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CompletedPhase 2Results posted

A Research Study to Investigate How Well NNC0165-1875 in Combination With Semaglutide Works in People With Obesity

Investigation of Efficacy and Safety of NNC0165-1875 as add-on to Semaglutide for Weight Management in Subjects With Obesity

Lead sponsor

Novo Nordisk A/S

Assets

NNC0165-1875 / Semaglutide

Listed sites

25

Recruiting sites

Enrollment

120

actual

Study population

Obesity / overweight

Key I/E criterion

BMI 30-45

Primary endpoints

Treatment-emergent AEs (any)Body weight, % 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 IDNCT04969939
Org study IDNN9775-4708
Secondary IDU1111-1254-9046WHO

Timeline

Milestones

Study start2021-07-15actual
Study first posted2021-07-21actual
Primary completion2022-12-06actual
Study completion2023-01-30actual
Last update posted2026-01-08actual
Results first posted2026-01-08actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweight

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion 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.
Male or female, age above or equal to 18 years at the time of signing informed consent.
BMI 30.0-45.0 kg/m^2 (both inclusive) at the screening visit.

Exclusion criteria

HbA1c greater than or equal to 48 mmol/mol (6.5%) as measured by a central laboratory at screening.
History of type 1 or type 2 diabetes mellitus.
Treatment with glucose-lowering agent(s) within 90 days before screening.

Endpoints (30)

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

Cardiometabolic biomarkers
12
Weight & body composition
6
Glycemic / diabetes
6
Safety / tolerability / PK
6

Weight & body composition

6 endpoints
Primary/registry result

Part 2b: Percentage Change in Body Weight

Time frame:Part 2: Randomisation (week 32), end of treatment (week 48)

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), Percentage change in body weight95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg-5.55
Part 2b: Placebo + Semaglutide 2.4 mg-3.06
Treatment difference (%-point)-2.1595% CI-4.24-0.06p0.0437ANCOVA

Week 48 responses were analysed using an analysis of covariance model with randomised treatment as factors and baseline body weight (kg) as covariate.

Primary/protocol endpoint

Part 2b: Percentage Change in Body Weight

Time frame:Part 2: Randomisation (week 32), end of treatment (week 48)

Body weight, % change

percent change from baseline, improvement

Secondary/registry result

Part 2b: Change in Body Weight (kg)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), kilograms (kg)95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg-4.54
Part 2b: Placebo + Semaglutide 2.4 mg-2.23
Secondary/registry result

Part 2b: Change in Waist Circumference

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), cm95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg-4.80
Part 2b: Placebo + Semaglutide 2.4 mg-2.69
Secondary/protocol endpoint

Part 2b: Change in Body Weight (kg)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Part 2b: Change in Waist Circumference

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Waist circumference, change

change from baseline, improvement

Glycemic / diabetes

6 endpoints
Secondary/registry result

Part 2b: Change in Glycosylated Haemoglobin (HbA1c)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (mean), Percentage point of HbA1c95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg-0.17
Part 2b: Placebo + Semaglutide 2.4 mg-0.17
Secondary/registry result

Part 2b: Change in Fasting Plasma Glucose (FPG)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (mean), mmol/l95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg0.08
Part 2b: Placebo + Semaglutide 2.4 mg-0.02
Secondary/registry result

Part 2b: Change in Fasting Insulin

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

change from baseline, improvement

Posted result

GroupValue (mean), pmol/l95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg-14.10
Part 2b: Placebo + Semaglutide 2.4 mg-8.10
Secondary/protocol endpoint

Part 2b: Change in Glycosylated Haemoglobin (HbA1c)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/protocol endpoint

Part 2b: Change in Fasting Plasma Glucose (FPG)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Secondary/protocol endpoint

Part 2b: Change in Fasting Insulin

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

change from baseline, improvement

Cardiometabolic biomarkers

12 endpoints
Secondary/registry result

Part 2b: Relative Change in Total Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Total cholesterol, change

ratio, improvement

LOINC 2093-3

Posted result

GroupValue (mean), Ratio of total cholesterol95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg1.00
Part 2b: Placebo + Semaglutide 2.4 mg1.07
Secondary/registry result

Part 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

HDL-C, change

ratio, improvement

LOINC 2085-9

Posted result

GroupValue (mean), Ratio of HDL cholesterol95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg1.02
Part 2b: Placebo + Semaglutide 2.4 mg1.08
Secondary/registry result

Part 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

LDL-C, change

ratio, improvement

LOINC 13457-7

Posted result

GroupValue (mean), Ratio of LDL cholesterol95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg1.01
Part 2b: Placebo + Semaglutide 2.4 mg1.08
Secondary/registry result

Part 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

VLDL, change

ratio, improvement

Posted result

GroupValue (mean), Ratio of VLDL cholesterol95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg0.96
Part 2b: Placebo + Semaglutide 2.4 mg1.04
Secondary/registry result

Part 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Triglycerides, change

ratio, improvement

LOINC 2571-8

Posted result

GroupValue (mean), Ratio of triglycerides95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg0.96
Part 2b: Placebo + Semaglutide 2.4 mg1.03
Secondary/registry result

Part 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Free fatty acids, change

ratio, improvement

Posted result

GroupValue (mean), Ratio of free fatty acids95% CI
Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg0.87
Part 2b: Placebo + Semaglutide 2.4 mg1.07
Secondary/protocol endpoint

Part 2b: Relative Change in Total Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Total cholesterol, change

ratio, improvement

LOINC 2093-3

Secondary/protocol endpoint

Part 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

HDL-C, change

ratio, improvement

LOINC 2085-9

Secondary/protocol endpoint

Part 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

LDL-C, change

ratio, improvement

LOINC 13457-7

Secondary/protocol endpoint

Part 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

VLDL, change

ratio, improvement

Secondary/protocol endpoint

Part 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Triglycerides, change

ratio, improvement

LOINC 2571-8

Secondary/protocol endpoint

Part 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)

Time frame:Part 2b: Randomisation (week 32), end of treatment (week 48)

Free fatty acids, change

ratio, improvement

Safety / tolerability / PK

6 endpoints
Primary/registry result

Part 1: Number of Treatment-emergent Adverse Events (TEAEs)

Time frame:Part 1: From time of dosing (day 1) to follow-up (week 24)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (number), Events95% CI
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg56
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mg71
Part 1: Placebo + Semaglutide 2.4 mg37
Primary/protocol endpoint

Part 1: Number of Treatment-emergent Adverse Events (TEAEs)

Time frame:Part 1: From time of dosing (day 1) to follow-up (week 24)

Treatment-emergent AEs (any)

event count, event

Secondary/registry result

Part 2b: Number of Treatment -Emergent Adverse Events (TEAEs)

Time frame:From randomisation (week 32) to end of the trial (week 56)

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (number), Events95% CI
Part 2b : NNC0165-1875 1.0 mg + Semaglutide 2.4 mg220
Part 2b : NNC0165-1875 2.0 mg + Semaglutide 2.4 mg45
Part 2b: Placebo + Semaglutide 2.4 mg56
Secondary/registry result

Part 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)

Time frame:From randomisation (week 32) to end of the trial (week 56)

Serious AEs (any)

event count, event

Posted result

GroupValue (number), Events95% CI
Part 2b : NNC0165-1875 1.0 mg + Semaglutide 2.4 mg2
Part 2b : NNC0165-1875 2.0 mg + Semaglutide 2.4 mg0
Part 2b: Placebo + Semaglutide 2.4 mg0
Secondary/protocol endpoint

Part 2b: Number of Treatment -Emergent Adverse Events (TEAEs)

Time frame:From randomisation (week 32) to end of the trial (week 56)

Treatment-emergent AEs (any)

event count, event

Secondary/protocol endpoint

Part 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)

Time frame:From randomisation (week 32) to end of the trial (week 56)

Serious AEs (any)

event count, event

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.