Skip to content

Efficacy and Safety of Oral Semaglutide Versus Liraglutide and Versus Placebo in Subjects With Type 2 Diabetes Mellitus

Efficacy and Safety of Oral Semaglutide Versus Liraglutide and Versus Placebo in Subjects With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02863419
Acronym
PIONEER 4
Enrollment
711
Registered
2016-08-11
Start date
2016-08-10
Completion date
2018-03-30
Last updated
2022-07-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes, Diabetes Mellitus, Type 2

Brief summary

This trial is conducted globally. The aim of this trial is to investigate efficacy and safety of oral Semaglutide versus Liraglutide and versus Placebo in Subjects with Type 2 Diabetes Mellitus.

Interventions

DRUGsemaglutide

Oral semaglutide once-daily.

DRUGliraglutide

Subcutaneous (s.c.) injection once-daily.

DRUGplacebo

Placebo once-daily.

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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. For Japan only: Male or female, age at least 20 years at the time of signing informed consent * Diagnosed with type 2 diabetes mellitus for at least 90 days prior to day of screening. * HbA1c (glycosylated haemoglobin) of 7.0-9.5 % (53-80.3 mmol/mol) (both inclusive) * Stable daily dose of metformin (above or equal to 1500 mg or maximum tolerated dose as documented in the subject medical record) alone or in combination with a stable daily dose of a SGLT-2 (sodium-glucose co-transporter-2) inhibitor for at least 90 days prior to day of screening (fixed-dose combinations are allowed)

Exclusion criteria

* Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice).For certain specific countries: Additional specific requirements apply * Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol * Family or personal history of Multiple Endocrine Neoplasia Type 2 (MEN 2) or Medullary Thyroid Carcinoma (MTC) * History of pancreatitis (acute or chronic) * History of major surgical procedures involving the stomach and potentially affecting absorption of trial product (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery) * Any of the following: myocardial infarction (MI), stroke or hospitalisation for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening * Subjects presently classified as being in New York Heart Association (NYHA) Class IV * Planned coronary, carotid or peripheral artery revascularisation known on the day of screening * Subjects with ALT (alanine aminotransferase) above 2.5 × upper normal limit (UNL) * Renal impairment defined as estimated Glomerular Filtration Rate (eGFR) below 60 mL/min/1.73 m\^2 as per Chronic Kidney Disease Epidemiology Collaboration formula (CKD-EPI) * Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria in a period of 90 days before the day of screening. An exception is short-term insulin treatment for acute illness for a total of below or equal to 14 days * Proliferative retinopathy or maculopathy requiring acute treatment. Verified by fundus photography or dilated fundoscopy performed within 90 days prior to randomisation * History or presence of malignant neoplasms within the last 5 years (except basal and squamous cell skin cancer and carcinoma in situ) * History of diabetic ketoacidosis

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1c (Week 26)Week 0, week 26Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Secondary

MeasureTime frameDescription
Change in HbA1c (Week 52)Week 0, week 52Change from baseline (week 0) in HbA1c was evaluated at 52 weeks. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Body Weight (Week 52)Week 0, week 52Change from baseline (week 0) in body weight was evaluated at 52 weeks. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Body Weight (%)Week 0, Week 26, Week 52Relative change from baseline (week 0) in body weight (kg) was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Fasting Plasma GlucoseWeek 0, week 26, week 52Change from baseline (week 0) in fasting plasma glucose (FPG) was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Body Mass IndexWeek 0, week 26, week 52Change from baseline (week 0) in body mass index (BMI) was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Waist CircumferenceWeek 0, week 26, week 52Change from baseline (week 0) in waist circumference was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Total Cholesterol - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in total cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in low-density lipoprotein (LDL) cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in VLDL cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in HDL cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Triglycerides - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in triglycerides (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Free Fatty Acids - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in free fatty acids (FFA) (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in SMPG - Mean 7-point ProfileWeek 0, week 26, week 52Change from baseline (week 0) to week 26 and week 52 in mean 7-point self-measured plasma glucose (SMPG) profile. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. Mean 7-point profile was defined as the area under the profile, calculated using the trapezoidal method, divided by the measurement time. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in SMPG - Mean Postprandial Increment Over All MealsWeek 0, week 26, week 52Change from baseline (week 0) in the average of the post-prandial increments over all meals was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26, week 52Participants who achieved HbA1c \<7.0% (American Diabetes Association (ADA) target) (yes/no), was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Participants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26, week 52Participants who achieved HbA1c less than or equal to 6.5% (American Association of Clinical Endocrinologists (AACE) target) (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Participants Who Achieve Weight Loss ≥5% (Yes/no)Week 26, week 52Participants who achieved weight loss more than or equal to 5% of their baseline body weight (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Participants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26, week 52Participants who achieved weight loss more than or equal to 10% of their baseline body weight (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Participants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26, week 52Participants who achieved HbA1c less than 7.0 % without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia and without weight gain (yes/no) at weeks 26 and 52 are presented. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia was defined as an episode with plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Body Weight (Week 26)Week 0, week 26Change from baseline (week 0) in body weight was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
Time to Additional Anti-diabetic MedicationWeeks 0-52Presented results are the number of participants who had taken additional anti-diabetic medication anytime during the periods, from week 0 to week 26 and week 0 to week 52. Additional anti-diabetic medication was defined as any new anti-diabetic medication used for more than 21 days with the initiation at or after randomisation (week 0) and before (planned) end-of-treatment (week 52), and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before (planned) end-of-treatment. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Time to Rescue MedicationWeeks 0-52Presented results are the number of participants who had taken rescue medication anytime during the periods, from week 0 to week 26 and week 0 to week 52. Rescue medication was defined as any new anti-diabetic medication used as add-on to trial product and used for more than 21 days with the initiation at or after randomisation (week 0) and before last day on trial product, and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before last day on trial product. Results are based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.
Number of Treatment-emergent Adverse Events (TEAEs) During Exposure to Trial ProductWeeks 0-57Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 57 (52-week treatment period plus the 5-week follow-up period). Adverse events (AEs) with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period: Time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Amylase - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in amylase (units/litre (U/L)) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Lipase - Ratio to BaselineWeek 0, week 26, week 52Change from baseline (week 0) in lipase (U/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Pulse RateWeek 0, week 26, week 52Change from baseline (week 0) in pulse rate was evaluated at weeks 26 and 52. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in SBP and DBPWeek 0, week 26, week 52Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated at weeks 26 and 52. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in ECG EvaluationWeek 0, week 26, week 52Change from baseline (week 0) in electrocardiogram (ECG) was evaluated at weeks 26 and week 52. Change from baseline results are presented as shift in findings (normal, abnormal and not clinically significant (NCS) and abnormal and clinically significant (CS)) from week 0 to week 26 and week 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Change in Physical ExaminationWeek -2, week 52Participants with physical examination findings, normal, abnormal NCS and abnormal CS at baseline (weeks -2) and weeks 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. Results are presented for the following examinations: 1) Cardiovascular system; 2) Central and peripheral nervous system; 3) Gastrointestinal system, incl. mouth; 4) General appearance; 5) Head, ears, eyes, nose, throat, neck; 6) Lymph node palpation; 7) Musculoskeletal system; 8) Respiratory system; 9) Skin; 10) Thyroid gland.
Change in Eye Examination CategoryWeek -2, Week 52Participants with eye examination (fundoscopy) findings, normal, abnormal NCS and abnormal CS at baseline (week -2) and week 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Occurrence of Anti-semaglutide Binding Antibodies (Yes/no)Weeks 0-57This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide binding antibodies anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Occurrence of Anti-semaglutide Neutralising Antibodies (Yes/no)Weeks 0-57This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide neutralising antibodies anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Occurrence of Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 (Yes/no)Week 0-57This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Occurrence of Anti-semaglutide Neutralising Antibodies Cross Reacting With Native GLP-1 (Yes/no)Weeks 0-57This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide neutralising antibodies cross reacting with native GLP-1 anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Anti-semaglutide Binding Antibody LevelsWeeks 0-57This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. It is based on the data from participants who were measured with anti-semaglutide antibodies anytime during post-baseline visits (weeks 0-57). Results are presented as percentage of bound radioactivity-labelled semaglutide /total added radioactivity-labelled semaglutide (%B/T). Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.
Number of Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic EpisodesWeeks 0-57Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 0-57 (52-week treatment period plus the 5-week follow-up period). Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period was defined as the time period when a subject was on treatment with trial product, including any period after initiation of rescue medication. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Participants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic EpisodesWeeks 0-57Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded from week 0 to week 57 (52-week treatment period plus the 5-week follow-up period). Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period was defined as the time period when a subject was on treatment with trial product, including any period after initiation of rescue medication. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Change in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Week 0, week 26, week 52Change from baseline (week 0) in Diabetes Treatment Satisfaction Questionnaire - status version (DTSQs) was evaluated at week 26 (wk 26) and week 52 (wk 52). The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 1, 4 -8. For items 2 and 3 a higher score indicates a higher patient perceived experience of hyperglycaemia and hypoglycaemia, respectively. Thus, lower scores indicate a perception of blood glucose levels being none of the time unacceptably high (item 2) or low (item 3). The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 1, 4-8. The score has a minimum of 0 and a maximum of 36. A higher treatment satisfaction score indicates a higher level of treatment satisfaction.
Participants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26, week 52Participants who achieved HbA1c reduction more than or equal to 1% of their baseline HbA1c and weight loss of more than or equal to 3% of their baseline body weight (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Countries

Croatia, Czechia, Germany, Hungary, Japan, Latvia, Poland, Puerto Rico, Slovakia, South Africa, Ukraine, United Arab Emirates, United States

Participant flow

Recruitment details

The trial was conducted at 101 sites in 12 countries as follows:Croatia (5), Czech Republic (3), Germany (8), Hungary (9), Japan (9), Latvia (4), Poland (9), Slovakia (5), South Africa (5), Ukraine (3), United Arab Emirates (2), United States (39).

Pre-assignment details

Data presented in participant flow is based on the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Participants by arm

ArmCount
Oral Semaglutide 14 mg
Participants were to take once-daily oral semaglutide tablets for 52 weeks. Participants started oral semaglutide at 3 mg and were dose-escalated in 4-week increments until the final maintenance dose of 14 mg once-daily was reached (i.e. 3 mg from week 0 to week 4, 7 mg from week 4 to week 8 and 14 mg from week 8 to week 52). In addition, participants were to take liraglutide placebo once-daily as a subcutaneous injection (under the skin) from week 0 to week 52. Participants were to continue their anti-diabetic background medication (metformin alone or in combination with a sodium-glucose co-transporter-2 \[SGLT-2\] inhibitor) throughout the entire trial.
285
Liraglutide 1.8 mg
Participants were to take once-daily liraglutide subcutaneous injection (under the skin) for 52 weeks. Participants started liraglutide at 0.6 mg and were dose-escalated in one-week increments until the final maintenance dose of 1.8 mg once-daily was reached (i.e. 0.6 mg from week 0 to week 1, 1.2 mg from week 1 to week 2 and 1.8 mg from week 2 to week 52). In addition, participants were to take oral semaglutide placebo tablets once-daily from week 0 to week 52. Participants were to continue their anti-diabetic background medication (metformin alone or in combination with a sodium-glucose co-transporter-2 \[SGLT-2\] inhibitor) throughout the entire trial.
284
Placebo
Participants were to take both oral semaglutide placebo tablets and liraglutide placebo once-daily as a subcutaneous injection (under the skin) from week 0 to week 52. Participants were to continue their anti-diabetic background medication (metformin alone or in combination with a sodium-glucose co-transporter-2 \[SGLT-2\] inhibitor) throughout the entire trial.
142
Total711

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDied341
Overall StudyLost to Follow-up014
Overall StudyWithdrawal by Subject553

Baseline characteristics

CharacteristicOral Semaglutide 14 mgLiraglutide 1.8 mgPlaceboTotal
Age, Continuous56 Years
STANDARD_DEVIATION 10
56 Years
STANDARD_DEVIATION 10
57 Years
STANDARD_DEVIATION 10
56 Years
STANDARD_DEVIATION 10
Baseline HbA1c8.0 Percentage of HbA1c
STANDARD_DEVIATION 0.7
8.0 Percentage of HbA1c
STANDARD_DEVIATION 0.7
7.9 Percentage of HbA1c
STANDARD_DEVIATION 0.7
8.0 Percentage of HbA1c
STANDARD_DEVIATION 0.7
Ethnicity (NIH/OMB)
Hispanic or Latino
17 Participants18 Participants5 Participants40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
268 Participants266 Participants137 Participants671 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants1 Participants1 Participants2 Participants
Race/Ethnicity, Customized
Asian
39 Participants36 Participants19 Participants94 Participants
Race/Ethnicity, Customized
Black or African American
12 Participants9 Participants8 Participants29 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Not Applicable
23 Participants17 Participants12 Participants52 Participants
Race/Ethnicity, Customized
Other
3 Participants8 Participants3 Participants14 Participants
Race/Ethnicity, Customized
White
208 Participants212 Participants99 Participants519 Participants
Sex: Female, Male
Female
138 Participants135 Participants68 Participants341 Participants
Sex: Female, Male
Male
147 Participants149 Participants74 Participants370 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
3 / 2854 / 2841 / 142
other
Total, other adverse events
148 / 285120 / 28447 / 142
serious
Total, serious adverse events
31 / 28522 / 28415 / 142

Outcome results

Primary

Change in HbA1c (Week 26)

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Time frame: Week 0, week 26

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in HbA1c (Week 26)In-trial-1.2 Percentage of HbA1cStandard Deviation 0.9
Oral Semaglutide 14 mgChange in HbA1c (Week 26)On-treatment without rescue medication-1.4 Percentage of HbA1cStandard Deviation 0.9
Liraglutide 1.8 mgChange in HbA1c (Week 26)In-trial-1.1 Percentage of HbA1cStandard Deviation 0.9
Liraglutide 1.8 mgChange in HbA1c (Week 26)On-treatment without rescue medication-1.2 Percentage of HbA1cStandard Deviation 0.9
PlaceboChange in HbA1c (Week 26)In-trial-0.1 Percentage of HbA1cStandard Deviation 0.7
PlaceboChange in HbA1c (Week 26)On-treatment without rescue medication-0.1 Percentage of HbA1cStandard Deviation 0.7
Comparison: The analysis was based on a pattern mixture model using multiple imputation to handle missing week 26 data, assuming that data were missing at random within the groups used for imputation. The imputed data sets were analysed using an analysis of covariance (ANCOVA) model with treatment, strata, and region as categorical fixed effects and baseline HbA1c value as covariate for each of the 1000 imputed complete data sets, and pooled by Rubin's rule to draw inference.p-value: <0.000195% CI: [-0.3, 0]Pattern mixture model
Comparison: The analysis was based on a pattern mixture model using multiple imputation to handle missing week 26 data, assuming that data were missing at random within the groups used for imputation. The imputed data sets were analysed using an ANCOVA model with treatment, strata, and region as categorical fixed effects and baseline HbA1c value as covariate for each of the 1000 imputed complete data sets, and pooled by Rubin's rule to draw inference.p-value: 0.064595% CI: [-0.3, 0]Pattern mixture model
Comparison: The analysis was based on a pattern mixture model using multiple imputation to handle missing week 26 data, assuming that data were missing at random within the groups used for imputation. The imputed data sets were analysed using an ANCOVA model with treatment, strata, and region as categorical fixed effects and baseline HbA1c value as covariate for each of the 1000 imputed complete data sets, and pooled by Rubin's rule to draw inference.p-value: <0.000195% CI: [-1.2, -0.9]Pattern mixture model
Comparison: The analysis was based on a mixed model for repeated measurements (MMRM) that assumed data to be missing at random. As dependent variables, the MMRM model included all post-baseline values collected at scheduled visits up to and including week 26. The independent effects were treatment, strata and region as categorical fixed effects and the baseline HbA1c value as a covariate, all nested within visit, and an unstructured residual covariance matrix.p-value: <0.000195% CI: [-0.3, -0.1]MMRM
Comparison: The analysis was based on a mixed model for repeated measurements (MMRM) that assumed data to be missing at random. As dependent variables, the MMRM model included all post-baseline values collected at scheduled visits up to and including week 26. The independent effects were treatment, strata and region as categorical fixed effects and the baseline HbA1c value as a covariate, all nested within visit, and an unstructured residual covariance matrix.p-value: 0.005695% CI: [-0.3, -0.1]MMRM
Comparison: The analysis was based on a mixed model for repeated measurements (MMRM) that assumed data to be missing at random. As dependent variables, the MMRM model included all post-baseline values collected at scheduled visits up to and including week 26. The independent effects were treatment, strata and region as categorical fixed effects and the baseline HbA1c value as a covariate, all nested within visit, and an unstructured residual covariance matrix.p-value: 0.000195% CI: [-1.4, -1]MMRM
Secondary

Anti-semaglutide Binding Antibody Levels

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. It is based on the data from participants who were measured with anti-semaglutide antibodies anytime during post-baseline visits (weeks 0-57). Results are presented as percentage of bound radioactivity-labelled semaglutide /total added radioactivity-labelled semaglutide (%B/T). Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Weeks 0-57

Population: Overall number of participants analysed = participants who were found positive for anti-semaglutide antibodies.

Secondary

Change in Amylase - Ratio to Baseline

Change from baseline (week 0) in amylase (units/litre (U/L)) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Amylase - Ratio to BaselineWeek 261.13 Ratio of amylaseGeometric Coefficient of Variation 24.9
Oral Semaglutide 14 mgChange in Amylase - Ratio to BaselineWeek 521.14 Ratio of amylaseGeometric Coefficient of Variation 27.4
Liraglutide 1.8 mgChange in Amylase - Ratio to BaselineWeek 261.11 Ratio of amylaseGeometric Coefficient of Variation 26.1
Liraglutide 1.8 mgChange in Amylase - Ratio to BaselineWeek 521.10 Ratio of amylaseGeometric Coefficient of Variation 26.1
PlaceboChange in Amylase - Ratio to BaselineWeek 260.99 Ratio of amylaseGeometric Coefficient of Variation 23.1
PlaceboChange in Amylase - Ratio to BaselineWeek 520.98 Ratio of amylaseGeometric Coefficient of Variation 21.9
Secondary

Change in Body Mass Index

Change from baseline (week 0) in body mass index (BMI) was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Body Mass IndexWeek 26-1.6 kg/m^2Standard Deviation 1.6
Oral Semaglutide 14 mgChange in Body Mass IndexWeek 52-1.6 kg/m^2Standard Deviation 2
Liraglutide 1.8 mgChange in Body Mass IndexWeek 26-1.1 kg/m^2Standard Deviation 1.3
Liraglutide 1.8 mgChange in Body Mass IndexWeek 52-1.1 kg/m^2Standard Deviation 1.5
PlaceboChange in Body Mass IndexWeek 26-0.2 kg/m^2Standard Deviation 1.1
PlaceboChange in Body Mass IndexWeek 52-0.4 kg/m^2Standard Deviation 1.4
Secondary

Change in Body Weight (%)

Relative change from baseline (week 0) in body weight (kg) was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, Week 26, Week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Body Weight (%)Week 52-4.94 Percentage changeStandard Deviation 6.37
Oral Semaglutide 14 mgChange in Body Weight (%)Week 26-4.89 Percentage changeStandard Deviation 4.95
Liraglutide 1.8 mgChange in Body Weight (%)Week 26-3.33 Percentage changeStandard Deviation 3.78
Liraglutide 1.8 mgChange in Body Weight (%)Week 52-3.25 Percentage changeStandard Deviation 4.33
PlaceboChange in Body Weight (%)Week 26-0.60 Percentage changeStandard Deviation 3.34
PlaceboChange in Body Weight (%)Week 52-0.99 Percentage changeStandard Deviation 4.12
Secondary

Change in Body Weight (Week 26)

Change from baseline (week 0) in body weight was evaluated at week 26. The endpoint was evaluated based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. The endpoint was also evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Time frame: Week 0, week 26

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Body Weight (Week 26)In-trial-4.4 KgStandard Deviation 4.4
Oral Semaglutide 14 mgChange in Body Weight (Week 26)On-treatment without rescue medication-4.7 KgStandard Deviation 4.3
Liraglutide 1.8 mgChange in Body Weight (Week 26)In-trial-3.2 KgStandard Deviation 3.7
Liraglutide 1.8 mgChange in Body Weight (Week 26)On-treatment without rescue medication-3.3 KgStandard Deviation 3.7
PlaceboChange in Body Weight (Week 26)In-trial-0.6 KgStandard Deviation 3.1
PlaceboChange in Body Weight (Week 26)On-treatment without rescue medication-0.7 KgStandard Deviation 3.1
Comparison: The analysis was based on a pattern mixture model using multiple imputation to handle missing week 26 data, assuming that data were missing at random within the groups used for imputation. The imputed data sets were analysed using an ANCOVA model with treatment, strata, and region as categorical fixed effects and baseline body weight value as covariate for each of the 1000 imputed complete data sets, and pooled by Rubin's rule to draw inference.p-value: 0.000395% CI: [-1.9, -0.6]Pattern mixture model
Comparison: The analysis was based on a pattern mixture model using multiple imputation to handle missing week 26 data, assuming that data were missing at random within the groups used for imputation. The imputed data sets were analysed using an ANCOVA model with treatment, strata, and region as categorical fixed effects and baseline body weight value as covariate for each of the 1000 imputed complete data sets, and pooled by Rubin's rule to draw inference.p-value: <0.000195% CI: [-4.7, -3]Pattern mixture model
Comparison: The analysis was based on a MMRM that assumed data to be missing at random. As dependent variables, the MMRM model included all post-baseline values collected at scheduled visits up to and including week 26. The independent effects were treatment, strata and region as categorical fixed effects and the baseline body weight value as a covariate, all nested within visit, and an unstructured residual covariance matrix.p-value: <0.000195% CI: [-2.2, -0.9]MMRM
Comparison: The analysis was based on a MMRM that assumed data to be missing at random. As dependent variables, the MMRM model included all post-baseline values collected at scheduled visits up to and including week 26. The independent effects were treatment, strata and region as categorical fixed effects and the baseline body weight value as a covariate, all nested within visit, and an unstructured residual covariance matrix.p-value: <0.000195% CI: [-4.8, -3.2]MMRM
Secondary

Change in Body Weight (Week 52)

Change from baseline (week 0) in body weight was evaluated at 52 weeks. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 52

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Body Weight (Week 52)-4.4 KgStandard Deviation 5.5
Liraglutide 1.8 mgChange in Body Weight (Week 52)-3.1 KgStandard Deviation 4.4
PlaceboChange in Body Weight (Week 52)-1.0 KgStandard Deviation 3.8
Secondary

Change in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)

Change from baseline (week 0) in Diabetes Treatment Satisfaction Questionnaire - status version (DTSQs) was evaluated at week 26 (wk 26) and week 52 (wk 52). The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 1, 4 -8. For items 2 and 3 a higher score indicates a higher patient perceived experience of hyperglycaemia and hypoglycaemia, respectively. Thus, lower scores indicate a perception of blood glucose levels being none of the time unacceptably high (item 2) or low (item 3). The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 1, 4-8. The score has a minimum of 0 and a maximum of 36. A higher treatment satisfaction score indicates a higher level of treatment satisfaction.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably low blood sugars: wk 26-0.18 Scores on a scaleStandard Deviation 1.81
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with treatment: wk 520.67 Scores on a scaleStandard Deviation 1.67
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably high blood sugars: wk 26-1.94 Scores on a scaleStandard Deviation 2.03
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably high blood sugars: wk 52-1.97 Scores on a scaleStandard Deviation 2.13
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with treatment: wk 260.72 Scores on a scaleStandard Deviation 1.49
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably low blood sugars: wk 52-0.17 Scores on a scaleStandard Deviation 1.85
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Convenience of treatment: wk 260.55 Scores on a scaleStandard Deviation 1.38
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Convenience of treatment: wk 520.50 Scores on a scaleStandard Deviation 1.47
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Flexibility of treatment: wk 260.45 Scores on a scaleStandard Deviation 1.53
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Flexibility of treatment: wk 520.38 Scores on a scaleStandard Deviation 1.52
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with understanding of diabetes: wk 260.66 Scores on a scaleStandard Deviation 1.31
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with understanding of diabetes: wk 520.65 Scores on a scaleStandard Deviation 1.29
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Recommending treatment to others: wk 260.57 Scores on a scaleStandard Deviation 1.47
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Recommending treatment to others: wk 520.60 Scores on a scaleStandard Deviation 1.55
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction to continue present treatment: wk 260.64 Scores on a scaleStandard Deviation 1.68
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction to continue present treatment: wk 520.60 Scores on a scaleStandard Deviation 1.81
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Total treatment satisfaction: wk 263.59 Scores on a scaleStandard Deviation 6.12
Oral Semaglutide 14 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Total treatment satisfaction: wk 523.41 Scores on a scaleStandard Deviation 6.81
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Total treatment satisfaction: wk 523.11 Scores on a scaleStandard Deviation 6.93
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with treatment: wk 260.73 Scores on a scaleStandard Deviation 1.54
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Flexibility of treatment: wk 520.40 Scores on a scaleStandard Deviation 1.62
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Recommending treatment to others: wk 260.63 Scores on a scaleStandard Deviation 1.59
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with treatment: wk 520.70 Scores on a scaleStandard Deviation 1.46
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction to continue present treatment: wk 260.74 Scores on a scaleStandard Deviation 1.76
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction to continue present treatment: wk 520.56 Scores on a scaleStandard Deviation 1.74
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably high blood sugars: wk 26-1.72 Scores on a scaleStandard Deviation 2.1
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with understanding of diabetes: wk 260.52 Scores on a scaleStandard Deviation 1.37
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Total treatment satisfaction: wk 263.44 Scores on a scaleStandard Deviation 6.51
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably high blood sugars: wk 52-1.71 Scores on a scaleStandard Deviation 2.11
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Flexibility of treatment: wk 260.43 Scores on a scaleStandard Deviation 1.48
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Recommending treatment to others: wk 520.48 Scores on a scaleStandard Deviation 1.61
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably low blood sugars: wk 260.03 Scores on a scaleStandard Deviation 1.9
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Convenience of treatment: wk 520.42 Scores on a scaleStandard Deviation 1.44
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with understanding of diabetes: wk 520.54 Scores on a scaleStandard Deviation 1.41
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably low blood sugars: wk 52-0.06 Scores on a scaleStandard Deviation 1.75
Liraglutide 1.8 mgChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Convenience of treatment: wk 260.39 Scores on a scaleStandard Deviation 1.48
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably low blood sugars: wk 52-0.14 Scores on a scaleStandard Deviation 1.45
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Convenience of treatment: wk 260.17 Scores on a scaleStandard Deviation 1.81
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Convenience of treatment: wk 520.21 Scores on a scaleStandard Deviation 1.75
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction to continue present treatment: wk 260.22 Scores on a scaleStandard Deviation 1.8
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Flexibility of treatment: wk 260.09 Scores on a scaleStandard Deviation 1.34
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Total treatment satisfaction: wk 521.23 Scores on a scaleStandard Deviation 6.96
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Flexibility of treatment: wk 520.14 Scores on a scaleStandard Deviation 1.51
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with understanding of diabetes: wk 260.38 Scores on a scaleStandard Deviation 1.18
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction to continue present treatment: wk 520.11 Scores on a scaleStandard Deviation 1.77
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with understanding of diabetes: wk 520.27 Scores on a scaleStandard Deviation 1.38
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with treatment: wk 260.28 Scores on a scaleStandard Deviation 1.69
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Satisfaction with treatment: wk 520.48 Scores on a scaleStandard Deviation 1.45
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Recommending treatment to others: wk 260.10 Scores on a scaleStandard Deviation 1.34
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably high blood sugars: wk 26-0.87 Scores on a scaleStandard Deviation 2.11
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably high blood sugars: wk 52-1.04 Scores on a scaleStandard Deviation 2.1
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Feeling of unacceptably low blood sugars: wk 26-0.07 Scores on a scaleStandard Deviation 1.57
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Recommending treatment to others: wk 520.02 Scores on a scaleStandard Deviation 1.7
PlaceboChange in DTSQs: Individual Items and Total Treatment Satisfaction Score (6 of the 8 Items Summed)Total treatment satisfaction: wk 261.24 Scores on a scaleStandard Deviation 6.71
Secondary

Change in ECG Evaluation

Change from baseline (week 0) in electrocardiogram (ECG) was evaluated at weeks 26 and week 52. Change from baseline results are presented as shift in findings (normal, abnormal and not clinically significant (NCS) and abnormal and clinically significant (CS)) from week 0 to week 26 and week 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal NCS (week 0) to Abnormal NCS (week 52)73 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal CS (week 0) to normal (week 26)0 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal CS (week 0) to Normal (week 52)0 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationNormal (week 0) to abnormal CS (week 26)0 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal CS (week 0) to abnormal NCS (week 26)2 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal NCS (week 0) to Normal (week 52)19 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal NCS (week 0) to abnormal NCS (week 26)81 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal CS (week 0) to abnormal CS (week 26)3 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal CS (week 0) to Abnormal NCS (week 52)1 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationNormal (week 0) to normal (week 26)130 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationNormal (week 0) to Normal (week 52)113 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal NCS (week 0) to Abnormal CS (week 52)0 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal NCS (week 0) to normal (week 26)15 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationNormal (week 0) to Abnormal NCS (week 52)31 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal NCS (week 0) to abnormal CS (week 26)0 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationAbnormal CS (week 0) to Abnormal CS (week 52)3 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationNormal (week 0) to Abnormal CS (week 52)1 Participants
Oral Semaglutide 14 mgChange in ECG EvaluationNormal (week 0) to abnormal NCS (week 26)19 Participants
Liraglutide 1.8 mgChange in ECG EvaluationNormal (week 0) to Abnormal CS (week 52)1 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal NCS (week 0) to Normal (week 52)26 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal NCS (week 0) to Abnormal NCS (week 52)73 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal NCS (week 0) to Abnormal CS (week 52)0 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal NCS (week 0) to abnormal NCS (week 26)75 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal CS (week 0) to Normal (week 52)3 Participants
Liraglutide 1.8 mgChange in ECG EvaluationNormal (week 0) to abnormal NCS (week 26)20 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal CS (week 0) to Abnormal NCS (week 52)1 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal NCS (week 0) to abnormal CS (week 26)0 Participants
Liraglutide 1.8 mgChange in ECG EvaluationNormal (week 0) to normal (week 26)123 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal CS (week 0) to normal (week 26)2 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal CS (week 0) to abnormal NCS (week 26)2 Participants
Liraglutide 1.8 mgChange in ECG EvaluationNormal (week 0) to abnormal CS (week 26)0 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal CS (week 0) to abnormal CS (week 26)7 Participants
Liraglutide 1.8 mgChange in ECG EvaluationNormal (week 0) to Normal (week 52)123 Participants
Liraglutide 1.8 mgChange in ECG EvaluationNormal (week 0) to Abnormal NCS (week 52)14 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal CS (week 0) to Abnormal CS (week 52)5 Participants
Liraglutide 1.8 mgChange in ECG EvaluationAbnormal NCS (week 0) to normal (week 26)27 Participants
PlaceboChange in ECG EvaluationNormal (week 0) to Abnormal NCS (week 52)5 Participants
PlaceboChange in ECG EvaluationNormal (week 0) to normal (week 26)67 Participants
PlaceboChange in ECG EvaluationNormal (week 0) to abnormal NCS (week 26)6 Participants
PlaceboChange in ECG EvaluationNormal (week 0) to abnormal CS (week 26)0 Participants
PlaceboChange in ECG EvaluationAbnormal NCS (week 0) to normal (week 26)19 Participants
PlaceboChange in ECG EvaluationAbnormal NCS (week 0) to abnormal NCS (week 26)33 Participants
PlaceboChange in ECG EvaluationAbnormal NCS (week 0) to abnormal CS (week 26)0 Participants
PlaceboChange in ECG EvaluationAbnormal CS (week 0) to normal (week 26)2 Participants
PlaceboChange in ECG EvaluationAbnormal CS (week 0) to abnormal NCS (week 26)1 Participants
PlaceboChange in ECG EvaluationAbnormal CS (week 0) to abnormal CS (week 26)0 Participants
PlaceboChange in ECG EvaluationNormal (week 0) to Normal (week 52)64 Participants
PlaceboChange in ECG EvaluationNormal (week 0) to Abnormal CS (week 52)1 Participants
PlaceboChange in ECG EvaluationAbnormal NCS (week 0) to Normal (week 52)14 Participants
PlaceboChange in ECG EvaluationAbnormal NCS (week 0) to Abnormal NCS (week 52)37 Participants
PlaceboChange in ECG EvaluationAbnormal NCS (week 0) to Abnormal CS (week 52)0 Participants
PlaceboChange in ECG EvaluationAbnormal CS (week 0) to Normal (week 52)2 Participants
PlaceboChange in ECG EvaluationAbnormal CS (week 0) to Abnormal NCS (week 52)1 Participants
PlaceboChange in ECG EvaluationAbnormal CS (week 0) to Abnormal CS (week 52)0 Participants
Secondary

Change in Eye Examination Category

Participants with eye examination (fundoscopy) findings, normal, abnormal NCS and abnormal CS at baseline (week -2) and week 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week -2, Week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Abnormal NCS to abnormal NCS63 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Normal to Abnormal NCS10 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Normal to Abnormal CS4 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Abnormal NCS to normal15 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Normal to Normal130 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Abnormal NCS to abnormal CS1 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Abnormal CS to normal1 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Abnormal CS to abnormal NCS5 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryLeft eye - Abnormal CS to abnormal CS7 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Normal to Normal127 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Normal to Abnormal NCS10 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Normal to Abnormal CS3 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Abnormal NCS to Normal16 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Abnormal NCS to Abnormal NCS64 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Abnormal NCS to Abnormal CS2 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Abnormal CS to Normal2 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Abnormal CS to Abnormal NCS5 Participants
Oral Semaglutide 14 mgChange in Eye Examination CategoryRight eye - Abnormal CS to Abnormal CS7 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Abnormal CS to Abnormal CS11 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Normal to Normal144 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Normal to Normal150 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Abnormal NCS to Normal12 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Normal to Abnormal NCS15 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Abnormal NCS to Abnormal CS1 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Abnormal CS to Normal3 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Normal to Abnormal CS4 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Normal to Abnormal NCS13 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Abnormal CS to Abnormal NCS2 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Abnormal NCS to normal13 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Abnormal CS to abnormal CS12 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Abnormal NCS to Abnormal NCS42 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Abnormal NCS to abnormal NCS43 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Abnormal CS to abnormal NCS3 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryRight eye - Normal to Abnormal CS4 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Abnormal NCS to abnormal CS1 Participants
Liraglutide 1.8 mgChange in Eye Examination CategoryLeft eye - Abnormal CS to normal3 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Abnormal NCS to abnormal CS1 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Abnormal CS to normal0 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Abnormal CS to abnormal NCS2 Participants
PlaceboChange in Eye Examination CategoryRight eye - Abnormal NCS to Abnormal CS1 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Abnormal CS to abnormal CS8 Participants
PlaceboChange in Eye Examination CategoryRight eye - Abnormal CS to Abnormal CS6 Participants
PlaceboChange in Eye Examination CategoryRight eye - Normal to Normal57 Participants
PlaceboChange in Eye Examination CategoryRight eye - Normal to Abnormal NCS7 Participants
PlaceboChange in Eye Examination CategoryRight eye - Abnormal CS to Normal1 Participants
PlaceboChange in Eye Examination CategoryRight eye - Normal to Abnormal CS2 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Normal to Normal57 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Normal to Abnormal NCS5 Participants
PlaceboChange in Eye Examination CategoryRight eye - Abnormal NCS to Normal6 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Normal to Abnormal CS2 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Abnormal NCS to normal5 Participants
PlaceboChange in Eye Examination CategoryLeft eye - Abnormal NCS to abnormal NCS38 Participants
PlaceboChange in Eye Examination CategoryRight eye - Abnormal NCS to Abnormal NCS37 Participants
PlaceboChange in Eye Examination CategoryRight eye - Abnormal CS to Abnormal NCS1 Participants
Secondary

Change in Fasting Plasma Glucose

Change from baseline (week 0) in fasting plasma glucose (FPG) was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Fasting Plasma GlucoseWeek 26-2.04 mmol/LStandard Deviation 2.28
Oral Semaglutide 14 mgChange in Fasting Plasma GlucoseWeek 52-1.91 mmol/LStandard Deviation 2.41
Liraglutide 1.8 mgChange in Fasting Plasma GlucoseWeek 26-1.91 mmol/LStandard Deviation 2.05
Liraglutide 1.8 mgChange in Fasting Plasma GlucoseWeek 52-1.54 mmol/LStandard Deviation 2.41
PlaceboChange in Fasting Plasma GlucoseWeek 26-0.33 mmol/LStandard Deviation 2.03
PlaceboChange in Fasting Plasma GlucoseWeek 52-0.66 mmol/LStandard Deviation 1.99
Secondary

Change in Free Fatty Acids - Ratio to Baseline

Change from baseline (week 0) in free fatty acids (FFA) (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Free Fatty Acids - Ratio to BaselineWeek 260.94 Ratio of FFAGeometric Coefficient of Variation 48
Oral Semaglutide 14 mgChange in Free Fatty Acids - Ratio to BaselineWeek 520.83 Ratio of FFAGeometric Coefficient of Variation 49.3
Liraglutide 1.8 mgChange in Free Fatty Acids - Ratio to BaselineWeek 520.87 Ratio of FFAGeometric Coefficient of Variation 51.2
Liraglutide 1.8 mgChange in Free Fatty Acids - Ratio to BaselineWeek 260.95 Ratio of FFAGeometric Coefficient of Variation 50.7
PlaceboChange in Free Fatty Acids - Ratio to BaselineWeek 261.06 Ratio of FFAGeometric Coefficient of Variation 49.1
PlaceboChange in Free Fatty Acids - Ratio to BaselineWeek 520.89 Ratio of FFAGeometric Coefficient of Variation 46.8
Secondary

Change in HbA1c (Week 52)

Change from baseline (week 0) in HbA1c was evaluated at 52 weeks. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 52

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in HbA1c (Week 52)-1.2 Percentage of HbA1cStandard Deviation 1
Liraglutide 1.8 mgChange in HbA1c (Week 52)-0.9 Percentage of HbA1cStandard Deviation 1
PlaceboChange in HbA1c (Week 52)-0.1 Percentage of HbA1cStandard Deviation 0.9
Secondary

Change in High-density Lipoprotein (HDL) Cholesterol - Ratio to Baseline

Change from baseline (week 0) in HDL cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 261.02 Ratio of HDL-cholesterolGeometric Coefficient of Variation 13.8
Oral Semaglutide 14 mgChange in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 521.03 Ratio of HDL-cholesterolGeometric Coefficient of Variation 13.8
Liraglutide 1.8 mgChange in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 261.02 Ratio of HDL-cholesterolGeometric Coefficient of Variation 15.2
Liraglutide 1.8 mgChange in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 521.01 Ratio of HDL-cholesterolGeometric Coefficient of Variation 14.7
PlaceboChange in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 261.02 Ratio of HDL-cholesterolGeometric Coefficient of Variation 12.2
PlaceboChange in High-density Lipoprotein (HDL) Cholesterol - Ratio to BaselineWeek 521.00 Ratio of HDL-cholesterolGeometric Coefficient of Variation 12.7
Secondary

Change in Lipase - Ratio to Baseline

Change from baseline (week 0) in lipase (U/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Lipase - Ratio to BaselineWeek 261.33 Ratio of lipaseGeometric Coefficient of Variation 53.3
Oral Semaglutide 14 mgChange in Lipase - Ratio to BaselineWeek 521.28 Ratio of lipaseGeometric Coefficient of Variation 59.3
Liraglutide 1.8 mgChange in Lipase - Ratio to BaselineWeek 261.40 Ratio of lipaseGeometric Coefficient of Variation 58.8
Liraglutide 1.8 mgChange in Lipase - Ratio to BaselineWeek 521.32 Ratio of lipaseGeometric Coefficient of Variation 51.5
PlaceboChange in Lipase - Ratio to BaselineWeek 260.99 Ratio of lipaseGeometric Coefficient of Variation 45.7
PlaceboChange in Lipase - Ratio to BaselineWeek 520.96 Ratio of lipaseGeometric Coefficient of Variation 44.2
Secondary

Change in Low-density Lipoprotein (LDL) Cholesterol - Ratio to Baseline

Change from baseline (week 0) in low-density lipoprotein (LDL) cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 260.95 Ratio of LDL cholesterolGeometric Coefficient of Variation 29.9
Oral Semaglutide 14 mgChange in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 520.99 Ratio of LDL cholesterolGeometric Coefficient of Variation 31.6
Liraglutide 1.8 mgChange in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 260.97 Ratio of LDL cholesterolGeometric Coefficient of Variation 43.6
Liraglutide 1.8 mgChange in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 521.00 Ratio of LDL cholesterolGeometric Coefficient of Variation 38.5
PlaceboChange in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 260.99 Ratio of LDL cholesterolGeometric Coefficient of Variation 30.8
PlaceboChange in Low-density Lipoprotein (LDL) Cholesterol - Ratio to BaselineWeek 521.06 Ratio of LDL cholesterolGeometric Coefficient of Variation 33.1
Secondary

Change in Physical Examination

Participants with physical examination findings, normal, abnormal NCS and abnormal CS at baseline (weeks -2) and weeks 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. Results are presented for the following examinations: 1) Cardiovascular system; 2) Central and peripheral nervous system; 3) Gastrointestinal system, incl. mouth; 4) General appearance; 5) Head, ears, eyes, nose, throat, neck; 6) Lymph node palpation; 7) Musculoskeletal system; 8) Respiratory system; 9) Skin; 10) Thyroid gland.

Time frame: Week -2, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgChange in Physical Examination4) General appearance (Week -2)Abnormal CS15 Participants
Oral Semaglutide 14 mgChange in Physical Examination2) Central and peripheral nervous system (Week -2)Abnormal NCS16 Participants
Oral Semaglutide 14 mgChange in Physical Examination7) Musculoskeletal system (Week 52)Abnormal NCS11 Participants
Oral Semaglutide 14 mgChange in Physical Examination4) General appearance (Week 52)Normal208 Participants
Oral Semaglutide 14 mgChange in Physical Examination10) Thyroid gland (Week 52)Normal267 Participants
Oral Semaglutide 14 mgChange in Physical Examination7) Musculoskeletal system (Week 52)Normal262 Participants
Oral Semaglutide 14 mgChange in Physical Examination4) General appearance (Week 52)Abnormal NCS59 Participants
Oral Semaglutide 14 mgChange in Physical Examination1) Cardiovascular system (Week -2)Abnormal NCS23 Participants
Oral Semaglutide 14 mgChange in Physical Examination7) Musculoskeletal system (Week -2)Abnormal CS3 Participants
Oral Semaglutide 14 mgChange in Physical Examination4) General appearance (Week 52)Abnormal CS8 Participants
Oral Semaglutide 14 mgChange in Physical Examination2) Central and peripheral nervous system (Week -2)Abnormal CS11 Participants
Oral Semaglutide 14 mgChange in Physical Examination7) Musculoskeletal system (Week -2)Abnormal NCS14 Participants
Oral Semaglutide 14 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Normal275 Participants
Oral Semaglutide 14 mgChange in Physical Examination1) Cardiovascular system (Week 52)Normal255 Participants
Oral Semaglutide 14 mgChange in Physical Examination7) Musculoskeletal system (Week -2)Normal268 Participants
Oral Semaglutide 14 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Abnormal NCS9 Participants
Oral Semaglutide 14 mgChange in Physical Examination9) Skin (Week 52)Abnormal NCS30 Participants
Oral Semaglutide 14 mgChange in Physical Examination6) Lymph node palpation (Week 52)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Abnormal CS1 Participants
Oral Semaglutide 14 mgChange in Physical Examination2) Central and peripheral nervous system (Week 52)Normal247 Participants
Oral Semaglutide 14 mgChange in Physical Examination6) Lymph node palpation (Week 52)Abnormal NCS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Normal267 Participants
Oral Semaglutide 14 mgChange in Physical Examination1) Cardiovascular system (Week -2)Normal260 Participants
Oral Semaglutide 14 mgChange in Physical Examination6) Lymph node palpation (Week 52)Normal275 Participants
Oral Semaglutide 14 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Abnormal NCS8 Participants
Oral Semaglutide 14 mgChange in Physical Examination9) Skin (Week 52)Normal243 Participants
Oral Semaglutide 14 mgChange in Physical Examination6) Lymph node palpation (Week -2)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination2) Central and peripheral nervous system (Week 52)Abnormal NCS20 Participants
Oral Semaglutide 14 mgChange in Physical Examination6) Lymph node palpation (Week -2)Abnormal NCS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination6) Lymph node palpation (Week -2)Normal285 Participants
Oral Semaglutide 14 mgChange in Physical Examination10) Thyroid gland (Week -2)Abnormal CS4 Participants
Oral Semaglutide 14 mgChange in Physical Examination9) Skin (Week -2)Abnormal CS2 Participants
Oral Semaglutide 14 mgChange in Physical Examination2) Central and peripheral nervous system (Week 52)Abnormal CS8 Participants
Oral Semaglutide 14 mgChange in Physical Examination1) Cardiovascular system (Week 52)Abnormal NCS19 Participants
Oral Semaglutide 14 mgChange in Physical Examination9) Skin (Week -2)Abnormal NCS40 Participants
Oral Semaglutide 14 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Normal275 Participants
Oral Semaglutide 14 mgChange in Physical Examination10) Thyroid gland (Week 52)Abnormal NCS5 Participants
Oral Semaglutide 14 mgChange in Physical Examination9) Skin (Week -2)Normal243 Participants
Oral Semaglutide 14 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Abnormal NCS10 Participants
Oral Semaglutide 14 mgChange in Physical Examination10) Thyroid gland (Week -2)Abnormal NCS5 Participants
Oral Semaglutide 14 mgChange in Physical Examination8) Respiratory system (Week 52)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination1) Cardiovascular system (Week 52)Abnormal CS1 Participants
Oral Semaglutide 14 mgChange in Physical Examination8) Respiratory system (Week 52)Abnormal NCS2 Participants
Oral Semaglutide 14 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Normal266 Participants
Oral Semaglutide 14 mgChange in Physical Examination1) Cardiovascular system (Week -2)Abnormal CS2 Participants
Oral Semaglutide 14 mgChange in Physical Examination8) Respiratory system (Week 52)Normal273 Participants
Oral Semaglutide 14 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Abnormal NCS9 Participants
Oral Semaglutide 14 mgChange in Physical Examination10) Thyroid gland (Week -2)Normal276 Participants
Oral Semaglutide 14 mgChange in Physical Examination8) Respiratory system (Week -2)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Abnormal CS0 Participants
Oral Semaglutide 14 mgChange in Physical Examination2) Central and peripheral nervous system (Week -2)Normal258 Participants
Oral Semaglutide 14 mgChange in Physical Examination8) Respiratory system (Week -2)Abnormal NCS3 Participants
Oral Semaglutide 14 mgChange in Physical Examination4) General appearance (Week -2)Normal203 Participants
Oral Semaglutide 14 mgChange in Physical Examination10) Thyroid gland (Week 52)Abnormal CS3 Participants
Oral Semaglutide 14 mgChange in Physical Examination8) Respiratory system (Week -2)Normal282 Participants
Oral Semaglutide 14 mgChange in Physical Examination4) General appearance (Week -2)Abnormal NCS67 Participants
Oral Semaglutide 14 mgChange in Physical Examination9) Skin (Week 52)Abnormal CS2 Participants
Oral Semaglutide 14 mgChange in Physical Examination7) Musculoskeletal system (Week 52)Abnormal CS2 Participants
Liraglutide 1.8 mgChange in Physical Examination9) Skin (Week 52)Abnormal NCS30 Participants
Liraglutide 1.8 mgChange in Physical Examination1) Cardiovascular system (Week -2)Normal249 Participants
Liraglutide 1.8 mgChange in Physical Examination1) Cardiovascular system (Week -2)Abnormal NCS26 Participants
Liraglutide 1.8 mgChange in Physical Examination1) Cardiovascular system (Week -2)Abnormal CS9 Participants
Liraglutide 1.8 mgChange in Physical Examination1) Cardiovascular system (Week 52)Normal236 Participants
Liraglutide 1.8 mgChange in Physical Examination1) Cardiovascular system (Week 52)Abnormal NCS24 Participants
Liraglutide 1.8 mgChange in Physical Examination1) Cardiovascular system (Week 52)Abnormal CS9 Participants
Liraglutide 1.8 mgChange in Physical Examination2) Central and peripheral nervous system (Week -2)Normal254 Participants
Liraglutide 1.8 mgChange in Physical Examination2) Central and peripheral nervous system (Week -2)Abnormal NCS16 Participants
Liraglutide 1.8 mgChange in Physical Examination2) Central and peripheral nervous system (Week -2)Abnormal CS14 Participants
Liraglutide 1.8 mgChange in Physical Examination2) Central and peripheral nervous system (Week 52)Normal239 Participants
Liraglutide 1.8 mgChange in Physical Examination2) Central and peripheral nervous system (Week 52)Abnormal NCS20 Participants
Liraglutide 1.8 mgChange in Physical Examination2) Central and peripheral nervous system (Week 52)Abnormal CS10 Participants
Liraglutide 1.8 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Normal271 Participants
Liraglutide 1.8 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Abnormal NCS13 Participants
Liraglutide 1.8 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Abnormal CS0 Participants
Liraglutide 1.8 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Normal260 Participants
Liraglutide 1.8 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Abnormal NCS9 Participants
Liraglutide 1.8 mgChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Abnormal CS0 Participants
Liraglutide 1.8 mgChange in Physical Examination4) General appearance (Week -2)Normal212 Participants
Liraglutide 1.8 mgChange in Physical Examination4) General appearance (Week -2)Abnormal NCS54 Participants
Liraglutide 1.8 mgChange in Physical Examination4) General appearance (Week -2)Abnormal CS18 Participants
Liraglutide 1.8 mgChange in Physical Examination4) General appearance (Week 52)Normal204 Participants
Liraglutide 1.8 mgChange in Physical Examination4) General appearance (Week 52)Abnormal NCS55 Participants
Liraglutide 1.8 mgChange in Physical Examination4) General appearance (Week 52)Abnormal CS10 Participants
Liraglutide 1.8 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Normal269 Participants
Liraglutide 1.8 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Abnormal NCS13 Participants
Liraglutide 1.8 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Abnormal CS2 Participants
Liraglutide 1.8 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Normal258 Participants
Liraglutide 1.8 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Abnormal NCS10 Participants
Liraglutide 1.8 mgChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Abnormal CS0 Participants
Liraglutide 1.8 mgChange in Physical Examination6) Lymph node palpation (Week -2)Normal283 Participants
Liraglutide 1.8 mgChange in Physical Examination6) Lymph node palpation (Week -2)Abnormal NCS1 Participants
Liraglutide 1.8 mgChange in Physical Examination6) Lymph node palpation (Week -2)Abnormal CS0 Participants
Liraglutide 1.8 mgChange in Physical Examination6) Lymph node palpation (Week 52)Normal268 Participants
Liraglutide 1.8 mgChange in Physical Examination6) Lymph node palpation (Week 52)Abnormal NCS1 Participants
Liraglutide 1.8 mgChange in Physical Examination6) Lymph node palpation (Week 52)Abnormal CS0 Participants
Liraglutide 1.8 mgChange in Physical Examination7) Musculoskeletal system (Week -2)Normal264 Participants
Liraglutide 1.8 mgChange in Physical Examination7) Musculoskeletal system (Week -2)Abnormal NCS17 Participants
Liraglutide 1.8 mgChange in Physical Examination7) Musculoskeletal system (Week -2)Abnormal CS3 Participants
Liraglutide 1.8 mgChange in Physical Examination7) Musculoskeletal system (Week 52)Normal257 Participants
Liraglutide 1.8 mgChange in Physical Examination7) Musculoskeletal system (Week 52)Abnormal NCS10 Participants
Liraglutide 1.8 mgChange in Physical Examination7) Musculoskeletal system (Week 52)Abnormal CS1 Participants
Liraglutide 1.8 mgChange in Physical Examination8) Respiratory system (Week -2)Normal278 Participants
Liraglutide 1.8 mgChange in Physical Examination8) Respiratory system (Week -2)Abnormal NCS5 Participants
Liraglutide 1.8 mgChange in Physical Examination8) Respiratory system (Week -2)Abnormal CS1 Participants
Liraglutide 1.8 mgChange in Physical Examination8) Respiratory system (Week 52)Normal262 Participants
Liraglutide 1.8 mgChange in Physical Examination8) Respiratory system (Week 52)Abnormal NCS6 Participants
Liraglutide 1.8 mgChange in Physical Examination8) Respiratory system (Week 52)Abnormal CS1 Participants
Liraglutide 1.8 mgChange in Physical Examination9) Skin (Week -2)Normal243 Participants
Liraglutide 1.8 mgChange in Physical Examination9) Skin (Week -2)Abnormal NCS36 Participants
Liraglutide 1.8 mgChange in Physical Examination9) Skin (Week -2)Abnormal CS5 Participants
Liraglutide 1.8 mgChange in Physical Examination9) Skin (Week 52)Normal235 Participants
Liraglutide 1.8 mgChange in Physical Examination9) Skin (Week 52)Abnormal CS4 Participants
Liraglutide 1.8 mgChange in Physical Examination10) Thyroid gland (Week -2)Normal277 Participants
Liraglutide 1.8 mgChange in Physical Examination10) Thyroid gland (Week -2)Abnormal NCS5 Participants
Liraglutide 1.8 mgChange in Physical Examination10) Thyroid gland (Week -2)Abnormal CS2 Participants
Liraglutide 1.8 mgChange in Physical Examination10) Thyroid gland (Week 52)Normal262 Participants
Liraglutide 1.8 mgChange in Physical Examination10) Thyroid gland (Week 52)Abnormal NCS6 Participants
Liraglutide 1.8 mgChange in Physical Examination10) Thyroid gland (Week 52)Abnormal CS1 Participants
PlaceboChange in Physical Examination4) General appearance (Week -2)Abnormal CS11 Participants
PlaceboChange in Physical Examination9) Skin (Week 52)Abnormal CS2 Participants
PlaceboChange in Physical Examination7) Musculoskeletal system (Week 52)Abnormal NCS7 Participants
PlaceboChange in Physical Examination4) General appearance (Week -2)Abnormal NCS22 Participants
PlaceboChange in Physical Examination1) Cardiovascular system (Week 52)Abnormal CS0 Participants
PlaceboChange in Physical Examination7) Musculoskeletal system (Week 52)Abnormal CS1 Participants
PlaceboChange in Physical Examination4) General appearance (Week -2)Normal109 Participants
PlaceboChange in Physical Examination1) Cardiovascular system (Week -2)Abnormal NCS12 Participants
PlaceboChange in Physical Examination8) Respiratory system (Week -2)Normal140 Participants
PlaceboChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Abnormal CS0 Participants
PlaceboChange in Physical Examination10) Thyroid gland (Week -2)Normal132 Participants
PlaceboChange in Physical Examination8) Respiratory system (Week -2)Abnormal NCS0 Participants
PlaceboChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Abnormal NCS10 Participants
PlaceboChange in Physical Examination1) Cardiovascular system (Week 52)Abnormal NCS15 Participants
PlaceboChange in Physical Examination8) Respiratory system (Week -2)Abnormal CS2 Participants
PlaceboChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week 52)Normal123 Participants
PlaceboChange in Physical Examination10) Thyroid gland (Week 52)Abnormal CS2 Participants
PlaceboChange in Physical Examination8) Respiratory system (Week 52)Normal131 Participants
PlaceboChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Abnormal CS0 Participants
PlaceboChange in Physical Examination10) Thyroid gland (Week -2)Abnormal NCS8 Participants
PlaceboChange in Physical Examination8) Respiratory system (Week 52)Abnormal NCS0 Participants
PlaceboChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Abnormal NCS9 Participants
PlaceboChange in Physical Examination1) Cardiovascular system (Week 52)Normal118 Participants
PlaceboChange in Physical Examination8) Respiratory system (Week 52)Abnormal CS2 Participants
PlaceboChange in Physical Examination3) Gastrointestinal system, incl. mouth (Week -2)Normal133 Participants
PlaceboChange in Physical Examination10) Thyroid gland (Week 52)Abnormal NCS4 Participants
PlaceboChange in Physical Examination9) Skin (Week -2)Normal122 Participants
PlaceboChange in Physical Examination2) Central and peripheral nervous system (Week 52)Abnormal CS7 Participants
PlaceboChange in Physical Examination10) Thyroid gland (Week -2)Abnormal CS2 Participants
PlaceboChange in Physical Examination9) Skin (Week -2)Abnormal NCS17 Participants
PlaceboChange in Physical Examination2) Central and peripheral nervous system (Week 52)Abnormal NCS11 Participants
PlaceboChange in Physical Examination1) Cardiovascular system (Week -2)Abnormal CS2 Participants
PlaceboChange in Physical Examination6) Lymph node palpation (Week -2)Normal142 Participants
PlaceboChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Abnormal CS0 Participants
PlaceboChange in Physical Examination9) Skin (Week -2)Abnormal CS3 Participants
PlaceboChange in Physical Examination6) Lymph node palpation (Week -2)Abnormal NCS0 Participants
PlaceboChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Abnormal NCS3 Participants
PlaceboChange in Physical Examination2) Central and peripheral nervous system (Week 52)Normal115 Participants
PlaceboChange in Physical Examination6) Lymph node palpation (Week -2)Abnormal CS0 Participants
PlaceboChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week 52)Normal129 Participants
PlaceboChange in Physical Examination1) Cardiovascular system (Week -2)Normal128 Participants
PlaceboChange in Physical Examination6) Lymph node palpation (Week 52)Normal133 Participants
PlaceboChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Abnormal CS1 Participants
PlaceboChange in Physical Examination9) Skin (Week 52)Normal114 Participants
PlaceboChange in Physical Examination6) Lymph node palpation (Week 52)Abnormal NCS0 Participants
PlaceboChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Abnormal NCS3 Participants
PlaceboChange in Physical Examination2) Central and peripheral nervous system (Week -2)Abnormal CS6 Participants
PlaceboChange in Physical Examination6) Lymph node palpation (Week 52)Abnormal CS0 Participants
PlaceboChange in Physical Examination5) Head, ears, eyes, nose, throat, neck (Week -2)Normal138 Participants
PlaceboChange in Physical Examination2) Central and peripheral nervous system (Week -2)Abnormal NCS13 Participants
PlaceboChange in Physical Examination7) Musculoskeletal system (Week -2)Normal131 Participants
PlaceboChange in Physical Examination4) General appearance (Week 52)Abnormal CS8 Participants
PlaceboChange in Physical Examination9) Skin (Week 52)Abnormal NCS17 Participants
PlaceboChange in Physical Examination7) Musculoskeletal system (Week -2)Abnormal NCS10 Participants
PlaceboChange in Physical Examination4) General appearance (Week 52)Abnormal NCS20 Participants
PlaceboChange in Physical Examination2) Central and peripheral nervous system (Week -2)Normal123 Participants
PlaceboChange in Physical Examination7) Musculoskeletal system (Week -2)Abnormal CS1 Participants
PlaceboChange in Physical Examination4) General appearance (Week 52)Normal105 Participants
PlaceboChange in Physical Examination10) Thyroid gland (Week 52)Normal127 Participants
PlaceboChange in Physical Examination7) Musculoskeletal system (Week 52)Normal124 Participants
Secondary

Change in Pulse Rate

Change from baseline (week 0) in pulse rate was evaluated at weeks 26 and 52. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Pulse RateWeek 262 Beats/minStandard Deviation 9
Oral Semaglutide 14 mgChange in Pulse RateWeek 522 Beats/minStandard Deviation 9
Liraglutide 1.8 mgChange in Pulse RateWeek 263 Beats/minStandard Deviation 11
Liraglutide 1.8 mgChange in Pulse RateWeek 523 Beats/minStandard Deviation 9
PlaceboChange in Pulse RateWeek 260 Beats/minStandard Deviation 9
PlaceboChange in Pulse RateWeek 520 Beats/minStandard Deviation 9
Secondary

Change in SBP and DBP

Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated at weeks 26 and 52. Results are based on the data from the on-treatment observation period which was the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in SBP and DBPDBP: 26 weeks-1 mmHgStandard Deviation 9
Oral Semaglutide 14 mgChange in SBP and DBPSBP: 26 weeks-4 mmHgStandard Deviation 13
Oral Semaglutide 14 mgChange in SBP and DBPDBP: 52 weeks-1 mmHgStandard Deviation 8
Oral Semaglutide 14 mgChange in SBP and DBPSBP: 52 weeks-3 mmHgStandard Deviation 14
Liraglutide 1.8 mgChange in SBP and DBPDBP: 26 weeks-0 mmHgStandard Deviation 9
Liraglutide 1.8 mgChange in SBP and DBPSBP: 52 weeks-3 mmHgStandard Deviation 13
Liraglutide 1.8 mgChange in SBP and DBPSBP: 26 weeks-4 mmHgStandard Deviation 13
Liraglutide 1.8 mgChange in SBP and DBPDBP: 52 weeks-1 mmHgStandard Deviation 9
PlaceboChange in SBP and DBPDBP: 52 weeks0 mmHgStandard Deviation 9
PlaceboChange in SBP and DBPSBP: 26 weeks-2 mmHgStandard Deviation 13
PlaceboChange in SBP and DBPSBP: 52 weeks-0 mmHgStandard Deviation 13
PlaceboChange in SBP and DBPDBP: 26 weeks-1 mmHgStandard Deviation 9
Secondary

Change in SMPG - Mean 7-point Profile

Change from baseline (week 0) to week 26 and week 52 in mean 7-point self-measured plasma glucose (SMPG) profile. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. Mean 7-point profile was defined as the area under the profile, calculated using the trapezoidal method, divided by the measurement time. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in SMPG - Mean 7-point ProfileWeek 52-2.2 mmol/LStandard Deviation 2.3
Oral Semaglutide 14 mgChange in SMPG - Mean 7-point ProfileWeek 26-2.2 mmol/LStandard Deviation 2.3
Liraglutide 1.8 mgChange in SMPG - Mean 7-point ProfileWeek 26-2.0 mmol/LStandard Deviation 2
Liraglutide 1.8 mgChange in SMPG - Mean 7-point ProfileWeek 52-1.8 mmol/LStandard Deviation 2.2
PlaceboChange in SMPG - Mean 7-point ProfileWeek 26-0.7 mmol/LStandard Deviation 1.8
PlaceboChange in SMPG - Mean 7-point ProfileWeek 52-0.9 mmol/LStandard Deviation 1.7
Secondary

Change in SMPG - Mean Postprandial Increment Over All Meals

Change from baseline (week 0) in the average of the post-prandial increments over all meals was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in SMPG - Mean Postprandial Increment Over All MealsWeek 26-0.7 mmol/LStandard Deviation 1.9
Oral Semaglutide 14 mgChange in SMPG - Mean Postprandial Increment Over All MealsWeek 52-0.5 mmol/LStandard Deviation 1.9
Liraglutide 1.8 mgChange in SMPG - Mean Postprandial Increment Over All MealsWeek 26-0.4 mmol/LStandard Deviation 2
Liraglutide 1.8 mgChange in SMPG - Mean Postprandial Increment Over All MealsWeek 52-0.5 mmol/LStandard Deviation 2.1
PlaceboChange in SMPG - Mean Postprandial Increment Over All MealsWeek 52-0.4 mmol/LStandard Deviation 1.9
PlaceboChange in SMPG - Mean Postprandial Increment Over All MealsWeek 26-0.2 mmol/LStandard Deviation 1.9
Secondary

Change in Total Cholesterol - Ratio to Baseline

Change from baseline (week 0) in total cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Total Cholesterol - Ratio to BaselineWeek 260.96 Ratio of total cholesterolGeometric Coefficient of Variation 20.3
Oral Semaglutide 14 mgChange in Total Cholesterol - Ratio to BaselineWeek 520.98 Ratio of total cholesterolGeometric Coefficient of Variation 20.5
Liraglutide 1.8 mgChange in Total Cholesterol - Ratio to BaselineWeek 520.98 Ratio of total cholesterolGeometric Coefficient of Variation 19.6
Liraglutide 1.8 mgChange in Total Cholesterol - Ratio to BaselineWeek 260.97 Ratio of total cholesterolGeometric Coefficient of Variation 21.6
PlaceboChange in Total Cholesterol - Ratio to BaselineWeek 260.99 Ratio of total cholesterolGeometric Coefficient of Variation 17
PlaceboChange in Total Cholesterol - Ratio to BaselineWeek 521.02 Ratio of total cholesterolGeometric Coefficient of Variation 18.3
Secondary

Change in Triglycerides - Ratio to Baseline

Change from baseline (week 0) in triglycerides (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Triglycerides - Ratio to BaselineWeek 260.89 Ratio of triglyceridesGeometric Coefficient of Variation 48.4
Oral Semaglutide 14 mgChange in Triglycerides - Ratio to BaselineWeek 520.87 Ratio of triglyceridesGeometric Coefficient of Variation 47
Liraglutide 1.8 mgChange in Triglycerides - Ratio to BaselineWeek 260.91 Ratio of triglyceridesGeometric Coefficient of Variation 38.3
Liraglutide 1.8 mgChange in Triglycerides - Ratio to BaselineWeek 520.89 Ratio of triglyceridesGeometric Coefficient of Variation 41.1
PlaceboChange in Triglycerides - Ratio to BaselineWeek 261.01 Ratio of triglyceridesGeometric Coefficient of Variation 34.7
PlaceboChange in Triglycerides - Ratio to BaselineWeek 520.97 Ratio of triglyceridesGeometric Coefficient of Variation 43.4
Secondary

Change in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to Baseline

Change from baseline (week 0) in VLDL cholesterol (mmol/L) at weeks 26 and 52 is presented as ratio to baseline. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Oral Semaglutide 14 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 260.90 Ratio of VLDL cholesterolGeometric Coefficient of Variation 43.5
Oral Semaglutide 14 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 520.87 Ratio of VLDL cholesterolGeometric Coefficient of Variation 41.9
Liraglutide 1.8 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 260.91 Ratio of VLDL cholesterolGeometric Coefficient of Variation 37.1
Liraglutide 1.8 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 520.90 Ratio of VLDL cholesterolGeometric Coefficient of Variation 37.5
PlaceboChange in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 261.02 Ratio of VLDL cholesterolGeometric Coefficient of Variation 29.4
PlaceboChange in Very Low Density Lipoprotein (VLDL) Cholesterol - Ratio to BaselineWeek 520.98 Ratio of VLDL cholesterolGeometric Coefficient of Variation 39.8
Secondary

Change in Waist Circumference

Change from baseline (week 0) in waist circumference was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0, week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Oral Semaglutide 14 mgChange in Waist CircumferenceWeek 26-4.2 cmStandard Deviation 5.4
Oral Semaglutide 14 mgChange in Waist CircumferenceWeek 52-4.4 cmStandard Deviation 6.1
Liraglutide 1.8 mgChange in Waist CircumferenceWeek 26-3.0 cmStandard Deviation 4.5
Liraglutide 1.8 mgChange in Waist CircumferenceWeek 52-2.7 cmStandard Deviation 5.1
PlaceboChange in Waist CircumferenceWeek 26-1.2 cmStandard Deviation 3.9
PlaceboChange in Waist CircumferenceWeek 52-1.7 cmStandard Deviation 4.7
Secondary

Number of Treatment-emergent Adverse Events (TEAEs) During Exposure to Trial Product

Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 57 (52-week treatment period plus the 5-week follow-up period). Adverse events (AEs) with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period: Time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Weeks 0-57

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants who received at least one dose of trial product.

ArmMeasureValue (NUMBER)
Oral Semaglutide 14 mgNumber of Treatment-emergent Adverse Events (TEAEs) During Exposure to Trial Product973 Events
Liraglutide 1.8 mgNumber of Treatment-emergent Adverse Events (TEAEs) During Exposure to Trial Product927 Events
PlaceboNumber of Treatment-emergent Adverse Events (TEAEs) During Exposure to Trial Product300 Events
Secondary

Number of Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic Episodes

Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded during weeks 0-57 (52-week treatment period plus the 5-week follow-up period). Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period was defined as the time period when a subject was on treatment with trial product, including any period after initiation of rescue medication. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.

Time frame: Weeks 0-57

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product.

ArmMeasureValue (NUMBER)
Oral Semaglutide 14 mgNumber of Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic Episodes2 Episodes
Liraglutide 1.8 mgNumber of Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic Episodes9 Episodes
PlaceboNumber of Treatment-emergent Severe or Blood Glucose-confirmed Symptomatic Hypoglycaemic Episodes3 Episodes
Secondary

Occurrence of Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 (Yes/no)

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 0-57

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgOccurrence of Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 (Yes/no)0 Participants
Secondary

Occurrence of Anti-semaglutide Binding Antibodies (Yes/no)

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide binding antibodies anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Weeks 0-57

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgOccurrence of Anti-semaglutide Binding Antibodies (Yes/no)0 Participants
Secondary

Occurrence of Anti-semaglutide Neutralising Antibodies Cross Reacting With Native GLP-1 (Yes/no)

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide neutralising antibodies cross reacting with native GLP-1 anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Weeks 0-57

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgOccurrence of Anti-semaglutide Neutralising Antibodies Cross Reacting With Native GLP-1 (Yes/no)0 Participants
Secondary

Occurrence of Anti-semaglutide Neutralising Antibodies (Yes/no)

This outcome measure is only applicable for the oral semaglutide 14 mg treatment arm. Number of participants who measured with anti-semaglutide neutralising antibodies anytime during post-baseline visits (weeks 0-57) are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Weeks 0-57

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgOccurrence of Anti-semaglutide Neutralising Antibodies (Yes/no)0 Participants
Secondary

Participants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)

Participants who achieved HbA1c less than or equal to 6.5% (American Association of Clinical Endocrinologists (AACE) target) (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26Yes133 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26No145 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 52Yes119 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 52No156 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 52No181 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26Yes116 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 52Yes88 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26No156 Participants
PlaceboParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 52No128 Participants
PlaceboParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26No127 Participants
PlaceboParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 52Yes5 Participants
PlaceboParticipants Who Achieve HbA1c <6.5% (48 mmol/Mol) AACE Target (Yes/no)Week 26Yes7 Participants
Secondary

Participants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)

Participants who achieved HbA1c \<7.0% (American Diabetes Association (ADA) target) (yes/no), was evaluated at weeks 26 and 52. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26Yes188 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26No90 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 52Yes167 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 52No108 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 52No121 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26Yes168 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 52Yes148 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26No104 Participants
PlaceboParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 52No113 Participants
PlaceboParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26No115 Participants
PlaceboParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 52Yes20 Participants
PlaceboParticipants Who Achieve HbA1c <7.0% (53 mmol/Mol) ADA Target (Yes/no)Week 26Yes19 Participants
Secondary

Participants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)

Participants who achieved HbA1c less than 7.0 % without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia and without weight gain (yes/no) at weeks 26 and 52 are presented. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia was defined as an episode with plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26Yes169 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26No109 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 52Yes155 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 52No120 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 52No139 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26Yes145 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 52Yes130 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26No126 Participants
PlaceboParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 52No118 Participants
PlaceboParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26No119 Participants
PlaceboParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 52Yes15 Participants
PlaceboParticipants Who Achieve HbA1c <7.0 % (53 mmol/Mol) Without Hypoglycaemia (Severe or BG Confirmed Symptomatic Hypoglycaemia) and no Weight Gain (Yes/no)Week 26Yes15 Participants
Secondary

Participants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)

Participants who achieved HbA1c reduction more than or equal to 1% of their baseline HbA1c and weight loss of more than or equal to 3% of their baseline body weight (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26Yes130 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26No148 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 52Yes120 Participants
Oral Semaglutide 14 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 52No155 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 52No192 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26Yes93 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 52Yes77 Participants
Liraglutide 1.8 mgParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26No178 Participants
PlaceboParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 52No124 Participants
PlaceboParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26No129 Participants
PlaceboParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 52Yes9 Participants
PlaceboParticipants Who Achieve HbA1c Reduction ≥1% (10.9 mmol/Mol) and Weight Loss ≥3% (Yes/no)Week 26Yes5 Participants
Secondary

Participants Who Achieve Weight Loss ≥ 10% (Yes/no)

Participants who achieved weight loss more than or equal to 10% of their baseline body weight (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26Yes39 Participants
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26No239 Participants
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 52Yes45 Participants
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 52No230 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 52No249 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26Yes16 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 52Yes20 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26No255 Participants
PlaceboParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 52No129 Participants
PlaceboParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26No134 Participants
PlaceboParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 52Yes4 Participants
PlaceboParticipants Who Achieve Weight Loss ≥ 10% (Yes/no)Week 26Yes0 Participants
Secondary

Participants Who Achieve Weight Loss ≥5% (Yes/no)

Participants who achieved weight loss more than or equal to 5% of their baseline body weight (yes/no) at weeks 26 and 52 are presented. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Week 26, week 52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 26Yes121 Participants
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 26No157 Participants
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 52Yes123 Participants
Oral Semaglutide 14 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 52No152 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 52No203 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 26Yes75 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 52Yes66 Participants
Liraglutide 1.8 mgParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 26No196 Participants
PlaceboParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 52No117 Participants
PlaceboParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 26No124 Participants
PlaceboParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 52Yes16 Participants
PlaceboParticipants Who Achieve Weight Loss ≥5% (Yes/no)Week 26Yes10 Participants
Secondary

Participants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes

Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were recorded from week 0 to week 57 (52-week treatment period plus the 5-week follow-up period). Hypoglycaemic episodes with onset during the on-treatment observation period were considered treatment-emergent. On-treatment observation period was defined as the time period when a subject was on treatment with trial product, including any period after initiation of rescue medication. Severe hypoglycaemia was defined as an episode requiring assistance of another person to actively administer carbohydrate or glucagon, or take other corrective actions. BG-confirmed symptomatic hypoglycaemia: Confirmed by a glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.

Time frame: Weeks 0-57

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of trial product.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgParticipants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes2 Participants
Liraglutide 1.8 mgParticipants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes7 Participants
PlaceboParticipants With Treatment-emergent Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes3 Participants
Secondary

Time to Additional Anti-diabetic Medication

Presented results are the number of participants who had taken additional anti-diabetic medication anytime during the periods, from week 0 to week 26 and week 0 to week 52. Additional anti-diabetic medication was defined as any new anti-diabetic medication used for more than 21 days with the initiation at or after randomisation (week 0) and before (planned) end-of-treatment (week 52), and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before (planned) end-of-treatment. Results are based on the data from the in-trial observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product.

Time frame: Weeks 0-52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgTime to Additional Anti-diabetic MedicationWeek 0 to week 2620 Participants
Oral Semaglutide 14 mgTime to Additional Anti-diabetic MedicationWeek 0 to week 5239 Participants
Liraglutide 1.8 mgTime to Additional Anti-diabetic MedicationWeek 0 to week 2616 Participants
Liraglutide 1.8 mgTime to Additional Anti-diabetic MedicationWeek 0 to week 5229 Participants
PlaceboTime to Additional Anti-diabetic MedicationWeek 0 to week 2612 Participants
PlaceboTime to Additional Anti-diabetic MedicationWeek 0 to week 5246 Participants
Comparison: Time to initiation of additional anti-diabetic medication was analysed using a Cox proportional hazards model with treatment, strata, and region as categorical fixed effects and baseline HbA1c as covariate. Withdrawal for any reason or lost to follow-up contributed to the analysis as events (initiation of additional anti-diabetic medication). Censoring time was one day before planned end of treatment.p-value: 0.491595% CI: [0.75, 1.8]Regression, Cox
Comparison: Time to initiation of additional anti-diabetic medication was analysed using a Cox proportional hazards model with treatment, strata, and region as categorical fixed effects and baseline HbA1c as covariate. Withdrawal for any reason or lost to follow-up contributed to the analysis as events (initiation of additional anti-diabetic medication). Censoring time was one day before planned end of treatment.p-value: <0.000195% CI: [0.21, 0.48]Regression, Cox
Secondary

Time to Rescue Medication

Presented results are the number of participants who had taken rescue medication anytime during the periods, from week 0 to week 26 and week 0 to week 52. Rescue medication was defined as any new anti-diabetic medication used as add-on to trial product and used for more than 21 days with the initiation at or after randomisation (week 0) and before last day on trial product, and/or intensification of anti-diabetic medication (a more than 20% increase in dose relative to baseline) for more than 21 days with the intensification at or after randomisation and before last day on trial product. Results are based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of rescue medication and/or premature trial product discontinuation.

Time frame: Weeks 0-52

Population: Overall number of participants analyzed = FAS which comprised all randomised participants.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Oral Semaglutide 14 mgTime to Rescue MedicationWeek 0 - week 2610 Participants
Oral Semaglutide 14 mgTime to Rescue MedicationWeek 0 - week 5220 Participants
Liraglutide 1.8 mgTime to Rescue MedicationWeek 0 - week 269 Participants
Liraglutide 1.8 mgTime to Rescue MedicationWeek 0 - week 5218 Participants
PlaceboTime to Rescue MedicationWeek 0 - week 2611 Participants
PlaceboTime to Rescue MedicationWeek 0 - week 5243 Participants
Comparison: Time to initiation of rescue medication was analysed using a Cox proportional hazards model with treatment, strata, and region as categorical fixed effects and baseline HbA1c as covariate. Censoring time was one day before last day on trial product.p-value: 0.625295% CI: [0.62, 2.22]Regression, Cox
Comparison: Time to initiation of rescue medication was analysed using a Cox proportional hazards model with treatment, strata, and region as categorical fixed effects and baseline HbA1c as covariate. Censoring time was one day before last day on trial product.p-value: <0.000195% CI: [0.09, 0.26]Regression, Cox

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026