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CompletedPhase 3Results posted

Effect of Liraglutide in Obese Subjects With Moderate or Severe Obstructive Sleep Apnoea: SCALE™ - Sleep Apnoea

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

Lead sponsor

Novo Nordisk A/S

Asset

Liraglutide

Subcutaneous · GLP-1 agonist

Listed sites

42

Recruiting sites

Enrollment

359

actual

Study population

Obesity / overweight, Sleep apnea

Key I/E criterion

BMI ≥30

Primary endpoint

AHI, change

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 IDNCT01557166
Org study IDNN8022-3970
Secondary IDU1111-1126-6260WHO

Timeline

Milestones

Study first posted2012-03-19estimated
Study start2012-06-07actual
Primary completion2013-06-01actual
Study completion2013-06-17actual
Results first posted2015-02-09estimated
Last update posted2017-11-01actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightSleep apnea

Eligibility

Who can enroll

Minimum age18 Years
Maximum age64 Years
SexAll
Healthy volunteersNot accepted

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

Endpoints (8)

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

Glycemic / diabetes
4
Weight & body composition
2
Other clinical outcomes
2

Weight & body composition

2 endpoints
Secondary/registry result

Change From Baseline in Body Weight (kg)

Time frame:Week 0, week 32

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), kg95% CI
Liraglutide 3.0 mg-6.73
Placebo-1.87
Secondary/protocol endpoint

Change From Baseline in Body Weight (kg)

Time frame:Week 0, week 32

Body weight, absolute change (kg)

change from baseline, improvement

Glycemic / diabetes

4 endpoints
Secondary/registry result

Change From Baseline in Fasting Plasma Glucose

Time frame:Week 0, week 32

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (mean), mmol/L95% CI
Liraglutide 3.0 mg-0.15
Placebo0.17
Secondary/registry result

Change From Baseline in Glycosylated Haemoglobin (HbA1c) (%)

Time frame:Week 0, week 32

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), percentage of glycosylated haemoglobin95% CI
Liraglutide 3.0 mg-0.36
Placebo-0.17
Secondary/protocol endpoint

Change From Baseline in Fasting Plasma Glucose

Time frame:Week 0, week 32

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Secondary/protocol endpoint

Change From Baseline in Glycosylated Haemoglobin (HbA1c) (%)

Time frame:Week 0, week 32

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Other clinical outcomes

2 endpoints
Primary/registry result

Change From Baseline in Apnoea-hypopnoea Index (AHI)

Time frame:Week 0, Week 32

AHI, change

change from baseline, improvement

Posted result

GroupValue (mean), events/hour95% CI
Liraglutide 3.0 mg-12.22
Placebo-6.08
Estimated treatment difference-6.1095% CI-11.0-1.19p0.015ANCOVA
Primary/protocol endpoint

Change From Baseline in Apnoea-hypopnoea Index (AHI)

Time frame:Week 0, Week 32

AHI, change

change from baseline, improvement

Publications (6)

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.