Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis.

Sponsor
Novo Nordisk A/S (Industry)
Overall Status
Completed
CT.gov ID
NCT02970942
Collaborator
(none)
320
158
6
39.6
2
0.1

Study Details

Study Description

Brief Summary

Investigation of efficacy and safety of three dose levels of subcutaneous semaglutide once daily versus placebo in subjects with non-alcoholic steatohepatitis

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
320 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
This Trial is Conducted Globally. The Aim of This Trial is to Investigate Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis
Actual Study Start Date :
Nov 30, 2016
Actual Primary Completion Date :
Feb 13, 2020
Actual Study Completion Date :
Mar 19, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Semaglutide 0,1 mg

Drug: Semaglutide
Once daily administration of semaglutide subcutaneously (s.c., under the skin) in three different doses (0.1 mg, 0.2 mg and 0.4 mg)

Experimental: Semaglutide 0,2 mg

Drug: Semaglutide
Once daily administration of semaglutide subcutaneously (s.c., under the skin) in three different doses (0.1 mg, 0.2 mg and 0.4 mg)

Experimental: Semaglutide 0,4 mg

Drug: Semaglutide
Once daily administration of semaglutide subcutaneously (s.c., under the skin) in three different doses (0.1 mg, 0.2 mg and 0.4 mg)

Placebo Comparator: Placebo 1

Drug: Placebo
Once daily administration subcutaneously ( s.c., under the skin)

Placebo Comparator: Placebo 2

Drug: Placebo
Once daily administration subcutaneously ( s.c., under the skin)

Placebo Comparator: Placebo 3

Drug: Placebo
Once daily administration subcutaneously ( s.c., under the skin)

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) [After 72 weeks]

    NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1 and hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning ranges from 0-2; lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

Secondary Outcome Measures

  1. Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) [After 72 weeks]

    NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1; hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning range: 0-2; lobular inflammation range: 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, higher scores indicate greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3)last contact with participant (for participants lost to follow-up); 4)death.

  2. Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) [Baseline (week 0), Week 72]

    Percentage of participants who had worsened, improved or had no change in total NAS from baseline to week 72 is presented. Worsening is defined as an increase of at least 1 in the NAS; Improvement is defined as a decrease of at least 1 in the NAS; while no change corresponds to no change in NAS from baseline to week 72. NAS is calculated as the sum of scores for steatosis (0 to 3), lobular inflammation (0 to 3), and hepatocyte ballooning (0 to 2). Therefore, it is assessed on a scale of 0-8, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  3. Percentage of Participants With Change in Steatosis [Baseline (week 0), Week 72]

    Percentage of participants who had improved, worsened, or had no change in steatosis from baseline to week 72 is presented. Steatosis was assessed on a scale of 0-3, with higher scores indicating more severe steatosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  4. Percentage of Participants With Change in Lobular Inflammation [Baseline (week 0), Week 72]

    Percentage of participants who had improved, worsened, or had no change in lobular inflammation from baseline to week 72 is presented. Lobular inflammation was assessed on a scale of 0-3, with higher scores indicating more severe lobular inflammation. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  5. Percentage of Participants With Change in Hepatocyte Ballooning [Baseline (week 0), Week 72]

    Percentage of participants who had improved, worsened, or had no change in hepatocyte ballooning from baseline to week 72 is presented. Hepatocyte ballooning was assessed on a scale of 0-2, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  6. Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification [Baseline (week 0), Week 72]

    Percentage of participants who had improved, worsened, or had no change in fibrosis stage from baseline to week 72 is presented. The degree of fibrosis is described by the Kleiner fibrosis staging system, ranging from F0 (absence of fibrosis), F1 (portal/perisinusoidal fibrosis), F2 (perisinusoidal and portal/periportal fibrosis), F3 (septal or bridging fibrosis) through F4 (cirrhosis). The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  7. Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score [Baseline (week 0), Week 72]

    Percentage of participants who had improved, worsened, or had no change in the activity component of the SAF score from baseline to week 72 is presented. SAF score was assessed on a scale of 0-4, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  8. Change in Fibrosis-4 Score [Baseline (week 0), Week 72]

    Change in fibrosis-4 score is presented as ratio to baseline. Fibrosis-4 is the ratio of age in years and aminotransferase to platelet count. It is a non-invasive hepatic fibrosis index score combining standard biochemical values, platelets, alanine aminotransferase (ALT), AST and age that is calculated using formula: Fibrosis-4 = (Age [years] x AST [U/L]) / (platelets [10^9/L] x (square root of ALT [U/L])). A Fibrosis-4 index of < 1.45 indicated no or moderate fibrosis and an index of > 3.25 indicated extensive fibrosis/cirrhosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  9. Change in NAFLD Fibrosis Score (NFS) [Baseline (week 0), Week 72]

    Change in NFS from baseline to week 72 is presented. NFS is calculated using formula: NFS = -1.675 + 0.037 * age (years) + 0.094 * body mass index (BMI) (kg/m^2) + 1.13 * hyperglycaemia (yes/no) + 0.99 * Aspartate aminotransferase (AST)/ Alanine aminotransferase (ALT) ratio + 0.013 × platelet count (*10^9/L) - 0.66 * albumin (g/dL). The score is used to classify the probability of fibrosis. A score a) < -1.5 indicates a low probability, b) > -1.5 to < 0.67 indicates intermediate probability, and a score of c) > 0.67 indicates a high probability of liver fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  10. Change in Alanine Aminotransferase (ALT) [Baseline (week 0), Week 72]

    Change in ALT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  11. Change in Aspartate Aminotransferase (AST) [Baseline (week 0), Week 72]

    Change in AST (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  12. Change in Gamma Glutamyl Transferase (GGT) [Baseline (week 0), Week 72]

    Change in GGT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  13. Change in Albumin [Baseline (week 0), Week 72]

    Change in albumin (measured as grams per deciliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  14. Change in International Normalized Ratio (INR) [Baseline (week 0), Week 72]

    Change in INR is presented as ratio to baseline. INR is the ratio of measured prothrombin time over normal prothrombin time and it evaluates the extrinsic coagulation pathway (vitamin K dependent clotting factors II; V, VII, IX and X). These clotting factors are synthesised in the liver, thus INR is used as a marker of liver synthesis function. The therapeutic INR range varies, most commonly an INR 2-3 goal, but ranging from 1.5-4.0. Bleeding complications are more likely to occur above an INR value of 4.0. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  15. Change in Enhanced Liver Fibrosis (ELF) [Baseline (week 0), Week 72]

    Change in ELF from baseline to week 72 is presented. The ELF discriminant score was derived as a log-linear combination of the markers hyaluronic acid (HA), amino-terminal propeptide of type III collagen (PIIINP) and tissue inhibitor of metalloproteinase 1 (TIMP1). ELF score = -7.412 + 0.681 × ln(HA (nanograms per millilitre (ng/mL)) + 0.775 × ln(P3NP (ng/mL)) + 0.494 × ln(TIMP1 (ng/mL)). ELF score: a) < 7.7: no to mild fibrosis; b) ≥ 7.7 - < 9.8: Moderate fibrosis; c) ≥ 9.8 - < 11.3: Severe fibrosis; d) ≥ 11.3: Cirrhosis. A negative change from baseline indicates decreased fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  16. Change in Cytokeratin 18 (CK-18) Fragments [Baseline (week 0), Week 72]

    Change in CK-18 fragments (M30, M65) (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  17. Change in microRNA 122 (miR-122) [Baseline (week 0), Week 72]

    Change in miR-122 (measured as 1/microliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  18. Change in Interleukin-1 Receptor (IL-1R) Antagonist [Baseline (week 0), Week 72]

    Change in interleukin-1 receptor (IL-1R) antagonist (measured as picograms per milliliter) antagonist is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  19. Change in Monocyte Chemoattractant Protein 1 (MCP-1) [Baseline (week 0), Week 72]

    Change in MCP-1 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  20. Change in Fibroblast Growth Factor 21 (FGF-21) [Baseline (week 0), Week 72]

    Change in FGF-21 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  21. Change in Liver Stiffness Assessed by FibroScan® [Baseline (week 0), Week 72]

    Change in liver stiffness (measured as kilopascal (kPa)) assessed by FibroScan® is presented as ratio to baseline. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) by measuring the stiffness of the liver. It's normally between 2 and 6 kPa. Many people with liver disease(s) have a result that's higher than the normal range. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  22. Change in Liver Steatosis Assessed by FibroScan® [Baseline (week 0), Week 72]

    Change in liver steatosis assessed by FibroScan® from baseline to week 72 is presented. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) and steatosis (fatty change) in the liver. Fatty change is fat building up in the liver cells. To assess liver steatosis, the controlled attenuation parameter (CAP; giving an estimate of ultrasound attenuation ∼3.5 MegaHertz (MHz)) is available with the M probe of the FibroScan. The CAP score is measured in decibels per meter (dB/m). It ranges from 100 to 400 dB/m, with higher scores indicating higher amount of liver with fatty change. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  23. Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) [Week 72]

    Percentage of participants with weight loss of greater than or equal to (≥) 5% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 5% weight loss; 'No' infers percentage of participants who have not achieved ≥ 5% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).

  24. Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) [Week 72]

    Pentage of participants with weight loss of ≥ 10% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 10% weight loss; 'No' infers percentage of participants who have not achieved ≥ 10% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).

  25. Change in Body Weight [Baseline (week 0), Week 72]

    Change in body weight from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  26. Change in Waist Circumference [Baseline (week 0), Week 72]

    Change in waist circumference from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  27. Change in Body Mass Index (BMI) [Baseline (week 0), Week 72]

    Change in BMI from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  28. Change in Glycosylated Haemoglobin (HbA1c) (%-Point) [Baseline (week 0), Week 72]

    Change in HbA1c (measured as percentage point of HbA1c) from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  29. Change in HbA1c (Millimoles Per Mole) [Baseline (week 0), Week 72]

    Change in HbA1c from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  30. Change in Fasting Plasma Glucose (FPG) [Baseline (week 0), Week 72]

    Change in FPG from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  31. Change in Fasting Glucagon [Baseline (week 0), Week 72]

    Change in fasting glucagon (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  32. Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR) [Baseline (week 0), Week 72]

    Change in HOMA-IR is presented as ratio to baseline. HOMA-IR was calculated as: Insulin resistance (%) = fasting plasma glucose [mmol/L] x fasting insulin [mmol/L]/ 22.5. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  33. Change in Diastolic Blood Pressure (DBP) [Baseline (week 0), Week 72]

    Blood pressure was measured in a sitting position after 5 minutes of rest. Change in DBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  34. Change in Systolic Blood Pressure (SBP) [Baseline (week 0), Week 72]

    Blood pressure was measured in a sitting position after 5 minutes of rest. Change in SBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  35. Change in Total Cholesterol [Baseline (week 0), Week 72]

    Change in total cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  36. Change in Low Density Lipoprotein (LDL) Cholesterol [Baseline (week 0), Week 72]

    Change in LDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  37. Change in High Density Lipoprotein (HDL) Cholesterol [Baseline (week 0), Week 72]

    Change in HDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  38. Change in Very Low Density Lipoprotein (VLDL) Cholesterol [Baseline (week 0), Week 72]

    Change in VLDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  39. Change in Triglycerides [Baseline (week 0), Week 72]

    Change in triglycerides (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  40. Change in Free Fatty Acids [Baseline (week 0), Week 72]

    Change in free fatty acids (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  41. Change in High Sensitivity C-reactive Protein (hsCRP) [Baseline (week 0), Week 72]

    Change in hsCRP (measured as milligram per liter) from baseline to week 72 is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  42. Change in Short Form 36 (SF-36) Score [Baseline (week 0), Week 72]

    Change in SF-36 score from baseline to week 72 is presented. SF-36 measures participant's overall health related quality of life (HRQoL). It is a 36-item generic measure of health status and yields 2 summary scores for physical health and mental health, and 8 domain scores (physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional, mental health). The scores 0-100 (where higher scores indicates a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of scores in the 2009 U.S. general population. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  43. Number of Treatment-emergent Adverse Events (TEAEs) [From week 0 to week 79]

    An adverse event (AE) was any untoward medical occurrence in a clinical trial participant administered or using a medicinal product, whether or not considered related to the medicinal product or usage. All AEs reported here are TEAEs. TEAE is defined as an event that had onset date during the on-treatment period. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half lives of semaglutide); 2) end of the in-trial period.

  44. Number of Treatment-emergent Hypoglycaemic Episodes [From week 0 to week 79]

    Hypoglycaemic episode (blood glucose less than or equal to (<=) 3.9 mmol/L (70 mg/dL) Or greater than (>) 3.9 mmol/L (70 mg/dL) occurring in conjunction with hypoglycaemic symptoms) is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  45. Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes [From week 0 to week 79]

    Severe or BG confirmed symptomatic hypoglycaemia: episode, severe as per american diabetes association (ADA) classification or BG confirmed by plasma glucose value < 3.1 mmol/L(56mg/dL) with symptoms along with hypoglycaemia. Severe hypoglycaemia: episode requiring assistance of other person to actively administer carbohydrate, glucagon, or take corrective actions. Plasma glucose concentrations may not be available during event, but neurological recovery following return of plasma glucose to normal is sufficient evidence that event was induced by low plasma glucose concentration. Hypoglycaemic episode is treatment emergent if onset of it occurs during on-treatment period: period starting on day of first administration of trial product and ending on day of last dose of trial product+7 days; except for evaluation of AEs; hypoglycaemic episodes for which period ended on date of whatever came first:last dose of trial product + 49 days (7 half-lives of semaglutide); end of in-trial period.

  46. Number of Treatment-emergent Severe Hypoglycaemic Episodes [From week 0 to week 79]

    Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. Hypoglycaemic episode is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  47. Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events [From week 0 to week 79]

    Number of participants discontinuing treatment due to gastrointestinal adverse events is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  48. Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) [From week 0 to week 79]

    Number of participants with occurrence of anti-semaglutide antibodies during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with occurrence of anti-semaglutide antibodies and 'No' infers number of participants without anti-semaglutide antibodies during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  49. Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) [From week 0 to week 79]

    Number of participants with anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies with in vitro neutralising effect and 'No' infers number of participants without anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  50. Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) [From week 0 to week 79]

    Number of participants with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies cross reacting with native GLP-1 and 'No' infers number of participants without anti-semaglutide antibodies cross reacting with native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  51. Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) [From week 0 to week 79]

    Number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 and 'No' infers number of participants without cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

  52. Change in Pulse From Baseline to Week 72 [Baseline (week 0), Week 72]

    Change in pulse from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  53. Percentage of Participants With Change in Electrocardiogram (ECG) [Baseline (week 0), Week 72]

    A 12-lead ECG was performed at baseline (week 0) and week 72 and categorised as normal, abnormal and not clinically significant (abnormal NCS) or abnormal and clinically significant (abnormal CS). Percentage of participants in each ECG category at week 0 and week 72 are presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  54. Percentage of Participants With Change in Physical Examination: Cardiovascular System [Week -6, week 72]

    Percentage of participants with change in physical examination (cardiovascular system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  55. Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System [Week -6, week 72]

    Percentage of participants with change in physical examination (central and peripheral nervous system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  56. Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth [Week -6, week 72]

    Percentage of participants with change in physical examination (gastrointestinal system including mouth) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  57. Percentage of Participants With Change in Physical Examination: General Appearance [Week -6, week 72]

    Percentage of participants with change in physical examination (general appearance) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  58. Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck [Week -6, week 72]

    Percentage of participants with change in physical examination (head, ears, eyes, nose, throat, neck) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  59. Percentage of Participants With Change in Physical Examination: Lymph Node Palpation [Week -6, week 72]

    Percentage of participants with change in physical examination (lymph node palpation) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  60. Percentage of Participants With Change in Physical Examination: Musculoskeletal System [Week -6, week 72]

    Percentage of participants with change in physical examination (musculoskeletal system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  61. Percentage of Participants With Change in Physical Examination: Respiratory System [Week -6, week 72]

    Percentage of participants with change in physical examination (respiratory system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  62. Percentage of Participants With Change in Physical Examination: Skin [Week -6, week 72]

    Percentage of participants with change in physical examination (skin) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  63. Percentage of Participants With Change in Physical Examination: Thyroid Gland [Week -6, week 72]

    Percentage of participants with change in physical examination (thyroid gland) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  64. Change in Haematocrit [Baseline (week 0), Week 72]

    Change in haematocrit from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  65. Change in Haemoglobin (g/dL) [Baseline (week 0), Week 72]

    Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  66. Change in Haemoglobin (mmol/L) [Baseline (week 0), Week 72]

    Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  67. Change in Leukocytes [Baseline (week 0), Week 72]

    Change in leukocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  68. Change in Thrombocytes [Baseline (week 0), Week 72]

    Change in thrombocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  69. Change in Erythrocytes [Baseline (week 0), Week 72]

    Change in erythrocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  70. Change in Creatinine (mg/dL) [Baseline (week 0), Week 72]

    Change in creatinine (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  71. Change in Creatinine (Umol/L) [Baseline (week 0), Week 72]

    Change in creatinine (measured as micro mole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  72. Change in Estimated Glomerular Filtration Rate (eGFR) [Baseline (week 0), Week 72]

    Change in eGFR (measured as milliliter/minute/1.732 meter square (mL/min/1.73 m^2)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  73. Change in Creatine Kinase [Baseline (week 0), Week 72]

    Change in creatine kinase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  74. Change in Urea [Baseline (week 0), Week 72]

    Change in urea (measured as milli mole per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  75. Change in Total Bilirubin (mg/dL) [Baseline (week 0), Week 72]

    Change in total bilirubin (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  76. Change in Total Bilirubin (Umol/L) [Baseline (week 0), Week 72]

    Change in total bilirubin (measured as micromole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  77. Change in Alkaline Phosphatase [Baseline (week 0), Week 72]

    Change in alkaline phosphatase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  78. Change in Ferritin [Baseline (week 0), Week 72]

    Change in ferritin (measured as microgram per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  79. Change in Sodium (mEq/L) [Baseline (week 0), Week 72]

    Change in sodium (measured as milli equivalent per liter (mEq/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  80. Change in Sodium (mmol/L) [Baseline (week 0), Week 72]

    Change in sodium (measured as milli mole per liter (mmol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  81. Change in Potassium (mEq/L) [Baseline (week 0), Week 72]

    Change in potassium (measured as mEq/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  82. Change in Potassium (mmol/L) [Baseline (week 0), Week 72]

    Change in potassium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  83. Change in Calcium (mg/dL) [Baseline (week 0), Week 72]

    Change in calcium (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  84. Change in Calcium (mmol/L) [Baseline (week 0), Week 72]

    Change in calcium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  85. Change in Amylase [Baseline (week 0), Week 72]

    Change in amylase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  86. Change in Lipase [Baseline (week 0), Week 72]

    Change in lipase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

  87. Change in Calcitonin [Baseline (week 0), Week 72]

    Change in calcitonin (measured as nanograms per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

Inclusion Criteria: - Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial except for protocol described pre-screening activities which require a separate informed consent. - Male or female, aged 18-75 years (both inclusive) (for Japan: male or female aged 20-75 years (both inclusive)) at the time of signing informed consent - Local histological diagnosis of NASH followed by histological confirmation of NASH based on central pathologist evaluation of a liver biopsy obtained up to 21 weeks before screening - Histologic evidence of NASH based on central pathologist evaluation of a liver biopsy obtained up to 21 weeks before screening. - NASH fibrosis stage 1, 2 or 3 according to the NASH CRN fibrosis staging system based on central pathologist evaluation Exclusion Criteria: - Known or suspected abuse of alcohol (above 20 g/day for women or above 30 g/day for men), alcohol dependence* or narcotics. (* = assessed by the Alcohol Use Disorders Identification Test (AUDIT questionnaire)) - Diagnosis of type 1 diabetes according to medical records - HbA1c above 10% at screening - History or presence of pancreatitis (acute or chronic) - Calcitonin equal or above 50 ng/L at screening - Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative - Body Mass Index (BMI) ≤ 25.0 kg/sqm at the screening visit (visit 1) - Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using an adequate contraceptive method (adequate contraceptive measures as required by local regulation or practice)

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novo Nordisk Investigational Site Birmingham Alabama United States 35233
2 Novo Nordisk Investigational Site Chandler Arizona United States 85224
3 Novo Nordisk Investigational Site Tucson Arizona United States 85712
4 Novo Nordisk Investigational Site Coronado California United States 92118
5 Novo Nordisk Investigational Site Costa Mesa California United States 92627
6 Novo Nordisk Investigational Site La Mesa California United States 91942
7 Novo Nordisk Investigational Site Los Angeles California United States 90057
8 Novo Nordisk Investigational Site Northridge California United States 91325
9 Novo Nordisk Investigational Site Panorama City California United States 91402
10 Novo Nordisk Investigational Site Rialto California United States 92377
11 Novo Nordisk Investigational Site Boca Raton Florida United States 33434
12 Novo Nordisk Investigational Site Gainesville Florida United States 32610
13 Novo Nordisk Investigational Site Jacksonville Florida United States 32207
14 Novo Nordisk Investigational Site Lakewood Ranch Florida United States 34211
15 Novo Nordisk Investigational Site Miami Florida United States 33014
16 Novo Nordisk Investigational Site Miami Florida United States 33136
17 Novo Nordisk Investigational Site Ocoee Florida United States 34761
18 Novo Nordisk Investigational Site Sarasota Florida United States 34240
19 Novo Nordisk Investigational Site Monroe Louisiana United States 71201
20 Novo Nordisk Investigational Site Baltimore Maryland United States 21202
21 Novo Nordisk Investigational Site Detroit Michigan United States 48202
22 Novo Nordisk Investigational Site Rochester Minnesota United States 55905
23 Novo Nordisk Investigational Site Omaha Nebraska United States 68198
24 Novo Nordisk Investigational Site Las Vegas Nevada United States 89106
25 Novo Nordisk Investigational Site Las Vegas Nevada United States 89109
26 Novo Nordisk Investigational Site Manhasset New York United States 11030
27 Novo Nordisk Investigational Site Danville Pennsylvania United States 17822-2111
28 Novo Nordisk Investigational Site Pittsburgh Pennsylvania United States 15213
29 Novo Nordisk Investigational Site Hermitage Tennessee United States 37076
30 Novo Nordisk Investigational Site Austin Texas United States 78731
31 Novo Nordisk Investigational Site Dallas Texas United States 75230
32 Novo Nordisk Investigational Site Dallas Texas United States 75390-9302
33 Novo Nordisk Investigational Site Houston Texas United States 77030
34 Novo Nordisk Investigational Site Houston Texas United States 77058
35 Novo Nordisk Investigational Site Rollingwood Texas United States 78746
36 Novo Nordisk Investigational Site San Antonio Texas United States 78229
37 Novo Nordisk Investigational Site Burlington Vermont United States 05401
38 Novo Nordisk Investigational Site Richmond Virginia United States 23249
39 Novo Nordisk Investigational Site Seattle Washington United States 98104
40 Novo Nordisk Investigational Site Camperdown New South Wales Australia 2050
41 Novo Nordisk Investigational Site Kingswood New South Wales Australia 2747
42 Novo Nordisk Investigational Site Westmead New South Wales Australia 2145
43 Novo Nordisk Investigational Site Box Hill Victoria Australia 3128
44 Novo Nordisk Investigational Site Fitzroy Victoria Australia 3065
45 Novo Nordisk Investigational Site Graz Austria 8036
46 Novo Nordisk Investigational Site Salzburg Austria 5020
47 Novo Nordisk Investigational Site Wien Austria 1030
48 Novo Nordisk Investigational Site Bruxelles Belgium 1070
49 Novo Nordisk Investigational Site Bruxelles Belgium 1200
50 Novo Nordisk Investigational Site Edegem Belgium 2650
51 Novo Nordisk Investigational Site Gent Belgium 9000
52 Novo Nordisk Investigational Site Sofia Bulgaria 1407
53 Novo Nordisk Investigational Site Sofia Bulgaria 1431
54 Novo Nordisk Investigational Site Calgary Alberta Canada T2N 4Z6
55 Novo Nordisk Investigational Site Winnipeg Manitoba Canada R3E 3P4
56 Novo Nordisk Investigational Site Halifax Nova Scotia Canada B3H 2Y9
57 Novo Nordisk Investigational Site Brampton Ontario Canada L6T 0G1
58 Novo Nordisk Investigational Site Hamilton Ontario Canada L8S 4K1
59 Novo Nordisk Investigational Site London Ontario Canada N6A 5A5
60 Novo Nordisk Investigational Site Toronto Ontario Canada M5G 2C4
61 Novo Nordisk Investigational Site Toronto Ontario Canada M6H 3M1
62 Novo Nordisk Investigational Site Montreal Quebec Canada H4A 3J1
63 Novo Nordisk Investigational Site Aarhus N Denmark 8200
64 Novo Nordisk Investigational Site Hvidovre Denmark 2650
65 Novo Nordisk Investigational Site Helsinki Finland 00290
66 Novo Nordisk Investigational Site Besançon France 25000
67 Novo Nordisk Investigational Site Clermont-Ferrand France 63003
68 Novo Nordisk Investigational Site Lyon Cedex 4 France 69317
69 Novo Nordisk Investigational Site MARSEILLE cedex 08 France 13285
70 Novo Nordisk Investigational Site Montpellier France 34090
71 Novo Nordisk Investigational Site NICE cedex 3 France 06202
72 Novo Nordisk Investigational Site Paris France 75571
73 Novo Nordisk Investigational Site Paris France 75651
74 Novo Nordisk Investigational Site Pessac France 33604
75 Novo Nordisk Investigational Site Toulouse France 31059
76 Novo Nordisk Investigational Site Venissieux France 69200
77 Novo Nordisk Investigational Site Athens Greece 10676
78 Novo Nordisk Investigational Site Athens Greece GR-11527
79 Novo Nordisk Investigational Site Goudi, Athens Greece GR-115 27
80 Novo Nordisk Investigational Site Larissa Greece GR-41110
81 Novo Nordisk Investigational Site Thessaloniki Greece GR-54621
82 Novo Nordisk Investigational Site Thessaloniki Greece GR-54642
83 Novo Nordisk Investigational Site Asahikawa-shi, Hokkaido Japan 078-8510
84 Novo Nordisk Investigational Site Fukui-shi, Fukui Japan 918-8503
85 Novo Nordisk Investigational Site Kamigyo-ku, Kyoto Japan 602-8566
86 Novo Nordisk Investigational Site Kumamoto-shi, Kumamoto Japan 862-8655
87 Novo Nordisk Investigational Site Nagakute-shi, Aichi Japan 480-1195
88 Novo Nordisk Investigational Site Nara-shi, Nara Japan 630-8305
89 Novo Nordisk Investigational Site Nishinomiya-shi, Hyogo Japan 663-8501
90 Novo Nordisk Investigational Site Osaka-shi, Osaka Japan 545-8586
91 Novo Nordisk Investigational Site Otsu-shi, Shiga Japan 520-0804
92 Novo Nordisk Investigational Site Saga-shi, Saga Japan 849-8501
93 Novo Nordisk Investigational Site Shimonoseki-shi, Yamaguchi Japan 750-0061
94 Novo Nordisk Investigational Site Suita-shi, Osaka Japan 564-0013
95 Novo Nordisk Investigational Site Suita-shi, Osaka Japan 565-0862
96 Novo Nordisk Investigational Site Takamatsu-shi, Kagawa Japan 760-8557
97 Novo Nordisk Investigational Site Toyoake-shi, Aichi Japan 470-1192
98 Novo Nordisk Investigational Site Alkmaar Netherlands 1815 JD
99 Novo Nordisk Investigational Site Amstelveen Netherlands 1186 AM
100 Novo Nordisk Investigational Site Amsterdam Netherlands 1105 AZ
101 Novo Nordisk Investigational Site Delft Netherlands 2625 AD
102 Novo Nordisk Investigational Site Groningen Netherlands 9713 GZ
103 Novo Nordisk Investigational Site Leiden Netherlands 2333 ZA
104 Novo Nordisk Investigational Site Maastricht Netherlands 6229 HX
105 Novo Nordisk Investigational Site Nijmegen Netherlands 6525 GA
106 Novo Nordisk Investigational Site San Juan Puerto Rico 00927
107 Novo Nordisk Investigational Site Barnaul Russian Federation 656045
108 Novo Nordisk Investigational Site Kazan Russian Federation 420012
109 Novo Nordisk Investigational Site Kemerovo Russian Federation 650066
110 Novo Nordisk Investigational Site Krasnoyarsk Russian Federation 660022
111 Novo Nordisk Investigational Site Moscow Russian Federation 111123
112 Novo Nordisk Investigational Site Moscow Russian Federation 121170
113 Novo Nordisk Investigational Site Moscow Russian Federation 121293
114 Novo Nordisk Investigational Site Moscow Russian Federation 123423
115 Novo Nordisk Investigational Site Moscow Russian Federation 125367
116 Novo Nordisk Investigational Site Novosibirsk Russian Federation 630005
117 Novo Nordisk Investigational Site Novosibirsk Russian Federation 630099
118 Novo Nordisk Investigational Site Penza Russian Federation 440026
119 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 190013
120 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 194356
121 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 194358
122 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 195067
123 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 197110
124 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 197342
125 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 199226
126 Novo Nordisk Investigational Site Saratov Russian Federation 410039
127 Novo Nordisk Investigational Site Saratov Russian Federation 410053
128 Novo Nordisk Investigational Site Stavropol Russian Federation 355017
129 Novo Nordisk Investigational Site Stavropol Russian Federation 355035
130 Novo Nordisk Investigational Site Tomsk Russian Federation 634028
131 Novo Nordisk Investigational Site Ulianovsk Russian Federation 432063
132 Novo Nordisk Investigational Site Yoshkar-Ola Russian Federation 424004
133 Novo Nordisk Investigational Site Madrid Spain 28034
134 Novo Nordisk Investigational Site Majadahonda Spain 28222
135 Novo Nordisk Investigational Site Santander Spain 39008
136 Novo Nordisk Investigational Site Santiago de Compostela Spain 15706
137 Novo Nordisk Investigational Site Sevilla Spain 41013
138 Novo Nordisk Investigational Site Valencia Spain 46026
139 Novo Nordisk Investigational Site Göteborg Sweden 413 45
140 Novo Nordisk Investigational Site Malmö Sweden 205 02
141 Novo Nordisk Investigational Site Stockholm Sweden 112 81
142 Novo Nordisk Investigational Site Stockholm Sweden 14186
143 Novo Nordisk Investigational Site Birmingham United Kingdom B15 2TH
144 Novo Nordisk Investigational Site Birmingham United Kingdom B9 5SS
145 Novo Nordisk Investigational Site Bolton United Kingdom BL4 0JR
146 Novo Nordisk Investigational Site Cambridge United Kingdom CB2 2QQ
147 Novo Nordisk Investigational Site Derby United Kingdom DE22 3NE
148 Novo Nordisk Investigational Site Dundee United Kingdom DD1 9SY
149 Novo Nordisk Investigational Site Edinburgh United Kingdom EH16 4SA
150 Novo Nordisk Investigational Site Glasgow United Kingdom G31 2ER
151 Novo Nordisk Investigational Site Hull United Kingdom HU3 2GZ
152 Novo Nordisk Investigational Site Leeds United Kingdom LS9 7TF
153 Novo Nordisk Investigational Site London United Kingdom NW3 2QG
154 Novo Nordisk Investigational Site London United Kingdom SE1 7EH
155 Novo Nordisk Investigational Site London United Kingdom SE5 9RS
156 Novo Nordisk Investigational Site Nottingham United Kingdom NG7 2UH
157 Novo Nordisk Investigational Site Portsmouth United Kingdom PO6 3LY
158 Novo Nordisk Investigational Site Swansea United Kingdom SA2 8PP

Sponsors and Collaborators

  • Novo Nordisk A/S

Investigators

None specified.

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT02970942
Other Study ID Numbers:
  • NN9931-4296
  • 2016-000685-39
  • U1111-1179-7464
First Posted:
Nov 22, 2016
Last Update Posted:
Nov 16, 2021
Last Verified:
Nov 1, 2021
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
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The trial was conducted at 114 sites in 16 countries as follows (number of sites that screened participants/ number of sites that randomised participants): Australia (4/ 3); Austria (3/ 3); Belgium (4/ 4); Bulgaria (2/ 2); Canada (9/ 7); Denmark (2/ 2); Finland (1/ 1); France (8/ 6); Greece (5/ 5); Japan (13/ 12); Netherlands (7/ 5); Russian Federation (25/ 17); Spain (6/ 5); Sweden (3/ 2); United Kingdom (15/ 11); United States (36/ 29).
Pre-assignment Detail Participants were randomised in a 3:3:3:1:1:1 ratio to receive once-daily semaglutide or placebo subcutaneously. After randomisation, the participants entered a dose-escalation period, with increase in dose every 4 weeks until the target dose was reached.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Period Title: Overall Study
STARTED 80 78 82 80
Full Analysis Set 80 78 82 80
Safety Analysis Set 80 78 81 80
Exposed 80 78 81 80
COMPLETED 76 72 77 77
NOT COMPLETED 4 6 5 3

Baseline Characteristics

Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo Total
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks. Total of all reporting groups
Overall Participants 80 78 82 80 320
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
55.2
(10.9)
58.1
(9.9)
54.3
(10.2)
52.4
(10.8)
55.0
(10.6)
Sex: Female, Male (Count of Participants)
Female
51
63.8%
52
66.7%
47
57.3%
44
55%
194
60.6%
Male
29
36.3%
26
33.3%
35
42.7%
36
45%
126
39.4%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
7
8.8%
10
12.8%
14
17.1%
9
11.3%
40
12.5%
Not Hispanic or Latino
69
86.3%
63
80.8%
65
79.3%
66
82.5%
263
82.2%
Unknown or Not Reported
4
5%
5
6.4%
3
3.7%
5
6.3%
17
5.3%
Race/Ethnicity, Customized (Count of Participants)
American Indian or Alaska Native
0
0%
1
1.3%
2
2.4%
0
0%
3
0.9%
Asian
10
12.5%
12
15.4%
14
17.1%
12
15%
48
15%
Black or African American
1
1.3%
1
1.3%
0
0%
0
0%
2
0.6%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
White
65
81.3%
59
75.6%
62
75.6%
62
77.5%
248
77.5%
Other
0
0%
0
0%
1
1.2%
1
1.3%
2
0.6%
Not applicable
4
5%
5
6.4%
3
3.7%
5
6.3%
17
5.3%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)
Description NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1 and hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning ranges from 0-2; lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame After 72 weeks

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with fibrosis stage 2 or 3 at baseline who contributed to the analysis. In below table, 'Yes' infers percentage of participants who achieved NASH resolution without worsening of fibrosis and 'No' infers vice-versa; 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 57 59 56 58
Yes
40.4
50.5%
35.6
45.6%
58.9
71.8%
17.2
21.5%
No
54.4
68%
47.5
60.9%
30.4
37.1%
74.1
92.6%
Missing
5.3
6.6%
16.9
21.7%
10.7
13%
8.6
10.8%
2. Secondary Outcome
Title Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)
Description NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1; hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning range: 0-2; lobular inflammation range: 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, higher scores indicate greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3)last contact with participant (for participants lost to follow-up); 4)death.
Time Frame After 72 weeks

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with fibrosis stage 2 or 3 at baseline who contributed to the analysis. In below table, 'Yes' infers percentage of participants who achieved at least one stage of fibrosis improvement with no worsening of NASH; 'No' infers vice-versa; 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 57 59 56 58
Yes
49.1
61.4%
32.2
41.3%
42.9
52.3%
32.8
41%
No
45.6
57%
50.8
65.1%
46.4
56.6%
58.6
73.3%
Missing
5.3
6.6%
16.9
21.7%
10.7
13%
8.6
10.8%
3. Secondary Outcome
Title Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)
Description Percentage of participants who had worsened, improved or had no change in total NAS from baseline to week 72 is presented. Worsening is defined as an increase of at least 1 in the NAS; Improvement is defined as a decrease of at least 1 in the NAS; while no change corresponds to no change in NAS from baseline to week 72. NAS is calculated as the sum of scores for steatosis (0 to 3), lobular inflammation (0 to 3), and hepatocyte ballooning (0 to 2). Therefore, it is assessed on a scale of 0-8, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Improvement
71.3
89.1%
79.5
101.9%
82.9
101.1%
43.8
54.8%
Worsening
7.5
9.4%
2.6
3.3%
3.7
4.5%
16.3
20.4%
No change
13.8
17.3%
5.1
6.5%
1.2
1.5%
27.5
34.4%
Missing
7.5
9.4%
12.8
16.4%
12.2
14.9%
12.5
15.6%
4. Secondary Outcome
Title Percentage of Participants With Change in Steatosis
Description Percentage of participants who had improved, worsened, or had no change in steatosis from baseline to week 72 is presented. Steatosis was assessed on a scale of 0-3, with higher scores indicating more severe steatosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Improvement
52.5
65.6%
60.3
77.3%
63.4
77.3%
26.3
32.9%
Worsening
6.3
7.9%
2.6
3.3%
3.7
4.5%
15.0
18.8%
No change
33.8
42.3%
24.4
31.3%
20.7
25.2%
46.3
57.9%
Missing
7.5
9.4%
12.8
16.4%
12.2
14.9%
12.5
15.6%
5. Secondary Outcome
Title Percentage of Participants With Change in Lobular Inflammation
Description Percentage of participants who had improved, worsened, or had no change in lobular inflammation from baseline to week 72 is presented. Lobular inflammation was assessed on a scale of 0-3, with higher scores indicating more severe lobular inflammation. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Improvement
41.3
51.6%
47.4
60.8%
37.8
46.1%
26.3
32.9%
Worsening
7.5
9.4%
7.7
9.9%
6.1
7.4%
17.5
21.9%
No change
43.8
54.8%
32.1
41.2%
43.9
53.5%
45.0
56.3%
Missing
7.5
9.4%
12.8
16.4%
12.2
14.9%
11.3
14.1%
6. Secondary Outcome
Title Percentage of Participants With Change in Hepatocyte Ballooning
Description Percentage of participants who had improved, worsened, or had no change in hepatocyte ballooning from baseline to week 72 is presented. Hepatocyte ballooning was assessed on a scale of 0-2, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Improvement
61.3
76.6%
70.5
90.4%
74.4
90.7%
38.8
48.5%
Worsening
2.5
3.1%
2.6
3.3%
1.2
1.5%
2.5
3.1%
No change
28.8
36%
14.1
18.1%
12.2
14.9%
46.3
57.9%
Missing
7.5
9.4%
12.8
16.4%
12.2
14.9%
12.5
15.6%
7. Secondary Outcome
Title Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification
Description Percentage of participants who had improved, worsened, or had no change in fibrosis stage from baseline to week 72 is presented. The degree of fibrosis is described by the Kleiner fibrosis staging system, ranging from F0 (absence of fibrosis), F1 (portal/perisinusoidal fibrosis), F2 (perisinusoidal and portal/periportal fibrosis), F3 (septal or bridging fibrosis) through F4 (cirrhosis). The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Improvement
46.3
57.9%
32.1
41.2%
42.7
52.1%
31.3
39.1%
Worsening
10.0
12.5%
7.7
9.9%
4.9
6%
18.8
23.5%
No change
36.3
45.4%
42.3
54.2%
36.6
44.6%
37.5
46.9%
Missing
7.5
9.4%
17.9
22.9%
15.9
19.4%
12.5
15.6%
8. Secondary Outcome
Title Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score
Description Percentage of participants who had improved, worsened, or had no change in the activity component of the SAF score from baseline to week 72 is presented. SAF score was assessed on a scale of 0-4, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Improvement
62.5
78.1%
71.8
92.1%
72.0
87.8%
42.5
53.1%
Worsening
7.5
9.4%
3.8
4.9%
1.2
1.5%
11.3
14.1%
No change
22.5
28.1%
11.5
14.7%
14.6
17.8%
33.8
42.3%
Missing
7.5
9.4%
12.8
16.4%
12.2
14.9%
12.5
15.6%
9. Secondary Outcome
Title Change in Fibrosis-4 Score
Description Change in fibrosis-4 score is presented as ratio to baseline. Fibrosis-4 is the ratio of age in years and aminotransferase to platelet count. It is a non-invasive hepatic fibrosis index score combining standard biochemical values, platelets, alanine aminotransferase (ALT), AST and age that is calculated using formula: Fibrosis-4 = (Age [years] x AST [U/L]) / (platelets [10^9/L] x (square root of ALT [U/L])). A Fibrosis-4 index of < 1.45 indicated no or moderate fibrosis and an index of > 3.25 indicated extensive fibrosis/cirrhosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 63 72 67
Geometric Mean (Geometric Coefficient of Variation) [Ratio of fibrosis-4 score]
0.81
(36.8)
0.77
(32.4)
0.77
(31.3)
0.95
(43.1)
10. Secondary Outcome
Title Change in NAFLD Fibrosis Score (NFS)
Description Change in NFS from baseline to week 72 is presented. NFS is calculated using formula: NFS = -1.675 + 0.037 * age (years) + 0.094 * body mass index (BMI) (kg/m^2) + 1.13 * hyperglycaemia (yes/no) + 0.99 * Aspartate aminotransferase (AST)/ Alanine aminotransferase (ALT) ratio + 0.013 × platelet count (*10^9/L) - 0.66 * albumin (g/dL). The score is used to classify the probability of fibrosis. A score a) < -1.5 indicates a low probability, b) > -1.5 to < 0.67 indicates intermediate probability, and a score of c) > 0.67 indicates a high probability of liver fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 63 72 66
Mean (Standard Deviation) [Score on a scale]
-0.322
(0.819)
-0.617
(0.691)
-0.475
(0.770)
-0.040
(0.844)
11. Secondary Outcome
Title Change in Alanine Aminotransferase (ALT)
Description Change in ALT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of ALT]
0.62
(62.7)
0.57
(62.1)
0.40
(68.2)
0.80
(60.3)
12. Secondary Outcome
Title Change in Aspartate Aminotransferase (AST)
Description Change in AST (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 69 77 74
Geometric Mean (Geometric Coefficient of Variation) [Ratio of AST]
0.66
(55.1)
0.63
(46.6)
0.50
(45.8)
0.84
(62.3)
13. Secondary Outcome
Title Change in Gamma Glutamyl Transferase (GGT)
Description Change in GGT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of GGT]
0.76
(52.0)
0.64
(51.6)
0.48
(60.2)
0.92
(46.6)
14. Secondary Outcome
Title Change in Albumin
Description Change in albumin (measured as grams per deciliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of albumin]
1.02
(5.6)
1.01
(6.0)
1.01
(5.4)
1.02
(6.0)
15. Secondary Outcome
Title Change in International Normalized Ratio (INR)
Description Change in INR is presented as ratio to baseline. INR is the ratio of measured prothrombin time over normal prothrombin time and it evaluates the extrinsic coagulation pathway (vitamin K dependent clotting factors II; V, VII, IX and X). These clotting factors are synthesised in the liver, thus INR is used as a marker of liver synthesis function. The therapeutic INR range varies, most commonly an INR 2-3 goal, but ranging from 1.5-4.0. Bleeding complications are more likely to occur above an INR value of 4.0. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 76 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of INR]
0.97
(18.8)
0.96
(11.8)
0.93
(22.3)
0.99
(19.3)
16. Secondary Outcome
Title Change in Enhanced Liver Fibrosis (ELF)
Description Change in ELF from baseline to week 72 is presented. The ELF discriminant score was derived as a log-linear combination of the markers hyaluronic acid (HA), amino-terminal propeptide of type III collagen (PIIINP) and tissue inhibitor of metalloproteinase 1 (TIMP1). ELF score = -7.412 + 0.681 × ln(HA (nanograms per millilitre (ng/mL)) + 0.775 × ln(P3NP (ng/mL)) + 0.494 × ln(TIMP1 (ng/mL)). ELF score: a) < 7.7: no to mild fibrosis; b) ≥ 7.7 - < 9.8: Moderate fibrosis; c) ≥ 9.8 - < 11.3: Severe fibrosis; d) ≥ 11.3: Cirrhosis. A negative change from baseline indicates decreased fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 70 76 75
Mean (Standard Deviation) [score on a scale]
-0.4
(0.7)
-0.4
(0.8)
-0.6
(0.8)
0.1
(0.7)
17. Secondary Outcome
Title Change in Cytokeratin 18 (CK-18) Fragments
Description Change in CK-18 fragments (M30, M65) (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 76 74
M30
0.52
(84.2)
0.50
(76.4)
0.40
(74.5)
0.78
(106.9)
M65
0.51
(73.1)
0.52
(62.5)
0.38
(65.6)
0.71
(83.7)
18. Secondary Outcome
Title Change in microRNA 122 (miR-122)
Description Change in miR-122 (measured as 1/microliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 73 71 76 74
Geometric Mean (Geometric Coefficient of Variation) [Ratio of miR-122]
0.86
(151.8)
0.74
(203.1)
0.58
(161.3)
1.28
(194.3)
19. Secondary Outcome
Title Change in Interleukin-1 Receptor (IL-1R) Antagonist
Description Change in interleukin-1 receptor (IL-1R) antagonist (measured as picograms per milliliter) antagonist is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 69 65 74 69
Geometric Mean (Geometric Coefficient of Variation) [Ratio of IL-1R antagonist]
0.87
(49.3)
0.85
(37.5)
0.73
(47.9)
0.94
(41.7)
20. Secondary Outcome
Title Change in Monocyte Chemoattractant Protein 1 (MCP-1)
Description Change in MCP-1 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 75 71 76 73
Geometric Mean (Geometric Coefficient of Variation) [Ratio of MCP-1]
1.07
(23.3)
1.08
(29.8)
0.99
(30.7)
1.04
(26.4)
21. Secondary Outcome
Title Change in Fibroblast Growth Factor 21 (FGF-21)
Description Change in FGF-21 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 74
Geometric Mean (Geometric Coefficient of Variation) [Ratio of FGF-21]
0.72
(86.1)
0.61
(104.1)
0.55
(91.3)
0.76
(64.8)
22. Secondary Outcome
Title Change in Liver Stiffness Assessed by FibroScan®
Description Change in liver stiffness (measured as kilopascal (kPa)) assessed by FibroScan® is presented as ratio to baseline. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) by measuring the stiffness of the liver. It's normally between 2 and 6 kPa. Many people with liver disease(s) have a result that's higher than the normal range. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 47 49 46 45
Geometric Mean (Geometric Coefficient of Variation) [Ratio of liver stiffness]
0.72
(49.3)
0.64
(52.2)
0.66
(58.4)
1.18
(71.2)
23. Secondary Outcome
Title Change in Liver Steatosis Assessed by FibroScan®
Description Change in liver steatosis assessed by FibroScan® from baseline to week 72 is presented. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) and steatosis (fatty change) in the liver. Fatty change is fat building up in the liver cells. To assess liver steatosis, the controlled attenuation parameter (CAP; giving an estimate of ultrasound attenuation ∼3.5 MegaHertz (MHz)) is available with the M probe of the FibroScan. The CAP score is measured in decibels per meter (dB/m). It ranges from 100 to 400 dB/m, with higher scores indicating higher amount of liver with fatty change. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 34 37 33 35
Mean (Standard Deviation) [Decibels per meter]
-5.8
(41.1)
-50.9
(64.3)
-42.1
(73.3)
-18.7
(43.3)
24. Secondary Outcome
Title Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)
Description Percentage of participants with weight loss of greater than or equal to (≥) 5% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 5% weight loss; 'No' infers percentage of participants who have not achieved ≥ 5% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Time Frame Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Yes
43.8
54.8%
62.8
80.5%
76.8
93.7%
16.3
20.4%
No
51.3
64.1%
28.2
36.2%
17.1
20.9%
78.8
98.5%
Missing
5.0
6.3%
9.0
11.5%
6.1
7.4%
5.0
6.3%
25. Secondary Outcome
Title Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)
Description Pentage of participants with weight loss of ≥ 10% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 10% weight loss; 'No' infers percentage of participants who have not achieved ≥ 10% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Time Frame Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Yes
17.5
21.9%
38.5
49.4%
59.8
72.9%
2.5
3.1%
No
77.5
96.9%
52.6
67.4%
34.1
41.6%
92.5
115.6%
Missing
5.0
6.3%
9.0
11.5%
6.1
7.4%
5.0
6.3%
26. Secondary Outcome
Title Change in Body Weight
Description Change in body weight from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 76
Mean (Standard Deviation) [Kilograms]
-4.8
(6.0)
-9.4
(9.2)
-12.3
(8.6)
-1.0
(4.9)
27. Secondary Outcome
Title Change in Waist Circumference
Description Change in waist circumference from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 69 77 75
Mean (Standard Deviation) [Centimeters]
-3.9
(6.3)
-7.1
(8.9)
-11.4
(9.3)
-1.7
(6.2)
28. Secondary Outcome
Title Change in Body Mass Index (BMI)
Description Change in BMI from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 76
Mean (Standard Deviation) [Kilograms per square meter]
-1.8
(2.2)
-3.5
(3.4)
-4.6
(3.3)
-0.3
(1.8)
29. Secondary Outcome
Title Change in Glycosylated Haemoglobin (HbA1c) (%-Point)
Description Change in HbA1c (measured as percentage point of HbA1c) from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 46 45 47 47
Mean (Standard Deviation) [Percentage point of HbA1c]
-0.7
(1.1)
-1.2
(0.9)
-1.2
(1.0)
-0.0
(1.0)
30. Secondary Outcome
Title Change in HbA1c (Millimoles Per Mole)
Description Change in HbA1c from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 46 45 47 47
Mean (Standard Deviation) [millimoles per mole]
-7.9
(12.2)
-12.8
(9.5)
-12.8
(11.3)
-0.3
(10.7)
31. Secondary Outcome
Title Change in Fasting Plasma Glucose (FPG)
Description Change in FPG from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 45 44 47 48
Mean (Standard Deviation) [Millimoles per liter]
-1.39
(2.53)
-2.17
(1.82)
-2.09
(2.68)
-0.34
(2.72)
32. Secondary Outcome
Title Change in Fasting Glucagon
Description Change in fasting glucagon (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 45 45 47 47
Geometric Mean (Geometric Coefficient of Variation) [Ratio of glucagon]
0.78
(76.8)
0.65
(94.8)
0.63
(100.4)
1.04
(80.8)
33. Secondary Outcome
Title Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)
Description Change in HOMA-IR is presented as ratio to baseline. HOMA-IR was calculated as: Insulin resistance (%) = fasting plasma glucose [mmol/L] x fasting insulin [mmol/L]/ 22.5. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 42 43 44 45
Geometric Mean (Geometric Coefficient of Variation) [Ratio of HOMA-IR]
0.77
(62.2)
0.60
(77.6)
0.58
(94.6)
0.81
(127.5)
34. Secondary Outcome
Title Change in Diastolic Blood Pressure (DBP)
Description Blood pressure was measured in a sitting position after 5 minutes of rest. Change in DBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 70 77 76
Mean (Standard Deviation) [Millimeters of mercury]
0
(10)
-2
(11)
-2
(9)
-1
(10)
35. Secondary Outcome
Title Change in Systolic Blood Pressure (SBP)
Description Blood pressure was measured in a sitting position after 5 minutes of rest. Change in SBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 70 77 76
Mean (Standard Deviation) [Millimeters of mercury]
-2
(16)
-7
(18)
-6
(16)
-2
(15)
36. Secondary Outcome
Title Change in Total Cholesterol
Description Change in total cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 75 68 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of total cholesterol]
0.98
(17.1)
1.00
(20.3)
0.93
(15.7)
0.93
(18.8)
37. Secondary Outcome
Title Change in Low Density Lipoprotein (LDL) Cholesterol
Description Change in LDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 73 68 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of LDL cholesterol]
0.96
(22.9)
1.01
(34.9)
0.92
(25.5)
0.90
(30.7)
38. Secondary Outcome
Title Change in High Density Lipoprotein (HDL) Cholesterol
Description Change in HDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 68 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of HDL cholesterol]
1.04
(16.1)
1.05
(12.9)
1.09
(16.4)
1.01
(12.9)
39. Secondary Outcome
Title Change in Very Low Density Lipoprotein (VLDL) Cholesterol
Description Change in VLDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 73 68 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of VLDL cholesterol]
0.89
(31.9)
0.90
(36.1)
0.74
(38.2)
0.93
(36.7)
40. Secondary Outcome
Title Change in Triglycerides
Description Change in triglycerides (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 68 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of triglycerides]
0.88
(34.1)
0.89
(37.6)
0.73
(41.4)
0.95
(36.9)
41. Secondary Outcome
Title Change in Free Fatty Acids
Description Change in free fatty acids (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 72 68 74 72
Geometric Mean (Geometric Coefficient of Variation) [Ratio of free fatty acids]
0.83
(54.8)
0.92
(73.2)
0.72
(80.8)
1.05
(75.9)
42. Secondary Outcome
Title Change in High Sensitivity C-reactive Protein (hsCRP)
Description Change in hsCRP (measured as milligram per liter) from baseline to week 72 is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 76 71 77 75
Geometric Mean (Geometric Coefficient of Variation) [Ratio of hsCRP]
0.78
(114.6)
0.50
(124.1)
0.41
(114.6)
0.91
(85.8)
43. Secondary Outcome
Title Change in Short Form 36 (SF-36) Score
Description Change in SF-36 score from baseline to week 72 is presented. SF-36 measures participant's overall health related quality of life (HRQoL). It is a 36-item generic measure of health status and yields 2 summary scores for physical health and mental health, and 8 domain scores (physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional, mental health). The scores 0-100 (where higher scores indicates a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of scores in the 2009 U.S. general population. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 82 80
Mental component sum
2.2
(8.5)
0.6
(9.2)
1.2
(9.5)
-0.4
(8.9)
Physical component sum
2.1
(7.0)
1.1
(7.3)
3.9
(7.1)
-0.1
(8.3)
Physical functioning
1.8
(7.8)
2.0
(7.3)
2.8
(7.8)
-0.4
(8.2)
Role functioning
2.1
(6.9)
0.5
(9.3)
2.2
(8.1)
-0.3
(9.4)
Bodily pain
1.3
(10.9)
1.2
(10.1)
3.4
(7.9)
-1.3
(10.2)
General health
7.2
(14.8)
2.3
(17.8)
9.0
(17.4)
4.3
(16.5)
Vitality
2.3
(8.6)
0.6
(9.4)
4.6
(9.8)
-0.2
(10.1)
Social functioning
3.7
(9.0)
-0.1
(9.9)
2.2
(9.4)
-1.6
(8.3)
Role emotional
2.2
(8.9)
0.6
(9.1)
0.5
(9.5)
-0.3
(8.5)
Mental health
1.2
(8.9)
1.5
(8.2)
1.3
(9.5)
-0.2
(9.7)
44. Secondary Outcome
Title Number of Treatment-emergent Adverse Events (TEAEs)
Description An adverse event (AE) was any untoward medical occurrence in a clinical trial participant administered or using a medicinal product, whether or not considered related to the medicinal product or usage. All AEs reported here are TEAEs. TEAE is defined as an event that had onset date during the on-treatment period. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half lives of semaglutide); 2) end of the in-trial period.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Number [events]
525
577
511
445
45. Secondary Outcome
Title Number of Treatment-emergent Hypoglycaemic Episodes
Description Hypoglycaemic episode (blood glucose less than or equal to (<=) 3.9 mmol/L (70 mg/dL) Or greater than (>) 3.9 mmol/L (70 mg/dL) occurring in conjunction with hypoglycaemic symptoms) is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 49 51 49 50
Number [episodes]
54
30
66
18
46. Secondary Outcome
Title Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes
Description Severe or BG confirmed symptomatic hypoglycaemia: episode, severe as per american diabetes association (ADA) classification or BG confirmed by plasma glucose value < 3.1 mmol/L(56mg/dL) with symptoms along with hypoglycaemia. Severe hypoglycaemia: episode requiring assistance of other person to actively administer carbohydrate, glucagon, or take corrective actions. Plasma glucose concentrations may not be available during event, but neurological recovery following return of plasma glucose to normal is sufficient evidence that event was induced by low plasma glucose concentration. Hypoglycaemic episode is treatment emergent if onset of it occurs during on-treatment period: period starting on day of first administration of trial product and ending on day of last dose of trial product+7 days; except for evaluation of AEs; hypoglycaemic episodes for which period ended on date of whatever came first:last dose of trial product + 49 days (7 half-lives of semaglutide); end of in-trial period.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 49 51 49 50
Number [episodes]
3
5
17
2
47. Secondary Outcome
Title Number of Treatment-emergent Severe Hypoglycaemic Episodes
Description Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. Hypoglycaemic episode is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 49 51 49 50
Number [episodes]
2
2
0
0
48. Secondary Outcome
Title Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events
Description Number of participants discontinuing treatment due to gastrointestinal adverse events is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Count of Participants [Participants]
1
1.3%
6
7.7%
2
2.4%
0
0%
49. Secondary Outcome
Title Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)
Description Number of participants with occurrence of anti-semaglutide antibodies during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with occurrence of anti-semaglutide antibodies and 'No' infers number of participants without anti-semaglutide antibodies during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72).
Measure Participants 80 78 81
Yes
4
5%
1
1.3%
2
2.4%
No
76
95%
77
98.7%
79
96.3%
50. Secondary Outcome
Title Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)
Description Number of participants with anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies with in vitro neutralising effect and 'No' infers number of participants without anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72).
Measure Participants 80 78 81
Yes
0
0%
0
0%
0
0%
No
80
100%
78
100%
81
98.8%
51. Secondary Outcome
Title Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)
Description Number of participants with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies cross reacting with native GLP-1 and 'No' infers number of participants without anti-semaglutide antibodies cross reacting with native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72).
Measure Participants 80 78 81
Yes
4
5%
0
0%
2
2.4%
No
76
95%
78
100%
79
96.3%
52. Secondary Outcome
Title Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No)
Description Number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 and 'No' infers number of participants without cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time Frame From week 0 to week 79

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72).
Measure Participants 80 78 81
Yes
0
0%
0
0%
0
0%
No
80
100%
78
100%
81
98.8%
53. Secondary Outcome
Title Change in Pulse From Baseline to Week 72
Description Change in pulse from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 73 63 72 71
Mean (Standard Deviation) [beats per minute (bpm)]
2.2
(10.9)
2.1
(9.0)
0.9
(9.6)
-0.3
(9.1)
54. Secondary Outcome
Title Percentage of Participants With Change in Electrocardiogram (ECG)
Description A 12-lead ECG was performed at baseline (week 0) and week 72 and categorised as normal, abnormal and not clinically significant (abnormal NCS) or abnormal and clinically significant (abnormal CS). Percentage of participants in each ECG category at week 0 and week 72 are presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Week 0: Normal
58.8
73.5%
60.3
77.3%
66.7
81.3%
63.8
79.8%
Week 0: Abnormal NCS
41.3
51.6%
39.7
50.9%
32.1
39.1%
36.3
45.4%
Week 0: Abnormal CS
0.0
0%
0.0
0%
1.2
1.5%
0.0
0%
Week 72: Normal
64.9
81.1%
65.1
83.5%
74.6
91%
60.0
75%
Week 72: Abnormal NCS
35.1
43.9%
34.9
44.7%
23.9
29.1%
38.6
48.3%
Week 72: Abnormal CS
0.0
0%
0.0
0%
1.4
1.7%
1.4
1.8%
55. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Cardiovascular System
Description Percentage of participants with change in physical examination (cardiovascular system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Week -6: Normal
87.5
109.4%
93.6
120%
92.6
112.9%
92.5
115.6%
Week -6: Abnormal NCS
11.3
14.1%
5.1
6.5%
7.4
9%
6.3
7.9%
Week -6: Abnormal CS
1.3
1.6%
1.3
1.7%
0.0
0%
1.3
1.6%
Week 72: Normal
87.8
109.8%
96.9
124.2%
94.4
115.1%
90.1
112.6%
Week 72: Abnormal NCS
12.2
15.3%
3.1
4%
5.6
6.8%
8.5
10.6%
Week 72: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
1.4
1.8%
56. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System
Description Percentage of participants with change in physical examination (central and peripheral nervous system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 77 79 80
Week -6: Normal
92.5
115.6%
94.8
121.5%
98.7
120.4%
95.0
118.8%
Week -6: Abnormal NCS
5.0
6.3%
5.2
6.7%
1.3
1.6%
3.8
4.8%
Week -6: Abnormal CS
2.5
3.1%
0.0
0%
0.0
0%
1.3
1.6%
Week 72: Normal
94.6
118.3%
93.7
120.1%
98.6
120.2%
92.9
116.1%
Week 72: Abnormal NCS
5.4
6.8%
4.8
6.2%
1.4
1.7%
7.1
8.9%
Week 72: Abnormal CS
0.0
0%
1.6
2.1%
0.0
0%
0.0
0%
57. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth
Description Percentage of participants with change in physical examination (gastrointestinal system including mouth) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 77 81 80
Week -6: Normal
82.5
103.1%
83.1
106.5%
84.0
102.4%
86.3
107.9%
Week -6: Abnormal NCS
13.8
17.3%
15.6
20%
16.0
19.5%
12.5
15.6%
Week -6: Abnormal CS
3.8
4.8%
1.3
1.7%
0.0
0%
1.3
1.6%
Week 72: Normal
89.2
111.5%
81.0
103.8%
87.5
106.7%
84.5
105.6%
Week 72: Abnormal NCS
10.8
13.5%
19.0
24.4%
12.5
15.2%
14.1
17.6%
Week 72: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
1.4
1.8%
58. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: General Appearance
Description Percentage of participants with change in physical examination (general appearance) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Week -6: Normal
83.8
104.8%
85.9
110.1%
79.0
96.3%
80.0
100%
Week -6: Abnormal NCS
16.3
20.4%
12.8
16.4%
21.0
25.6%
20.0
25%
Week -6: Abnormal CS
0.0
0%
1.3
1.7%
0.0
0%
0.0
0%
Week 72: Normal
83.8
104.8%
90.6
116.2%
90.3
110.1%
76.1
95.1%
Week 72: Abnormal NCS
16.2
20.3%
6.3
8.1%
9.7
11.8%
23.9
29.9%
Week 72: Abnormal CS
0.0
0%
3.1
4%
0.0
0%
0.0
0%
59. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck
Description Percentage of participants with change in physical examination (head, ears, eyes, nose, throat, neck) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 77 80 80
Week -6: Normal
97.5
121.9%
94.8
121.5%
98.8
120.5%
97.5
121.9%
Week -6: Abnormal NCS
2.5
3.1%
5.2
6.7%
1.3
1.6%
2.5
3.1%
Week -6: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
Week 72: Normal
94.5
118.1%
96.8
124.1%
98.6
120.2%
98.6
123.3%
Week 72: Abnormal NCS
4.1
5.1%
3.2
4.1%
1.4
1.7%
0.0
0%
Week 72: Abnormal CS
1.4
1.8%
0.0
0%
0.0
0%
1.4
1.8%
60. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Lymph Node Palpation
Description Percentage of participants with change in physical examination (lymph node palpation) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 77 78 80
Week -6: Normal
100.0
125%
98.7
126.5%
100.0
122%
100.0
125%
Week -6: Abnormal NCS
0.0
0%
1.3
1.7%
0.0
0%
0.0
0%
Week -6: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
Week 72: Normal
100.0
125%
100.0
128.2%
100.0
122%
100.0
125%
Week 72: Abnormal NCS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
Week 72: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
61. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Musculoskeletal System
Description Percentage of participants with change in physical examination (musculoskeletal system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 77 79 80
Week -6: Normal
95.0
118.8%
96.1
123.2%
94.9
115.7%
95.0
118.8%
Week -6: Abnormal NCS
3.8
4.8%
3.9
5%
5.1
6.2%
3.8
4.8%
Week -6: Abnormal CS
1.3
1.6%
0.0
0%
0.0
0%
1.3
1.6%
Week 72: Normal
94.6
118.3%
96.8
124.1%
100.0
122%
95.8
119.8%
Week 72: Abnormal NCS
5.4
6.8%
3.2
4.1%
0.0
0%
4.2
5.3%
Week 72: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
62. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Respiratory System
Description Percentage of participants with change in physical examination (respiratory system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Week -6: Normal
100.0
125%
100.0
128.2%
100.0
122%
97.5
121.9%
Week -6: Abnormal NCS
0.0
0%
0.0
0%
0.0
0%
2.5
3.1%
Week -6: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
Week 72: Normal
98.6
123.3%
96.9
124.2%
98.6
120.2%
98.6
123.3%
Week 72: Abnormal NCS
0.0
0%
3.1
4%
1.4
1.7%
1.4
1.8%
Week 72: Abnormal CS
1.4
1.8%
0.0
0%
0.0
0%
0.0
0%
63. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Skin
Description Percentage of participants with change in physical examination (skin) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 78 81 80
Week -6: Normal
96.3
120.4%
92.3
118.3%
85.2
103.9%
90.0
112.5%
Week -6: Abnormal NCS
2.5
3.1%
6.4
8.2%
13.6
16.6%
10.0
12.5%
Week -6: Abnormal CS
1.3
1.6%
1.3
1.7%
1.2
1.5%
0.0
0%
Week 72: Normal
94.6
118.3%
87.5
112.2%
90.0
109.8%
88.7
110.9%
Week 72: Abnormal NCS
4.1
5.1%
10.9
14%
8.6
10.5%
11.3
14.1%
Week 72: Abnormal CS
1.4
1.8%
1.6
2.1%
1.4
1.7%
0.0
0%
64. Secondary Outcome
Title Percentage of Participants With Change in Physical Examination: Thyroid Gland
Description Percentage of participants with change in physical examination (thyroid gland) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Week -6, week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 80 77 80 80
Week -6: Normal
88.8
111%
97.4
124.9%
97.5
118.9%
98.8
123.5%
Week -6: Abnormal NCS
10.0
12.5%
2.6
3.3%
2.5
3%
0.0
0%
Week -6: Abnormal CS
1.3
1.6%
0.0
0%
0.0
0%
1.3
1.6%
Week 72: Normal
94.6
118.3%
98.4
126.2%
97.1
118.4%
98.6
123.3%
Week 72: Abnormal NCS
5.4
6.8%
1.6
2.1%
2.9
3.5%
1.4
1.8%
Week 72: Abnormal CS
0.0
0%
0.0
0%
0.0
0%
0.0
0%
65. Secondary Outcome
Title Change in Haematocrit
Description Change in haematocrit from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 59 70 68
Mean (Standard Deviation) [Percentage of haematocrit in blood]
-0.79
(3.14)
-0.71
(2.77)
-1.43
(3.50)
-0.41
(3.53)
66. Secondary Outcome
Title Change in Haemoglobin (g/dL)
Description Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 59 70 68
Mean (Standard Deviation) [Grams per deciliter (g/dL)]
0.18
(1.05)
0.08
(0.89)
-0.07
(0.98)
0.21
(1.08)
67. Secondary Outcome
Title Change in Haemoglobin (mmol/L)
Description Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 59 70 68
Mean (Standard Deviation) [millimoles per liter (mmol/L)]
0.11
(0.65)
0.05
(0.55)
-0.05
(0.61)
0.13
(0.67)
68. Secondary Outcome
Title Change in Leukocytes
Description Change in leukocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 59 70 68
Mean (Standard Deviation) [10^9 cells per liter (10^9/L)]
0.489
(1.564)
0.260
(1.343)
-0.047
(1.532)
0.075
(1.733)
69. Secondary Outcome
Title Change in Thrombocytes
Description Change in thrombocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 59 69 67
Mean (Standard Deviation) [10^9 cells per liter (10^9/L)]
8.8
(46.9)
14.6
(34.8)
9.0
(44.9)
0.3
(43.7)
70. Secondary Outcome
Title Change in Erythrocytes
Description Change in erythrocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 71 59 70 68
Mean (Standard Deviation) [10^12 cells per liter (10^12/L)]
0.038
(0.292)
0.004
(0.220)
-0.034
(0.334)
0.054
(0.314)
71. Secondary Outcome
Title Change in Creatinine (mg/dL)
Description Change in creatinine (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of creatinine]
1.018
(30.70)
1.069
(42.19)
1.026
(35.17)
1.021
(33.87)
72. Secondary Outcome
Title Change in Creatinine (Umol/L)
Description Change in creatinine (measured as micro mole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of creatinine]
1.018
(30.70)
1.069
(42.19)
1.026
(35.17)
1.021
(33.87)
73. Secondary Outcome
Title Change in Estimated Glomerular Filtration Rate (eGFR)
Description Change in eGFR (measured as milliliter/minute/1.732 meter square (mL/min/1.73 m^2)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of eGFR]
0.976
(28.04)
0.940
(40.47)
0.973
(31.42)
0.969
(31.24)
74. Secondary Outcome
Title Change in Creatine Kinase
Description Change in creatine kinase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of creatine kinase]
0.975
(73.02)
0.798
(77.96)
0.825
(74.17)
0.904
(76.04)
75. Secondary Outcome
Title Change in Urea
Description Change in urea (measured as milli mole per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of urea]
1.018
(51.01)
0.973
(52.30)
1.042
(51.14)
1.043
(52.30)
76. Secondary Outcome
Title Change in Total Bilirubin (mg/dL)
Description Change in total bilirubin (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of total bilirubin]
0.978
(66.72)
1.011
(70.66)
0.949
(65.89)
1.040
(67.36)
77. Secondary Outcome
Title Change in Total Bilirubin (Umol/L)
Description Change in total bilirubin (measured as micromole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of total bilirubin]
0.978
(66.72)
1.011
(70.66)
0.949
(65.89)
1.040
(67.36)
78. Secondary Outcome
Title Change in Alkaline Phosphatase
Description Change in alkaline phosphatase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of alkaline phosphatase]
0.980
(45.68)
0.931
(43.59)
0.884
(54.90)
0.992
(42.42)
79. Secondary Outcome
Title Change in Ferritin
Description Change in ferritin (measured as microgram per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of ferritin]
0.660
(99.95)
0.617
(88.70)
0.603
(88.83)
0.713
(96.91)
80. Secondary Outcome
Title Change in Sodium (mEq/L)
Description Change in sodium (measured as milli equivalent per liter (mEq/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of sodium]
0.999
(12.23)
1.000
(12.13)
1.002
(11.68)
1.002
(12.91)
81. Secondary Outcome
Title Change in Sodium (mmol/L)
Description Change in sodium (measured as milli mole per liter (mmol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of sodium]
0.999
(12.23)
1.000
(12.13)
1.002
(11.68)
1.002
(12.91)
82. Secondary Outcome
Title Change in Potassium (mEq/L)
Description Change in potassium (measured as mEq/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 61 72 69
Geometric Mean (Geometric Coefficient of Variation) [Ratio of potassium]
1.004
(27.00)
0.979
(29.36)
0.998
(27.81)
0.998
(27.78)
83. Secondary Outcome
Title Change in Potassium (mmol/L)
Description Change in potassium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 61 72 69
Geometric Mean (Geometric Coefficient of Variation) [Ratio of potassium]
1.004
(27.00)
0.979
(29.36)
0.998
(27.81)
0.998
(27.78)
84. Secondary Outcome
Title Change in Calcium (mg/dL)
Description Change in calcium (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of calcium]
1.017
(20.37)
1.018
(20.49)
1.008
(20.88)
1.010
(22.79)
85. Secondary Outcome
Title Change in Calcium (mmol/L)
Description Change in calcium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of calcium]
1.017
(20.37)
1.018
(20.49)
1.008
(20.88)
1.010
(22.79)
86. Secondary Outcome
Title Change in Amylase
Description Change in amylase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of amylase]
1.155
(49.85)
1.120
(65.01)
1.170
(47.88)
1.051
(45.74)
87. Secondary Outcome
Title Change in Lipase
Description Change in lipase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of lipase]
1.305
(77.43)
1.245
(87.68)
1.375
(73.88)
1.003
(66.72)
88. Secondary Outcome
Title Change in Calcitonin
Description Change in calcitonin (measured as nanograms per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time Frame Baseline (week 0), Week 72

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
Measure Participants 74 62 72 70
Geometric Mean (Geometric Coefficient of Variation) [Ratio of Calcitonin]
1.040
(62.98)
0.937
(65.42)
1.000
(66.24)
0.950
(62.39)

Adverse Events

Time Frame From week 0 to week 79 Results are based on the safety analysis set which included all participants who received at least one dose of randomised treatment.
Adverse Event Reporting Description All AEs reported here are TEAEs. TEAE is defined as an event that had onset date during on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half lives of semaglutide); 2) end of the in-trial period.
Arm/Group Title Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Arm/Group Description Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks.
All Cause Mortality
Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/80 (0%) 1/78 (1.3%) 0/81 (0%) 0/80 (0%)
Serious Adverse Events
Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 12/80 (15%) 15/78 (19.2%) 12/81 (14.8%) 8/80 (10%)
Blood and lymphatic system disorders
Anaemia 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Cardiac disorders
Angina unstable 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Ventricular tachycardia 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Endocrine disorders
Basedow's disease 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Eye disorders
Cataract 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Gastrointestinal disorders
Abdominal adhesions 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Colitis 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Colitis ischaemic 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Constipation 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Diverticulum intestinal haemorrhagic 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Gastrointestinal polyp haemorrhage 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Megacolon 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Nausea 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
General disorders
Non-cardiac chest pain 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Sudden death 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Hepatobiliary disorders
Cholangitis acute 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Cholecystitis 1/80 (1.3%) 1 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Cholelithiasis 1/80 (1.3%) 1 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Immune system disorders
Sarcoidosis 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Infections and infestations
Anal abscess 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Cellulitis 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Cystitis 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Cystitis escherichia 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Diverticulitis 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Gastroenteritis 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Hepatitis E 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Pneumonia 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Sepsis 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Urosepsis 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Injury, poisoning and procedural complications
Arthropod bite 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Post procedural haematoma 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 1/80 (1.3%) 1
Metabolism and nutrition disorders
Diabetic metabolic decompensation 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Hyperglycaemia 1/80 (1.3%) 1 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Hypoglycaemia 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Back pain 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Foot deformity 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Musculoskeletal pain 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Osteoarthritis 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cholesteatoma 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Endometrial adenocarcinoma 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Neurilemmoma benign 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Peripheral T-cell lymphoma unspecified 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Uterine leiomyoma 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Nervous system disorders
Diabetic neuropathy 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Epilepsy 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Lumbosacral radiculopathy 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Transient epileptic amnesia 0/80 (0%) 0 0/78 (0%) 0 1/81 (1.2%) 1 0/80 (0%) 0
Transient ischaemic attack 0/80 (0%) 0 1/78 (1.3%) 2 0/81 (0%) 0 0/80 (0%) 0
Psychiatric disorders
Bipolar disorder 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Major depression 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Suicidal ideation 1/80 (1.3%) 2 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Renal and urinary disorders
Acute kidney injury 0/80 (0%) 0 2/78 (2.6%) 2 0/81 (0%) 0 0/80 (0%) 0
Calculus urinary 0/80 (0%) 0 0/78 (0%) 0 0/81 (0%) 0 1/80 (1.3%) 1
Reproductive system and breast disorders
Dysfunctional uterine bleeding 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Ovarian cyst 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Uterine polyp 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 0/80 (0%) 0
Atelectasis 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Pleural effusion 1/80 (1.3%) 1 0/78 (0%) 0 0/81 (0%) 0 0/80 (0%) 0
Other (Not Including Serious) Adverse Events
Semaglutide 0.1 mg Semaglutide 0.2 mg Semaglutide 0.4 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 61/80 (76.3%) 64/78 (82.1%) 63/81 (77.8%) 55/80 (68.8%)
Gastrointestinal disorders
Abdominal distension 1/80 (1.3%) 1 8/78 (10.3%) 9 4/81 (4.9%) 7 4/80 (5%) 5
Abdominal pain 9/80 (11.3%) 10 8/78 (10.3%) 9 6/81 (7.4%) 7 3/80 (3.8%) 4
Abdominal pain upper 5/80 (6.3%) 5 6/78 (7.7%) 7 8/81 (9.9%) 10 3/80 (3.8%) 4
Constipation 12/80 (15%) 14 17/78 (21.8%) 22 18/81 (22.2%) 20 10/80 (12.5%) 11
Diarrhoea 23/80 (28.8%) 31 22/78 (28.2%) 30 16/81 (19.8%) 21 11/80 (13.8%) 16
Dyspepsia 4/80 (5%) 4 9/78 (11.5%) 11 4/81 (4.9%) 5 5/80 (6.3%) 7
Eructation 5/80 (6.3%) 6 6/78 (7.7%) 6 1/81 (1.2%) 1 0/80 (0%) 0
Flatulence 2/80 (2.5%) 2 5/78 (6.4%) 5 3/81 (3.7%) 3 0/80 (0%) 0
Gastrooesophageal reflux disease 3/80 (3.8%) 3 4/78 (5.1%) 5 5/81 (6.2%) 6 2/80 (2.5%) 2
Large intestine polyp 1/80 (1.3%) 1 4/78 (5.1%) 4 3/81 (3.7%) 3 0/80 (0%) 0
Nausea 24/80 (30%) 32 29/78 (37.2%) 39 33/81 (40.7%) 49 9/80 (11.3%) 10
Vomiting 14/80 (17.5%) 21 17/78 (21.8%) 26 12/81 (14.8%) 29 2/80 (2.5%) 3
General disorders
Fatigue 7/80 (8.8%) 7 8/78 (10.3%) 8 7/81 (8.6%) 8 7/80 (8.8%) 7
Injection site bruising 1/80 (1.3%) 1 5/78 (6.4%) 10 3/81 (3.7%) 4 2/80 (2.5%) 2
Pyrexia 1/80 (1.3%) 1 4/78 (5.1%) 4 1/81 (1.2%) 1 1/80 (1.3%) 1
Infections and infestations
Gastroenteritis 4/80 (5%) 4 2/78 (2.6%) 2 1/81 (1.2%) 1 2/80 (2.5%) 2
Influenza 7/80 (8.8%) 7 1/78 (1.3%) 1 3/81 (3.7%) 4 6/80 (7.5%) 6
Nasopharyngitis 11/80 (13.8%) 15 15/78 (19.2%) 21 10/81 (12.3%) 11 12/80 (15%) 22
Sinusitis 4/80 (5%) 4 7/78 (9%) 8 2/81 (2.5%) 4 1/80 (1.3%) 1
Upper respiratory tract infection 4/80 (5%) 4 6/78 (7.7%) 8 3/81 (3.7%) 4 5/80 (6.3%) 6
Urinary tract infection 5/80 (6.3%) 7 2/78 (2.6%) 2 7/81 (8.6%) 9 0/80 (0%) 0
Injury, poisoning and procedural complications
Procedural pain 6/80 (7.5%) 7 2/78 (2.6%) 2 2/81 (2.5%) 2 2/80 (2.5%) 2
Investigations
Lipase increased 4/80 (5%) 5 7/78 (9%) 8 1/81 (1.2%) 3 0/80 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 16/80 (20%) 18 18/78 (23.1%) 18 18/81 (22.2%) 22 4/80 (5%) 4
Diabetes mellitus 0/80 (0%) 0 1/78 (1.3%) 1 0/81 (0%) 0 4/80 (5%) 5
Hyperglycaemia 1/80 (1.3%) 1 2/78 (2.6%) 3 3/81 (3.7%) 6 7/80 (8.8%) 8
Musculoskeletal and connective tissue disorders
Arthralgia 0/80 (0%) 0 4/78 (5.1%) 4 8/81 (9.9%) 8 7/80 (8.8%) 7
Back pain 7/80 (8.8%) 10 5/78 (6.4%) 5 10/81 (12.3%) 10 6/80 (7.5%) 6
Muscle spasms 1/80 (1.3%) 1 1/78 (1.3%) 1 3/81 (3.7%) 3 4/80 (5%) 4
Pain in extremity 1/80 (1.3%) 1 1/78 (1.3%) 1 2/81 (2.5%) 2 5/80 (6.3%) 7
Nervous system disorders
Dizziness 6/80 (7.5%) 8 6/78 (7.7%) 8 8/81 (9.9%) 10 6/80 (7.5%) 7
Headache 7/80 (8.8%) 11 10/78 (12.8%) 13 10/81 (12.3%) 13 8/80 (10%) 10
Psychiatric disorders
Insomnia 1/80 (1.3%) 1 1/78 (1.3%) 1 4/81 (4.9%) 5 5/80 (6.3%) 5
Respiratory, thoracic and mediastinal disorders
Respiratory disorder 1/80 (1.3%) 1 0/78 (0%) 0 1/81 (1.2%) 1 4/80 (5%) 5
Vascular disorders
Hypertension 3/80 (3.8%) 3 3/78 (3.8%) 3 3/81 (3.7%) 3 4/80 (5%) 4

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:
NCT02970942
Other Study ID Numbers:
  • NN9931-4296
  • 2016-000685-39
  • U1111-1179-7464
First Posted:
Nov 22, 2016
Last Update Posted:
Nov 16, 2021
Last Verified:
Nov 1, 2021