- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01557166
Effect of Liraglutide in Obese Subjects With Moderate or Severe Obstructive Sleep Apnoea: SCALE™ - Sleep Apnoea
September 29, 2017 updated by: Novo Nordisk A/S
Effect of Liraglutide in Obese Subjects With Moderate or Severe Obstructive Sleep Apnoea. A 32 Week Randomised, Double-blind, Placebo-controlled, Parallel Group, Multi-centre and Multinational Trial
This trial is conducted in North America.
The aim of the trial is to investigate the effect of liraglutide in obese subjects with sleep apnoea.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
359
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Ontario
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Burlington, Ontario, Canada, L7R 1E2
- Novo Nordisk Investigational Site
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Hamilton, Ontario, Canada, L8L 5G8
- Novo Nordisk Investigational Site
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Toronto, Ontario, Canada, M4P 1P2
- Novo Nordisk Investigational Site
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Toronto, Ontario, Canada, M5M 1C7
- Novo Nordisk Investigational Site
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Toronto, Ontario, Canada, M5M1C7
- Novo Nordisk Investigational Site
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California
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Glendale, California, United States, 91206
- Novo Nordisk Investigational Site
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Oceanside, California, United States, 92054
- Novo Nordisk Investigational Site
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Orange, California, United States, 92868
- Novo Nordisk Investigational Site
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Redwood City, California, United States, 94063
- Novo Nordisk Investigational Site
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San Diego, California, United States, 92103-5801
- Novo Nordisk Investigational Site
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Santa Monica, California, United States, 90404
- Novo Nordisk Investigational Site
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Florida
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Brandon, Florida, United States, 33511
- Novo Nordisk Investigational Site
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Hollywood, Florida, United States, 33024
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33155
- Novo Nordisk Investigational Site
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Saint Petersburg, Florida, United States, 33707
- Novo Nordisk Investigational Site
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South Miami, Florida, United States, 33143
- Novo Nordisk Investigational Site
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Tampa, Florida, United States, 33603
- Novo Nordisk Investigational Site
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West Palm Beach, Florida, United States, 33409
- Novo Nordisk Investigational Site
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Georgia
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Atlanta, Georgia, United States, 30342
- Novo Nordisk Investigational Site
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Macon, Georgia, United States, 31201
- Novo Nordisk Investigational Site
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Illinois
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Chicago, Illinois, United States, 60634
- Novo Nordisk Investigational Site
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Vernon Hills, Illinois, United States, 60061
- Novo Nordisk Investigational Site
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Kansas
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Overland Park, Kansas, United States, 66212
- Novo Nordisk Investigational Site
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Kentucky
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Crestview Hills, Kentucky, United States, 41017-3464
- Novo Nordisk Investigational Site
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Louisville, Kentucky, United States, 40218
- Novo Nordisk Investigational Site
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Maryland
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Chevy Chase, Maryland, United States, 20815-6905
- Novo Nordisk Investigational Site
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Massachusetts
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North Dartmouth, Massachusetts, United States, 02747
- Novo Nordisk Investigational Site
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Michigan
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Portage, Michigan, United States, 49024-4889
- Novo Nordisk Investigational Site
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Missouri
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Chesterfield, Missouri, United States, 63017
- Novo Nordisk Investigational Site
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New York
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New York, New York, United States, 10065
- Novo Nordisk Investigational Site
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New York, New York, United States, 10019
- Novo Nordisk Investigational Site
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North Carolina
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Wilmington, North Carolina, United States, 28401
- Novo Nordisk Investigational Site
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Ohio
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Dublin, Ohio, United States, 43017-3521
- Novo Nordisk Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, United States, 19104-3317
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, United States, 19118
- Novo Nordisk Investigational Site
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Rhode Island
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Warwick, Rhode Island, United States, 02886
- Novo Nordisk Investigational Site
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South Carolina
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Columbia, South Carolina, United States, 29201-2951
- Novo Nordisk Investigational Site
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Texas
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Dallas, Texas, United States, 75231
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75234
- Novo Nordisk Investigational Site
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Fort Worth, Texas, United States, 76135
- Novo Nordisk Investigational Site
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Virginia
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Vienna, Virginia, United States, 22182
- Novo Nordisk Investigational Site
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 64 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Informed consent
- Body mass index equal to or above 30 kg/m^2
- Stable body weight (less than 5% self-reported change during the previous 3 months)
- Diagnosis of moderate or severe obstructive sleep apnoea (OSA)
- Unwilling or unable to use continuous positive airway pressure (CPAP) (or other positive airway pressure) treatment. No CPAP (or other positive airway pressure) treatment for at least four weeks prior to screening
- Ability and willingness to comply with all protocol procedures e.g. correct handling of trial product, compliance to visit schedule and dietary advice and complete trial related questionnaires
Exclusion Criteria:
- Treatment with glucagon-like peptide-1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 inhibitors or insulin within the last 3 months prior to screening
- Diagnosis of type 1 or type 2 diabetes per judgement of the investigator
- Glycosylated haemoglobin (HbA1c) equal to or above 6.5%
- Significant craniofacial abnormalities that may cause OSA
- Respiratory and neuromuscular diseases that could interfere with the results of the trial in the opinion of the investigator
- Use of central stimulants, hypnotics, mirtazepine, opioids, trazodone within the previous 3 months prior to screening
- Obesity induced by drug treatment
- Treatment with pramlintide, sibutramine, orlistat, zonisamide, topiramate or phenteremine within the last 3 month prior to screening
- Previous surgical treatment for obesity
- Screening calcitonin equal to or above 50 ng/L
- Familial or personal history of Multiple Endocrine Neoplasia type 2 or familial Medullary Thyroid Carcinoma
- Personal history of non-familial Medullary Thyroid Carcinoma
- History of chronic pancreatitis or idiopathic acute pancreatitis
- History of Major Depressive Disorder or suicide attempts
- Systolic blood pressure equal to or above 160 mmHg and/or diastolic blood pressure equal to or above 100 mmHg
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Placebo Comparator: Placebo
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Placebo administered subcutaneously (s.c., under the skin) once daily for 32 weeks + diet and exercise
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Experimental: Liraglutide 3.0 mg
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3.0 mg liraglutide administered subcutaneously (s.c., under the skin) once daily for 32 weeks + diet and exercise
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Apnoea-hypopnoea Index (AHI)
Time Frame: Week 0, Week 32
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Observed mean change from baseline in AHI (events/hour) after 32 weeks of treatment.
AHI (apnoea and hypopnoea events per hour of sleep) is a measure used for the diagnosis and severity classification of obstructive sleep apnoea.
AHI severity category: none ≤4.9; mild 5.0-14.9;
moderate 15.0-29.9;
severe ≥30.0 events/hour.
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Week 0, Week 32
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Body Weight (kg)
Time Frame: Week 0, week 32
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Observed mean change from baseline in fasting body weight (kg) after 32 weeks of treatment.
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Week 0, week 32
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Change From Baseline in Fasting Plasma Glucose
Time Frame: Week 0, week 32
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Observed mean change from baseline in fasting plasma glucose (mmol/L) after 32 weeks of treatment.
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Week 0, week 32
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Change From Baseline in Glycosylated Haemoglobin (HbA1c) (%)
Time Frame: Week 0, week 32
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Observed mean change from baseline in glycosylated haemoglobin (HbA1c) (%) after 32 weeks of treatment.
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Week 0, week 32
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- O'Neil PM, Garvey WT, Gonzalez-Campoy JM, Mora P, Ortiz RV, Guerrero G, Claudius B, Pi-Sunyer X; Satiety and Clinical Adiposity - Liraglutide Evidence in individuals with and without diabetes (SCALE) study groups. EFFECTS OF LIRAGLUTIDE 3.0 MG ON WEIGHT AND RISK FACTORS IN HISPANIC VERSUS NON-HIPANIC POPULATIONS: SUBGROUP ANALYSIS FROM SCALE RANDOMIZED TRIALS. Endocr Pract. 2016 Nov;22(11):1277-1287. doi: 10.4158/EP151181.OR. Epub 2016 Aug 2.
- Bays H, Pi-Sunyer X, Hemmingsson JU, Claudius B, Jensen CB, Van Gaal L. Liraglutide 3.0 mg for weight management: weight-loss dependent and independent effects. Curr Med Res Opin. 2017 Feb;33(2):225-229. doi: 10.1080/03007995.2016.1251892. Epub 2016 Nov 6.
- Steinberg WM, Rosenstock J, Wadden TA, Donsmark M, Jensen CB, DeVries JH. Impact of Liraglutide on Amylase, Lipase, and Acute Pancreatitis in Participants With Overweight/Obesity and Normoglycemia, Prediabetes, or Type 2 Diabetes: Secondary Analyses of Pooled Data From the SCALE Clinical Development Program. Diabetes Care. 2017 Jul;40(7):839-848. doi: 10.2337/dc16-2684. Epub 2017 May 4. Erratum In: Diabetes Care. 2018 Jul;41(7):1538.
- O'Neil PM, Aroda VR, Astrup A, Kushner R, Lau DCW, Wadden TA, Brett J, Cancino AP, Wilding JPH; Satiety and Clinical Adiposity - Liraglutide Evidence in individuals with and without diabetes (SCALE) study groups. Neuropsychiatric safety with liraglutide 3.0 mg for weight management: Results from randomized controlled phase 2 and 3a trials. Diabetes Obes Metab. 2017 Nov;19(11):1529-1536. doi: 10.1111/dom.12963. Epub 2017 Jul 21.
- Davies MJ, Aronne LJ, Caterson ID, Thomsen AB, Jacobsen PB, Marso SP; Satiety and Clinical Adiposity - Liraglutide Evidence in individuals with and without diabetes (SCALE) study groups. Liraglutide and cardiovascular outcomes in adults with overweight or obesity: A post hoc analysis from SCALE randomized controlled trials. Diabetes Obes Metab. 2018 Mar;20(3):734-739. doi: 10.1111/dom.13125. Epub 2017 Nov 1.
- Blackman A, Foster GD, Zammit G, Rosenberg R, Aronne L, Wadden T, Claudius B, Jensen CB, Mignot E. Effect of liraglutide 3.0 mg in individuals with obesity and moderate or severe obstructive sleep apnea: the SCALE Sleep Apnea randomized clinical trial. Int J Obes (Lond). 2016 Aug;40(8):1310-9. doi: 10.1038/ijo.2016.52. Epub 2016 Mar 23.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 7, 2012
Primary Completion (Actual)
June 1, 2013
Study Completion (Actual)
June 17, 2013
Study Registration Dates
First Submitted
March 15, 2012
First Submitted That Met QC Criteria
March 15, 2012
First Posted (Estimate)
March 19, 2012
Study Record Updates
Last Update Posted (Actual)
November 1, 2017
Last Update Submitted That Met QC Criteria
September 29, 2017
Last Verified
September 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Respiratory Tract Diseases
- Respiration Disorders
- Sleep Disorders, Intrinsic
- Dyssomnias
- Sleep Wake Disorders
- Signs and Symptoms, Respiratory
- Sleep Apnea Syndromes
- Sleep Apnea, Obstructive
- Apnea
- Nutrition Disorders
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Incretins
- Liraglutide
Other Study ID Numbers
- NN8022-3970
- U1111-1126-6260 (Other Identifier: WHO)
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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