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Multiple Dose Trial Examining Dose Range, Escalation and Efficacy of Oral Semaglutide in Subjects With Type 2 Diabetes
Lead sponsor
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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
Exclusion criteria
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 endpointsChange in Body Weight
Time frame:Week 0, Week 26
Body weight, absolute change (kg)
change from baseline, improvement
Posted result
| Group | Value (mean), kg | 95% 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 | — |
Change in Waist Circumference
Time frame:Week 0, week 26
Waist circumference, change
change from baseline, improvement
Posted result
| Group | Value (mean), cm | 95% 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 | — |
Change in Body Mass Index (BMI)
Time frame:Week 0, week 26
BMI, change
change from baseline, improvement
Posted result
| Group | Value (mean), kg/m^2 | 95% 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 | — |
Change in Body Weight
Time frame:Week 0, Week 26
Body weight, absolute change (kg)
change from baseline, improvement
Change in Waist Circumference
Time frame:Week 0, week 26
Waist circumference, change
change from baseline, improvement
Change in Body Mass Index (BMI)
Time frame:Week 0, week 26
BMI, change
change from baseline, improvement
Glycemic / diabetes
4 endpointsChange in HbA1c (Glycosylated Haemoglobin)
Time frame:Week 0, week 26
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Posted result
| Group | Value (mean), Percentage of HbA1c | 95% 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 | — |
Change in HbA1c (Glycosylated Haemoglobin)
Time frame:Week 0, week 26
HbA1c, change
change from baseline, improvement
LOINC 4548-4
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
| Group | Value (count_of_participants), Participants | 95% CI |
|---|---|---|
| Oral Semaglutide 2.5 mgYes | 27 | — |
| No | 29 | — |
| Oral Semaglutide 5 mgYes | 50 | — |
| No | 8 | — |
| Oral Semaglutide 10 mgYes | 49 | — |
| No | 8 | — |
| Oral Semaglutide 20 mgYes | 41 | — |
| No | 7 | — |
| Oral Semaglutide 40 mgYes | 42 | — |
| No | 4 | — |
| Oral Semaglutide 40 mg Slow Dose-escalationYes | 47 | — |
| No | 5 | — |
| Oral Semaglutide 40 mg Fast Dose-escalationYes | 38 | — |
| No | 6 | — |
| Subcutaneous Semaglutide 1 mgYes | 45 | — |
| No | 3 | — |
| PlaceboYes | 18 | — |
| No | 33 | — |
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 endpointsNumber of Treatment Emergent Adverse Events (TEAEs) Recorded
Time frame:Weeks 0-31
Treatment-emergent AEs (any)
event count, event
Posted result
| Group | Value (number), Events | 95% CI |
|---|---|---|
| Oral Semaglutide 2.5 mg | 142 | — |
| Oral Semaglutide 5 mg | 169 | — |
| Oral Semaglutide 10 mg | 233 | — |
| Oral Semaglutide 20 mg | 289 | — |
| Oral Semaglutide 40 mg | 230 | — |
| Oral Semaglutide 40 mg Slow Dose-escalation | 233 | — |
| Oral Semaglutide 40 mg Fast Dose-escalation | 245 | — |
| Subcutaneous Semaglutide 1 mg | 218 | — |
| Placebo | 127 | — |
Number of Confirmed Hypoglycaemic Episodes Recorded
Time frame:Weeks 0-31
Documented hypoglycemia
event count, event
Posted result
| Group | Value (number), Episodes | 95% CI |
|---|---|---|
| Oral Semaglutide 2.5 mg | 4 | — |
| Oral Semaglutide 5 mg | 4 | — |
| Oral Semaglutide 10 mg | 6 | — |
| Oral Semaglutide 20 mg | 1 | — |
| Oral Semaglutide 40 mg | 1 | — |
| Oral Semaglutide 40 mg Slow Dose-escalation | 3 | — |
| Oral Semaglutide 40 mg Fast Dose-escalation | 1 | — |
| Subcutaneous Semaglutide 1 mg | 6 | — |
| Placebo | 5 | — |
Number of Treatment Emergent Adverse Events (TEAEs) Recorded
Time frame:Weeks 0-31
Treatment-emergent AEs (any)
event count, event
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.
Registry references + supporting bibliography
Provenance
Sources
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.