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

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

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02970942
Enrollment
320
Registered
2016-11-22
Start date
2016-11-30
Completion date
2020-03-19
Last updated
2021-11-16

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

Conditions

Hepatobiliary Disorders, Non-alcoholic Steatohepatitis

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

DRUGSemaglutide

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)

DRUGPlacebo

Once daily administration subcutaneously ( s.c., under the skin)

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

- Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial 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

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

MeasureTime frameDescription
Percentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)After 72 weeksNASH 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 72Percentage 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 SteatosisBaseline (week 0), Week 72Percentage 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 InflammationBaseline (week 0), Week 72Percentage 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 BallooningBaseline (week 0), Week 72Percentage 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 ClassificationBaseline (week 0), Week 72Percentage 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) ScoreBaseline (week 0), Week 72Percentage 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 ScoreBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 72Change 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 72Change 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 AlbuminBaseline (week 0), Week 72Change 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 72Change 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 72Change 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) FragmentsBaseline (week 0), Week 72Change 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 72Change 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) AntagonistBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 72Change 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 72Change 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 72Percentage 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 72Pentage 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 WeightBaseline (week 0), Week 72Change 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 CircumferenceBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 72Change 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 72Change 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 GlucagonBaseline (week 0), Week 72Change 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 72Change 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 72Blood 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 72Blood 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 CholesterolBaseline (week 0), Week 72Change 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) CholesterolBaseline (week 0), Week 72Change 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) CholesterolBaseline (week 0), Week 72Change 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) CholesterolBaseline (week 0), Week 72Change 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 TriglyceridesBaseline (week 0), Week 72Change 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 AcidsBaseline (week 0), Week 72Change 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 72Change 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) ScoreBaseline (week 0), Week 72Change 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 79An 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 EpisodesFrom week 0 to week 79Hypoglycaemic 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 EpisodesFrom week 0 to week 79Severe 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 EpisodesFrom week 0 to week 79Severe 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 EventsFrom week 0 to week 79Number 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 79Number 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 79Number 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 79Number 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 79Number 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 72Baseline (week 0), Week 72Change 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 72A 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 SystemWeek -6, week 72Percentage 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 SystemWeek -6, week 72Percentage 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 MouthWeek -6, week 72Percentage 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 AppearanceWeek -6, week 72Percentage 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, NeckWeek -6, week 72Percentage 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 PalpationWeek -6, week 72Percentage 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 SystemWeek -6, week 72Percentage 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 SystemWeek -6, week 72Percentage 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: SkinWeek -6, week 72Percentage 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 GlandWeek -6, week 72Percentage 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 HaematocritBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 LeukocytesBaseline (week 0), Week 72Change 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 ThrombocytesBaseline (week 0), Week 72Change 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 ErythrocytesBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 72Change 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 KinaseBaseline (week 0), Week 72Change 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 UreaBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 PhosphataseBaseline (week 0), Week 72Change 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 FerritinBaseline (week 0), Week 72Change 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 72Change 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 72Change 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 72Change 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 72Change 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 72Change 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 72Change 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 AmylaseBaseline (week 0), Week 72Change 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 LipaseBaseline (week 0), Week 72Change 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 CalcitoninBaseline (week 0), Week 72Change 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

ArmCount
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
Total320

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath0100
Overall StudyLost to Follow-up1021
Overall StudyWithdrawal by Subject3532

Baseline characteristics

CharacteristicSemaglutide 0.1 mgSemaglutide 0.2 mgSemaglutide 0.4 mgPlaceboTotal
Age, Continuous55.2 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 Participants10 Participants14 Participants9 Participants40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
69 Participants63 Participants65 Participants66 Participants263 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants5 Participants3 Participants5 Participants17 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants1 Participants2 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Asian
10 Participants12 Participants14 Participants12 Participants48 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants1 Participants0 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Not applicable
4 Participants5 Participants3 Participants5 Participants17 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants1 Participants1 Participants2 Participants
Race/Ethnicity, Customized
White
65 Participants59 Participants62 Participants62 Participants248 Participants
Sex: Female, Male
Female
51 Participants52 Participants47 Participants44 Participants194 Participants
Sex: Female, Male
Male
29 Participants26 Participants35 Participants36 Participants126 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 801 / 780 / 810 / 80
other
Total, other adverse events
61 / 8064 / 7863 / 8155 / 80
serious
Total, serious adverse events
12 / 8015 / 7812 / 818 / 80

Outcome results

Primary

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).

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Missing5.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Yes40.4 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)No54.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Yes35.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)No47.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Missing16.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)No30.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Yes58.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Missing10.7 Percentage of participants
PlaceboPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Missing8.6 Percentage of participants
PlaceboPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)No74.1 Percentage of participants
PlaceboPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Yes17.2 Percentage of participants
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Alanine Aminotransferase (ALT)0.62 Ratio of ALTGeometric Coefficient of Variation 62.7
Semaglutide 0.2 mgChange in Alanine Aminotransferase (ALT)0.57 Ratio of ALTGeometric Coefficient of Variation 62.1
Semaglutide 0.4 mgChange in Alanine Aminotransferase (ALT)0.40 Ratio of ALTGeometric Coefficient of Variation 68.2
PlaceboChange in Alanine Aminotransferase (ALT)0.80 Ratio of ALTGeometric Coefficient of Variation 60.3
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Albumin1.02 Ratio of albuminGeometric Coefficient of Variation 5.6
Semaglutide 0.2 mgChange in Albumin1.01 Ratio of albuminGeometric Coefficient of Variation 6
Semaglutide 0.4 mgChange in Albumin1.01 Ratio of albuminGeometric Coefficient of Variation 5.4
PlaceboChange in Albumin1.02 Ratio of albuminGeometric Coefficient of Variation 6
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Alkaline Phosphatase0.980 Ratio of alkaline phosphataseGeometric Coefficient of Variation 45.68
Semaglutide 0.2 mgChange in Alkaline Phosphatase0.931 Ratio of alkaline phosphataseGeometric Coefficient of Variation 43.59
Semaglutide 0.4 mgChange in Alkaline Phosphatase0.884 Ratio of alkaline phosphataseGeometric Coefficient of Variation 54.9
PlaceboChange in Alkaline Phosphatase0.992 Ratio of alkaline phosphataseGeometric Coefficient of Variation 42.42
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Amylase1.155 Ratio of amylaseGeometric Coefficient of Variation 49.85
Semaglutide 0.2 mgChange in Amylase1.120 Ratio of amylaseGeometric Coefficient of Variation 65.01
Semaglutide 0.4 mgChange in Amylase1.170 Ratio of amylaseGeometric Coefficient of Variation 47.88
PlaceboChange in Amylase1.051 Ratio of amylaseGeometric Coefficient of Variation 45.74
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Aspartate Aminotransferase (AST)0.66 Ratio of ASTGeometric Coefficient of Variation 55.1
Semaglutide 0.2 mgChange in Aspartate Aminotransferase (AST)0.63 Ratio of ASTGeometric Coefficient of Variation 46.6
Semaglutide 0.4 mgChange in Aspartate Aminotransferase (AST)0.50 Ratio of ASTGeometric Coefficient of Variation 45.8
PlaceboChange in Aspartate Aminotransferase (AST)0.84 Ratio of ASTGeometric Coefficient of Variation 62.3
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Body Mass Index (BMI)-1.8 Kilograms per square meterStandard Deviation 2.2
Semaglutide 0.2 mgChange in Body Mass Index (BMI)-3.5 Kilograms per square meterStandard Deviation 3.4
Semaglutide 0.4 mgChange in Body Mass Index (BMI)-4.6 Kilograms per square meterStandard Deviation 3.3
PlaceboChange in Body Mass Index (BMI)-0.3 Kilograms per square meterStandard Deviation 1.8
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Body Weight-4.8 KilogramsStandard Deviation 6
Semaglutide 0.2 mgChange in Body Weight-9.4 KilogramsStandard Deviation 9.2
Semaglutide 0.4 mgChange in Body Weight-12.3 KilogramsStandard Deviation 8.6
PlaceboChange in Body Weight-1.0 KilogramsStandard Deviation 4.9
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Calcitonin1.040 Ratio of CalcitoninGeometric Coefficient of Variation 62.98
Semaglutide 0.2 mgChange in Calcitonin0.937 Ratio of CalcitoninGeometric Coefficient of Variation 65.42
Semaglutide 0.4 mgChange in Calcitonin1.000 Ratio of CalcitoninGeometric Coefficient of Variation 66.24
PlaceboChange in Calcitonin0.950 Ratio of CalcitoninGeometric Coefficient of Variation 62.39
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Calcium (mg/dL)1.017 Ratio of calciumGeometric Coefficient of Variation 20.37
Semaglutide 0.2 mgChange in Calcium (mg/dL)1.018 Ratio of calciumGeometric Coefficient of Variation 20.49
Semaglutide 0.4 mgChange in Calcium (mg/dL)1.008 Ratio of calciumGeometric Coefficient of Variation 20.88
PlaceboChange in Calcium (mg/dL)1.010 Ratio of calciumGeometric Coefficient of Variation 22.79
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Calcium (mmol/L)1.017 Ratio of calciumGeometric Coefficient of Variation 20.37
Semaglutide 0.2 mgChange in Calcium (mmol/L)1.018 Ratio of calciumGeometric Coefficient of Variation 20.49
Semaglutide 0.4 mgChange in Calcium (mmol/L)1.008 Ratio of calciumGeometric Coefficient of Variation 20.88
PlaceboChange in Calcium (mmol/L)1.010 Ratio of calciumGeometric Coefficient of Variation 22.79
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Creatine Kinase0.975 Ratio of creatine kinaseGeometric Coefficient of Variation 73.02
Semaglutide 0.2 mgChange in Creatine Kinase0.798 Ratio of creatine kinaseGeometric Coefficient of Variation 77.96
Semaglutide 0.4 mgChange in Creatine Kinase0.825 Ratio of creatine kinaseGeometric Coefficient of Variation 74.17
PlaceboChange in Creatine Kinase0.904 Ratio of creatine kinaseGeometric Coefficient of Variation 76.04
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Creatinine (mg/dL)1.018 Ratio of creatinineGeometric Coefficient of Variation 30.7
Semaglutide 0.2 mgChange in Creatinine (mg/dL)1.069 Ratio of creatinineGeometric Coefficient of Variation 42.19
Semaglutide 0.4 mgChange in Creatinine (mg/dL)1.026 Ratio of creatinineGeometric Coefficient of Variation 35.17
PlaceboChange in Creatinine (mg/dL)1.021 Ratio of creatinineGeometric Coefficient of Variation 33.87
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Creatinine (Umol/L)1.018 Ratio of creatinineGeometric Coefficient of Variation 30.7
Semaglutide 0.2 mgChange in Creatinine (Umol/L)1.069 Ratio of creatinineGeometric Coefficient of Variation 42.19
Semaglutide 0.4 mgChange in Creatinine (Umol/L)1.026 Ratio of creatinineGeometric Coefficient of Variation 35.17
PlaceboChange in Creatinine (Umol/L)1.021 Ratio of creatinineGeometric Coefficient of Variation 33.87
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Cytokeratin 18 (CK-18) FragmentsM300.52 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 84.2
Semaglutide 0.1 mgChange in Cytokeratin 18 (CK-18) FragmentsM650.51 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 73.1
Semaglutide 0.2 mgChange in Cytokeratin 18 (CK-18) FragmentsM650.52 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 62.5
Semaglutide 0.2 mgChange in Cytokeratin 18 (CK-18) FragmentsM300.50 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 76.4
Semaglutide 0.4 mgChange in Cytokeratin 18 (CK-18) FragmentsM300.40 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 74.5
Semaglutide 0.4 mgChange in Cytokeratin 18 (CK-18) FragmentsM650.38 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 65.6
PlaceboChange in Cytokeratin 18 (CK-18) FragmentsM300.78 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 106.9
PlaceboChange in Cytokeratin 18 (CK-18) FragmentsM650.71 Ratio of CK-18 fragmentsGeometric Coefficient of Variation 83.7
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Diastolic Blood Pressure (DBP)0 Millimeters of mercuryStandard Deviation 10
Semaglutide 0.2 mgChange in Diastolic Blood Pressure (DBP)-2 Millimeters of mercuryStandard Deviation 11
Semaglutide 0.4 mgChange in Diastolic Blood Pressure (DBP)-2 Millimeters of mercuryStandard Deviation 9
PlaceboChange in Diastolic Blood Pressure (DBP)-1 Millimeters of mercuryStandard Deviation 10
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Enhanced Liver Fibrosis (ELF)-0.4 score on a scaleStandard Deviation 0.7
Semaglutide 0.2 mgChange in Enhanced Liver Fibrosis (ELF)-0.4 score on a scaleStandard Deviation 0.8
Semaglutide 0.4 mgChange in Enhanced Liver Fibrosis (ELF)-0.6 score on a scaleStandard Deviation 0.8
PlaceboChange in Enhanced Liver Fibrosis (ELF)0.1 score on a scaleStandard Deviation 0.7
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Erythrocytes0.038 10^12 cells per liter (10^12/L)Standard Deviation 0.292
Semaglutide 0.2 mgChange in Erythrocytes0.004 10^12 cells per liter (10^12/L)Standard Deviation 0.22
Semaglutide 0.4 mgChange in Erythrocytes-0.034 10^12 cells per liter (10^12/L)Standard Deviation 0.334
PlaceboChange in Erythrocytes0.054 10^12 cells per liter (10^12/L)Standard Deviation 0.314
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Estimated Glomerular Filtration Rate (eGFR)0.976 Ratio of eGFRGeometric Coefficient of Variation 28.04
Semaglutide 0.2 mgChange in Estimated Glomerular Filtration Rate (eGFR)0.940 Ratio of eGFRGeometric Coefficient of Variation 40.47
Semaglutide 0.4 mgChange in Estimated Glomerular Filtration Rate (eGFR)0.973 Ratio of eGFRGeometric Coefficient of Variation 31.42
PlaceboChange in Estimated Glomerular Filtration Rate (eGFR)0.969 Ratio of eGFRGeometric Coefficient of Variation 31.24
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Fasting Glucagon0.78 Ratio of glucagonGeometric Coefficient of Variation 76.8
Semaglutide 0.2 mgChange in Fasting Glucagon0.65 Ratio of glucagonGeometric Coefficient of Variation 94.8
Semaglutide 0.4 mgChange in Fasting Glucagon0.63 Ratio of glucagonGeometric Coefficient of Variation 100.4
PlaceboChange in Fasting Glucagon1.04 Ratio of glucagonGeometric Coefficient of Variation 80.8
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Fasting Plasma Glucose (FPG)-1.39 Millimoles per literStandard Deviation 2.53
Semaglutide 0.2 mgChange in Fasting Plasma Glucose (FPG)-2.17 Millimoles per literStandard Deviation 1.82
Semaglutide 0.4 mgChange in Fasting Plasma Glucose (FPG)-2.09 Millimoles per literStandard Deviation 2.68
PlaceboChange in Fasting Plasma Glucose (FPG)-0.34 Millimoles per literStandard Deviation 2.72
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Ferritin0.660 Ratio of ferritinGeometric Coefficient of Variation 99.95
Semaglutide 0.2 mgChange in Ferritin0.617 Ratio of ferritinGeometric Coefficient of Variation 88.7
Semaglutide 0.4 mgChange in Ferritin0.603 Ratio of ferritinGeometric Coefficient of Variation 88.83
PlaceboChange in Ferritin0.713 Ratio of ferritinGeometric Coefficient of Variation 96.91
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Fibroblast Growth Factor 21 (FGF-21)0.72 Ratio of FGF-21Geometric Coefficient of Variation 86.1
Semaglutide 0.2 mgChange in Fibroblast Growth Factor 21 (FGF-21)0.61 Ratio of FGF-21Geometric Coefficient of Variation 104.1
Semaglutide 0.4 mgChange in Fibroblast Growth Factor 21 (FGF-21)0.55 Ratio of FGF-21Geometric Coefficient of Variation 91.3
PlaceboChange in Fibroblast Growth Factor 21 (FGF-21)0.76 Ratio of FGF-21Geometric Coefficient of Variation 64.8
Secondary

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

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Fibrosis-4 Score0.81 Ratio of fibrosis-4 scoreGeometric Coefficient of Variation 36.8
Semaglutide 0.2 mgChange in Fibrosis-4 Score0.77 Ratio of fibrosis-4 scoreGeometric Coefficient of Variation 32.4
Semaglutide 0.4 mgChange in Fibrosis-4 Score0.77 Ratio of fibrosis-4 scoreGeometric Coefficient of Variation 31.3
PlaceboChange in Fibrosis-4 Score0.95 Ratio of fibrosis-4 scoreGeometric Coefficient of Variation 43.1
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Free Fatty Acids0.83 Ratio of free fatty acidsGeometric Coefficient of Variation 54.8
Semaglutide 0.2 mgChange in Free Fatty Acids0.92 Ratio of free fatty acidsGeometric Coefficient of Variation 73.2
Semaglutide 0.4 mgChange in Free Fatty Acids0.72 Ratio of free fatty acidsGeometric Coefficient of Variation 80.8
PlaceboChange in Free Fatty Acids1.05 Ratio of free fatty acidsGeometric Coefficient of Variation 75.9
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Gamma Glutamyl Transferase (GGT)0.76 Ratio of GGTGeometric Coefficient of Variation 52
Semaglutide 0.2 mgChange in Gamma Glutamyl Transferase (GGT)0.64 Ratio of GGTGeometric Coefficient of Variation 51.6
Semaglutide 0.4 mgChange in Gamma Glutamyl Transferase (GGT)0.48 Ratio of GGTGeometric Coefficient of Variation 60.2
PlaceboChange in Gamma Glutamyl Transferase (GGT)0.92 Ratio of GGTGeometric Coefficient of Variation 46.6
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Glycosylated Haemoglobin (HbA1c) (%-Point)-0.7 Percentage point of HbA1cStandard Deviation 1.1
Semaglutide 0.2 mgChange in Glycosylated Haemoglobin (HbA1c) (%-Point)-1.2 Percentage point of HbA1cStandard Deviation 0.9
Semaglutide 0.4 mgChange in Glycosylated Haemoglobin (HbA1c) (%-Point)-1.2 Percentage point of HbA1cStandard Deviation 1
PlaceboChange in Glycosylated Haemoglobin (HbA1c) (%-Point)-0.0 Percentage point of HbA1cStandard Deviation 1
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Haematocrit-0.79 Percentage of haematocrit in bloodStandard Deviation 3.14
Semaglutide 0.2 mgChange in Haematocrit-0.71 Percentage of haematocrit in bloodStandard Deviation 2.77
Semaglutide 0.4 mgChange in Haematocrit-1.43 Percentage of haematocrit in bloodStandard Deviation 3.5
PlaceboChange in Haematocrit-0.41 Percentage of haematocrit in bloodStandard Deviation 3.53
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Haemoglobin (g/dL)0.18 Grams per deciliter (g/dL)Standard Deviation 1.05
Semaglutide 0.2 mgChange in Haemoglobin (g/dL)0.08 Grams per deciliter (g/dL)Standard Deviation 0.89
Semaglutide 0.4 mgChange in Haemoglobin (g/dL)-0.07 Grams per deciliter (g/dL)Standard Deviation 0.98
PlaceboChange in Haemoglobin (g/dL)0.21 Grams per deciliter (g/dL)Standard Deviation 1.08
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Haemoglobin (mmol/L)0.11 millimoles per liter (mmol/L)Standard Deviation 0.65
Semaglutide 0.2 mgChange in Haemoglobin (mmol/L)0.05 millimoles per liter (mmol/L)Standard Deviation 0.55
Semaglutide 0.4 mgChange in Haemoglobin (mmol/L)-0.05 millimoles per liter (mmol/L)Standard Deviation 0.61
PlaceboChange in Haemoglobin (mmol/L)0.13 millimoles per liter (mmol/L)Standard Deviation 0.67
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in HbA1c (Millimoles Per Mole)-7.9 millimoles per moleStandard Deviation 12.2
Semaglutide 0.2 mgChange in HbA1c (Millimoles Per Mole)-12.8 millimoles per moleStandard Deviation 9.5
Semaglutide 0.4 mgChange in HbA1c (Millimoles Per Mole)-12.8 millimoles per moleStandard Deviation 11.3
PlaceboChange in HbA1c (Millimoles Per Mole)-0.3 millimoles per moleStandard Deviation 10.7
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in High Density Lipoprotein (HDL) Cholesterol1.04 Ratio of HDL cholesterolGeometric Coefficient of Variation 16.1
Semaglutide 0.2 mgChange in High Density Lipoprotein (HDL) Cholesterol1.05 Ratio of HDL cholesterolGeometric Coefficient of Variation 12.9
Semaglutide 0.4 mgChange in High Density Lipoprotein (HDL) Cholesterol1.09 Ratio of HDL cholesterolGeometric Coefficient of Variation 16.4
PlaceboChange in High Density Lipoprotein (HDL) Cholesterol1.01 Ratio of HDL cholesterolGeometric Coefficient of Variation 12.9
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in High Sensitivity C-reactive Protein (hsCRP)0.78 Ratio of hsCRPGeometric Coefficient of Variation 114.6
Semaglutide 0.2 mgChange in High Sensitivity C-reactive Protein (hsCRP)0.50 Ratio of hsCRPGeometric Coefficient of Variation 124.1
Semaglutide 0.4 mgChange in High Sensitivity C-reactive Protein (hsCRP)0.41 Ratio of hsCRPGeometric Coefficient of Variation 114.6
PlaceboChange in High Sensitivity C-reactive Protein (hsCRP)0.91 Ratio of hsCRPGeometric Coefficient of Variation 85.8
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)0.77 Ratio of HOMA-IRGeometric Coefficient of Variation 62.2
Semaglutide 0.2 mgChange in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)0.60 Ratio of HOMA-IRGeometric Coefficient of Variation 77.6
Semaglutide 0.4 mgChange in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)0.58 Ratio of HOMA-IRGeometric Coefficient of Variation 94.6
PlaceboChange in Homeostatic Model Assessment - Insulin Resistance (HOMA-IR)0.81 Ratio of HOMA-IRGeometric Coefficient of Variation 127.5
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Interleukin-1 Receptor (IL-1R) Antagonist0.87 Ratio of IL-1R antagonistGeometric Coefficient of Variation 49.3
Semaglutide 0.2 mgChange in Interleukin-1 Receptor (IL-1R) Antagonist0.85 Ratio of IL-1R antagonistGeometric Coefficient of Variation 37.5
Semaglutide 0.4 mgChange in Interleukin-1 Receptor (IL-1R) Antagonist0.73 Ratio of IL-1R antagonistGeometric Coefficient of Variation 47.9
PlaceboChange in Interleukin-1 Receptor (IL-1R) Antagonist0.94 Ratio of IL-1R antagonistGeometric Coefficient of Variation 41.7
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in International Normalized Ratio (INR)0.97 Ratio of INRGeometric Coefficient of Variation 18.8
Semaglutide 0.2 mgChange in International Normalized Ratio (INR)0.96 Ratio of INRGeometric Coefficient of Variation 11.8
Semaglutide 0.4 mgChange in International Normalized Ratio (INR)0.93 Ratio of INRGeometric Coefficient of Variation 22.3
PlaceboChange in International Normalized Ratio (INR)0.99 Ratio of INRGeometric Coefficient of Variation 19.3
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Leukocytes0.489 10^9 cells per liter (10^9/L)Standard Deviation 1.564
Semaglutide 0.2 mgChange in Leukocytes0.260 10^9 cells per liter (10^9/L)Standard Deviation 1.343
Semaglutide 0.4 mgChange in Leukocytes-0.047 10^9 cells per liter (10^9/L)Standard Deviation 1.532
PlaceboChange in Leukocytes0.075 10^9 cells per liter (10^9/L)Standard Deviation 1.733
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Lipase1.305 Ratio of lipaseGeometric Coefficient of Variation 77.43
Semaglutide 0.2 mgChange in Lipase1.245 Ratio of lipaseGeometric Coefficient of Variation 87.68
Semaglutide 0.4 mgChange in Lipase1.375 Ratio of lipaseGeometric Coefficient of Variation 73.88
PlaceboChange in Lipase1.003 Ratio of lipaseGeometric Coefficient of Variation 66.72
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Liver Steatosis Assessed by FibroScan®-5.8 Decibels per meterStandard Deviation 41.1
Semaglutide 0.2 mgChange in Liver Steatosis Assessed by FibroScan®-50.9 Decibels per meterStandard Deviation 64.3
Semaglutide 0.4 mgChange in Liver Steatosis Assessed by FibroScan®-42.1 Decibels per meterStandard Deviation 73.3
PlaceboChange in Liver Steatosis Assessed by FibroScan®-18.7 Decibels per meterStandard Deviation 43.3
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Liver Stiffness Assessed by FibroScan®0.72 Ratio of liver stiffnessGeometric Coefficient of Variation 49.3
Semaglutide 0.2 mgChange in Liver Stiffness Assessed by FibroScan®0.64 Ratio of liver stiffnessGeometric Coefficient of Variation 52.2
Semaglutide 0.4 mgChange in Liver Stiffness Assessed by FibroScan®0.66 Ratio of liver stiffnessGeometric Coefficient of Variation 58.4
PlaceboChange in Liver Stiffness Assessed by FibroScan®1.18 Ratio of liver stiffnessGeometric Coefficient of Variation 71.2
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Low Density Lipoprotein (LDL) Cholesterol0.96 Ratio of LDL cholesterolGeometric Coefficient of Variation 22.9
Semaglutide 0.2 mgChange in Low Density Lipoprotein (LDL) Cholesterol1.01 Ratio of LDL cholesterolGeometric Coefficient of Variation 34.9
Semaglutide 0.4 mgChange in Low Density Lipoprotein (LDL) Cholesterol0.92 Ratio of LDL cholesterolGeometric Coefficient of Variation 25.5
PlaceboChange in Low Density Lipoprotein (LDL) Cholesterol0.90 Ratio of LDL cholesterolGeometric Coefficient of Variation 30.7
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in microRNA 122 (miR-122)0.86 Ratio of miR-122Geometric Coefficient of Variation 151.8
Semaglutide 0.2 mgChange in microRNA 122 (miR-122)0.74 Ratio of miR-122Geometric Coefficient of Variation 203.1
Semaglutide 0.4 mgChange in microRNA 122 (miR-122)0.58 Ratio of miR-122Geometric Coefficient of Variation 161.3
PlaceboChange in microRNA 122 (miR-122)1.28 Ratio of miR-122Geometric Coefficient of Variation 194.3
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Monocyte Chemoattractant Protein 1 (MCP-1)1.07 Ratio of MCP-1Geometric Coefficient of Variation 23.3
Semaglutide 0.2 mgChange in Monocyte Chemoattractant Protein 1 (MCP-1)1.08 Ratio of MCP-1Geometric Coefficient of Variation 29.8
Semaglutide 0.4 mgChange in Monocyte Chemoattractant Protein 1 (MCP-1)0.99 Ratio of MCP-1Geometric Coefficient of Variation 30.7
PlaceboChange in Monocyte Chemoattractant Protein 1 (MCP-1)1.04 Ratio of MCP-1Geometric Coefficient of Variation 26.4
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in NAFLD Fibrosis Score (NFS)-0.322 Score on a scaleStandard Deviation 0.819
Semaglutide 0.2 mgChange in NAFLD Fibrosis Score (NFS)-0.617 Score on a scaleStandard Deviation 0.691
Semaglutide 0.4 mgChange in NAFLD Fibrosis Score (NFS)-0.475 Score on a scaleStandard Deviation 0.77
PlaceboChange in NAFLD Fibrosis Score (NFS)-0.040 Score on a scaleStandard Deviation 0.844
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Potassium (mEq/L)1.004 Ratio of potassiumGeometric Coefficient of Variation 27
Semaglutide 0.2 mgChange in Potassium (mEq/L)0.979 Ratio of potassiumGeometric Coefficient of Variation 29.36
Semaglutide 0.4 mgChange in Potassium (mEq/L)0.998 Ratio of potassiumGeometric Coefficient of Variation 27.81
PlaceboChange in Potassium (mEq/L)0.998 Ratio of potassiumGeometric Coefficient of Variation 27.78
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Potassium (mmol/L)1.004 Ratio of potassiumGeometric Coefficient of Variation 27
Semaglutide 0.2 mgChange in Potassium (mmol/L)0.979 Ratio of potassiumGeometric Coefficient of Variation 29.36
Semaglutide 0.4 mgChange in Potassium (mmol/L)0.998 Ratio of potassiumGeometric Coefficient of Variation 27.81
PlaceboChange in Potassium (mmol/L)0.998 Ratio of potassiumGeometric Coefficient of Variation 27.78
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Pulse From Baseline to Week 722.2 beats per minute (bpm)Standard Deviation 10.9
Semaglutide 0.2 mgChange in Pulse From Baseline to Week 722.1 beats per minute (bpm)Standard Deviation 9
Semaglutide 0.4 mgChange in Pulse From Baseline to Week 720.9 beats per minute (bpm)Standard Deviation 9.6
PlaceboChange in Pulse From Baseline to Week 72-0.3 beats per minute (bpm)Standard Deviation 9.1
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScorePhysical functioning1.8 Scores on a scaleStandard Deviation 7.8
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreGeneral health7.2 Scores on a scaleStandard Deviation 14.8
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreVitality2.3 Scores on a scaleStandard Deviation 8.6
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreMental component sum2.2 Scores on a scaleStandard Deviation 8.5
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScorePhysical component sum2.1 Scores on a scaleStandard Deviation 7
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreRole functioning2.1 Scores on a scaleStandard Deviation 6.9
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreBodily pain1.3 Scores on a scaleStandard Deviation 10.9
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreSocial functioning3.7 Scores on a scaleStandard Deviation 9
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreRole emotional2.2 Scores on a scaleStandard Deviation 8.9
Semaglutide 0.1 mgChange in Short Form 36 (SF-36) ScoreMental health1.2 Scores on a scaleStandard Deviation 8.9
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreRole emotional0.6 Scores on a scaleStandard Deviation 9.1
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScorePhysical component sum1.1 Scores on a scaleStandard Deviation 7.3
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScorePhysical functioning2.0 Scores on a scaleStandard Deviation 7.3
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreRole functioning0.5 Scores on a scaleStandard Deviation 9.3
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreBodily pain1.2 Scores on a scaleStandard Deviation 10.1
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreVitality0.6 Scores on a scaleStandard Deviation 9.4
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreMental health1.5 Scores on a scaleStandard Deviation 8.2
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreSocial functioning-0.1 Scores on a scaleStandard Deviation 9.9
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreGeneral health2.3 Scores on a scaleStandard Deviation 17.8
Semaglutide 0.2 mgChange in Short Form 36 (SF-36) ScoreMental component sum0.6 Scores on a scaleStandard Deviation 9.2
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreSocial functioning2.2 Scores on a scaleStandard Deviation 9.4
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreMental component sum1.2 Scores on a scaleStandard Deviation 9.5
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreGeneral health9.0 Scores on a scaleStandard Deviation 17.4
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreRole emotional0.5 Scores on a scaleStandard Deviation 9.5
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreBodily pain3.4 Scores on a scaleStandard Deviation 7.9
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScorePhysical component sum3.9 Scores on a scaleStandard Deviation 7.1
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreRole functioning2.2 Scores on a scaleStandard Deviation 8.1
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreVitality4.6 Scores on a scaleStandard Deviation 9.8
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScorePhysical functioning2.8 Scores on a scaleStandard Deviation 7.8
Semaglutide 0.4 mgChange in Short Form 36 (SF-36) ScoreMental health1.3 Scores on a scaleStandard Deviation 9.5
PlaceboChange in Short Form 36 (SF-36) ScorePhysical functioning-0.4 Scores on a scaleStandard Deviation 8.2
PlaceboChange in Short Form 36 (SF-36) ScoreSocial functioning-1.6 Scores on a scaleStandard Deviation 8.3
PlaceboChange in Short Form 36 (SF-36) ScoreRole functioning-0.3 Scores on a scaleStandard Deviation 9.4
PlaceboChange in Short Form 36 (SF-36) ScoreMental health-0.2 Scores on a scaleStandard Deviation 9.7
PlaceboChange in Short Form 36 (SF-36) ScoreVitality-0.2 Scores on a scaleStandard Deviation 10.1
PlaceboChange in Short Form 36 (SF-36) ScoreGeneral health4.3 Scores on a scaleStandard Deviation 16.5
PlaceboChange in Short Form 36 (SF-36) ScoreMental component sum-0.4 Scores on a scaleStandard Deviation 8.9
PlaceboChange in Short Form 36 (SF-36) ScorePhysical component sum-0.1 Scores on a scaleStandard Deviation 8.3
PlaceboChange in Short Form 36 (SF-36) ScoreBodily pain-1.3 Scores on a scaleStandard Deviation 10.2
PlaceboChange in Short Form 36 (SF-36) ScoreRole emotional-0.3 Scores on a scaleStandard Deviation 8.5
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Sodium (mEq/L)0.999 Ratio of sodiumGeometric Coefficient of Variation 12.23
Semaglutide 0.2 mgChange in Sodium (mEq/L)1.000 Ratio of sodiumGeometric Coefficient of Variation 12.13
Semaglutide 0.4 mgChange in Sodium (mEq/L)1.002 Ratio of sodiumGeometric Coefficient of Variation 11.68
PlaceboChange in Sodium (mEq/L)1.002 Ratio of sodiumGeometric Coefficient of Variation 12.91
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Sodium (mmol/L)0.999 Ratio of sodiumGeometric Coefficient of Variation 12.23
Semaglutide 0.2 mgChange in Sodium (mmol/L)1.000 Ratio of sodiumGeometric Coefficient of Variation 12.13
Semaglutide 0.4 mgChange in Sodium (mmol/L)1.002 Ratio of sodiumGeometric Coefficient of Variation 11.68
PlaceboChange in Sodium (mmol/L)1.002 Ratio of sodiumGeometric Coefficient of Variation 12.91
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Systolic Blood Pressure (SBP)-2 Millimeters of mercuryStandard Deviation 16
Semaglutide 0.2 mgChange in Systolic Blood Pressure (SBP)-7 Millimeters of mercuryStandard Deviation 18
Semaglutide 0.4 mgChange in Systolic Blood Pressure (SBP)-6 Millimeters of mercuryStandard Deviation 16
PlaceboChange in Systolic Blood Pressure (SBP)-2 Millimeters of mercuryStandard Deviation 15
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Thrombocytes8.8 10^9 cells per liter (10^9/L)Standard Deviation 46.9
Semaglutide 0.2 mgChange in Thrombocytes14.6 10^9 cells per liter (10^9/L)Standard Deviation 34.8
Semaglutide 0.4 mgChange in Thrombocytes9.0 10^9 cells per liter (10^9/L)Standard Deviation 44.9
PlaceboChange in Thrombocytes0.3 10^9 cells per liter (10^9/L)Standard Deviation 43.7
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Total Bilirubin (mg/dL)0.978 Ratio of total bilirubinGeometric Coefficient of Variation 66.72
Semaglutide 0.2 mgChange in Total Bilirubin (mg/dL)1.011 Ratio of total bilirubinGeometric Coefficient of Variation 70.66
Semaglutide 0.4 mgChange in Total Bilirubin (mg/dL)0.949 Ratio of total bilirubinGeometric Coefficient of Variation 65.89
PlaceboChange in Total Bilirubin (mg/dL)1.040 Ratio of total bilirubinGeometric Coefficient of Variation 67.36
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Total Bilirubin (Umol/L)0.978 Ratio of total bilirubinGeometric Coefficient of Variation 66.72
Semaglutide 0.2 mgChange in Total Bilirubin (Umol/L)1.011 Ratio of total bilirubinGeometric Coefficient of Variation 70.66
Semaglutide 0.4 mgChange in Total Bilirubin (Umol/L)0.949 Ratio of total bilirubinGeometric Coefficient of Variation 65.89
PlaceboChange in Total Bilirubin (Umol/L)1.040 Ratio of total bilirubinGeometric Coefficient of Variation 67.36
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Total Cholesterol0.98 Ratio of total cholesterolGeometric Coefficient of Variation 17.1
Semaglutide 0.2 mgChange in Total Cholesterol1.00 Ratio of total cholesterolGeometric Coefficient of Variation 20.3
Semaglutide 0.4 mgChange in Total Cholesterol0.93 Ratio of total cholesterolGeometric Coefficient of Variation 15.7
PlaceboChange in Total Cholesterol0.93 Ratio of total cholesterolGeometric Coefficient of Variation 18.8
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Triglycerides0.88 Ratio of triglyceridesGeometric Coefficient of Variation 34.1
Semaglutide 0.2 mgChange in Triglycerides0.89 Ratio of triglyceridesGeometric Coefficient of Variation 37.6
Semaglutide 0.4 mgChange in Triglycerides0.73 Ratio of triglyceridesGeometric Coefficient of Variation 41.4
PlaceboChange in Triglycerides0.95 Ratio of triglyceridesGeometric Coefficient of Variation 36.9
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Urea1.018 Ratio of ureaGeometric Coefficient of Variation 51.01
Semaglutide 0.2 mgChange in Urea0.973 Ratio of ureaGeometric Coefficient of Variation 52.3
Semaglutide 0.4 mgChange in Urea1.042 Ratio of ureaGeometric Coefficient of Variation 51.14
PlaceboChange in Urea1.043 Ratio of ureaGeometric Coefficient of Variation 52.3
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.1 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol0.89 Ratio of VLDL cholesterolGeometric Coefficient of Variation 31.9
Semaglutide 0.2 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol0.90 Ratio of VLDL cholesterolGeometric Coefficient of Variation 36.1
Semaglutide 0.4 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol0.74 Ratio of VLDL cholesterolGeometric Coefficient of Variation 38.2
PlaceboChange in Very Low Density Lipoprotein (VLDL) Cholesterol0.93 Ratio of VLDL cholesterolGeometric Coefficient of Variation 36.7
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.1 mgChange in Waist Circumference-3.9 CentimetersStandard Deviation 6.3
Semaglutide 0.2 mgChange in Waist Circumference-7.1 CentimetersStandard Deviation 8.9
Semaglutide 0.4 mgChange in Waist Circumference-11.4 CentimetersStandard Deviation 9.3
PlaceboChange in Waist Circumference-1.7 CentimetersStandard Deviation 6.2
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.1 mgNumber of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events1 Participants
Semaglutide 0.2 mgNumber of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events6 Participants
Semaglutide 0.4 mgNumber of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events2 Participants
PlaceboNumber of Participants Discontinuing Treatment Due to Gastrointestinal Adverse Events0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.1 mgNumber of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)Yes0 Participants
Semaglutide 0.1 mgNumber of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)No80 Participants
Semaglutide 0.2 mgNumber of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)Yes0 Participants
Semaglutide 0.2 mgNumber of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)No78 Participants
Semaglutide 0.4 mgNumber of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)Yes0 Participants
Semaglutide 0.4 mgNumber of Participants With Anti-semaglutide Antibodies With in Vitro Neutralising Effect During and After 72 Weeks Treatment (Yes/No)No81 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.1 mgNumber of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)Yes4 Participants
Semaglutide 0.1 mgNumber of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)No76 Participants
Semaglutide 0.2 mgNumber of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)Yes0 Participants
Semaglutide 0.2 mgNumber of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)No78 Participants
Semaglutide 0.4 mgNumber of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)Yes2 Participants
Semaglutide 0.4 mgNumber of Participants With Anti-semaglutide Binding Antibodies Cross Reacting With Native GLP-1 During and After 72 Weeks Treatment (Yes/No)No79 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.1 mgNumber 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)Yes0 Participants
Semaglutide 0.1 mgNumber 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)No80 Participants
Semaglutide 0.2 mgNumber 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)Yes0 Participants
Semaglutide 0.2 mgNumber 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)No78 Participants
Semaglutide 0.4 mgNumber 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)Yes0 Participants
Semaglutide 0.4 mgNumber 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)No81 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.1 mgNumber of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)Yes4 Participants
Semaglutide 0.1 mgNumber of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)No76 Participants
Semaglutide 0.2 mgNumber of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)Yes1 Participants
Semaglutide 0.2 mgNumber of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)No77 Participants
Semaglutide 0.4 mgNumber of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)Yes2 Participants
Semaglutide 0.4 mgNumber of Participants With Occurrence of Anti-semaglutide Antibodies During and After 72 Weeks Treatment (Yes/No)No79 Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Semaglutide 0.1 mgNumber of Treatment-emergent Adverse Events (TEAEs)525 events
Semaglutide 0.2 mgNumber of Treatment-emergent Adverse Events (TEAEs)577 events
Semaglutide 0.4 mgNumber of Treatment-emergent Adverse Events (TEAEs)511 events
PlaceboNumber of Treatment-emergent Adverse Events (TEAEs)445 events
Secondary

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.

ArmMeasureValue (NUMBER)
Semaglutide 0.1 mgNumber of Treatment-emergent Hypoglycaemic Episodes54 episodes
Semaglutide 0.2 mgNumber of Treatment-emergent Hypoglycaemic Episodes30 episodes
Semaglutide 0.4 mgNumber of Treatment-emergent Hypoglycaemic Episodes66 episodes
PlaceboNumber of Treatment-emergent Hypoglycaemic Episodes18 episodes
Secondary

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.

ArmMeasureValue (NUMBER)
Semaglutide 0.1 mgNumber of Treatment-emergent Severe Hypoglycaemic Episodes2 episodes
Semaglutide 0.2 mgNumber of Treatment-emergent Severe Hypoglycaemic Episodes2 episodes
Semaglutide 0.4 mgNumber of Treatment-emergent Severe Hypoglycaemic Episodes0 episodes
PlaceboNumber of Treatment-emergent Severe Hypoglycaemic Episodes0 episodes
Secondary

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.

ArmMeasureValue (NUMBER)
Semaglutide 0.1 mgNumber of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes3 episodes
Semaglutide 0.2 mgNumber of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes5 episodes
Semaglutide 0.4 mgNumber of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes17 episodes
PlaceboNumber of Treatment-emergent Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemic Episodes2 episodes
Secondary

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).

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Missing5.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Yes49.1 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)No45.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)No50.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Yes32.2 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Missing16.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Missing10.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Yes42.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)No46.4 Percentage of participants
PlaceboPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)No58.6 Percentage of participants
PlaceboPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Yes32.8 Percentage of participants
PlaceboPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)Missing8.6 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreImprovement62.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreNo change22.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreMissing7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreWorsening7.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreWorsening3.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreMissing12.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreImprovement71.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreNo change11.5 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreImprovement72.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreMissing12.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreNo change14.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreWorsening1.2 Percentage of participants
PlaceboPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreMissing12.5 Percentage of participants
PlaceboPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreImprovement42.5 Percentage of participants
PlaceboPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreNo change33.8 Percentage of participants
PlaceboPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreWorsening11.3 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Normal58.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal NCS41.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Normal64.9 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal NCS35.1 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Normal65.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Normal60.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal NCS39.7 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal NCS34.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal NCS32.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal CS1.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Normal74.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal CS1.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal NCS23.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Normal66.7 Percentage of participants
PlaceboPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal NCS38.6 Percentage of participants
PlaceboPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Abnormal CS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal NCS36.3 Percentage of participants
PlaceboPercentage of Participants With Change in Electrocardiogram (ECG)Week 72: Normal60.0 Percentage of participants
PlaceboPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Normal63.8 Percentage of participants
PlaceboPercentage of Participants With Change in Electrocardiogram (ECG)Week 0: Abnormal CS0.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationNo change36.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationImprovement46.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationWorsening10.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationMissing7.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationNo change42.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationMissing17.9 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationImprovement32.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationWorsening7.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationMissing15.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationImprovement42.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationWorsening4.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationNo change36.6 Percentage of participants
PlaceboPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationMissing12.5 Percentage of participants
PlaceboPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationWorsening18.8 Percentage of participants
PlaceboPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationImprovement31.3 Percentage of participants
PlaceboPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationNo change37.5 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Hepatocyte BallooningMissing7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Hepatocyte BallooningNo change28.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Hepatocyte BallooningImprovement61.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Hepatocyte BallooningWorsening2.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Hepatocyte BallooningImprovement70.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Hepatocyte BallooningNo change14.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Hepatocyte BallooningWorsening2.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Hepatocyte BallooningMissing12.8 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Hepatocyte BallooningMissing12.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Hepatocyte BallooningImprovement74.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Hepatocyte BallooningWorsening1.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Hepatocyte BallooningNo change12.2 Percentage of participants
PlaceboPercentage of Participants With Change in Hepatocyte BallooningNo change46.3 Percentage of participants
PlaceboPercentage of Participants With Change in Hepatocyte BallooningWorsening2.5 Percentage of participants
PlaceboPercentage of Participants With Change in Hepatocyte BallooningImprovement38.8 Percentage of participants
PlaceboPercentage of Participants With Change in Hepatocyte BallooningMissing12.5 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Lobular InflammationMissing7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Lobular InflammationWorsening7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Lobular InflammationImprovement41.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Lobular InflammationNo change43.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Lobular InflammationWorsening7.7 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Lobular InflammationNo change32.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Lobular InflammationImprovement47.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Lobular InflammationMissing12.8 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Lobular InflammationImprovement37.8 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Lobular InflammationWorsening6.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Lobular InflammationNo change43.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Lobular InflammationMissing12.2 Percentage of participants
PlaceboPercentage of Participants With Change in Lobular InflammationWorsening17.5 Percentage of participants
PlaceboPercentage of Participants With Change in Lobular InflammationImprovement26.3 Percentage of participants
PlaceboPercentage of Participants With Change in Lobular InflammationMissing11.3 Percentage of participants
PlaceboPercentage of Participants With Change in Lobular InflammationNo change45.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal NCS11.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal NCS12.2 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Normal87.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Normal87.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Normal93.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal NCS5.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal NCS3.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Normal96.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal NCS5.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Normal94.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Normal92.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal NCS7.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal CS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Normal92.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal NCS6.3 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek -6: Abnormal CS1.3 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Normal90.1 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Cardiovascular SystemWeek 72: Abnormal NCS8.5 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal NCS5.4 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal NCS5.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal CS2.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Normal94.6 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Normal92.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Normal94.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal NCS4.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Normal93.7 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal CS1.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal NCS5.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal NCS1.3 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Normal98.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Normal98.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal NCS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal CS1.3 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Normal95.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek -6: Abnormal NCS3.8 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Normal92.9 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Central and Peripheral Nervous SystemWeek 72: Abnormal NCS7.1 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Normal82.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal NCS13.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal CS3.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Normal89.2 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal NCS10.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Normal81.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Normal83.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal NCS15.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal NCS19.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal NCS16.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Normal87.5 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal NCS12.5 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Normal84.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal NCS14.1 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Abnormal CS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal NCS12.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek 72: Normal84.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Normal86.3 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Gastrointestinal System Including MouthWeek -6: Abnormal CS1.3 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Normal83.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Normal83.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal NCS16.2 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal NCS16.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal NCS6.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Normal90.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal NCS12.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Normal85.9 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal CS3.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal NCS21.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Normal79.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Normal90.3 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal NCS9.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Abnormal NCS23.9 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Normal80.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal NCS20.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: General AppearanceWeek 72: Normal76.1 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: General AppearanceWeek -6: Abnormal CS0.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Normal97.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal NCS2.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Normal94.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal NCS4.1 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal CS1.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Normal96.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Normal94.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal NCS5.2 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal NCS3.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal NCS1.3 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Normal98.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal NCS1.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Normal98.8 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal NCS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Abnormal CS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal NCS2.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek 72: Normal98.6 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Normal97.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Head, Ears, Eyes, Nose, Throat, NeckWeek -6: Abnormal CS0.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Normal100.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Normal100.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal NCS1.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Normal100.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Normal98.7 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Normal100.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Normal100.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Normal100.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Normal100.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal NCS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek -6: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Lymph Node PalpationWeek 72: Abnormal NCS0.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Normal95.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal NCS3.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Normal94.6 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal NCS5.4 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Normal96.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Normal96.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal NCS3.9 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal NCS3.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal NCS5.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Normal100.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Normal94.9 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal NCS4.2 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal NCS3.8 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek 72: Normal95.8 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Normal95.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Musculoskeletal SystemWeek -6: Abnormal CS1.3 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Normal100.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Normal98.6 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal CS1.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Normal96.9 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Normal100.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal NCS3.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal NCS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Normal98.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal NCS1.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Normal100.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal NCS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal NCS2.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek 72: Normal98.6 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Normal97.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Respiratory SystemWeek -6: Abnormal CS0.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal NCS2.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Normal94.6 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal NCS4.1 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Normal96.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal CS1.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Normal87.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal NCS6.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Normal92.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal NCS10.9 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal CS1.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal CS1.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal CS1.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Normal85.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal NCS13.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Normal90.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal NCS8.6 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: SkinWeek -6: Abnormal NCS10.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: SkinWeek 72: Abnormal NCS11.3 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: SkinWeek -6: Normal90.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: SkinWeek 72: Normal88.7 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Normal88.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal NCS10.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal CS1.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Normal94.6 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal NCS5.4 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Normal98.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Normal97.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal NCS2.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal NCS1.6 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal NCS2.5 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Normal97.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal CS0.0 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal NCS2.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Normal97.5 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal NCS1.4 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Abnormal CS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal NCS0.0 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek 72: Normal98.6 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Normal98.8 Percentage of participants
PlaceboPercentage of Participants With Change in Physical Examination: Thyroid GlandWeek -6: Abnormal CS1.3 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in SteatosisImprovement52.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in SteatosisMissing7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in SteatosisWorsening6.3 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in SteatosisNo change33.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in SteatosisWorsening2.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in SteatosisNo change24.4 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in SteatosisMissing12.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in SteatosisImprovement60.3 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in SteatosisImprovement63.4 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in SteatosisWorsening3.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in SteatosisNo change20.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in SteatosisMissing12.2 Percentage of participants
PlaceboPercentage of Participants With Change in SteatosisImprovement26.3 Percentage of participants
PlaceboPercentage of Participants With Change in SteatosisWorsening15.0 Percentage of participants
PlaceboPercentage of Participants With Change in SteatosisMissing12.5 Percentage of participants
PlaceboPercentage of Participants With Change in SteatosisNo change46.3 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Missing7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Worsening7.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)No change13.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Improvement71.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)No change5.1 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Improvement79.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Worsening2.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Missing12.8 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Improvement82.9 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Worsening3.7 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)No change1.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Missing12.2 Percentage of participants
PlaceboPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Improvement43.8 Percentage of participants
PlaceboPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Missing12.5 Percentage of participants
PlaceboPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Worsening16.3 Percentage of participants
PlaceboPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)No change27.5 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)No77.5 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Missing5.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Yes17.5 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)No52.6 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Missing9.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Yes38.5 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Yes59.8 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Missing6.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)No34.1 Percentage of participants
PlaceboPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Missing5.0 Percentage of participants
PlaceboPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)No92.5 Percentage of participants
PlaceboPercentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 72 Weeks (Yes/No)Yes2.5 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.1 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Yes43.8 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Missing5.0 Percentage of participants
Semaglutide 0.1 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)No51.3 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Yes62.8 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Missing9.0 Percentage of participants
Semaglutide 0.2 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)No28.2 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)No17.1 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Yes76.8 Percentage of participants
Semaglutide 0.4 mgPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Missing6.1 Percentage of participants
PlaceboPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Yes16.3 Percentage of participants
PlaceboPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)Missing5.0 Percentage of participants
PlaceboPercentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 72 Weeks (Yes/No)No78.8 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 17, 2026