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CompletedPhase 2Results posted

Multiple Dose Trial Examining Dose Range, Escalation and Efficacy of Oral Semaglutide in Subjects With Type 2 Diabetes

Lead sponsor

Novo Nordisk A/S

Asset

Semaglutide

Oral · GLP-1 agonist

Listed sites

103

Recruiting sites

Enrollment

632

actual

Study population

Obesity / overweight, Type 2 diabetes

Key I/E criterion

HbA1c 7-9.5%

Primary endpoint

HbA1c, 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 IDNCT01923181
Org study IDNN9924-3790
Secondary ID2012-004994-16
Secondary IDU1111-1136-4716WHO

Timeline

Milestones

Study first posted2013-08-15estimated
Study start2013-12-02actual
Primary completion2014-12-11actual
Study completion2014-12-11actual
Results first posted2019-11-05actual
Last update posted2021-01-15actual

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

BMI above or equal to 25 and below or equal to 40 kg/m^2
Subjects diagnosed with T2D (Type 2 diabetes) treated with diet and exercise and/or who have been on a stable dose of metformin for at least 30 days prior to screening
HbA1c 7.0-9.5% (53-80 mmol/mol) (both inclusive)

Exclusion criteria

Subjects on selected oral medication with a narrow therapeutic window, such as warfarin, digoxin, tricyclic antidepressants, lithium, aminophylline, theophylline and anticonvulsants
History of chronic pancreatitis or idiopathic acute pancreatitis
Chronic malabsorption, regardless of aetiology
History of Crohn's disease, ulcerative colitis, or other inflammatory bowel disease
Treatment with glucose lowering agent(s) other than metformin as stated in the inclusion criteria in a period of 90 days before the screening visit

Endpoints (14)

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
6
Glycemic / diabetes
4
Safety / tolerability / PK
4

Weight & body composition

6 endpoints
Secondary/registry result

Change in Body Weight

Time frame:Week 0, Week 26

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), kg95% CI
Oral Semaglutide 2.5 mg-2.01
Oral Semaglutide 5 mg-2.89
Oral Semaglutide 10 mg-4.90
Oral Semaglutide 20 mg-5.75
Oral Semaglutide 40 mg-6.91
Oral Semaglutide 40 mg Slow Dose-escalation-5.93
Oral Semaglutide 40 mg Fast Dose-escalation-8.29
Subcutaneous Semaglutide 1 mg-6.71
Placebo-1.16
Secondary/registry result

Change in Waist Circumference

Time frame:Week 0, week 26

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Oral Semaglutide 2.5 mg-2.00
Oral Semaglutide 5 mg-2.29
Oral Semaglutide 10 mg-5.28
Oral Semaglutide 20 mg-4.08
Oral Semaglutide 40 mg-5.71
Oral Semaglutide 40 mg Slow Dose-escalation-4.86
Oral Semaglutide 40 mg Fast Dose-escalation-6.24
Subcutaneous Semaglutide 1 mg-6.34
Placebo-2.29
Secondary/registry result

Change in Body Mass Index (BMI)

Time frame:Week 0, week 26

BMI, change

change from baseline, improvement

Posted result

GroupValue (mean), kg/m^295% CI
Oral Semaglutide 2.5 mg-0.67
Oral Semaglutide 5 mg-0.98
Oral Semaglutide 10 mg-1.72
Oral Semaglutide 20 mg-1.93
Oral Semaglutide 40 mg-2.37
Oral Semaglutide 40 mg Slow Dose-escalation-2.04
Oral Semaglutide 40 mg Fast Dose-escalation-2.92
Subcutaneous Semaglutide 1 mg-2.32
Placebo-0.43
Secondary/protocol endpoint

Change in Body Weight

Time frame:Week 0, Week 26

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Change in Waist Circumference

Time frame:Week 0, week 26

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Change in Body Mass Index (BMI)

Time frame:Week 0, week 26

BMI, change

change from baseline, improvement

Glycemic / diabetes

4 endpoints
Primary/registry result

Change in HbA1c (Glycosylated Haemoglobin)

Time frame:Week 0, week 26

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), Percentage of HbA1c95% CI
Oral Semaglutide 2.5 mg-0.88
Oral Semaglutide 5 mg-1.23
Oral Semaglutide 10 mg-1.56
Oral Semaglutide 20 mg-1.70
Oral Semaglutide 40 mg-2.04
Oral Semaglutide 40 mg Slow Dose-escalation-1.76
Oral Semaglutide 40 mg Fast Dose-escalation-1.65
Oral Semaglutide 40 mg Pooled-1.85
Subcutaneous Semaglutide 1 mg-1.85
Placebo-0.40
Mean treatment difference-1.4795% CI-1.73-1.22p<0.0001Mixed Models Analysis
Treatment difference-0.4095% CI-0.69-0.11p0.0069Mixed Models Analysis
Treatment difference-0.8995% CI-1.18-0.60p<0.0001Mixed Models Analysis
Treatment difference-1.1895% CI-1.47-0.90p<0.0001Mixed Models Analysis
Treatment difference-1.3895% CI-1.68-1.09p<0.0001Mixed Models Analysis
Treatment difference-1.6095% CI-1.89-1.30p<0.0001Mixed Models Analysis
Treatment difference-1.4395% CI-1.72-1.14p<0.0001Mixed Models Analysis
Treatment difference-1.3495% CI-1.64-1.04p<0.0001Mixed Models Analysis
Treatment difference-1.5695% CI-1.85-1.27p<0.0001Mixed Models Analysis
Treatment difference1.1695% CI0.871.45p<0.0001Mixed Models Analysis
Treatment difference0.6795% CI0.380.96p<0.0001Mixed Models Analysis
Treatment difference0.3795% CI0.080.67p0.0116Mixed Models Analysis
Treatment difference0.1895% CI-0.120.47p0.2440Mixed Models Analysis
Treatment difference-0.0495% CI-0.340.26p0.7973Mixed Models Analysis
Treatment difference0.1395% CI-0.160.42p0.3901Mixed Models Analysis
Treatment difference0.2295% CI-0.090.52p0.1612Mixed Models Analysis
Treatment difference0.1795% CI-0.130.46p0.2669Mixed Models Analysis
Treatment difference0.2695% CI-0.050.56p0.0989Mixed Models Analysis
Treatment difference0.0995% CI-0.210.39p0.5565Mixed Models Analysis
Primary/protocol endpoint

Change in HbA1c (Glycosylated Haemoglobin)

Time frame:Week 0, week 26

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/registry result

Subjects Who Achieve (Yes/no) HbA1c Below 7 Percent (53 mmol/Mol)

Time frame:After 26 weeks of treatment

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (count_of_participants), Participants95% CI
Oral Semaglutide 2.5 mgYes27
No29
Oral Semaglutide 5 mgYes50
No8
Oral Semaglutide 10 mgYes49
No8
Oral Semaglutide 20 mgYes41
No7
Oral Semaglutide 40 mgYes42
No4
Oral Semaglutide 40 mg Slow Dose-escalationYes47
No5
Oral Semaglutide 40 mg Fast Dose-escalationYes38
No6
Subcutaneous Semaglutide 1 mgYes45
No3
PlaceboYes18
No33
Secondary/protocol endpoint

Subjects Who Achieve (Yes/no) HbA1c Below 7 Percent (53 mmol/Mol)

Time frame:After 26 weeks of treatment

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Safety / tolerability / PK

4 endpoints
Secondary/registry result

Number of Treatment Emergent Adverse Events (TEAEs) Recorded

Time frame:Weeks 0-31

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (number), Events95% CI
Oral Semaglutide 2.5 mg142
Oral Semaglutide 5 mg169
Oral Semaglutide 10 mg233
Oral Semaglutide 20 mg289
Oral Semaglutide 40 mg230
Oral Semaglutide 40 mg Slow Dose-escalation233
Oral Semaglutide 40 mg Fast Dose-escalation245
Subcutaneous Semaglutide 1 mg218
Placebo127
Secondary/registry result

Number of Confirmed Hypoglycaemic Episodes Recorded

Time frame:Weeks 0-31

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), Episodes95% CI
Oral Semaglutide 2.5 mg4
Oral Semaglutide 5 mg4
Oral Semaglutide 10 mg6
Oral Semaglutide 20 mg1
Oral Semaglutide 40 mg1
Oral Semaglutide 40 mg Slow Dose-escalation3
Oral Semaglutide 40 mg Fast Dose-escalation1
Subcutaneous Semaglutide 1 mg6
Placebo5
Secondary/protocol endpoint

Number of Treatment Emergent Adverse Events (TEAEs) Recorded

Time frame:Weeks 0-31

Treatment-emergent AEs (any)

event count, event

Secondary/protocol endpoint

Number of Confirmed Hypoglycaemic Episodes Recorded

Time frame:Weeks 0-31

Documented hypoglycemia

event count, event

Publications (1)

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.

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.