Hepatobiliary Disorders, Non-alcoholic Steatohepatitis
Conditions
Brief summary
Investigation of efficacy and safety of three dose levels of subcutaneous semaglutide once daily versus placebo in subjects with non-alcoholic steatohepatitis
Interventions
Once daily administration of semaglutide subcutaneously (s.c., under the skin) in three different doses (0.1 mg, 0.2 mg and 0.4 mg)
Once daily administration subcutaneously ( s.c., under the skin)
Sponsors
Study design
Eligibility
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 except for protocol described pre-screening activities which require a separate informed consent. - Male or female, aged 18-75 years (both inclusive) (for Japan: male or female aged 20-75 years (both inclusive)) at the time of signing informed consent - Local histological diagnosis of NASH followed by histological confirmation of NASH based on central pathologist evaluation of a liver biopsy obtained up to 21 weeks before screening - Histologic evidence of NASH based on central pathologist evaluation of a liver biopsy obtained up to 21 weeks before screening. - NASH fibrosis stage 1, 2 or 3 according to the NASH CRN fibrosis staging system based on central pathologist evaluation
Exclusion criteria
- Known or suspected abuse of alcohol (above 20 g/day for women or above 30 g/day for men), alcohol dependence\* or narcotics. (\* = assessed by the Alcohol Use Disorders Identification Test (AUDIT questionnaire)) - Diagnosis of type 1 diabetes according to medical records - HbA1c above 10% at screening - History or presence of pancreatitis (acute or chronic) - Calcitonin equal or above 50 ng/L at screening - Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative - Body Mass Index (BMI) ≤ 25.0 kg/sqm at the screening visit (visit 1) - Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using an adequate contraceptive method (adequate contraceptive measures as required by local regulation or practice)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | After 72 weeks | NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1 and hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning ranges from 0-2; lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | After 72 weeks | NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1; hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning range: 0-2; lobular inflammation range: 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, higher scores indicate greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3)last contact with participant (for participants lost to follow-up); 4)death. |
| Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Baseline (week 0), Week 72 | Percentage of participants who had worsened, improved or had no change in total NAS from baseline to week 72 is presented. Worsening is defined as an increase of at least 1 in the NAS; Improvement is defined as a decrease of at least 1 in the NAS; while no change corresponds to no change in NAS from baseline to week 72. NAS is calculated as the sum of scores for steatosis (0 to 3), lobular inflammation (0 to 3), and hepatocyte ballooning (0 to 2). Therefore, it is assessed on a scale of 0-8, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Percentage of Participants With Change in Steatosis | Baseline (week 0), Week 72 | Percentage of participants who had improved, worsened, or had no change in steatosis from baseline to week 72 is presented. Steatosis was assessed on a scale of 0-3, with higher scores indicating more severe steatosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Percentage of Participants With Change in Lobular Inflammation | Baseline (week 0), Week 72 | Percentage of participants who had improved, worsened, or had no change in lobular inflammation from baseline to week 72 is presented. Lobular inflammation was assessed on a scale of 0-3, with higher scores indicating more severe lobular inflammation. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Percentage of Participants With Change in Hepatocyte Ballooning | Baseline (week 0), Week 72 | Percentage of participants who had improved, worsened, or had no change in hepatocyte ballooning from baseline to week 72 is presented. Hepatocyte ballooning was assessed on a scale of 0-2, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Baseline (week 0), Week 72 | Percentage of participants who had improved, worsened, or had no change in fibrosis stage from baseline to week 72 is presented. The degree of fibrosis is described by the Kleiner fibrosis staging system, ranging from F0 (absence of fibrosis), F1 (portal/perisinusoidal fibrosis), F2 (perisinusoidal and portal/periportal fibrosis), F3 (septal or bridging fibrosis) through F4 (cirrhosis). The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Baseline (week 0), Week 72 | Percentage of participants who had improved, worsened, or had no change in the activity component of the SAF score from baseline to week 72 is presented. SAF score was assessed on a scale of 0-4, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Fibrosis-4 Score | Baseline (week 0), Week 72 | Change in fibrosis-4 score is presented as ratio to baseline. Fibrosis-4 is the ratio of age in years and aminotransferase to platelet count. It is a non-invasive hepatic fibrosis index score combining standard biochemical values, platelets, alanine aminotransferase (ALT), AST and age that is calculated using formula: Fibrosis-4 = (Age \[years\] x AST \[U/L\]) / (platelets \[10\^9/L\] x (square root of ALT \[U/L\])). A Fibrosis-4 index of \< 1.45 indicated no or moderate fibrosis and an index of \> 3.25 indicated extensive fibrosis/cirrhosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in NAFLD Fibrosis Score (NFS) | Baseline (week 0), Week 72 | Change in NFS from baseline to week 72 is presented. NFS is calculated using formula: NFS = -1.675 + 0.037 \* age (years) + 0.094 \* body mass index (BMI) (kg/m\^2) + 1.13 \* hyperglycaemia (yes/no) + 0.99 \* Aspartate aminotransferase (AST)/ Alanine aminotransferase (ALT) ratio + 0.013 × platelet count (\*10\^9/L) - 0.66 \* albumin (g/dL). The score is used to classify the probability of fibrosis. A score a) \< -1.5 indicates a low probability, b) \> -1.5 to \< 0.67 indicates intermediate probability, and a score of c) \> 0.67 indicates a high probability of liver fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Alanine Aminotransferase (ALT) | Baseline (week 0), Week 72 | Change in ALT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Aspartate Aminotransferase (AST) | Baseline (week 0), Week 72 | Change in AST (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Gamma Glutamyl Transferase (GGT) | Baseline (week 0), Week 72 | Change in GGT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Albumin | Baseline (week 0), Week 72 | Change in albumin (measured as grams per deciliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in International Normalized Ratio (INR) | Baseline (week 0), Week 72 | Change in INR is presented as ratio to baseline. INR is the ratio of measured prothrombin time over normal prothrombin time and it evaluates the extrinsic coagulation pathway (vitamin K dependent clotting factors II; V, VII, IX and X). These clotting factors are synthesised in the liver, thus INR is used as a marker of liver synthesis function. The therapeutic INR range varies, most commonly an INR 2-3 goal, but ranging from 1.5-4.0. Bleeding complications are more likely to occur above an INR value of 4.0. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Enhanced Liver Fibrosis (ELF) | Baseline (week 0), Week 72 | Change in ELF from baseline to week 72 is presented. The ELF discriminant score was derived as a log-linear combination of the markers hyaluronic acid (HA), amino-terminal propeptide of type III collagen (PIIINP) and tissue inhibitor of metalloproteinase 1 (TIMP1). ELF score = -7.412 + 0.681 × ln(HA (nanograms per millilitre (ng/mL)) + 0.775 × ln(P3NP (ng/mL)) + 0.494 × ln(TIMP1 (ng/mL)). ELF score: a) \< 7.7: no to mild fibrosis; b) ≥ 7.7 - \< 9.8: Moderate fibrosis; c) ≥ 9.8 - \< 11.3: Severe fibrosis; d) ≥ 11.3: Cirrhosis. A negative change from baseline indicates decreased fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Cytokeratin 18 (CK-18) Fragments | Baseline (week 0), Week 72 | Change in CK-18 fragments (M30, M65) (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in microRNA 122 (miR-122) | Baseline (week 0), Week 72 | Change in miR-122 (measured as 1/microliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Interleukin-1 Receptor (IL-1R) Antagonist | Baseline (week 0), Week 72 | Change in interleukin-1 receptor (IL-1R) antagonist (measured as picograms per milliliter) antagonist is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Monocyte Chemoattractant Protein 1 (MCP-1) | Baseline (week 0), Week 72 | Change in MCP-1 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Fibroblast Growth Factor 21 (FGF-21) | Baseline (week 0), Week 72 | Change in FGF-21 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Liver Stiffness Assessed by FibroScan® | Baseline (week 0), Week 72 | Change in liver stiffness (measured as kilopascal (kPa)) assessed by FibroScan® is presented as ratio to baseline. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) by measuring the stiffness of the liver. It's normally between 2 and 6 kPa. Many people with liver disease(s) have a result that's higher than the normal range. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Liver Steatosis Assessed by FibroScan® | Baseline (week 0), Week 72 | Change in liver steatosis assessed by FibroScan® from baseline to week 72 is presented. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) and steatosis (fatty change) in the liver. Fatty change is fat building up in the liver cells. To assess liver steatosis, the controlled attenuation parameter (CAP; giving an estimate of ultrasound attenuation ∼3.5 MegaHertz (MHz)) is available with the M probe of the FibroScan. The CAP score is measured in decibels per meter (dB/m). It ranges from 100 to 400 dB/m, with higher scores indicating higher amount of liver with fatty change. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Week 72 | Percentage of participants with weight loss of greater than or equal to (≥) 5% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 5% weight loss; 'No' infers percentage of participants who have not achieved ≥ 5% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal). |
| Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Week 72 | Pentage of participants with weight loss of ≥ 10% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 10% weight loss; 'No' infers percentage of participants who have not achieved ≥ 10% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal). |
| Change in Body Weight | Baseline (week 0), Week 72 | Change in body weight from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Waist Circumference | Baseline (week 0), Week 72 | Change in waist circumference from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Body Mass Index (BMI) | Baseline (week 0), Week 72 | Change in BMI from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Glycosylated Haemoglobin (HbA1c) (%-Point) | Baseline (week 0), Week 72 | Change in HbA1c (measured as percentage point of HbA1c) from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in HbA1c (Millimoles Per Mole) | Baseline (week 0), Week 72 | Change in HbA1c from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Fasting Plasma Glucose (FPG) | Baseline (week 0), Week 72 | Change in FPG from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Fasting Glucagon | Baseline (week 0), Week 72 | Change in fasting glucagon (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR) | Baseline (week 0), Week 72 | Change in HOMA-IR is presented as ratio to baseline. HOMA-IR was calculated as: Insulin resistance (%) = fasting plasma glucose \[mmol/L\] x fasting insulin \[mmol/L\]/ 22.5. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Diastolic Blood Pressure (DBP) | Baseline (week 0), Week 72 | Blood pressure was measured in a sitting position after 5 minutes of rest. Change in DBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Systolic Blood Pressure (SBP) | Baseline (week 0), Week 72 | Blood pressure was measured in a sitting position after 5 minutes of rest. Change in SBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Total Cholesterol | Baseline (week 0), Week 72 | Change in total cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Low Density Lipoprotein (LDL) Cholesterol | Baseline (week 0), Week 72 | Change in LDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in High Density Lipoprotein (HDL) Cholesterol | Baseline (week 0), Week 72 | Change in HDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Very Low Density Lipoprotein (VLDL) Cholesterol | Baseline (week 0), Week 72 | Change in VLDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Triglycerides | Baseline (week 0), Week 72 | Change in triglycerides (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Free Fatty Acids | Baseline (week 0), Week 72 | Change in free fatty acids (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in High Sensitivity C-reactive Protein (hsCRP) | Baseline (week 0), Week 72 | Change in hsCRP (measured as milligram per liter) from baseline to week 72 is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Short Form 36 (SF-36) Score | Baseline (week 0), Week 72 | Change in SF-36 score from baseline to week 72 is presented. SF-36 measures participant's overall health related quality of life (HRQoL). It is a 36-item generic measure of health status and yields 2 summary scores for physical health and mental health, and 8 domain scores (physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional, mental health). The scores 0-100 (where higher scores indicates a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of scores in the 2009 U.S. general population. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Number of Treatment-emergent Adverse Events (TEAEs) | From week 0 to week 79 | An adverse event (AE) was any untoward medical occurrence in a clinical trial participant administered or using a medicinal product, whether or not considered related to the medicinal product or usage. All AEs reported here are TEAEs. TEAE is defined as an event that had onset date during the on-treatment period. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half lives of semaglutide); 2) end of the in-trial period. |
| Number of Treatment-emergent Hypoglycaemic Episodes | From week 0 to week 79 | Hypoglycaemic episode (blood glucose less than or equal to (\<=) 3.9 mmol/L (70 mg/dL) Or greater than (\>) 3.9 mmol/L (70 mg/dL) occurring in conjunction with hypoglycaemic symptoms) is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes | From week 0 to week 79 | Severe or BG confirmed symptomatic hypoglycaemia: episode, severe as per american diabetes association (ADA) classification or BG confirmed by plasma glucose value \< 3.1 mmol/L(56mg/dL) with symptoms along with hypoglycaemia. Severe hypoglycaemia: episode requiring assistance of other person to actively administer carbohydrate, glucagon, or take corrective actions. Plasma glucose concentrations may not be available during event, but neurological recovery following return of plasma glucose to normal is sufficient evidence that event was induced by low plasma glucose concentration. Hypoglycaemic episode is treatment emergent if onset of it occurs during on-treatment period: period starting on day of first administration of trial product and ending on day of last dose of trial product+7 days; except for evaluation of AEs; hypoglycaemic episodes for which period ended on date of whatever came first:last dose of trial product + 49 days (7 half-lives of semaglutide); end of in-trial period. |
| Number of Treatment-emergent Severe Hypoglycaemic Episodes | From week 0 to week 79 | Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. Hypoglycaemic episode is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events | From week 0 to week 79 | Number of participants discontinuing treatment due to gastrointestinal adverse events is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | From week 0 to week 79 | Number of participants with occurrence of anti-semaglutide antibodies during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with occurrence of anti-semaglutide antibodies and 'No' infers number of participants without anti-semaglutide antibodies during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | From week 0 to week 79 | Number of participants with anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies with in vitro neutralising effect and 'No' infers number of participants without anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | From week 0 to week 79 | Number of participants with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies cross reacting with native GLP-1 and 'No' infers number of participants without anti-semaglutide antibodies cross reacting with native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | From week 0 to week 79 | Number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 and 'No' infers number of participants without cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. |
| Change in Pulse From Baseline to Week 72 | Baseline (week 0), Week 72 | Change in pulse from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Electrocardiogram (ECG) | Baseline (week 0), Week 72 | A 12-lead ECG was performed at baseline (week 0) and week 72 and categorised as normal, abnormal and not clinically significant (abnormal NCS) or abnormal and clinically significant (abnormal CS). Percentage of participants in each ECG category at week 0 and week 72 are presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6, week 72 | Percentage of participants with change in physical examination (cardiovascular system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6, week 72 | Percentage of participants with change in physical examination (central and peripheral nervous system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6, week 72 | Percentage of participants with change in physical examination (gastrointestinal system including mouth) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: General Appearance | Week -6, week 72 | Percentage of participants with change in physical examination (general appearance) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6, week 72 | Percentage of participants with change in physical examination (head, ears, eyes, nose, throat, neck) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6, week 72 | Percentage of participants with change in physical examination (lymph node palpation) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6, week 72 | Percentage of participants with change in physical examination (musculoskeletal system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6, week 72 | Percentage of participants with change in physical examination (respiratory system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Skin | Week -6, week 72 | Percentage of participants with change in physical examination (skin) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6, week 72 | Percentage of participants with change in physical examination (thyroid gland) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Haematocrit | Baseline (week 0), Week 72 | Change in haematocrit from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Haemoglobin (g/dL) | Baseline (week 0), Week 72 | Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Haemoglobin (mmol/L) | Baseline (week 0), Week 72 | Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Leukocytes | Baseline (week 0), Week 72 | Change in leukocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Thrombocytes | Baseline (week 0), Week 72 | Change in thrombocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Erythrocytes | Baseline (week 0), Week 72 | Change in erythrocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Creatinine (mg/dL) | Baseline (week 0), Week 72 | Change in creatinine (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Creatinine (Umol/L) | Baseline (week 0), Week 72 | Change in creatinine (measured as micro mole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Estimated Glomerular Filtration Rate (eGFR) | Baseline (week 0), Week 72 | Change in eGFR (measured as milliliter/minute/1.732 meter square (mL/min/1.73 m\^2)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Creatine Kinase | Baseline (week 0), Week 72 | Change in creatine kinase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Urea | Baseline (week 0), Week 72 | Change in urea (measured as milli mole per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Total Bilirubin (mg/dL) | Baseline (week 0), Week 72 | Change in total bilirubin (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Total Bilirubin (Umol/L) | Baseline (week 0), Week 72 | Change in total bilirubin (measured as micromole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Alkaline Phosphatase | Baseline (week 0), Week 72 | Change in alkaline phosphatase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Ferritin | Baseline (week 0), Week 72 | Change in ferritin (measured as microgram per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Sodium (mEq/L) | Baseline (week 0), Week 72 | Change in sodium (measured as milli equivalent per liter (mEq/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Sodium (mmol/L) | Baseline (week 0), Week 72 | Change in sodium (measured as milli mole per liter (mmol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Potassium (mEq/L) | Baseline (week 0), Week 72 | Change in potassium (measured as mEq/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Potassium (mmol/L) | Baseline (week 0), Week 72 | Change in potassium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Calcium (mg/dL) | Baseline (week 0), Week 72 | Change in calcium (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Calcium (mmol/L) | Baseline (week 0), Week 72 | Change in calcium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Amylase | Baseline (week 0), Week 72 | Change in amylase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Lipase | Baseline (week 0), Week 72 | Change in lipase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
| Change in Calcitonin | Baseline (week 0), Week 72 | Change in calcitonin (measured as nanograms per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period. |
Countries
Australia, Austria, Belgium, Bulgaria, Canada, Denmark, Finland, France, Greece, Japan, Netherlands, Puerto Rico, Russia, Spain, Sweden, United Kingdom, United States
Participant flow
Recruitment details
The trial was conducted at 114 sites in 16 countries as follows (number of sites that screened participants/ number of sites that randomised participants): Australia (4/ 3); Austria (3/ 3); Belgium (4/ 4); Bulgaria (2/ 2); Canada (9/ 7); Denmark (2/ 2); Finland (1/ 1); France (8/ 6); Greece (5/ 5); Japan (13/ 12); Netherlands (7/ 5); Russian Federation (25/ 17); Spain (6/ 5); Sweden (3/ 2); United Kingdom (15/ 11); United States (36/ 29).
Pre-assignment details
Participants were randomised in a 3:3:3:1:1:1 ratio to receive once-daily semaglutide or placebo subcutaneously. After randomisation, the participants entered a dose-escalation period, with increase in dose every 4 weeks until the target dose was reached.
Participants by arm
| Arm | Count |
|---|---|
| Semaglutide 0.1 mg Participants were to receive once daily subcutaneous (s.c.) injection of semaglutide for 72 weeks. Participants initially received 0.05 milligrams (mg) of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.1 mg was reached: 0.05 mg (week 1 to week 4) and 0.1 mg (week 5 to week 72). | 80 |
| Semaglutide 0.2 mg Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.2 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8) and 0.2 mg (week 9 to week 72). | 78 |
| Semaglutide 0.4 mg Participants were to receive once daily s.c. injection of semaglutide for 72 weeks. Participants initially received 0.05 mg of semaglutide and the dose was then escalated once in 4 weeks until the target dose of 0.4 mg was reached: 0.05 mg (week 1 to week 4), 0.1 mg (week 5 to week 8), 0.2 mg (week 9 to week 12), 0.3 mg (week 13 to week 16) and 0.4 mg (week 17 to week 72). | 82 |
| Placebo Participants were to receive once daily s.c. injection of placebo matched to semaglutide (0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg or 0.4 mg) for 72 weeks. | 80 |
| Total | 320 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Death | 0 | 1 | 0 | 0 |
| Overall Study | Lost to Follow-up | 1 | 0 | 2 | 1 |
| Overall Study | Withdrawal by Subject | 3 | 5 | 3 | 2 |
Baseline characteristics
| Characteristic | Semaglutide 0.1 mg | Semaglutide 0.2 mg | Semaglutide 0.4 mg | Placebo | Total |
|---|---|---|---|---|---|
| Age, Continuous | 55.2 years STANDARD_DEVIATION 10.9 | 58.1 years STANDARD_DEVIATION 9.9 | 54.3 years STANDARD_DEVIATION 10.2 | 52.4 years STANDARD_DEVIATION 10.8 | 55.0 years STANDARD_DEVIATION 10.6 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 7 Participants | 10 Participants | 14 Participants | 9 Participants | 40 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 69 Participants | 63 Participants | 65 Participants | 66 Participants | 263 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 4 Participants | 5 Participants | 3 Participants | 5 Participants | 17 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 3 Participants |
| Race/Ethnicity, Customized Asian | 10 Participants | 12 Participants | 14 Participants | 12 Participants | 48 Participants |
| Race/Ethnicity, Customized Black or African American | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Not applicable | 4 Participants | 5 Participants | 3 Participants | 5 Participants | 17 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 2 Participants |
| Race/Ethnicity, Customized White | 65 Participants | 59 Participants | 62 Participants | 62 Participants | 248 Participants |
| Sex: Female, Male Female | 51 Participants | 52 Participants | 47 Participants | 44 Participants | 194 Participants |
| Sex: Female, Male Male | 29 Participants | 26 Participants | 35 Participants | 36 Participants | 126 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 80 | 1 / 78 | 0 / 81 | 0 / 80 |
| other Total, other adverse events | 61 / 80 | 64 / 78 | 63 / 81 | 55 / 80 |
| serious Total, serious adverse events | 12 / 80 | 15 / 78 | 12 / 81 | 8 / 80 |
Outcome results
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)
NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1 and hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning ranges from 0-2; lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: After 72 weeks
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with fibrosis stage 2 or 3 at baseline who contributed to the analysis. In below table, 'Yes' infers percentage of participants who achieved NASH resolution without worsening of fibrosis and 'No' infers vice-versa; 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Missing | 5.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Yes | 40.4 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | No | 54.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Yes | 35.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | No | 47.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Missing | 16.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | No | 30.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Yes | 58.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Missing | 10.7 Percentage of participants |
| Placebo | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Missing | 8.6 Percentage of participants |
| Placebo | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | No | 74.1 Percentage of participants |
| Placebo | Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No) | Yes | 17.2 Percentage of participants |
Change in Alanine Aminotransferase (ALT)
Change in ALT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Alanine Aminotransferase (ALT) | 0.62 Ratio of ALT | Geometric Coefficient of Variation 62.7 |
| Semaglutide 0.2 mg | Change in Alanine Aminotransferase (ALT) | 0.57 Ratio of ALT | Geometric Coefficient of Variation 62.1 |
| Semaglutide 0.4 mg | Change in Alanine Aminotransferase (ALT) | 0.40 Ratio of ALT | Geometric Coefficient of Variation 68.2 |
| Placebo | Change in Alanine Aminotransferase (ALT) | 0.80 Ratio of ALT | Geometric Coefficient of Variation 60.3 |
Change in Albumin
Change in albumin (measured as grams per deciliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Albumin | 1.02 Ratio of albumin | Geometric Coefficient of Variation 5.6 |
| Semaglutide 0.2 mg | Change in Albumin | 1.01 Ratio of albumin | Geometric Coefficient of Variation 6 |
| Semaglutide 0.4 mg | Change in Albumin | 1.01 Ratio of albumin | Geometric Coefficient of Variation 5.4 |
| Placebo | Change in Albumin | 1.02 Ratio of albumin | Geometric Coefficient of Variation 6 |
Change in Alkaline Phosphatase
Change in alkaline phosphatase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Alkaline Phosphatase | 0.980 Ratio of alkaline phosphatase | Geometric Coefficient of Variation 45.68 |
| Semaglutide 0.2 mg | Change in Alkaline Phosphatase | 0.931 Ratio of alkaline phosphatase | Geometric Coefficient of Variation 43.59 |
| Semaglutide 0.4 mg | Change in Alkaline Phosphatase | 0.884 Ratio of alkaline phosphatase | Geometric Coefficient of Variation 54.9 |
| Placebo | Change in Alkaline Phosphatase | 0.992 Ratio of alkaline phosphatase | Geometric Coefficient of Variation 42.42 |
Change in Amylase
Change in amylase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Amylase | 1.155 Ratio of amylase | Geometric Coefficient of Variation 49.85 |
| Semaglutide 0.2 mg | Change in Amylase | 1.120 Ratio of amylase | Geometric Coefficient of Variation 65.01 |
| Semaglutide 0.4 mg | Change in Amylase | 1.170 Ratio of amylase | Geometric Coefficient of Variation 47.88 |
| Placebo | Change in Amylase | 1.051 Ratio of amylase | Geometric Coefficient of Variation 45.74 |
Change in Aspartate Aminotransferase (AST)
Change in AST (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Aspartate Aminotransferase (AST) | 0.66 Ratio of AST | Geometric Coefficient of Variation 55.1 |
| Semaglutide 0.2 mg | Change in Aspartate Aminotransferase (AST) | 0.63 Ratio of AST | Geometric Coefficient of Variation 46.6 |
| Semaglutide 0.4 mg | Change in Aspartate Aminotransferase (AST) | 0.50 Ratio of AST | Geometric Coefficient of Variation 45.8 |
| Placebo | Change in Aspartate Aminotransferase (AST) | 0.84 Ratio of AST | Geometric Coefficient of Variation 62.3 |
Change in Body Mass Index (BMI)
Change in BMI from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Body Mass Index (BMI) | -1.8 Kilograms per square meter | Standard Deviation 2.2 |
| Semaglutide 0.2 mg | Change in Body Mass Index (BMI) | -3.5 Kilograms per square meter | Standard Deviation 3.4 |
| Semaglutide 0.4 mg | Change in Body Mass Index (BMI) | -4.6 Kilograms per square meter | Standard Deviation 3.3 |
| Placebo | Change in Body Mass Index (BMI) | -0.3 Kilograms per square meter | Standard Deviation 1.8 |
Change in Body Weight
Change in body weight from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Body Weight | -4.8 Kilograms | Standard Deviation 6 |
| Semaglutide 0.2 mg | Change in Body Weight | -9.4 Kilograms | Standard Deviation 9.2 |
| Semaglutide 0.4 mg | Change in Body Weight | -12.3 Kilograms | Standard Deviation 8.6 |
| Placebo | Change in Body Weight | -1.0 Kilograms | Standard Deviation 4.9 |
Change in Calcitonin
Change in calcitonin (measured as nanograms per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Calcitonin | 1.040 Ratio of Calcitonin | Geometric Coefficient of Variation 62.98 |
| Semaglutide 0.2 mg | Change in Calcitonin | 0.937 Ratio of Calcitonin | Geometric Coefficient of Variation 65.42 |
| Semaglutide 0.4 mg | Change in Calcitonin | 1.000 Ratio of Calcitonin | Geometric Coefficient of Variation 66.24 |
| Placebo | Change in Calcitonin | 0.950 Ratio of Calcitonin | Geometric Coefficient of Variation 62.39 |
Change in Calcium (mg/dL)
Change in calcium (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Calcium (mg/dL) | 1.017 Ratio of calcium | Geometric Coefficient of Variation 20.37 |
| Semaglutide 0.2 mg | Change in Calcium (mg/dL) | 1.018 Ratio of calcium | Geometric Coefficient of Variation 20.49 |
| Semaglutide 0.4 mg | Change in Calcium (mg/dL) | 1.008 Ratio of calcium | Geometric Coefficient of Variation 20.88 |
| Placebo | Change in Calcium (mg/dL) | 1.010 Ratio of calcium | Geometric Coefficient of Variation 22.79 |
Change in Calcium (mmol/L)
Change in calcium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Calcium (mmol/L) | 1.017 Ratio of calcium | Geometric Coefficient of Variation 20.37 |
| Semaglutide 0.2 mg | Change in Calcium (mmol/L) | 1.018 Ratio of calcium | Geometric Coefficient of Variation 20.49 |
| Semaglutide 0.4 mg | Change in Calcium (mmol/L) | 1.008 Ratio of calcium | Geometric Coefficient of Variation 20.88 |
| Placebo | Change in Calcium (mmol/L) | 1.010 Ratio of calcium | Geometric Coefficient of Variation 22.79 |
Change in Creatine Kinase
Change in creatine kinase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Creatine Kinase | 0.975 Ratio of creatine kinase | Geometric Coefficient of Variation 73.02 |
| Semaglutide 0.2 mg | Change in Creatine Kinase | 0.798 Ratio of creatine kinase | Geometric Coefficient of Variation 77.96 |
| Semaglutide 0.4 mg | Change in Creatine Kinase | 0.825 Ratio of creatine kinase | Geometric Coefficient of Variation 74.17 |
| Placebo | Change in Creatine Kinase | 0.904 Ratio of creatine kinase | Geometric Coefficient of Variation 76.04 |
Change in Creatinine (mg/dL)
Change in creatinine (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Creatinine (mg/dL) | 1.018 Ratio of creatinine | Geometric Coefficient of Variation 30.7 |
| Semaglutide 0.2 mg | Change in Creatinine (mg/dL) | 1.069 Ratio of creatinine | Geometric Coefficient of Variation 42.19 |
| Semaglutide 0.4 mg | Change in Creatinine (mg/dL) | 1.026 Ratio of creatinine | Geometric Coefficient of Variation 35.17 |
| Placebo | Change in Creatinine (mg/dL) | 1.021 Ratio of creatinine | Geometric Coefficient of Variation 33.87 |
Change in Creatinine (Umol/L)
Change in creatinine (measured as micro mole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Creatinine (Umol/L) | 1.018 Ratio of creatinine | Geometric Coefficient of Variation 30.7 |
| Semaglutide 0.2 mg | Change in Creatinine (Umol/L) | 1.069 Ratio of creatinine | Geometric Coefficient of Variation 42.19 |
| Semaglutide 0.4 mg | Change in Creatinine (Umol/L) | 1.026 Ratio of creatinine | Geometric Coefficient of Variation 35.17 |
| Placebo | Change in Creatinine (Umol/L) | 1.021 Ratio of creatinine | Geometric Coefficient of Variation 33.87 |
Change in Cytokeratin 18 (CK-18) Fragments
Change in CK-18 fragments (M30, M65) (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Semaglutide 0.1 mg | Change in Cytokeratin 18 (CK-18) Fragments | M30 | 0.52 Ratio of CK-18 fragments | Geometric Coefficient of Variation 84.2 |
| Semaglutide 0.1 mg | Change in Cytokeratin 18 (CK-18) Fragments | M65 | 0.51 Ratio of CK-18 fragments | Geometric Coefficient of Variation 73.1 |
| Semaglutide 0.2 mg | Change in Cytokeratin 18 (CK-18) Fragments | M65 | 0.52 Ratio of CK-18 fragments | Geometric Coefficient of Variation 62.5 |
| Semaglutide 0.2 mg | Change in Cytokeratin 18 (CK-18) Fragments | M30 | 0.50 Ratio of CK-18 fragments | Geometric Coefficient of Variation 76.4 |
| Semaglutide 0.4 mg | Change in Cytokeratin 18 (CK-18) Fragments | M30 | 0.40 Ratio of CK-18 fragments | Geometric Coefficient of Variation 74.5 |
| Semaglutide 0.4 mg | Change in Cytokeratin 18 (CK-18) Fragments | M65 | 0.38 Ratio of CK-18 fragments | Geometric Coefficient of Variation 65.6 |
| Placebo | Change in Cytokeratin 18 (CK-18) Fragments | M30 | 0.78 Ratio of CK-18 fragments | Geometric Coefficient of Variation 106.9 |
| Placebo | Change in Cytokeratin 18 (CK-18) Fragments | M65 | 0.71 Ratio of CK-18 fragments | Geometric Coefficient of Variation 83.7 |
Change in Diastolic Blood Pressure (DBP)
Blood pressure was measured in a sitting position after 5 minutes of rest. Change in DBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Diastolic Blood Pressure (DBP) | 0 Millimeters of mercury | Standard Deviation 10 |
| Semaglutide 0.2 mg | Change in Diastolic Blood Pressure (DBP) | -2 Millimeters of mercury | Standard Deviation 11 |
| Semaglutide 0.4 mg | Change in Diastolic Blood Pressure (DBP) | -2 Millimeters of mercury | Standard Deviation 9 |
| Placebo | Change in Diastolic Blood Pressure (DBP) | -1 Millimeters of mercury | Standard Deviation 10 |
Change in Enhanced Liver Fibrosis (ELF)
Change in ELF from baseline to week 72 is presented. The ELF discriminant score was derived as a log-linear combination of the markers hyaluronic acid (HA), amino-terminal propeptide of type III collagen (PIIINP) and tissue inhibitor of metalloproteinase 1 (TIMP1). ELF score = -7.412 + 0.681 × ln(HA (nanograms per millilitre (ng/mL)) + 0.775 × ln(P3NP (ng/mL)) + 0.494 × ln(TIMP1 (ng/mL)). ELF score: a) \< 7.7: no to mild fibrosis; b) ≥ 7.7 - \< 9.8: Moderate fibrosis; c) ≥ 9.8 - \< 11.3: Severe fibrosis; d) ≥ 11.3: Cirrhosis. A negative change from baseline indicates decreased fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Enhanced Liver Fibrosis (ELF) | -0.4 score on a scale | Standard Deviation 0.7 |
| Semaglutide 0.2 mg | Change in Enhanced Liver Fibrosis (ELF) | -0.4 score on a scale | Standard Deviation 0.8 |
| Semaglutide 0.4 mg | Change in Enhanced Liver Fibrosis (ELF) | -0.6 score on a scale | Standard Deviation 0.8 |
| Placebo | Change in Enhanced Liver Fibrosis (ELF) | 0.1 score on a scale | Standard Deviation 0.7 |
Change in Erythrocytes
Change in erythrocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Erythrocytes | 0.038 10^12 cells per liter (10^12/L) | Standard Deviation 0.292 |
| Semaglutide 0.2 mg | Change in Erythrocytes | 0.004 10^12 cells per liter (10^12/L) | Standard Deviation 0.22 |
| Semaglutide 0.4 mg | Change in Erythrocytes | -0.034 10^12 cells per liter (10^12/L) | Standard Deviation 0.334 |
| Placebo | Change in Erythrocytes | 0.054 10^12 cells per liter (10^12/L) | Standard Deviation 0.314 |
Change in Estimated Glomerular Filtration Rate (eGFR)
Change in eGFR (measured as milliliter/minute/1.732 meter square (mL/min/1.73 m\^2)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Estimated Glomerular Filtration Rate (eGFR) | 0.976 Ratio of eGFR | Geometric Coefficient of Variation 28.04 |
| Semaglutide 0.2 mg | Change in Estimated Glomerular Filtration Rate (eGFR) | 0.940 Ratio of eGFR | Geometric Coefficient of Variation 40.47 |
| Semaglutide 0.4 mg | Change in Estimated Glomerular Filtration Rate (eGFR) | 0.973 Ratio of eGFR | Geometric Coefficient of Variation 31.42 |
| Placebo | Change in Estimated Glomerular Filtration Rate (eGFR) | 0.969 Ratio of eGFR | Geometric Coefficient of Variation 31.24 |
Change in Fasting Glucagon
Change in fasting glucagon (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Fasting Glucagon | 0.78 Ratio of glucagon | Geometric Coefficient of Variation 76.8 |
| Semaglutide 0.2 mg | Change in Fasting Glucagon | 0.65 Ratio of glucagon | Geometric Coefficient of Variation 94.8 |
| Semaglutide 0.4 mg | Change in Fasting Glucagon | 0.63 Ratio of glucagon | Geometric Coefficient of Variation 100.4 |
| Placebo | Change in Fasting Glucagon | 1.04 Ratio of glucagon | Geometric Coefficient of Variation 80.8 |
Change in Fasting Plasma Glucose (FPG)
Change in FPG from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Fasting Plasma Glucose (FPG) | -1.39 Millimoles per liter | Standard Deviation 2.53 |
| Semaglutide 0.2 mg | Change in Fasting Plasma Glucose (FPG) | -2.17 Millimoles per liter | Standard Deviation 1.82 |
| Semaglutide 0.4 mg | Change in Fasting Plasma Glucose (FPG) | -2.09 Millimoles per liter | Standard Deviation 2.68 |
| Placebo | Change in Fasting Plasma Glucose (FPG) | -0.34 Millimoles per liter | Standard Deviation 2.72 |
Change in Ferritin
Change in ferritin (measured as microgram per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Ferritin | 0.660 Ratio of ferritin | Geometric Coefficient of Variation 99.95 |
| Semaglutide 0.2 mg | Change in Ferritin | 0.617 Ratio of ferritin | Geometric Coefficient of Variation 88.7 |
| Semaglutide 0.4 mg | Change in Ferritin | 0.603 Ratio of ferritin | Geometric Coefficient of Variation 88.83 |
| Placebo | Change in Ferritin | 0.713 Ratio of ferritin | Geometric Coefficient of Variation 96.91 |
Change in Fibroblast Growth Factor 21 (FGF-21)
Change in FGF-21 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Fibroblast Growth Factor 21 (FGF-21) | 0.72 Ratio of FGF-21 | Geometric Coefficient of Variation 86.1 |
| Semaglutide 0.2 mg | Change in Fibroblast Growth Factor 21 (FGF-21) | 0.61 Ratio of FGF-21 | Geometric Coefficient of Variation 104.1 |
| Semaglutide 0.4 mg | Change in Fibroblast Growth Factor 21 (FGF-21) | 0.55 Ratio of FGF-21 | Geometric Coefficient of Variation 91.3 |
| Placebo | Change in Fibroblast Growth Factor 21 (FGF-21) | 0.76 Ratio of FGF-21 | Geometric Coefficient of Variation 64.8 |
Change in Fibrosis-4 Score
Change in fibrosis-4 score is presented as ratio to baseline. Fibrosis-4 is the ratio of age in years and aminotransferase to platelet count. It is a non-invasive hepatic fibrosis index score combining standard biochemical values, platelets, alanine aminotransferase (ALT), AST and age that is calculated using formula: Fibrosis-4 = (Age \[years\] x AST \[U/L\]) / (platelets \[10\^9/L\] x (square root of ALT \[U/L\])). A Fibrosis-4 index of \< 1.45 indicated no or moderate fibrosis and an index of \> 3.25 indicated extensive fibrosis/cirrhosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Fibrosis-4 Score | 0.81 Ratio of fibrosis-4 score | Geometric Coefficient of Variation 36.8 |
| Semaglutide 0.2 mg | Change in Fibrosis-4 Score | 0.77 Ratio of fibrosis-4 score | Geometric Coefficient of Variation 32.4 |
| Semaglutide 0.4 mg | Change in Fibrosis-4 Score | 0.77 Ratio of fibrosis-4 score | Geometric Coefficient of Variation 31.3 |
| Placebo | Change in Fibrosis-4 Score | 0.95 Ratio of fibrosis-4 score | Geometric Coefficient of Variation 43.1 |
Change in Free Fatty Acids
Change in free fatty acids (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Free Fatty Acids | 0.83 Ratio of free fatty acids | Geometric Coefficient of Variation 54.8 |
| Semaglutide 0.2 mg | Change in Free Fatty Acids | 0.92 Ratio of free fatty acids | Geometric Coefficient of Variation 73.2 |
| Semaglutide 0.4 mg | Change in Free Fatty Acids | 0.72 Ratio of free fatty acids | Geometric Coefficient of Variation 80.8 |
| Placebo | Change in Free Fatty Acids | 1.05 Ratio of free fatty acids | Geometric Coefficient of Variation 75.9 |
Change in Gamma Glutamyl Transferase (GGT)
Change in GGT (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Gamma Glutamyl Transferase (GGT) | 0.76 Ratio of GGT | Geometric Coefficient of Variation 52 |
| Semaglutide 0.2 mg | Change in Gamma Glutamyl Transferase (GGT) | 0.64 Ratio of GGT | Geometric Coefficient of Variation 51.6 |
| Semaglutide 0.4 mg | Change in Gamma Glutamyl Transferase (GGT) | 0.48 Ratio of GGT | Geometric Coefficient of Variation 60.2 |
| Placebo | Change in Gamma Glutamyl Transferase (GGT) | 0.92 Ratio of GGT | Geometric Coefficient of Variation 46.6 |
Change in Glycosylated Haemoglobin (HbA1c) (%-Point)
Change in HbA1c (measured as percentage point of HbA1c) from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Glycosylated Haemoglobin (HbA1c) (%-Point) | -0.7 Percentage point of HbA1c | Standard Deviation 1.1 |
| Semaglutide 0.2 mg | Change in Glycosylated Haemoglobin (HbA1c) (%-Point) | -1.2 Percentage point of HbA1c | Standard Deviation 0.9 |
| Semaglutide 0.4 mg | Change in Glycosylated Haemoglobin (HbA1c) (%-Point) | -1.2 Percentage point of HbA1c | Standard Deviation 1 |
| Placebo | Change in Glycosylated Haemoglobin (HbA1c) (%-Point) | -0.0 Percentage point of HbA1c | Standard Deviation 1 |
Change in Haematocrit
Change in haematocrit from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Haematocrit | -0.79 Percentage of haematocrit in blood | Standard Deviation 3.14 |
| Semaglutide 0.2 mg | Change in Haematocrit | -0.71 Percentage of haematocrit in blood | Standard Deviation 2.77 |
| Semaglutide 0.4 mg | Change in Haematocrit | -1.43 Percentage of haematocrit in blood | Standard Deviation 3.5 |
| Placebo | Change in Haematocrit | -0.41 Percentage of haematocrit in blood | Standard Deviation 3.53 |
Change in Haemoglobin (g/dL)
Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Haemoglobin (g/dL) | 0.18 Grams per deciliter (g/dL) | Standard Deviation 1.05 |
| Semaglutide 0.2 mg | Change in Haemoglobin (g/dL) | 0.08 Grams per deciliter (g/dL) | Standard Deviation 0.89 |
| Semaglutide 0.4 mg | Change in Haemoglobin (g/dL) | -0.07 Grams per deciliter (g/dL) | Standard Deviation 0.98 |
| Placebo | Change in Haemoglobin (g/dL) | 0.21 Grams per deciliter (g/dL) | Standard Deviation 1.08 |
Change in Haemoglobin (mmol/L)
Change in haemoglobin from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Haemoglobin (mmol/L) | 0.11 millimoles per liter (mmol/L) | Standard Deviation 0.65 |
| Semaglutide 0.2 mg | Change in Haemoglobin (mmol/L) | 0.05 millimoles per liter (mmol/L) | Standard Deviation 0.55 |
| Semaglutide 0.4 mg | Change in Haemoglobin (mmol/L) | -0.05 millimoles per liter (mmol/L) | Standard Deviation 0.61 |
| Placebo | Change in Haemoglobin (mmol/L) | 0.13 millimoles per liter (mmol/L) | Standard Deviation 0.67 |
Change in HbA1c (Millimoles Per Mole)
Change in HbA1c from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in HbA1c (Millimoles Per Mole) | -7.9 millimoles per mole | Standard Deviation 12.2 |
| Semaglutide 0.2 mg | Change in HbA1c (Millimoles Per Mole) | -12.8 millimoles per mole | Standard Deviation 9.5 |
| Semaglutide 0.4 mg | Change in HbA1c (Millimoles Per Mole) | -12.8 millimoles per mole | Standard Deviation 11.3 |
| Placebo | Change in HbA1c (Millimoles Per Mole) | -0.3 millimoles per mole | Standard Deviation 10.7 |
Change in High Density Lipoprotein (HDL) Cholesterol
Change in HDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in High Density Lipoprotein (HDL) Cholesterol | 1.04 Ratio of HDL cholesterol | Geometric Coefficient of Variation 16.1 |
| Semaglutide 0.2 mg | Change in High Density Lipoprotein (HDL) Cholesterol | 1.05 Ratio of HDL cholesterol | Geometric Coefficient of Variation 12.9 |
| Semaglutide 0.4 mg | Change in High Density Lipoprotein (HDL) Cholesterol | 1.09 Ratio of HDL cholesterol | Geometric Coefficient of Variation 16.4 |
| Placebo | Change in High Density Lipoprotein (HDL) Cholesterol | 1.01 Ratio of HDL cholesterol | Geometric Coefficient of Variation 12.9 |
Change in High Sensitivity C-reactive Protein (hsCRP)
Change in hsCRP (measured as milligram per liter) from baseline to week 72 is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in High Sensitivity C-reactive Protein (hsCRP) | 0.78 Ratio of hsCRP | Geometric Coefficient of Variation 114.6 |
| Semaglutide 0.2 mg | Change in High Sensitivity C-reactive Protein (hsCRP) | 0.50 Ratio of hsCRP | Geometric Coefficient of Variation 124.1 |
| Semaglutide 0.4 mg | Change in High Sensitivity C-reactive Protein (hsCRP) | 0.41 Ratio of hsCRP | Geometric Coefficient of Variation 114.6 |
| Placebo | Change in High Sensitivity C-reactive Protein (hsCRP) | 0.91 Ratio of hsCRP | Geometric Coefficient of Variation 85.8 |
Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)
Change in HOMA-IR is presented as ratio to baseline. HOMA-IR was calculated as: Insulin resistance (%) = fasting plasma glucose \[mmol/L\] x fasting insulin \[mmol/L\]/ 22.5. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR) | 0.77 Ratio of HOMA-IR | Geometric Coefficient of Variation 62.2 |
| Semaglutide 0.2 mg | Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR) | 0.60 Ratio of HOMA-IR | Geometric Coefficient of Variation 77.6 |
| Semaglutide 0.4 mg | Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR) | 0.58 Ratio of HOMA-IR | Geometric Coefficient of Variation 94.6 |
| Placebo | Change in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR) | 0.81 Ratio of HOMA-IR | Geometric Coefficient of Variation 127.5 |
Change in Interleukin-1 Receptor (IL-1R) Antagonist
Change in interleukin-1 receptor (IL-1R) antagonist (measured as picograms per milliliter) antagonist is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Interleukin-1 Receptor (IL-1R) Antagonist | 0.87 Ratio of IL-1R antagonist | Geometric Coefficient of Variation 49.3 |
| Semaglutide 0.2 mg | Change in Interleukin-1 Receptor (IL-1R) Antagonist | 0.85 Ratio of IL-1R antagonist | Geometric Coefficient of Variation 37.5 |
| Semaglutide 0.4 mg | Change in Interleukin-1 Receptor (IL-1R) Antagonist | 0.73 Ratio of IL-1R antagonist | Geometric Coefficient of Variation 47.9 |
| Placebo | Change in Interleukin-1 Receptor (IL-1R) Antagonist | 0.94 Ratio of IL-1R antagonist | Geometric Coefficient of Variation 41.7 |
Change in International Normalized Ratio (INR)
Change in INR is presented as ratio to baseline. INR is the ratio of measured prothrombin time over normal prothrombin time and it evaluates the extrinsic coagulation pathway (vitamin K dependent clotting factors II; V, VII, IX and X). These clotting factors are synthesised in the liver, thus INR is used as a marker of liver synthesis function. The therapeutic INR range varies, most commonly an INR 2-3 goal, but ranging from 1.5-4.0. Bleeding complications are more likely to occur above an INR value of 4.0. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in International Normalized Ratio (INR) | 0.97 Ratio of INR | Geometric Coefficient of Variation 18.8 |
| Semaglutide 0.2 mg | Change in International Normalized Ratio (INR) | 0.96 Ratio of INR | Geometric Coefficient of Variation 11.8 |
| Semaglutide 0.4 mg | Change in International Normalized Ratio (INR) | 0.93 Ratio of INR | Geometric Coefficient of Variation 22.3 |
| Placebo | Change in International Normalized Ratio (INR) | 0.99 Ratio of INR | Geometric Coefficient of Variation 19.3 |
Change in Leukocytes
Change in leukocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Leukocytes | 0.489 10^9 cells per liter (10^9/L) | Standard Deviation 1.564 |
| Semaglutide 0.2 mg | Change in Leukocytes | 0.260 10^9 cells per liter (10^9/L) | Standard Deviation 1.343 |
| Semaglutide 0.4 mg | Change in Leukocytes | -0.047 10^9 cells per liter (10^9/L) | Standard Deviation 1.532 |
| Placebo | Change in Leukocytes | 0.075 10^9 cells per liter (10^9/L) | Standard Deviation 1.733 |
Change in Lipase
Change in lipase (measured as units per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Lipase | 1.305 Ratio of lipase | Geometric Coefficient of Variation 77.43 |
| Semaglutide 0.2 mg | Change in Lipase | 1.245 Ratio of lipase | Geometric Coefficient of Variation 87.68 |
| Semaglutide 0.4 mg | Change in Lipase | 1.375 Ratio of lipase | Geometric Coefficient of Variation 73.88 |
| Placebo | Change in Lipase | 1.003 Ratio of lipase | Geometric Coefficient of Variation 66.72 |
Change in Liver Steatosis Assessed by FibroScan®
Change in liver steatosis assessed by FibroScan® from baseline to week 72 is presented. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) and steatosis (fatty change) in the liver. Fatty change is fat building up in the liver cells. To assess liver steatosis, the controlled attenuation parameter (CAP; giving an estimate of ultrasound attenuation ∼3.5 MegaHertz (MHz)) is available with the M probe of the FibroScan. The CAP score is measured in decibels per meter (dB/m). It ranges from 100 to 400 dB/m, with higher scores indicating higher amount of liver with fatty change. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Liver Steatosis Assessed by FibroScan® | -5.8 Decibels per meter | Standard Deviation 41.1 |
| Semaglutide 0.2 mg | Change in Liver Steatosis Assessed by FibroScan® | -50.9 Decibels per meter | Standard Deviation 64.3 |
| Semaglutide 0.4 mg | Change in Liver Steatosis Assessed by FibroScan® | -42.1 Decibels per meter | Standard Deviation 73.3 |
| Placebo | Change in Liver Steatosis Assessed by FibroScan® | -18.7 Decibels per meter | Standard Deviation 43.3 |
Change in Liver Stiffness Assessed by FibroScan®
Change in liver stiffness (measured as kilopascal (kPa)) assessed by FibroScan® is presented as ratio to baseline. FibroScan® is a specialized ultrasound machine for the liver. It measures fibrosis (scarring) by measuring the stiffness of the liver. It's normally between 2 and 6 kPa. Many people with liver disease(s) have a result that's higher than the normal range. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Liver Stiffness Assessed by FibroScan® | 0.72 Ratio of liver stiffness | Geometric Coefficient of Variation 49.3 |
| Semaglutide 0.2 mg | Change in Liver Stiffness Assessed by FibroScan® | 0.64 Ratio of liver stiffness | Geometric Coefficient of Variation 52.2 |
| Semaglutide 0.4 mg | Change in Liver Stiffness Assessed by FibroScan® | 0.66 Ratio of liver stiffness | Geometric Coefficient of Variation 58.4 |
| Placebo | Change in Liver Stiffness Assessed by FibroScan® | 1.18 Ratio of liver stiffness | Geometric Coefficient of Variation 71.2 |
Change in Low Density Lipoprotein (LDL) Cholesterol
Change in LDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Low Density Lipoprotein (LDL) Cholesterol | 0.96 Ratio of LDL cholesterol | Geometric Coefficient of Variation 22.9 |
| Semaglutide 0.2 mg | Change in Low Density Lipoprotein (LDL) Cholesterol | 1.01 Ratio of LDL cholesterol | Geometric Coefficient of Variation 34.9 |
| Semaglutide 0.4 mg | Change in Low Density Lipoprotein (LDL) Cholesterol | 0.92 Ratio of LDL cholesterol | Geometric Coefficient of Variation 25.5 |
| Placebo | Change in Low Density Lipoprotein (LDL) Cholesterol | 0.90 Ratio of LDL cholesterol | Geometric Coefficient of Variation 30.7 |
Change in microRNA 122 (miR-122)
Change in miR-122 (measured as 1/microliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in microRNA 122 (miR-122) | 0.86 Ratio of miR-122 | Geometric Coefficient of Variation 151.8 |
| Semaglutide 0.2 mg | Change in microRNA 122 (miR-122) | 0.74 Ratio of miR-122 | Geometric Coefficient of Variation 203.1 |
| Semaglutide 0.4 mg | Change in microRNA 122 (miR-122) | 0.58 Ratio of miR-122 | Geometric Coefficient of Variation 161.3 |
| Placebo | Change in microRNA 122 (miR-122) | 1.28 Ratio of miR-122 | Geometric Coefficient of Variation 194.3 |
Change in Monocyte Chemoattractant Protein 1 (MCP-1)
Change in MCP-1 (measured as picograms per milliliter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Monocyte Chemoattractant Protein 1 (MCP-1) | 1.07 Ratio of MCP-1 | Geometric Coefficient of Variation 23.3 |
| Semaglutide 0.2 mg | Change in Monocyte Chemoattractant Protein 1 (MCP-1) | 1.08 Ratio of MCP-1 | Geometric Coefficient of Variation 29.8 |
| Semaglutide 0.4 mg | Change in Monocyte Chemoattractant Protein 1 (MCP-1) | 0.99 Ratio of MCP-1 | Geometric Coefficient of Variation 30.7 |
| Placebo | Change in Monocyte Chemoattractant Protein 1 (MCP-1) | 1.04 Ratio of MCP-1 | Geometric Coefficient of Variation 26.4 |
Change in NAFLD Fibrosis Score (NFS)
Change in NFS from baseline to week 72 is presented. NFS is calculated using formula: NFS = -1.675 + 0.037 \* age (years) + 0.094 \* body mass index (BMI) (kg/m\^2) + 1.13 \* hyperglycaemia (yes/no) + 0.99 \* Aspartate aminotransferase (AST)/ Alanine aminotransferase (ALT) ratio + 0.013 × platelet count (\*10\^9/L) - 0.66 \* albumin (g/dL). The score is used to classify the probability of fibrosis. A score a) \< -1.5 indicates a low probability, b) \> -1.5 to \< 0.67 indicates intermediate probability, and a score of c) \> 0.67 indicates a high probability of liver fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in NAFLD Fibrosis Score (NFS) | -0.322 Score on a scale | Standard Deviation 0.819 |
| Semaglutide 0.2 mg | Change in NAFLD Fibrosis Score (NFS) | -0.617 Score on a scale | Standard Deviation 0.691 |
| Semaglutide 0.4 mg | Change in NAFLD Fibrosis Score (NFS) | -0.475 Score on a scale | Standard Deviation 0.77 |
| Placebo | Change in NAFLD Fibrosis Score (NFS) | -0.040 Score on a scale | Standard Deviation 0.844 |
Change in Potassium (mEq/L)
Change in potassium (measured as mEq/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Potassium (mEq/L) | 1.004 Ratio of potassium | Geometric Coefficient of Variation 27 |
| Semaglutide 0.2 mg | Change in Potassium (mEq/L) | 0.979 Ratio of potassium | Geometric Coefficient of Variation 29.36 |
| Semaglutide 0.4 mg | Change in Potassium (mEq/L) | 0.998 Ratio of potassium | Geometric Coefficient of Variation 27.81 |
| Placebo | Change in Potassium (mEq/L) | 0.998 Ratio of potassium | Geometric Coefficient of Variation 27.78 |
Change in Potassium (mmol/L)
Change in potassium (measured as mmol/L) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Potassium (mmol/L) | 1.004 Ratio of potassium | Geometric Coefficient of Variation 27 |
| Semaglutide 0.2 mg | Change in Potassium (mmol/L) | 0.979 Ratio of potassium | Geometric Coefficient of Variation 29.36 |
| Semaglutide 0.4 mg | Change in Potassium (mmol/L) | 0.998 Ratio of potassium | Geometric Coefficient of Variation 27.81 |
| Placebo | Change in Potassium (mmol/L) | 0.998 Ratio of potassium | Geometric Coefficient of Variation 27.78 |
Change in Pulse From Baseline to Week 72
Change in pulse from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Pulse From Baseline to Week 72 | 2.2 beats per minute (bpm) | Standard Deviation 10.9 |
| Semaglutide 0.2 mg | Change in Pulse From Baseline to Week 72 | 2.1 beats per minute (bpm) | Standard Deviation 9 |
| Semaglutide 0.4 mg | Change in Pulse From Baseline to Week 72 | 0.9 beats per minute (bpm) | Standard Deviation 9.6 |
| Placebo | Change in Pulse From Baseline to Week 72 | -0.3 beats per minute (bpm) | Standard Deviation 9.1 |
Change in Short Form 36 (SF-36) Score
Change in SF-36 score from baseline to week 72 is presented. SF-36 measures participant's overall health related quality of life (HRQoL). It is a 36-item generic measure of health status and yields 2 summary scores for physical health and mental health, and 8 domain scores (physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional, mental health). The scores 0-100 (where higher scores indicates a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of scores in the 2009 U.S. general population. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Physical functioning | 1.8 Scores on a scale | Standard Deviation 7.8 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | General health | 7.2 Scores on a scale | Standard Deviation 14.8 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Vitality | 2.3 Scores on a scale | Standard Deviation 8.6 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Mental component sum | 2.2 Scores on a scale | Standard Deviation 8.5 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Physical component sum | 2.1 Scores on a scale | Standard Deviation 7 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Role functioning | 2.1 Scores on a scale | Standard Deviation 6.9 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Bodily pain | 1.3 Scores on a scale | Standard Deviation 10.9 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Social functioning | 3.7 Scores on a scale | Standard Deviation 9 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Role emotional | 2.2 Scores on a scale | Standard Deviation 8.9 |
| Semaglutide 0.1 mg | Change in Short Form 36 (SF-36) Score | Mental health | 1.2 Scores on a scale | Standard Deviation 8.9 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Role emotional | 0.6 Scores on a scale | Standard Deviation 9.1 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Physical component sum | 1.1 Scores on a scale | Standard Deviation 7.3 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Physical functioning | 2.0 Scores on a scale | Standard Deviation 7.3 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Role functioning | 0.5 Scores on a scale | Standard Deviation 9.3 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Bodily pain | 1.2 Scores on a scale | Standard Deviation 10.1 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Vitality | 0.6 Scores on a scale | Standard Deviation 9.4 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Mental health | 1.5 Scores on a scale | Standard Deviation 8.2 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Social functioning | -0.1 Scores on a scale | Standard Deviation 9.9 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | General health | 2.3 Scores on a scale | Standard Deviation 17.8 |
| Semaglutide 0.2 mg | Change in Short Form 36 (SF-36) Score | Mental component sum | 0.6 Scores on a scale | Standard Deviation 9.2 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Social functioning | 2.2 Scores on a scale | Standard Deviation 9.4 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Mental component sum | 1.2 Scores on a scale | Standard Deviation 9.5 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | General health | 9.0 Scores on a scale | Standard Deviation 17.4 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Role emotional | 0.5 Scores on a scale | Standard Deviation 9.5 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Bodily pain | 3.4 Scores on a scale | Standard Deviation 7.9 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Physical component sum | 3.9 Scores on a scale | Standard Deviation 7.1 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Role functioning | 2.2 Scores on a scale | Standard Deviation 8.1 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Vitality | 4.6 Scores on a scale | Standard Deviation 9.8 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Physical functioning | 2.8 Scores on a scale | Standard Deviation 7.8 |
| Semaglutide 0.4 mg | Change in Short Form 36 (SF-36) Score | Mental health | 1.3 Scores on a scale | Standard Deviation 9.5 |
| Placebo | Change in Short Form 36 (SF-36) Score | Physical functioning | -0.4 Scores on a scale | Standard Deviation 8.2 |
| Placebo | Change in Short Form 36 (SF-36) Score | Social functioning | -1.6 Scores on a scale | Standard Deviation 8.3 |
| Placebo | Change in Short Form 36 (SF-36) Score | Role functioning | -0.3 Scores on a scale | Standard Deviation 9.4 |
| Placebo | Change in Short Form 36 (SF-36) Score | Mental health | -0.2 Scores on a scale | Standard Deviation 9.7 |
| Placebo | Change in Short Form 36 (SF-36) Score | Vitality | -0.2 Scores on a scale | Standard Deviation 10.1 |
| Placebo | Change in Short Form 36 (SF-36) Score | General health | 4.3 Scores on a scale | Standard Deviation 16.5 |
| Placebo | Change in Short Form 36 (SF-36) Score | Mental component sum | -0.4 Scores on a scale | Standard Deviation 8.9 |
| Placebo | Change in Short Form 36 (SF-36) Score | Physical component sum | -0.1 Scores on a scale | Standard Deviation 8.3 |
| Placebo | Change in Short Form 36 (SF-36) Score | Bodily pain | -1.3 Scores on a scale | Standard Deviation 10.2 |
| Placebo | Change in Short Form 36 (SF-36) Score | Role emotional | -0.3 Scores on a scale | Standard Deviation 8.5 |
Change in Sodium (mEq/L)
Change in sodium (measured as milli equivalent per liter (mEq/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Sodium (mEq/L) | 0.999 Ratio of sodium | Geometric Coefficient of Variation 12.23 |
| Semaglutide 0.2 mg | Change in Sodium (mEq/L) | 1.000 Ratio of sodium | Geometric Coefficient of Variation 12.13 |
| Semaglutide 0.4 mg | Change in Sodium (mEq/L) | 1.002 Ratio of sodium | Geometric Coefficient of Variation 11.68 |
| Placebo | Change in Sodium (mEq/L) | 1.002 Ratio of sodium | Geometric Coefficient of Variation 12.91 |
Change in Sodium (mmol/L)
Change in sodium (measured as milli mole per liter (mmol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Sodium (mmol/L) | 0.999 Ratio of sodium | Geometric Coefficient of Variation 12.23 |
| Semaglutide 0.2 mg | Change in Sodium (mmol/L) | 1.000 Ratio of sodium | Geometric Coefficient of Variation 12.13 |
| Semaglutide 0.4 mg | Change in Sodium (mmol/L) | 1.002 Ratio of sodium | Geometric Coefficient of Variation 11.68 |
| Placebo | Change in Sodium (mmol/L) | 1.002 Ratio of sodium | Geometric Coefficient of Variation 12.91 |
Change in Systolic Blood Pressure (SBP)
Blood pressure was measured in a sitting position after 5 minutes of rest. Change in SBP from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Systolic Blood Pressure (SBP) | -2 Millimeters of mercury | Standard Deviation 16 |
| Semaglutide 0.2 mg | Change in Systolic Blood Pressure (SBP) | -7 Millimeters of mercury | Standard Deviation 18 |
| Semaglutide 0.4 mg | Change in Systolic Blood Pressure (SBP) | -6 Millimeters of mercury | Standard Deviation 16 |
| Placebo | Change in Systolic Blood Pressure (SBP) | -2 Millimeters of mercury | Standard Deviation 15 |
Change in Thrombocytes
Change in thrombocytes from baseline to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Thrombocytes | 8.8 10^9 cells per liter (10^9/L) | Standard Deviation 46.9 |
| Semaglutide 0.2 mg | Change in Thrombocytes | 14.6 10^9 cells per liter (10^9/L) | Standard Deviation 34.8 |
| Semaglutide 0.4 mg | Change in Thrombocytes | 9.0 10^9 cells per liter (10^9/L) | Standard Deviation 44.9 |
| Placebo | Change in Thrombocytes | 0.3 10^9 cells per liter (10^9/L) | Standard Deviation 43.7 |
Change in Total Bilirubin (mg/dL)
Change in total bilirubin (measured as milligram per deciliter (mg/dL)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Total Bilirubin (mg/dL) | 0.978 Ratio of total bilirubin | Geometric Coefficient of Variation 66.72 |
| Semaglutide 0.2 mg | Change in Total Bilirubin (mg/dL) | 1.011 Ratio of total bilirubin | Geometric Coefficient of Variation 70.66 |
| Semaglutide 0.4 mg | Change in Total Bilirubin (mg/dL) | 0.949 Ratio of total bilirubin | Geometric Coefficient of Variation 65.89 |
| Placebo | Change in Total Bilirubin (mg/dL) | 1.040 Ratio of total bilirubin | Geometric Coefficient of Variation 67.36 |
Change in Total Bilirubin (Umol/L)
Change in total bilirubin (measured as micromole per liter (umol/L)) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Total Bilirubin (Umol/L) | 0.978 Ratio of total bilirubin | Geometric Coefficient of Variation 66.72 |
| Semaglutide 0.2 mg | Change in Total Bilirubin (Umol/L) | 1.011 Ratio of total bilirubin | Geometric Coefficient of Variation 70.66 |
| Semaglutide 0.4 mg | Change in Total Bilirubin (Umol/L) | 0.949 Ratio of total bilirubin | Geometric Coefficient of Variation 65.89 |
| Placebo | Change in Total Bilirubin (Umol/L) | 1.040 Ratio of total bilirubin | Geometric Coefficient of Variation 67.36 |
Change in Total Cholesterol
Change in total cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Total Cholesterol | 0.98 Ratio of total cholesterol | Geometric Coefficient of Variation 17.1 |
| Semaglutide 0.2 mg | Change in Total Cholesterol | 1.00 Ratio of total cholesterol | Geometric Coefficient of Variation 20.3 |
| Semaglutide 0.4 mg | Change in Total Cholesterol | 0.93 Ratio of total cholesterol | Geometric Coefficient of Variation 15.7 |
| Placebo | Change in Total Cholesterol | 0.93 Ratio of total cholesterol | Geometric Coefficient of Variation 18.8 |
Change in Triglycerides
Change in triglycerides (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Triglycerides | 0.88 Ratio of triglycerides | Geometric Coefficient of Variation 34.1 |
| Semaglutide 0.2 mg | Change in Triglycerides | 0.89 Ratio of triglycerides | Geometric Coefficient of Variation 37.6 |
| Semaglutide 0.4 mg | Change in Triglycerides | 0.73 Ratio of triglycerides | Geometric Coefficient of Variation 41.4 |
| Placebo | Change in Triglycerides | 0.95 Ratio of triglycerides | Geometric Coefficient of Variation 36.9 |
Change in Urea
Change in urea (measured as milli mole per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Urea | 1.018 Ratio of urea | Geometric Coefficient of Variation 51.01 |
| Semaglutide 0.2 mg | Change in Urea | 0.973 Ratio of urea | Geometric Coefficient of Variation 52.3 |
| Semaglutide 0.4 mg | Change in Urea | 1.042 Ratio of urea | Geometric Coefficient of Variation 51.14 |
| Placebo | Change in Urea | 1.043 Ratio of urea | Geometric Coefficient of Variation 52.3 |
Change in Very Low Density Lipoprotein (VLDL) Cholesterol
Change in VLDL cholesterol (measured as millimoles per liter) is presented as ratio to baseline. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Very Low Density Lipoprotein (VLDL) Cholesterol | 0.89 Ratio of VLDL cholesterol | Geometric Coefficient of Variation 31.9 |
| Semaglutide 0.2 mg | Change in Very Low Density Lipoprotein (VLDL) Cholesterol | 0.90 Ratio of VLDL cholesterol | Geometric Coefficient of Variation 36.1 |
| Semaglutide 0.4 mg | Change in Very Low Density Lipoprotein (VLDL) Cholesterol | 0.74 Ratio of VLDL cholesterol | Geometric Coefficient of Variation 38.2 |
| Placebo | Change in Very Low Density Lipoprotein (VLDL) Cholesterol | 0.93 Ratio of VLDL cholesterol | Geometric Coefficient of Variation 36.7 |
Change in Waist Circumference
Change in waist circumference from baseline to week 72 is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Semaglutide 0.1 mg | Change in Waist Circumference | -3.9 Centimeters | Standard Deviation 6.3 |
| Semaglutide 0.2 mg | Change in Waist Circumference | -7.1 Centimeters | Standard Deviation 8.9 |
| Semaglutide 0.4 mg | Change in Waist Circumference | -11.4 Centimeters | Standard Deviation 9.3 |
| Placebo | Change in Waist Circumference | -1.7 Centimeters | Standard Deviation 6.2 |
Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events
Number of participants discontinuing treatment due to gastrointestinal adverse events is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Semaglutide 0.1 mg | Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events | 1 Participants |
| Semaglutide 0.2 mg | Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events | 6 Participants |
| Semaglutide 0.4 mg | Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events | 2 Participants |
| Placebo | Number of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events | 0 Participants |
Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)
Number of participants with anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies with in vitro neutralising effect and 'No' infers number of participants without anti-semaglutide antibodies with in vitro neutralising effect during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Semaglutide 0.1 mg | Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.1 mg | Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | No | 80 Participants |
| Semaglutide 0.2 mg | Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.2 mg | Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | No | 78 Participants |
| Semaglutide 0.4 mg | Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.4 mg | Number of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No) | No | 81 Participants |
Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)
Number of participants with anti-semaglutide binding antibodies cross reacting with native glucagon-like peptide-1 (GLP-1) during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with anti-semaglutide antibodies cross reacting with native GLP-1 and 'No' infers number of participants without anti-semaglutide antibodies cross reacting with native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Semaglutide 0.1 mg | Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | Yes | 4 Participants |
| Semaglutide 0.1 mg | Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | No | 76 Participants |
| Semaglutide 0.2 mg | Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.2 mg | Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | No | 78 Participants |
| Semaglutide 0.4 mg | Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | Yes | 2 Participants |
| Semaglutide 0.4 mg | Number of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | No | 79 Participants |
Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No)
Number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 and 'No' infers number of participants without cross-reacting anti-semaglutide binding antibodies with in vitro neutralising effect to native GLP-1 during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Semaglutide 0.1 mg | Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.1 mg | Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | No | 80 Participants |
| Semaglutide 0.2 mg | Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.2 mg | Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | No | 78 Participants |
| Semaglutide 0.4 mg | Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | Yes | 0 Participants |
| Semaglutide 0.4 mg | Number of Participants With Cross-reacting Anti-semaglutide Binding Antibodies With in Vitro Neutralising Effect to Native GLP-1 During and After 72 Weeks Treatment (Yes/No) | No | 81 Participants |
Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)
Number of participants with occurrence of anti-semaglutide antibodies during and after 72 weeks treatment is presented. In the below table, 'Yes' infers number of participants with occurrence of anti-semaglutide antibodies and 'No' infers number of participants without anti-semaglutide antibodies during and after 72 weeks treatment. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Semaglutide 0.1 mg | Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | Yes | 4 Participants |
| Semaglutide 0.1 mg | Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | No | 76 Participants |
| Semaglutide 0.2 mg | Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | Yes | 1 Participants |
| Semaglutide 0.2 mg | Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | No | 77 Participants |
| Semaglutide 0.4 mg | Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | Yes | 2 Participants |
| Semaglutide 0.4 mg | Number of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No) | No | 79 Participants |
Number of Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) was any untoward medical occurrence in a clinical trial participant administered or using a medicinal product, whether or not considered related to the medicinal product or usage. All AEs reported here are TEAEs. TEAE is defined as an event that had onset date during the on-treatment period. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half lives of semaglutide); 2) end of the in-trial period.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Semaglutide 0.1 mg | Number of Treatment-emergent Adverse Events (TEAEs) | 525 events |
| Semaglutide 0.2 mg | Number of Treatment-emergent Adverse Events (TEAEs) | 577 events |
| Semaglutide 0.4 mg | Number of Treatment-emergent Adverse Events (TEAEs) | 511 events |
| Placebo | Number of Treatment-emergent Adverse Events (TEAEs) | 445 events |
Number of Treatment-emergent Hypoglycaemic Episodes
Hypoglycaemic episode (blood glucose less than or equal to (\<=) 3.9 mmol/L (70 mg/dL) Or greater than (\>) 3.9 mmol/L (70 mg/dL) occurring in conjunction with hypoglycaemic symptoms) is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Semaglutide 0.1 mg | Number of Treatment-emergent Hypoglycaemic Episodes | 54 episodes |
| Semaglutide 0.2 mg | Number of Treatment-emergent Hypoglycaemic Episodes | 30 episodes |
| Semaglutide 0.4 mg | Number of Treatment-emergent Hypoglycaemic Episodes | 66 episodes |
| Placebo | Number of Treatment-emergent Hypoglycaemic Episodes | 18 episodes |
Number of Treatment-emergent Severe Hypoglycaemic Episodes
Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. Hypoglycaemic episode is defined as treatment emergent if the onset of the episode occurs during the on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Semaglutide 0.1 mg | Number of Treatment-emergent Severe Hypoglycaemic Episodes | 2 episodes |
| Semaglutide 0.2 mg | Number of Treatment-emergent Severe Hypoglycaemic Episodes | 2 episodes |
| Semaglutide 0.4 mg | Number of Treatment-emergent Severe Hypoglycaemic Episodes | 0 episodes |
| Placebo | Number of Treatment-emergent Severe Hypoglycaemic Episodes | 0 episodes |
Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes
Severe or BG confirmed symptomatic hypoglycaemia: episode, severe as per american diabetes association (ADA) classification or BG confirmed by plasma glucose value \< 3.1 mmol/L(56mg/dL) with symptoms along with hypoglycaemia. Severe hypoglycaemia: episode requiring assistance of other person to actively administer carbohydrate, glucagon, or take corrective actions. Plasma glucose concentrations may not be available during event, but neurological recovery following return of plasma glucose to normal is sufficient evidence that event was induced by low plasma glucose concentration. Hypoglycaemic episode is treatment emergent if onset of it occurs during on-treatment period: period starting on day of first administration of trial product and ending on day of last dose of trial product+7 days; except for evaluation of AEs; hypoglycaemic episodes for which period ended on date of whatever came first:last dose of trial product + 49 days (7 half-lives of semaglutide); end of in-trial period.
Time frame: From week 0 to week 79
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants with type 2 diabetes who contributed to the analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Semaglutide 0.1 mg | Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes | 3 episodes |
| Semaglutide 0.2 mg | Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes | 5 episodes |
| Semaglutide 0.4 mg | Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes | 17 episodes |
| Placebo | Number of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes | 2 episodes |
Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)
NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1; hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning range: 0-2; lobular inflammation range: 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, higher scores indicate greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3)last contact with participant (for participants lost to follow-up); 4)death.
Time frame: After 72 weeks
Population: Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with fibrosis stage 2 or 3 at baseline who contributed to the analysis. In below table, 'Yes' infers percentage of participants who achieved at least one stage of fibrosis improvement with no worsening of NASH; 'No' infers vice-versa; 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Missing | 5.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Yes | 49.1 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | No | 45.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | No | 50.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Yes | 32.2 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Missing | 16.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Missing | 10.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Yes | 42.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | No | 46.4 Percentage of participants |
| Placebo | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | No | 58.6 Percentage of participants |
| Placebo | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Yes | 32.8 Percentage of participants |
| Placebo | Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No) | Missing | 8.6 Percentage of participants |
Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score
Percentage of participants who had improved, worsened, or had no change in the activity component of the SAF score from baseline to week 72 is presented. SAF score was assessed on a scale of 0-4, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Improvement | 62.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | No change | 22.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Missing | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Worsening | 7.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Worsening | 3.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Missing | 12.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Improvement | 71.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | No change | 11.5 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Improvement | 72.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Missing | 12.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | No change | 14.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Worsening | 1.2 Percentage of participants |
| Placebo | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Missing | 12.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Improvement | 42.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | No change | 33.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) Score | Worsening | 11.3 Percentage of participants |
Percentage of Participants With Change in Electrocardiogram (ECG)
A 12-lead ECG was performed at baseline (week 0) and week 72 and categorised as normal, abnormal and not clinically significant (abnormal NCS) or abnormal and clinically significant (abnormal CS). Percentage of participants in each ECG category at week 0 and week 72 are presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Baseline (week 0), Week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Normal | 58.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal NCS | 41.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Normal | 64.9 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal NCS | 35.1 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Normal | 65.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Normal | 60.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal NCS | 39.7 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal NCS | 34.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal NCS | 32.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal CS | 1.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Normal | 74.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal NCS | 23.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Normal | 66.7 Percentage of participants |
| Placebo | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal NCS | 38.6 Percentage of participants |
| Placebo | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal NCS | 36.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 72: Normal | 60.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Normal | 63.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Electrocardiogram (ECG) | Week 0: Abnormal CS | 0.0 Percentage of participants |
Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification
Percentage of participants who had improved, worsened, or had no change in fibrosis stage from baseline to week 72 is presented. The degree of fibrosis is described by the Kleiner fibrosis staging system, ranging from F0 (absence of fibrosis), F1 (portal/perisinusoidal fibrosis), F2 (perisinusoidal and portal/periportal fibrosis), F3 (septal or bridging fibrosis) through F4 (cirrhosis). The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | No change | 36.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Improvement | 46.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Worsening | 10.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Missing | 7.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | No change | 42.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Missing | 17.9 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Improvement | 32.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Worsening | 7.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Missing | 15.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Improvement | 42.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Worsening | 4.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | No change | 36.6 Percentage of participants |
| Placebo | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Missing | 12.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Worsening | 18.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | Improvement | 31.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis Classification | No change | 37.5 Percentage of participants |
Percentage of Participants With Change in Hepatocyte Ballooning
Percentage of participants who had improved, worsened, or had no change in hepatocyte ballooning from baseline to week 72 is presented. Hepatocyte ballooning was assessed on a scale of 0-2, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Missing | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Hepatocyte Ballooning | No change | 28.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Improvement | 61.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Worsening | 2.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Improvement | 70.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Hepatocyte Ballooning | No change | 14.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Worsening | 2.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Missing | 12.8 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Missing | 12.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Improvement | 74.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Hepatocyte Ballooning | Worsening | 1.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Hepatocyte Ballooning | No change | 12.2 Percentage of participants |
| Placebo | Percentage of Participants With Change in Hepatocyte Ballooning | No change | 46.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Hepatocyte Ballooning | Worsening | 2.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Hepatocyte Ballooning | Improvement | 38.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Hepatocyte Ballooning | Missing | 12.5 Percentage of participants |
Percentage of Participants With Change in Lobular Inflammation
Percentage of participants who had improved, worsened, or had no change in lobular inflammation from baseline to week 72 is presented. Lobular inflammation was assessed on a scale of 0-3, with higher scores indicating more severe lobular inflammation. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Lobular Inflammation | Missing | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Lobular Inflammation | Worsening | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Lobular Inflammation | Improvement | 41.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Lobular Inflammation | No change | 43.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Lobular Inflammation | Worsening | 7.7 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Lobular Inflammation | No change | 32.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Lobular Inflammation | Improvement | 47.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Lobular Inflammation | Missing | 12.8 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Lobular Inflammation | Improvement | 37.8 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Lobular Inflammation | Worsening | 6.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Lobular Inflammation | No change | 43.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Lobular Inflammation | Missing | 12.2 Percentage of participants |
| Placebo | Percentage of Participants With Change in Lobular Inflammation | Worsening | 17.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Lobular Inflammation | Improvement | 26.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Lobular Inflammation | Missing | 11.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Lobular Inflammation | No change | 45.0 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Cardiovascular System
Percentage of participants with change in physical examination (cardiovascular system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal NCS | 11.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal NCS | 12.2 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Normal | 87.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Normal | 87.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Normal | 93.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal NCS | 5.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal NCS | 3.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Normal | 96.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal NCS | 5.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Normal | 94.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Normal | 92.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal NCS | 7.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Normal | 92.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal NCS | 6.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Normal | 90.1 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Cardiovascular System | Week 72: Abnormal NCS | 8.5 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System
Percentage of participants with change in physical examination (central and peripheral nervous system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal NCS | 5.4 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal NCS | 5.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal CS | 2.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Normal | 94.6 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Normal | 92.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Normal | 94.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal NCS | 4.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Normal | 93.7 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal CS | 1.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal NCS | 5.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal NCS | 1.3 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Normal | 98.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Normal | 98.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal NCS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Normal | 95.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week -6: Abnormal NCS | 3.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Normal | 92.9 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Central and Peripheral Nervous System | Week 72: Abnormal NCS | 7.1 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth
Percentage of participants with change in physical examination (gastrointestinal system including mouth) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Normal | 82.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal NCS | 13.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal CS | 3.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Normal | 89.2 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal NCS | 10.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Normal | 81.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Normal | 83.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal NCS | 15.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal NCS | 19.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal NCS | 16.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Normal | 87.5 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal NCS | 12.5 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Normal | 84.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal NCS | 14.1 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal NCS | 12.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week 72: Normal | 84.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Normal | 86.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Gastrointestinal System Including Mouth | Week -6: Abnormal CS | 1.3 Percentage of participants |
Percentage of Participants With Change in Physical Examination: General Appearance
Percentage of participants with change in physical examination (general appearance) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Normal | 83.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Normal | 83.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal NCS | 16.2 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal NCS | 16.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal NCS | 6.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Normal | 90.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal NCS | 12.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Normal | 85.9 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal CS | 3.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal NCS | 21.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Normal | 79.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Normal | 90.3 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal NCS | 9.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Abnormal NCS | 23.9 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Normal | 80.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal NCS | 20.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: General Appearance | Week 72: Normal | 76.1 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: General Appearance | Week -6: Abnormal CS | 0.0 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck
Percentage of participants with change in physical examination (head, ears, eyes, nose, throat, neck) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Normal | 97.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal NCS | 2.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Normal | 94.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal NCS | 4.1 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Normal | 96.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Normal | 94.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal NCS | 5.2 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal NCS | 3.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal NCS | 1.3 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Normal | 98.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal NCS | 1.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Normal | 98.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal NCS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal NCS | 2.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week 72: Normal | 98.6 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Normal | 97.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, Neck | Week -6: Abnormal CS | 0.0 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Lymph Node Palpation
Percentage of participants with change in physical examination (lymph node palpation) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Normal | 100.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Normal | 100.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal NCS | 1.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Normal | 100.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Normal | 98.7 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Normal | 100.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Normal | 100.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Normal | 100.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Normal | 100.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Lymph Node Palpation | Week 72: Abnormal NCS | 0.0 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Musculoskeletal System
Percentage of participants with change in physical examination (musculoskeletal system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Normal | 95.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal NCS | 3.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Normal | 94.6 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal NCS | 5.4 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Normal | 96.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Normal | 96.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal NCS | 3.9 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal NCS | 3.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal NCS | 5.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Normal | 100.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Normal | 94.9 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal NCS | 4.2 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal NCS | 3.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week 72: Normal | 95.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Normal | 95.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Musculoskeletal System | Week -6: Abnormal CS | 1.3 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Respiratory System
Percentage of participants with change in physical examination (respiratory system) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Normal | 100.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Normal | 98.6 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Normal | 96.9 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Normal | 100.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal NCS | 3.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Normal | 98.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal NCS | 1.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Normal | 100.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal NCS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal NCS | 2.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Respiratory System | Week 72: Normal | 98.6 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Normal | 97.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Respiratory System | Week -6: Abnormal CS | 0.0 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Skin
Percentage of participants with change in physical examination (skin) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal NCS | 2.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Normal | 94.6 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal NCS | 4.1 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Normal | 96.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Normal | 87.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal NCS | 6.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Normal | 92.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal NCS | 10.9 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal CS | 1.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal CS | 1.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal CS | 1.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Normal | 85.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal NCS | 13.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Normal | 90.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal NCS | 8.6 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Abnormal NCS | 10.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Abnormal NCS | 11.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Skin | Week -6: Normal | 90.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Skin | Week 72: Normal | 88.7 Percentage of participants |
Percentage of Participants With Change in Physical Examination: Thyroid Gland
Percentage of participants with change in physical examination (thyroid gland) from week -6 to week 72 is presented. The endpoint was evaluated based on the data from on-treatment period. On-treatment period: the period starting on the date of first administration of trial product and ending on the date of the last dose of trial product +7 days; except for the evaluation of AEs and hypoglycaemic episodes for which the period ended on the date of whatever came first: 1) last dose of trial product + 49 days (7 half-lives of semaglutide); 2) end of the in-trial period.
Time frame: Week -6, week 72
Population: Safety analysis set included all participants who received at least one dose of randomised treatment. Overall number of participants analysed = Number of participants who contributed to the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Normal | 88.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal NCS | 10.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal CS | 1.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Normal | 94.6 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal NCS | 5.4 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Normal | 98.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Normal | 97.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal NCS | 2.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal NCS | 1.6 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal NCS | 2.5 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Normal | 97.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal NCS | 2.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Normal | 97.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal NCS | 1.4 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Abnormal CS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal NCS | 0.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week 72: Normal | 98.6 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Normal | 98.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Physical Examination: Thyroid Gland | Week -6: Abnormal CS | 1.3 Percentage of participants |
Percentage of Participants With Change in Steatosis
Percentage of participants who had improved, worsened, or had no change in steatosis from baseline to week 72 is presented. Steatosis was assessed on a scale of 0-3, with higher scores indicating more severe steatosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Steatosis | Improvement | 52.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Steatosis | Missing | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Steatosis | Worsening | 6.3 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Steatosis | No change | 33.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Steatosis | Worsening | 2.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Steatosis | No change | 24.4 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Steatosis | Missing | 12.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Steatosis | Improvement | 60.3 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Steatosis | Improvement | 63.4 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Steatosis | Worsening | 3.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Steatosis | No change | 20.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Steatosis | Missing | 12.2 Percentage of participants |
| Placebo | Percentage of Participants With Change in Steatosis | Improvement | 26.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Steatosis | Worsening | 15.0 Percentage of participants |
| Placebo | Percentage of Participants With Change in Steatosis | Missing | 12.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Steatosis | No change | 46.3 Percentage of participants |
Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)
Percentage of participants who had worsened, improved or had no change in total NAS from baseline to week 72 is presented. Worsening is defined as an increase of at least 1 in the NAS; Improvement is defined as a decrease of at least 1 in the NAS; while no change corresponds to no change in NAS from baseline to week 72. NAS is calculated as the sum of scores for steatosis (0 to 3), lobular inflammation (0 to 3), and hepatocyte ballooning (0 to 2). Therefore, it is assessed on a scale of 0-8, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
Time frame: Baseline (week 0), Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Missing | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Worsening | 7.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | No change | 13.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Improvement | 71.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | No change | 5.1 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Improvement | 79.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Worsening | 2.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Missing | 12.8 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Improvement | 82.9 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Worsening | 3.7 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | No change | 1.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Missing | 12.2 Percentage of participants |
| Placebo | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Improvement | 43.8 Percentage of participants |
| Placebo | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Missing | 12.5 Percentage of participants |
| Placebo | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | Worsening | 16.3 Percentage of participants |
| Placebo | Percentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS) | No change | 27.5 Percentage of participants |
Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)
Pentage of participants with weight loss of ≥ 10% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 10% weight loss; 'No' infers percentage of participants who have not achieved ≥ 10% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Time frame: Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 77.5 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 5.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 17.5 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 52.6 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 9.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 38.5 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 59.8 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 6.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 34.1 Percentage of participants |
| Placebo | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 5.0 Percentage of participants |
| Placebo | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 92.5 Percentage of participants |
| Placebo | Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 2.5 Percentage of participants |
Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)
Percentage of participants with weight loss of greater than or equal to (≥) 5% of baseline body weight at 72 weeks is presented. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death. In the below table, 'Yes' infers percentage of participants who have achieved ≥ 5% weight loss; 'No' infers percentage of participants who have not achieved ≥ 5% weight loss at 72 weeks and 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Time frame: Week 72
Population: Full analysis set included all randomised participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Semaglutide 0.1 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 43.8 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 5.0 Percentage of participants |
| Semaglutide 0.1 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 51.3 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 62.8 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 9.0 Percentage of participants |
| Semaglutide 0.2 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 28.2 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 17.1 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 76.8 Percentage of participants |
| Semaglutide 0.4 mg | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 6.1 Percentage of participants |
| Placebo | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Yes | 16.3 Percentage of participants |
| Placebo | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | Missing | 5.0 Percentage of participants |
| Placebo | Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No) | No | 78.8 Percentage of participants |