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Efficacy and Safety of Semaglutide Once-weekly Versus Sitagliptin Once-daily as add-on to Metformin in Subjects With Type 2 Diabetes (SUSTAIN - CHINA MRCT)

Efficacy and Safety of Semaglutide Once-weekly Versus Sitagliptin Once-daily as add-on to Metformin in Subjects With Type 2 Diabetes. A 30-week Randomised, Double-blind, Double-dummy, Active-controlled, Parallel-group, Multi-centre and Multi-national Trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03061214
Acronym
SUSTAIN
Enrollment
868
Registered
2017-02-23
Start date
2017-08-28
Completion date
2019-04-15
Last updated
2021-03-02

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

Conditions

Diabetes, Diabetes Mellitus, Type 2

Brief summary

This trial is conducted in Africa, Asia, Europe and South America. The aim of the trial is to compare the effect of once-weekly dosing of two dose levels of semaglutide versus sitagliptin 100 mg once-daily on glycaemic control after 30 weeks of treatment. Subjects will remain on their stable pre-trial metformin.

Interventions

Up to 0.5 mg semaglutide injected subcutaneously (s.c., under the skin) once-weekly (OW) for 30 weeks

Up to 1.0 mg semaglutide injected subcutaneously once-weekly for 30 weeks

Sitagliptin placebo tablets taken once-daily for 30 weeks

DRUGSitagliptin

100 mg sitagliptin tablets taken once-daily for 30 weeks

DRUGSemaglutide placebo 0.5 mg

Semaglutide placebo (0.5 mg) injected subcutaneously once-weekly for 30 weeks

DRUGSemaglutide placebo 1.0 mg

Semaglutide placebo (1.0 mg) injected subcutaneously once-weekly for 30 weeks

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

- Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial - Male or female, age equal to or above 18 years at the time of signing informed consent - Subjects diagnosed with type 2 diabetes and on stable treatment in a period of 60 days prior to screening with metformin equal to or above 1500 mg (or maximum tolerated dose equal to or above 1000 mg). Stable is defined as unchanged medication and unchanged daily dose - HbA1c 7.0 - 10.5 % (53-91 mmol/mol) (both inclusive)

Exclusion criteria

- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential not using an adequate contraceptive method throughout the trial including the 5 week follow-up period (adequate contraceptive measure as required by local regulation or practice) - Any disorder which, in the opinion of the investigator, might jeopardise subject's safety or compliance with the protocol - Treatment with glucose lowering agent(s) other than stated in the inclusion criteria in a period of 60 days before screening. An exception is short-term treatment (equal to or below 7 days in total) with insulin in connection with inter-current illness - History of chronic or idiopathic acute pancreatitis - Screening calcitonin value equal to or above 50 ng/L (pg/mL) - Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2) - Impaired renal function defined as estimated glomerular filtration rate (eGFR) below 60 ml/min/1.73 m\^2 per modification of diet in renal disease (MDRD) formula (4 variable version) - Acute coronary or cerebrovascular event within 90 days before randomisation - Heart failure, New York Heart Association (NYHA) class IV

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1cWeek 0, week 30Change from baseline (week 0) to week 30 in glycosylated haemoglobin (HbA1c) was evaluated. Results are based on the 'on-treatment without rescue medication' observation period and 'in trial' observation period. 'On-treatment without rescue medication' observation period: started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first. 'In-trial' observation period: started when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Secondary

MeasureTime frameDescription
Change in Fasting Plasma Glucose (FPG)Week 0, week 30Change from baseline (week 0) to week 30 in FPG was evaluated. Results are based on the 'on-treatment without rescue medication' observation period which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Self-measured Plasma Glucose (SMPG) - Mean 7-point ProfileWeek 0, week 30Change from baseline (week 0) to week 30 in SMPG mean 7-point profile was evaluated. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. Mean 7-point profile was defined as the area under the profile, calculated using the trapezoidal method, divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Self-measured Plasma Glucose (SMPG) - Mean Postprandial Increment Over All MealsWeek 0, week 30Change from baseline (week 0) to week 30 in SMPG mean postprandial increment over all meals was evaluated. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting Insulin - Ratio to BaselineWeek 0, week 30Change in fasting insulin from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting insulin was measured in picomoles per liter (pmol/L). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting C-peptide - Ratio to BaselineWeek 0, week 30Change in fasting C-peptide from baseline (week 0) to week 30 is presented as ratio to baseline. C-peptide was measured in nanomoles per liter (nmol/L). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting Glucagon - Ratio to BaselineWeek 0, week 30Change in fasting glucagon from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting glucagon was measured in picogram per mililiter (pg/mL). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting Proinsulin - Ratio to BaselineWeek 0, week 30Change in fasting proinsulin from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting proinsulin was measured in picomole per liter (pmol/L). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting Proinsulin/Insulin Ratio - Ratio to BaselineWeek 0, week 30Change in fasting proinsulin/insulin ratio from baseline (week 0) to week 30 is presented as ratio to baseline. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting HOMA-B (Beta-cell Function) - Ratio to BaselineWeek 0, week 30Change in fasting HOMA-B (homeostasis model assessment beta-cell function) from baseline (week 0) to week 30 is presented as ratio to baseline. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting HOMA-IR (Insulin Resistence) - Ratio to BaselineWeek 0, week 30Change in fasting HOMA-IR (homeostasis model assessment insulin resistence) from baseline (week 0) to week 30 is presented as ratio to baseline. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreWeek 0, week 30Short Form (SF)-36 is a 36-item patient-reported survey that measures patient's overall health-related quality of life (HRQoL). SF-36v2™ (acute version) questionnaire measured 8 domains of functional health & well-being and 2 component summary scores (physical component summary-PCS and mental component summary-MCS). The 0-100 scale scores (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively of the 2009 U.S. general population. Change from baseline (week 0) in the domain scores and component summary (PCS and MCS) scores were evaluated at weeks 30. A positive change score indicates an improvement since baseline. Results are based on the data from the 'on-treatment without rescue medication' observation period.
Change in Patient Reported Outcome Questionnaire: DTSQs ScoreWeek 0, week 30Change from baseline (week 0) in Diabetes Treatment Satisfaction Questionnaire (DTSQs) was evaluated at week 30. The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 3 -8. For items 1 and 2 a higher score indicates a higher patient perceived experience of high blood sugars and low blood sugars, respectively. Thus, lower scores indicate a perception of blood glucose levels being none of the time unacceptably high (item 1) or low (item 2). The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 3-8. The score ranges 0-36. A higher treatment satisfaction score indicates a higher level of treatment satisfaction. Results are based on the 'on-treatment without rescue medication' observation period.
Change in High-sensitivity CRP - Ratio to BaselineWeek 0, week 30Change in high-sensitivity C-reactive protein (CRP) from baseline (week 0) to week 30 is presented as ratio to baseline. High-sensitivity CRP was measured in mg/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Waist CircumferenceWeek 0, week 30Change in waist circumference from baseline (week 0) to week 30 was measured. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in BMIWeek 0, week 30Change in body mass index (BMI) from baseline (week 0) to week 30 was measured. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting Total Cholesterol - Ratio to BaselineWeek 0, week 30Change in fasting total cholesterol from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting total cholesterol was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting LDL Cholesterol - Ratio to BaselineWeek 0, week 30Change in fasting low density lipoprotein (LDL) from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting LDL was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting VLDL Cholesterol - Ratio to BaselineWeek 0, week 30Change in fasting very low density lipoprotein (VLDL) from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting VLDL was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Fasting HDL Cholesterol - Ratio to BaselineWeek 0, week 30Change in fasting high density lipoprotein (HDL) from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting HDL was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Biochemistry Parameter: Amylase - Ratio to BaselineWeek 0, week 30Change in amylase from baseline (week 0) to week 30 is presented as ratio to baseline. Amylase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Fasting Triglycerides - Ratio to BaselineWeek 0, week 30Change in fasting triglycerides from baseline (week 0) to week 30 is presented as ratio to baseline. Triglycerides was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Free Fatty Acids - Ratio to BaselineWeek 0, week 30Change in free fatty acids from baseline (week 0) to week 30 is presented as ratio to baseline. Free fatty acids was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)Week 0, week 30Change from baseline (week 0) to week 30 in systolic blood pressure and diastolic blood pressure were evaluated. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Percentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)Week 30Percentage of participants who achieved HbA1c \< 7.0% (53 millimoles per mole \[mmol/mol\]), American Diabetes Association (ADA) target (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Percentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)Week 30Percentage of participants who achieved HbA1c ≤6.5% (48 millimoles per mole \[mmol/mol\]), American Association of Clinical Endocrinologists (AACE) target (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Percentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainWeek 30Severe or blood glucose (BG)-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value \<3.1 mmol/L (56 milligrams per deciliter \[mg/dL\]) with symptoms consistent with hypoglycaemia. Percentage of participants who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Percentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%Week 30Percentage of participants losing ≥5% of baseline body weight (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Percentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%Week 30Percentage of participants losing ≥10% of baseline body weight (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Total Number of Treatment Emergent Adverse EventsWeek 0 to week 30A treatment emergent adverse event (TEAE) is defined as an adverse event with onset in the on-treatment observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Number of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic EpisodesWeek 0 to week 30Hypoglycaemic episodes are defined as treatment-emergent if the onset of the episode occurs within the on-treatment observation period. Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Lipase - Ratio to BaselineWeek 0, week 30Change in lipase from baseline (week 0) to week 30 is presented as ratio to baseline. Lipase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Participants With Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic EpisodesWeek 0 to week 30Number of participants with treatment emergent severe or blood glucose-confirmed symptomatic hypoglycaemic episodes. Hypoglycaemic episodes defined as treatment-emergent if the onset of the episode occurs within the on-treatment observation period. Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Haematological Parameter: Haemoglobin - Ratio to BaselineWeek 0, week 30Change in haemoglobin from baseline (week 0) to week 30 is presented as ratio to baseline. Haemoglobin was measured in mmol/L. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Haematological Parameter: Haematocrit - Ratio to BaselineWeek 0, week 30Change in haematocrit from baseline (week 0) to week 30 is presented as ratio to baseline. Haematocrit was measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter: Thrombocytes - Ratio to BaselineWeek 0, week 30Change in thrombocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Thrombocytes was measured in 10\^9 cells per liter. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter: Erythrocytes - Ratio to BaselineWeek 0, week 30Change in erythrocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Erythrocytes were measured in 10\^12 cells per liter. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter: Leukocytes - Ratio to BaselineWeek 0, week 30Change in leukocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Leukocytes were measured in 10\^9 cells per liter. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter (Differential Cell Count of Leukocytes): Basophils - Ratio to BaselineWeek 0, week 30Change in basophils from baseline (week 0) to week 30 is presented as ratio to baseline. Basophils were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter (Differential Cell Count of Leukocytes): Neutrophils - Ratio to BaselineWeek 0, week 30Change in neutrophils from baseline (week 0) to week 30 is presented as ratio to baseline. Neutrophils were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter (Differential Cell Count of Leukocytes): Eosinophils - Ratio to BaselineWeek 0, week 30Change in eosinophils from baseline (week 0) to week 30 is presented as ratio to baseline. Eosinophils were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter (Differential Cell Count of Leukocytes): Monocytes - Ratio to BaselineWeek 0, week 30Change in monocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Monocytes were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Hematological Parameter (Differential Cell Count of Leukocytes): Lymphocytes - Ratio to BaselineWeek 0, week 30Change in lymphocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Lymphocytes were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Alkaline Phosphatase - Ratio to BaselineWeek 0, week 30Change in alkaline phosphatase from baseline (week 0) to week 30 is presented as ratio to baseline. Alkaline phosphatase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Alanine Aminotransferase - Ratio to BaselineWeek 0, week 30Change in alanine aminotransferase from baseline (week 0) to week 30 is presented as ratio to baseline. Alanine aminotransferase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Aspartate Aminotransferase - Ratio to BaselineWeek 0, week 30Change in aspartate aminotransferase from baseline (week 0) to week 30 is presented as ratio to baseline. Aspartate aminotransferase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Total Bilirubin - Ratio to BaselineWeek 0, week 30Change in total bilirubin from baseline (week 0) to week 30 is presented as ratio to baseline. Total bilirubin was measured in micromoles per liter (umol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Calcium (Corrected)- Ratio to BaselineWeek 0, week 30Change in calcium (corrected) from baseline (week 0) to week 30 is presented as ratio to baseline. Calcium was measured in millimoles per litre (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Total Calcium - Ratio to BaselineWeek 0, week 30Change in total calcium from baseline (week 0) to week 30 is presented as ratio to baseline. Calcium was measured in millimoles per litre (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Potassium - Ratio to BaselineWeek 0, week 30Change in potassium from baseline (week 0) to week 30 is presented as ratio to baseline. Potassium was measured in millimoles per liter (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Sodium - Ratio to BaselineWeek 0, week 30Change in sodium from baseline (week 0) to week 30 is presented as ratio to baseline. Sodium was measured in millimoles per litre (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Albumin - Ratio to BaselineWeek 0, week 30Change in albumin from baseline (week 0) to week 30 is presented as ratio to baseline. Albumin was measured in grams per deciliter (g/dL). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Creatine Kinase - Ratio to BaselineWeek 0, week 30Change in creatine kinase from baseline (week 0) to week 30 is presented as ratio to baseline. Creatine kinase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Total Protein- Ratio to BaselineWeek 0, week 30Change in Total protein from baseline (week 0) to week 30 is presented as ratio to baseline. Total Protein was measured in grams per deciliter (g/dL). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Creatinine - Ratio to BaselineWeek -2, week 30Change in creatinine from baseline (week -2) to week 30 is presented as ratio to baseline. Creatinine was measured in micromoles per lier (umol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Urea - Ratio to BaselineWeek 0, week 30Change in urea from baseline (week 0) to week 30 is presented as ratio to baseline. Urea was measured in millimoles per liter (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Biochemistry Parameter: Estimated Glomerular Filtration Rate (eGFR) - Ratio to BaselineWeek 0, week 30Change in estimated glomerular filtration rate (eGFR) from baseline (week 0) to week 30 is presented as ratio to baseline. Glomerular filtration rate was measured in milliliter/minute/specific surface area (mL/min/SSA). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Calcitonin - Ratio to BaselineWeek -2, week 30Change in calcitonin from baseline (week -2) to week 30 is presented as ratio to baseline. Calcitonin was measured in nanogram per liter (ng/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Urinalysis Parameter - UACR-ratio to BaselineWeek 0, week 30Change in urin albumin to creatinine ratio (UACR) from baseline (week 0) to week 30 is presented as ratio to baseline. UACR was measured in milligram/millimole (mg/mmol). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Urinalysis Parameter: GlucoseWeek 0, week 30Glucose in urine was assessed by the investigator and categorised as negative, \[100-249\], \[250-499\], \[500-999\] and \>= 1000. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Urinalysis Parameter: pHWeek 0, week 30pH in urine was assessed by the investigator and categorised as 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, \>=9. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Urinalysis Parameter: ProteinWeek 0, week 30Protein in urine was assessed by the investigator and categorised as negative, trace, 30-99, 100-299, Approximately 300, \>=300. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Urinalysis Parameter: KetonesWeek 0, week 30Ketones in urine was assessed by the investigator and categorised as negative, trace, 15-39, 40-79, Approximately 80, \>= 80. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Urinalysis Parameter: ErythrocytesWeek 0, week 30Erythrocytes in urine was assessed by the investigator and categorised as negative, trace, small, moderate, large. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Body WeightWeek 0, week 30Change from baseline (week 0) to week 30 in body weight was evaluated. Results are based on the 'on-treatment without rescue medication' observation period which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.
Change in Clinical Evaluation: ECGWeek 0, week 30The electrocardiogram (ECG) was assessed by the investigator and categorised as normal, abnormal not clinically significant (NCS) or abnormal clinically significant (CS). Number of participants in each ECG category at baseline and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Clinical Evaluation: Eye ExaminationsWeek 0, week 30Eye examination was performed by the investigator and the results of the examination were interpreted for each eye (left/right) are categorised as normal, abnormal not clinically significant (NCS) or abnormal clinically significant (CS). Number of participants in each category at baseline (week 0) and at week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Change in Physical ExaminationWeek -2, week 30Physical examination parameters are categorised as general appearance; nervous system (central and peripheral); cardiovascular system; gastrointestinal system; skin; respiratory system; lymph node palpation; thyroid gland; left foot; right foot; left leg and right leg. The number of participants assessed as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS) at baseline (week -2) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.
Anti-semaglutide Antibody Levelsweek 30, week 35This outcome measure is only applicable for the semaglutide arms. Anti-semaglutide antibody level at week 30 and week 35 are presented. Antibody levels were measured in percentage of bound radioactivity-labelled semaglutide/total added radioactivity-labelled semaglutide (%B/T; B =Bound, T = Total). Evaluation was based on 'in trial' observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.
Occurence of Anti-semaglutide Antibodies (Yes/no)Week 0, week 16, week 30, week 35This outcome measure is only applicable for the semaglutide arms. Development of anti-semaglutide antibodies was evaluated in participants during the study. The number of participants who were positive/ negative for anti-semaglutide antibodies were presented. Evaluation was based on 'in trial' observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.
Occurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)Week 0, week 16, week 30, week 35This outcome measure is only applicable for the semaglutide arms. Development of anti-semaglutide antibodies with in-vitro neutralising effect was evaluated in participants during the study. The number of participants who were positive/ negative for anti-semaglutide antibodies with in vitro neutralising effect are presented. Evaluation was based on in-trial observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.
Occurence of Anti-semaglutide Antibodies Cross Reacting With Endogenous GLP-1 (Yes/no)Week 35This outcome measure is only applicable for the semaglutide arms. Development of anti-semaglutide antibodies cross reacting with endogenous glucagon-like peptide-1 (GLP-1) was evaluated in participants. The number of participants who were positive/ negative for anti-semaglutide antibodies cross reacting with endogenous GLP-1 are presented. Evaluation was based on in-trial observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.
Occurence of Cross Reacting Antibodies With in Vitro Neutralising Effect to Endogenous GLP-1 (Yes/no)Week 35This outcome measure is only applicable for the semaglutide arms. Development of cross reacting antibodies with in-vitro neutralising effect to endogenous glucagon-like peptide-1 (GLP-1) was evaluated in participants. The number of participants who were positive/ negative for anti-semaglutide antibodies with in vitro neutralising effect to endogenous GLP-1 are presented. Evaluation was based on in-trial observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.
Change in Clinical Evaluation: PulseWeek 0, week 30Change in pulse from baseline (week 0) to week 30 is presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Countries

Brazil, China, Hong Kong, South Africa, South Korea, Taiwan, Ukraine

Participant flow

Recruitment details

The trial was conducted at 65 sites in 5 countries/regions as follows: Region China: 42 sites; Brazil: 3 sites; Republic of Korea: 12 sites; South Africa: 5 sites; Ukraine: 3 sites.

Participants by arm

ArmCount
Semaglutide 0.5 mg
Participants took subcutaneous (s.c., under the skin) injection of semaglutide, once weekly for 30 weeks: 0.25 mg for 0-4 weeks followed by 0.5 mg for 5-30 weeks. Participants also took sitagliptin placebo (0 mg) tablet orally, once daily for 30 weeks. Both semaglutide and sitagliptin placebo were taken any time of the day irrespective of meals. Participants continued taking their pre-trial metformin with the same dose and frequency throughout the trial.
288
Semaglutide 1.0 mg
Participants took subcutaneous (s.c., under the skin) injection of semaglutide, once weekly for 30 weeks: 0.25 mg for 0-4 weeks followed by 0.5 mg for 5-8 weeks and then 1.0 mg for 9-30 weeks. Participants also took sitagliptin placebo (0 mg) tablet orally, once daily for 30 weeks. Both semaglutide and sitagliptin placebo were taken any time of the day irrespective of meals. Participants continued taking their pre-trial metformin with the same dose and frequency throughout the trial.
290
Sitagliptin
Participants were randomised to 2 different groups (Group 1: sitagliptin + semaglutide placebo 0.5 mg and Group 2: sitagliptin + semaglutide placebo 1.0 mg). Both groups were pooled together for data analysis. Participants took 100 mg sitagliptin tablets once-daily for 30 weeks. Participants also took semaglutide placebo injection with volume matched to different doses (0.25 mg/0.5 mg/1.0 mg) of semaglutide injection for 30 weeks. Both sitagliptin and semaglutide placebo were taken any time of the day irrespective of meals. Participants continued taking their pre-trial metformin with the same dose and frequency throughout the trial.
290
Total868

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath110
Overall StudyLost to Follow-up311
Overall StudyWithdrawal by Subject21269

Baseline characteristics

CharacteristicSemaglutide 0.5 mgSemaglutide 1.0 mgSitagliptinTotal
Age, Continuous53.0 Years
STANDARD_DEVIATION 11.4
53.0 Years
STANDARD_DEVIATION 10.6
53.1 Years
STANDARD_DEVIATION 10.4
53.1 Years
STANDARD_DEVIATION 10.8
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants28 Participants30 Participants82 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
264 Participants262 Participants260 Participants786 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
243 Participants251 Participants244 Participants738 Participants
Race (NIH/OMB)
Black or African American
8 Participants8 Participants9 Participants25 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants3 Participants6 Participants16 Participants
Race (NIH/OMB)
White
30 Participants28 Participants31 Participants89 Participants
Sex: Female, Male
Female
128 Participants136 Participants105 Participants369 Participants
Sex: Female, Male
Male
160 Participants154 Participants185 Participants499 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
1 / 2871 / 2900 / 290
other
Total, other adverse events
135 / 287139 / 29089 / 290
serious
Total, serious adverse events
18 / 28719 / 29012 / 290

Outcome results

Primary

Change in HbA1c

Change from baseline (week 0) to week 30 in glycosylated haemoglobin (HbA1c) was evaluated. Results are based on the 'on-treatment without rescue medication' observation period and 'in trial' observation period. 'On-treatment without rescue medication' observation period: started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first. 'In-trial' observation period: started when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants.Number Analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in HbA1cOn-treatment without rescue medication obs. period-1.5 Percentage of glycosylated haemoglobinStandard Deviation 1.1
Semaglutide 0.5 mgChange in HbA1cIn-trial observation period-1.5 Percentage of glycosylated haemoglobinStandard Deviation 1.1
Semaglutide 1.0 mgChange in HbA1cOn-treatment without rescue medication obs. period-1.8 Percentage of glycosylated haemoglobinStandard Deviation 0.9
Semaglutide 1.0 mgChange in HbA1cIn-trial observation period-1.7 Percentage of glycosylated haemoglobinStandard Deviation 1
SitagliptinChange in HbA1cOn-treatment without rescue medication obs. period-1.0 Percentage of glycosylated haemoglobinStandard Deviation 0.9
SitagliptinChange in HbA1cIn-trial observation period-0.9 Percentage of glycosylated haemoglobinStandard Deviation 0.9
Comparison: The post-baseline responses are analysed using a mixed model for repeated measurements with treatment and region China/Other as fixed factors and baseline value as covariate, all nested within visit. Mean estimates are adjusted according to observed baseline distribution.p-value: <0.000195% CI: [-1, -0.7]Mixed Models Analysis
Comparison: The post-baseline responses are analysed using a mixed model for repeated measurements with treatment and region China/Other as fixed factors and baseline value as covariate, all nested within visit. Mean estimates are adjusted according to observed baseline distribution.p-value: <0.000195% CI: [-0.66, -0.36]Mixed Models Analysis
Comparison: The post-baseline responses are analysed using a mixed model for repeated measurements with treatment and region China/Other as fixed factors and baseline value as covariate, all nested within visit. Mean estimates are adjusted according to observed baseline distribution.p-value: <0.000195% CI: [-1, -0.7]Mixed Models Analysis
Comparison: The post-baseline responses are analysed using a mixed model for repeated measurements with treatment and region China/Other as fixed factors and baseline value as covariate, all nested within visit. Mean estimates are adjusted according to observed baseline distribution.p-value: <0.000195% CI: [-0.66, -0.36]Mixed Models Analysis
Secondary

Anti-semaglutide Antibody Levels

This outcome measure is only applicable for the semaglutide arms. Anti-semaglutide antibody level at week 30 and week 35 are presented. Antibody levels were measured in percentage of bound radioactivity-labelled semaglutide/total added radioactivity-labelled semaglutide (%B/T; B =Bound, T = Total). Evaluation was based on 'in trial' observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Time frame: week 30, week 35

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 1.0 mgAnti-semaglutide Antibody LevelsAt week 302.8 %B/TStandard Deviation 0.2
Semaglutide 1.0 mgAnti-semaglutide Antibody LevelsAt week 353.3 %B/TStandard Deviation 0.7
Secondary

Change in Biochemistry Parameter: Alanine Aminotransferase - Ratio to Baseline

Change in alanine aminotransferase from baseline (week 0) to week 30 is presented as ratio to baseline. Alanine aminotransferase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Alanine Aminotransferase - Ratio to Baseline0.86 Ratio of alanine aminotransferaseGeometric Coefficient of Variation 55.7
Semaglutide 1.0 mgChange in Biochemistry Parameter: Alanine Aminotransferase - Ratio to Baseline0.83 Ratio of alanine aminotransferaseGeometric Coefficient of Variation 47.1
SitagliptinChange in Biochemistry Parameter: Alanine Aminotransferase - Ratio to Baseline0.95 Ratio of alanine aminotransferaseGeometric Coefficient of Variation 35.1
Secondary

Change in Biochemistry Parameter: Albumin - Ratio to Baseline

Change in albumin from baseline (week 0) to week 30 is presented as ratio to baseline. Albumin was measured in grams per deciliter (g/dL). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Albumin - Ratio to Baseline1.02 Ratio of albuminGeometric Coefficient of Variation 5.4
Semaglutide 1.0 mgChange in Biochemistry Parameter: Albumin - Ratio to Baseline1.02 Ratio of albuminGeometric Coefficient of Variation 5.4
SitagliptinChange in Biochemistry Parameter: Albumin - Ratio to Baseline1.01 Ratio of albuminGeometric Coefficient of Variation 4.8
Secondary

Change in Biochemistry Parameter: Alkaline Phosphatase - Ratio to Baseline

Change in alkaline phosphatase from baseline (week 0) to week 30 is presented as ratio to baseline. Alkaline phosphatase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Alkaline Phosphatase - Ratio to Baseline0.92 Ratio of alkaline phosphataseGeometric Coefficient of Variation 31.3
Semaglutide 1.0 mgChange in Biochemistry Parameter: Alkaline Phosphatase - Ratio to Baseline0.91 Ratio of alkaline phosphataseGeometric Coefficient of Variation 15.3
SitagliptinChange in Biochemistry Parameter: Alkaline Phosphatase - Ratio to Baseline0.92 Ratio of alkaline phosphataseGeometric Coefficient of Variation 20.1
Secondary

Change in Biochemistry Parameter: Amylase - Ratio to Baseline

Change in amylase from baseline (week 0) to week 30 is presented as ratio to baseline. Amylase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Amylase - Ratio to Baseline1.17 Ratio of amylaseGeometric Coefficient of Variation 30.6
Semaglutide 1.0 mgChange in Biochemistry Parameter: Amylase - Ratio to Baseline1.19 Ratio of amylaseGeometric Coefficient of Variation 23.6
SitagliptinChange in Biochemistry Parameter: Amylase - Ratio to Baseline1.10 Ratio of amylaseGeometric Coefficient of Variation 22.5
Secondary

Change in Biochemistry Parameter: Aspartate Aminotransferase - Ratio to Baseline

Change in aspartate aminotransferase from baseline (week 0) to week 30 is presented as ratio to baseline. Aspartate aminotransferase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Aspartate Aminotransferase - Ratio to Baseline0.92 Ratio of aspartate aminotransferaseGeometric Coefficient of Variation 36.9
Semaglutide 1.0 mgChange in Biochemistry Parameter: Aspartate Aminotransferase - Ratio to Baseline0.88 Ratio of aspartate aminotransferaseGeometric Coefficient of Variation 36.7
SitagliptinChange in Biochemistry Parameter: Aspartate Aminotransferase - Ratio to Baseline0.99 Ratio of aspartate aminotransferaseGeometric Coefficient of Variation 29.3
Secondary

Change in Biochemistry Parameter: Calcium (Corrected)- Ratio to Baseline

Change in calcium (corrected) from baseline (week 0) to week 30 is presented as ratio to baseline. Calcium was measured in millimoles per litre (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Calcium (Corrected)- Ratio to Baseline1.01 Ratio of calciumGeometric Coefficient of Variation 3.7
Semaglutide 1.0 mgChange in Biochemistry Parameter: Calcium (Corrected)- Ratio to Baseline1.01 Ratio of calciumGeometric Coefficient of Variation 3.2
SitagliptinChange in Biochemistry Parameter: Calcium (Corrected)- Ratio to Baseline1.01 Ratio of calciumGeometric Coefficient of Variation 3.4
Secondary

Change in Biochemistry Parameter: Creatine Kinase - Ratio to Baseline

Change in creatine kinase from baseline (week 0) to week 30 is presented as ratio to baseline. Creatine kinase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Creatine Kinase - Ratio to Baseline1.02 Ratio of creatine kinaseGeometric Coefficient of Variation 49.1
Semaglutide 1.0 mgChange in Biochemistry Parameter: Creatine Kinase - Ratio to Baseline0.96 Ratio of creatine kinaseGeometric Coefficient of Variation 41.8
SitagliptinChange in Biochemistry Parameter: Creatine Kinase - Ratio to Baseline1.07 Ratio of creatine kinaseGeometric Coefficient of Variation 43.5
Secondary

Change in Biochemistry Parameter: Creatinine - Ratio to Baseline

Change in creatinine from baseline (week -2) to week 30 is presented as ratio to baseline. Creatinine was measured in micromoles per lier (umol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week -2, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Creatinine - Ratio to Baseline1.08 Ratio of creatinineGeometric Coefficient of Variation 12.6
Semaglutide 1.0 mgChange in Biochemistry Parameter: Creatinine - Ratio to Baseline1.07 Ratio of creatinineGeometric Coefficient of Variation 11.7
SitagliptinChange in Biochemistry Parameter: Creatinine - Ratio to Baseline1.05 Ratio of creatinineGeometric Coefficient of Variation 12.1
Secondary

Change in Biochemistry Parameter: Estimated Glomerular Filtration Rate (eGFR) - Ratio to Baseline

Change in estimated glomerular filtration rate (eGFR) from baseline (week 0) to week 30 is presented as ratio to baseline. Glomerular filtration rate was measured in milliliter/minute/specific surface area (mL/min/SSA). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Estimated Glomerular Filtration Rate (eGFR) - Ratio to Baseline0.92 Ratio of eGFRGeometric Coefficient of Variation 14.6
Semaglutide 1.0 mgChange in Biochemistry Parameter: Estimated Glomerular Filtration Rate (eGFR) - Ratio to Baseline0.92 Ratio of eGFRGeometric Coefficient of Variation 13.6
SitagliptinChange in Biochemistry Parameter: Estimated Glomerular Filtration Rate (eGFR) - Ratio to Baseline0.94 Ratio of eGFRGeometric Coefficient of Variation 14
Secondary

Change in Biochemistry Parameter: Lipase - Ratio to Baseline

Change in lipase from baseline (week 0) to week 30 is presented as ratio to baseline. Lipase was measured in units per liter (U/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Lipase - Ratio to Baseline1.33 Ratio of lipaseGeometric Coefficient of Variation 43.9
Semaglutide 1.0 mgChange in Biochemistry Parameter: Lipase - Ratio to Baseline1.42 Ratio of lipaseGeometric Coefficient of Variation 51.2
SitagliptinChange in Biochemistry Parameter: Lipase - Ratio to Baseline1.24 Ratio of lipaseGeometric Coefficient of Variation 47.2
Secondary

Change in Biochemistry Parameter: Potassium - Ratio to Baseline

Change in potassium from baseline (week 0) to week 30 is presented as ratio to baseline. Potassium was measured in millimoles per liter (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Potassium - Ratio to Baseline1.01 Ratio of potassiumGeometric Coefficient of Variation 7.7
Semaglutide 1.0 mgChange in Biochemistry Parameter: Potassium - Ratio to Baseline1.00 Ratio of potassiumGeometric Coefficient of Variation 8.4
SitagliptinChange in Biochemistry Parameter: Potassium - Ratio to Baseline1.00 Ratio of potassiumGeometric Coefficient of Variation 8.5
Secondary

Change in Biochemistry Parameter: Sodium - Ratio to Baseline

Change in sodium from baseline (week 0) to week 30 is presented as ratio to baseline. Sodium was measured in millimoles per litre (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Sodium - Ratio to Baseline1.01 Ratio of sodiumGeometric Coefficient of Variation 1.5
Semaglutide 1.0 mgChange in Biochemistry Parameter: Sodium - Ratio to Baseline1.00 Ratio of sodiumGeometric Coefficient of Variation 1.5
SitagliptinChange in Biochemistry Parameter: Sodium - Ratio to Baseline1.00 Ratio of sodiumGeometric Coefficient of Variation 1.4
Secondary

Change in Biochemistry Parameter: Total Bilirubin - Ratio to Baseline

Change in total bilirubin from baseline (week 0) to week 30 is presented as ratio to baseline. Total bilirubin was measured in micromoles per liter (umol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Total Bilirubin - Ratio to Baseline0.93 Ratio of total bilirubinGeometric Coefficient of Variation 32.8
Semaglutide 1.0 mgChange in Biochemistry Parameter: Total Bilirubin - Ratio to Baseline0.93 Ratio of total bilirubinGeometric Coefficient of Variation 35.4
SitagliptinChange in Biochemistry Parameter: Total Bilirubin - Ratio to Baseline0.93 Ratio of total bilirubinGeometric Coefficient of Variation 36.4
Secondary

Change in Biochemistry Parameter: Total Calcium - Ratio to Baseline

Change in total calcium from baseline (week 0) to week 30 is presented as ratio to baseline. Calcium was measured in millimoles per litre (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Total Calcium - Ratio to Baseline1.02 Ratio of total calciumGeometric Coefficient of Variation 4.4
Semaglutide 1.0 mgChange in Biochemistry Parameter: Total Calcium - Ratio to Baseline1.01 Ratio of total calciumGeometric Coefficient of Variation 3.8
SitagliptinChange in Biochemistry Parameter: Total Calcium - Ratio to Baseline1.01 Ratio of total calciumGeometric Coefficient of Variation 3.9
Secondary

Change in Biochemistry Parameter: Total Protein- Ratio to Baseline

Change in Total protein from baseline (week 0) to week 30 is presented as ratio to baseline. Total Protein was measured in grams per deciliter (g/dL). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Total Protein- Ratio to Baseline1.01 Ratio of total proteinGeometric Coefficient of Variation 5
Semaglutide 1.0 mgChange in Biochemistry Parameter: Total Protein- Ratio to Baseline1.00 Ratio of total proteinGeometric Coefficient of Variation 5.3
SitagliptinChange in Biochemistry Parameter: Total Protein- Ratio to Baseline1.01 Ratio of total proteinGeometric Coefficient of Variation 5.2
Secondary

Change in Biochemistry Parameter: Urea - Ratio to Baseline

Change in urea from baseline (week 0) to week 30 is presented as ratio to baseline. Urea was measured in millimoles per liter (mmol/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Biochemistry Parameter: Urea - Ratio to Baseline1.01 Ratio of ureaGeometric Coefficient of Variation 25.6
Semaglutide 1.0 mgChange in Biochemistry Parameter: Urea - Ratio to Baseline1.02 Ratio of ureaGeometric Coefficient of Variation 26.4
SitagliptinChange in Biochemistry Parameter: Urea - Ratio to Baseline1.01 Ratio of ureaGeometric Coefficient of Variation 23.6
Secondary

Change in Blood Pressure (Systolic and Diastolic Blood Pressure)

Change from baseline (week 0) to week 30 in systolic blood pressure and diastolic blood pressure were evaluated. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Systolic blood pressure-3.4 Millimeters of mercury (mmHg)Standard Deviation 14.7
Semaglutide 0.5 mgChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Diastolic blood pressure-0.7 Millimeters of mercury (mmHg)Standard Deviation 9.4
Semaglutide 1.0 mgChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Systolic blood pressure-6.5 Millimeters of mercury (mmHg)Standard Deviation 13.4
Semaglutide 1.0 mgChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Diastolic blood pressure-1.5 Millimeters of mercury (mmHg)Standard Deviation 8.7
SitagliptinChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Systolic blood pressure-0.9 Millimeters of mercury (mmHg)Standard Deviation 13.6
SitagliptinChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Diastolic blood pressure-0.8 Millimeters of mercury (mmHg)Standard Deviation 8.5
Secondary

Change in BMI

Change in body mass index (BMI) from baseline (week 0) to week 30 was measured. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in BMI-1.1 Kilogram per square meter (kg/m^2)Standard Deviation 1.4
Semaglutide 1.0 mgChange in BMI-1.6 Kilogram per square meter (kg/m^2)Standard Deviation 1.4
SitagliptinChange in BMI-0.1 Kilogram per square meter (kg/m^2)Standard Deviation 0.9
Secondary

Change in Body Weight

Change from baseline (week 0) to week 30 in body weight was evaluated. Results are based on the 'on-treatment without rescue medication' observation period which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Body Weight-3.0 Kilogram (kg)Standard Deviation 3.8
Semaglutide 1.0 mgChange in Body Weight-4.2 Kilogram (kg)Standard Deviation 3.7
SitagliptinChange in Body Weight-0.4 Kilogram (kg)Standard Deviation 2.5
Secondary

Change in Calcitonin - Ratio to Baseline

Change in calcitonin from baseline (week -2) to week 30 is presented as ratio to baseline. Calcitonin was measured in nanogram per liter (ng/L). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week -2, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Calcitonin - Ratio to Baseline0.96 Ratio of calcitoninGeometric Coefficient of Variation 37.5
Semaglutide 1.0 mgChange in Calcitonin - Ratio to Baseline1.00 Ratio of calcitoninGeometric Coefficient of Variation 44.8
SitagliptinChange in Calcitonin - Ratio to Baseline0.96 Ratio of calcitoninGeometric Coefficient of Variation 48.4
Secondary

Change in Clinical Evaluation: ECG

The electrocardiogram (ECG) was assessed by the investigator and categorised as normal, abnormal not clinically significant (NCS) or abnormal clinically significant (CS). Number of participants in each ECG category at baseline and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Number Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Clinical Evaluation: ECGAt week 30Abnormal, NCS81 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: ECGAt week 0Abnormal, CS23 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: ECGAt week 30Abnormal, CS19 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: ECGAt week 0Normal191 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: ECGAt week 30Normal162 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: ECGAt week 0Abnormal, NCS72 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: ECGAt week 30Normal172 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: ECGAt week 30Abnormal, NCS74 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: ECGAt week 0Abnormal, NCS68 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: ECGAt week 30Abnormal, CS18 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: ECGAt week 0Normal196 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: ECGAt week 0Abnormal, CS26 Participants
SitagliptinChange in Clinical Evaluation: ECGAt week 30Abnormal, CS26 Participants
SitagliptinChange in Clinical Evaluation: ECGAt week 0Normal185 Participants
SitagliptinChange in Clinical Evaluation: ECGAt week 0Abnormal, NCS76 Participants
SitagliptinChange in Clinical Evaluation: ECGAt week 0Abnormal, CS29 Participants
SitagliptinChange in Clinical Evaluation: ECGAt week 30Normal167 Participants
SitagliptinChange in Clinical Evaluation: ECGAt week 30Abnormal, NCS85 Participants
Secondary

Change in Clinical Evaluation: Eye Examinations

Eye examination was performed by the investigator and the results of the examination were interpreted for each eye (left/right) are categorised as normal, abnormal not clinically significant (NCS) or abnormal clinically significant (CS). Number of participants in each category at baseline (week 0) and at week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Number Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeNormal202 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeAbnormal, NCS40 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeAbnormal, CS44 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeNormal162 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeAbnormal, NCS26 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeAbnormal, CS42 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeNormal210 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeAbnormal, NCS37 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeAbnormal, CS39 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeNormal161 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeAbnormal, NCS27 Participants
Semaglutide 0.5 mgChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeAbnormal, CS42 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeAbnormal, CS34 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeNormal222 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeNormal222 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeAbnormal, CS37 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeAbnormal, NCS32 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeAbnormal, CS31 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeAbnormal, NCS19 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeAbnormal, CS36 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeAbnormal, NCS31 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeAbnormal, NCS18 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeNormal184 Participants
Semaglutide 1.0 mgChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeNormal180 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeNormal174 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeAbnormal, NCS32 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeNormal172 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 30, Left eyeAbnormal, CS41 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeNormal201 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeAbnormal, NCS47 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeAbnormal, NCS31 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeNormal202 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeAbnormal, NCS47 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 0, Right eyeAbnormal, CS42 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 0, Left eyeAbnormal, CS41 Participants
SitagliptinChange in Clinical Evaluation: Eye ExaminationsAt week 52, Right eyeAbnormal, CS43 Participants
Secondary

Change in Clinical Evaluation: Pulse

Change in pulse from baseline (week 0) to week 30 is presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Clinical Evaluation: Pulse3.7 Beats per minute (beats/min)Standard Deviation 10.1
Semaglutide 1.0 mgChange in Clinical Evaluation: Pulse3.7 Beats per minute (beats/min)Standard Deviation 9.4
SitagliptinChange in Clinical Evaluation: Pulse0.2 Beats per minute (beats/min)Standard Deviation 9
Secondary

Change in Fasting C-peptide - Ratio to Baseline

Change in fasting C-peptide from baseline (week 0) to week 30 is presented as ratio to baseline. C-peptide was measured in nanomoles per liter (nmol/L). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting C-peptide - Ratio to Baseline1.08 Ratio of fasting C-peptideGeometric Coefficient of Variation 30.3
Semaglutide 1.0 mgChange in Fasting C-peptide - Ratio to Baseline1.05 Ratio of fasting C-peptideGeometric Coefficient of Variation 32.4
SitagliptinChange in Fasting C-peptide - Ratio to Baseline1.0 Ratio of fasting C-peptideGeometric Coefficient of Variation 32.2
Secondary

Change in Fasting Glucagon - Ratio to Baseline

Change in fasting glucagon from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting glucagon was measured in picogram per mililiter (pg/mL). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Glucagon - Ratio to Baseline0.89 Ratio of fasting glucagonGeometric Coefficient of Variation 32.4
Semaglutide 1.0 mgChange in Fasting Glucagon - Ratio to Baseline0.89 Ratio of fasting glucagonGeometric Coefficient of Variation 28.1
SitagliptinChange in Fasting Glucagon - Ratio to Baseline0.93 Ratio of fasting glucagonGeometric Coefficient of Variation 25
Secondary

Change in Fasting HDL Cholesterol - Ratio to Baseline

Change in fasting high density lipoprotein (HDL) from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting HDL was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting HDL Cholesterol - Ratio to Baseline1.00 Ratio of fasting HDL cholesterolGeometric Coefficient of Variation 15.8
Semaglutide 1.0 mgChange in Fasting HDL Cholesterol - Ratio to Baseline1.02 Ratio of fasting HDL cholesterolGeometric Coefficient of Variation 16.3
SitagliptinChange in Fasting HDL Cholesterol - Ratio to Baseline1.01 Ratio of fasting HDL cholesterolGeometric Coefficient of Variation 14.1
Secondary

Change in Fasting HOMA-B (Beta-cell Function) - Ratio to Baseline

Change in fasting HOMA-B (homeostasis model assessment beta-cell function) from baseline (week 0) to week 30 is presented as ratio to baseline. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting HOMA-B (Beta-cell Function) - Ratio to Baseline1.81 Ratio of fasting HOMA-BGeometric Coefficient of Variation 57.3
Semaglutide 1.0 mgChange in Fasting HOMA-B (Beta-cell Function) - Ratio to Baseline1.95 Ratio of fasting HOMA-BGeometric Coefficient of Variation 59.1
SitagliptinChange in Fasting HOMA-B (Beta-cell Function) - Ratio to Baseline1.25 Ratio of fasting HOMA-BGeometric Coefficient of Variation 46.1
Secondary

Change in Fasting HOMA-IR (Insulin Resistence) - Ratio to Baseline

Change in fasting HOMA-IR (homeostasis model assessment insulin resistence) from baseline (week 0) to week 30 is presented as ratio to baseline. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting HOMA-IR (Insulin Resistence) - Ratio to Baseline0.81 Ratio of fasting HOMA-IRGeometric Coefficient of Variation 60.9
Semaglutide 1.0 mgChange in Fasting HOMA-IR (Insulin Resistence) - Ratio to Baseline0.74 Ratio of fasting HOMA-IRGeometric Coefficient of Variation 63.2
SitagliptinChange in Fasting HOMA-IR (Insulin Resistence) - Ratio to Baseline0.90 Ratio of fasting HOMA-IRGeometric Coefficient of Variation 52
Secondary

Change in Fasting Insulin - Ratio to Baseline

Change in fasting insulin from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting insulin was measured in picomoles per liter (pmol/L). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Insulin - Ratio to Baseline1.06 Ratio of fasting insulinGeometric Coefficient of Variation 46.6
Semaglutide 1.0 mgChange in Fasting Insulin - Ratio to Baseline1.03 Ratio of fasting insulinGeometric Coefficient of Variation 51.2
SitagliptinChange in Fasting Insulin - Ratio to Baseline1.01 Ratio of fasting insulinGeometric Coefficient of Variation 41.6
Secondary

Change in Fasting LDL Cholesterol - Ratio to Baseline

Change in fasting low density lipoprotein (LDL) from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting LDL was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting LDL Cholesterol - Ratio to Baseline0.97 Ratio of fasting LDL cholesterolGeometric Coefficient of Variation 33.2
Semaglutide 1.0 mgChange in Fasting LDL Cholesterol - Ratio to Baseline0.99 Ratio of fasting LDL cholesterolGeometric Coefficient of Variation 31.6
SitagliptinChange in Fasting LDL Cholesterol - Ratio to Baseline1.01 Ratio of fasting LDL cholesterolGeometric Coefficient of Variation 26.1
Secondary

Change in Fasting Plasma Glucose (FPG)

Change from baseline (week 0) to week 30 in FPG was evaluated. Results are based on the 'on-treatment without rescue medication' observation period which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Plasma Glucose (FPG)-2.18 Millimoles per liter (mmol/L)Standard Deviation 2.5
Semaglutide 1.0 mgChange in Fasting Plasma Glucose (FPG)-2.62 Millimoles per liter (mmol/L)Standard Deviation 2.13
SitagliptinChange in Fasting Plasma Glucose (FPG)-1.0 Millimoles per liter (mmol/L)Standard Deviation 1.74
Secondary

Change in Fasting Proinsulin/Insulin Ratio - Ratio to Baseline

Change in fasting proinsulin/insulin ratio from baseline (week 0) to week 30 is presented as ratio to baseline. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Proinsulin/Insulin Ratio - Ratio to Baseline0.63 Ratio of fasting proinsulin/insulinGeometric Coefficient of Variation 50.2
Semaglutide 1.0 mgChange in Fasting Proinsulin/Insulin Ratio - Ratio to Baseline0.57 Ratio of fasting proinsulin/insulinGeometric Coefficient of Variation 52.1
SitagliptinChange in Fasting Proinsulin/Insulin Ratio - Ratio to Baseline0.80 Ratio of fasting proinsulin/insulinGeometric Coefficient of Variation 45.4
Secondary

Change in Fasting Proinsulin - Ratio to Baseline

Change in fasting proinsulin from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting proinsulin was measured in picomole per liter (pmol/L). Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Proinsulin - Ratio to Baseline0.68 Ratio of fasting proinsulinGeometric Coefficient of Variation 62.7
Semaglutide 1.0 mgChange in Fasting Proinsulin - Ratio to Baseline0.59 Ratio of fasting proinsulinGeometric Coefficient of Variation 65.3
SitagliptinChange in Fasting Proinsulin - Ratio to Baseline0.81 Ratio of fasting proinsulinGeometric Coefficient of Variation 58.2
Secondary

Change in Fasting Total Cholesterol - Ratio to Baseline

Change in fasting total cholesterol from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting total cholesterol was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Total Cholesterol - Ratio to Baseline0.95 Ratio of fasting total cholesterolGeometric Coefficient of Variation 20.2
Semaglutide 1.0 mgChange in Fasting Total Cholesterol - Ratio to Baseline0.95 Ratio of fasting total cholesterolGeometric Coefficient of Variation 17.7
SitagliptinChange in Fasting Total Cholesterol - Ratio to Baseline1.00 Ratio of fasting total cholesterolGeometric Coefficient of Variation 16.8
Secondary

Change in Fasting Triglycerides - Ratio to Baseline

Change in fasting triglycerides from baseline (week 0) to week 30 is presented as ratio to baseline. Triglycerides was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting Triglycerides - Ratio to Baseline0.86 Ratio of fasting triglyceridesGeometric Coefficient of Variation 47.5
Semaglutide 1.0 mgChange in Fasting Triglycerides - Ratio to Baseline0.81 Ratio of fasting triglyceridesGeometric Coefficient of Variation 41.9
SitagliptinChange in Fasting Triglycerides - Ratio to Baseline0.93 Ratio of fasting triglyceridesGeometric Coefficient of Variation 49.1
Secondary

Change in Fasting VLDL Cholesterol - Ratio to Baseline

Change in fasting very low density lipoprotein (VLDL) from baseline (week 0) to week 30 is presented as ratio to baseline. Fasting VLDL was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Fasting VLDL Cholesterol - Ratio to Baseline0.86 Ratio of fasting VLDL cholesterolGeometric Coefficient of Variation 44.8
Semaglutide 1.0 mgChange in Fasting VLDL Cholesterol - Ratio to Baseline0.82 Ratio of fasting VLDL cholesterolGeometric Coefficient of Variation 38.8
SitagliptinChange in Fasting VLDL Cholesterol - Ratio to Baseline0.93 Ratio of fasting VLDL cholesterolGeometric Coefficient of Variation 46.3
Secondary

Change in Free Fatty Acids - Ratio to Baseline

Change in free fatty acids from baseline (week 0) to week 30 is presented as ratio to baseline. Free fatty acids was measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Free Fatty Acids - Ratio to Baseline0.78 Ratio of free fatty acidsGeometric Coefficient of Variation 70.4
Semaglutide 1.0 mgChange in Free Fatty Acids - Ratio to Baseline0.78 Ratio of free fatty acidsGeometric Coefficient of Variation 65.8
SitagliptinChange in Free Fatty Acids - Ratio to Baseline0.87 Ratio of free fatty acidsGeometric Coefficient of Variation 61.8
Secondary

Change in Haematological Parameter: Haematocrit - Ratio to Baseline

Change in haematocrit from baseline (week 0) to week 30 is presented as ratio to baseline. Haematocrit was measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Haematological Parameter: Haematocrit - Ratio to Baseline1.00 Ratio of haematocritGeometric Coefficient of Variation 6.3
Semaglutide 1.0 mgChange in Haematological Parameter: Haematocrit - Ratio to Baseline1.00 Ratio of haematocritGeometric Coefficient of Variation 6.3
SitagliptinChange in Haematological Parameter: Haematocrit - Ratio to Baseline1.00 Ratio of haematocritGeometric Coefficient of Variation 6.3
Secondary

Change in Haematological Parameter: Haemoglobin - Ratio to Baseline

Change in haemoglobin from baseline (week 0) to week 30 is presented as ratio to baseline. Haemoglobin was measured in mmol/L. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Haematological Parameter: Haemoglobin - Ratio to Baseline1.00 Ratio of haemoglobinGeometric Coefficient of Variation 6
Semaglutide 1.0 mgChange in Haematological Parameter: Haemoglobin - Ratio to Baseline1.00 Ratio of haemoglobinGeometric Coefficient of Variation 5.6
SitagliptinChange in Haematological Parameter: Haemoglobin - Ratio to Baseline1.00 Ratio of haemoglobinGeometric Coefficient of Variation 5.4
Secondary

Change in Hematological Parameter (Differential Cell Count of Leukocytes): Basophils - Ratio to Baseline

Change in basophils from baseline (week 0) to week 30 is presented as ratio to baseline. Basophils were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Basophils - Ratio to Baseline0.91 Ratio of basophilsGeometric Coefficient of Variation 68.1
Semaglutide 1.0 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Basophils - Ratio to Baseline0.80 Ratio of basophilsGeometric Coefficient of Variation 71.3
SitagliptinChange in Hematological Parameter (Differential Cell Count of Leukocytes): Basophils - Ratio to Baseline0.83 Ratio of basophilsGeometric Coefficient of Variation 69.6
Secondary

Change in Hematological Parameter (Differential Cell Count of Leukocytes): Eosinophils - Ratio to Baseline

Change in eosinophils from baseline (week 0) to week 30 is presented as ratio to baseline. Eosinophils were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Eosinophils - Ratio to Baseline0.98 Ratio of eosinophilsGeometric Coefficient of Variation 57.9
Semaglutide 1.0 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Eosinophils - Ratio to Baseline1.04 Ratio of eosinophilsGeometric Coefficient of Variation 64.7
SitagliptinChange in Hematological Parameter (Differential Cell Count of Leukocytes): Eosinophils - Ratio to Baseline1.00 Ratio of eosinophilsGeometric Coefficient of Variation 65.9
Secondary

Change in Hematological Parameter (Differential Cell Count of Leukocytes): Lymphocytes - Ratio to Baseline

Change in lymphocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Lymphocytes were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Lymphocytes - Ratio to Baseline1.01 Ratio of lymphocytesGeometric Coefficient of Variation 22.7
Semaglutide 1.0 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Lymphocytes - Ratio to Baseline0.98 Ratio of lymphocytesGeometric Coefficient of Variation 23.6
SitagliptinChange in Hematological Parameter (Differential Cell Count of Leukocytes): Lymphocytes - Ratio to Baseline0.97 Ratio of lymphocytesGeometric Coefficient of Variation 24.2
Secondary

Change in Hematological Parameter (Differential Cell Count of Leukocytes): Monocytes - Ratio to Baseline

Change in monocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Monocytes were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Monocytes - Ratio to Baseline0.96 Ratio of monocytesGeometric Coefficient of Variation 33.7
Semaglutide 1.0 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Monocytes - Ratio to Baseline0.98 Ratio of monocytesGeometric Coefficient of Variation 34.7
SitagliptinChange in Hematological Parameter (Differential Cell Count of Leukocytes): Monocytes - Ratio to Baseline1.04 Ratio of monocytesGeometric Coefficient of Variation 36.1
Secondary

Change in Hematological Parameter (Differential Cell Count of Leukocytes): Neutrophils - Ratio to Baseline

Change in neutrophils from baseline (week 0) to week 30 is presented as ratio to baseline. Neutrophils were measured in percentage. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Neutrophils - Ratio to Baseline1.01 Ratio of neutrophilsGeometric Coefficient of Variation 12.9
Semaglutide 1.0 mgChange in Hematological Parameter (Differential Cell Count of Leukocytes): Neutrophils - Ratio to Baseline1.02 Ratio of neutrophilsGeometric Coefficient of Variation 20.2
SitagliptinChange in Hematological Parameter (Differential Cell Count of Leukocytes): Neutrophils - Ratio to Baseline1.02 Ratio of neutrophilsGeometric Coefficient of Variation 13.7
Secondary

Change in Hematological Parameter: Erythrocytes - Ratio to Baseline

Change in erythrocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Erythrocytes were measured in 10\^12 cells per liter. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter: Erythrocytes - Ratio to Baseline0.99 Ratio of erythrocytesGeometric Coefficient of Variation 5.6
Semaglutide 1.0 mgChange in Hematological Parameter: Erythrocytes - Ratio to Baseline0.99 Ratio of erythrocytesGeometric Coefficient of Variation 5.4
SitagliptinChange in Hematological Parameter: Erythrocytes - Ratio to Baseline0.99 Ratio of erythrocytesGeometric Coefficient of Variation 5
Secondary

Change in Hematological Parameter: Leukocytes - Ratio to Baseline

Change in leukocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Leukocytes were measured in 10\^9 cells per liter. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter: Leukocytes - Ratio to Baseline1.03 Ratio of leukocytesGeometric Coefficient of Variation 21.1
Semaglutide 1.0 mgChange in Hematological Parameter: Leukocytes - Ratio to Baseline1.01 Ratio of leukocytesGeometric Coefficient of Variation 23.7
SitagliptinChange in Hematological Parameter: Leukocytes - Ratio to Baseline1.08 Ratio of leukocytesGeometric Coefficient of Variation 24.9
Secondary

Change in Hematological Parameter: Thrombocytes - Ratio to Baseline

Change in thrombocytes from baseline (week 0) to week 30 is presented as ratio to baseline. Thrombocytes was measured in 10\^9 cells per liter. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Hematological Parameter: Thrombocytes - Ratio to Baseline1.01 Ratio of thrombocytesGeometric Coefficient of Variation 21.3
Semaglutide 1.0 mgChange in Hematological Parameter: Thrombocytes - Ratio to Baseline1.01 Ratio of thrombocytesGeometric Coefficient of Variation 21.2
SitagliptinChange in Hematological Parameter: Thrombocytes - Ratio to Baseline0.99 Ratio of thrombocytesGeometric Coefficient of Variation 17.9
Secondary

Change in High-sensitivity CRP - Ratio to Baseline

Change in high-sensitivity C-reactive protein (CRP) from baseline (week 0) to week 30 is presented as ratio to baseline. High-sensitivity CRP was measured in mg/L. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in High-sensitivity CRP - Ratio to Baseline0.73 Ratio of high-sensitivity CRPGeometric Coefficient of Variation 121.2
Semaglutide 1.0 mgChange in High-sensitivity CRP - Ratio to Baseline0.64 Ratio of high-sensitivity CRPGeometric Coefficient of Variation 108.6
SitagliptinChange in High-sensitivity CRP - Ratio to Baseline0.96 Ratio of high-sensitivity CRPGeometric Coefficient of Variation 128.2
Secondary

Change in Patient Reported Outcome Questionnaire: DTSQs Score

Change from baseline (week 0) in Diabetes Treatment Satisfaction Questionnaire (DTSQs) was evaluated at week 30. The DTSQs items are scored on a 7-point graded response scale ranging from 6 to 0. Higher scores indicate higher levels of treatment satisfaction for DTSQs items 3 -8. For items 1 and 2 a higher score indicates a higher patient perceived experience of high blood sugars and low blood sugars, respectively. Thus, lower scores indicate a perception of blood glucose levels being none of the time unacceptably high (item 1) or low (item 2). The domain score of total treatment satisfaction (total treatment satisfaction score) was computed by adding the six items scores 3-8. The score ranges 0-36. A higher treatment satisfaction score indicates a higher level of treatment satisfaction. Results are based on the 'on-treatment without rescue medication' observation period.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score4) Convenience of treatment0.7 Score on a scaleStandard Deviation 1.6
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs ScoreTotal Diabetic Treatment Satisfaction score4.9 Score on a scaleStandard Deviation 7.2
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score6) Satisfaction with understanding of diabetes0.9 Score on a scaleStandard Deviation 1.7
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score5) Flexibility of current treatment0.7 Score on a scaleStandard Deviation 1.6
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score1) Feeling of unacceptably high blood sugars-1.4 Score on a scaleStandard Deviation 2.2
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score8) Satisfaction to continue with present treatment0.7 Score on a scaleStandard Deviation 1.6
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score3) Satisfaction with treatment1.1 Score on a scaleStandard Deviation 1.8
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score2) Feeling of unacceptably low blood sugars-0.1 Score on a scaleStandard Deviation 1.9
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score7) Recommending treatment to others0.9 Score on a scaleStandard Deviation 1.8
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score5) Flexibility of current treatment0.8 Score on a scaleStandard Deviation 1.4
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score1) Feeling of unacceptably high blood sugars-1.6 Score on a scaleStandard Deviation 2.2
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score2) Feeling of unacceptably low blood sugars-0.3 Score on a scaleStandard Deviation 2
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score3) Satisfaction with treatment1.3 Score on a scaleStandard Deviation 1.7
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score4) Convenience of treatment0.7 Score on a scaleStandard Deviation 1.5
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score6) Satisfaction with understanding of diabetes0.8 Score on a scaleStandard Deviation 1.5
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score7) Recommending treatment to others0.9 Score on a scaleStandard Deviation 1.6
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs Score8) Satisfaction to continue with present treatment0.7 Score on a scaleStandard Deviation 1.6
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: DTSQs ScoreTotal Diabetic Treatment Satisfaction score5.1 Score on a scaleStandard Deviation 6.3
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score3) Satisfaction with treatment0.7 Score on a scaleStandard Deviation 1.7
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score1) Feeling of unacceptably high blood sugars-1.0 Score on a scaleStandard Deviation 2.2
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score7) Recommending treatment to others0.7 Score on a scaleStandard Deviation 1.7
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score2) Feeling of unacceptably low blood sugars-0.1 Score on a scaleStandard Deviation 1.7
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs ScoreTotal Diabetic Treatment Satisfaction score3.7 Score on a scaleStandard Deviation 7.2
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score5) Flexibility of current treatment0.4 Score on a scaleStandard Deviation 1.5
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score4) Convenience of treatment0.5 Score on a scaleStandard Deviation 1.8
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score8) Satisfaction to continue with present treatment0.6 Score on a scaleStandard Deviation 1.6
SitagliptinChange in Patient Reported Outcome Questionnaire: DTSQs Score6) Satisfaction with understanding of diabetes0.7 Score on a scaleStandard Deviation 1.8
Secondary

Change in Patient Reported Outcome Questionnaire: SF-36v2™ Score

Short Form (SF)-36 is a 36-item patient-reported survey that measures patient's overall health-related quality of life (HRQoL). SF-36v2™ (acute version) questionnaire measured 8 domains of functional health & well-being and 2 component summary scores (physical component summary-PCS and mental component summary-MCS). The 0-100 scale scores (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively of the 2009 U.S. general population. Change from baseline (week 0) in the domain scores and component summary (PCS and MCS) scores were evaluated at weeks 30. A positive change score indicates an improvement since baseline. Results are based on the data from the 'on-treatment without rescue medication' observation period.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScorePhysical component summary (PCS)1.3 Score on a scaleStandard Deviation 5.9
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScorePhysical functioning0.6 Score on a scaleStandard Deviation 5.6
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreRole-physical1.4 Score on a scaleStandard Deviation 7.6
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreBodily pain0.6 Score on a scaleStandard Deviation 8.4
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreGeneral health3.3 Score on a scaleStandard Deviation 8.8
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreMental component summary (MCS)1.2 Score on a scaleStandard Deviation 8
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreSocial functioning1.3 Score on a scaleStandard Deviation 7
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreRole-emotional1.3 Score on a scaleStandard Deviation 8.5
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreVitality1.2 Score on a scaleStandard Deviation 9.8
Semaglutide 0.5 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreMental health0.9 Score on a scaleStandard Deviation 8.7
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreVitality1.4 Score on a scaleStandard Deviation 10.1
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScorePhysical component summary (PCS)1.1 Score on a scaleStandard Deviation 6
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreMental component summary (MCS)0.5 Score on a scaleStandard Deviation 8.4
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreGeneral health2.9 Score on a scaleStandard Deviation 9.4
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScorePhysical functioning0.9 Score on a scaleStandard Deviation 7.4
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreMental health0.4 Score on a scaleStandard Deviation 9.1
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreRole-emotional0.9 Score on a scaleStandard Deviation 8.9
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreRole-physical0.2 Score on a scaleStandard Deviation 6.9
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreSocial functioning-0.4 Score on a scaleStandard Deviation 7.8
Semaglutide 1.0 mgChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreBodily pain0.4 Score on a scaleStandard Deviation 9.9
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreRole-emotional1.0 Score on a scaleStandard Deviation 8.6
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreBodily pain0.0 Score on a scaleStandard Deviation 9.8
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreGeneral health2.2 Score on a scaleStandard Deviation 9
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreMental component summary (MCS)1.5 Score on a scaleStandard Deviation 7.7
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreVitality1.1 Score on a scaleStandard Deviation 9.1
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreSocial functioning0.8 Score on a scaleStandard Deviation 7.6
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScorePhysical component summary (PCS)0.0 Score on a scaleStandard Deviation 5.8
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreMental health1.1 Score on a scaleStandard Deviation 7.9
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScorePhysical functioning-0.3 Score on a scaleStandard Deviation 5.5
SitagliptinChange in Patient Reported Outcome Questionnaire: SF-36v2™ ScoreRole-physical-0.0 Score on a scaleStandard Deviation 7
Secondary

Change in Physical Examination

Physical examination parameters are categorised as general appearance; nervous system (central and peripheral); cardiovascular system; gastrointestinal system; skin; respiratory system; lymph node palpation; thyroid gland; left foot; right foot; left leg and right leg. The number of participants assessed as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS) at baseline (week -2) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week -2, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Number Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, CS2 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Lymph Node PalpationAbnormal, CS0 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, NCS9 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Gastrointestinal SystemNormal251 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Nervous SystemAbnormal, NCS5 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckNormal245 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Gastrointestinal SystemAbnormal, NCS5 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, General AppearanceAbnormal, CS2 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, CS2 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Gastrointestinal SystemAbnormal, CS0 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Gastrointestinal SystemAbnormal, CS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, NCS12 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Musculoskeletal SystemNormal281 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Lymph Node PalpationAbnormal, NCS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckNormal273 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Musculoskeletal SystemAbnormal, NCS6 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Nervous SystemAbnormal, CS5 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, SkinAbnormal, CS5 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Musculoskeletal SystemAbnormal, CS0 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Thyroid GlandAbnormal, CS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, SkinAbnormal, NCS25 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Musculoskeletal SystemNormal252 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Lymph Node PalpationNormal255 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, SkinNormal226 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Musculoskeletal SystemAbnormal, NCS3 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Nervous SystemNormal247 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, SkinAbnormal, CS6 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Musculoskeletal SystemAbnormal, CS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Thyroid GlandAbnormal, CS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, SkinAbnormal, NCS28 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, SkinNormal253 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Lymph Node PalpationAbnormal, CS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Nervous SystemAbnormal, NCS4 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, General AppearanceNormal252 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Lymph Node PalpationAbnormal, NCS2 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Nervous SystemAbnormal, CS5 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Thyroid GlandAbnormal, NCS2 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Lymph Node PalpationNormal284 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Cardiovascular SystemNormal276 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, General AppearanceAbnormal, NCS3 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Respiratory SystemAbnormal, CS0 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Cardiovascular SystemAbnormal, NCS9 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, General AppearanceAbnormal, NCS3 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Respiratory SystemAbnormal, NCS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Cardiovascular SystemAbnormal, CS2 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Thyroid GlandAbnormal, NCS6 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Respiratory SystemNormal255 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Cardiovascular SystemNormal245 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, General AppearanceAbnormal, CS1 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Cardiovascular SystemAbnormal, NCS8 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, General AppearanceNormal282 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Respiratory SystemAbnormal, CS0 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Cardiovascular SystemAbnormal, CS3 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Thyroid GlandNormal280 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Respiratory SystemAbnormal, NCS0 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Gastrointestinal SystemNormal280 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Nervous SystemNormal277 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Respiratory SystemNormal287 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week -2, Gastrointestinal SystemAbnormal, NCS6 Participants
Semaglutide 0.5 mgChange in Physical ExaminationAt week 30, Thyroid GlandNormal253 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Lymph Node PalpationAbnormal, NCS3 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, General AppearanceNormal283 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, General AppearanceAbnormal, NCS7 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, General AppearanceAbnormal, CS0 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, General AppearanceNormal250 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, General AppearanceAbnormal, NCS3 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, General AppearanceAbnormal, CS0 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Nervous SystemNormal287 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Nervous SystemAbnormal, NCS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Nervous SystemAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Nervous SystemNormal250 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Nervous SystemAbnormal, NCS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Nervous SystemAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Cardiovascular SystemNormal281 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Cardiovascular SystemAbnormal, NCS6 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Cardiovascular SystemAbnormal, CS3 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Cardiovascular SystemNormal246 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Cardiovascular SystemAbnormal, NCS4 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Cardiovascular SystemAbnormal, CS3 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Gastrointestinal SystemNormal285 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Gastrointestinal SystemAbnormal, NCS5 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Gastrointestinal SystemAbnormal, CS0 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Gastrointestinal SystemNormal250 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Gastrointestinal SystemAbnormal, NCS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Gastrointestinal SystemAbnormal, CS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Musculoskeletal SystemNormal283 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Musculoskeletal SystemAbnormal, NCS5 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Musculoskeletal SystemAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Musculoskeletal SystemNormal247 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Musculoskeletal SystemAbnormal, NCS4 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Musculoskeletal SystemAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, SkinNormal252 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, SkinAbnormal, NCS37 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, SkinAbnormal, CS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, SkinNormal217 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, SkinAbnormal, NCS33 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, SkinAbnormal, CS3 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckNormal281 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, NCS7 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckNormal244 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, NCS7 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Respiratory SystemNormal288 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Respiratory SystemAbnormal, NCS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Respiratory SystemAbnormal, CS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Respiratory SystemNormal250 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Respiratory SystemAbnormal, NCS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Respiratory SystemAbnormal, CS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Lymph Node PalpationNormal284 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Lymph Node PalpationAbnormal, NCS5 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Lymph Node PalpationAbnormal, CS1 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Lymph Node PalpationNormal250 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Lymph Node PalpationAbnormal, CS0 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Thyroid GlandNormal285 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Thyroid GlandAbnormal, NCS3 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week -2, Thyroid GlandAbnormal, CS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Thyroid GlandNormal249 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Thyroid GlandAbnormal, NCS2 Participants
Semaglutide 1.0 mgChange in Physical ExaminationAt week 30, Thyroid GlandAbnormal, CS2 Participants
SitagliptinChange in Physical ExaminationAt week -2, Gastrointestinal SystemAbnormal, CS0 Participants
SitagliptinChange in Physical ExaminationAt week 30, Lymph Node PalpationAbnormal, CS0 Participants
SitagliptinChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, NCS8 Participants
SitagliptinChange in Physical ExaminationAt week -2, Gastrointestinal SystemAbnormal, NCS10 Participants
SitagliptinChange in Physical ExaminationAt week 30, General AppearanceAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, CS5 Participants
SitagliptinChange in Physical ExaminationAt week -2, Gastrointestinal SystemNormal280 Participants
SitagliptinChange in Physical ExaminationAt week -2, General AppearanceNormal281 Participants
SitagliptinChange in Physical ExaminationAt week -2, Respiratory SystemNormal287 Participants
SitagliptinChange in Physical ExaminationAt week 30, Cardiovascular SystemAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week -2, Thyroid GlandNormal281 Participants
SitagliptinChange in Physical ExaminationAt week -2, Respiratory SystemAbnormal, NCS2 Participants
SitagliptinChange in Physical ExaminationAt week 30, Cardiovascular SystemAbnormal, NCS10 Participants
SitagliptinChange in Physical ExaminationAt week 30, General AppearanceAbnormal, NCS5 Participants
SitagliptinChange in Physical ExaminationAt week -2, Respiratory SystemAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week -2, Cardiovascular SystemAbnormal, CS2 Participants
SitagliptinChange in Physical ExaminationAt week 30, Thyroid GlandAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week 30, Respiratory SystemNormal274 Participants
SitagliptinChange in Physical ExaminationAt week -2, Cardiovascular SystemAbnormal, NCS10 Participants
SitagliptinChange in Physical ExaminationAt week -2, Thyroid GlandAbnormal, NCS9 Participants
SitagliptinChange in Physical ExaminationAt week 30, Respiratory SystemAbnormal, NCS2 Participants
SitagliptinChange in Physical ExaminationAt week -2, Cardiovascular SystemNormal278 Participants
SitagliptinChange in Physical ExaminationAt week -2, General AppearanceAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week 30, Respiratory SystemAbnormal, CS0 Participants
SitagliptinChange in Physical ExaminationAt week 30, Nervous SystemAbnormal, CS3 Participants
SitagliptinChange in Physical ExaminationAt week 30, Thyroid GlandAbnormal, NCS5 Participants
SitagliptinChange in Physical ExaminationAt week -2, Lymph Node PalpationNormal285 Participants
SitagliptinChange in Physical ExaminationAt week 30, Nervous SystemAbnormal, NCS5 Participants
SitagliptinChange in Physical ExaminationAt week -2, Thyroid GlandAbnormal, CS0 Participants
SitagliptinChange in Physical ExaminationAt week -2, Lymph Node PalpationAbnormal, NCS4 Participants
SitagliptinChange in Physical ExaminationAt week 30, Nervous SystemNormal268 Participants
SitagliptinChange in Physical ExaminationAt week -2, General AppearanceAbnormal, NCS8 Participants
SitagliptinChange in Physical ExaminationAt week -2, SkinNormal254 Participants
SitagliptinChange in Physical ExaminationAt week 30, Musculoskeletal SystemAbnormal, CS3 Participants
SitagliptinChange in Physical ExaminationAt week -2, Lymph Node PalpationAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week -2, SkinAbnormal, NCS29 Participants
SitagliptinChange in Physical ExaminationAt week 30, Musculoskeletal SystemAbnormal, NCS3 Participants
SitagliptinChange in Physical ExaminationAt week -2, Nervous SystemAbnormal, CS3 Participants
SitagliptinChange in Physical ExaminationAt week -2, SkinAbnormal, CS7 Participants
SitagliptinChange in Physical ExaminationAt week 30, Musculoskeletal SystemNormal270 Participants
SitagliptinChange in Physical ExaminationAt week 30, General AppearanceNormal270 Participants
SitagliptinChange in Physical ExaminationAt week 30, SkinNormal240 Participants
SitagliptinChange in Physical ExaminationAt week -2, Musculoskeletal SystemAbnormal, CS2 Participants
SitagliptinChange in Physical ExaminationAt week 30, Lymph Node PalpationNormal271 Participants
SitagliptinChange in Physical ExaminationAt week 30, SkinAbnormal, NCS31 Participants
SitagliptinChange in Physical ExaminationAt week -2, Musculoskeletal SystemAbnormal, NCS6 Participants
SitagliptinChange in Physical ExaminationAt week -2, Nervous SystemAbnormal, NCS8 Participants
SitagliptinChange in Physical ExaminationAt week 30, SkinAbnormal, CS5 Participants
SitagliptinChange in Physical ExaminationAt week -2, Musculoskeletal SystemNormal282 Participants
SitagliptinChange in Physical ExaminationAt week 30, Cardiovascular SystemNormal265 Participants
SitagliptinChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckNormal277 Participants
SitagliptinChange in Physical ExaminationAt week 30, Gastrointestinal SystemAbnormal, CS1 Participants
SitagliptinChange in Physical ExaminationAt week 30, Lymph Node PalpationAbnormal, NCS5 Participants
SitagliptinChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, NCS7 Participants
SitagliptinChange in Physical ExaminationAt week 30, Gastrointestinal SystemAbnormal, NCS11 Participants
SitagliptinChange in Physical ExaminationAt week -2, Nervous SystemNormal279 Participants
SitagliptinChange in Physical ExaminationAt week -2, Head,Ears,Eyes,Nose, Throat, NeckAbnormal, CS6 Participants
SitagliptinChange in Physical ExaminationAt week 30, Gastrointestinal SystemNormal264 Participants
SitagliptinChange in Physical ExaminationAt week 30, Thyroid GlandNormal270 Participants
SitagliptinChange in Physical ExaminationAt week 30, Head,Ears,Eyes,Nose, Throat, NeckNormal263 Participants
Secondary

Change in Self-measured Plasma Glucose (SMPG) - Mean 7-point Profile

Change from baseline (week 0) to week 30 in SMPG mean 7-point profile was evaluated. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. Mean 7-point profile was defined as the area under the profile, calculated using the trapezoidal method, divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Self-measured Plasma Glucose (SMPG) - Mean 7-point Profile-2.5 Millimoles per liter (mmol/L)Standard Deviation 2.4
Semaglutide 1.0 mgChange in Self-measured Plasma Glucose (SMPG) - Mean 7-point Profile-3.3 Millimoles per liter (mmol/L)Standard Deviation 2.2
SitagliptinChange in Self-measured Plasma Glucose (SMPG) - Mean 7-point Profile-1.6 Millimoles per liter (mmol/L)Standard Deviation 2
Secondary

Change in Self-measured Plasma Glucose (SMPG) - Mean Postprandial Increment Over All Meals

Change from baseline (week 0) to week 30 in SMPG mean postprandial increment over all meals was evaluated. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Self-measured Plasma Glucose (SMPG) - Mean Postprandial Increment Over All Meals-1.0 Millimoles per liter (mmol/L)Standard Deviation 2.2
Semaglutide 1.0 mgChange in Self-measured Plasma Glucose (SMPG) - Mean Postprandial Increment Over All Meals-1.2 Millimoles per liter (mmol/L)Standard Deviation 2.1
SitagliptinChange in Self-measured Plasma Glucose (SMPG) - Mean Postprandial Increment Over All Meals-0.7 Millimoles per liter (mmol/L)Standard Deviation 2.2
Secondary

Change in Urinalysis Parameter: Erythrocytes

Erythrocytes in urine was assessed by the investigator and categorised as negative, trace, small, moderate, large. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Negative251 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Trace25 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Small5 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Moderate1 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Large4 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Negative258 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Trace18 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Small4 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Moderate2 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Large4 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Moderate6 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Negative250 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Negative259 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Large8 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Trace20 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Large6 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Small5 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Small8 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 30Trace13 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ErythrocytesAt week 0Moderate3 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 30Small9 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 0Moderate3 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 0Large3 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 30Negative252 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 30Moderate1 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 30Trace22 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 0Negative253 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 30Large3 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 0Trace19 Participants
SitagliptinChange in Urinalysis Parameter: ErythrocytesAt week 0Small9 Participants
Secondary

Change in Urinalysis Parameter: Glucose

Glucose in urine was assessed by the investigator and categorised as negative, \[100-249\], \[250-499\], \[500-999\] and \>= 1000. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 0Negative189 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 0100-24928 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 0250-49912 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 0500-99920 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 0>= 100037 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 30Negative244 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 30100-2497 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 30250-49910 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 30500-99911 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: GlucoseAt week 30>= 100014 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 30500-9994 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 0Negative187 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 30Negative258 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 0>= 100030 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 0100-24927 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 30>= 10007 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 30250-4995 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 0250-49920 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 30100-24915 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: GlucoseAt week 0500-99925 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 30250-4995 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 0500-99921 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 0>= 100023 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 30Negative233 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 30500-99912 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 30100-24923 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 0Negative176 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 30>= 100014 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 0100-24942 Participants
SitagliptinChange in Urinalysis Parameter: GlucoseAt week 0250-49925 Participants
Secondary

Change in Urinalysis Parameter: Ketones

Ketones in urine was assessed by the investigator and categorised as negative, trace, 15-39, 40-79, Approximately 80, \>= 80. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 0Negative267 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 0Trace11 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 015-398 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 040- 790 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 0Approximately 800 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 0>=800 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 30Negative268 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 30Trace12 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 3015-396 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 3040- 790 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 30Approximately 800 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: KetonesAt week 30>=800 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 30>=800 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 0Negative268 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 30Negative274 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 3015-393 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 0Trace17 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 0>=800 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 30Approximately 800 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 015-393 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 30Trace12 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 0Approximately 800 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 040- 791 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: KetonesAt week 3040- 790 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 040- 790 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 0Approximately 801 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 3040- 791 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 0>=800 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 30Negative274 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 30Trace11 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 30Approximately 800 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 0Negative274 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 0Trace9 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 3015-391 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 015-393 Participants
SitagliptinChange in Urinalysis Parameter: KetonesAt week 30>=800 Participants
Secondary

Change in Urinalysis Parameter: pH

pH in urine was assessed by the investigator and categorised as 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, \>=9. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 0713 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 05.517 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 06220 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 06.531 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 050 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 07.53 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 080 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 08.51 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 0>= 91 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 3050 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 305.516 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 306209 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 306.533 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 30724 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 307.52 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 3081 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 308.51 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: pHAt week 30>= 90 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 30>= 90 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 050 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 3050 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 307.53 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 05.515 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 3081 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 306.540 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 06214 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 305.521 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 0>= 90 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 06.540 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 08.50 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 308.50 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 0714 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 306194 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 30730 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 07.54 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: pHAt week 082 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 07.51 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 081 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 308.50 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 08.51 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 0>= 90 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 30>= 90 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 3050 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 305.530 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 3085 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 306201 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 050 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 307.55 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 05.514 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 06222 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 306.524 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 06.533 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 0715 Participants
SitagliptinChange in Urinalysis Parameter: pHAt week 30722 Participants
Secondary

Change in Urinalysis Parameter: Protein

Protein in urine was assessed by the investigator and categorised as negative, trace, 30-99, 100-299, Approximately 300, \>=300. Number of participants in each category at baseline (week 0) and week 30 are presented. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 0100-2996 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 0Approximately 3000 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 30Approximately 3000 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 3030-9913 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 0>=3001 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 30100-2994 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 030-9917 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 30>=3000 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 30Negative247 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 0Trace31 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 0Negative231 Participants
Semaglutide 0.5 mgChange in Urinalysis Parameter: ProteinAt week 30Trace22 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 0Trace32 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 30100-2994 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 30Approximately 3000 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 0100-2994 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 30>=3000 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 30Trace28 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 0Approximately 3000 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 0Negative233 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 0>=3002 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 3030-999 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 30Negative248 Participants
Semaglutide 1.0 mgChange in Urinalysis Parameter: ProteinAt week 030-9918 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 30>=3001 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 0Negative235 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 0Trace30 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 030-9915 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 0100-2996 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 0Approximately 3000 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 0>=3001 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 30Negative239 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 30Trace24 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 3030-9912 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 30100-29911 Participants
SitagliptinChange in Urinalysis Parameter: ProteinAt week 30Approximately 3000 Participants
Secondary

Change in Urinalysis Parameter - UACR-ratio to Baseline

Change in urin albumin to creatinine ratio (UACR) from baseline (week 0) to week 30 is presented as ratio to baseline. UACR was measured in milligram/millimole (mg/mmol). Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0, week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed=participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 0.5 mgChange in Urinalysis Parameter - UACR-ratio to Baseline0.77 Ratio of UACRGeometric Coefficient of Variation 83.5
Semaglutide 1.0 mgChange in Urinalysis Parameter - UACR-ratio to Baseline0.69 Ratio of UACRGeometric Coefficient of Variation 78.4
SitagliptinChange in Urinalysis Parameter - UACR-ratio to Baseline0.89 Ratio of UACRGeometric Coefficient of Variation 76
Secondary

Change in Waist Circumference

Change in waist circumference from baseline (week 0) to week 30 was measured. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 0, week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 0.5 mgChange in Waist Circumference-2.7 Centimeter (cm)Standard Deviation 5
Semaglutide 1.0 mgChange in Waist Circumference-4.0 Centimeter (cm)Standard Deviation 4.8
SitagliptinChange in Waist Circumference-0.7 Centimeter (cm)Standard Deviation 4.4
Secondary

Number of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes

Hypoglycaemic episodes are defined as treatment-emergent if the onset of the episode occurs within the on-treatment observation period. Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0 to week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product.

ArmMeasureValue (NUMBER)
Semaglutide 0.5 mgNumber of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes3 Episodes
Semaglutide 1.0 mgNumber of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes7 Episodes
SitagliptinNumber of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes5 Episodes
Secondary

Occurence of Anti-semaglutide Antibodies Cross Reacting With Endogenous GLP-1 (Yes/no)

This outcome measure is only applicable for the semaglutide arms. Development of anti-semaglutide antibodies cross reacting with endogenous glucagon-like peptide-1 (GLP-1) was evaluated in participants. The number of participants who were positive/ negative for anti-semaglutide antibodies cross reacting with endogenous GLP-1 are presented. Evaluation was based on in-trial observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Time frame: Week 35

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies Cross Reacting With Endogenous GLP-1 (Yes/no)Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies Cross Reacting With Endogenous GLP-1 (Yes/no)No (negative for antibody)262 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies Cross Reacting With Endogenous GLP-1 (Yes/no)Yes (positive for antibody)1 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies Cross Reacting With Endogenous GLP-1 (Yes/no)No (negative for antibody)263 Participants
Secondary

Occurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)

This outcome measure is only applicable for the semaglutide arms. Development of anti-semaglutide antibodies with in-vitro neutralising effect was evaluated in participants during the study. The number of participants who were positive/ negative for anti-semaglutide antibodies with in vitro neutralising effect are presented. Evaluation was based on in-trial observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Time frame: Week 0, week 16, week 30, week 35

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 0Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 0No (negative for antibody)285 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 16Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 16No (negative for antibody)285 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 30Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 30No (negative for antibody)257 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 35Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 35No (negative for antibody)262 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 35No (negative for antibody)264 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 0Yes (positive for antibody)0 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 30Yes (positive for antibody)0 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 0No (negative for antibody)289 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 35Yes (positive for antibody)0 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 16Yes (positive for antibody)0 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 30No (negative for antibody)263 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies With In-vitro Neutralising Effect (Yes/no)At week 16No (negative for antibody)290 Participants
Secondary

Occurence of Anti-semaglutide Antibodies (Yes/no)

This outcome measure is only applicable for the semaglutide arms. Development of anti-semaglutide antibodies was evaluated in participants during the study. The number of participants who were positive/ negative for anti-semaglutide antibodies were presented. Evaluation was based on 'in trial' observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Time frame: Week 0, week 16, week 30, week 35

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 0Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 0No (negative for antibody)285 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 16Yes (positive for antibody)1 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 16No (negative for antibody)284 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 30Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 30No (negative for antibody)257 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 35Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 35No (negative for antibody)262 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 35No (negative for antibody)261 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 0Yes (positive for antibody)1 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 30Yes (positive for antibody)2 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 0No (negative for antibody)288 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 35Yes (positive for antibody)3 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 16Yes (positive for antibody)0 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 30No (negative for antibody)261 Participants
Semaglutide 1.0 mgOccurence of Anti-semaglutide Antibodies (Yes/no)At week 16No (negative for antibody)290 Participants
Secondary

Occurence of Cross Reacting Antibodies With in Vitro Neutralising Effect to Endogenous GLP-1 (Yes/no)

This outcome measure is only applicable for the semaglutide arms. Development of cross reacting antibodies with in-vitro neutralising effect to endogenous glucagon-like peptide-1 (GLP-1) was evaluated in participants. The number of participants who were positive/ negative for anti-semaglutide antibodies with in vitro neutralising effect to endogenous GLP-1 are presented. Evaluation was based on in-trial observation period, which is the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication or premature treatment discontinuation.

Time frame: Week 35

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgOccurence of Cross Reacting Antibodies With in Vitro Neutralising Effect to Endogenous GLP-1 (Yes/no)Yes (positive for antibody)0 Participants
Semaglutide 0.5 mgOccurence of Cross Reacting Antibodies With in Vitro Neutralising Effect to Endogenous GLP-1 (Yes/no)No (negative for antibody)262 Participants
Semaglutide 1.0 mgOccurence of Cross Reacting Antibodies With in Vitro Neutralising Effect to Endogenous GLP-1 (Yes/no)Yes (positive for antibody)0 Participants
Semaglutide 1.0 mgOccurence of Cross Reacting Antibodies With in Vitro Neutralising Effect to Endogenous GLP-1 (Yes/no)No (negative for antibody)264 Participants
Secondary

Participants With Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes

Number of participants with treatment emergent severe or blood glucose-confirmed symptomatic hypoglycaemic episodes. Hypoglycaemic episodes defined as treatment-emergent if the onset of the episode occurs within the on-treatment observation period. Severe or BG-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Results are based on the 'on-treatment' observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0 to week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Semaglutide 0.5 mgParticipants With Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes2 Participants
Semaglutide 1.0 mgParticipants With Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes6 Participants
SitagliptinParticipants With Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes4 Participants
Secondary

Percentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%

Percentage of participants losing ≥10% of baseline body weight (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.5 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%Yes9.7 Percentage of participants
Semaglutide 0.5 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%No90.3 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%Yes17.2 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%No82.8 Percentage of participants
SitagliptinPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%Yes0.4 Percentage of participants
SitagliptinPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥10%No99.6 Percentage of participants
Secondary

Percentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%

Percentage of participants losing ≥5% of baseline body weight (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.5 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%Yes36.6 Percentage of participants
Semaglutide 0.5 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%No63.4 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%Yes52.7 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%No47.3 Percentage of participants
SitagliptinPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%Yes5.9 Percentage of participants
SitagliptinPercentage of Participants That Achieved (Yes/no): Body Weight Loss ≥5%No94.1 Percentage of participants
Secondary

Percentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight Gain

Severe or blood glucose (BG)-confirmed symptomatic hypoglycaemia is an episode that is severe according to the American Diabetes Association classification or blood glucose-confirmed by a plasma glucose value \<3.1 mmol/L (56 milligrams per deciliter \[mg/dL\]) with symptoms consistent with hypoglycaemia. Percentage of participants who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.5 mgPercentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainYes66.0 Percentage of participants
Semaglutide 0.5 mgPercentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainNo34.0 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainYes76.9 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainNo23.1 Percentage of participants
SitagliptinPercentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainYes33.7 Percentage of participants
SitagliptinPercentage of Participants That Achieved (Yes/no): HbA1c <7.0% (53 mmol/Mol) Without Severe or Blood Glucose (BG)-Confirmed Symptomatic Hypoglycaemia and no Weight GainNo66.3 Percentage of participants
Secondary

Percentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)

Percentage of participants who achieved HbA1c ≤6.5% (48 millimoles per mole \[mmol/mol\]), American Association of Clinical Endocrinologists (AACE) target (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.5 mgPercentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)Yes60.4 Percentage of participants
Semaglutide 0.5 mgPercentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)No39.6 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)Yes70.6 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)No29.4 Percentage of participants
SitagliptinPercentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)Yes31.6 Percentage of participants
SitagliptinPercentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/Mol), AACE Target, (Yes/no)No68.4 Percentage of participants
Secondary

Percentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)

Percentage of participants who achieved HbA1c \< 7.0% (53 millimoles per mole \[mmol/mol\]), American Diabetes Association (ADA) target (yes/no) is presented. Results are based on the 'on-treatment without rescue medication' observation period, which started at the date of first dose to either the day of last dose plus 7 days or first initiation of rescue medication, whichever came first.

Time frame: Week 30

Population: Full analysis set comprised of all randomised participants. Overall Number of Participants Analyzed = participants with available data.

ArmMeasureGroupValue (NUMBER)
Semaglutide 0.5 mgPercentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)Yes74.5 Percentage of participants
Semaglutide 0.5 mgPercentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)No25.5 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)Yes84.0 Percentage of participants
Semaglutide 1.0 mgPercentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)No16.0 Percentage of participants
SitagliptinPercentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)Yes49.6 Percentage of participants
SitagliptinPercentage of Participants Who Achieved HbA1c <7.0% (53 mmol/Mol), ADA Target, (Yes/no)No50.4 Percentage of participants
Secondary

Total Number of Treatment Emergent Adverse Events

A treatment emergent adverse event (TEAE) is defined as an adverse event with onset in the on-treatment observation period. On-treatment observation period is defined as the time period when a participant was on treatment with trial product, including any period after initiation of rescue medication.

Time frame: Week 0 to week 30

Population: Safety analysis set comprised of all randomised participants exposed to at least one dose of trial product.

ArmMeasureValue (NUMBER)
Semaglutide 0.5 mgTotal Number of Treatment Emergent Adverse Events729 Events
Semaglutide 1.0 mgTotal Number of Treatment Emergent Adverse Events788 Events
SitagliptinTotal Number of Treatment Emergent Adverse Events596 Events

Source: ClinicalTrials.gov · Data processed: Feb 25, 2026