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A Trial Investigating the Effects of Semaglutide on ß-cell Function in Subjects With Type 2 Diabetes

Primary Purpose

Diabetes, Diabetes Mellitus, Type 2

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
semaglutide
placebo
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age: 18-64 years (both inclusive) at the time of signing the informed consent
  • For subjects with type 2 diabetes:
  • Male and female subjects diagnosed with type 2 diabetes
  • Treated with diet and exercise and/or metformin monotherapy. Metformin dose should be unchanged in a period of 30 days prior to screening
  • Body Mass Index (BMI) between 20.0-35.0 kg/m^2 (both inclusive)
  • Glycosylated haemoglobin (HbA1c) between 6.5-9.0 % (both inclusive)
  • For healthy control group for graded glucose infusion:
  • Healthy male and female subjects
  • BMI between 24.0-32.0 kg/m^2 (both inclusive)
  • HbA1c less than 6.5 %

Exclusion Criteria:

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child bearing potential and not using an adequate contraceptive method. Women of child bearing potential must use an effective method of birth control for the duration of the trial and for subjects with type 2 diabetes for 5 weeks following the last dose of semaglutide. Only highly effective methods of birth control are accepted (i.e. one that results in less than 1% per year failure rate when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices), or sexual abstinence or vasectomised partner
  • Any clinically significant disease history, in the opinion of the investigator, or systemic or organ disease including: cardiac, pulmonary, gastrointestinal, hepatic, neurologic, renal, genitourinary and endocrine, dermatologic or hematologic
  • Use of any prescription or non-prescription medication which could interfere with trial pharmacokinetic or pharmacodynamic results, as judged by the investigator or specifically: a) current treatment with systemic (oral or i.v.) corticosteroids, non-selective betablockers, b) thyroid hormones are not allowed unless the use of these have been stable during the past 2 month prior to screening
  • History of drug/chemical substance abuse within 1 year prior to screening, or a positive result in the urine drug test
  • History of alcohol abuse within 1 year prior to screening, or a positive result in the alcohol breath test
  • Smoker (defined as a subject who is smoking more than 5 cigarettes or the equivalent per day)
  • Not able or willing to refrain from smoking and use of nicotine gum or transdermal nicotine patches during the inpatient period

Sites / Locations

  • Novo Nordisk Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

No Intervention

Arm Label

Semaglutide

Placebo

Healthy subjects

Arm Description

Total of 12 visits

Total of 12 visits

Total of 2 visits

Outcomes

Primary Outcome Measures

Area under the serum insulin concentration time curve from 0 to 10 minutes after a 25 g glucose bolus i.v. infusion (IVGTT,intravenous glucose tolerance test) over 2 minutes
Area under the serum insulin concentration time curve from 10-120 minutes after a 25 g glucose bolus i.v. infusion (IVGTT).

Secondary Outcome Measures

Area under the insulin secretion rate (ISR)-time curve within 0 to 10 min after i.v. glucose challenge
Area under the ISR-time curve within 10 to 120 min after i.v. glucose challenge
24-hour plasma glucose, glucagon, serum insulin, and C-peptide measured as total AUC0-24h during a test day with 3 standardised meals
Area under the insulin secretion rate (ISR)-time curve within 0 to 10 min after i.v. arginine application; ISR will be derived from the C-peptide concentration profile
Area under the ISR curve over the 5-12 mmol/L (90-216 mg/dL) glucose interval; ISR will be derived from the C-peptide concentration profile
Slope of the ISR vs. glucose curve (dose-response relationship)

Full Information

First Posted
August 7, 2014
Last Updated
March 6, 2018
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT02212067
Brief Title
A Trial Investigating the Effects of Semaglutide on ß-cell Function in Subjects With Type 2 Diabetes
Official Title
A Single-centre, Randomised, Double-blind, Multiple-dose, Placebo-controlled, Parallel-group Trial Investigating the Effects of Semaglutide on ß-cell Function in Subjects With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
August 11, 2014 (Actual)
Primary Completion Date
May 11, 2015 (Actual)
Study Completion Date
May 11, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial is conducted in Europe. The aim of the trial is to investigate the effects of semaglutide on ß-cell function in subjects with type 2 diabetes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes, Diabetes Mellitus, Type 2

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
87 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Semaglutide
Arm Type
Experimental
Arm Description
Total of 12 visits
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Total of 12 visits
Arm Title
Healthy subjects
Arm Type
No Intervention
Arm Description
Total of 2 visits
Intervention Type
Drug
Intervention Name(s)
semaglutide
Intervention Description
Administered subcutaneously (s.c., under the skin) once weekly for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Administered subcutaneously (s.c., under the skin) once weekly for 12 weeks.
Primary Outcome Measure Information:
Title
Area under the serum insulin concentration time curve from 0 to 10 minutes after a 25 g glucose bolus i.v. infusion (IVGTT,intravenous glucose tolerance test) over 2 minutes
Time Frame
Day -1, day 86
Title
Area under the serum insulin concentration time curve from 10-120 minutes after a 25 g glucose bolus i.v. infusion (IVGTT).
Time Frame
Day -1, day 86
Secondary Outcome Measure Information:
Title
Area under the insulin secretion rate (ISR)-time curve within 0 to 10 min after i.v. glucose challenge
Time Frame
Day -1, day 86
Title
Area under the ISR-time curve within 10 to 120 min after i.v. glucose challenge
Time Frame
Day -1, day 86
Title
24-hour plasma glucose, glucagon, serum insulin, and C-peptide measured as total AUC0-24h during a test day with 3 standardised meals
Time Frame
Day -1, day 85
Title
Area under the insulin secretion rate (ISR)-time curve within 0 to 10 min after i.v. arginine application; ISR will be derived from the C-peptide concentration profile
Time Frame
Day -1, day 86
Title
Area under the ISR curve over the 5-12 mmol/L (90-216 mg/dL) glucose interval; ISR will be derived from the C-peptide concentration profile
Time Frame
Day -1, day 87
Title
Slope of the ISR vs. glucose curve (dose-response relationship)
Time Frame
Day -1, day 87

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: 18-64 years (both inclusive) at the time of signing the informed consent For subjects with type 2 diabetes: Male and female subjects diagnosed with type 2 diabetes Treated with diet and exercise and/or metformin monotherapy. Metformin dose should be unchanged in a period of 30 days prior to screening Body Mass Index (BMI) between 20.0-35.0 kg/m^2 (both inclusive) Glycosylated haemoglobin (HbA1c) between 6.5-9.0 % (both inclusive) For healthy control group for graded glucose infusion: Healthy male and female subjects BMI between 24.0-32.0 kg/m^2 (both inclusive) HbA1c less than 6.5 % Exclusion Criteria: Female who is pregnant, breast-feeding or intends to become pregnant or is of child bearing potential and not using an adequate contraceptive method. Women of child bearing potential must use an effective method of birth control for the duration of the trial and for subjects with type 2 diabetes for 5 weeks following the last dose of semaglutide. Only highly effective methods of birth control are accepted (i.e. one that results in less than 1% per year failure rate when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices), or sexual abstinence or vasectomised partner Any clinically significant disease history, in the opinion of the investigator, or systemic or organ disease including: cardiac, pulmonary, gastrointestinal, hepatic, neurologic, renal, genitourinary and endocrine, dermatologic or hematologic Use of any prescription or non-prescription medication which could interfere with trial pharmacokinetic or pharmacodynamic results, as judged by the investigator or specifically: a) current treatment with systemic (oral or i.v.) corticosteroids, non-selective betablockers, b) thyroid hormones are not allowed unless the use of these have been stable during the past 2 month prior to screening History of drug/chemical substance abuse within 1 year prior to screening, or a positive result in the urine drug test History of alcohol abuse within 1 year prior to screening, or a positive result in the alcohol breath test Smoker (defined as a subject who is smoking more than 5 cigarettes or the equivalent per day) Not able or willing to refrain from smoking and use of nicotine gum or transdermal nicotine patches during the inpatient period
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Clinical Registry (GCR, 1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Neuss
ZIP/Postal Code
41460
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
28526920
Citation
Kapitza C, Dahl K, Jacobsen JB, Axelsen MB, Flint A. Effects of semaglutide on beta cell function and glycaemic control in participants with type 2 diabetes: a randomised, double-blind, placebo-controlled trial. Diabetologia. 2017 Aug;60(8):1390-1399. doi: 10.1007/s00125-017-4289-0. Epub 2017 May 19.
Results Reference
result
Links:
URL
http://novonordisk-trials.com
Description
Clinical Trials at Novo Nordisk

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A Trial Investigating the Effects of Semaglutide on ß-cell Function in Subjects With Type 2 Diabetes

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