← Trials/Trial dossier/NCT02970942

CompletedPhase 2Results posted

Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis.

This Trial is Conducted Globally. The Aim of This Trial is to Investigate Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis

Lead sponsor

Novo Nordisk A/S

Asset

Semaglutide

Subcutaneous · GLP-1 agonist

Listed sites

158

Recruiting sites

Enrollment

320

actual

Study population

MASH / NAFLD / liver fibrosis, Obesity / overweight

Key I/E criterion

Primary endpoint

MASH resolution, no fibrosis worsening

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 IDNCT02970942
Org study IDNN9931-4296
Secondary ID2016-000685-39
Secondary IDU1111-1179-7464WHO

Timeline

Milestones

Study first posted2016-11-22estimated
Study start2016-11-30actual
Primary completion2020-02-13actual
Study completion2020-03-19actual
Results first posted2021-04-21actual
Last update posted2021-11-16actual

Assets

Investigational agents

Study populations

Who this study enrolls

MASH / NAFLD / liver fibrosisObesity / overweight

Eligibility

Who can enroll

Minimum age18 Years
Maximum age75 Years
SexAll
Healthy volunteersNot accepted

Eligibility criteria

Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial except for protocol described pre-screening activities which require a separate informed consent. - Male or female, aged 18-75 years (both inclusive) (for Japan: male or female aged 20-75 years (both inclusive)) at the time of signing informed consent - Local histological diagnosis of NASH followed by histological confirmation of NASH based on central pathologist evaluation of a liver biopsy obtained up to 21 weeks before screening - Histologic evidence of NASH based on central pathologist evaluation of a liver biopsy obtained up to 21 weeks before screening. - NASH fibrosis stage 1, 2 or 3 according to the NASH CRN fibrosis staging system based on central pathologist evaluation Exclusion Criteria: - Known or suspected abuse of alcohol (above 20 g/day for women or above 30 g/day for men), alcohol dependence* or narcotics. (* = assessed by the Alcohol Use Disorders Identification Test (AUDIT questionnaire)) - Diagnosis of type 1 diabetes according to medical records - HbA1c above 10% at screening - History or presence of pancreatitis (acute or chronic) - Calcitonin equal or above 50 ng/L at screening - Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative - Body Mass Index (BMI) ≤ 25.0 kg/sqm at the screening visit (visit 1) - Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using an adequate contraceptive method (adequate contraceptive measures as required by local regulation or practice)

Endpoints (176)

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

Safety / tolerability / PK
66
MASH / liver
51
Cardiometabolic biomarkers
21
Weight & body composition
10
Glycemic / diabetes
10
Other (unclassified)
9
Renal / kidney
7
Patient-reported / QoL
2

Weight & body composition

10 endpoints
Secondary/registry result

Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)

Time frame:Week 72

≥5% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgYes43.8
No51.3
Missing5.0
Semaglutide 0.2 mgYes62.8
No28.2
Missing9.0
Semaglutide 0.4 mgYes76.8
No17.1
Missing6.1
PlaceboYes16.3
No78.8
Missing5.0
Secondary/registry result

Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)

Time frame:Week 72

≥10% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgYes17.5
No77.5
Missing5.0
Semaglutide 0.2 mgYes38.5
No52.6
Missing9.0
Semaglutide 0.4 mgYes59.8
No34.1
Missing6.1
PlaceboYes2.5
No92.5
Missing5.0
Secondary/registry result

Change in Body Weight

Time frame:Baseline (week 0), Week 72

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), Kilograms95% CI
Semaglutide 0.1 mg-4.8
Semaglutide 0.2 mg-9.4
Semaglutide 0.4 mg-12.3
Placebo-1.0
Secondary/registry result

Change in Waist Circumference

Time frame:Baseline (week 0), Week 72

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), Centimeters95% CI
Semaglutide 0.1 mg-3.9
Semaglutide 0.2 mg-7.1
Semaglutide 0.4 mg-11.4
Placebo-1.7
Secondary/registry result

Change in Body Mass Index (BMI)

Time frame:Baseline (week 0), Week 72

BMI, change

change from baseline, improvement

Posted result

GroupValue (mean), Kilograms per square meter95% CI
Semaglutide 0.1 mg-1.8
Semaglutide 0.2 mg-3.5
Semaglutide 0.4 mg-4.6
Placebo-0.3
Secondary/protocol endpoint

Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)

Time frame:Week 72

≥5% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)

Time frame:Week 72

≥10% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Change in Body Weight

Time frame:Baseline (week 0), Week 72

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Change in Waist Circumference

Time frame:Baseline (week 0), Week 72

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Change in Body Mass Index (BMI)

Time frame:Baseline (week 0), Week 72

BMI, change

change from baseline, improvement

Glycemic / diabetes

10 endpoints
Secondary/registry result

Change in Glycosylated Haemoglobin (HbA1c) (%-Point)

Time frame:Baseline (week 0), Week 72

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), Percentage point of HbA1c95% CI
Semaglutide 0.1 mg-0.7
Semaglutide 0.2 mg-1.2
Semaglutide 0.4 mg-1.2
Placebo-0.0
Secondary/registry result

Change in HbA1c (Millimoles Per Mole)

Time frame:Baseline (week 0), Week 72

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), millimoles per mole95% CI
Semaglutide 0.1 mg-7.9
Semaglutide 0.2 mg-12.8
Semaglutide 0.4 mg-12.8
Placebo-0.3
Secondary/registry result

Change in Fasting Plasma Glucose (FPG)

Time frame:Baseline (week 0), Week 72

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (mean), Millimoles per liter95% CI
Semaglutide 0.1 mg-1.39
Semaglutide 0.2 mg-2.17
Semaglutide 0.4 mg-2.09
Placebo-0.34
Secondary/registry result/low confidence

Change in Fasting Glucagon

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of glucagon95% CI
Semaglutide 0.1 mg0.78
Semaglutide 0.2 mg0.65
Semaglutide 0.4 mg0.63
Placebo1.04
Secondary/registry result

Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)

Time frame:Baseline (week 0), Week 72

HOMA-IR (insulin sensitivity)

percent change from baseline, improvement

Posted result

GroupValue (geometric_mean), Ratio of HOMA-IR95% CI
Semaglutide 0.1 mg0.77
Semaglutide 0.2 mg0.60
Semaglutide 0.4 mg0.58
Placebo0.81
Secondary/protocol endpoint

Change in Glycosylated Haemoglobin (HbA1c) (%-Point)

Time frame:Baseline (week 0), Week 72

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/protocol endpoint

Change in HbA1c (Millimoles Per Mole)

Time frame:Baseline (week 0), Week 72

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/protocol endpoint

Change in Fasting Plasma Glucose (FPG)

Time frame:Baseline (week 0), Week 72

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Secondary/protocol endpoint/low confidence

Change in Fasting Glucagon

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)

Time frame:Baseline (week 0), Week 72

HOMA-IR (insulin sensitivity)

ratio, improvement

MASH / liver

51 endpoints
Primary/registry result

Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)

Time frame:After 72 weeks

MASH resolution, no fibrosis worsening

categorical status, improvement

SNOMED 442685003

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgYes40.4
No54.4
Missing5.3
Semaglutide 0.2 mgYes35.6
No47.5
Missing16.9
Semaglutide 0.4 mgYes58.9
No30.4
Missing10.7
PlaceboYes17.2
No74.1
Missing8.6
Primary/protocol endpoint

Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)

Time frame:After 72 weeks

MASH resolution, no fibrosis worsening

categorical status, improvement

SNOMED 442685003

Secondary/registry result

Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)

Time frame:After 72 weeks

Fibrosis ≥1-stage improvement, no MASH worsening

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgYes49.1
No45.6
Missing5.3
Semaglutide 0.2 mgYes32.2
No50.8
Missing16.9
Semaglutide 0.4 mgYes42.9
No46.4
Missing10.7
PlaceboYes32.8
No58.6
Missing8.6
Secondary/registry result

Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgImprovement71.3
Worsening7.5
No change13.8
Missing7.5
Semaglutide 0.2 mgImprovement79.5
Worsening2.6
No change5.1
Missing12.8
Semaglutide 0.4 mgImprovement82.9
Worsening3.7
No change1.2
Missing12.2
PlaceboImprovement43.8
Worsening16.3
No change27.5
Missing12.5
Secondary/registry result

Percentage of Participants With Change in Steatosis

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgImprovement52.5
Worsening6.3
No change33.8
Missing7.5
Semaglutide 0.2 mgImprovement60.3
Worsening2.6
No change24.4
Missing12.8
Semaglutide 0.4 mgImprovement63.4
Worsening3.7
No change20.7
Missing12.2
PlaceboImprovement26.3
Worsening15.0
No change46.3
Missing12.5
Secondary/registry result

Percentage of Participants With Change in Lobular Inflammation

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgImprovement41.3
Worsening7.5
No change43.8
Missing7.5
Semaglutide 0.2 mgImprovement47.4
Worsening7.7
No change32.1
Missing12.8
Semaglutide 0.4 mgImprovement37.8
Worsening6.1
No change43.9
Missing12.2
PlaceboImprovement26.3
Worsening17.5
No change45.0
Missing11.3
Secondary/registry result

Percentage of Participants With Change in Hepatocyte Ballooning

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgImprovement61.3
Worsening2.5
No change28.8
Missing7.5
Semaglutide 0.2 mgImprovement70.5
Worsening2.6
No change14.1
Missing12.8
Semaglutide 0.4 mgImprovement74.4
Worsening1.2
No change12.2
Missing12.2
PlaceboImprovement38.8
Worsening2.5
No change46.3
Missing12.5
Secondary/registry result

Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgImprovement46.3
Worsening10.0
No change36.3
Missing7.5
Semaglutide 0.2 mgImprovement32.1
Worsening7.7
No change42.3
Missing17.9
Semaglutide 0.4 mgImprovement42.7
Worsening4.9
No change36.6
Missing15.9
PlaceboImprovement31.3
Worsening18.8
No change37.5
Missing12.5
Secondary/registry result

Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgImprovement62.5
Worsening7.5
No change22.5
Missing7.5
Semaglutide 0.2 mgImprovement71.8
Worsening3.8
No change11.5
Missing12.8
Semaglutide 0.4 mgImprovement72.0
Worsening1.2
No change14.6
Missing12.2
PlaceboImprovement42.5
Worsening11.3
No change33.8
Missing12.5
Secondary/registry result

Change in Fibrosis-4 Score

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of fibrosis-4 score95% CI
Semaglutide 0.1 mg0.81
Semaglutide 0.2 mg0.77
Semaglutide 0.4 mg0.77
Placebo0.95
Secondary/registry result

Change in NAFLD Fibrosis Score (NFS)

Time frame:Baseline (week 0), Week 72

change from baseline, improvement

Posted result

GroupValue (mean), Score on a scale95% CI
Semaglutide 0.1 mg-0.322
Semaglutide 0.2 mg-0.617
Semaglutide 0.4 mg-0.475
Placebo-0.040
Secondary/registry result

Change in Alanine Aminotransferase (ALT)

Time frame:Baseline (week 0), Week 72

ALT, change

ratio, improvement

LOINC 1742-6

Posted result

GroupValue (geometric_mean), Ratio of ALT95% CI
Semaglutide 0.1 mg0.62
Semaglutide 0.2 mg0.57
Semaglutide 0.4 mg0.40
Placebo0.80
Secondary/registry result

Change in Aspartate Aminotransferase (AST)

Time frame:Baseline (week 0), Week 72

AST, change

ratio, improvement

LOINC 1920-8

Posted result

GroupValue (geometric_mean), Ratio of AST95% CI
Semaglutide 0.1 mg0.66
Semaglutide 0.2 mg0.63
Semaglutide 0.4 mg0.50
Placebo0.84
Secondary/registry result

Change in Gamma Glutamyl Transferase (GGT)

Time frame:Baseline (week 0), Week 72

γ-GT, change

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of GGT95% CI
Semaglutide 0.1 mg0.76
Semaglutide 0.2 mg0.64
Semaglutide 0.4 mg0.48
Placebo0.92
Secondary/registry result

Change in Albumin

Time frame:Baseline (week 0), Week 72

albumin change from baseline

change from baseline, improvement

LOINC 1751-7

Posted result

GroupValue (geometric_mean), Ratio of albumin95% CI
Semaglutide 0.1 mg1.02
Semaglutide 0.2 mg1.01
Semaglutide 0.4 mg1.01
Placebo1.02
Secondary/registry result

Change in International Normalized Ratio (INR)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of INR95% CI
Semaglutide 0.1 mg0.97
Semaglutide 0.2 mg0.96
Semaglutide 0.4 mg0.93
Placebo0.99
Secondary/registry result

Change in Enhanced Liver Fibrosis (ELF)

Time frame:Baseline (week 0), Week 72

ELF score, change

change from baseline, improvement

Posted result

GroupValue (mean), score on a scale95% CI
Semaglutide 0.1 mg-0.4
Semaglutide 0.2 mg-0.4
Semaglutide 0.4 mg-0.6
Placebo0.1
Secondary/registry result

Change in Cytokeratin 18 (CK-18) Fragments

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of CK-18 fragments95% CI
Semaglutide 0.1 mgM300.52
M650.51
Semaglutide 0.2 mgM300.50
M650.52
Semaglutide 0.4 mgM300.40
M650.38
PlaceboM300.78
M650.71
Secondary/registry result/low confidence

Change in microRNA 122 (miR-122)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of miR-12295% CI
Semaglutide 0.1 mg0.86
Semaglutide 0.2 mg0.74
Semaglutide 0.4 mg0.58
Placebo1.28
Secondary/registry result

Change in Interleukin-1 Receptor (IL-1R) Antagonist

Time frame:Baseline (week 0), Week 72

change from baseline, improvement

Posted result

GroupValue (geometric_mean), Ratio of IL-1R antagonist95% CI
Semaglutide 0.1 mg0.87
Semaglutide 0.2 mg0.85
Semaglutide 0.4 mg0.73
Placebo0.94
Secondary/registry result

Change in Monocyte Chemoattractant Protein 1 (MCP-1)

Time frame:Baseline (week 0), Week 72

MCP-1 / CCL2

change from baseline, improvement

Posted result

GroupValue (geometric_mean), Ratio of MCP-195% CI
Semaglutide 0.1 mg1.07
Semaglutide 0.2 mg1.08
Semaglutide 0.4 mg0.99
Placebo1.04
Secondary/registry result/low confidence

Change in Fibroblast Growth Factor 21 (FGF-21)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of FGF-2195% CI
Semaglutide 0.1 mg0.72
Semaglutide 0.2 mg0.61
Semaglutide 0.4 mg0.55
Placebo0.76
Secondary/registry result

Change in Liver Stiffness Assessed by FibroScan®

Time frame:Baseline (week 0), Week 72

Liver stiffness (VCTE), change

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of liver stiffness95% CI
Semaglutide 0.1 mg0.72
Semaglutide 0.2 mg0.64
Semaglutide 0.4 mg0.66
Placebo1.18
Secondary/registry result

Change in Liver Steatosis Assessed by FibroScan®

Time frame:Baseline (week 0), Week 72

change from baseline, improvement

Posted result

GroupValue (mean), Decibels per meter95% CI
Semaglutide 0.1 mg-5.8
Semaglutide 0.2 mg-50.9
Semaglutide 0.4 mg-42.1
Placebo-18.7
Secondary/registry result

Change in Total Bilirubin (mg/dL)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of total bilirubin95% CI
Semaglutide 0.1 mg0.978
Semaglutide 0.2 mg1.011
Semaglutide 0.4 mg0.949
Placebo1.040
Secondary/registry result

Change in Total Bilirubin (Umol/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of total bilirubin95% CI
Semaglutide 0.1 mg0.978
Semaglutide 0.2 mg1.011
Semaglutide 0.4 mg0.949
Placebo1.040
Secondary/registry result

Change in Alkaline Phosphatase

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of alkaline phosphatase95% CI
Semaglutide 0.1 mg0.980
Semaglutide 0.2 mg0.931
Semaglutide 0.4 mg0.884
Placebo0.992
Secondary/registry result

Change in Ferritin

Time frame:Baseline (week 0), Week 72

ferritin

change from baseline, improvement

Posted result

GroupValue (geometric_mean), Ratio of ferritin95% CI
Semaglutide 0.1 mg0.660
Semaglutide 0.2 mg0.617
Semaglutide 0.4 mg0.603
Placebo0.713
Secondary/protocol endpoint

Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)

Time frame:After 72 weeks

Fibrosis ≥1-stage improvement, no MASH worsening

categorical status, improvement

Secondary/protocol endpoint

Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Secondary/protocol endpoint

Percentage of Participants With Change in Steatosis

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Secondary/protocol endpoint

Percentage of Participants With Change in Lobular Inflammation

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Secondary/protocol endpoint

Percentage of Participants With Change in Hepatocyte Ballooning

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Secondary/protocol endpoint

Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Secondary/protocol endpoint/low confidence

Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score

Time frame:Baseline (week 0), Week 72

categorical status, improvement

Secondary/protocol endpoint

Change in Fibrosis-4 Score

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in NAFLD Fibrosis Score (NFS)

Time frame:Baseline (week 0), Week 72

change from baseline, improvement

Secondary/protocol endpoint

Change in Alanine Aminotransferase (ALT)

Time frame:Baseline (week 0), Week 72

ALT, change

ratio, improvement

LOINC 1742-6

Secondary/protocol endpoint

Change in Aspartate Aminotransferase (AST)

Time frame:Baseline (week 0), Week 72

AST, change

ratio, improvement

LOINC 1920-8

Secondary/protocol endpoint

Change in Gamma Glutamyl Transferase (GGT)

Time frame:Baseline (week 0), Week 72

γ-GT, change

ratio, improvement

Secondary/protocol endpoint

Change in International Normalized Ratio (INR)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Enhanced Liver Fibrosis (ELF)

Time frame:Baseline (week 0), Week 72

ELF score, change

change from baseline, improvement

Secondary/protocol endpoint

Change in Cytokeratin 18 (CK-18) Fragments

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint/low confidence

Change in microRNA 122 (miR-122)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Fibroblast Growth Factor 21 (FGF-21)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Liver Stiffness Assessed by FibroScan®

Time frame:Baseline (week 0), Week 72

Liver stiffness (VCTE), change

ratio, improvement

Secondary/protocol endpoint

Change in Liver Steatosis Assessed by FibroScan®

Time frame:Baseline (week 0), Week 72

change from baseline, improvement

Secondary/protocol endpoint

Change in Total Bilirubin (mg/dL)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Total Bilirubin (Umol/L)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Alkaline Phosphatase

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint/low confidence

Change in Ferritin

Time frame:Baseline (week 0), Week 72

ratio, improvement

Renal / kidney

7 endpoints
Secondary/registry result

Change in Creatinine (mg/dL)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of creatinine95% CI
Semaglutide 0.1 mg1.018
Semaglutide 0.2 mg1.069
Semaglutide 0.4 mg1.026
Placebo1.021
Secondary/registry result

Change in Creatinine (Umol/L)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of creatinine95% CI
Semaglutide 0.1 mg1.018
Semaglutide 0.2 mg1.069
Semaglutide 0.4 mg1.026
Placebo1.021
Secondary/registry result

Change in Estimated Glomerular Filtration Rate (eGFR)

Time frame:Baseline (week 0), Week 72

eGFR, change

ratio, improvement

LOINC 98979-8

Posted result

GroupValue (geometric_mean), Ratio of eGFR95% CI
Semaglutide 0.1 mg0.976
Semaglutide 0.2 mg0.940
Semaglutide 0.4 mg0.973
Placebo0.969
Secondary/protocol endpoint/low confidence

Change in Albumin

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Creatinine (mg/dL)

Time frame:Baseline (week 0), Week 72

ratio, improvement

LOINC 2160-0

Secondary/protocol endpoint

Change in Creatinine (Umol/L)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Estimated Glomerular Filtration Rate (eGFR)

Time frame:Baseline (week 0), Week 72

eGFR, change

ratio, improvement

LOINC 98979-8

Cardiometabolic biomarkers

21 endpoints
Secondary/registry result

Change in Diastolic Blood Pressure (DBP)

Time frame:Baseline (week 0), Week 72

Diastolic BP, change

change from baseline, improvement

LOINC 8462-4

Posted result

GroupValue (mean), Millimeters of mercury95% CI
Semaglutide 0.1 mg0
Semaglutide 0.2 mg-2
Semaglutide 0.4 mg-2
Placebo-1
Secondary/registry result

Change in Systolic Blood Pressure (SBP)

Time frame:Baseline (week 0), Week 72

Systolic BP, change

change from baseline, improvement

LOINC 8480-6

Posted result

GroupValue (mean), Millimeters of mercury95% CI
Semaglutide 0.1 mg-2
Semaglutide 0.2 mg-7
Semaglutide 0.4 mg-6
Placebo-2
Secondary/registry result

Change in Total Cholesterol

Time frame:Baseline (week 0), Week 72

Total cholesterol, change

ratio, improvement

LOINC 2093-3

Posted result

GroupValue (geometric_mean), Ratio of total cholesterol95% CI
Semaglutide 0.1 mg0.98
Semaglutide 0.2 mg1.00
Semaglutide 0.4 mg0.93
Placebo0.93
Secondary/registry result

Change in Low Density Lipoprotein (LDL) Cholesterol

Time frame:Baseline (week 0), Week 72

LDL-C, change

ratio, improvement

LOINC 13457-7

Posted result

GroupValue (geometric_mean), Ratio of LDL cholesterol95% CI
Semaglutide 0.1 mg0.96
Semaglutide 0.2 mg1.01
Semaglutide 0.4 mg0.92
Placebo0.90
Secondary/registry result

Change in High Density Lipoprotein (HDL) Cholesterol

Time frame:Baseline (week 0), Week 72

HDL-C, change

ratio, improvement

LOINC 2085-9

Posted result

GroupValue (geometric_mean), Ratio of HDL cholesterol95% CI
Semaglutide 0.1 mg1.04
Semaglutide 0.2 mg1.05
Semaglutide 0.4 mg1.09
Placebo1.01
Secondary/registry result

Change in Very Low Density Lipoprotein (VLDL) Cholesterol

Time frame:Baseline (week 0), Week 72

VLDL, change

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of VLDL cholesterol95% CI
Semaglutide 0.1 mg0.89
Semaglutide 0.2 mg0.90
Semaglutide 0.4 mg0.74
Placebo0.93
Secondary/registry result

Change in Triglycerides

Time frame:Baseline (week 0), Week 72

Triglycerides, change

ratio, improvement

LOINC 2571-8

Posted result

GroupValue (geometric_mean), Ratio of triglycerides95% CI
Semaglutide 0.1 mg0.88
Semaglutide 0.2 mg0.89
Semaglutide 0.4 mg0.73
Placebo0.95
Secondary/registry result

Change in Free Fatty Acids

Time frame:Baseline (week 0), Week 72

Free fatty acids, change

ratio, improvement

Posted result

GroupValue (geometric_mean), Ratio of free fatty acids95% CI
Semaglutide 0.1 mg0.83
Semaglutide 0.2 mg0.92
Semaglutide 0.4 mg0.72
Placebo1.05
Secondary/registry result

Change in High Sensitivity C-reactive Protein (hsCRP)

Time frame:Baseline (week 0), Week 72

hs-CRP, change

ratio, improvement

LOINC 30522-7

Posted result

GroupValue (geometric_mean), Ratio of hsCRP95% CI
Semaglutide 0.1 mg0.78
Semaglutide 0.2 mg0.50
Semaglutide 0.4 mg0.41
Placebo0.91
Secondary/registry result

Change in Pulse From Baseline to Week 72

Time frame:Baseline (week 0), Week 72

Heart rate, change

change from baseline, improvement

Posted result

GroupValue (mean), beats per minute (bpm)95% CI
Semaglutide 0.1 mg2.2
Semaglutide 0.2 mg2.1
Semaglutide 0.4 mg0.9
Placebo-0.3
Secondary/protocol endpoint

Change in Monocyte Chemoattractant Protein 1 (MCP-1)

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint

Change in Diastolic Blood Pressure (DBP)

Time frame:Baseline (week 0), Week 72

Diastolic BP, change

change from baseline, improvement

LOINC 8462-4

Secondary/protocol endpoint

Change in Systolic Blood Pressure (SBP)

Time frame:Baseline (week 0), Week 72

Systolic BP, change

change from baseline, improvement

LOINC 8480-6

Secondary/protocol endpoint

Change in Total Cholesterol

Time frame:Baseline (week 0), Week 72

Total cholesterol, change

ratio, improvement

LOINC 2093-3

Secondary/protocol endpoint

Change in Low Density Lipoprotein (LDL) Cholesterol

Time frame:Baseline (week 0), Week 72

LDL-C, change

ratio, improvement

LOINC 13457-7

Secondary/protocol endpoint

Change in High Density Lipoprotein (HDL) Cholesterol

Time frame:Baseline (week 0), Week 72

HDL-C, change

ratio, improvement

LOINC 2085-9

Secondary/protocol endpoint

Change in Very Low Density Lipoprotein (VLDL) Cholesterol

Time frame:Baseline (week 0), Week 72

VLDL, change

ratio, improvement

Secondary/protocol endpoint

Change in Triglycerides

Time frame:Baseline (week 0), Week 72

Triglycerides, change

ratio, improvement

LOINC 2571-8

Secondary/protocol endpoint

Change in Free Fatty Acids

Time frame:Baseline (week 0), Week 72

Free fatty acids, change

ratio, improvement

Secondary/protocol endpoint

Change in High Sensitivity C-reactive Protein (hsCRP)

Time frame:Baseline (week 0), Week 72

hs-CRP, change

ratio, improvement

LOINC 30522-7

Secondary/protocol endpoint

Change in Pulse From Baseline to Week 72

Time frame:Baseline (week 0), Week 72

Heart rate, change

change from baseline, improvement

Patient-reported / QoL

2 endpoints
Secondary/registry result

Change in Short Form 36 (SF-36) Score

Time frame:Baseline (week 0), Week 72

SF-36 total

change from baseline, improvement

Posted result

GroupValue (mean), Scores on a scale95% CI
Semaglutide 0.1 mgMental component sum2.2
Physical component sum2.1
Physical functioning1.8
Role functioning2.1
Bodily pain1.3
General health7.2
Vitality2.3
Social functioning3.7
Role emotional2.2
Mental health1.2
Semaglutide 0.2 mgMental component sum0.6
Physical component sum1.1
Physical functioning2.0
Role functioning0.5
Bodily pain1.2
General health2.3
Vitality0.6
Social functioning-0.1
Role emotional0.6
Mental health1.5
Semaglutide 0.4 mgMental component sum1.2
Physical component sum3.9
Physical functioning2.8
Role functioning2.2
Bodily pain3.4
General health9.0
Vitality4.6
Social functioning2.2
Role emotional0.5
Mental health1.3
PlaceboMental component sum-0.4
Physical component sum-0.1
Physical functioning-0.4
Role functioning-0.3
Bodily pain-1.3
General health4.3
Vitality-0.2
Social functioning-1.6
Role emotional-0.3
Mental health-0.2
Secondary/protocol endpoint

Change in Short Form 36 (SF-36) Score

Time frame:Baseline (week 0), Week 72

SF-36 total

change from baseline, improvement

Safety / tolerability / PK

66 endpoints
Secondary/registry result

Number of Treatment-emergent Adverse Events (TEAEs)

Time frame:From week 0 to week 79

Treatment-emergent AEs (any)

event count, descriptive

Posted result

GroupValue (number), events95% CI
Semaglutide 0.1 mg525
Semaglutide 0.2 mg577
Semaglutide 0.4 mg511
Placebo445
Secondary/registry result

Number of Treatment-emergent Hypoglycaemic Episodes

Time frame:From week 0 to week 79

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), episodes95% CI
Semaglutide 0.1 mg54
Semaglutide 0.2 mg30
Semaglutide 0.4 mg66
Placebo18
Secondary/registry result

Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes

Time frame:From week 0 to week 79

Documented hypoglycemia

event count, event

componentsSevere hypoglycemia, Documented hypoglycemia

Posted result

GroupValue (number), episodes95% CI
Semaglutide 0.1 mg3
Semaglutide 0.2 mg5
Semaglutide 0.4 mg17
Placebo2
Secondary/registry result

Number of Treatment-emergent Severe Hypoglycaemic Episodes

Time frame:From week 0 to week 79

Severe hypoglycemia

event count, event

Posted result

GroupValue (number), episodes95% CI
Semaglutide 0.1 mg2
Semaglutide 0.2 mg2
Semaglutide 0.4 mg0
Placebo0
Secondary/registry result

Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events

Time frame:From week 0 to week 79

Discontinuation due to AE

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 0.1 mg1
Semaglutide 0.2 mg6
Semaglutide 0.4 mg2
Placebo0
Secondary/registry result

Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 0.1 mgYes4
No76
Semaglutide 0.2 mgYes1
No77
Semaglutide 0.4 mgYes2
No79
Secondary/registry result

Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 0.1 mgYes0
No80
Semaglutide 0.2 mgYes0
No78
Semaglutide 0.4 mgYes0
No81
Secondary/registry result

Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 0.1 mgYes4
No76
Semaglutide 0.2 mgYes0
No78
Semaglutide 0.4 mgYes2
No79
Secondary/registry result

Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

categorical status, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 0.1 mgYes0
No80
Semaglutide 0.2 mgYes0
No78
Semaglutide 0.4 mgYes0
No81
Secondary/registry result

Percentage of Participants With Change in Electrocardiogram (ECG)

Time frame:Baseline (week 0), Week 72

categorical status, descriptive

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek 0: Normal58.8
Week 0: Abnormal NCS41.3
Week 0: Abnormal CS0.0
Week 72: Normal64.9
Week 72: Abnormal NCS35.1
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek 0: Normal60.3
Week 0: Abnormal NCS39.7
Week 0: Abnormal CS0.0
Week 72: Normal65.1
Week 72: Abnormal NCS34.9
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek 0: Normal66.7
Week 0: Abnormal NCS32.1
Week 0: Abnormal CS1.2
Week 72: Normal74.6
Week 72: Abnormal NCS23.9
Week 72: Abnormal CS1.4
PlaceboWeek 0: Normal63.8
Week 0: Abnormal NCS36.3
Week 0: Abnormal CS0.0
Week 72: Normal60.0
Week 72: Abnormal NCS38.6
Week 72: Abnormal CS1.4
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Cardiovascular System

Time frame:Week -6, week 72

threshold achievement, event

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal87.5
Week -6: Abnormal NCS11.3
Week -6: Abnormal CS1.3
Week 72: Normal87.8
Week 72: Abnormal NCS12.2
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal93.6
Week -6: Abnormal NCS5.1
Week -6: Abnormal CS1.3
Week 72: Normal96.9
Week 72: Abnormal NCS3.1
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal92.6
Week -6: Abnormal NCS7.4
Week -6: Abnormal CS0.0
Week 72: Normal94.4
Week 72: Abnormal NCS5.6
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal92.5
Week -6: Abnormal NCS6.3
Week -6: Abnormal CS1.3
Week 72: Normal90.1
Week 72: Abnormal NCS8.5
Week 72: Abnormal CS1.4
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System

Time frame:Week -6, week 72

threshold achievement, descriptive

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal92.5
Week -6: Abnormal NCS5.0
Week -6: Abnormal CS2.5
Week 72: Normal94.6
Week 72: Abnormal NCS5.4
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal94.8
Week -6: Abnormal NCS5.2
Week -6: Abnormal CS0.0
Week 72: Normal93.7
Week 72: Abnormal NCS4.8
Week 72: Abnormal CS1.6
Semaglutide 0.4 mgWeek -6: Normal98.7
Week -6: Abnormal NCS1.3
Week -6: Abnormal CS0.0
Week 72: Normal98.6
Week 72: Abnormal NCS1.4
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal95.0
Week -6: Abnormal NCS3.8
Week -6: Abnormal CS1.3
Week 72: Normal92.9
Week 72: Abnormal NCS7.1
Week 72: Abnormal CS0.0
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth

Time frame:Week -6, week 72

descriptive

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal82.5
Week -6: Abnormal NCS13.8
Week -6: Abnormal CS3.8
Week 72: Normal89.2
Week 72: Abnormal NCS10.8
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal83.1
Week -6: Abnormal NCS15.6
Week -6: Abnormal CS1.3
Week 72: Normal81.0
Week 72: Abnormal NCS19.0
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal84.0
Week -6: Abnormal NCS16.0
Week -6: Abnormal CS0.0
Week 72: Normal87.5
Week 72: Abnormal NCS12.5
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal86.3
Week -6: Abnormal NCS12.5
Week -6: Abnormal CS1.3
Week 72: Normal84.5
Week 72: Abnormal NCS14.1
Week 72: Abnormal CS1.4
Secondary/registry result

Percentage of Participants With Change in Physical Examination: General Appearance

Time frame:Week -6, week 72

threshold achievement, descriptive

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal83.8
Week -6: Abnormal NCS16.3
Week -6: Abnormal CS0.0
Week 72: Normal83.8
Week 72: Abnormal NCS16.2
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal85.9
Week -6: Abnormal NCS12.8
Week -6: Abnormal CS1.3
Week 72: Normal90.6
Week 72: Abnormal NCS6.3
Week 72: Abnormal CS3.1
Semaglutide 0.4 mgWeek -6: Normal79.0
Week -6: Abnormal NCS21.0
Week -6: Abnormal CS0.0
Week 72: Normal90.3
Week 72: Abnormal NCS9.7
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal80.0
Week -6: Abnormal NCS20.0
Week -6: Abnormal CS0.0
Week 72: Normal76.1
Week 72: Abnormal NCS23.9
Week 72: Abnormal CS0.0
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck

Time frame:Week -6, week 72

threshold achievement, event

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal97.5
Week -6: Abnormal NCS2.5
Week -6: Abnormal CS0.0
Week 72: Normal94.5
Week 72: Abnormal NCS4.1
Week 72: Abnormal CS1.4
Semaglutide 0.2 mgWeek -6: Normal94.8
Week -6: Abnormal NCS5.2
Week -6: Abnormal CS0.0
Week 72: Normal96.8
Week 72: Abnormal NCS3.2
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal98.8
Week -6: Abnormal NCS1.3
Week -6: Abnormal CS0.0
Week 72: Normal98.6
Week 72: Abnormal NCS1.4
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal97.5
Week -6: Abnormal NCS2.5
Week -6: Abnormal CS0.0
Week 72: Normal98.6
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS1.4
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Lymph Node Palpation

Time frame:Week -6, week 72

threshold achievement, descriptive

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal100.0
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS0.0
Week 72: Normal100.0
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal98.7
Week -6: Abnormal NCS1.3
Week -6: Abnormal CS0.0
Week 72: Normal100.0
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal100.0
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS0.0
Week 72: Normal100.0
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal100.0
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS0.0
Week 72: Normal100.0
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS0.0
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Musculoskeletal System

Time frame:Week -6, week 72

threshold achievement, event

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal95.0
Week -6: Abnormal NCS3.8
Week -6: Abnormal CS1.3
Week 72: Normal94.6
Week 72: Abnormal NCS5.4
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal96.1
Week -6: Abnormal NCS3.9
Week -6: Abnormal CS0.0
Week 72: Normal96.8
Week 72: Abnormal NCS3.2
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal94.9
Week -6: Abnormal NCS5.1
Week -6: Abnormal CS0.0
Week 72: Normal100.0
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal95.0
Week -6: Abnormal NCS3.8
Week -6: Abnormal CS1.3
Week 72: Normal95.8
Week 72: Abnormal NCS4.2
Week 72: Abnormal CS0.0
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Respiratory System

Time frame:Week -6, week 72

threshold achievement, descriptive

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal100.0
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS0.0
Week 72: Normal98.6
Week 72: Abnormal NCS0.0
Week 72: Abnormal CS1.4
Semaglutide 0.2 mgWeek -6: Normal100.0
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS0.0
Week 72: Normal96.9
Week 72: Abnormal NCS3.1
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal100.0
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS0.0
Week 72: Normal98.6
Week 72: Abnormal NCS1.4
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal97.5
Week -6: Abnormal NCS2.5
Week -6: Abnormal CS0.0
Week 72: Normal98.6
Week 72: Abnormal NCS1.4
Week 72: Abnormal CS0.0
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Skin

Time frame:Week -6, week 72

threshold achievement, event

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal96.3
Week -6: Abnormal NCS2.5
Week -6: Abnormal CS1.3
Week 72: Normal94.6
Week 72: Abnormal NCS4.1
Week 72: Abnormal CS1.4
Semaglutide 0.2 mgWeek -6: Normal92.3
Week -6: Abnormal NCS6.4
Week -6: Abnormal CS1.3
Week 72: Normal87.5
Week 72: Abnormal NCS10.9
Week 72: Abnormal CS1.6
Semaglutide 0.4 mgWeek -6: Normal85.2
Week -6: Abnormal NCS13.6
Week -6: Abnormal CS1.2
Week 72: Normal90.0
Week 72: Abnormal NCS8.6
Week 72: Abnormal CS1.4
PlaceboWeek -6: Normal90.0
Week -6: Abnormal NCS10.0
Week -6: Abnormal CS0.0
Week 72: Normal88.7
Week 72: Abnormal NCS11.3
Week 72: Abnormal CS0.0
Secondary/registry result

Percentage of Participants With Change in Physical Examination: Thyroid Gland

Time frame:Week -6, week 72

Thyroid event

threshold achievement, event

Posted result

GroupValue (number), Percentage of participants95% CI
Semaglutide 0.1 mgWeek -6: Normal88.8
Week -6: Abnormal NCS10.0
Week -6: Abnormal CS1.3
Week 72: Normal94.6
Week 72: Abnormal NCS5.4
Week 72: Abnormal CS0.0
Semaglutide 0.2 mgWeek -6: Normal97.4
Week -6: Abnormal NCS2.6
Week -6: Abnormal CS0.0
Week 72: Normal98.4
Week 72: Abnormal NCS1.6
Week 72: Abnormal CS0.0
Semaglutide 0.4 mgWeek -6: Normal97.5
Week -6: Abnormal NCS2.5
Week -6: Abnormal CS0.0
Week 72: Normal97.1
Week 72: Abnormal NCS2.9
Week 72: Abnormal CS0.0
PlaceboWeek -6: Normal98.8
Week -6: Abnormal NCS0.0
Week -6: Abnormal CS1.3
Week 72: Normal98.6
Week 72: Abnormal NCS1.4
Week 72: Abnormal CS0.0
Secondary/registry result

Change in Haematocrit

Time frame:Baseline (week 0), Week 72

haematocrit

change from baseline, descriptive

LOINC 20570-8

Posted result

GroupValue (mean), Percentage of haematocrit in blood95% CI
Semaglutide 0.1 mg-0.79
Semaglutide 0.2 mg-0.71
Semaglutide 0.4 mg-1.43
Placebo-0.41
Secondary/registry result

Change in Haemoglobin (g/dL)

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Posted result

GroupValue (mean), Grams per deciliter (g/dL)95% CI
Semaglutide 0.1 mg0.18
Semaglutide 0.2 mg0.08
Semaglutide 0.4 mg-0.07
Placebo0.21
Secondary/registry result

Change in Haemoglobin (mmol/L)

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Posted result

GroupValue (mean), millimoles per liter (mmol/L)95% CI
Semaglutide 0.1 mg0.11
Semaglutide 0.2 mg0.05
Semaglutide 0.4 mg-0.05
Placebo0.13
Secondary/registry result

Change in Leukocytes

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Posted result

GroupValue (mean), 10^9 cells per liter (10^9/L)95% CI
Semaglutide 0.1 mg0.489
Semaglutide 0.2 mg0.260
Semaglutide 0.4 mg-0.047
Placebo0.075
Secondary/registry result

Change in Thrombocytes

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Posted result

GroupValue (mean), 10^9 cells per liter (10^9/L)95% CI
Semaglutide 0.1 mg8.8
Semaglutide 0.2 mg14.6
Semaglutide 0.4 mg9.0
Placebo0.3
Secondary/registry result

Change in Erythrocytes

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Posted result

GroupValue (mean), 10^12 cells per liter (10^12/L)95% CI
Semaglutide 0.1 mg0.038
Semaglutide 0.2 mg0.004
Semaglutide 0.4 mg-0.034
Placebo0.054
Secondary/registry result

Change in Creatine Kinase

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of creatine kinase95% CI
Semaglutide 0.1 mg0.975
Semaglutide 0.2 mg0.798
Semaglutide 0.4 mg0.825
Placebo0.904
Secondary/registry result

Change in Urea

Time frame:Baseline (week 0), Week 72

urea

change from baseline, descriptive

Posted result

GroupValue (geometric_mean), Ratio of urea95% CI
Semaglutide 0.1 mg1.018
Semaglutide 0.2 mg0.973
Semaglutide 0.4 mg1.042
Placebo1.043
Secondary/registry result

Change in Sodium (mEq/L)

Time frame:Baseline (week 0), Week 72

serum sodium

change from baseline, descriptive

LOINC 2951-2

Posted result

GroupValue (geometric_mean), Ratio of sodium95% CI
Semaglutide 0.1 mg0.999
Semaglutide 0.2 mg1.000
Semaglutide 0.4 mg1.002
Placebo1.002
Secondary/registry result

Change in Sodium (mmol/L)

Time frame:Baseline (week 0), Week 72

sodium serum

change from baseline, descriptive

LOINC 2951-2

Posted result

GroupValue (geometric_mean), Ratio of sodium95% CI
Semaglutide 0.1 mg0.999
Semaglutide 0.2 mg1.000
Semaglutide 0.4 mg1.002
Placebo1.002
Secondary/registry result

Change in Potassium (mEq/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of potassium95% CI
Semaglutide 0.1 mg1.004
Semaglutide 0.2 mg0.979
Semaglutide 0.4 mg0.998
Placebo0.998
Secondary/registry result

Change in Potassium (mmol/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of potassium95% CI
Semaglutide 0.1 mg1.004
Semaglutide 0.2 mg0.979
Semaglutide 0.4 mg0.998
Placebo0.998
Secondary/registry result

Change in Calcium (mg/dL)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of calcium95% CI
Semaglutide 0.1 mg1.017
Semaglutide 0.2 mg1.018
Semaglutide 0.4 mg1.008
Placebo1.010
Secondary/registry result

Change in Calcium (mmol/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of calcium95% CI
Semaglutide 0.1 mg1.017
Semaglutide 0.2 mg1.018
Semaglutide 0.4 mg1.008
Placebo1.010
Secondary/registry result

Change in Amylase

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of amylase95% CI
Semaglutide 0.1 mg1.155
Semaglutide 0.2 mg1.120
Semaglutide 0.4 mg1.170
Placebo1.051
Secondary/registry result

Change in Lipase

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of lipase95% CI
Semaglutide 0.1 mg1.305
Semaglutide 0.2 mg1.245
Semaglutide 0.4 mg1.375
Placebo1.003
Secondary/registry result

Change in Calcitonin

Time frame:Baseline (week 0), Week 72

Thyroid event

ratio, descriptive

Posted result

GroupValue (geometric_mean), Ratio of Calcitonin95% CI
Semaglutide 0.1 mg1.040
Semaglutide 0.2 mg0.937
Semaglutide 0.4 mg1.000
Placebo0.950
Secondary/protocol endpoint

Number of Treatment-emergent Adverse Events (TEAEs)

Time frame:From week 0 to week 79

Treatment-emergent AEs (any)

event count, event

Secondary/protocol endpoint

Number of Treatment-emergent Hypoglycaemic Episodes

Time frame:From week 0 to week 79

Documented hypoglycemia

event count, event

Secondary/protocol endpoint

Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes

Time frame:From week 0 to week 79

Documented hypoglycemia

event count, event

componentsSevere hypoglycemia, Documented hypoglycemia

Secondary/protocol endpoint

Number of Treatment-emergent Severe Hypoglycaemic Episodes

Time frame:From week 0 to week 79

Severe hypoglycemia

event count, event

Secondary/protocol endpoint

Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events

Time frame:From week 0 to week 79

Discontinuation due to AE

event count, event

Secondary/protocol endpoint

Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

categorical status, event

Secondary/protocol endpoint

Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

categorical status, event

Secondary/protocol endpoint

Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

categorical status, event

Secondary/protocol endpoint

Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No)

Time frame:From week 0 to week 79

Immunogenicity (ADA)

categorical status, event

Secondary/protocol endpoint

Percentage of Participants With Change in Electrocardiogram (ECG)

Time frame:Baseline (week 0), Week 72

descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Cardiovascular System

Time frame:Week -6, week 72

descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System

Time frame:Week -6, week 72

threshold achievement, descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth

Time frame:Week -6, week 72

threshold achievement, descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: General Appearance

Time frame:Week -6, week 72

threshold achievement, descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck

Time frame:Week -6, week 72

descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Lymph Node Palpation

Time frame:Week -6, week 72

threshold achievement, descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Musculoskeletal System

Time frame:Week -6, week 72

threshold achievement, descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Respiratory System

Time frame:Week -6, week 72

threshold achievement, descriptive

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Skin

Time frame:Week -6, week 72

threshold achievement, event

Secondary/protocol endpoint

Percentage of Participants With Change in Physical Examination: Thyroid Gland

Time frame:Week -6, week 72

threshold achievement, event

Secondary/protocol endpoint

Change in Haematocrit

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Secondary/protocol endpoint

Change in Erythrocytes

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Secondary/protocol endpoint

Change in Creatine Kinase

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint

Change in Potassium (mmol/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint

Change in Calcium (mg/dL)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint

Change in Calcium (mmol/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint

Change in Amylase

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint

Change in Lipase

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint

Change in Calcitonin

Time frame:Baseline (week 0), Week 72

Thyroid event

ratio, descriptive

Other (unclassified)

9 endpoints
Secondary/protocol endpoint/low confidence

Change in Interleukin-1 Receptor (IL-1R) Antagonist

Time frame:Baseline (week 0), Week 72

ratio, improvement

Secondary/protocol endpoint/low confidence

Change in Haemoglobin (g/dL)

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Secondary/protocol endpoint/low confidence

Change in Haemoglobin (mmol/L)

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Secondary/protocol endpoint/low confidence

Change in Leukocytes

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Secondary/protocol endpoint/low confidence

Change in Thrombocytes

Time frame:Baseline (week 0), Week 72

change from baseline, descriptive

Secondary/protocol endpoint/low confidence

Change in Urea

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint/low confidence

Change in Sodium (mEq/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint/low confidence

Change in Sodium (mmol/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Secondary/protocol endpoint/low confidence

Change in Potassium (mEq/L)

Time frame:Baseline (week 0), Week 72

ratio, descriptive

Publications (8)

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.