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CompletedPhase 3Results posted

Effect of Liraglutide on Body Weight in Non-diabetic Obese Subjects or Overweight Subjects With Co-morbidities: SCALE™ - Obesity and Pre-diabetes

Effect of Liraglutide on Body Weight in Non-diabetic Obese Subjects or Overweight Subjects With Co-morbidities: A Randomised, Double-blind, Placebo Controlled, Parallel Group, Multi-centre, Multinational Trial With Stratification of Subject to Either 56 or 160 Weeks of Treatment Based on Pre-diabetes Status at Randomisation

Lead sponsor

Novo Nordisk A/S

Asset

Liraglutide

Subcutaneous · GLP-1 agonist

Listed sites

226

Recruiting sites

Enrollment

3,731

actual

Study population

Obesity / overweight, Prediabetes / glucose intolerance

Key I/E criterion

Primary endpoints

Body weight, % change≥5% weight-loss responders≥10% weight-loss responders

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT01272219
Org study IDNN8022-1839
Secondary ID2008-001049-24
Secondary IDU1111-1118-7871WHO

Timeline

Milestones

Study first posted2011-01-07estimated
Study start2011-06-01actual
Primary completion2013-03-18actual
Results first posted2015-02-09estimated
Study completion2015-03-02actual
Last update posted2018-01-19actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightPrediabetes / glucose intolerance

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Informed consent obtained
Body Mass Index (BMI) of 30.0 kg/m^2 or above
Body Mass Index (BMI) of 27 kg/m^2 or above in the presence of co-morbidities of treated or untreated dyslipidemia and/or hypertension
Stable body weight
Preceding failed dietary effort

Exclusion criteria

Known type 1 or type 2 diabetes
Glycosylated haemoglobin (HbA1c) of 6.5 % or above (Screening visit 1) or FPG of 126 mg/dL (7 mmol/L) or above (Screening visit 2) or 2 hour post-challenge (OGTT) plasma glucose of 200 mg/dL (11.1 mmol/L) or above (Screening visit 2)
Screening calcitonin of 50 ng/L or above
Family or personal history of multiple endocrine neoplasia type 2 (MEN2) or familial medullary thyroid carcinoma (FMTC)
Personal history of non-familial medullary thyroid carcinoma
History of acute or chronic pancreatitis
Obesity induced by drug treatment
Use of approved weight lowering pharmacotherapy
Previous surgical treatment of obesity
History of major depressive disorder or suicide attempt
Uncontrolled hypertension (systolic blood pressure of 160 mmHg or above and/or diastolic blood pressure of 100 mmHg or above)

Endpoints (24)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Weight & body composition
18
Glycemic / diabetes
6

Weight & body composition

18 endpoints
Primary/registry result

Change From Baseline in Fasting Body Weight

Time frame:Week 0, Week 56

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change95% CI
Liraglutide 3.0 mg (56-Week)-7.98
Liraglutide Placebo (56-Week)-2.62
Estimated mean difference-5.3995% CI-5.82-4.95p<0.0001ANCOVA
Primary/registry result

Proportion of Subjects Losing at Least 5% of Baseline Fasting Body Weight.

Time frame:At Week 56

≥5% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mg (56-Week)63.2
Liraglutide Placebo (56-Week)27.1
Odds Ratio (OR)4.8095% CI4.125.60p<0.0001Regression, Logistic
Primary/registry result

Proportion of Subjects Losing More Than 10% of Baseline Fasting Body Weight

Time frame:At 56 weeks

≥10% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mg (56-Week)33.1
Liraglutide Placebo (56-Week)10.6
Odds Ratio (OR)4.3495% CI3.545.32p<0.0001Regression, Logistic
Primary/protocol endpoint

Change From Baseline in Fasting Body Weight

Time frame:Week 0, Week 56

Body weight, % change

percent change from baseline, improvement

Primary/protocol endpoint

Proportion of Subjects Losing at Least 5% of Baseline Fasting Body Weight.

Time frame:At Week 56

≥5% weight-loss responders

threshold achievement, improvement

Primary/protocol endpoint

Proportion of Subjects Losing More Than 10% of Baseline Fasting Body Weight

Time frame:At 56 weeks

≥10% weight-loss responders

threshold achievement, improvement

Secondary/registry result

Change From Baseline in Waist Circumference (cm)

Time frame:Week 0, Week 56

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Liraglutide 3.0 mg (56-Week)-8.19
Liraglutide Placebo (56-Week)-3.94
Secondary/registry result

Change From Baseline in Waist Circumference (Subjects With Pre-diabetes at Baseline)

Time frame:Week 0, week 160

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Liraglutide 3.0 mg (160-Week)-6.87
Liraglutide Placebo (160-Week)-3.37
Secondary/registry result

Mean Change From Baseline in Fasting Body Weight (Subjects With Pre-diabetes at Baseline)

Time frame:Week 0, week 160

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change95% CI
Liraglutide 3.0 mg (160-Week)-6.14
Liraglutide Placebo (160-Week)-1.89
Secondary/registry result

Proportion of Subjects Losing at Least 5% and Proportion of Subjects Losing More Than 10% of Baseline Fasting Body Weight (Subjects With Pre-diabetes at Baseline)

Time frame:At 160 weeks

threshold achievement, improvement

components≥5% weight-loss responders, ≥10% weight-loss responders

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mg (160-Week)Losing >=5% of baseline body weight49.6
Losing >10% of baseline body weight24.8
Liraglutide Placebo (160-Week)Losing >=5% of baseline body weight23.7
Losing >10% of baseline body weight9.9
Secondary/registry result

Change From Week 56 in Fasting Body Weight (%) (Re-randomised Subjects With No Pre-diabetes)

Time frame:Week 56, Week 68

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change95% CI
Liraglutide 3.0mg (week0-56)/Liraglutide 3.0mg (week56-68)0.69
Liraglutide 3.0mg (week0-56)/Liraglutide Placebo (week56-68)2.91
Liraglutide Placebo, no Pre-diabetes0.28
Secondary/registry result

Change From Baseline in Fasting Body Weight (%) (Re-randomised Subjects With No Pre-diabetes)

Time frame:Week 0, Week 68

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change95% CI
Liraglutide 3.0mg (week0-56)/Liraglutide 3.0mg (week56-68)-8.44
Liraglutide 3.0mg (week0-56)/Liraglutide Placebo (week56-68)-6.77
Liraglutide Placebo, no Pre-diabetes-3.11
Secondary/protocol endpoint

Change From Baseline in Waist Circumference (cm)

Time frame:Week 0, Week 56

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Waist Circumference (Subjects With Pre-diabetes at Baseline)

Time frame:Week 0, week 160

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Mean Change From Baseline in Fasting Body Weight (Subjects With Pre-diabetes at Baseline)

Time frame:Week 0, week 160

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Proportion of Subjects Losing at Least 5% and Proportion of Subjects Losing More Than 10% of Baseline Fasting Body Weight (Subjects With Pre-diabetes at Baseline)

Time frame:At 160 weeks

≥5% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Change From Week 56 in Fasting Body Weight (%) (Re-randomised Subjects With No Pre-diabetes)

Time frame:Week 56, Week 68

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Fasting Body Weight (%) (Re-randomised Subjects With No Pre-diabetes)

Time frame:Week 0, Week 68

Body weight, % change

percent change from baseline, improvement

Glycemic / diabetes

6 endpoints
Primary/registry result

Proportion of Subjects With Onset of Type 2 Diabetes

Time frame:At 160 weeks

Time to T2DM onset

time to event, event

Posted result

GroupValue (number), Subject95% CI
Liraglutide 3.0 mg (160-Week)26
Liraglutide Placebo (160-Week)46
Treatment estimate2.68195% CI1.8563.872p<.0001Weibull analysis
Primary/protocol endpoint

Proportion of Subjects With Onset of Type 2 Diabetes

Time frame:At 160 weeks

Time to T2DM onset

time to event, event

Secondary/registry result/low confidence

Pre-diabetes Status After 56 Weeks of Treatment

Time frame:Week 0, Week 56

categorical status, improvement

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mg (56-Week)With No Pre-diabetes78.3
With Pre-diabetes20.6
With Transient Type 2 Diabetes0.9
With Confirmed Type 2 Diabetes0.2
Liraglutide Placebo (56-Week)With No Pre-diabetes50.9
With Pre-diabetes46.1
With Transient Type 2 Diabetes1.8
With Confirmed Type 2 Diabetes1.1
Secondary/registry result/low confidence

Pre-diabetes Status in Subject With Pre-diabetes at Baseline After 160 Weeks of Treatment

Time frame:Week 0, week 160

categorical status, improvement

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mg (160-Week)With No Pre-diabetes65.9
With Pre-diabetes31.3
With Transient Type 2 Diabetes1.1
With Confirmed Type 2 Diabetes1.8
Liraglutide Placebo (160-Week)With No Pre-diabetes36.3
With Pre-diabetes54.9
With Transient Type 2 Diabetes2.6
With Confirmed Type 2 Diabetes6.2
Secondary/protocol endpoint

Pre-diabetes Status After 56 Weeks of Treatment

Time frame:Week 0, Week 56

categorical status, improvement

Secondary/protocol endpoint/low confidence

Pre-diabetes Status in Subject With Pre-diabetes at Baseline After 160 Weeks of Treatment

Time frame:Week 0, week 160

categorical status, improvement

Publications (17)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Registry references + supporting bibliography

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.