction' score is the sum of 6 of the 8 DTSQs components (Q 1, 4, 5, 6, 7 and 8) (range 0-36). Higher scores on the DTSQ total score indicate higher treatment satisfaction. The results presented is the change from baseline (week 0) to week 30 in DTSQ scores.

  26. Number of Treatment-emergent Adverse Events (TEAE) [Week 0 to week 35]

    A TEAE was defined as an adverse event with onset date (or increase in severity) during the on-treatment observation period. The on-treatment observation period represents the time period where subjects were considered exposed to trial product.

  27. Number of Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes [Week 0 to week 35]

    Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.

  28. Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes [Week 0 to week 35]

    Number of subjects with treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemia episodes is presented. Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.

  29. Change in Haematology - Haemoglobin [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in haemoglobin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  30. Change in Haematology - Haematocrit [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in haematology laboratory parameter haematocrit. Haematocrit is the volume of red blood cells in the total blood. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  31. Change in Haematology - Thrombocytes and Leukocytes [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in haematology laboratory parameters thrombocytes and leukocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  32. Change in Haematology - Erythrocytes [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in haematology laboratory parameter erythrocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  33. Change in Biochemistry - Calcium, Pottassium and Sodium [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters calcium, pottassium and sodium. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  34. Change in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase. [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters alkaline phosphatase, alanine aminotransferase and aspartate aminotransferase. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  35. Change in Biochemistry - Amylase and Lipase [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters amylase and lypase. Observed data with multiple imputation for missing data is presented. Missing data were imputed using observed data from subjects within the same group defined by actual treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  36. Change in Biochemistry - Creatinine and Bilirubin [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters creatinine and bilirubin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  37. Change in Biochemistry - Albumin [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter albumin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  38. Change in Biochemistry - Estimated Glomerular Filtration Rate (eGFR). [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter eGFR. eGFR is calculated using the equation from the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) as defined in KDIGO guidelines. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  39. Change in Calcitonin [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in calcitonin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

  40. Change in Pulse Rate [Week 0, week 30]

    Mean change from baseline (week 0) to week 30 in pulse rate. Pulse rate is measured as number of heart beats per minute. Results are based on the on-treatment observation period where subjects were considered exposed to trial product. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

Inclusion Criteria: - Male or female, age 18 years or older at the time of signing informed consent - Diagnosed with type 2 diabetes mellitus - HbA1c of 7.0-11.0 % (53 - 97 mmol/mol) (both inclusive) - Stable daily dose(s) including any of the following anti-diabetic drug(s) or combination regimens 90 days prior to the day of screening: a) Biguanides (metformin above or equal to 1500 mg or maximum tolerated dose documented in the subject's medical record). b) Sulphonylureas (above or equal to half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record). c) SGLT-2 inhibitors (above or equal to half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record) Exclusion Criteria: - Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative - History or presence of pancreatitis (acute or chronic) - History of diabetic ketoacidosis - Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening - Subjects presently classified as being in New York Heart Association (NYHA) Class IV - Planned coronary, carotid or peripheral artery revascularisation known on the day of screening - Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value of below 30 ml/min/1.73 sqm as defined by KDIGO 2012 classification - Impaired liver function, defined as ALT above or equal to 2.5 times upper normal limit at screening - Proliferative retinopathy or maculopathy requiring acute treatment. Verified by fundus photography or dilated fundoscopy performed within the past 90 days prior to randomisation

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novo Nordisk Investigational Site Burgas Bulgaria 8000
2 Novo Nordisk Investigational Site Dupnitsa Bulgaria 2600
3 Novo Nordisk Investigational Site Lukovit Bulgaria 5770
4 Novo Nordisk Investigational Site Madan Bulgaria 4900
5 Novo Nordisk Investigational Site Petrich Bulgaria 2850
6 Novo Nordisk Investigational Site Ruse Bulgaria 7000
7 Novo Nordisk Investigational Site Sliven Bulgaria 8800
8 Novo Nordisk Investigational Site Sofia Bulgaria 1606
9 Novo Nordisk Investigational Site Vratsa Bulgaria 3001
10 Novo Nordisk Investigational Site Brno Czechia 602 00
11 Novo Nordisk Investigational Site Brno Czechia 65691
12 Novo Nordisk Investigational Site Nachod Czechia 547 01
13 Novo Nordisk Investigational Site Praha 10 Czechia 100 00
14 Novo Nordisk Investigational Site Praha 4 Czechia 140 46
15 Novo Nordisk Investigational Site Helsinki Finland 00180
16 Novo Nordisk Investigational Site Jyväskylä Finland 40100
17 Novo Nordisk Investigational Site Kuusamo Finland 93600
18 Novo Nordisk Investigational Site Lahti Finland 15110
19 Novo Nordisk Investigational Site Oulu Finland 90220
20 Novo Nordisk Investigational Site Rauma Finland 26100
21 Novo Nordisk Investigational Site Turku Finland 20100
22 Novo Nordisk Investigational Site Varkaus Finland 78300
23 Novo Nordisk Investigational Site Béziers France 34500
24 Novo Nordisk Investigational Site Dambach-la-ville France 67650
25 Novo Nordisk Investigational Site DIJON cedex France 21079
26 Novo Nordisk Investigational Site LA ROCHELLE cedex France 17019
27 Novo Nordisk Investigational Site Le Coudray France 28630
28 Novo Nordisk Investigational Site Le Creusot France 71200
29 Novo Nordisk Investigational Site Nantes France 44200
30 Novo Nordisk Investigational Site Obernai France 67210
31 Novo Nordisk Investigational Site Paris France 75010
32 Novo Nordisk Investigational Site Paris France 75877
33 Novo Nordisk Investigational Site PERPIGNAN cedex France 66046
34 Novo Nordisk Investigational Site Schiltigheim France 67300
35 Novo Nordisk Investigational Site Strasbourg France 67000
36 Novo Nordisk Investigational Site Vandoeuvre Les Nancy France 54511
37 Novo Nordisk Investigational Site Venissieux France 69200
38 Novo Nordisk Investigational Site Dresden Germany 01219
39 Novo Nordisk Investigational Site Essen Germany 45136
40 Novo Nordisk Investigational Site Falkensee Germany 14612
41 Novo Nordisk Investigational Site Hamburg Germany 22607
42 Novo Nordisk Investigational Site Saint Ingbert-Oberwürzbach Germany 66386
43 Novo Nordisk Investigational Site Stuttgart Germany 70378
44 Novo Nordisk Investigational Site Budapest Hungary 1033
45 Novo Nordisk Investigational Site Budapest Hungary 1125
46 Novo Nordisk Investigational Site Nagykanizsa Hungary 8800
47 Novo Nordisk Investigational Site Pécs Hungary 7623
48 Novo Nordisk Investigational Site Siófok Hungary 8600
49 Novo Nordisk Investigational Site Szolnok Hungary 5004
50 Novo Nordisk Investigational Site Tatabánya Hungary 2800
51 Novo Nordisk Investigational Site Zalaegerszeg Hungary 8900
52 Novo Nordisk Investigational Site Bergamo Italy 24127
53 Novo Nordisk Investigational Site Como Italy 22042
54 Novo Nordisk Investigational Site Milano Italy 20132
55 Novo Nordisk Investigational Site Pavia Italy 27100
56 Novo Nordisk Investigational Site Rome Italy 00168
57 Novo Nordisk Investigational Site Lublin Poland 20-044
58 Novo Nordisk Investigational Site Lublin Poland 20-538
59 Novo Nordisk Investigational Site Szczecin Poland 70-506
60 Novo Nordisk Investigational Site Celje Slovenia SI-3000
61 Novo Nordisk Investigational Site Jesenice Slovenia SI-4270
62 Novo Nordisk Investigational Site Koper Slovenia SI-6000
63 Novo Nordisk Investigational Site Ljubljana Slovenia 1525
64 Novo Nordisk Investigational Site Alcorcón Spain 28922
65 Novo Nordisk Investigational Site Almería Spain 04001
66 Novo Nordisk Investigational Site La Roca del Vallés Spain 08430
67 Novo Nordisk Investigational Site Palma de Mallorca Spain 07014
68 Novo Nordisk Investigational Site Valladolid Spain 47010
69 Novo Nordisk Investigational Site Vic (Barcelona) Spain 08500
70 Novo Nordisk Investigational Site Kristianstad Sweden 291 85
71 Novo Nordisk Investigational Site Lund Sweden 222 22
72 Novo Nordisk Investigational Site Stockholm Sweden 112 81
73 Novo Nordisk Investigational Site Stockholm Sweden 171 76
74 Novo Nordisk Investigational Site Ängelholm Sweden 262 81
75 Novo Nordisk Investigational Site Örebro Sweden 701 85
76 Novo Nordisk Investigational Site Blackpool United Kingdom FY3 7EN
77 Novo Nordisk Investigational Site Bristol United Kingdom BS10 5NB
78 Novo Nordisk Investigational Site Coventry United Kingdom CV2 2DX
79 Novo Nordisk Investigational Site Crewe United Kingdom CW5 5NX
80 Novo Nordisk Investigational Site Faringdon United Kingdom SN7 7YU.
81 Novo Nordisk Investigational Site Hinckley United Kingdom LE10 2SE
82 Novo Nordisk Investigational Site London United Kingdom SW17 0QT
83 Novo Nordisk Investigational Site Northwood United Kingdom HA6 2RN
84 Novo Nordisk Investigational Site Norwich United Kingdom NR4 7TJ
85 Novo Nordisk Investigational Site Nuneaton United Kingdom CV10 7DJ
86 Novo Nordisk Investigational Site Rhyl United Kingdom LL18 1DA
87 Novo Nordisk Investigational Site Rotherham United Kingdom S65 1DA
88 Novo Nordisk Investigational Site Sidcup United Kingdom DA14 6LT
89 Novo Nordisk Investigational Site Southampton United Kingdom SO30 3JB
90 Novo Nordisk Investigational Site St Helens United Kingdom WA9 3DA
91 Novo Nordisk Investigational Site Truro United Kingdom TR1 3LJ
92 Novo Nordisk Investigational Site Watford United Kingdom WD25 7NL

Sponsors and Collaborators

  • Novo Nordisk A/S

Investigators

  • Study Director: Global Clinical Registry (GCR, 1452), Novo Nordisk A/S

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT03191396
Other Study ID Numbers:
  • NN9535-4339
  • 2016-004965-22
  • U1111-1190-5868
First Posted:
Jun 19, 2017
Last Update Posted:
Oct 15, 2019
Last Verified:
Oct 1, 2019
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Product Manufactured in and Exported from the U.S.:
Yes
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The trial was conducted at 77 sites in 11 countries as follows (number of sites that screened subjects/ number of sites that randomised subjects): Bulgaria (9/ 9); Czech Republic (5/ 5); Finland (8/ 8); France (8/ 8); Hungary (8/ 8); Italy (4/ 4); Poland (3/ 3); Slovenia (4/ 4); Spain (5/ 5); Sweden (6/ 6); United Kingdom (17/ 17)
Pre-assignment Detail After screening, subjects were required to continue their oral anti-diabetic drug (OAD) pre-trial background medication (i.e. metformin, Sodium-glucose co-transporter-2 (SGLT-2) inhibitors, sulphonyl ureas, or combinations of these) throughout the entire trial.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Period Title: Overall Study
STARTED 290 287
COMPLETED 287 282
NOT COMPLETED 3 5

Baseline Characteristics

Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg Total
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Total of all reporting groups
Overall Participants 290 287 577
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
60.1
(10.5)
58.9
(10.0)
59.5
(10.2)
Sex: Female, Male (Count of Participants)
Female
130
44.8%
120
41.8%
250
43.3%
Male
160
55.2%
167
58.2%
327
56.7%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
6
2.1%
3
1%
9
1.6%
Not Hispanic or Latino
268
92.4%
269
93.7%
537
93.1%
Unknown or Not Reported
16
5.5%
15
5.2%
31
5.4%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
5
1.7%
3
1%
8
1.4%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
2
0.7%
1
0.3%
3
0.5%
White
264
91%
268
93.4%
532
92.2%
More than one race
3
1%
0
0%
3
0.5%
Unknown or Not Reported
16
5.5%
15
5.2%
31
5.4%

Outcome Measures

1. Primary Outcome
Title Change in HbA1c
Description Mean change from baseline (week 0) to week 30 in glycosylated haemoglobin (HbA1c) %. The endpoint was evaluated based on the 'on-treatment without rescue medication period' where subjects were considered treated with trial product, but had not yet initiated rescue medication. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [Percentage of glycosylated haemoglobin]
-1.7
(0.9)
-1.1
(1.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Semaglutide 1.0 mg, Liraglutide 1.2 mg
Comments The responses are analysed using an ANCOVA with treatment and stratification factor as fixed factors and baseline value as covariate. Before analysis, missing data were multiple imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Type of Statistical Test Non-Inferiority
Comments HbA1c non-inferiority was tested using a non-inferiority margin of 0.3.
Statistical Test of Hypothesis p-Value <0.0001
Comments The non-inferiority p-value is calculated as two times the one-sided p-value from a t-distributed test statistic comparing the treatment contrast with 0.3.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.69
Confidence Interval (2-Sided) 95%
-0.82 to -0.56
Parameter Dispersion Type:
Value:
Estimation Comments Semaglutide 1.0 mg - Liraglutide 1.2 mg
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Semaglutide 1.0 mg, Liraglutide 1.2 mg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.69
Confidence Interval (2-Sided) 95%
-0.82 to -0.56
Parameter Dispersion Type:
Value:
Estimation Comments Semaglutide 1.0 mg - Liraglutide 1.2 mg
2. Secondary Outcome
Title Change in Body Weight (kg)
Description Mean change from baseline (week 0) to week 30 in body weight measured in kilograms. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [kg]
-5.8
(4.7)
-2.0
(4.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Semaglutide 1.0 mg, Liraglutide 1.2 mg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -3.83
Confidence Interval (2-Sided) 95%
-4.57 to -3.09
Parameter Dispersion Type:
Value:
Estimation Comments Semaglutide 1.0 mg - Liraglutide 1.2 mg
3. Secondary Outcome
Title Change in Fasting Plasma Glucose (FPG)
Description Mean change from baseline in fasting plasma glucose measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [mmol/L]
-2.65
(2.19)
-1.46
(2.42)
4. Secondary Outcome
Title Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean 7-point Profile
Description Mean change from baseline in 7-point profile. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. The mean of the 7-point SMPG profile, defined as the area under the profile, was calculated using the trapezoidal method and divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [mmol/L]
-3.0
(2.0)
-2.1
(2.3)
5. Secondary Outcome
Title Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean Post Prandial Increment (Over All Meals)
Description Mean post prandial glucose incrememts over all meals. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [mmol/L]
-1.0
(1.8)
-0.4
(1.9)
6. Secondary Outcome
Title Change in Fasting Blood Lipids: Total Cholesterol
Description The change from baseline in total cholesterol (measured in mmol/L) is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.96
(16.8)
0.98
(16.9)
7. Secondary Outcome
Title Change in Fasting Blood Lipids: Low-density Lipoprotein (LDL)-Cholesterol
Description The change from baseline in LDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.99
(28.3)
0.99
(27.2)
8. Secondary Outcome
Title Change in Fasting Blood Lipids: High-density Lipoprotein (HDL)-Cholesterol
Description The change from baseline in HDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.01
(14.6)
0.99
(12.9)
9. Secondary Outcome
Title Change in Fasting Blood Lipids: Triglycerides
Description The change from baseline in triglycerides is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Geometric Mean (Geometric Coefficient of Variation) [Ratio]
0.83
(41.5)
0.91
(39.5)
10. Secondary Outcome
Title Change in Body Mass Index (BMI)
Description Mean change from baseline (week 0) to week 30 in BMI. BMI was calculated as 'body weight in kg/(height in meters) x (height in meters)'. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [kg/sqm]
-2.0
(1.6)
-0.7
(1.4)
11. Secondary Outcome
Title Change in Waist Circumference
Description Mean change in waist circumference (cm) from baseline (week 0) to week 30. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [cm]
-5.2
(5.6)
-2.4
(4.6)
12. Secondary Outcome
Title Change in Systolic Blood Pressure
Description Change in systolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [mmHg]
-4.3
(13.4)
-3.7
(13.8)
13. Secondary Outcome
Title Change in Diastolic Blood Pressure
Description Change in diastolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [mmHg]
-1.5
(8.6)
-1.3
(8.4)
14. Secondary Outcome
Title Change in Body Weight (%)
Description Mean relative change from baseline in body weight measured in percentage. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Mean (Standard Deviation) [percentage of body weight]
-6.1
(4.9)
-2.0
(4.2)
15. Secondary Outcome
Title Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association (ADA) Target
Description Percentage of subjects who achieved HbA1c less than 7.0% (53 mmol/mol) according to American Diabetes Association (ADA) target, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [percentage of participants]
80.4
27.7%
45.9
16%
16. Secondary Outcome
Title Subjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) Target
Description Percentage of subjects who achieved HbA1c less than 6.5% (48 mmol/mol) according to AACE target,after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [percentage of participants]
58.5
20.2%
24.8
8.6%
17. Secondary Outcome
Title Subjects Who Achieve Weight Loss Above or Equal to 3%
Description Percentage of subjects who achieved weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [percentage of participants]
72.7
25.1%
33.9
11.8%
18. Secondary Outcome
Title Subjects Who Achieve Weight Loss Above or Equal to 5%
Description Percentage of subjects who achieved weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
55.9
19.3%
17.7
6.2%
19. Secondary Outcome
Title Subjects Who Achieve Weight Loss Above or Equal to 10%
Description Percentage of subjects who achieved weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
19.1
6.6%
4.4
1.5%
20. Secondary Outcome
Title Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain
Description Percentage of subjects who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
75.6
26.1%
36.8
12.8%
21. Secondary Outcome
Title Subjects Who Achieve HbA1c Reduction Above or Equal to 1%
Description Percentage of subjects who achieved weight loss above or equal to 1% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
82.8
28.6%
48.3
16.8%
22. Secondary Outcome
Title Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 3%
Description Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
62.4
21.5%
20.9
7.3%
23. Secondary Outcome
Title Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 5%
Description Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
49.6
17.1%
11.9
4.1%
24. Secondary Outcome
Title Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 10%
Description Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame After 30 weeks of treatment

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Number [Percentage of participants]
17.1
5.9%
3.6
1.3%
25. Secondary Outcome
Title Change in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 Domains
Description Short form-36 version 2 (SF-36v2) is a 36-item patient-reported survey of patient health that measures the subject's overall health-related quality of life (HRQoL). The questionnaire measures the individual overall HRQoL on 8 domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Each domain is scored using the sum of the individual item responses and normalised relative to the 2009 US reference population. Overall, the domain scores range from around 0-100 (higher scores indicated a better HRQoL), where the range of possible scores depends on the 2009 US reference population for each domain. The two total summary scores (mental and physical summary components) are calculated through weighted sums of the 8 domain scores. The presented result is the change from baseline (week 0) to week 30 in SF-36v2 scores. A positive change in score indicates an improvement since baseline.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Physical functioning
1.8
(5.8)
1.4
(6.6)
Role-physical
1.4
(7.2)
0.6
(6.7)
Bodily pain
2.2
(9.1)
1.5
(9.8)
General health
2.7
(7.9)
1.6
(7.7)
Social functioning
1.7
(8.7)
0.9
(7.7)
Role-emotional
1.2
(8.5)
1.0
(8.0)
Vitality
3.0
(8.0)
1.1
(8.0)
Mental health
1.7
(8.2)
0.3
(7.2)
Mental component summary
1.7
(7.9)
0.5
(7.5)
Physical component summary
2.1
(6.4)
1.4
(5.9)
26. Secondary Outcome
Title Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items Separately
Description The DTSQs questionnaire was used to assess subject's treatment satisfaction. This instrument contains 8 items and measures the treatment for diabetes in terms of convenience, flexibility and general feelings regarding treatment. Q 1 = "satisfaction with current treatment"; Q 2 = "hyperglycemia"; Q 3 = "hypoglycemia"; Q 4 = "flexibility"; Q 5 = "convenience"; Q 6 = "understanding of diabetes"; Q 7 = "recommend treatment to others"; and Q 8 = "willingness to continue". Each item is rated on a 7-point Likert scale with a score ranging from 0 (ie, very dissatisfied) to 6 (ie, very satisfied). DTSQ items 2 and 3 are rated differently: 0 reflects 'never' and 6 reflects 'most of the time'. The 'treatment satisfaction' score is the sum of 6 of the 8 DTSQs components (Q 1, 4, 5, 6, 7 and 8) (range 0-36). Higher scores on the DTSQ total score indicate higher treatment satisfaction. The results presented is the change from baseline (week 0) to week 30 in DTSQ scores.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS), which included all randomised participants. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 290 287
Q1. Satisfaction with current treatment
0.9
(1.7)
0.9
(1.5)
Q2. Hyperglycemia
-2.1
(2.1)
-1.6
(2.3)
Q3. Hypoglycemia
0.1
(1.7)
0.1
(1.6)
Q4. Flexibility
0.7
(1.5)
0.6
(1.5)
Q5. Convenience
0.7
(1.5)
0.6
(1.5)
Q6. Understanding of diabetes
0.6
(1.4)
0.5
(1.3)
Q7. Recommend treatment to others
0.7
(1.5)
0.7
(1.4)
Q8. Willingness to continue
1.0
(1.8)
0.9
(1.8)
Treatment satisfaction summary score
4.6
(7.0)
4.2
(6.6)
27. Secondary Outcome
Title Number of Treatment-emergent Adverse Events (TEAE)
Description A TEAE was defined as an adverse event with onset date (or increase in severity) during the on-treatment observation period. The on-treatment observation period represents the time period where subjects were considered exposed to trial product.
Time Frame Week 0 to week 35

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Number [Events]
758
691
28. Secondary Outcome
Title Number of Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes
Description Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Time Frame Week 0 to week 35

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Number [Episodes of hypoglycaemia]
8
8
29. Secondary Outcome
Title Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes
Description Number of subjects with treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemia episodes is presented. Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Time Frame Week 0 to week 35

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Number [Participants]
5
1.7%
7
2.4%
30. Secondary Outcome
Title Change in Haematology - Haemoglobin
Description Mean change from baseline (week 0) to week 30 in haemoglobin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [mmol/L]
1.0
(16.0)
1.0
(0.0)
31. Secondary Outcome
Title Change in Haematology - Haematocrit
Description Mean change from baseline (week 0) to week 30 in haematology laboratory parameter haematocrit. Haematocrit is the volume of red blood cells in the total blood. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [percent change]
1.5
(111.7)
1.1
(130.9)
32. Secondary Outcome
Title Change in Haematology - Thrombocytes and Leukocytes
Description Mean change from baseline (week 0) to week 30 in haematology laboratory parameters thrombocytes and leukocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Thrombocytes
18.4
(126.0)
21.5
(138.9)
Leukocytes
0.14
(133.2)
0.14
(117.3)
33. Secondary Outcome
Title Change in Haematology - Erythrocytes
Description Mean change from baseline (week 0) to week 30 in haematology laboratory parameter erythrocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [10^12 cells/L]
0.14
(133.2)
0.14
(117.3)
34. Secondary Outcome
Title Change in Biochemistry - Calcium, Pottassium and Sodium
Description Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters calcium, pottassium and sodium. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Calcium
0.07
(107.0)
0.07
(103.8)
Pottassium
0.3
(96.0)
0.3
(77.3)
Sodium
1.8
(65.3)
1.7
(61.4)
35. Secondary Outcome
Title Change in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.
Description Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters alkaline phosphatase, alanine aminotransferase and aspartate aminotransferase. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Alkaline phosphatase
5.5
(117.5)
6.4
(121.0)
Alanine Aminotransferase
5.3
(126.1)
5.0
(137.7)
Aspartate Aminotransferase
3.5
(129.9)
3.1
(119.5)
36. Secondary Outcome
Title Change in Biochemistry - Amylase and Lipase
Description Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters amylase and lypase. Observed data with multiple imputation for missing data is presented. Missing data were imputed using observed data from subjects within the same group defined by actual treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Amylase
10.3
(124.7)
8.4
(138.2)
Lipase
15.8
(154.6)
14.0
(154.5)
37. Secondary Outcome
Title Change in Biochemistry - Creatinine and Bilirubin
Description Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters creatinine and bilirubin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Creatinine
4.1
(150.2)
3.6
(150.0)
Bilirubin
1.9
(167.5)
2.0
(126.2)
38. Secondary Outcome
Title Change in Biochemistry - Albumin
Description Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter albumin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [g/dL]
0.2
(56.8)
0.2
(55.5)
39. Secondary Outcome
Title Change in Biochemistry - Estimated Glomerular Filtration Rate (eGFR).
Description Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter eGFR. eGFR is calculated using the equation from the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) as defined in KDIGO guidelines. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [mL/min/1.73m2]
4.0
(97.7)
4.1
(113.9)
40. Secondary Outcome
Title Change in Calcitonin
Description Mean change from baseline (week 0) to week 30 in calcitonin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [ng/L]
1.3
(165.5)
1.1
(89.7)
41. Secondary Outcome
Title Change in Pulse Rate
Description Mean change from baseline (week 0) to week 30 in pulse rate. Pulse rate is measured as number of heart beats per minute. Results are based on the on-treatment observation period where subjects were considered exposed to trial product. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Time Frame Week 0, week 30

Outcome Measure Data

Analysis Population Description
Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
Measure Participants 289 287
Geometric Mean (Geometric Coefficient of Variation) [beats/min]
2.4
(10.1)
3.9
(10.0)

Adverse Events

Time Frame From the date of first dose of trial product (week 0) to end of treatment (week 30) + post treatment follow-up of 42 days.
Adverse Event Reporting Description Evaluation of safety was based on safety analysis set (SAS) which comprised of all randomised subjects who received at least one dose of trial product. AEs with onset during the on-treatment observation period (the period when subjects were exposed to trial product) were considered treatment-emergent.
Arm/Group Title Semaglutide 1.0 mg Liraglutide 1.2 mg
Arm/Group Description Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these). Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
All Cause Mortality
Semaglutide 1.0 mg Liraglutide 1.2 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/289 (0%) 0/287 (0%)
Serious Adverse Events
Semaglutide 1.0 mg Liraglutide 1.2 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 17/289 (5.9%) 22/287 (7.7%)
Cardiac disorders
Bradycardia 0/289 (0%) 0 1/287 (0.3%) 1
Cardiac failure congestive 1/289 (0.3%) 1 0/287 (0%) 0
Coronary artery disease 0/289 (0%) 0 1/287 (0.3%) 1
Eye disorders
Retinal vein occlusion 1/289 (0.3%) 1 0/287 (0%) 0
Gastrointestinal disorders
Abdominal pain upper 1/289 (0.3%) 1 1/287 (0.3%) 1
Colitis 0/289 (0%) 0 1/287 (0.3%) 1
Diarrhoea 0/289 (0%) 0 1/287 (0.3%) 1
Duodenal ulcer haemorrhage 1/289 (0.3%) 1 0/287 (0%) 0
Inguinal hernia 1/289 (0.3%) 1 0/287 (0%) 0
Nausea 1/289 (0.3%) 1 0/287 (0%) 0
Pancreatitis acute 0/289 (0%) 0 1/287 (0.3%) 1
Umbilical hernia 0/289 (0%) 0 1/287 (0.3%) 1
Vomiting 1/289 (0.3%) 1 1/287 (0.3%) 1
General disorders
Facial pain 0/289 (0%) 0 1/287 (0.3%) 1
Hepatobiliary disorders
Cholecystitis 0/289 (0%) 0 1/287 (0.3%) 1
Cholecystitis acute 0/289 (0%) 0 1/287 (0.3%) 1
Cholelithiasis 0/289 (0%) 0 1/287 (0.3%) 1
Hepatic steatosis 0/289 (0%) 0 1/287 (0.3%) 1
Infections and infestations
Device related infection 0/289 (0%) 0 1/287 (0.3%) 1
Localised infection 0/289 (0%) 0 1/287 (0.3%) 1
Pneumonia 0/289 (0%) 0 1/287 (0.3%) 1
Pyelonephritis 2/289 (0.7%) 2 0/287 (0%) 0
Rectal abscess 1/289 (0.3%) 1 0/287 (0%) 0
Sepsis 1/289 (0.3%) 1 1/287 (0.3%) 1
Urinary tract infection 0/289 (0%) 0 1/287 (0.3%) 1
Investigations
Cardiovascular examination 1/289 (0.3%) 1 0/287 (0%) 0
Metabolism and nutrition disorders
Dehydration 1/289 (0.3%) 1 1/287 (0.3%) 1
Diabetes mellitus inadequate control 1/289 (0.3%) 1 0/287 (0%) 0
Musculoskeletal and connective tissue disorders
Intervertebral disc disorder 0/289 (0%) 0 1/287 (0.3%) 1
Intervertebral disc protrusion 0/289 (0%) 0 1/287 (0.3%) 1
Osteoarthritis 1/289 (0.3%) 1 0/287 (0%) 0
Periarthritis 0/289 (0%) 0 1/287 (0.3%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm of bladder 1/289 (0.3%) 1 0/287 (0%) 0
Leiomyoma 1/289 (0.3%) 1 0/287 (0%) 0
Medullary thyroid cancer 1/289 (0.3%) 1 0/287 (0%) 0
Prostatic adenoma 0/289 (0%) 0 1/287 (0.3%) 1
Rectal neoplasm 1/289 (0.3%) 1 0/287 (0%) 0
Nervous system disorders
Cognitive disorder 1/289 (0.3%) 1 0/287 (0%) 0
Lethargy 0/289 (0%) 0 1/287 (0.3%) 1
Psychiatric disorders
Confusional state 0/289 (0%) 0 1/287 (0.3%) 1
Depression 0/289 (0%) 0 1/287 (0.3%) 1
Renal and urinary disorders
Acute kidney injury 0/289 (0%) 0 1/287 (0.3%) 1
Calculus urinary 0/289 (0%) 0 1/287 (0.3%) 1
Haematuria 1/289 (0.3%) 1 0/287 (0%) 0
Nephrolithiasis 1/289 (0.3%) 1 0/287 (0%) 0
Reproductive system and breast disorders
Menopausal symptoms 0/289 (0%) 0 1/287 (0.3%) 1
Prostatitis 0/289 (0%) 0 1/287 (0.3%) 1
Skin and subcutaneous tissue disorders
Skin ulcer 0/289 (0%) 0 1/287 (0.3%) 1
Other (Not Including Serious) Adverse Events
Semaglutide 1.0 mg Liraglutide 1.2 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 139/289 (48.1%) 113/287 (39.4%)
Gastrointestinal disorders
Abdominal pain 15/289 (5.2%) 18 6/287 (2.1%) 6
Constipation 17/289 (5.9%) 17 10/287 (3.5%) 13
Diarrhoea 45/289 (15.6%) 56 35/287 (12.2%) 43
Nausea 62/289 (21.5%) 88 45/287 (15.7%) 54
Vomiting 29/289 (10%) 43 23/287 (8%) 32
Infections and infestations
Influenza 9/289 (3.1%) 12 15/287 (5.2%) 16
Nasopharyngitis 27/289 (9.3%) 30 30/287 (10.5%) 32
Metabolism and nutrition disorders
Decreased appetite 30/289 (10.4%) 31 17/287 (5.9%) 18
Nervous system disorders
Headache 27/289 (9.3%) 37 19/287 (6.6%) 32

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.

Results Point of Contact

Name/Title Clinical Reporting Anchor and Disclosure (1452)
Organization Novo Nordisk A/S
Phone (+1) 866-867-7178
Email clinicaltrials@novonordisk.com
Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT03191396
Other Study ID Numbers:
  • NN9535-4339
  • 2016-004965-22
  • U1111-1190-5868
First Posted:
Jun 19, 2017
Last Update Posted:
Oct 15, 2019
Last Verified:
Oct 1, 2019