A Research Study Looking at How Semaglutide Works in People With Type 2 Diabetes in Canada, as Part of Local Clinical Practice (SURE CANADA)
SURE CANADA: A Multi-centre, Prospective, Noninterventional Study Investigating the Effectiveness of Once Weekly Subcutaneous Semaglutide in a Real World Adult Population With Type 2 Diabetes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Ontario
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Cambridge, Ontario, Canada, N1R 7L6
- 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
Sampling Method
Study Population
Description
Inclusion Criteria:
- Signed informed consent obtained before any study-related activities (study-related activities are any procedures related to recording of data according to protocol)
- The decision to initiate treatment with commercially available semaglutide has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study
- Male or female, age greater than or equal to 18 years at the time of signing informed consent
- Diagnosed with type 2 diabetes at least 12 weeks prior to inclusion
- Available and documented HbA1c value less than or equal to 12 weeks prior to initiation of semaglutide treatment
Exclusion Criteria:
- Previous participation in this study. Participation is defined as having given informed consent in this study
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation
- Treatment with any investigational drug within 90 days prior to enrolment into the study
- Hypersensitivity to semaglutide or to any of the excipients
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Semaglutide
Participants will receive semaglutide at the treating physician's discretion as part of the usual clinical practice.
The prescription and use of semaglutide is completely independent of this study.
Total study duration for the individual patient will be approximately 30 weeks
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Patients will be treated with commercially available semaglutide in a prefilled pen injector (FlexTouch® variant) according to routine local clinical practice at the discretion of the treating physician.
Other anti-hyperglycaemic treatments will be prescribed at the physician's discretion.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Glycated Haemoglobin A1c (HbA1c)
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Measured in % points
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Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Change in HbA1c
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
|
Measured in mmol/mol
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Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in body weight
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Measured in kg
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Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Change in body weight
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Measured in %
|
Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
|
|
Change in waist circumference
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Measured in cm
|
Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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|
HbA1c level at end of study: < 8.0% (64 mmol/mol) (yes/no)
Time Frame: At end of study (week 28-38)
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Number of participants who achieved/not achieved HbA1c level at end of study: <8.0%
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At end of study (week 28-38)
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HbA1c level at end of study: <7.5% (59 mmol/mol) (yes/no)
Time Frame: At end of study (week 28-38)
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Number of participants who achieved/not achieved HbA1c level at end of study: <7.5%
|
At end of study (week 28-38)
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|
HbA1c level at end of study: <7.0% (53 mmol/mol) (yes/no)
Time Frame: At end of study (week 28-38)
|
Number of participants who achieved/not achieved HbA1c level at end of study: <7.0%
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At end of study (week 28-38)
|
|
Reduction in HbA1c of 1.0% point or more (yes/no)
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Number of participants who achieved/not achieved reduction in HbA1c of 1.0% point or more
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Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Weight reduction of 3.0% or more (yes/no)
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Number of participants who achieved/not achieved weight reduction of 3.0% or more
|
Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
|
|
Weight reduction of 5.0% or more (yes/no)
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Number of participants who achieved/not achieved weight reduction of 5.0% or more
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Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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HbA1c reduction of 1.0% point or more and weight reduction of 3.0% or more (yes/no)
Time Frame: Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Number of participants who achieved/not achieved HbA1c reduction of 1.0% point or more and weight reduction of 3.0% or more
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Baseline (up to 12 weeks prior to treatment initiation at week 0), end of study (week 28-38)
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Patient reported severe or documented hypoglycaemia (yes/no)
Time Frame: Between baseline (week 0) and end of study (week 28-38)
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Number of participants who reported/not reported severe or documented hypogycaemia
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Between baseline (week 0) and end of study (week 28-38)
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Change in Diabetes Treatment Satisfaction Questionnaire - Status (DTSQs) (absolute treatment satisfaction): Total treatment satisfaction
Time Frame: Baseline (week 0), end of study (week 28-38)
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The status version (DTSQs) provides a measure of how satisfied patients are with their current diabetes treatment.
It consists of 8 questions, which are to be answered on a Likert scale from 0 to 6 (0 = very dissatisfied to 6 = very satisfied).
Six questions are summed to produce a total Treatment Satisfaction score.
The remaining two questions are concerning perceived frequency of hyperglycaemia and perceived frequency of hypoglycaemia, respectively.
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Baseline (week 0), end of study (week 28-38)
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Change in Diabetes Treatment Satisfaction Questionnaire - Change (DTSQc) (relative treatment satisfaction): Total treatment satisfaction
Time Frame: Baseline (week 0), end of study (week 28-38)
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The change version (DTSQc) has the same 8 items as the status version, but is reworded to direct the patients to compare the experience of the current treatment with the experience of previous treatment.
Each question is scored on a scale of -3 to +3 (-3 = much less satisfied now to +3 = much more satisfied now), with 0 (midpoint), representing no change.
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Baseline (week 0), end of study (week 28-38)
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Change in Short Form (SF)-36 v2: Physical summary component
Time Frame: Baseline (week 0), end of study (week 28-38)
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The SF-36®v2 questionnaire has 36 questions grouped into eight domains termed: physical functioning, bodily pain, role-physical, general health, vitality, social functioning, role-emotional and mental health, which again can be combined to give two summary component scores (overall mental- and physical health).
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Baseline (week 0), end of study (week 28-38)
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Change in SF-36 v2: Mental summary component
Time Frame: Baseline (week 0), end of study (week 28-38)
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The SF-36®v2 questionnaire has 36 questions grouped into eight domains termed: physical functioning, bodily pain, role-physical, general health, vitality, social functioning, role-emotional and mental health, which again can be combined to give two summary component scores (overall mental- and physical health).
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Baseline (week 0), end of study (week 28-38)
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Patient completed the study under treatment with semaglutide (yes/no)
Time Frame: At end of study (week 28-38)
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Number of patients who completed/not completed the study under treatment with semaglutide
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At end of study (week 28-38)
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Yale JF, Bodholdt U, Catarig AM, Catrina S, Clark A, Ekberg NR, Erhan U, Holmes P, Knudsen ST, Liutkus J, Sathyapalan T, Schultes B, Rudofsky G. Real-world use of once-weekly semaglutide in patients with type 2 diabetes: pooled analysis of data from four SURE studies by baseline characteristic subgroups. BMJ Open Diabetes Res Care. 2022 Apr;10(2):e002619. doi: 10.1136/bmjdrc-2021-002619.
- Yale JF, Catarig AM, Grau K, Harris S, Klimek-Abercrombie A, Rabasa-Lhoret R, Reardon L, Woo V, Liutkus J. Use of once-weekly semaglutide in patients with type 2 diabetes in routine clinical practice: Results from the SURE Canada multicentre, prospective, observational study. Diabetes Obes Metab. 2021 Oct;23(10):2269-2278. doi: 10.1111/dom.14468. Epub 2021 Aug 15.
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
- NN9535-4428
- U1111-1205-5853 (Other Identifier: World Health Organisation (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 device product
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