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A Research Study Looking at How Oral Semaglutide Works in People With Type 2 Diabetes in Canada, as Part of Local Clinical Practice

A Multi-centre, Prospective, Non-interventional Single-arm Study Investigating Clinical Parameters Associated With the Use of Once-daily Oral Semaglutide in a Real-world Adult Population With Type 2 Diabetes in Canada

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04559815
Acronym
PIONEER REAL
Enrollment
194
Registered
2020-09-23
Start date
2020-10-21
Completion date
2022-09-14
Last updated
2025-12-05

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

Conditions

Diabetes Mellitus, Type 2

Brief summary

The purpose of the study is to collect information on how Rybelsus® works in people with type 2 diabetes and to see if Rybelsus® can lower participants blood sugar levels. Participants will get Rybelsus® as prescribed to them by their study doctor. The study will last for about 8-10 months. Participants will be asked to complete a questionnaire about how they take their Rybelsus® tablets. Participants will complete this questionnaire during their normally scheduled visit with the study doctor. Participants will be asked to complete some questionnaires about their diabetes treatment. Participants will complete these during their normally scheduled visits with the study doctor...

Interventions

DRUGOral Semaglutide

Patients will be treated with commercially available oral semaglutide according to local label and to routine clinical practice at the discretion of the treating physician. The decision to initiate treatment with commercially available oral semaglutide has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician based on local label before and independently from the decision to include the patient in this study.

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Signed consent obtained before any study-related activities (study-related activities are any procedure related to recording of data according to the protocol) * Diagnosed with type 2 diabetes mellitus * The decision to initiate treatment with commercially available oral semaglutide has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician based on local label before and independently from the decision to include the patient in this study * Male or female, age above or equal to 18 years at the time of signing informed consent * Available HbA1c value less than or equal to 90 days prior to the 'Informed Consent and Treatment Initiation visit' (V1) or HbA1c measurement taken in relation with the 'Informed Consent and Treatment Initiation visit' (V1) if in line with local clinical practice * Treatment naïve to injectable glucose-lowering drug(s). An exception is short-term insulin treatment for acute illness for a total of less than or equal to 14 days

Exclusion criteria

* Previous participation in this study. Participation is defined as having given informed consent in this study * Treatment with any investigational drug within 30 days prior to enrolment into the study * Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation

Design outcomes

Primary

MeasureTime frameDescription
Change in Glycated haemoglobin (HbA1c)From baseline (week 0) to End of Study visit (V3) (week 34-44)Percent (%)-points

Secondary

MeasureTime frameDescription
Relative change in body weightFrom baseline (week 0) to End of Study visit (V3) (week 34-44)Percent
Absolute change in body weightFrom baseline (week 0) to End of Study visit (V3) (week 34-44)Kilogram (Kg)
HbA1c <7% (Yes/No)End of Study visit (V3) (week 34-44)Percentage of patients achieving or not achieving the target value
HbA1c reduction >=1%-points and body weight reduction of >=5% (Yes/No)From baseline (week 0) to End of Study visit (V3) (week 34-44)Percentage of patients achieving or not achieving the reduction
HbA1c reduction >=1%-points and body weight reduction of >=3% (Yes/No)From baseline (week 0) to End of Study visit (V3) (week 34-44)Percentage of patients achieving or not achieving the reduction
Diabetes Treatment Satisfaction Questionnaire, change (DTSQc), relative treatment satisfactionEnd of Study visit (V3) (week 34-44)The change version (DTSQc) has the same 8 items as the status version but is reworded to direct the patients to rate their change in treatment satisfaction compared to before being treated with oral semaglutide. Each question is scored on a scale of -3 to +3 (-3 = much less satisfied now to +3 = much more satisfied now), with 0 (midpoint), representing no change.
Diabetes Treatment Satisfaction Questionnaire, status (DTSQs), change in absolute treatment satisfactionFrom baseline (week 0) to End of Study visit (V3) (week 34-44)The status version (DTSQs) provides a measure of how satisfied patients are with their current diabetes treatment. It consists of 8 questions, which are to be answered on a Likert scale from 0 to 6 (0 = very dissatisfied to 6 = very satisfied). Six questions are summed to produce a total Treatment Satisfaction score. The remaining two questions are concerning perceived frequency of hyperglycaemia and perceived frequency of hypoglycaemia, respectively.

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026