Efficacy and Safety of Oral Semaglutide Using a Flexible Dose Adjustment Based on Clinical Evaluation Versus Sitagliptin in Subjects With Type 2 Diabetes Mellitus. (PIONEER 7)
Efficacy and Safety of Oral Semaglutide Using a Flexible Dose Adjustment Based on Clinical Evaluation Versus Sitagliptin in Subjects With Type 2 Diabetes Mellitus
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Caba, Argentina, C1180AAX
- Novo Nordisk Investigational Site
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Corrientes, Argentina, 3400
- Novo Nordisk Investigational Site
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Rosario, Argentina, S2000DNM
- Novo Nordisk Investigational Site
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Graz, Austria, 8036
- Novo Nordisk Investigational Site
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Saint Stefan, Austria, 8511
- Novo Nordisk Investigational Site
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Wien, Austria, 1130
- Novo Nordisk Investigational Site
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Bonheiden, Belgium, 2820
- Novo Nordisk Investigational Site
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Boussu, Belgium, 7300
- Novo Nordisk Investigational Site
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Bruxelles, Belgium, 1200
- Novo Nordisk Investigational Site
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Edegem, Belgium, 2650
- Novo Nordisk Investigational Site
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Gent, Belgium, 9000
- Novo Nordisk Investigational Site
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Leuven, Belgium, 3000
- Novo Nordisk Investigational Site
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Liège, Belgium, 4000
- Novo Nordisk Investigational Site
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Sao Paulo
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São Paulo, Sao Paulo, Brazil, 01228-200
- Novo Nordisk Investigational Site
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Alexandria, Egypt, 21131
- Novo Nordisk Investigational Site
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Cairo, Egypt, 11562
- Novo Nordisk Investigational Site
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Cairo, Egypt, 11591
- Novo Nordisk Investigational Site
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Gangwon-do, Korea, Republic of, 26426
- Novo Nordisk Investigational Site
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Gyeonggi-do, Korea, Republic of, 15355
- Novo Nordisk Investigational Site
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Pusan, Korea, Republic of, 602-739
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 03722
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 03080
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 08308
- Novo Nordisk Investigational Site
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Suwon, Korea, Republic of, 16499
- Novo Nordisk Investigational Site
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Hamar, Norway, 2317
- Novo Nordisk Investigational Site
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Oslo, Norway, 0586
- Novo Nordisk Investigational Site
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Oslo, Norway, 0373
- Novo Nordisk Investigational Site
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Stavanger, Norway, 4011
- Novo Nordisk Investigational Site
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Trondheim, Norway, 7027
- Novo Nordisk Investigational Site
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Bern, Switzerland, 3010
- Novo Nordisk Investigational Site
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Einsiedeln, Switzerland, 8840
- Novo Nordisk Investigational Site
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Genève 14, Switzerland, 1211
- Novo Nordisk Investigational Site
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Luzern 16, Switzerland, 6000
- Novo Nordisk Investigational Site
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Olten, Switzerland, 4600
- Novo Nordisk Investigational Site
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St. Gallen, Switzerland, 9007
- Novo Nordisk Investigational Site
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St. Gallen, Switzerland, 9016
- Novo Nordisk Investigational Site
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Winterthur, Switzerland, 8401
- Novo Nordisk Investigational Site
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Adana, Turkey, 01130
- Novo Nordisk Investigational Site
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Ankara, Turkey, 06100
- Novo Nordisk Investigational Site
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Antalya, Turkey, 07058
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34096
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34722
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34752
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34899
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34890
- Novo Nordisk Investigational Site
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Rize, Turkey, 53020
- Novo Nordisk Investigational Site
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Arizona
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Glendale, Arizona, United States, 85306-4652
- Novo Nordisk Investigational Site
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Phoenix, Arizona, United States, 85050
- Novo Nordisk Investigational Site
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California
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Lancaster, California, United States, 93534
- Novo Nordisk Investigational Site
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West Hills, California, United States, 91304
- Novo Nordisk Investigational Site
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Florida
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Boynton Beach, Florida, United States, 33472
- Novo Nordisk Investigational Site
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Lake Worth, Florida, United States, 33461
- Novo Nordisk Investigational Site
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Miami Lakes, Florida, United States, 33014
- Novo Nordisk Investigational Site
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Port Orange, Florida, United States, 32127
- Novo Nordisk Investigational Site
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Tampa, Florida, United States, 33607
- Novo Nordisk Investigational Site
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Tampa, Florida, United States, 33614
- Novo Nordisk Investigational Site
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Georgia
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Atlanta, Georgia, United States, 30318
- Novo Nordisk Investigational Site
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Idaho
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Blackfoot, Idaho, United States, 83221
- Novo Nordisk Investigational Site
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Illinois
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Evanston, Illinois, United States, 60201-2477
- Novo Nordisk Investigational Site
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Indiana
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Greenfield, Indiana, United States, 46140
- Novo Nordisk Investigational Site
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Muncie, Indiana, United States, 47304
- Novo Nordisk Investigational Site
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Kentucky
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Louisville, Kentucky, United States, 40213
- Novo Nordisk Investigational Site
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Louisiana
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Metairie, Louisiana, United States, 70002
- Novo Nordisk Investigational Site
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Maryland
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Oxon Hill, Maryland, United States, 20745
- Novo Nordisk Investigational Site
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Michigan
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Flint, Michigan, United States, 48504
- Novo Nordisk Investigational Site
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Montana
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Billings, Montana, United States, 59101
- Novo Nordisk Investigational Site
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Nevada
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Henderson, Nevada, United States, 89052-2649
- Novo Nordisk Investigational Site
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New Mexico
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Albuquerque, New Mexico, United States, 87109-2134
- Novo Nordisk Investigational Site
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
- Novo Nordisk Investigational Site
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Greensboro, North Carolina, United States, 27408
- Novo Nordisk Investigational Site
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Greenville, North Carolina, United States, 27834
- Novo Nordisk Investigational Site
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Whiteville, North Carolina, United States, 28472
- Novo Nordisk Investigational Site
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Ohio
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Cleveland, Ohio, United States, 44122
- Novo Nordisk Investigational Site
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Mentor, Ohio, United States, 44060
- Novo Nordisk Investigational Site
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Wadsworth, Ohio, United States, 44281
- Novo Nordisk Investigational Site
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15236
- Novo Nordisk Investigational Site
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South Carolina
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Murrells Inlet, South Carolina, United States, 29576
- Novo Nordisk Investigational Site
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Myrtle Beach, South Carolina, United States, 29572
- Novo Nordisk Investigational Site
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Tennessee
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Kingsport, Tennessee, United States, 37660
- Novo Nordisk Investigational Site
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Texas
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Corpus Christi, Texas, United States, 78413
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75231
- Novo Nordisk Investigational Site
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Virginia
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Chesapeake, Virginia, United States, 23321
- Novo Nordisk Investigational Site
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Washington
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Renton, Washington, United States, 98057
- Novo Nordisk Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Main phase (the inclusion criteria for the main phase are not reassessed for the extension phase):
- 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
- Male or female, age above or equal to 18 years at the time of signing informed consent. For Korea only: Male or female, age above or equal to 19 years at the time of signing informed consent
- Diagnosed with type 2 diabetes mellitus for at least 90 days prior to day of screening
- HbA1c (glycosylated haemoglobin) 7.5-9.5% (58-80 mmol/mol) (both inclusive)
- Treatment target of HbA1c below 7.0% (53 mmol/mol), as judged by the investigator
- Stable daily dose(s) of 1-2 of the following anti-diabetic drugs within 90 days prior to the day of screening:
- Metformin (equal or above 1500 mg or maximum tolerated dose as documented in the subject medical record)
- Sulfonylureas (equal or above half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record)
- Sodium glucose co-transporter 2 inhibitors
- Thiazolidinediones (equal or above half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record)
Extension phase:
- Informed consent for the extension phase obtained before any trial-related activities for the extension phase.
- On randomised treatment with or without rescue medication at week 52.
Exclusion Criteria:
Main phase (the exclusion criteria for the main phase are not reassessed for the extension phase):
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice). For certain specific countries: Additional specific requirements apply
- Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol
- Family or personal history of Multiple Endocrine Neoplasia Type 2 or Medullary Thyroid Carcinoma
- History of pancreatitis (acute or chronic)
- History of major surgical procedures involving the stomach potentially affecting absorption of trial product (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery)
- Any of the following: myocardial infarction, stroke or hospitalisation for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening and randomisation
- Subjects presently classified as being in New York Heart Association Class IV
- Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
- Subjects with alanine aminotransferase above 2.5 x upper normal limit
- Renal impairment defined as Estimated Glomerular Filtration rate 60 mL/min/1.73 m^2 as per Chronic Kidney Disease Epidemiology Collaboration formula
- Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria in a period of 90 days before the day of screening. An exception is short-term insulin treatment for acute illness for a total of below or equal to 14 days
- Proliferative retinopathy or maculopathy requiring acute treatment. Verified by fundus photography or dilated fundoscopy performed within 90 days prior to randomisation
- History or presence of malignant neoplasms within the last 5 years (except basal and squamous cell skin cancer and carcinoma in situ)
- History of diabetic ketoacidosis
Extension phase: There are no new exclusion criteria for the extension phase
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Active Comparator: Sitagliptin 100 mg
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Oral administration once-daily.
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Experimental: Semaglutide flexible dosing (3, 7 or 14 mg)
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Oral administration once-daily.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)
Time Frame: Week 52
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Participants who achieved HbA1c <7.0% (American Diabetes Association (ADA) target) (yes/no), was evaluated at week 52.
The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
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Week 52
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change in Body Weight
Time Frame: Week 0, week 52
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Change from baseline (week 0) in body weight was evaluated at week 52.
The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
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Week 0, week 52
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Change in HbA1c
Time Frame: Week 0, week 52
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Change from baseline (week 0) in HbA1c was evaluated at week 52.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in FPG
Time Frame: Week 0, week 52
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Change from baseline (week 0) in fasting plasma glucose (FPG) was evaluated at week 52.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in Body Weight (%)
Time Frame: Week 0, week 52
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Relative change from baseline (week 0) in body weight (kg) was evaluated at week 52.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in BMI
Time Frame: Week 0, Week 52
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Change from baseline (week 0) in body mass index (BMI) was evaluated at week 52.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, Week 52
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Change in Waist Circumference
Time Frame: Week 0, week 52
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Change from baseline (week 0) in waist circumference was evaluated at week 52.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in Total Cholesterol (Ratio to Baseline)
Time Frame: Week 0, Week 52
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Change from baseline (week 0) in total cholesterol (mmol/L) at week 52 is presented as ratio to baseline.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, Week 52
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Change in LDL Cholesterol (Ratio to Baseline)
Time Frame: Week 0, week 52
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Change from baseline (week 0) in low-density lipoprotein (LDL) cholesterol (mmol/L) at week 52 is presented as ratio to baseline.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in HDL Cholesterol (Ratio to Baseline)
Time Frame: Week 0, week 52
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Change from baseline (week 0) in high-density lipoprotein (HDL) cholesterol (mmol/L) at weeks 26, 52 and 78 is presented as ratio to baseline.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in Triglycerides (Ratio to Baseline)
Time Frame: Week 0, week 52
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Change from baseline (week 0) in triglycerides (mmol/L) at week 52 is presented as ratio to baseline.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 0, week 52
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Change in SF-36v2 (Acute Version) Health Survey: Scores From the 8 Domains, the Physical Component Summary (PCS) and the Mental Component Summary (MCS)
Time Frame: Week 0, week 52
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SF-36 is a 36-item patient-reported survey of patient health that measures the participant's overall health-related quality of life (HRQoL).
SF-36v2™ (acute version) questionnaire measured eight domains of functional health and well-being as well as two component summary scores (physical component summary (PCS) and mental component summary (MCS)).
The 0-100 scale scores (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population.
In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively of the 2009 U.S. general population.
Change from baseline (week 0) in the domain scores and component summary (PCS and MCS) scores were evaluated at week 52.
A positive change score indicates an improvement since baseline.
Results are based on the data from the in-trial observation period.
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Week 0, week 52
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Change in DTSQ
Time Frame: Week 0, Week 52
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Change from baseline (week 0) in diabetes treatment satisfaction questionnaire - status (DTSQs) was evaluated at week 52.
The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 1, 4 -8.
For items 2 and 3 a higher score indicates a higher patient perceived experience of high blood sugars and low blood sugars, respectively.
Thus, lower scores indicate a perception of blood glucose levels being "none of the time" unacceptably high (item 2) or low (item 3).
The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 1, 4-8.
The score ranges 0-36.
A higher treatment satisfaction score indicates a higher level of treatment satisfaction.
Results are based on the data from the in-trial observation period.
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Week 0, Week 52
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Participants Who Achieve HbA1c ≤6.5% (48 mmol/Mol) AACE Target (Yes/no)
Time Frame: Week 52
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Participants who achieved HbA1c less than or equal to 6.5% (American Association of Clinical Endocrinologists (AACE) target) (yes/no) at week 52 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52
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Participants Who Achieve Weight Loss ≥5% (Yes/no)
Time Frame: Week 52
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Participants who achieved weight loss more than or equal to 5% of their baseline body weight (yes/no) at weeks 52 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52
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Participants Who Achieve Weight Loss ≥10% (Yes/no)
Time Frame: Week 52
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Participants who achieved weight loss more than or equal to 10% of their baseline body weight (yes/no) at week 52 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52
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Participants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)
Time Frame: Week 52
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Participants who achieved HbA1c less than 7.0 % without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia and without weight gain (yes/no) at week 52 is presented.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia was defined as an episode with plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52
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Participants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)
Time Frame: Week 52
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Participants who achieved HbA1c reduction more than or equal to 1% of their baseline HbA1c and weight loss of more than or equal to 3% of their baseline body weight (yes/no) at week 52 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52
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Time to Rescue Medication
Time Frame: Weeks 0-52
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Presented results are the number of participants who had taken rescue medication anytime during the periods, from week 0 to week 52.
Rescue medication was defined as any new anti-diabetic medication used as add-on to trial product and used for more than 21 days with the initiation at or after randomisation (week 0) and before last day on trial product, and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before last day on trial product.
Results are based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
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Weeks 0-52
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Time to Additional Anti-diabetic Medication
Time Frame: Weeks 0-52
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Presented results are the number of participants who had taken additional anti-diabetic medication anytime during the period from week 0 to week 52.
Additional anti-diabetic medication was defined as any new anti-diabetic medication used for more than 21 days with the initiation at or after randomisation (week 0) and before (planned) end-of-treatment (week 52), and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before (planned) end-of-treatment.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Weeks 0-52
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Number of TEAEs During Exposure to Trial Product
Time Frame: Week 0-57
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Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 57 (52-week treatment period for participants who continued in the extension phase; 52-week treatment period plus the 5-week follow-up period for participants who did not continue in the extension phase).
Adverse events (AEs) with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period: Time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
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Week 0-57
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Number of Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes
Time Frame: Week 0-57
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Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 0-57 (52-week treatment period for participants who continued in the extension phase; 52-week treatment period plus the 5-week follow-up period for participants who did not continue in the extension phase).
Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
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Week 0-57
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Paticipants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes (Yes/no)
Time Frame: Week 0-57
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Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 0-57 (52-week treatment period for participants who continued in the extension phase; 52-week treatment period plus the 5-week follow-up period for participants who did not continue in the extension phase).
Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
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Week 0-57
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Change in Amylase (Ratio to Baseline)
Time Frame: Week 0, Week 52
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Change from baseline (week 0) in biochemical parameter- amylase (units per liter [U/L]) to week 52 is presented as ratio to baseline.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
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Week 0, Week 52
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Change in Lipase (Ratio to Baseline)
Time Frame: Week 0, Week 52
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Change from baseline (week 0) in lipase (U/L) to week 52 is presented as ratio to baseline.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
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Week 0, Week 52
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Change in Pulse Rate
Time Frame: Week 0, week 52
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Change from baseline (week 0) in pulse rate was evaluated at week 52.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
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Week 0, week 52
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Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Time Frame: Week 0, week 52
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Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated at week 52.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
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Week 0, week 52
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Change in HbA1c- Switch
Time Frame: Week 52, week 104
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Change from week 52 in HbA1c was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52, week 104
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Change in Body Weight- Switch
Time Frame: Week 52, week 104
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Change from week 52 in body weight was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52, week 104
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Change in Body Weight (%)- Switch
Time Frame: Week 52, week 104
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Relative change from week 52 in body weight (kg) was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
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Week 52, week 104
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Change in FPG- Switch
Time Frame: Week 52, week 104
|
Change from week 52 in fasting plasma glucose (FPG) was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 52, week 104
|
|
Change in BMI- Switch
Time Frame: Week 52, Week 104
|
Change from week 52 in body mass index (BMI) was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 52, Week 104
|
|
Change in Waist Circumference- Switch
Time Frame: Week 52, week 104
|
Change from week 52 in waist circumference was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 52, week 104
|
|
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)- Switch
Time Frame: Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
Participants who achieved HbA1c <7.0% (American Diabetes Association (ADA) target) (yes/no), was evaluated at week 104.
The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
|
Participants Who Achieve HbA1c ≤6.5% (48 mmol/Mol) AACE Target (Yes/no)- Switch
Time Frame: Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
Participants who achieved HbA1c less than or equal to 6.5% (American Association of Clinical Endocrinologists (AACE) target) (yes/no) at week 104 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
|
Participants Who Achieve Weight Loss ≥5% (Yes/no)- Switch
Time Frame: Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
Participants who achieved weight loss more than or equal to 5% of their baseline body weight (yes/no) at weeks 104 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
|
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)- Switch
Time Frame: Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
Participants who achieved HbA1c less than 7.0% without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia and without weight gain (yes/no) at week 104 is presented.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia was defined as an episode with plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
|
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target and no Need for Rescue Medication (Yes/no)- Switch
Time Frame: Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
Participants who achieved HbA1c <7.0% (American Diabetes Association (ADA) target) and no need for rescue medication (yes/no), was evaluated at week 104.
Results are based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
|
Week 104 (i.e., after 52 weeks of treatment in the extension phase)
|
|
Time to Additional Anti-diabetic Medication- Switch
Time Frame: Weeks 53-104
|
Presented results are the number of participants who had taken additional anti-diabetic medication anytime during the period from week 53 to week 104.
Additional anti-diabetic medication was defined as any new anti-diabetic medication used for more than 21 days with the initiation at or after re-randomisation (week 52) and before (planned) end-of-treatment (week 104), and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before (planned) end-of-treatment.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was re-randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Weeks 53-104
|
|
Time to Rescue Medication- Switch
Time Frame: Weeks 53-104
|
Presented results are the number of participants who had taken rescue medication anytime during the periods, from week 53 to week 104.
Rescue medication was defined as any new anti-diabetic medication used as add-on to trial product and used for more than 21 days with the initiation at or after re-randomisation (week 52) and before last day on trial product, and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before last day on trial product.
Results are based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
|
Weeks 53-104
|
|
Number of TEAEs During Exposure to Trial Product- Switch
Time Frame: Week 53-109
|
Treatment emergent adverse events (TEAEs) were recorded from week 53 to week 109.
Adverse events (AEs) with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period: Time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 53-109
|
|
Change in Amylase (Ratio to Baseline)- Switch
Time Frame: Week 52, Week 104
|
Change from week 52 in biochemical parameter- amylase (U/L) to week 104 is presented as ratio to baseline.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 52, Week 104
|
|
Change in Lipase (Ratio to Baseline)- Switch
Time Frame: Week 52, Week 104
|
Change from week 52 in lipase (U/L) to week 104 is presented as ratio to baseline.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 52, Week 104
|
|
Change in Pulse Rate- Switch
Time Frame: Week 52, week 104
|
Change from week 52 in pulse rate was evaluated at week 104.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 52, week 104
|
|
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)- Switch
Time Frame: Week 52, week 104
|
Change from week 52 in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated at week 104.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 52, week 104
|
|
Number of Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes- Switch
Time Frame: Week 53-109
|
Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 53 to 109.
Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
|
Week 53-109
|
|
Paticipants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes (Yes/no)- Switch
Time Frame: Week 53-109
|
Number of participants with treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 53 to 109.
Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
|
Week 53-109
|
|
Change in SF-36v2 (Acute Version) Health Survey: Scores From the 8 Domains, the Physical Component Summary (PCS) and the Mental Component Summary (MCS)- Switch
Time Frame: Week 52, week 104
|
SF-36 is a 36-item patient-reported survey of patient health that measures the participant's overall health-related quality of life (HRQoL).
SF-36v2™ (acute version) questionnaire measured eight domains of functional health and well-being as well as two component summary scores (physical component summary (PCS) and mental component summary (MCS)).
The 0-100 scale scores (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population.
In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively of the 2009 U.S. general population.
Change from week 52 in the domain scores and component summary (PCS and MCS) scores were evaluated at week 104.
A positive change score indicates an improvement since week 52.
Results are based on the data from the in-trial observation period.
|
Week 52, week 104
|
|
Change in DTSQ- Switch
Time Frame: Week 52, week 104
|
Change from week 52 in diabetes treatment satisfaction questionnaire - status (DTSQs) was evaluated at week 104.
The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 1, 4 -8.
For items 2 and 3 a higher score indicates a higher patient perceived experience of high blood sugars and low blood sugars, respectively.
Thus, lower scores indicate a perception of blood glucose levels being "none of the time" unacceptably high (item 2) or low (item 3).
The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 1, 4-8.
The score ranges 0-36.
A higher treatment satisfaction score indicates a higher level of treatment satisfaction.
Results are based on the data from the in-trial observation period.
|
Week 52, week 104
|
|
Change in HbA1c- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in HbA1c was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 0, week 104
|
|
Change in Body Weight (kg)- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in body weight was evaluated at week 104.
The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 0, week 104
|
|
Change in Body Weight (%)- Sustainability
Time Frame: Week 0, week 104
|
Relative change from baseline (week 0) in body weight (kg) was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 0, week 104
|
|
Change in FPG- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in fasting plasma glucose (FPG) was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 0, week 104
|
|
Change in BMI- Sustainability
Time Frame: Week 0, Week 104
|
Change from baseline (week 0) in body mass index (BMI) was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 0, Week 104
|
|
Change in Waist Circumference- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in waist circumference was evaluated at week 104.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 0, week 104
|
|
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)- Sustainability
Time Frame: Week 104
|
Participants who achieved HbA1c <7.0% (American Diabetes Association (ADA) target) (yes/no), was evaluated at week 104.
The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104
|
|
Participants Who Achieve HbA1c ≤6.5% (48 mmol/Mol) AACE Target (Yes/no)- Sustainability
Time Frame: Week 104
|
Participants who achieved HbA1c less than or equal to 6.5% (American Association of Clinical Endocrinologists (AACE) target) (yes/no) at week 104 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104
|
|
Participants Who Achieve Weight Loss ≥5% (Yes/no)- Sustainability
Time Frame: Week 104
|
Participants who achieved weight loss more than or equal to 5% of their baseline body weight (yes/no) at weeks 104 is presented.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104
|
|
Participants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)- Sustainability
Time Frame: Week 104
|
Participants who achieved HbA1c less than 7.0 % without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia and without weight gain (yes/no) at week 104 is presented.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia was defined as an episode with plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia.
Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104
|
|
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target or HbA1c Reduction ≥ 1%-Point (10.9 mmol/Mol) (Yes/no)- Sustainability
Time Frame: Week 104
|
Participants who achieved HbA1c <7.0%
ADA target or HbA1c reduction ≥ 1%-point (10.9 mmol/mol) (yes/no), was evaluated at week 104.
The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
|
Week 104
|
|
Number of TEAEs During Exposure to Trial Product- Sustainability
Time Frame: Week 0-109
|
Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 109 ((104-week treatment period for participants who continued in the extension phase or 52-week treatment period for participants who did not continue in the extension phase) plus the 5-week follow-up period).
Adverse events (AEs) with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period: Time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 0-109
|
|
Change in Amylase (Ratio to Baseline)- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in biochemical parameter- amylase (units per liter [U/L]) to week 104 is presented as ratio to baseline.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 0, week 104
|
|
Change in Lipase (Ratio to Baseline)- Sustainability
Time Frame: Week 0, Week 104
|
Change from baseline (week 0) in lipase (U/L) to week 104 is presented as ratio to baseline.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 0, Week 104
|
|
Change in Pulse Rate- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in pulse rate was evaluated at week 104.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 0, week 104
|
|
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)- Sustainability
Time Frame: Week 0, week 104
|
Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated at week 104.
Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
|
Week 0, week 104
|
|
Number of Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes)- Sustainability
Time Frame: Week 0-109
|
Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 0-109 ((104-week treatment period for participants who continued in the extension phase or 52-week treatment period for participants who did not continue in the extension phase) plus the 5-week follow-up period).
Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
|
Week 0-109
|
|
Paticipants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes (Yes/no)- Sustainability
Time Frame: Week 0-109
|
Number of participants with treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 0-109 ((104-week treatment period for participants who continued in the extension phase or 52-week treatment period for participants who did not continue in the extension phase) plus the 5-week follow-up period).
Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent.
On-treatment observation period was defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions.
BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
|
Week 0-109
|
|
Change in SF-36v2 (Acute Version) Health Survey: Scores From the 8 Domains, the Physical Component Summary (PCS) and the Mental Component Summary (MCS)- Sustainability
Time Frame: Week 0, week 104
|
Short form (SF)-36 is a 36-item patient-reported survey of patient health that measures the participant's overall health-related quality of life (HRQoL).
SF-36v2™ (acute version) questionnaire measured eight domains of functional health and well-being as well as two component summary scores (physical component summary (PCS) and mental component summary (MCS)).
The 0-100 scale scores (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population.
In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively of the 2009 U.S. general population.
Change from baseline (week 0) in the domain scores and component summary (PCS and MCS) scores were evaluated at week 104.
A positive change score indicates an improvement since baseline.
Results are based on the data from the in-trial observation period.
|
Week 0, week 104
|
|
Change in DTSQ- Sustainability
Time Frame: Week 0, week 104
|
Change from week 0 in diabetes treatment satisfaction questionnaire - status (DTSQs) was evaluated at week 104.
The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 1, 4 -8.
For items 2 and 3 a higher score indicates a higher patient perceived experience of high blood sugars and low blood sugars, respectively.
Thus, lower scores indicate a perception of blood glucose levels being "none of the time" unacceptably high (item 2) or low (item 3).
The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 1, 4-8.
The score ranges 0-36.
A higher treatment satisfaction score indicates a higher level of treatment satisfaction.
Results are based on the data from the in-trial observation period.
|
Week 0, week 104
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Husain M, Bain SC, Holst AG, Mark T, Rasmussen S, Lingvay I. Effects of semaglutide on risk of cardiovascular events across a continuum of cardiovascular risk: combined post hoc analysis of the SUSTAIN and PIONEER trials. Cardiovasc Diabetol. 2020 Sep 30;19(1):156. doi: 10.1186/s12933-020-01106-4.
- Thethi TK, Pratley R, Meier JJ. Efficacy, safety and cardiovascular outcomes of once-daily oral semaglutide in patients with type 2 diabetes: The PIONEER programme. Diabetes Obes Metab. 2020 Aug;22(8):1263-1277. doi: 10.1111/dom.14054. Epub 2020 May 13.
- Husain M, Bain SC, Jeppesen OK, Lingvay I, Sorrig R, Treppendahl MB, Vilsboll T. Semaglutide (SUSTAIN and PIONEER) reduces cardiovascular events in type 2 diabetes across varying cardiovascular risk. Diabetes Obes Metab. 2020 Mar;22(3):442-451. doi: 10.1111/dom.13955. Epub 2020 Feb 5.
- Pieber TR, Bode B, Mertens A, Cho YM, Christiansen E, Hertz CL, Wallenstein SOR, Buse JB; PIONEER 7 investigators. Efficacy and safety of oral semaglutide with flexible dose adjustment versus sitagliptin in type 2 diabetes (PIONEER 7): a multicentre, open-label, randomised, phase 3a trial. Lancet Diabetes Endocrinol. 2019 Jul;7(7):528-539. doi: 10.1016/S2213-8587(19)30194-9. Epub 2019 Jun 9. Erratum In: Lancet Diabetes Endocrinol. 2019 Sep;7(9):e21.
- Buse JB, Bode BW, Mertens A, Cho YM, Christiansen E, Hertz CL, Nielsen MA, Pieber TR; PIONEER 7 investigators. Long-term efficacy and safety of oral semaglutide and the effect of switching from sitagliptin to oral semaglutide in patients with type 2 diabetes: a 52-week, randomized, open-label extension of the PIONEER 7 trial. BMJ Open Diabetes Res Care. 2020 Dec;8(2):e001649. doi: 10.1136/bmjdrc-2020-001649.
- Aroda VR, Bauer R, Christiansen E, Haluzik M, Kallenbach K, Montanya E, Rosenstock J, Meier JJ. Efficacy and safety of oral semaglutide by subgroups of patient characteristics in the PIONEER phase 3 programme. Diabetes Obes Metab. 2022 Jul;24(7):1338-1350. doi: 10.1111/dom.14710. Epub 2022 May 9.
- Pratley RE, Crowley MJ, Gislum M, Hertz CL, Jensen TB, Khunti K, Mosenzon O, Buse JB. Oral Semaglutide Reduces HbA1c and Body Weight in Patients with Type 2 Diabetes Regardless of Background Glucose-Lowering Medication: PIONEER Subgroup Analyses. Diabetes Ther. 2021 Apr;12(4):1099-1116. doi: 10.1007/s13300-020-00994-9. Epub 2021 Mar 4.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Protease Inhibitors
- Incretins
- Dipeptidyl-Peptidase IV Inhibitors
- Sitagliptin Phosphate
Other Study ID Numbers
Other Study ID Numbers
- NN9924-4257
- 2015-005593-38 (EudraCT Number)
- U1111-1177-5103 (Other Identifier: WHO)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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