Skip to content

A Research Study to Investigate How Well NNC0165-1875 in Combination With Semaglutide Works in People With Obesity

Investigation of Efficacy and Safety of NNC0165-1875 as add-on to Semaglutide for Weight Management in Subjects With Obesity

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04969939
Enrollment
120
Registered
2021-07-21
Start date
2021-07-15
Completion date
2023-01-30
Last updated
2026-01-08

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

Conditions

Obesity

Brief summary

The study is looking at a new medicine to help people lose weight. In this study participants will either get semaglutide and NNC0165-1875 or semaglutide and a dummy medicine (placebo). Which treatment participants get is decided by chance. Participants will get 2 injections per week, on the same day. Participants will have to take the study medicine by use of a pre-filled pen. A pen is a medical tool with a needle used for injections under the skin. The study doctor or staff will show participants how. The study will last for about 26 weeks. Participants will have 17 visits at the clinic with the study doctor. At 4 of the clinic visits participants cannot eat and drink (water is allowed until 2 hours prior to the visit) for 8 hours before the visit.Women: Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period. Women who are able to become pregnant can participate if they agree to use contraception during the study.

Interventions

DRUGSemaglutide 2.4 mg and NNC0165-1875 2.0 mg

NNC0165-1875 will be co-escalated once-weekly subcutaneously with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

DRUGSemaglutide 2.4 mg and placebo 2.0 mg

NNC0165-1875 placebo will be co-escalated subcutaneously once-weekly with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

DRUGSemaglutide 2.4 mg and NNC0165-1875 1.0 mg

NNC0165-1875 will be co-escalated subcutaneously once-weekly with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

DRUGSemaglutide 2.4 mg and placebo 1.0 mg

NNC0165-1875 placebo will be co-escalated subcutaneously once-weekly with semaglutide every 2 weeks for the first 4 weeks, and every 4 weeks for the next 8 weeks until final target dose levels are reached.

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

Sponsor staff involved in the clinical trial is masked according to company standard procedures.

Intervention model description

Part 1: is a 16-week study were one group of participants will receive two doses of NNC0165-1875 a week, in combination with one injection dose of semaglutide a week. The other group will receive a placebo. Part 2: is a 40-week study were one group of participants will receive one dose of NNC0165 a week, in combination with one injection dose of semaglutide a week. The other group will receive a placebo.

Eligibility

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

Inclusion criteria

* Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial. * Male or female, age above or equal to 18 years at the time of signing informed consent. * BMI 30.0-45.0 kg/m\^2 (both inclusive) at the screening visit.

Exclusion criteria

* HbA1c greater than or equal to 48 mmol/mol (6.5%) as measured by a central laboratory at screening. * History of type 1 or type 2 diabetes mellitus. * Treatment with glucose-lowering agent(s) within 90 days before screening.

Design outcomes

Primary

MeasureTime frameDescription
Part 1: Number of Treatment-emergent Adverse Events (TEAEs)Part 1: From time of dosing (day 1) to follow-up (week 24)A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visit or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit.
Part 2b: Percentage Change in Body WeightPart 2: Randomisation (week 32), end of treatment (week 48)Percentage change in body weight (%) from week 32 to week 48 is presented. For descriptive analysis and statistical analysis the endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Secondary

MeasureTime frameDescription
Part 2b: Change in Body Weight (kg)Part 2b: Randomisation (week 32), end of treatment (week 48)Change in body weight (kg) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Glycosylated Haemoglobin (HbA1c)Part 2b: Randomisation (week 32), end of treatment (week 48)Change in HbA1c from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Percentage point is calculated by subtraction of baseline HbA1c from HbA1c at end of treatment.
Part 2b: Change in Fasting Plasma Glucose (FPG)Part 2b: Randomisation (week 32), end of treatment (week 48)Change in FPG (measured in millimoles per liter \[mmol/l\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Fasting InsulinPart 2b: Randomisation (week 32), end of treatment (week 48)Change in fasting insulin (measured in picomoles per liter \[pmol/l\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Waist CircumferencePart 2b: Randomisation (week 32), end of treatment (week 48)Change in waist circumference (measured in centimeter \[cm\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Total Cholesterol (Ratio to Baseline)Part 2b: Randomisation (week 32), end of treatment (week 48)Relative change in total cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)Part 2b: Randomisation (week 32), end of treatment (week 48)Relative change in HDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)Part 2b: Randomisation (week 32), end of treatment (week 48)Relative change in LDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)Part 2b: Randomisation (week 32), end of treatment (week 48)Relative change in VLDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)Part 2b: Randomisation (week 32), end of treatment (week 48)Relative change in triglycerides (measured in mmol/l) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)Part 2b: Randomisation (week 32), end of treatment (week 48)Relative change in free fatty acids (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Number of Treatment -Emergent Adverse Events (TEAEs)From randomisation (week 32) to end of the trial (week 56)An AE is any untoward medical occurrence in a clinical trial participant that is temporally associated with the use of an IMP, whether or not considered related to the IMP. All AEs reported here are TEAEs. A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visits or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit. The TEAEs occurred from week 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)From randomisation (week 32) to end of the trial (week 56)A serious adverse event (SAE) is 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 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Countries

United States

Participant flow

Recruitment details

The trial was conducted at 14 sites in the United States.

Pre-assignment details

The trial consisted of part 1 and 2. Part 1: 24 weeks (16-week treatment + 8 week follow up). In part 1 participants received NNC0165-1875 1.0 milligrams (mg) / matching placebo or NNC0165-1875 2.0 mg / matching placebo with semaglutide 2.4 mg. Part 2 further consisted of open-label run-in part (part 2a) of 32 weeks where participants received semaglutide and part 2b of 16 weeks where participants received NNC0165-1875 or NNC0165-1875 placebo with semaglutide s.c. 2.4 mg and 8-week follow up.

Participants by arm

ArmCount
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg
Participants received once-weekly s.c injection of NNC0165-1875 in a dose escalation manner (week 0-2: 0.05 mg, week 2-4: 0.1 mg, week 4-8: 0.25 mg, week 8-12: 0.5 mg, week 12 -16: 1.0 mg) along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-8: 1.0 mg, week 8-12: 1.7 mg, week 12 -16: 2.4 mg).
8
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mg
Participants received once-weekly s.c injection of NNC0165-1875 in a dose escalation manner (week 0-2: 0.1 mg, week 2-4: 0.25 mg, week 4-8: 0.5 mg, week 8-12: 1.0 mg, week 12 -16: 2.0 mg) along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-8: 1.0 mg, week 8-12: 1.7 mg, week 12 -16: 2.4 mg).
8
Part 1: Placebo + Semaglutide 2.4 mg
Participants received once-weekly s.c injection of NNC0165-1875 matching placebo along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-8: 1.0 mg, week 8-12: 1.7 mg, week 12 -16: 2.4 mg).
8
Part 2
All Participants randomised in Part 2.
96
Total120

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Part 2a: Run in Period (32 Weeks)Adverse Event0004000
Part 2a: Run in Period (32 Weeks)Lost to Follow-up0002000
Part 2a: Run in Period (32 Weeks)Other0005000
Part 2a: Run in Period (32 Weeks)Pregnancy0001000
Part 2a: Run in Period (32 Weeks)Protocol Violation0001000
Part 2b (16 Weeks)Withdrawal by Subject0000310

Baseline characteristics

CharacteristicPart 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 1: Placebo + Semaglutide 2.4 mgPart 2Total
Age, Continuous44 Years
STANDARD_DEVIATION 12
45 Years
STANDARD_DEVIATION 14
43 Years
STANDARD_DEVIATION 13
50 Years
STANDARD_DEVIATION 13
48.4 Years
STANDARD_DEVIATION 13
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants2 Participants0 Participants5 Participants7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants6 Participants8 Participants91 Participants113 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants5 Participants5 Participants
Race (NIH/OMB)
Black or African American
6 Participants3 Participants4 Participants16 Participants29 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants2 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants2 Participants0 Participants2 Participants4 Participants
Race (NIH/OMB)
White
2 Participants3 Participants4 Participants71 Participants80 Participants
Sex: Female, Male
Female
4 Participants6 Participants3 Participants78 Participants91 Participants
Sex: Female, Male
Male
4 Participants2 Participants5 Participants18 Participants29 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 80 / 80 / 960 / 470 / 80 / 28
other
Total, other adverse events
8 / 88 / 88 / 869 / 9636 / 477 / 816 / 28
serious
Total, serious adverse events
0 / 81 / 80 / 82 / 962 / 470 / 80 / 28

Outcome results

Primary

Part 1: Number of Treatment-emergent Adverse Events (TEAEs)

A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visit or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit.

Time frame: Part 1: From time of dosing (day 1) to follow-up (week 24)

Population: SAS included all participants randomly assigned to trial treatment and who took at least one dose of trial product This outcome measure is applicable for reported arms only.

ArmMeasureValue (NUMBER)
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 1: Number of Treatment-emergent Adverse Events (TEAEs)56 Events
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 1: Number of Treatment-emergent Adverse Events (TEAEs)71 Events
Part 1: Placebo + Semaglutide 2.4 mgPart 1: Number of Treatment-emergent Adverse Events (TEAEs)37 Events
Primary

Part 2b: Percentage Change in Body Weight

Percentage change in body weight (%) from week 32 to week 48 is presented. For descriptive analysis and statistical analysis the endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2: Randomisation (week 32), end of treatment (week 48)

Population: Full analysis set (FAS) included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Percentage Change in Body Weight-5.55 Percentage change in body weightStandard Deviation 3.97
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Percentage Change in Body Weight-3.06 Percentage change in body weightStandard Deviation 5.46
Comparison: Week 48 responses were analysed using an analysis of covariance model with randomised treatment as factors and baseline body weight (kg) as covariate.p-value: 0.043795% CI: [-4.24, -0.06]ANCOVA
Secondary

Part 2b: Change in Body Weight (kg)

Change in body weight (kg) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Change in Body Weight (kg)-4.54 kilograms (kg)Standard Deviation 3.22
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Change in Body Weight (kg)-2.23 kilograms (kg)Standard Deviation 5.16
Secondary

Part 2b: Change in Fasting Insulin

Change in fasting insulin (measured in picomoles per liter \[pmol/l\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Change in Fasting Insulin-14.10 pmol/lStandard Deviation 39.31
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Change in Fasting Insulin-8.10 pmol/lStandard Deviation 47.22
Secondary

Part 2b: Change in Fasting Plasma Glucose (FPG)

Change in FPG (measured in millimoles per liter \[mmol/l\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all partcipants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Change in Fasting Plasma Glucose (FPG)0.08 mmol/lStandard Deviation 0.36
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Change in Fasting Plasma Glucose (FPG)-0.02 mmol/lStandard Deviation 0.42
Secondary

Part 2b: Change in Glycosylated Haemoglobin (HbA1c)

Change in HbA1c from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Percentage point is calculated by subtraction of baseline HbA1c from HbA1c at end of treatment.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Change in Glycosylated Haemoglobin (HbA1c)-0.17 Percentage point of HbA1cStandard Deviation 0.17
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Change in Glycosylated Haemoglobin (HbA1c)-0.17 Percentage point of HbA1cStandard Deviation 0.14
Secondary

Part 2b: Change in Waist Circumference

Change in waist circumference (measured in centimeter \[cm\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Change in Waist Circumference-4.80 cmStandard Deviation 6.92
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Change in Waist Circumference-2.69 cmStandard Deviation 5.73
Secondary

Part 2b: Number of Treatment -Emergent Adverse Events (TEAEs)

An AE is any untoward medical occurrence in a clinical trial participant that is temporally associated with the use of an IMP, whether or not considered related to the IMP. All AEs reported here are TEAEs. A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visits or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit. The TEAEs occurred from week 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: From randomisation (week 32) to end of the trial (week 56)

Population: SAS included all participants randomly assigned to trial treatment and who took at least one dose of trial product. This outcome measure is applicable for reported arms only.

ArmMeasureValue (NUMBER)
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Number of Treatment -Emergent Adverse Events (TEAEs)220 Events
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Number of Treatment -Emergent Adverse Events (TEAEs)45 Events
Part 1: Placebo + Semaglutide 2.4 mgPart 2b: Number of Treatment -Emergent Adverse Events (TEAEs)56 Events
Secondary

Part 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)

A serious adverse event (SAE) is 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 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: From randomisation (week 32) to end of the trial (week 56)

Population: SAS included all participants randomly assigned to trial treatment and who took at least one dose of trial product. This outcome measure is applicable for reported arms only.

ArmMeasureValue (NUMBER)
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)2 Events
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)0 Events
Part 1: Placebo + Semaglutide 2.4 mgPart 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)0 Events
Secondary

Part 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)

Relative change in free fatty acids (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)0.87 Ratio of free fatty acidsStandard Deviation 0.39
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)1.07 Ratio of free fatty acidsStandard Deviation 0.48
Secondary

Part 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)

Relative change in HDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)1.02 Ratio of HDL cholesterolStandard Deviation 0.12
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)1.08 Ratio of HDL cholesterolStandard Deviation 0.12
Secondary

Part 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)

Relative change in LDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)1.01 Ratio of LDL cholesterolStandard Deviation 0.17
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)1.08 Ratio of LDL cholesterolStandard Deviation 0.27
Secondary

Part 2b: Relative Change in Total Cholesterol (Ratio to Baseline)

Relative change in total cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Total Cholesterol (Ratio to Baseline)1.00 Ratio of total cholesterolStandard Deviation 0.11
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Total Cholesterol (Ratio to Baseline)1.07 Ratio of total cholesterolStandard Deviation 0.17
Secondary

Part 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)

Relative change in triglycerides (measured in mmol/l) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)0.96 Ratio of triglyceridesStandard Deviation 0.26
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)1.03 Ratio of triglyceridesStandard Deviation 0.26
Secondary

Part 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)

Relative change in VLDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Time frame: Part 2b: Randomisation (week 32), end of treatment (week 48)

Population: FAS included all participants who were randomised. Overall number of participants analysed = Number of participants who contributed to the analysis. This outcome measure is applicable for reported arms only.

ArmMeasureValue (MEAN)Dispersion
Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)0.96 Ratio of VLDL cholesterolStandard Deviation 0.25
Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgPart 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)1.04 Ratio of VLDL cholesterolStandard Deviation 0.27

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026