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Research Study Comparing a New Medicine Semaglutide to Liraglutide in People With Type 2 Diabetes

Efficacy and Safety of Semaglutide 1.0 mg Once-weekly Versus Liraglutide 1.2 mg Once-daily as add-on to 1-3 Oral Anti-diabetic Drugs (OADs) in Subjects With Type 2 Diabetes

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03191396
Acronym
SUSTAIN 10
Enrollment
577
Registered
2017-06-19
Start date
2017-06-27
Completion date
2018-08-13
Last updated
2019-10-15

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 study is conducted in Europe. The aim of the study is to compare the effect of semaglutide subcutaneous (s.c., under the skin) 1.0 mg once-weekly to liraglutide s.c.1.2 mg once-daily on blood sugar levels after 30 weeks of treatment in people with type 2 diabetes. The study will last approximately 9 months (37 weeks). Each participant will have 7 visits at the clinic and 3 phone calls with the study doctor. At the visits, participants will have a number of tests, for example: general health checks, blood samples, heart and eye checks etc. Participants will also fill in some forms about their health and satisfaction with their diabetes treatment.

Interventions

DRUGSemaglutide

Dose gradually increased to 1.0 mg, given s.c. (under the skin), once-weekly for 30 weeks. Participants will remain on their pre-study anti-diabetic drugs (tablets), if any

DRUGLiraglutide

Dose gradually increased to 1.2 mg, given s.c. once-daily for 30 weeks. Participants will remain on their pre-study anti-diabetic drugs, if any

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

- Male or female, age 18 years or older at the time of signing informed consent - Diagnosed with type 2 diabetes mellitus - HbA1c of 7.0-11.0 % (53 - 97 mmol/mol) (both inclusive) - Stable daily dose(s) including any of the following anti-diabetic drug(s) or combination regimens 90 days prior to the day of screening: a) Biguanides (metformin above or equal to 1500 mg or maximum tolerated dose documented in the subject's medical record). b) Sulphonylureas (above or equal to half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record). c) SGLT-2 inhibitors (above or equal to half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record)

Exclusion criteria

- Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative - History or presence of pancreatitis (acute or chronic) - History of diabetic ketoacidosis - Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening - Subjects presently classified as being in New York Heart Association (NYHA) Class IV - Planned coronary, carotid or peripheral artery revascularisation known on the day of screening - Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value of below 30 ml/min/1.73 sqm as defined by KDIGO 2012 classification - Impaired liver function, defined as ALT above or equal to 2.5 times upper normal limit at screening - Proliferative retinopathy or maculopathy requiring acute treatment. Verified by fundus photography or dilated fundoscopy performed within the past 90 days prior to randomisation

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1cWeek 0, week 30Mean change from baseline (week 0) to week 30 in glycosylated haemoglobin (HbA1c) %. The endpoint was evaluated based on the 'on-treatment without rescue medication period' where subjects were considered treated with trial product, but had not yet initiated rescue medication. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Secondary

MeasureTime frameDescription
Change in Fasting Plasma Glucose (FPG)Week 0, week 30Mean change from baseline in fasting plasma glucose measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean 7-point ProfileWeek 0, week 30Mean change from baseline in 7-point profile. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. The mean of the 7-point SMPG profile, defined as the area under the profile, was calculated using the trapezoidal method and divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean Post Prandial Increment (Over All Meals)Week 0, week 30Mean post prandial glucose incrememts over all meals. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Fasting Blood Lipids: Total CholesterolWeek 0, week 30The change from baseline in total cholesterol (measured in mmol/L) is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Fasting Blood Lipids: Low-density Lipoprotein (LDL)-CholesterolWeek 0, week 30The change from baseline in LDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Fasting Blood Lipids: High-density Lipoprotein (HDL)-CholesterolWeek 0, week 30The change from baseline in HDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Fasting Blood Lipids: TriglyceridesWeek 0, week 30The change from baseline in triglycerides is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Body Mass Index (BMI)Week 0, week 30Mean change from baseline (week 0) to week 30 in BMI. BMI was calculated as 'body weight in kg/(height in meters) x (height in meters)'. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Waist CircumferenceWeek 0, week 30Mean change in waist circumference (cm) from baseline (week 0) to week 30. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Systolic Blood PressureWeek 0, week 30Change in systolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Diastolic Blood PressureWeek 0, week 30Change in diastolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Body Weight (%)Week 0, week 30Mean relative change from baseline in body weight measured in percentage. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association (ADA) TargetAfter 30 weeks of treatmentPercentage of subjects who achieved HbA1c less than 7.0% (53 mmol/mol) according to American Diabetes Association (ADA) target, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) TargetAfter 30 weeks of treatmentPercentage of subjects who achieved HbA1c less than 6.5% (48 mmol/mol) according to AACE target,after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve Weight Loss Above or Equal to 3%After 30 weeks of treatmentPercentage of subjects who achieved weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve Weight Loss Above or Equal to 5%After 30 weeks of treatmentPercentage of subjects who achieved weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve Weight Loss Above or Equal to 10%After 30 weeks of treatmentPercentage of subjects who achieved weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight GainAfter 30 weeks of treatmentPercentage of subjects who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Reduction Above or Equal to 1%After 30 weeks of treatmentPercentage of subjects who achieved weight loss above or equal to 1% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 3%After 30 weeks of treatmentPercentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 5%After 30 weeks of treatmentPercentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 10%After 30 weeks of treatmentPercentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsWeek 0, week 30Short form-36 version 2 (SF-36v2) is a 36-item patient-reported survey of patient health that measures the subject's overall health-related quality of life (HRQoL). The questionnaire measures the individual overall HRQoL on 8 domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Each domain is scored using the sum of the individual item responses and normalised relative to the 2009 US reference population. Overall, the domain scores range from around 0-100 (higher scores indicated a better HRQoL), where the range of possible scores depends on the 2009 US reference population for each domain. The two total summary scores (mental and physical summary components) are calculated through weighted sums of the 8 domain scores. The presented result is the change from baseline (week 0) to week 30 in SF-36v2 scores. A positive change in score indicates an improvement since baseline.
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyWeek 0, week 30The DTSQs questionnaire was used to assess subject's treatment satisfaction. This instrument contains 8 items and measures the treatment for diabetes in terms of convenience, flexibility and general feelings regarding treatment. Q 1 = satisfaction with current treatment; Q 2 = hyperglycemia; Q 3 = hypoglycemia; Q 4 = flexibility; Q 5 = convenience; Q 6 = understanding of diabetes; Q 7 = recommend treatment to others; and Q 8 = willingness to continue. Each item is rated on a 7-point Likert scale with a score ranging from 0 (ie, very dissatisfied) to 6 (ie, very satisfied). DTSQ items 2 and 3 are rated differently: 0 reflects 'never' and 6 reflects 'most of the time'. The 'treatment satisfaction' score is the sum of 6 of the 8 DTSQs components (Q 1, 4, 5, 6, 7 and 8) (range 0-36). Higher scores on the DTSQ total score indicate higher treatment satisfaction. The results presented is the change from baseline (week 0) to week 30 in DTSQ scores.
Number of Treatment-emergent Adverse Events (TEAE)Week 0 to week 35A TEAE was defined as an adverse event with onset date (or increase in severity) during the on-treatment observation period. The on-treatment observation period represents the time period where subjects were considered exposed to trial product.
Change in Pulse RateWeek 0, week 30Mean change from baseline (week 0) to week 30 in pulse rate. Pulse rate is measured as number of heart beats per minute. Results are based on the on-treatment observation period where subjects were considered exposed to trial product. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Number of Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic EpisodesWeek 0 to week 35Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia EpisodesWeek 0 to week 35Number of subjects with treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemia episodes is presented. Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.
Change in Haematology - HaemoglobinWeek 0, week 30Mean change from baseline (week 0) to week 30 in haemoglobin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Haematology - HaematocritWeek 0, week 30Mean change from baseline (week 0) to week 30 in haematology laboratory parameter haematocrit. Haematocrit is the volume of red blood cells in the total blood. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Haematology - Thrombocytes and LeukocytesWeek 0, week 30Mean change from baseline (week 0) to week 30 in haematology laboratory parameters thrombocytes and leukocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Haematology - ErythrocytesWeek 0, week 30Mean change from baseline (week 0) to week 30 in haematology laboratory parameter erythrocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Biochemistry - Calcium, Pottassium and SodiumWeek 0, week 30Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters calcium, pottassium and sodium. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Week 0, week 30Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters alkaline phosphatase, alanine aminotransferase and aspartate aminotransferase. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Body Weight (kg)Week 0, week 30Mean change from baseline (week 0) to week 30 in body weight measured in kilograms. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.
Change in Biochemistry - Creatinine and BilirubinWeek 0, week 30Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters creatinine and bilirubin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Biochemistry - AlbuminWeek 0, week 30Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter albumin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Biochemistry - Estimated Glomerular Filtration Rate (eGFR).Week 0, week 30Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter eGFR. eGFR is calculated using the equation from the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) as defined in KDIGO guidelines. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in CalcitoninWeek 0, week 30Mean change from baseline (week 0) to week 30 in calcitonin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.
Change in Biochemistry - Amylase and LipaseWeek 0, week 30Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters amylase and lypase. Observed data with multiple imputation for missing data is presented. Missing data were imputed using observed data from subjects within the same group defined by actual treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Countries

Bulgaria, Czechia, Finland, France, Germany, Hungary, Italy, Poland, Slovenia, Spain, Sweden, United Kingdom

Participant flow

Recruitment details

The trial was conducted at 77 sites in 11 countries as follows (number of sites that screened subjects/ number of sites that randomised subjects): Bulgaria (9/ 9); Czech Republic (5/ 5); Finland (8/ 8); France (8/ 8); Hungary (8/ 8); Italy (4/ 4); Poland (3/ 3); Slovenia (4/ 4); Spain (5/ 5); Sweden (6/ 6); United Kingdom (17/ 17)

Pre-assignment details

After screening, subjects were required to continue their oral anti-diabetic drug (OAD) pre-trial background medication (i.e. metformin, Sodium-glucose co-transporter-2 (SGLT-2) inhibitors, sulphonyl ureas, or combinations of these) throughout the entire trial.

Participants by arm

ArmCount
Semaglutide 1.0 mg
Subjects received 1.0 mg semaglutide once-weekly for 30 weeks (including 8-week dose escalation period). Semaglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once weekly on the same weekday. Subjects started semaglutide at 0.25 mg and were dose escalated in 4-week increments until the final maintenance dose of 1.0 mg was reached (i.e. 0.25 mg from week 0 to week 4, 0.5 mg from week 4 to week 8 and 1.0 mg from week 8 to week 30). Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
290
Liraglutide 1.2 mg
Subjects received 1.2 mg liraglutide once-daily for 30 weeks (including 1-week dose escalation period). Liraglutide was administered subcutaneously by injections in the thigh, abdomen or upper arm once-daily and the time of injection was to be consistent from one day to another. Subjects started liraglutide at 0.6 mg for 1 week and then were dose escalated to the maintenance dose of 1.2 mg. Subjects also continued their OAD pre-trial background medication (i.e. metformin, SGLT-2 inhibitors, sulphonyl ureas, or combinations of these).
287
Total577

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up03
Overall StudyWithdrawal by Subject32

Baseline characteristics

CharacteristicLiraglutide 1.2 mgTotalSemaglutide 1.0 mg
Age, Continuous58.9 Years
STANDARD_DEVIATION 10
59.5 Years
STANDARD_DEVIATION 10.2
60.1 Years
STANDARD_DEVIATION 10.5
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants9 Participants6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
269 Participants537 Participants268 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
15 Participants31 Participants16 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
3 Participants8 Participants5 Participants
Race (NIH/OMB)
Black or African American
1 Participants3 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants3 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
15 Participants31 Participants16 Participants
Race (NIH/OMB)
White
268 Participants532 Participants264 Participants
Sex: Female, Male
Female
120 Participants250 Participants130 Participants
Sex: Female, Male
Male
167 Participants327 Participants160 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 2890 / 287
other
Total, other adverse events
139 / 289113 / 287
serious
Total, serious adverse events
17 / 28922 / 287

Outcome results

Primary

Change in HbA1c

Mean change from baseline (week 0) to week 30 in glycosylated haemoglobin (HbA1c) %. The endpoint was evaluated based on the 'on-treatment without rescue medication period' where subjects were considered treated with trial product, but had not yet initiated rescue medication. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in HbA1c-1.7 Percentage of glycosylated haemoglobinStandard Deviation 0.9
Liraglutide 1.2 mgChange in HbA1c-1.1 Percentage of glycosylated haemoglobinStandard Deviation 1
Comparison: The responses are analysed using an ANCOVA with treatment and stratification factor as fixed factors and baseline value as covariate. Before analysis, missing data were multiple imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.p-value: <0.000195% CI: [-0.82, -0.56]ANCOVA
p-value: <0.000195% CI: [-0.82, -0.56]ANCOVA
Secondary

Change in Biochemistry - Albumin

Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter albumin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Biochemistry - Albumin0.2 g/dLGeometric Coefficient of Variation 56.8
Liraglutide 1.2 mgChange in Biochemistry - Albumin0.2 g/dLGeometric Coefficient of Variation 55.5
Secondary

Change in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.

Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters alkaline phosphatase, alanine aminotransferase and aspartate aminotransferase. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Alkaline phosphatase5.5 mmol/LGeometric Coefficient of Variation 117.5
Semaglutide 1.0 mgChange in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Alanine Aminotransferase5.3 mmol/LGeometric Coefficient of Variation 126.1
Semaglutide 1.0 mgChange in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Aspartate Aminotransferase3.5 mmol/LGeometric Coefficient of Variation 129.9
Liraglutide 1.2 mgChange in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Alkaline phosphatase6.4 mmol/LGeometric Coefficient of Variation 121
Liraglutide 1.2 mgChange in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Alanine Aminotransferase5.0 mmol/LGeometric Coefficient of Variation 137.7
Liraglutide 1.2 mgChange in Biochemistry - Alkaline Phosphatase, Alanine Aminotransferase and Aspartate Aminotransferase.Aspartate Aminotransferase3.1 mmol/LGeometric Coefficient of Variation 119.5
Secondary

Change in Biochemistry - Amylase and Lipase

Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters amylase and lypase. Observed data with multiple imputation for missing data is presented. Missing data were imputed using observed data from subjects within the same group defined by actual treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Biochemistry - Amylase and LipaseAmylase10.3 U/LGeometric Coefficient of Variation 124.7
Semaglutide 1.0 mgChange in Biochemistry - Amylase and LipaseLipase15.8 U/LGeometric Coefficient of Variation 154.6
Liraglutide 1.2 mgChange in Biochemistry - Amylase and LipaseAmylase8.4 U/LGeometric Coefficient of Variation 138.2
Liraglutide 1.2 mgChange in Biochemistry - Amylase and LipaseLipase14.0 U/LGeometric Coefficient of Variation 154.5
Secondary

Change in Biochemistry - Calcium, Pottassium and Sodium

Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters calcium, pottassium and sodium. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Biochemistry - Calcium, Pottassium and SodiumCalcium0.07 mmol/LGeometric Coefficient of Variation 107
Semaglutide 1.0 mgChange in Biochemistry - Calcium, Pottassium and SodiumPottassium0.3 mmol/LGeometric Coefficient of Variation 96
Semaglutide 1.0 mgChange in Biochemistry - Calcium, Pottassium and SodiumSodium1.8 mmol/LGeometric Coefficient of Variation 65.3
Liraglutide 1.2 mgChange in Biochemistry - Calcium, Pottassium and SodiumCalcium0.07 mmol/LGeometric Coefficient of Variation 103.8
Liraglutide 1.2 mgChange in Biochemistry - Calcium, Pottassium and SodiumPottassium0.3 mmol/LGeometric Coefficient of Variation 77.3
Liraglutide 1.2 mgChange in Biochemistry - Calcium, Pottassium and SodiumSodium1.7 mmol/LGeometric Coefficient of Variation 61.4
Secondary

Change in Biochemistry - Creatinine and Bilirubin

Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameters creatinine and bilirubin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Biochemistry - Creatinine and BilirubinCreatinine4.1 umol/LGeometric Coefficient of Variation 150.2
Semaglutide 1.0 mgChange in Biochemistry - Creatinine and BilirubinBilirubin1.9 umol/LGeometric Coefficient of Variation 167.5
Liraglutide 1.2 mgChange in Biochemistry - Creatinine and BilirubinCreatinine3.6 umol/LGeometric Coefficient of Variation 150
Liraglutide 1.2 mgChange in Biochemistry - Creatinine and BilirubinBilirubin2.0 umol/LGeometric Coefficient of Variation 126.2
Secondary

Change in Biochemistry - Estimated Glomerular Filtration Rate (eGFR).

Mean change from baseline (week 0) to week 30 in biochemistry laboratory parameter eGFR. eGFR is calculated using the equation from the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) as defined in KDIGO guidelines. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Biochemistry - Estimated Glomerular Filtration Rate (eGFR).4.0 mL/min/1.73m2Geometric Coefficient of Variation 97.7
Liraglutide 1.2 mgChange in Biochemistry - Estimated Glomerular Filtration Rate (eGFR).4.1 mL/min/1.73m2Geometric Coefficient of Variation 113.9
Secondary

Change in Body Mass Index (BMI)

Mean change from baseline (week 0) to week 30 in BMI. BMI was calculated as 'body weight in kg/(height in meters) x (height in meters)'. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Body Mass Index (BMI)-2.0 kg/sqmStandard Deviation 1.6
Liraglutide 1.2 mgChange in Body Mass Index (BMI)-0.7 kg/sqmStandard Deviation 1.4
Secondary

Change in Body Weight (%)

Mean relative change from baseline in body weight measured in percentage. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Body Weight (%)-6.1 percentage of body weightStandard Deviation 4.9
Liraglutide 1.2 mgChange in Body Weight (%)-2.0 percentage of body weightStandard Deviation 4.2
Secondary

Change in Body Weight (kg)

Mean change from baseline (week 0) to week 30 in body weight measured in kilograms. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Body Weight (kg)-5.8 kgStandard Deviation 4.7
Liraglutide 1.2 mgChange in Body Weight (kg)-2.0 kgStandard Deviation 4.1
p-value: <0.000195% CI: [-4.57, -3.09]ANCOVA
Secondary

Change in Calcitonin

Mean change from baseline (week 0) to week 30 in calcitonin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Calcitonin1.3 ng/LGeometric Coefficient of Variation 165.5
Liraglutide 1.2 mgChange in Calcitonin1.1 ng/LGeometric Coefficient of Variation 89.7
Secondary

Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items Separately

The DTSQs questionnaire was used to assess subject's treatment satisfaction. This instrument contains 8 items and measures the treatment for diabetes in terms of convenience, flexibility and general feelings regarding treatment. Q 1 = satisfaction with current treatment; Q 2 = hyperglycemia; Q 3 = hypoglycemia; Q 4 = flexibility; Q 5 = convenience; Q 6 = understanding of diabetes; Q 7 = recommend treatment to others; and Q 8 = willingness to continue. Each item is rated on a 7-point Likert scale with a score ranging from 0 (ie, very dissatisfied) to 6 (ie, very satisfied). DTSQ items 2 and 3 are rated differently: 0 reflects 'never' and 6 reflects 'most of the time'. The 'treatment satisfaction' score is the sum of 6 of the 8 DTSQs components (Q 1, 4, 5, 6, 7 and 8) (range 0-36). Higher scores on the DTSQ total score indicate higher treatment satisfaction. The results presented is the change from baseline (week 0) to week 30 in DTSQ scores.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ5. Convenience0.7 scores on a scaleStandard Deviation 1.5
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ3. Hypoglycemia0.1 scores on a scaleStandard Deviation 1.7
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ6. Understanding of diabetes0.6 scores on a scaleStandard Deviation 1.4
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ2. Hyperglycemia-2.1 scores on a scaleStandard Deviation 2.1
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ7. Recommend treatment to others0.7 scores on a scaleStandard Deviation 1.5
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ4. Flexibility0.7 scores on a scaleStandard Deviation 1.5
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ8. Willingness to continue1.0 scores on a scaleStandard Deviation 1.8
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyTreatment satisfaction summary score4.6 scores on a scaleStandard Deviation 7
Semaglutide 1.0 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ1. Satisfaction with current treatment0.9 scores on a scaleStandard Deviation 1.7
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyTreatment satisfaction summary score4.2 scores on a scaleStandard Deviation 6.6
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ1. Satisfaction with current treatment0.9 scores on a scaleStandard Deviation 1.5
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ2. Hyperglycemia-1.6 scores on a scaleStandard Deviation 2.3
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ3. Hypoglycemia0.1 scores on a scaleStandard Deviation 1.6
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ4. Flexibility0.6 scores on a scaleStandard Deviation 1.5
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ5. Convenience0.6 scores on a scaleStandard Deviation 1.5
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ6. Understanding of diabetes0.5 scores on a scaleStandard Deviation 1.3
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ7. Recommend treatment to others0.7 scores on a scaleStandard Deviation 1.4
Liraglutide 1.2 mgChange in Diabetes Treatment Satisfaction Questionnaire (DTSQ). Treatment Satisfaction Summary Score (Sum of 6 of 8 Items) and the 8 Items SeparatelyQ8. Willingness to continue0.9 scores on a scaleStandard Deviation 1.8
Secondary

Change in Diastolic Blood Pressure

Change in diastolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Diastolic Blood Pressure-1.5 mmHgStandard Deviation 8.6
Liraglutide 1.2 mgChange in Diastolic Blood Pressure-1.3 mmHgStandard Deviation 8.4
Secondary

Change in Fasting Blood Lipids: High-density Lipoprotein (HDL)-Cholesterol

The change from baseline in HDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Fasting Blood Lipids: High-density Lipoprotein (HDL)-Cholesterol1.01 ratioGeometric Coefficient of Variation 14.6
Liraglutide 1.2 mgChange in Fasting Blood Lipids: High-density Lipoprotein (HDL)-Cholesterol0.99 ratioGeometric Coefficient of Variation 12.9
Secondary

Change in Fasting Blood Lipids: Low-density Lipoprotein (LDL)-Cholesterol

The change from baseline in LDL cholesterol is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Fasting Blood Lipids: Low-density Lipoprotein (LDL)-Cholesterol0.99 ratioGeometric Coefficient of Variation 28.3
Liraglutide 1.2 mgChange in Fasting Blood Lipids: Low-density Lipoprotein (LDL)-Cholesterol0.99 ratioGeometric Coefficient of Variation 27.2
Secondary

Change in Fasting Blood Lipids: Total Cholesterol

The change from baseline in total cholesterol (measured in mmol/L) is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Fasting Blood Lipids: Total Cholesterol0.96 ratioGeometric Coefficient of Variation 16.8
Liraglutide 1.2 mgChange in Fasting Blood Lipids: Total Cholesterol0.98 ratioGeometric Coefficient of Variation 16.9
Secondary

Change in Fasting Blood Lipids: Triglycerides

The change from baseline in triglycerides is presented as ratio to baseline. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Fasting Blood Lipids: Triglycerides0.83 RatioGeometric Coefficient of Variation 41.5
Liraglutide 1.2 mgChange in Fasting Blood Lipids: Triglycerides0.91 RatioGeometric Coefficient of Variation 39.5
Secondary

Change in Fasting Plasma Glucose (FPG)

Mean change from baseline in fasting plasma glucose measured in mmol/L. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Fasting Plasma Glucose (FPG)-2.65 mmol/LStandard Deviation 2.19
Liraglutide 1.2 mgChange in Fasting Plasma Glucose (FPG)-1.46 mmol/LStandard Deviation 2.42
Secondary

Change in Haematology - Erythrocytes

Mean change from baseline (week 0) to week 30 in haematology laboratory parameter erythrocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Haematology - Erythrocytes0.14 10^12 cells/LGeometric Coefficient of Variation 133.2
Liraglutide 1.2 mgChange in Haematology - Erythrocytes0.14 10^12 cells/LGeometric Coefficient of Variation 117.3
Secondary

Change in Haematology - Haematocrit

Mean change from baseline (week 0) to week 30 in haematology laboratory parameter haematocrit. Haematocrit is the volume of red blood cells in the total blood. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Haematology - Haematocrit1.5 percent changeGeometric Coefficient of Variation 111.7
Liraglutide 1.2 mgChange in Haematology - Haematocrit1.1 percent changeGeometric Coefficient of Variation 130.9
Secondary

Change in Haematology - Haemoglobin

Mean change from baseline (week 0) to week 30 in haemoglobin. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Haematology - Haemoglobin1.0 mmol/LGeometric Coefficient of Variation 16
Liraglutide 1.2 mgChange in Haematology - Haemoglobin1.0 mmol/LGeometric Coefficient of Variation 0
Secondary

Change in Haematology - Thrombocytes and Leukocytes

Mean change from baseline (week 0) to week 30 in haematology laboratory parameters thrombocytes and leukocytes. Results are based on the on-treatment observation period where subjects were considered exposed to trial product.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Haematology - Thrombocytes and LeukocytesThrombocytes18.4 10^9 cells/LGeometric Coefficient of Variation 126
Semaglutide 1.0 mgChange in Haematology - Thrombocytes and LeukocytesLeukocytes0.14 10^9 cells/LGeometric Coefficient of Variation 133.2
Liraglutide 1.2 mgChange in Haematology - Thrombocytes and LeukocytesThrombocytes21.5 10^9 cells/LGeometric Coefficient of Variation 138.9
Liraglutide 1.2 mgChange in Haematology - Thrombocytes and LeukocytesLeukocytes0.14 10^9 cells/LGeometric Coefficient of Variation 117.3
Secondary

Change in Pulse Rate

Mean change from baseline (week 0) to week 30 in pulse rate. Pulse rate is measured as number of heart beats per minute. Results are based on the on-treatment observation period where subjects were considered exposed to trial product. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 1.0 mgChange in Pulse Rate2.4 beats/minGeometric Coefficient of Variation 10.1
Liraglutide 1.2 mgChange in Pulse Rate3.9 beats/minGeometric Coefficient of Variation 10
Secondary

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

Mean change from baseline in 7-point profile. SMPG was recorded at the following 7 time points: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after dinner and at bedtime. The mean of the 7-point SMPG profile, defined as the area under the profile, was calculated using the trapezoidal method and divided by the measurement time. Results are based on the 'on-treatment without rescue medication' observation period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean 7-point Profile-3.0 mmol/LStandard Deviation 2
Liraglutide 1.2 mgChange in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean 7-point Profile-2.1 mmol/LStandard Deviation 2.3
Secondary

Change in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean Post Prandial Increment (Over All Meals)

Mean post prandial glucose incrememts over all meals. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean Post Prandial Increment (Over All Meals)-1.0 mmol/LStandard Deviation 1.8
Liraglutide 1.2 mgChange in Self-measured Plasma Glucose (SMPG), 7 Point Profile: Mean Post Prandial Increment (Over All Meals)-0.4 mmol/LStandard Deviation 1.9
Secondary

Change in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 Domains

Short form-36 version 2 (SF-36v2) is a 36-item patient-reported survey of patient health that measures the subject's overall health-related quality of life (HRQoL). The questionnaire measures the individual overall HRQoL on 8 domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Each domain is scored using the sum of the individual item responses and normalised relative to the 2009 US reference population. Overall, the domain scores range from around 0-100 (higher scores indicated a better HRQoL), where the range of possible scores depends on the 2009 US reference population for each domain. The two total summary scores (mental and physical summary components) are calculated through weighted sums of the 8 domain scores. The presented result is the change from baseline (week 0) to week 30 in SF-36v2 scores. A positive change in score indicates an improvement since baseline.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsPhysical functioning1.8 scores on a scaleStandard Deviation 5.8
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsRole-physical1.4 scores on a scaleStandard Deviation 7.2
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsBodily pain2.2 scores on a scaleStandard Deviation 9.1
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsGeneral health2.7 scores on a scaleStandard Deviation 7.9
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsSocial functioning1.7 scores on a scaleStandard Deviation 8.7
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsRole-emotional1.2 scores on a scaleStandard Deviation 8.5
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsVitality3.0 scores on a scaleStandard Deviation 8
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsMental health1.7 scores on a scaleStandard Deviation 8.2
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsMental component summary1.7 scores on a scaleStandard Deviation 7.9
Semaglutide 1.0 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsPhysical component summary2.1 scores on a scaleStandard Deviation 6.4
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsSocial functioning0.9 scores on a scaleStandard Deviation 7.7
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsPhysical component summary1.4 scores on a scaleStandard Deviation 5.9
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsPhysical functioning1.4 scores on a scaleStandard Deviation 6.6
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsMental component summary0.5 scores on a scaleStandard Deviation 7.5
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsRole-physical0.6 scores on a scaleStandard Deviation 6.7
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsRole-emotional1.0 scores on a scaleStandard Deviation 8
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsBodily pain1.5 scores on a scaleStandard Deviation 9.8
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsMental health0.3 scores on a scaleStandard Deviation 7.2
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsGeneral health1.6 scores on a scaleStandard Deviation 7.7
Liraglutide 1.2 mgChange in SF-36v2 Short Form Health Survey. Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 DomainsVitality1.1 scores on a scaleStandard Deviation 8
Secondary

Change in Systolic Blood Pressure

Change in systolic blood pressure from baseline (week 0) to week 30 . Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Systolic Blood Pressure-4.3 mmHgStandard Deviation 13.4
Liraglutide 1.2 mgChange in Systolic Blood Pressure-3.7 mmHgStandard Deviation 13.8
Secondary

Change in Waist Circumference

Mean change in waist circumference (cm) from baseline (week 0) to week 30. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: Week 0, week 30

Population: Full analysis set (FAS), which included all randomised participants. Number analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 1.0 mgChange in Waist Circumference-5.2 cmStandard Deviation 5.6
Liraglutide 1.2 mgChange in Waist Circumference-2.4 cmStandard Deviation 4.6
Secondary

Number of Treatment-emergent Adverse Events (TEAE)

A TEAE was defined as an adverse event with onset date (or increase in severity) during the on-treatment observation period. The on-treatment observation period represents the time period where subjects were considered exposed to trial product.

Time frame: Week 0 to week 35

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgNumber of Treatment-emergent Adverse Events (TEAE)758 Events
Liraglutide 1.2 mgNumber of Treatment-emergent Adverse Events (TEAE)691 Events
Secondary

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

Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.

Time frame: Week 0 to week 35

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgNumber of Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes8 Episodes of hypoglycaemia
Liraglutide 1.2 mgNumber of Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes8 Episodes of hypoglycaemia
Secondary

Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association (ADA) Target

Percentage of subjects who achieved HbA1c less than 7.0% (53 mmol/mol) according to American Diabetes Association (ADA) target, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association (ADA) Target80.4 percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association (ADA) Target45.9 percentage of participants
Secondary

Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain

Percentage of subjects who achieved HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain, after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain75.6 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain36.8 Percentage of participants
Secondary

Subjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) Target

Percentage of subjects who achieved HbA1c less than 6.5% (48 mmol/mol) according to AACE target,after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) Target58.5 percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) Target24.8 percentage of participants
Secondary

Subjects Who Achieve HbA1c Reduction Above or Equal to 1%

Percentage of subjects who achieved weight loss above or equal to 1% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1%82.8 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1%48.3 Percentage of participants
Secondary

Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 10%

Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 10%17.1 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 10%3.6 Percentage of participants
Secondary

Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 3%

Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 3%62.4 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 3%20.9 Percentage of participants
Secondary

Subjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 5%

Percentage of subjects who achieved HbA1c reduction above or equal to 1% and weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 5%49.6 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve HbA1c Reduction Above or Equal to 1% and Weight Loss Above or Equal to 5%11.9 Percentage of participants
Secondary

Subjects Who Achieve Weight Loss Above or Equal to 10%

Percentage of subjects who achieved weight loss above or equal to 10% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve Weight Loss Above or Equal to 10%19.1 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve Weight Loss Above or Equal to 10%4.4 Percentage of participants
Secondary

Subjects Who Achieve Weight Loss Above or Equal to 3%

Percentage of subjects who achieved weight loss above or equal to 3% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve Weight Loss Above or Equal to 3%72.7 percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve Weight Loss Above or Equal to 3%33.9 percentage of participants
Secondary

Subjects Who Achieve Weight Loss Above or Equal to 5%

Percentage of subjects who achieved weight loss above or equal to 5% after 30 weeks of treatment. Results are based on the on-treatment without rescue medication period. Missing data were imputed using observed data from subjects within the same group defined by randomised treatment, using a regression model including stratification factor as categorical effect and data from baseline and all previous visits as covariates.

Time frame: After 30 weeks of treatment

Population: Full analysis set (FAS), which included all randomised participants.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgSubjects Who Achieve Weight Loss Above or Equal to 5%55.9 Percentage of participants
Liraglutide 1.2 mgSubjects Who Achieve Weight Loss Above or Equal to 5%17.7 Percentage of participants
Secondary

Treatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes

Number of subjects with treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemia episodes is presented. Hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred within the on-treatment observation period, where the subjects were exposed to the trial product. Severe or BG-confirmed symptomatic hypoglycaemia: an episode that was severe according to the ADA classification or blood glucose confirmed by a plasma glucose value below 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia.

Time frame: Week 0 to week 35

Population: Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. Number analyzed = number of participants with available data.

ArmMeasureValue (NUMBER)
Semaglutide 1.0 mgTreatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes5 Participants
Liraglutide 1.2 mgTreatment-emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes7 Participants

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026