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CompletedPhase 4Results posted

A Research Study Comparing Wegovy to Other Weight Management Drugs in People Living With Obesity in America

Effectiveness of Semaglutide 2.4 mg vs. Commercially Available Medications for Chronic Weight Management in Participants With Obesity in a Multi-employer Setting in The US - a Pragmatic Clinical Study

Lead sponsor

Novo Nordisk A/S

Assets

Liraglutide / Semaglutide

Listed sites

1

Recruiting sites

Enrollment

500

actual

Study population

Obesity / overweight

Key I/E criterion

Primary endpoint

≥10% weight-loss responders

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 IDNCT05579249
Org study IDNN9536-4741
Secondary IDU1111-1263-7301World Health Organization (WHO)

Timeline

Milestones

Study first posted2022-10-13actual
Study start2023-01-19actual
Primary completion2024-11-27actual
Study completion2024-11-27actual
Last update posted2026-01-14actual
Results first posted2026-01-14actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweight

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Body mass index (BMI) greater than equal to 30.0 kilogram per meter square (kg/m^2).
Employed at randomisation by one of the selected employers and expecting to be so for the duration of the study.

Exclusion criteria

Known or suspected hypersensitivity or contraindications to Wegovy or related products according to the label.
Known or suspected hypersensitivity or contraindications to all of the other Anti-Obesity Medications (AOMs) for chronic weight management (Xenical, Qsymia, Contrave, and Saxenda) or related products according to the labels.
Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly effective contraceptive method.
History of type 1 or type 2 diabetes mellitus.
Any disorder, unwillingness, or inability, not covered by any of the other exclusion criteria, which in the investigator's opinion might jeopardise participant's safety or compliance with protocol.

Endpoints (18)

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
8
Patient-reported / QoL
6
Safety / tolerability / PK
2
Other (unclassified)
2

Weight & body composition

8 endpoints
Primary/registry result

Number of Participants Who Achieved Greater Than or Equal to (≥) 10.0 Percent (%) Body Weight Reduction (Yes/no)

Time frame:At end of treatment (week 52)

≥10% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 2.4 mgYes132
No75
Other Anti-obesity Medications (AOMs)Yes61
No116
Odds Ratio (OR)3.1895% CI2.124.78p<0.0001Regression, Linear

Week 52 responses were analysed using a binary regression model with randomized treatment as factor and baseline body weight as covariate.

Primary/protocol endpoint

Number of Participants Who Achieved Greater Than or Equal to (≥) 10.0 Percent (%) Body Weight Reduction (Yes/no)

Time frame:At end of treatment (week 52)

≥10% weight-loss responders

threshold achievement, improvement

Secondary/registry result

Percentage Change in Body Weight

Time frame:Baseline (week 0), end of treatment (week 52)

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), Percentange change in body weight95% CI
Semaglutide 2.4 mg-13.6
Other Anti-obesity Medications (AOMs)-7.4
Secondary/registry result

Number of Participants Who Achieved Greater Than or Equal to (≥) 15.0% Body Weight Reduction (Yes/no)

Time frame:At end of treatment (week 52)

≥15% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 2.4 mgYes93
No114
Other Anti-obesity Medications (AOMs)Yes25
No152
Secondary/registry result

Number of Participants Who Achieved Greater Than or Equal to (≥) 20.0% Body Weight Reduction (Yes/no)

Time frame:At end of treatment (week 52)

≥20% weight-loss responders

threshold achievement, improvement

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 2.4 mgYes49
No158
Other Anti-obesity Medications (AOMs)Yes8
No169
Secondary/protocol endpoint

Percentage Change in Body Weight

Time frame:Baseline (week 0), end of treatment (week 52)

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

Number of Participants Who Achieved Greater Than or Equal to (≥) 15.0% Body Weight Reduction (Yes/no)

Time frame:At end of treatment (week 52)

≥15% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Number of Participants Who Achieved Greater Than or Equal to (≥) 20.0% Body Weight Reduction (Yes/no)

Time frame:At end of treatment (week 52)

≥20% weight-loss responders

threshold achievement, improvement

Patient-reported / QoL

6 endpoints
Secondary/registry result

Change in Impact of Weight on Quality of Life-Lite-Clinical Trials Version (IWQOL-Lite-CT) Physical Function Domain

Time frame:Baseline (week 0), end of treatment (week 52)

IWQOL-Lite physical

change from baseline, improvement

Posted result

GroupValue (mean), Score on a scale95% CI
Semaglutide 2.4 mg25.6
Other Anti-obesity Medications (AOMs)22.6
Secondary/registry result

Number of Participants Who Achieved Change in Impact of Weight on Quality of Life-Lite-Clinical Trials Version (IWQOL-Lite-CT) Physical Function Domain Score Greater Than or Equal to (≥) 14.6 (Yes/no)

Time frame:At end of treatment (week 52)

IWQOL-Lite physical

threshold achievement, improvement

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 2.4 mgYes138
No51
Other Anti-obesity Medications (AOMs)Yes108
No55
Secondary/registry result

Change in Work Limitations Questionnaire 25-item Version (WLQ-25), Total Score (TS)

Time frame:Baseline (week 0), end of treatment (week 52)

change from baseline, improvement

Posted result

GroupValue (mean), Score on a scale95% CI
Semaglutide 2.4 mg-0.034
Other Anti-obesity Medications (AOMs)-0.016
Secondary/protocol endpoint

Change in Impact of Weight on Quality of Life-Lite-Clinical Trials Version (IWQOL-Lite-CT) Physical Function Domain

Time frame:Baseline (week 0), end of treatment (week 52)

IWQOL-Lite physical

change from baseline, improvement

Secondary/protocol endpoint

Number of Participants Who Achieved Change in Impact of Weight on Quality of Life-Lite-Clinical Trials Version (IWQOL-Lite-CT) Physical Function Domain Score Greater Than or Equal to (≥) 14.6 (Yes/no)

Time frame:At end of treatment (week 52)

IWQOL-Lite physical

threshold achievement, improvement

Secondary/protocol endpoint

Change in Work Limitations Questionnaire 25-item Version (WLQ-25), Total Score (TS)

Time frame:Baseline (week 0), end of treatment (week 52)

change from baseline, improvement

Safety / tolerability / PK

2 endpoints
Secondary/registry result

Number of Participants Covered by Study Product Greater Than or Equal to (≥) 80% of Days (Yes/no)

Time frame:At end of treatment (week 52)

threshold achievement, descriptive

Posted result

GroupValue (count_of_participants), Participants95% CI
Semaglutide 2.4 mgYes168
No82
Other Anti-obesity Medications (AOMs)Yes113
No137
Secondary/protocol endpoint

Number of Participants Covered by Study Product Greater Than or Equal to (≥) 80% of Days (Yes/no)

Time frame:At end of treatment (week 52)

threshold achievement, descriptive

Other (unclassified)

2 endpoints
Secondary/registry result/low confidence

Percentage of Days Covered (PDC) by Study Product

Time frame:From week 0 to week 52

descriptive

Posted result

GroupValue (mean), Percentage of days covered95% CI
Semaglutide 2.4 mg83.7
Other Anti-obesity Medications (AOMs)70.8
Secondary/protocol endpoint/low confidence

Percentage of Days Covered (PDC) by Study Product

Time frame:From week 0 to week 52

descriptive

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.