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Research Study to Investigate How Well Semaglutide Works Compared to Liraglutide in People Living With Overweight or Obesity

Effect and Safety of Subcutaneous Semaglutide 2.4 mg Once Weekly Compared to Liraglutide 3.0 mg Once Daily on Weight Management in Subjects With Overweight or Obesity

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04074161
Acronym
STEP 8
Enrollment
338
Registered
2019-08-29
Start date
2019-09-11
Completion date
2021-05-11
Last updated
2023-05-19

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 participants' body weight from the start to the end of the study. The study will last for about 1½ years. This is to compare the effect on body weight in people taking semaglutide once a week or people taking liraglutide once every day. Participants will either get semaglutide, liraglutide or dummy medicine. Which treatment is decided by chance. Participants who receive semaglutide or semaglutide dummy medicine will need to take 1 injection once a week. Participants who receive liraglutide or liraglutide dummy medicine will need to take 1 injection once daily. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. During the study participants will have talks with study staff about eating healthy food and how to be more physically active. Participants will have 16 clinic visits and 7 phone calls with the study doctor. At 4 of the clinic visits participants cannot eat and drink (water is allowed) for 8 hours before the visit. Women cannot take part if pregnant, breast-feeding or planning to become pregnant during the study period.

Interventions

DRUGSemaglutide

Dose gradually increased to 2.4 mg administered once weekly for 68 weeks

DRUGPlacebo (semaglutide)

Administered once weekly for 68 weeks

DRUGLiraglutide

Dose gradually increased to 3.0 mg administered once daily for 68 weeks

DRUGPlacebo (liraglutide)

Administered once daily for 68 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)

Masking description

Semaglutide once weekly vs liraglutide once daily treatment will be open label, but each of the two active treatment arms will be double blinded against placebo administered at the same dosing frequency. Sponsor staff involved in the clinical trial is masked according to company standard procedures.

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 * Body mass index (BMI) equal to or above 30.0 kg/m\^2 or equal to or above 27.0 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 equal to or above 48 mmol/mol (6.5%) as measured by the central laboratory at screening * History of type 1 or type 2 diabetes mellitus * A self-reported change in body weight of more than 5 kg (11 lbs) within 90 days before screening irrespective of medical records

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Liraglutide 3.0 mg)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in body weight (%) is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Secondary

MeasureTime frameDescription
Number of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)From baseline (week 0) to week 68Number of participants who achieved \>= 15% weight reduction from baseline (week 0) to week 68 is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>= 15% weight reduction, whereas 'No' infers the number of participants who did not achieve \>= 15% weight reduction. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Number of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)From baseline (week 0) to week 68Number of participants who achieved \>= 20% weight reduction from baseline (week 0) to week 68 is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>= 20% weight reduction, whereas 'No' infers the number of participants who did not achieve \>= 20% weight reduction. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Waist CircumferenceBaseline (week 0), week 68Change from baseline (week 0) to week 68 in waist circumference is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Body Weight (Kilograms (kg))Baseline (week 0), week 68Change from baseline (week 0) to week 68 in body weight is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Pooled Placebo and Liraglutide 3.0 mg Versus Pooled Placebo)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in body weight (%) is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Systolic Blood PressureBaseline (week 0), week 68Change from baseline (week 0) to week 68 in systolic blood pressure is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Diastolic Blood PressureBaseline (week 0), week 68Change from baseline (week 0) to week 68 in diastolic blood pressure is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Milligram Per Deciliter (mg/dL)) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in total cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Millimoles Per Liter (mmol/L)) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in total cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mg/dL) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in HDL cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mmol/L) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in HDL cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mg/dL) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in LDL cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mmol/L) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in LDL cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mg/dL) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in VLDL cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mmol/L) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in VLDL cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Number of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)From baseline (week 0) to week 68Number of participants who achieved \>= 10% weight reduction from baseline (week 0) to week 68 is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>= 10% weight reduction, whereas 'No' infers the number of participants who did not achieve \>= 10% weight reduction. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mmol/L) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in FFA (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mg/dL) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in triglycerides (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mmol/L) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in triglycerides (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in High-sensitivity C-reactive Protein (Hs-CRP): Ratio to BaselineBaseline (week 0), week 68Change from baseline (week 0) to week 68 in hs-CRP (measured in mg/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (%)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in HbA1c (%) is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (Millimoles Per Mole (mmol/Mol))Baseline (week 0), week 68Change from baseline (week 0) to week 68 in HbA1c is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mg/dL)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in fasting plasma glucose is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mmol/L)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in fasting plasma glucose is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Milli-international Units Per Liter (mIU/L)): Ratio to BaselineBaseline (week 0), week 68Change from baseline (week 0) to week 68 in fasting serum insulin (measured in mIU/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Change From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Picomoles Per Liter (Pmol/L)): Ratio to BaselineBaseline (week 0), week 68Change from baseline (week 0) to week 68 in fasting serum insulin (measured in pmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Number of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0), week 68Number of participants in glycaemic categories, normo-glycaemia, pre-diabetes and type 2 diabetes at baseline (week 0) and 68 are presented. These categories were set as per the following criteria: 1) Normo-glycaemia: fasting plasma glucose (FPG) less than (\<) 5.6 mmol/L (\<100 mg/dL) and/or glycated haemoglobin (HbA1c) \<5.7%; 2) Pre-diabetes: FPG 5.6 - 6.9 mmol/L (both inclusive), FPG 100 - 125 mg/dL (both inclusive) or HbA1c 5.7 - 6.4% (both inclusive); 3) Type 2 diabetes: FPG greater than or equal to (\>=) 7.0 mmol/L (\>=126 mg/dL) and/or HbA1c \>=6.5%. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.
Number of Participants Who From Baseline (Week 0) to Week 68 Permanently Discontinued Randomized Trial ProductFrom baseline (week 0) to week 68Number of participants who from baseline (week 0) to week 68 permanently discontinued randomized trial product are presented.
Number of Treatment Emergent Adverse Events (TEAEs) From Baseline (Week 0) to Week 75From baseline (week 0) to week 75An adverse event (AE) was any untoward medical occurrence in a clinical trial participant that was temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. All AEs mentioned here are TEAEs defined as AEs, with the onset of the event occurred in the on-treatment period. A time-point was considered on treatment if any dose of trial product has been administrated within the prior 49 days.
Number of Serious Adverse Events (SAEs) From Baseline (Week 0) to Week 75From baseline (week 0) to week 75An AE was any untoward medical occurrence in a clinical trial participant that was temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE was defined as an AE that 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 is a congenital anomaly/birth defect. SAEs occurred based on the on-treatment period is presented. A time-point was considered on treatment if any dose of trial product has been administrated within the prior 49 days.
Change From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mg/dL) (Ratio to Baseline)Baseline (week 0), week 68Change from baseline (week 0) to week 68 in FFA (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Countries

United States

Participant flow

Recruitment details

The trial was conducted at 19 sites in the United States (US).

Pre-assignment details

Total 338 adults with obesity (BMI greater than or equal to (\>=30.0) kilograms per square meter (kg/m\^2)) or overweight (BMI \>= 27.0 kg/m\^2) and at least one weight-related comorbidity were randomized in a 3:1:3:1 manner to receive treatment with either semaglutide subcutaneously (s.c.) 2.4 milligram (mg) once weekly or semaglutide placebo once weekly or liraglutide s.c. 3.0 mg once daily or liraglutide placebo once daily as an adjunct to a reduced-calorie diet and increased physical activity.

Participants by arm

ArmCount
Semaglutide 2.4 mg
The trial included an initial dose-escalation period during which the dose was gradually increased (0.24, 0.5, 1.0, 1.7 milligram (mg)) to the maintenance dose of semaglutide 2.4 mg once weekly (16-week dose-escalation period). After the dose escalation period, treatment continued on the maintenance dose up to week 68 (end of treatment). In week 44, all participants switched from the PDS290 pen-injector to the DV3396 single-dose pen-injector. A follow-up visit (end of trial) for safety assessments was scheduled 7 weeks after end of treatment.
126
Liraglutide 3.0 mg
The trial included an initial dose-escalation period during which the dose was gradually increased (0.6, 1.2, 1.8, 2.4 mg) to the maintenance dose of liraglutide 3.0 mg once daily (4-week dose-escalation period). After the dose escalation period, treatment continued on the maintenance dose up to week 68 (end of treatment). A follow-up visit (end of trial) for safety assessments was scheduled 7 weeks after end of treatment.
127
Pooled Placebo
Participants received placebo matched to either once weekly semaglutide or once daily liraglutide up to week 68 (end of treatment). In week 44, all participants randomized to semaglutide placebo switched from the PDS290 pen-injector to the DV3396 single-dose pen-injector. A follow-up visit (end of trial) for safety assessments was scheduled 7 weeks after end of treatment.
85
Total338

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up453
Overall StudyWithdrawal by Subject241

Baseline characteristics

CharacteristicSemaglutide 2.4 mgLiraglutide 3.0 mgPooled PlaceboTotal
Age, Continuous48 Years
STANDARD_DEVIATION 14
49 Years
STANDARD_DEVIATION 13
51 Years
STANDARD_DEVIATION 12
49 Years
STANDARD_DEVIATION 13
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants17 Participants7 Participants39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
111 Participants110 Participants78 Participants299 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Asian
4 Participants6 Participants3 Participants13 Participants
Race/Ethnicity, Customized
Race
Black or African American
25 Participants20 Participants19 Participants64 Participants
Race/Ethnicity, Customized
Race
Native Hawaiian or Other Pacific Islander
1 Participants3 Participants1 Participants5 Participants
Race/Ethnicity, Customized
Race
Other
2 Participants3 Participants2 Participants7 Participants
Race/Ethnicity, Customized
Race
White
94 Participants95 Participants60 Participants249 Participants
Sex: Female, Male
Female
102 Participants97 Participants66 Participants265 Participants
Sex: Female, Male
Male
24 Participants30 Participants19 Participants73 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 1260 / 1270 / 85
other
Total, other adverse events
115 / 126115 / 12768 / 85
serious
Total, serious adverse events
10 / 12614 / 1276 / 85

Outcome results

Primary

Change From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Liraglutide 3.0 mg)

Change from baseline (week 0) to week 68 in body weight (%) is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: The full analysis set (FAS) included all randomized participants. Overall Number of Participants Analyzed = participants with available data for this outcome measure. It was planned to report data only for arms 'semaglutide 2.4 mg and liraglutide 3.0 mg' for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Semaglutide 2.4 mgChange From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Liraglutide 3.0 mg)-16.4 Percentage of body weightStandard Deviation 10.5
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Liraglutide 3.0 mg)-6.4 Percentage of body weightStandard Deviation 7.7
p-value: <0.000195% CI: [-11.97, -6.8]ANCOVA
Secondary

Change From Baseline (Week 0) to Week 68 in Body Weight (Kilograms (kg))

Change from baseline (week 0) to week 68 in body weight is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Body Weight (Kilograms (kg))-15.8 kilogramsStandard Deviation 10.2
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Body Weight (Kilograms (kg))-6.8 kilogramsStandard Deviation 9.5
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Body Weight (Kilograms (kg))-1.4 kilogramsStandard Deviation 9.6
Secondary

Change From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Pooled Placebo and Liraglutide 3.0 mg Versus Pooled Placebo)

Change from baseline (week 0) to week 68 in body weight (%) is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: The full analysis set (FAS) included all randomized participants. 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 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Pooled Placebo and Liraglutide 3.0 mg Versus Pooled Placebo)-16.4 Percentage of body weightStandard Deviation 10.5
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Pooled Placebo and Liraglutide 3.0 mg Versus Pooled Placebo)-6.4 Percentage of body weightStandard Deviation 7.7
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Body Weight (%) (Semaglutide 2.4 mg Versus Pooled Placebo and Liraglutide 3.0 mg Versus Pooled Placebo)-1.6 Percentage of body weightStandard Deviation 8.6
Secondary

Change From Baseline (Week 0) to Week 68 in Diastolic Blood Pressure

Change from baseline (week 0) to week 68 in diastolic blood pressure is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Diastolic Blood Pressure-5 mmHgStandard Deviation 9
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Diastolic Blood Pressure-1 mmHgStandard Deviation 11
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Diastolic Blood Pressure1 mmHgStandard Deviation 9
Secondary

Change From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mg/dL)

Change from baseline (week 0) to week 68 in fasting plasma glucose is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Fasting Plasma Glucose (mg/dL)-9.0 mg/dLStandard Deviation 9.6
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mg/dL)-4.9 mg/dLStandard Deviation 10.4
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mg/dL)2.4 mg/dLStandard Deviation 10.9
Secondary

Change From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mmol/L)

Change from baseline (week 0) to week 68 in fasting plasma glucose is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Fasting Plasma Glucose (mmol/L)-0.5 mmol/LStandard Deviation 0.5
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mmol/L)-0.3 mmol/LStandard Deviation 0.6
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Fasting Plasma Glucose (mmol/L)0.1 mmol/LStandard Deviation 0.6
Secondary

Change From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Milli-international Units Per Liter (mIU/L)): Ratio to Baseline

Change from baseline (week 0) to week 68 in fasting serum insulin (measured in mIU/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Fasting Serum Insulin (Milli-international Units Per Liter (mIU/L)): Ratio to Baseline0.73 Ratio of fasting serum insulinGeometric Coefficient of Variation 57.3
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Milli-international Units Per Liter (mIU/L)): Ratio to Baseline0.85 Ratio of fasting serum insulinGeometric Coefficient of Variation 47.5
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Milli-international Units Per Liter (mIU/L)): Ratio to Baseline0.98 Ratio of fasting serum insulinGeometric Coefficient of Variation 56.8
Secondary

Change From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Picomoles Per Liter (Pmol/L)): Ratio to Baseline

Change from baseline (week 0) to week 68 in fasting serum insulin (measured in pmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Fasting Serum Insulin (Picomoles Per Liter (Pmol/L)): Ratio to Baseline0.73 Ratio of fasting serum insulinGeometric Coefficient of Variation 57.3
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Picomoles Per Liter (Pmol/L)): Ratio to Baseline0.85 Ratio of fasting serum insulinGeometric Coefficient of Variation 47.5
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Fasting Serum Insulin (Picomoles Per Liter (Pmol/L)): Ratio to Baseline0.98 Ratio of fasting serum insulinGeometric Coefficient of Variation 56.8
Secondary

Change From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (%)

Change from baseline (week 0) to week 68 in HbA1c (%) is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Glycated Haemoglobin (HbA1c) (%)-0.3 Percenatge of HbA1cStandard Deviation 0.2
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (%)-0.1 Percenatge of HbA1cStandard Deviation 0.3
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (%)0.1 Percenatge of HbA1cStandard Deviation 0.2
Secondary

Change From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (Millimoles Per Mole (mmol/Mol))

Change from baseline (week 0) to week 68 in HbA1c is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Glycated Haemoglobin (HbA1c) (Millimoles Per Mole (mmol/Mol))-2.8 mmol/molStandard Deviation 2.6
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (Millimoles Per Mole (mmol/Mol))-1.0 mmol/molStandard Deviation 2.7
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Glycated Haemoglobin (HbA1c) (Millimoles Per Mole (mmol/Mol))1.2 mmol/molStandard Deviation 2.5
Secondary

Change From Baseline (Week 0) to Week 68 in High-sensitivity C-reactive Protein (Hs-CRP): Ratio to Baseline

Change from baseline (week 0) to week 68 in hs-CRP (measured in mg/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in High-sensitivity C-reactive Protein (Hs-CRP): Ratio to Baseline0.46 Ratio of hs-CRPGeometric Coefficient of Variation 154.1
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in High-sensitivity C-reactive Protein (Hs-CRP): Ratio to Baseline0.73 Ratio of hs-CRPGeometric Coefficient of Variation 93
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in High-sensitivity C-reactive Protein (Hs-CRP): Ratio to Baseline0.78 Ratio of hs-CRPGeometric Coefficient of Variation 71.5
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mg/dL) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in FFA (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Free Fatty Acids (FFA) (mg/dL) (Ratio to Baseline)0.90 Ratio of FFAGeometric Coefficient of Variation 81.5
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mg/dL) (Ratio to Baseline)0.87 Ratio of FFAGeometric Coefficient of Variation 77.7
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mg/dL) (Ratio to Baseline)1.10 Ratio of FFAGeometric Coefficient of Variation 77.2
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mmol/L) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in FFA (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Free Fatty Acids (FFA) (mmol/L) (Ratio to Baseline)0.90 Ratio of FFAGeometric Coefficient of Variation 81.5
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mmol/L) (Ratio to Baseline)0.87 Ratio of FFAGeometric Coefficient of Variation 77.7
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Free Fatty Acids (FFA) (mmol/L) (Ratio to Baseline)1.10 Ratio of FFAGeometric Coefficient of Variation 77.2
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mg/dL) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in HDL cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mg/dL) (Ratio to Baseline)0.99 Ratio of HDL cholesterolGeometric Coefficient of Variation 14.7
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mg/dL) (Ratio to Baseline)1.02 Ratio of HDL cholesterolGeometric Coefficient of Variation 14.4
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mg/dL) (Ratio to Baseline)0.99 Ratio of HDL cholesterolGeometric Coefficient of Variation 15.4
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mmol/L) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in HDL cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mmol/L) (Ratio to Baseline)0.99 Ratio of HDL cholesterolGeometric Coefficient of Variation 14.7
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mmol/L) (Ratio to Baseline)1.02 Ratio of HDL cholesterolGeometric Coefficient of Variation 14.4
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: High Density Lipoprotein (HDL) Cholesterol (mmol/L) (Ratio to Baseline)0.99 Ratio of HDL cholesterolGeometric Coefficient of Variation 15.4
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mg/dL) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in LDL cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mg/dL) (Ratio to Baseline)0.93 Ratio of LDL cholesterolGeometric Coefficient of Variation 19.7
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mg/dL) (Ratio to Baseline)1.01 Ratio of LDL cholesterolGeometric Coefficient of Variation 23.4
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mg/dL) (Ratio to Baseline)0.99 Ratio of LDL cholesterolGeometric Coefficient of Variation 26.3
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mmol/L) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in LDL cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mmol/L) (Ratio to Baseline)0.93 Ratio of LDL cholesterolGeometric Coefficient of Variation 19.7
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mmol/L) (Ratio to Baseline)1.01 Ratio of LDL cholesterolGeometric Coefficient of Variation 23.4
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Low Density Lipoprotein (LDL) Cholesterol (mmol/L) (Ratio to Baseline)0.99 Ratio of LDL cholesterolGeometric Coefficient of Variation 26.3
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Milligram Per Deciliter (mg/dL)) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in total cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Total Cholesterol (Milligram Per Deciliter (mg/dL)) (Ratio to Baseline)0.92 Ratio of total cholesterolGeometric Coefficient of Variation 12.9
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Milligram Per Deciliter (mg/dL)) (Ratio to Baseline)1.00 Ratio of total cholesterolGeometric Coefficient of Variation 15
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Milligram Per Deciliter (mg/dL)) (Ratio to Baseline)0.99 Ratio of total cholesterolGeometric Coefficient of Variation 17.6
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Millimoles Per Liter (mmol/L)) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in total cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Total Cholesterol (Millimoles Per Liter (mmol/L)) (Ratio to Baseline)0.92 Ratio of total cholesterolGeometric Coefficient of Variation 12.9
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Millimoles Per Liter (mmol/L)) (Ratio to Baseline)1.00 Ratio of total cholesterolGeometric Coefficient of Variation 15
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Total Cholesterol (Millimoles Per Liter (mmol/L)) (Ratio to Baseline)0.99 Ratio of total cholesterolGeometric Coefficient of Variation 17.6
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mg/dL) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in triglycerides (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Triglycerides (mg/dL) (Ratio to Baseline)0.80 Ratio of triglyceridesGeometric Coefficient of Variation 33
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mg/dL) (Ratio to Baseline)0.89 Ratio of triglyceridesGeometric Coefficient of Variation 36.7
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mg/dL) (Ratio to Baseline)0.98 Ratio of triglyceridesGeometric Coefficient of Variation 35.7
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mmol/L) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in triglycerides (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Triglycerides (mmol/L) (Ratio to Baseline)0.80 Ratio of triglyceridesGeometric Coefficient of Variation 33
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mmol/L) (Ratio to Baseline)0.89 Ratio of triglyceridesGeometric Coefficient of Variation 36.7
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Triglycerides (mmol/L) (Ratio to Baseline)0.98 Ratio of triglyceridesGeometric Coefficient of Variation 35.7
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mg/dL) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in VLDL cholesterol (measured in mg/dL) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mg/dL) (Ratio to Baseline)0.79 Ratio of VLDL cholesterolGeometric Coefficient of Variation 33.1
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mg/dL) (Ratio to Baseline)0.89 Ratio of VLDL cholesterolGeometric Coefficient of Variation 36.9
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mg/dL) (Ratio to Baseline)0.97 Ratio of VLDL cholesterolGeometric Coefficient of Variation 34.7
Secondary

Change From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mmol/L) (Ratio to Baseline)

Change from baseline (week 0) to week 68 in VLDL cholesterol (measured in mmol/L) is presented as ratio to baseline. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mmol/L) (Ratio to Baseline)0.79 Ratio of VLDL cholesterolGeometric Coefficient of Variation 33.1
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mmol/L) (Ratio to Baseline)0.89 Ratio of VLDL cholesterolGeometric Coefficient of Variation 36.9
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol (mmol/L) (Ratio to Baseline)0.97 Ratio of VLDL cholesterolGeometric Coefficient of Variation 34.7
Secondary

Change From Baseline (Week 0) to Week 68 in Systolic Blood Pressure

Change from baseline (week 0) to week 68 in systolic blood pressure is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Systolic Blood Pressure-7 millimeters of mercury (mmHg)Standard Deviation 14
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Systolic Blood Pressure-4 millimeters of mercury (mmHg)Standard Deviation 15
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Systolic Blood Pressure5 millimeters of mercury (mmHg)Standard Deviation 14
Secondary

Change From Baseline (Week 0) to Week 68 in Waist Circumference

Change from baseline (week 0) to week 68 in waist circumference is presented. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. 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 68 in Waist Circumference-13.6 centimeters (cm)Standard Deviation 10
Liraglutide 3.0 mgChange From Baseline (Week 0) to Week 68 in Waist Circumference-6.8 centimeters (cm)Standard Deviation 8.4
Pooled PlaceboChange From Baseline (Week 0) to Week 68 in Waist Circumference-2.0 centimeters (cm)Standard Deviation 7.2
Secondary

Number of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))

Number of participants in glycaemic categories, normo-glycaemia, pre-diabetes and type 2 diabetes at baseline (week 0) and 68 are presented. These categories were set as per the following criteria: 1) Normo-glycaemia: fasting plasma glucose (FPG) less than (\<) 5.6 mmol/L (\<100 mg/dL) and/or glycated haemoglobin (HbA1c) \<5.7%; 2) Pre-diabetes: FPG 5.6 - 6.9 mmol/L (both inclusive), FPG 100 - 125 mg/dL (both inclusive) or HbA1c 5.7 - 6.4% (both inclusive); 3) Type 2 diabetes: FPG greater than or equal to (\>=) 7.0 mmol/L (\>=126 mg/dL) and/or HbA1c \>=6.5%. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: Baseline (week 0), week 68

Population: FAS included all randomized participants. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): normo-glycaemia72 Participants
Semaglutide 2.4 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: pre-diabetes5 Participants
Semaglutide 2.4 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): pre-diabetes38 Participants
Semaglutide 2.4 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: normo-glycaemia104 Participants
Semaglutide 2.4 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: type 2 diabetes1 Participants
Semaglutide 2.4 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): type 2 diabetes0 Participants
Liraglutide 3.0 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: type 2 diabetes1 Participants
Liraglutide 3.0 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): normo-glycaemia74 Participants
Liraglutide 3.0 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): pre-diabetes37 Participants
Liraglutide 3.0 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): type 2 diabetes0 Participants
Liraglutide 3.0 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: normo-glycaemia89 Participants
Liraglutide 3.0 mgNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: pre-diabetes21 Participants
Pooled PlaceboNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: normo-glycaemia38 Participants
Pooled PlaceboNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: type 2 diabetes3 Participants
Pooled PlaceboNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): normo-glycaemia47 Participants
Pooled PlaceboNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Week 68: pre-diabetes36 Participants
Pooled PlaceboNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): type 2 diabetes0 Participants
Pooled PlaceboNumber of Participants at Baseline (Week 0) and Week 68 in Glycaemic Category (Normo-glycaemia, Pre-diabetes, Type 2 Diabetes (T2D))Baseline (week 0): pre-diabetes30 Participants
Secondary

Number of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)

Number of participants who achieved \>= 15% weight reduction from baseline (week 0) to week 68 is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>= 15% weight reduction, whereas 'No' infers the number of participants who did not achieve \>= 15% weight reduction. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: From baseline (week 0) to week 68

Population: FAS included all randomized participants. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)Yes65 Participants
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)No52 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)Yes14 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)No103 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)Yes5 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=15% (Yes/no)No73 Participants
Secondary

Number of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)

Number of participants who achieved \>= 20% weight reduction from baseline (week 0) to week 68 is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>= 20% weight reduction, whereas 'No' infers the number of participants who did not achieve \>= 20% weight reduction. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: From baseline (week 0) to week 68

Population: FAS included all randomized participants. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)Yes45 Participants
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)No72 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)Yes7 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)No110 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)Yes2 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction >=20% (Yes/no)No76 Participants
Secondary

Number of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)

Number of participants who achieved \>= 10% weight reduction from baseline (week 0) to week 68 is presented. In the reported data, 'Yes' infers the number of participants who have achieved \>= 10% weight reduction, whereas 'No' infers the number of participants who did not achieve \>= 10% weight reduction. Data is reported for 'in-trial' period: the uninterrupted time interval from date of randomization to date of last contact with trial site.

Time frame: From baseline (week 0) to week 68

Population: FAS included all randomized participants. Overall Number of Participants Analyzed = participants with available data for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)Yes83 Participants
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)No34 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)Yes30 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)No87 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)Yes12 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Achieved Body Weight Reduction Greater Than or Equal to (>=) 10% (Yes/no)No66 Participants
Secondary

Number of Participants Who From Baseline (Week 0) to Week 68 Permanently Discontinued Randomized Trial Product

Number of participants who from baseline (week 0) to week 68 permanently discontinued randomized trial product are presented.

Time frame: From baseline (week 0) to week 68

Population: FAS included all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Semaglutide 2.4 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Permanently Discontinued Randomized Trial Product17 Participants
Liraglutide 3.0 mgNumber of Participants Who From Baseline (Week 0) to Week 68 Permanently Discontinued Randomized Trial Product35 Participants
Pooled PlaceboNumber of Participants Who From Baseline (Week 0) to Week 68 Permanently Discontinued Randomized Trial Product15 Participants
Secondary

Number of Serious Adverse Events (SAEs) From Baseline (Week 0) to Week 75

An AE was any untoward medical occurrence in a clinical trial participant that was temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE was defined as an AE that 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 is a congenital anomaly/birth defect. SAEs occurred based on the on-treatment period is presented. A time-point was considered on treatment if any dose of trial product has been administrated within the prior 49 days.

Time frame: From baseline (week 0) to week 75

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

ArmMeasureValue (NUMBER)
Semaglutide 2.4 mgNumber of Serious Adverse Events (SAEs) From Baseline (Week 0) to Week 7514 Events
Liraglutide 3.0 mgNumber of Serious Adverse Events (SAEs) From Baseline (Week 0) to Week 7518 Events
Pooled PlaceboNumber of Serious Adverse Events (SAEs) From Baseline (Week 0) to Week 759 Events
Secondary

Number of Treatment Emergent Adverse Events (TEAEs) From Baseline (Week 0) to Week 75

An adverse event (AE) was any untoward medical occurrence in a clinical trial participant that was temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. All AEs mentioned here are TEAEs defined as AEs, with the onset of the event occurred in the on-treatment period. A time-point was considered on treatment if any dose of trial product has been administrated within the prior 49 days.

Time frame: From baseline (week 0) to week 75

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

ArmMeasureValue (NUMBER)
Semaglutide 2.4 mgNumber of Treatment Emergent Adverse Events (TEAEs) From Baseline (Week 0) to Week 75904 Events
Liraglutide 3.0 mgNumber of Treatment Emergent Adverse Events (TEAEs) From Baseline (Week 0) to Week 75823 Events
Pooled PlaceboNumber of Treatment Emergent Adverse Events (TEAEs) From Baseline (Week 0) to Week 75522 Events

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026