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Two-year Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity

Two-year Effect and Safety of Semaglutide 2.4 mg Once-weekly in Subjects With Overweight or Obesity

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03693430
Acronym
STEP 5
Enrollment
304
Registered
2018-10-03
Start date
2018-10-05
Completion date
2021-03-23
Last updated
2023-07-06

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

Conditions

Obesity, Overweight

Brief summary

This study will look at the change in body weight from the start to the end of the study. Researchers will compare the weight loss in people taking semaglutide (a new medicine) to people taking dummy medicine. In addition to taking the medicine, participants will also have talks with study staff about healthy food choices, how the participant can be more physically active and what participants can do to lose weight. Participants will either get semaglutide or dummy medicine - which treatment the participant gets is decided by chance. Participants will need to take 1 injection once a week. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study will last for about 2 years. The participants will have 19 clinic visits and 15 phone calls with the study doctor.

Interventions

DRUGSemaglutide

Subcutaneous (s.c., under the skin) injections of semaglutide once weekly at escalating doses (0.25 mg/week, 0.5 mg/week, 1.0 mg/week, 1.7 mg/week, 2.4 mg/week). The dose will be escalated to next level every 4 weeks

DRUGPlacebo (Semaglutide)

S.c. injections of placebo once weekly at a similar dose escalation manner as semaglutide (placebo matched to semaglutide 0.25 mg/week, 0.5 mg/week, 1.0 mg/week, 1.7 mg/week, 2.4 mg/week). The dose will be escalated to next level every 4 weeks

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Male or female, age more than or equal to 18 years at the time of signing informed consent * Body mass index (BMI) more than or equal to 30 kg/m\^2 or more than or equal to 27 kg/m\^2 with the presence of at least one of the following weight-related comorbidities (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease * History of at least one self-reported unsuccessful dietary effort to lose body weight

Exclusion criteria

* HbA1c more than or equal to 48 mmol/mol (6.5%) as measured by the central laboratory at screening * A self-reported change in body weight more than 5 kg (11 lbs) within 90 days before screening irrespective of medical records

Design outcomes

Primary

MeasureTime frameDescription
Percentage Change From Baseline (Week 0) to Week 104 in Body WeightFrom Baseline (Week 0) to Week 104Percentage change in body weight for both in-trial and on-treatment observation period from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site. On-treatment observation period: the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).
Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%At Week 104Number of participants who achieved greater than or equal to (\>=) 5% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=5% weight loss, whereas 'No' infers the number of participants who have not achieved \>=5% weight loss. The outcome measure was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site. On-treatment observation period: the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Secondary

MeasureTime frameDescription
Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%At Week 104Number of participants who achieved \>=20% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=20% weight loss, whereas 'No' infers the number of participants who have not achieved \>=20% weight loss. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in Waist CircumferenceFrom Baseline (Week 0) to Week 104Change in waist circumference from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in Body Weight (kg)From Baseline (Week 0) to Week 104Change in body weight from baseline (week 0) to week 104 in kilogram (kg) is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in Body Mass Index (BMI)From Baseline (Week 0) to Week 104Change in BMI from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in Systolic Blood PressureFrom Baseline (Week 0) to Week 104Change in systolic blood pressure from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in Diastolic Blood PressureFrom Baseline (Week 0) to Week 104Change in diastolic blood pressure from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Total Cholesterol-ratio to BaselineFrom Baseline (Week 0) to Week 104Change in total cholesterol from baseline (week 0) to week 104 measured in milligrams per deciliter (mg/dL) is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in High Density Lipoprotein (HDL) Cholesterol-ratio to BaselineFrom Baseline (Week 0) to Week 104Change in HDL cholesterol from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Low Density Lipoprotein (LDL) Cholesterol-ratio to BaselineFrom Baseline (Week 0) to Week 104Change in LDL cholesterol from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Very Low Density Lipoprotein (VLDL) Cholesterol-ratio to BaselineFrom Baseline (Week 0) to Week 104Change in VLDL cholesterol from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Free Fatty Acids-ratio to BaselineFrom Baseline (Week 0) to Week 104Change in free fatty acids from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Triglycerides-ratio to BaselineFrom Baseline (Week 0) to Week 104Change in triglycerides from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in High Sensitivity C-reactive Protein (hsCRP)-Ratio to BaselineFrom Baseline (Week 0) to Week 104Change in hsCRP from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Glycated Haemoglobin (HbA1c) (Percent [%])From Baseline (Week 0) to Week 104Change in HbA1c from baseline (week 0) to week 104 in % is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in HbA1c (mmol/Mol)From Baseline (Week 0) to Week 104Change in HbA1c from baseline (week 0) to week 104 in millimole per mole (mmol/mol) is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change From Baseline (Week 0) to Week 104 in Fasting Plasma Glucose (FPG) (mmol/L)From Baseline (Week 0) to Week 104Change in FPG from baseline (week 0) to week 104 in millimoles per liter (mmol/L) is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%At Week 104Number of participants who achieved \>=10% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=10% weight loss, whereas 'No' infers the number of participants who have not achieved \>=10% weight loss. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Fasting Serum Insulin-ratio to Baseline (Pmol/L)From Baseline (Week 0) to Week 104Change in fasting serum insulin from baseline (week 0) to week 104 measured in picomole per liter (pmol) is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Change in Fasting Serum Insulin-ratio to Baseline (mIU/mL)From Baseline (Week 0) to Week 104Change in fasting serum insulin from baseline (week 0) to week 104 measured in milli-international units per milliliter (mIU/mL) is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Percentage Change From Baseline (Week 0) to Week 52 in Body WeightFrom Baseline (Week 0) to Week 52Percentage change in body weight from baseline (week 0) to week 52 is presented.
Change From Baseline (Week 0) to Week 52 in Body Weight (kg)From Baseline (Week 0) to Week 52Change in body weight from baseline (week 0) to week 52 in kg is presented.
Change From Baseline (Week 0) to Week 52 in Body Mass Index (BMI)From Baseline (Week 0) to Week 52Change in BMI from baseline (week 0) to week 52 is presented.
Change From Baseline (Week 0) to Week 52 in Waist CircumferenceFrom Baseline (Week 0) to Week 52Change in waist circumference from baseline (week 0) to week 52 is presented.
Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%At Week 52Number of participants who achieved \>=5% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=5% weight loss, whereas 'No' infers the number of participants who have not achieved \>=5% weight loss.
Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%At Week 52Number of participants who achieved \>=10% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=10% weight loss, whereas 'No' infers the number of participants who have not achieved \>=10% weight loss.
Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%At Week 52Number of participants who achieved \>=15% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=15% weight loss, whereas 'No' infers the number of participants who have not achieved \>=15% weight loss.
Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%At Week 52Number of participants who achieved \>=20% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=20% weight loss, whereas 'No' infers the number of participants who have not achieved \>=20% weight loss.
Number of Treatment-emergent Adverse Events (TEAEs)From Baseline (Week 0) to Week 111An adverse event (AE) was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. All AEs mentioned here are TEAE defined as an event that had onset date (or increase in severity) on or after the first day of exposure to treatment. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 7 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>7 consecutive missed doses (corresponding to \>7 weeks off-treatment).
Number of Serious Adverse Events (SAEs)From Baseline (Week 0) to Week 111A SAE was defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. The SAEs occurred from week 0 to week 111 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 7 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>7 consecutive missed doses (corresponding to \>7 weeks off-treatment).
Change From Baseline (Week 0) to Week 104 in PulseFrom Baseline (Week 0) to Week 104Change in pulse from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).
Change From Baseline (Week 0) to Week 104 in AmylaseFrom Baseline (Week 0) to Week 104Change in amylase from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).
Change From Baseline (Week 0) to Week 104 in LipaseFrom Baseline (Week 0) to Week 104Change in lipase from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).
Change From Baseline (Week 0) to Week 104 in CalcitoninFrom Baseline (Week 0) to Week 104Change in calcitonin from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).
Change From Baseline (Week 0) to Week 104 in FPG (mg/dL)From Baseline (Week 0) to Week 104Change in FPG from baseline (week 0) to week 104 in mg/dL is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.
Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%At Week 104Number of participants who achieved \>=15% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=15% weight loss, whereas 'No' infers the number of participants who have not achieved \>=15% weight loss. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Countries

Canada, Hungary, Italy, Spain, United States

Participant flow

Recruitment details

The trial was conducted at 41 sites in 5 countries as follows: Canada (9 sites), Hungary (6 sites), Italy (5 sites), Spain (6 sites), and United States (15 sites).

Pre-assignment details

Participants were randomized in a 1:1 manner to receive treatment with semaglutide 2.4 milligram (mg) or placebo once weekly as an adjunct to a reduced-calorie diet and increased physical activity. The trial has a 104 weeks treatment period (16 weeks of dose escalation period and 88 weeks of maintenance dose).

Participants by arm

ArmCount
Semaglutide 2.4 mg
Participants received once-weekly s.c injection of semaglutide in 16 week dose escalation period with dose escalation (0.25 mg, 0.5 mg, 1.0 mg and 1.7 mg) every fourth week until maintenance dose of 2.4 mg of semaglutide was reached. Treatment was continued on the maintenance dose of 2.4 mg once weekly for an additional 88 weeks until week 104.
152
Placebo
Participants received once-weekly s.c. injection of placebo matched to semaglutide for 104 weeks.
152
Total304

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath10
Overall StudyLost to Follow-up314
Overall StudyWithdrawal by Subject04

Baseline characteristics

CharacteristicSemaglutide 2.4 mgPlaceboTotal
Age, Continuous47 years
STANDARD_DEVIATION 12
47 years
STANDARD_DEVIATION 10
47 years
STANDARD_DEVIATION 11
Ethnicity (NIH/OMB)
Hispanic or Latino
18 Participants21 Participants39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
134 Participants131 Participants265 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants1 Participants3 Participants
Race/Ethnicity, Customized
Asian
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Black or African American
7 Participants5 Participants12 Participants
Race/Ethnicity, Customized
Other
0 Participants4 Participants4 Participants
Race/Ethnicity, Customized
White
141 Participants142 Participants283 Participants
Sex: Female, Male
Female
123 Participants113 Participants236 Participants
Sex: Female, Male
Male
29 Participants39 Participants68 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 1520 / 152
other
Total, other adverse events
141 / 152117 / 152
serious
Total, serious adverse events
12 / 15218 / 152

Outcome results

Primary

Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%

Number of participants who achieved greater than or equal to (\>=) 5% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=5% weight loss, whereas 'No' infers the number of participants who have not achieved \>=5% weight loss. The outcome measure was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site. On-treatment observation period: the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Time frame: At Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure and Number Analyzed = participants with available data for each specified category.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%In-trial observation periodYes111 Participants
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%In-trial observation periodNo33 Participants
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%On-treatment observation periodYes110 Participants
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%On-treatment observation periodNo22 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%On-treatment observation periodNo71 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%In-trial observation periodYes44 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%On-treatment observation periodYes38 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%In-trial observation periodNo84 Participants
Comparison: Treatment policy estimandp-value: <0.000195% CI: [2.95, 8.42]Regression, Logistic
Comparison: Hypothetical estimandp-value: <0.000195% CI: [10.04, 32.49]MMRM
Primary

Percentage Change From Baseline (Week 0) to Week 104 in Body Weight

Percentage change in body weight for both in-trial and on-treatment observation period from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from both in-trial and on-treatment periods. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site. On-treatment observation period: the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure and Number Analyzed = participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Semaglutide 2.4 mgPercentage Change From Baseline (Week 0) to Week 104 in Body WeightIn-trial observation period-15.9 percentage changeStandard Deviation 12.3
Semaglutide 2.4 mgPercentage Change From Baseline (Week 0) to Week 104 in Body WeightOn-treatment observation period-17.3 percentage changeStandard Deviation 11.9
PlaceboPercentage Change From Baseline (Week 0) to Week 104 in Body WeightIn-trial observation period-1.9 percentage changeStandard Deviation 8.9
PlaceboPercentage Change From Baseline (Week 0) to Week 104 in Body WeightOn-treatment observation period-2.0 percentage changeStandard Deviation 8.6
Comparison: Treatment policy estimandp-value: <0.000195% CI: [-15.33, -9.77]ANCOVA
Comparison: Hypothetical estimandp-value: <0.000195% CI: [-18.64, -13.45]MMRM (Mixed model repeated measurement)
Secondary

Change From Baseline (Week 0) to Week 104 in Amylase

Change in amylase from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 104

Population: The SAS included all randomised participants exposed to at least one dose of randomised treatment. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Amylase1.13 Units/liter (U/L)Geometric Coefficient of Variation 20.7
PlaceboChange From Baseline (Week 0) to Week 104 in Amylase1.02 Units/liter (U/L)Geometric Coefficient of Variation 15.1
Secondary

Change From Baseline (Week 0) to Week 104 in Body Mass Index (BMI)

Change in BMI from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Body Mass Index (BMI)-6.2 kilogram per square meter (kg/m^2)Standard Deviation 5.3
PlaceboChange From Baseline (Week 0) to Week 104 in Body Mass Index (BMI)-0.7 kilogram per square meter (kg/m^2)Standard Deviation 3.5
Secondary

Change From Baseline (Week 0) to Week 104 in Body Weight (kg)

Change in body weight from baseline (week 0) to week 104 in kilogram (kg) is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Body Weight (kg)-16.9 kilogramStandard Deviation 14
PlaceboChange From Baseline (Week 0) to Week 104 in Body Weight (kg)-2.1 kilogramStandard Deviation 9.5
Secondary

Change From Baseline (Week 0) to Week 104 in Calcitonin

Change in calcitonin from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 104

Population: The SAS included all randomised participants exposed to at least one dose of randomised treatment. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Calcitonin0.99 nanogram per liter (ng/L)Geometric Coefficient of Variation 21.5
PlaceboChange From Baseline (Week 0) to Week 104 in Calcitonin0.97 nanogram per liter (ng/L)Geometric Coefficient of Variation 41
Secondary

Change From Baseline (Week 0) to Week 104 in Diastolic Blood Pressure

Change in diastolic blood pressure from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Diastolic Blood Pressure-4 mmHgStandard Deviation 10
PlaceboChange From Baseline (Week 0) to Week 104 in Diastolic Blood Pressure-1 mmHgStandard Deviation 9
Secondary

Change From Baseline (Week 0) to Week 104 in Fasting Plasma Glucose (FPG) (mmol/L)

Change in FPG from baseline (week 0) to week 104 in millimoles per liter (mmol/L) is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Fasting Plasma Glucose (FPG) (mmol/L)-0.5 mmol/LStandard Deviation 0.5
PlaceboChange From Baseline (Week 0) to Week 104 in Fasting Plasma Glucose (FPG) (mmol/L)0.1 mmol/LStandard Deviation 0.6
Secondary

Change From Baseline (Week 0) to Week 104 in FPG (mg/dL)

Change in FPG from baseline (week 0) to week 104 in mg/dL is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in FPG (mg/dL)-8.3 mg/dLStandard Deviation 9.6
PlaceboChange From Baseline (Week 0) to Week 104 in FPG (mg/dL)1.8 mg/dLStandard Deviation 10.8
Secondary

Change From Baseline (Week 0) to Week 104 in HbA1c (mmol/Mol)

Change in HbA1c from baseline (week 0) to week 104 in millimole per mole (mmol/mol) is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in HbA1c (mmol/Mol)-5.1 mmol/molStandard Deviation 3.2
PlaceboChange From Baseline (Week 0) to Week 104 in HbA1c (mmol/Mol)-1.0 mmol/molStandard Deviation 3
Secondary

Change From Baseline (Week 0) to Week 104 in Lipase

Change in lipase from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 104

Population: The SAS included all randomised participants exposed to at least one dose of randomised treatment. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Lipase1.47 U/LGeometric Coefficient of Variation 52.3
PlaceboChange From Baseline (Week 0) to Week 104 in Lipase1.00 U/LGeometric Coefficient of Variation 34.4
Secondary

Change From Baseline (Week 0) to Week 104 in Pulse

Change in pulse from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 2 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>2 consecutive missed doses (corresponding to \>2 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 104

Population: The SAS included all randomised participants exposed to at least one dose of randomised treatment. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Pulse3 beats per minute (beats/min)Standard Deviation 10
PlaceboChange From Baseline (Week 0) to Week 104 in Pulse-1 beats per minute (beats/min)Standard Deviation 9
Secondary

Change From Baseline (Week 0) to Week 104 in Systolic Blood Pressure

Change in systolic blood pressure from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Systolic Blood Pressure-6 millimeter of mercury (mmHg)Standard Deviation 13
PlaceboChange From Baseline (Week 0) to Week 104 in Systolic Blood Pressure-1 millimeter of mercury (mmHg)Standard Deviation 15
Secondary

Change From Baseline (Week 0) to Week 104 in Waist Circumference

Change in waist circumference from baseline (week 0) to week 104 is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 104 in Waist Circumference-15.2 centimeter (cm)Standard Deviation 12.4
PlaceboChange From Baseline (Week 0) to Week 104 in Waist Circumference-4.3 centimeter (cm)Standard Deviation 9.1
Secondary

Change From Baseline (Week 0) to Week 52 in Body Mass Index (BMI)

Change in BMI from baseline (week 0) to week 52 is presented.

Time frame: From Baseline (Week 0) to Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 52 in Body Mass Index (BMI)-6.1 kilogram per square meter (kg/m^2)Standard Deviation 3.8
PlaceboChange From Baseline (Week 0) to Week 52 in Body Mass Index (BMI)-1.3 kilogram per square meter (kg/m^2)Standard Deviation 2.6
Secondary

Change From Baseline (Week 0) to Week 52 in Body Weight (kg)

Change in body weight from baseline (week 0) to week 52 in kg is presented.

Time frame: From Baseline (Week 0) to Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 52 in Body Weight (kg)-16.7 kilogram (kg)Standard Deviation 10.3
PlaceboChange From Baseline (Week 0) to Week 52 in Body Weight (kg)-3.5 kilogram (kg)Standard Deviation 7.4
Secondary

Change From Baseline (Week 0) to Week 52 in Waist Circumference

Change in waist circumference from baseline (week 0) to week 52 is presented.

Time frame: From Baseline (Week 0) to Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 52 in Waist Circumference-14.3 centimeter (cm)Standard Deviation 9.4
PlaceboChange From Baseline (Week 0) to Week 52 in Waist Circumference-4.5 centimeter (cm)Standard Deviation 6.8
Secondary

Change in Fasting Serum Insulin-ratio to Baseline (mIU/mL)

Change in fasting serum insulin from baseline (week 0) to week 104 measured in milli-international units per milliliter (mIU/mL) is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Fasting Serum Insulin-ratio to Baseline (mIU/mL)0.68 Ratio of fasting serum insulinGeometric Coefficient of Variation 54.1
PlaceboChange in Fasting Serum Insulin-ratio to Baseline (mIU/mL)0.96 Ratio of fasting serum insulinGeometric Coefficient of Variation 62.9
Secondary

Change in Fasting Serum Insulin-ratio to Baseline (Pmol/L)

Change in fasting serum insulin from baseline (week 0) to week 104 measured in picomole per liter (pmol) is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Fasting Serum Insulin-ratio to Baseline (Pmol/L)0.68 Ratio of fasting serum insulinGeometric Coefficient of Variation 54.1
PlaceboChange in Fasting Serum Insulin-ratio to Baseline (Pmol/L)0.96 Ratio of fasting serum insulinGeometric Coefficient of Variation 62.9
Secondary

Change in Free Fatty Acids-ratio to Baseline

Change in free fatty acids from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Free Fatty Acids-ratio to Baseline0.99 Ratio of free fatty acidsGeometric Coefficient of Variation 71.2
PlaceboChange in Free Fatty Acids-ratio to Baseline1.07 Ratio of free fatty acidsGeometric Coefficient of Variation 69.1
Secondary

Change in Glycated Haemoglobin (HbA1c) (Percent [%])

Change in HbA1c from baseline (week 0) to week 104 in % is presented. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange in Glycated Haemoglobin (HbA1c) (Percent [%])-0.5 Percent of glycated haemoglobinStandard Deviation 0.3
PlaceboChange in Glycated Haemoglobin (HbA1c) (Percent [%])-0.1 Percent of glycated haemoglobinStandard Deviation 0.3
Secondary

Change in High Density Lipoprotein (HDL) Cholesterol-ratio to Baseline

Change in HDL cholesterol from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in High Density Lipoprotein (HDL) Cholesterol-ratio to Baseline1.09 Ratio of HDL cholesterolGeometric Coefficient of Variation 19.1
PlaceboChange in High Density Lipoprotein (HDL) Cholesterol-ratio to Baseline1.08 Ratio of HDL cholesterolGeometric Coefficient of Variation 15.4
Secondary

Change in High Sensitivity C-reactive Protein (hsCRP)-Ratio to Baseline

Change in hsCRP from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in High Sensitivity C-reactive Protein (hsCRP)-Ratio to Baseline0.41 Ratio of hsCRPGeometric Coefficient of Variation 149.1
PlaceboChange in High Sensitivity C-reactive Protein (hsCRP)-Ratio to Baseline0.99 Ratio of hsCRPGeometric Coefficient of Variation 105.5
Secondary

Change in Low Density Lipoprotein (LDL) Cholesterol-ratio to Baseline

Change in LDL cholesterol from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Low Density Lipoprotein (LDL) Cholesterol-ratio to Baseline0.93 Ratio of LDL cholesterolGeometric Coefficient of Variation 23.8
PlaceboChange in Low Density Lipoprotein (LDL) Cholesterol-ratio to Baseline0.99 Ratio of LDL cholesterolGeometric Coefficient of Variation 19.1
Secondary

Change in Total Cholesterol-ratio to Baseline

Change in total cholesterol from baseline (week 0) to week 104 measured in milligrams per deciliter (mg/dL) is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Total Cholesterol-ratio to Baseline0.96 Ratio of total cholesterolGeometric Coefficient of Variation 15.3
PlaceboChange in Total Cholesterol-ratio to Baseline1.02 Ratio of total cholesterolGeometric Coefficient of Variation 13.5
Secondary

Change in Triglycerides-ratio to Baseline

Change in triglycerides from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Triglycerides-ratio to Baseline0.79 Ratio of triglyceridesGeometric Coefficient of Variation 42.4
PlaceboChange in Triglycerides-ratio to Baseline1.03 Ratio of triglyceridesGeometric Coefficient of Variation 36
Secondary

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

Change in VLDL cholesterol from baseline (week 0) to week 104 measured in mg/dL is presented as ratio to baseline. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: From Baseline (Week 0) to Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Semaglutide 2.4 mgChange in Very Low Density Lipoprotein (VLDL) Cholesterol-ratio to Baseline0.79 Ratio of VLDL cholesterolGeometric Coefficient of Variation 42.3
PlaceboChange in Very Low Density Lipoprotein (VLDL) Cholesterol-ratio to Baseline1.03 Ratio of VLDL cholesterolGeometric Coefficient of Variation 35.1
Secondary

Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%

Number of participants who achieved \>=10% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=10% weight loss, whereas 'No' infers the number of participants who have not achieved \>=10% weight loss. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: At Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%Yes89 Participants
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%No55 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%Yes17 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%No111 Participants
Secondary

Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%

Number of participants who achieved \>=15% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=15% weight loss, whereas 'No' infers the number of participants who have not achieved \>=15% weight loss. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: At Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%Yes75 Participants
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%No69 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%Yes9 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%No119 Participants
Secondary

Number of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%

Number of participants who achieved \>=20% weight loss at 104 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=20% weight loss, whereas 'No' infers the number of participants who have not achieved \>=20% weight loss. The outcome measure was evaluated based on the data from in-trial observation period. In-trial observation period: the uninterrupted time interval from randomisation to last contact with trial site.

Time frame: At Week 104

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%Yes52 Participants
Semaglutide 2.4 mgNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%No92 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%Yes3 Participants
PlaceboNumber of Participants Who Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%No125 Participants
Secondary

Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%

Number of participants who achieved \>=10% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=10% weight loss, whereas 'No' infers the number of participants who have not achieved \>=10% weight loss.

Time frame: At Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%Yes102 Participants
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%No47 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%Yes17 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 10%No112 Participants
Secondary

Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%

Number of participants who achieved \>=15% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=15% weight loss, whereas 'No' infers the number of participants who have not achieved \>=15% weight loss.

Time frame: At Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%Yes78 Participants
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%No71 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%Yes7 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 15%No122 Participants
Secondary

Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%

Number of participants who achieved \>=20% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=20% weight loss, whereas 'No' infers the number of participants who have not achieved \>=20% weight loss.

Time frame: At Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%Yes52 Participants
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%No97 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%Yes3 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 20%No126 Participants
Secondary

Number of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%

Number of participants who achieved \>=5% weight loss at 52 weeks is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>=5% weight loss, whereas 'No' infers the number of participants who have not achieved \>=5% weight loss.

Time frame: At Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%Yes132 Participants
Semaglutide 2.4 mgNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%No17 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%Yes38 Participants
PlaceboNumber of Participants Who at 52 Weeks Achieved (Yes/no): Body Weight Reduction More Than or Equal to 5%No91 Participants
Secondary

Number of Serious Adverse Events (SAEs)

A SAE was defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. The SAEs occurred from week 0 to week 111 is presented. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 7 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>7 consecutive missed doses (corresponding to \>7 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 111

Population: The SAS included all randomised participants exposed to at least one dose of randomised treatment.

ArmMeasureValue (NUMBER)
Semaglutide 2.4 mgNumber of Serious Adverse Events (SAEs)18 events
PlaceboNumber of Serious Adverse Events (SAEs)20 events
Secondary

Number of Treatment-emergent Adverse Events (TEAEs)

An adverse event (AE) was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. All AEs mentioned here are TEAE defined as an event that had onset date (or increase in severity) on or after the first day of exposure to treatment. The outcome measure was evaluated based on the data from on-treatment observation period, which was defined as the interval from first to last trial product administration plus 7 weeks of follow-up and excluding any period of temporary treatment interruption defined as \>7 consecutive missed doses (corresponding to \>7 weeks off-treatment).

Time frame: From Baseline (Week 0) to Week 111

Population: The safety analysis set (SAS) included all randomised participants exposed to at least one dose of randomised treatment.

ArmMeasureValue (NUMBER)
Semaglutide 2.4 mgNumber of Treatment-emergent Adverse Events (TEAEs)1645 events
PlaceboNumber of Treatment-emergent Adverse Events (TEAEs)1059 events
Secondary

Percentage Change From Baseline (Week 0) to Week 52 in Body Weight

Percentage change in body weight from baseline (week 0) to week 52 is presented.

Time frame: From Baseline (Week 0) to Week 52

Population: The FAS included all randomised participants according to the intention-to-treat principle. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgPercentage Change From Baseline (Week 0) to Week 52 in Body Weight-15.8 percentage changeStandard Deviation 9.3
PlaceboPercentage Change From Baseline (Week 0) to Week 52 in Body Weight-3.3 percentage changeStandard Deviation 6.4

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026