Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis.
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 |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Semaglutide 0,1 mg
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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)
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Experimental: Semaglutide 0,2 mg
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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)
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Experimental: Semaglutide 0,4 mg
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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)
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Placebo Comparator: Placebo 1
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Drug: Placebo
Once daily administration subcutaneously ( s.c., under the skin)
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Placebo Comparator: Placebo 2
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Drug: Placebo
Once daily administration subcutaneously ( s.c., under the skin)
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Placebo Comparator: Placebo 3
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Drug: Placebo
Once daily administration subcutaneously ( s.c., under the skin)
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Outcome Measures
Primary Outcome Measures
- 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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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).
- 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).
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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
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.- NN9931-4296
- 2016-000685-39
- U1111-1179-7464
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
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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%
|
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%
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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
|
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
|
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
|
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
|
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%
|
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%
|
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%
|
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%
|
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%
|
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)
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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%
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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
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 |
clinicaltrials@novonordisk.com |
- NN9931-4296
- 2016-000685-39
- U1111-1179-7464