Efficacy and Safety of Semaglutide Versus Canagliflozin as add-on to Metformin in Subjects With Type 2 Diabetes (SUSTAIN 8)
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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Buenos Aires, Argentina, C1250AAN
- Novo Nordisk Investigational Site
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Caba, Argentina, C1093AAS
- Novo Nordisk Investigational Site
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Caba, Argentina, C1430CKE
- Novo Nordisk Investigational Site
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Rosario, Argentina, S2000CUD
- Novo Nordisk Investigational Site
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Salta, Argentina, 4400
- Novo Nordisk Investigational Site
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Porto Alegre, Brazil, 90035-170
- Novo Nordisk Investigational Site
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Rio de Janeiro, Brazil, 22271-100
- Novo Nordisk Investigational Site
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British Columbia
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Surrey, British Columbia, Canada, V3S 2N6
- Novo Nordisk Investigational Site
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Ontario
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Brampton, Ontario, Canada, L6T 0G1
- Novo Nordisk Investigational Site
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Burlington, Ontario, Canada, L7M 4Y1
- Novo Nordisk Investigational Site
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London, Ontario, Canada, N5W 6A2
- Novo Nordisk Investigational Site
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Sarnia, Ontario, Canada, N7T 4X3
- Novo Nordisk Investigational Site
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Toronto, Ontario, Canada, M9V 4B4
- Novo Nordisk Investigational Site
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Quebec
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Pointe Claire, Quebec, Canada, H9R 4S3
- Novo Nordisk Investigational Site
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Pointe-Claire, Quebec, Canada, H9R 3J1
- Novo Nordisk Investigational Site
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, India, 500034
- Novo Nordisk Investigational Site
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Haryana
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Rohtak, Haryana, India, 124001
- Novo Nordisk Investigational Site
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Karnataka
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Bangalore, Karnataka, India, 560054
- Novo Nordisk Investigational Site
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Kerala
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Kochi, Kerala, India, 682041
- Novo Nordisk Investigational Site
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Maharashtra
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Mumbai, Maharashtra, India, 400008
- Novo Nordisk Investigational Site
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Nagpur, Maharashtra, India, 440008
- Novo Nordisk Investigational Site
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Rajasthan
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Jaipur, Rajasthan, India, 302006
- Novo Nordisk Investigational Site
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Tamil Nadu
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Chennai, Tamil Nadu, India, 600 013
- Novo Nordisk Investigational Site
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Chennai, Tamil Nadu, India, 600001
- Novo Nordisk Investigational Site
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West Bengal
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Kolkata, West Bengal, India, 700020
- Novo Nordisk Investigational Site
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Kolkata, West Bengal, India, 700054
- Novo Nordisk Investigational Site
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Dublin, Ireland, DUBLIN 15
- Novo Nordisk Investigational Site
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Dublin, Ireland, DUBLIN 4
- Novo Nordisk Investigational Site
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Dublin, Ireland, DUBLIN 7
- Novo Nordisk Investigational Site
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Galway, Ireland, H91 YR71
- Novo Nordisk Investigational Site
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Mallow, Ireland, P51Y8EC
- Novo Nordisk Investigational Site
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Milano, Italy, 20100
- Novo Nordisk Investigational Site
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Achrafieh, Lebanon
- Novo Nordisk Investigational Site
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Hazmieh, Lebanon
- Novo Nordisk Investigational Site
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Lebanon - Beirut, Lebanon, 9611
- Novo Nordisk Investigational Site
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Mansourieh, Lebanon
- Novo Nordisk Investigational Site
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Zgharta, Lebanon, 9616
- Novo Nordisk Investigational Site
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Alor Gajah, Malaysia, 78300
- Novo Nordisk Investigational Site
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Ipoh, Malaysia, 30450
- Novo Nordisk Investigational Site
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Melaka, Malaysia, 75400
- Novo Nordisk Investigational Site
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Penang, Malaysia, 10450
- Novo Nordisk Investigational Site
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Sandakan, Malaysia, 90000
- Novo Nordisk Investigational Site
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Seremban, Malaysia, 70300
- Novo Nordisk Investigational Site
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Morelos
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Cuernavaca, Morelos, Mexico, 62250
- Novo Nordisk Investigational Site
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México, D.F.
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Mexico City, México, D.F., Mexico, 02230
- Novo Nordisk Investigational Site
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64620
- Novo Nordisk Investigational Site
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Eksjö, Sweden, 575 35
- Novo Nordisk Investigational Site
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Kristianstad, Sweden, 291 85
- Novo Nordisk Investigational Site
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Lund, Sweden, 221 85
- Novo Nordisk Investigational Site
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Malmö, Sweden, 205 02
- Novo Nordisk Investigational Site
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Örebro, Sweden, 701 85
- Novo Nordisk Investigational Site
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Basingstoke, United Kingdom, RG24 9GT
- Novo Nordisk Investigational Site
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Bradford-on-Avon, United Kingdom, BA15 1DQ
- Novo Nordisk Investigational Site
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Dundee, United Kingdom, DD1 9SY
- Novo Nordisk Investigational Site
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Haxey, United Kingdom, DN9 2HY
- Novo Nordisk Investigational Site
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Nottingham, United Kingdom, NG7 2UH
- Novo Nordisk Investigational Site
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Plymouth, United Kingdom, PL8 8DQ
- Novo Nordisk Investigational Site
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Soham, United Kingdom, CB7 5JD
- Novo Nordisk Investigational Site
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Southampton, United Kingdom, SO30 3JB
- Novo Nordisk Investigational Site
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Stevenage, United Kingdom, SG1 4AB
- Novo Nordisk Investigational Site
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Torquay, United Kingdom, TQ2 7AA
- Novo Nordisk Investigational Site
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Wellingborough, United Kingdom, NN8 4RW
- Novo Nordisk Investigational Site
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California
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Anaheim, California, United States, 92801
- Novo Nordisk Investigational Site
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La Mesa, California, United States, 91942
- Novo Nordisk Investigational Site
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Los Angeles, California, United States, 90057
- Novo Nordisk Investigational Site
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Montclair, California, United States, 91763
- Novo Nordisk Investigational Site
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San Diego, California, United States, 92111
- Novo Nordisk Investigational Site
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Spring Valley, California, United States, 91978
- Novo Nordisk Investigational Site
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Tustin, California, United States, 92780
- Novo Nordisk Investigational Site
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Walnut Creek, California, United States, 94598
- Novo Nordisk Investigational Site
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Florida
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Fleming Island, Florida, United States, 32003
- Novo Nordisk Investigational Site
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Hallandale Beach, Florida, United States, 33009
- Novo Nordisk Investigational Site
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Hialeah, Florida, United States, 33012
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33135
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33174
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33175
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33155
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33186
- Novo Nordisk Investigational Site
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Spring Hill, Florida, United States, 34609
- Novo Nordisk Investigational Site
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Georgia
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Conyers, Georgia, United States, 30094-5965
- Novo Nordisk Investigational Site
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Marietta, Georgia, United States, 30060
- Novo Nordisk Investigational Site
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Idaho
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Meridian, Idaho, United States, 83646
- Novo Nordisk Investigational Site
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Iowa
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Council Bluffs, Iowa, United States, 51501
- Novo Nordisk Investigational Site
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Kentucky
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Lexington, Kentucky, United States, 40503
- Novo Nordisk Investigational Site
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Louisiana
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Lake Charles, Louisiana, United States, 70601
- Novo Nordisk Investigational Site
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Metairie, Louisiana, United States, 70002
- Novo Nordisk Investigational Site
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Maryland
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Baltimore, Maryland, United States, 21239
- Novo Nordisk Investigational Site
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Hyattsville, Maryland, United States, 20782
- Novo Nordisk Investigational Site
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Michigan
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Detroit, Michigan, United States, 48202
- Novo Nordisk Investigational Site
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Flint, Michigan, United States, 48504
- Novo Nordisk Investigational Site
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Flint, Michigan, United States, 48532
- Novo Nordisk Investigational Site
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Sterling Heights, Michigan, United States, 48310-3503
- Novo Nordisk Investigational Site
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Troy, Michigan, United States, 48098
- Novo Nordisk Investigational Site
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New Jersey
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Trenton, New Jersey, United States, 08611
- Novo Nordisk Investigational Site
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New York
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Brooklyn, New York, United States, 11229
- Novo Nordisk Investigational Site
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New Windsor, New York, United States, 12553
- Novo Nordisk Investigational Site
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North Carolina
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Greensboro, North Carolina, United States, 27408
- Novo Nordisk Investigational Site
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Ohio
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Cincinnati, Ohio, United States, 45212
- Novo Nordisk Investigational Site
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Maumee, Ohio, United States, 43537
- Novo Nordisk Investigational Site
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Toledo, Ohio, United States, 43614
- Novo Nordisk Investigational Site
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Toledo, Ohio, United States, 43623
- Novo Nordisk Investigational Site
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Oregon
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Corvallis, Oregon, United States, 97330-3737
- Novo Nordisk Investigational Site
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South Carolina
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Anderson, South Carolina, United States, 29621
- Novo Nordisk Investigational Site
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Texas
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Amarillo, Texas, United States, 79106
- Novo Nordisk Investigational Site
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Corpus Christi, Texas, United States, 78404
- Novo Nordisk Investigational Site
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Corpus Christi, Texas, United States, 78413
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75230
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75390-9302
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75251
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77074
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77058
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77081
- Novo Nordisk Investigational Site
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Katy, Texas, United States, 77450
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78230
- Novo Nordisk Investigational Site
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Splendora, Texas, United States, 77372
- Novo Nordisk Investigational Site
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Utah
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Saint George, Utah, United States, 84790
- Novo Nordisk Investigational Site
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Virginia
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Herndon, Virginia, United States, 20171
- Novo Nordisk Investigational Site
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Washington
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Olympia, Washington, United States, 98502
- Novo Nordisk Investigational Site
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Wenatchee, Washington, United States, 98801-2028
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Semaglutide + canagliflozin placebo
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Following a dose escalation phase of 8 weeks, semaglutide 1.0 mg once-weekly(administered subcutaneously, s.c., under the skin) and canagliflozin placebo once-daily (administered orally, as a tablet).
Subjects will continue on their pre-trial daily dose of metformin.
Following a dose escalation phase of 8 weeks, semaglutide 1.0 mg once-weekly(administered subcutaneously, s.c., under the skin) and canagliflozin placebo once-daily (administered orally, as a tablet).
Subjects will continue on their pre-trial daily dose of metformin.
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Active Comparator: Canagliflozin + semaglutide placebo
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Following a dose escalation phase of 8 weeks, canagliflozin 300 mg once-daily (administered orally, as a tablet) and semaglutide placebo (administered subcutaneously, s.c., under the skin).
Subjects will continue on their pre-trial daily dose of metformin.
Following a dose escalation phase of 8 weeks, canagliflozin 300 mg once-daily (administered orally, as a tablet) and semaglutide placebo (administered subcutaneously, s.c., under the skin).
Subjects will continue on their pre-trial daily dose of metformin.
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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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Change in HbA1c
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in HbA1c (glycosylated haemoglobin) was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first; and 'In-trial' observation period which started at the date of randomisation and include the period after initiation of rescue medication and/or premature trial product discontinuation, if any and ended at the last contact, withdrawal of consent or death, whichever came first.
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Week 0, 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 (kg)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in body weight was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Total Fat Mass (kg)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in total fat mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in FPG (Fasting Plasma Glucose)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in FPG was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in SMPG (Self-measured Plasma Glucose)- Mean 7-point Profile
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in SMPG- mean 7-point profile was evaluated.
SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime.
Mean 7-point profile was defined as the area under the profile, calculated using the trapezoidal method, divided by the measurement time.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in SMPG- Mean Postprandial Increment Over All Meals
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in SMPG- mean postprandial increment over all meals was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Fasting Total Cholesterol
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in fasting total cholesterol (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Fasting LDL-cholesterol
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in fasting low-density lipoprotein (LDL) cholesterol (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Fasting HDL-cholesterol
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in fasting high-density lipoprotein (HDL) cholesterol (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Fasting Triglycerides
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in fasting triglycerides (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Vital Signs (Systolic Blood Pressure and Diastolic Blood Pressure)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in systolic blood pressure and diastolic blood pressure.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Percentage Change in Body Weight (%)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in body weight was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Body Mass Index (BMI)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in BMI was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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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) to week 52 in waist circumference was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Percentage Change in Total Fat Mass (%)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in total fat mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Total Lean Mass (kg)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in total lean mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Percentage Change in Total Lean Mass (%)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in total lean mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Visceral Fat Mass (kg)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in visceral fat mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Percentage Change in Visceral Fat Mass (%)
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in visceral fat mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Change in Ratio Between Total Fat Mass and Total Lean Mass
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in ratio between total fat mass and total lean mass was evaluated.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved HbA1c < 7.0% (53 mmol/Mol), American Diabetes Association (ADA) Target (Yes/no)
Time Frame: Week 52
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Percentage of participants who achieved HbA1c < 7.0% (53 millimoles per mole [mmol/mol]), ADA target (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 52
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Participants Who Achieved HbA1c ≤ 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) Target (Yes/no)
Time Frame: Week 52
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Percentage of participants who achieved HbA1c ≤ 6.5% (48 mmol/mol), AACE target (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 52
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Participants Who Achieved HbA1c Reduction ≥1% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants who achieved ≥1% reduction of baseline HbA1c (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved Weight Loss ≥3% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants losing ≥3% of baseline body weight (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved Weight Loss ≥5% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants losing ≥5% of baseline body weight (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved Weight Loss ≥10% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants losing ≥10% of baseline body weight is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain (Yes/no)
Time Frame: Week 0, week 52
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Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value <3.1 mmol/L (56 milligrams per deciliter [mg/dL]) with symptoms consistent with hypoglycaemia.
Percentage of participants who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved HbA1c Reduction ≥1% and Weight Loss ≥3% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants who achieved ≥1% reduction of baseline HbA1c and losing ≥3% of baseline body weight (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved HbA1c Reduction ≥1% and Weight Loss ≥5% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants who achieved ≥1% reduction of baseline HbA1c and losing ≥5% of baseline body weight (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Participants Who Achieved HbA1c Reduction ≥1% and Weight Loss ≥10% (Yes/no)
Time Frame: Week 0, week 52
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Percentage of participants who achieved ≥1% reduction of baseline HbA1c and losing ≥10% of baseline body weight (yes/no) is presented.
Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
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Week 0, week 52
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Total Number of Treatment Emergent Adverse Events (TEAEs)
Time Frame: Weeks 0-57
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A TEAE is defined as an adverse event with onset in the on-treatment observation period (which started at the date of first dose of trial product and included the period after initiation of rescue medication, if any and excluded the period after premature trial product discontinuation, if any.
TEAEs assessed up to approximately 57 weeks is presented.
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Weeks 0-57
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Change in Haematological Parameter- Haemoglobin
Time Frame: Week 0, week 52
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Change from baseline (week 0) to week 52 in haemoglobin (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
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Week 0, week 52
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Change in Haematological Parameter- Haematocrit
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in haematocrit (%) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Haematological Parameter- Erythrocytes
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in erythrocytes (10^12 cells/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Haematological Parameter- Leukocytes
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in leukocytes (10^9 cells/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Haematological Parameter- Thrombocytes
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in thrombocytes (10^9 cells/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Amylase
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in amylase (units per liter [U/L]) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Lipase
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in lipase (U/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- ALT
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in alanine aminotransferase (ALT) (U/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- AST
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in aspartate aminotransferase (AST) (U/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- ALP
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in alkaline phosphatase (ALP) (U/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Total Bilirubin
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in total bilirubin (U/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Creatinine
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in creatinine (micromoles per liter [umol/L]) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- eGFR
Time Frame: Week 0, week 52
|
Estimated glomerular filtration rate (eGFR) (milliliters per minute per 1.73 square meters [mL/min/1.73m^2])is
calculated using the equation from the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI).
Change from baseline (week 0) to week 52 in eGFR is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Albumin
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in albumin (g/dL) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Calcium
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in calcium (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Potassium
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in potassium (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Biochemistry Parameter- Sodium
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in sodium (mmol/L) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Calcitonin
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in calcitonin (nanograms per liter) is presented as ratio to baseline.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Pulse
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in pulse is presented based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in ECG
Time Frame: Week 0, week 52
|
The electrocardiogram (ECG) was assessed by the investigator at baseline (week 0) and week 52 and categorised as normal, abnormal NCS or abnormal CS.
Number of participants in each ECG category at baseline and week 52 were presented.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Change in Physical Examination
Time Frame: Week -2, week 52
|
Physical examination parameters are categorised as general appearance; nervous system (central and peripheral); cardiovascular system; gastrointestinal system; skin; respiratory system; lymph node palpation; thyroid gland; left foot; right foot; left leg and right leg.
The number of participants assessed as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS) at baseline (week -2) and week 52 is presented based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week -2, week 52
|
|
Eye Examination
Time Frame: Week 0, week 52
|
Fundus photography or a dilated fundoscopy was performed by the investigator at baseline (week 0) and week 52.
The results of the examination were interpreted for each eye (left/right) are categorised as normal, abnormal NCS or abnormal CS.
Number of participants in each category at baseline and week 52 were presented.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Week 0, week 52
|
|
Total Number of Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic Episodes
Time Frame: Weeks 0-57
|
Hypoglycaemic episodes defined as treatment-emergent if the onset of the episode occurs within the on-treatment observation period.
Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Weeks 0-57
|
|
Participants With Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic Episodes
Time Frame: Weeks 0-57
|
Number of participants with treatment emergent severe or blood glucose-confirmed symptomatic hypoglycaemic episodes.
Hypoglycaemic episodes defined as treatment-emergent if the onset of the episode occurs within the on-treatment observation period.
Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Results are based on the 'on-treatment' observation period which started at the date of first dose of trial product and include the period after initiation of rescue medication, if any and excludes the period after premature trial product discontinuation, if any.
|
Weeks 0-57
|
|
Change in Short Form 36 Health Survey (SF-36): Sub-domains
Time Frame: Week 0, week 52
|
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™ questionnaire measured the HRQoL on 8 domains on individual scale ranges.
The scores 0-100 (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.
A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population.
Change from baseline (week 0) to week 52 in the sub-domain scores is presented.
A positive change score indicate an improvement since baseline.
Results are based on the 'on-treatment without rescue medication' observation period.
|
Week 0, week 52
|
|
Change in SF-36: Physical Component Summary (PCS)
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in short form 36 v2.0 acute domain PCS.
SF-36v2™ questionnaire measured the HRQoL on 8 domains on individual scale ranges.
It consists of 2 component summary measures that further summarize 8 health domain scales.
The PCS measure is derived from domain scales of physical functioning, role-physical, bodily pain, and general health.
The scores 0-100 (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.
A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population.
A positive change score indicates an improvement since baseline.
Results are based on the 'on-treatment without rescue medication' observation period.
|
Week 0, week 52
|
|
Change in SF-36: Mental Component Summary (MCS)
Time Frame: Week 0, week 52
|
Change from baseline (week 0) to week 52 in short form 36 v2.0 acute domain MCS.
SF- 36v2™ questionnaire measured the HRQoL on 8 domains on individual scale ranges.
The MCS measure is derived from domain scales of vitality, social functioning, role emotional and mental health.
The scores 0-100 (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.
A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population.
A positive change score indicates an improvement since baseline.
Results are based on the 'on-treatment without rescue medication' observation period.
|
Week 0, week 52
|
|
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ): Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items Separately
Time Frame: Week 0, week 52
|
Change from baseline (week 0) in DTSQ 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 'on-treatment without rescue medication' observation period.
|
Week 0, week 52
|
|
Change in Control of Eating Questionnaire (CoEQ): Domains
Time Frame: Week 0, week 52
|
The CoEQ comprised 19 items to assess the intensity and type of food cravings, as well as subjective sensation of appetite and mood, with the 4 domains: 'craving control', 'craving for sweet', 'craving for savoury' and 'positive mood'.
The 19 items were scored on an 11-point graded response scale ranging from 10 to 0, with items relating to each of the 4 domains being averaged to create a final score.
A low score in the domains 'craving for sweet and 'craving for savoury' represents a low level of craving; whereas a high score in the domains 'craving control' and 'positive mood' represents good control and a good mood, respectively.
Results are based on the 'on-treatment without rescue medication' observation period.
|
Week 0, week 52
|
|
Change in CoEQ: Individual Items
Time Frame: Week 0, week 52
|
The CoEQ comprised 19 items to assess the intensity and type of food cravings, as well as subjective sensation of appetite and mood, with the 4 domains: 'craving control', 'craving for sweet', 'craving for savoury' and 'positive mood'.
The 19 items were scored on an 11-point graded response scale ranging from 10 to 0, with items relating to each of the 4 domains being averaged to create a final score.
A low score in the domains 'craving for sweet and 'craving for savoury' represents a low level of craving; whereas a high score in the domains 'craving control' and 'positive mood' represents good control and a good mood, respectively.
Results are based on the 'on-treatment without rescue medication' observation period.
|
Week 0, week 52
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Lingvay I, Capehorn MS, Catarig AM, Johansen P, Lawson J, Sandberg A, Shaw R, Paine A. Efficacy of Once-Weekly Semaglutide vs Empagliflozin Added to Metformin in Type 2 Diabetes: Patient-Level Meta-analysis. J Clin Endocrinol Metab. 2020 Dec 1;105(12):e4593-604. doi: 10.1210/clinem/dgaa577.
- Lingvay I, Catarig AM, Frias JP, Kumar H, Lausvig NL, le Roux CW, Thielke D, Viljoen A, McCrimmon RJ. Efficacy and safety of once-weekly semaglutide versus daily canagliflozin as add-on to metformin in patients with type 2 diabetes (SUSTAIN 8): a double-blind, phase 3b, randomised controlled trial. Lancet Diabetes Endocrinol. 2019 Nov;7(11):834-844. doi: 10.1016/S2213-8587(19)30311-0. Epub 2019 Sep 17.
- McCrimmon RJ, Catarig AM, Frias JP, Lausvig NL, le Roux CW, Thielke D, Lingvay I. Effects of once-weekly semaglutide vs once-daily canagliflozin on body composition in type 2 diabetes: a substudy of the SUSTAIN 8 randomised controlled clinical trial. Diabetologia. 2020 Mar;63(3):473-485. doi: 10.1007/s00125-019-05065-8. Epub 2020 Jan 2.
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- NN9535-4270
- 2016-000989-35 (EudraCT Number)
- U1111-1180-3651 (Other Identifier: World Health Organization (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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