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CompletedPhase 3Results posted

Effect of Liraglutide on Body Weight in Overweight or Obese Subjects With Type 2 Diabetes: SCALE™ - Diabetes

Effect of Liraglutide on Body Weight in Overweight or Obese Subjects With Type 2 Diabetes: A 56 Week Randomised, Double-blind, Placebo-controlled, Three Armed Parallel Group, Multi-centre, Multinational Trial With a 12 Week Observational Follow-up Period

Lead sponsor

Novo Nordisk A/S

Asset

Liraglutide

Subcutaneous · GLP-1 agonist

Listed sites

161

Recruiting sites

Enrollment

846

actual

Study population

Obesity / overweight, Type 2 diabetes

Key I/E criteria

BMI ≥27HbA1c 7-10%

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 IDNCT01272232
Org study IDNN8022-1922
Secondary ID2008-002199-88
Secondary IDU1111-1118-7963WHO

Timeline

Milestones

Study first posted2011-01-07estimated
Study start2011-06-01actual
Primary completion2013-01-01actual
Study completion2013-01-25actual
Results first posted2015-02-09estimated
Last update posted2017-12-29actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightType 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Informed consent obtained
Subjects diagnosed with type 2 diabetes and treated with either diet and exercise alone, metformin, sulphonylurea, glitazone as single agent therapy or a combination of the previously mentioned compounds
HbA1c 7.0-10.0% (both inclusive)
Body Mass Index (BMI) at least 27.0 kg/m^2
Stable body weight
Preceding failed dietary effort

Exclusion criteria

Treatment with glucagon-like peptide-1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP-4) inhibitors or insulin within the last 3 months
Known proliferative retinopathy or maculopathy
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 above or equal to 160 mmHg and/or diastolic blood pressure above or equal to 100 mmHg)
Screening calcitonin of 50 ng/L or above
Familial or personal history of multiple endocrine neoplasia type 2 (MEN2) or familial medullary thyroid carcinoma (FMTC)
Personal history of non-familial medullary thyroid carcinoma

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
16
Glycemic / diabetes
6
Safety / tolerability / PK
2

Weight & body composition

16 endpoints
Primary/registry result

Change (%) From Baseline in Body Weight (Fasting)

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-5.9
Liraglutide 1.8 mg-4.6
Liraglutide Placebo-2.0
Treatment contrast-3.9795% CI-4.84-3.11p<0.0001ANCOVA
Treatment contrast-2.6295% CI-3.63-1.62p<0.0001ANCOVA
Treatment contrast-1.3595% CI-2.23-0.48p0.0024ANCOVA
Primary/registry result

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

Time frame:at 56 weeks

≥5% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mgYes49.9
No50.1
Liraglutide 1.8 mgYes35.6
No64.4
Liraglutide PlaceboYes13.8
No86.2
Odds Ratio (OR)6.8195% CI4.3410.68p<0.0001Regression, Logistic
Odds Ratio (OR)3.6995% CI2.246.09p<0.0001Regression, Logistic
Odds Ratio (OR)1.8495% CI1.292.64p0.0008Regression, Logistic
Primary/registry result

Proportion of Subjects Losing More Than 10% of Baseline 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 mgYes23.4
No76.6
Liraglutide 1.8 mgYes14.4
No85.6
Liraglutide PlaceboYes4.3
No95.7
Odds Ratio (OR)7.1095% CI3.4814.48p<0.0001Regression, Logistic
Odds Ratio (OR)3.8495% CI1.758.41p0.0008Regression, Logistic
Odds Ratio (OR)1.8595% CI1.162.95p0.0099Regression, Logistic
Primary/protocol endpoint

Change (%) From Baseline in Body Weight (Fasting)

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 Body Weight

Time frame:at 56 weeks

≥5% weight-loss responders

threshold achievement, improvement

Primary/protocol endpoint

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

Time frame:at 56 weeks

≥10% weight-loss responders

threshold achievement, improvement

Secondary/registry result

Change From Baseline in Waist Circumference

Time frame:Week 0, week 56

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Liraglutide 3.0 mg-6.1
Liraglutide 1.8 mg-4.8
Liraglutide Placebo-2.7
Treatment contrast-3.2295% CI-4.20-2.23p<0.0001ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-2.0695% CI-3.20-0.92p0.0004ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-1.1695% CI-2.16-0.16p0.0224ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Secondary/registry result

Change (%) From Baseline in Body Weight (Fasting)

Time frame:Week 0, week 68

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change95% CI
Liraglutide 3.0 mg-4.7
Liraglutide 1.8 mg-3.6
Liraglutide Placebo-2.7
Treatment contrast-2.1795% CI-3.32-1.02p0.0002ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-1.2095% CI-2.510.11p0.0725ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-0.9795% CI-2.020.09p0.0717ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Secondary/registry result

Change (%) From Week 56 to 68 in Body Weight (Fasting)

Time frame:Week 56, week 68

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change95% CI
Liraglutide 3.0 mg2.3
Liraglutide 1.8 mg2.0
Liraglutide Placebo-0.1
Secondary/registry result

Change From Baseline in Waist Circumference

Time frame:Week 0, week 68

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Liraglutide 3.0 mg-5.7
Liraglutide 1.8 mg-4.4
Liraglutide Placebo-3.2
Treatment contrast-2.4995% CI-3.75-1.24p<0.0001ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-1.4795% CI-2.92-0.03p0.0457ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-1.0295% CI-2.220.18p0.0961ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Secondary/registry result

Change From Week 56 to 68 in Waist Circumference

Time frame:Week 56, week 68

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Liraglutide 3.0 mg1.21
Liraglutide 1.8 mg1.02
Liraglutide Placebo-0.22
Secondary/protocol endpoint

Change From Baseline in Waist Circumference

Time frame:Week 0, week 56

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Change (%) From Baseline in Body Weight (Fasting)

Time frame:Week 0, week 68

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

Change (%) From Week 56 to 68 in Body Weight (Fasting)

Time frame:Week 56, week 68

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Waist Circumference

Time frame:Week 0, week 68

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Change From Week 56 to 68 in Waist Circumference

Time frame:Week 56, week 68

Waist circumference, change

change from baseline, improvement

Glycemic / diabetes

6 endpoints
Secondary/registry result

Change (%-Points) From Baseline in HbA1c (Glycosylated Haemoglobin A1c)

Time frame:Week 0, week 56

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), percentage point change of HbA1c95% CI
Liraglutide 3.0 mg-1.3
Liraglutide 1.8 mg-1.1
Liraglutide Placebo-0.3
Treatment contrast-0.9395% CI-1.08-0.78p<0.0001ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-0.7495% CI-0.91-0.57p<0.0001ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Treatment contrast-0.1995% CI-0.34-0.04p0.0125ANCOVA

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Secondary/registry result

Proportion of Subjects Reaching Target HbA1c Below 7%

Time frame:at 56 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mgYes69.2
No30.8
Liraglutide 1.8 mgYes66.7
No33.3
Liraglutide PlaceboYes27.2
No72.8
Odds Ratio (OR)8.7995% CI5.7413.4p<0.0001Regression, Logistic

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Odds Ratio (OR)7.7195% CI4.7612.51p<0.0001Regression, Logistic

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Odds Ratio (OR)1.1495% CI0.761.71p0.5319Regression, Logistic

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Secondary/registry result

Proportion of Subjects Reaching Target HbA1c Below or Equal to 6.5%

Time frame:at 56 weeks

HbA1c <6.5% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of subjects95% CI
Liraglutide 3.0 mgYes56.5
No43.5
Liraglutide 1.8 mgYes45.6
No54.4
Liraglutide PlaceboYes15.0
No85.0
Odds Ratio (OR)9.6195% CI6.0515.26p<0.0001Regression, Logistic

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Odds Ratio (OR)5.9895% CI3.599.97p<0.0001Regression, Logistic

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Odds Ratio (OR)1.6195% CI1.102.34p0.0142Regression, Logistic

Test of no difference. Fixed factors: treatment, country, sex, background treatment, baseline HbA1c stratum, background treatment/HbA1c-stratum-interaction; covariate: baseline value.

Secondary/protocol endpoint

Change (%-Points) From Baseline in HbA1c (Glycosylated Haemoglobin A1c)

Time frame:Week 0, week 56

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/protocol endpoint

Proportion of Subjects Reaching Target HbA1c Below 7%

Time frame:at 56 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Secondary/protocol endpoint

Proportion of Subjects Reaching Target HbA1c Below or Equal to 6.5%

Time frame:at 56 weeks

HbA1c <6.5% achievement

threshold achievement, improvement

LOINC 4548-4

Safety / tolerability / PK

2 endpoints
Secondary/registry result

Incidence of Hypoglycaemic Episodes

Time frame:Weeks 0-56

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), Episodes/100 years of patient exposure95% CI
Liraglutide 3.0 mgMinor34
ADA: Severe1
ADA: Documented, symptomatic87
ADA: Asymptomatic151
ADA: Probable, symptomatic2
ADA: Relative17
ADA: Unclassifiable14
Liraglutide 1.8 mgMinor46
ADA: Severe2
ADA: Documented, symptomatic95
ADA: Asymptomatic142
ADA: Probable, symptomatic2
ADA: Relative16
ADA: Unclassifiable7
Liraglutide PlaceboMinor13
ADA: Severe0
ADA: Documented, symptomatic31
ADA: Asymptomatic46
ADA: Probable, symptomatic1
ADA: Relative5
ADA: Unclassifiable3
Secondary/protocol endpoint

Incidence of Hypoglycaemic Episodes

Time frame:Weeks 0-56

Documented hypoglycemia

event count, event

Publications (13)

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.