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Comparison of Injection Site Pain Experience for Semaglutide and Dulaglutide sc

Primary Purpose

Healthy Volunteers, Diabetes Mellitus, Type 2, Overweight

Status
Completed
Phase
Phase 4
Locations
Netherlands
Study Type
Interventional
Intervention
Semaglutide
Dulaglutide
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy Volunteers

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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, aged 18-75 years (both inclusive) at the time of signing informed consent.
  • Body mass index equal to or above 25.0 kg/m^2.
  • Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the Investigator.

Exclusion Criteria:

  • Known or suspected hypersensitivity to trial product(s) or related products.
  • Previous participation in trial INS-4603, INS-4582 or NN9535-4648. Participation is defined as having received investigational product.
  • Female who is pregnant, breast-feeding or intends to become pregnant within 4 weeks of Day 1 or is of childbearing potential and not using highly effective contraceptive methods.
  • Participation in a drug study within 60 days prior to drug administration in the current trial OR participation in more than 4 other drug studies in the 12 months prior to drug administration in the current trial.
  • Any disorder which in the Investigator's opinion might jeopardise subject's safety, evaluation of results, or compliance with the protocol.
  • Glycosylated haemoglobin (HbA1c) equal to or above 6.5 % (48 mmol/mol) at screening.
  • Supine blood pressure at screening (after resting for 5 minutes or longer) outside the range of 90-160 mmHg for systolic or 45-89 mmHg for diastolic.
  • Supine pulse rate (as part of vital signs) outside the range of 40-100 beats/min after resting for 5 minutes or longer at screening.
  • Use of prescription medicinal products or non-prescription drugs or herbal products, except routine vitamins, topical medication, contraceptives and occasional use of paracetamol (not allowed within 24 hours prior to drug administration), within 14 days prior to Day 1.
  • Diagnostic test results positive for HIV-1 or HIV-2 infection.
  • Diagnostic test results positive for active hepatitis B or hepatitis C infection.
  • Mental incapacity, language barriers, or unwillingness to comply with the requirements of the protocol, which may preclude adequate understanding or cooperation during the trial as judged by the Investigator.
  • Average intake of more than 21 units of alcohol per week for male subjects and more than 14 units per week for female subjects: 1 unit of alcohol equals approximately 250 mL of beer, 100 mL of wine, or 35 mL of spirits).
  • Positive drug and alcohol screen (opiates, methadone, cocaine, amphetamines [including ecstasy], cannabinoids, barbiturates, benzodiazepines, tricyclic antidepressants, and alcohol) at screening and admission to the clinical research centre.
  • Use of tobacco and nicotine products, defined as any of the below:
  • Smoking more than 1 cigarette or the equivalent per day on average.
  • Not able or willing to refrain from smoking and use of nicotine substitute products during the in-house period.
  • Blood donation, plasma donation, or blood draw
  • In excess of 400 mL within the past 90 days prior to the day of screening
  • In excess of 50 mL within the past 30 days prior to the day of screening
  • Personal or first-degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma.
  • Subjects with a history of malignant neoplasms within the past 5 years prior to screening will be excluded from the trial.
  • Presence or history of pancreatitis (acute or chronic; as declared by the subject or reported in the medical records).
  • Subject is not able to understand and read English or Dutch, or subject is not able to understand and comply with the trial requirements.
  • Subject depends on the Sponsor, the Investigator, or the study centre, or subject is the Investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff, or relative thereof directly involved in the conduct of the trial.
  • Vulnerable subject (e.g. person kept in detention) who may have an increased likelihood of being wronged or of incurring additional harm.

Sites / Locations

  • Novo Nordisk Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Semaglutide followed by dulaglutide

Dulaglutide followed by semaglutide

Arm Description

The 2 treatments will be administered at least 30 minutes apart, one in each side of the stomach

The 2 treatments will be administered at least 30 minutes apart, one in each side of the stomach

Outcomes

Primary Outcome Measures

Intensity of Injection Site Pain
The intensity of injection site pain was measured on a visual analogue scale (VAS). The VAS consists of a horizontal 100 millimeters (mm) line where 0 mm corresponded to no pain and 100 mm corresponded to unbearable pain. After each injection, the participants rated their pain perception at the VAS by marking a vertical line across the 100 mm horizontal line. The distance (mm) between the endpoint "no pain" and the vertical line on the VAS was recorded and analysed.

Secondary Outcome Measures

Full Information

First Posted
December 4, 2019
Last Updated
November 4, 2022
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT04189848
Brief Title
Comparison of Injection Site Pain Experience for Semaglutide and Dulaglutide sc
Official Title
A Trial to Complare the Injection Site Pain Experience of Semaglutide 0.25 mg and Dulaglutide 0.75 mg Administered sc
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
December 3, 2019 (Actual)
Primary Completion Date
January 29, 2020 (Actual)
Study Completion Date
February 27, 2020 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study in healthy men and women looks at the injection site experience of semaglutide and dulaglutide given subcutaneously (s.c., under the skin). Participants will receive 1 dose of semaglutide 0.25 mg and 1 dose of dulaglutide 0.75 mg on the same day. The 2 injections will be given at least 30 minutes apart, one in each side of the stomach. Participants will be in the clinic research center for 1 day. A follow-up phone call will take place between 4 and 5 weeks after the injections were given.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
104 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Semaglutide followed by dulaglutide
Arm Type
Experimental
Arm Description
The 2 treatments will be administered at least 30 minutes apart, one in each side of the stomach
Arm Title
Dulaglutide followed by semaglutide
Arm Type
Experimental
Arm Description
The 2 treatments will be administered at least 30 minutes apart, one in each side of the stomach
Intervention Type
Drug
Intervention Name(s)
Semaglutide
Intervention Description
Subjects will receive 1 dose of semaglutide 0.25 mg and 1 dose of dulaglutide 0.75 mg on the same day.
Intervention Type
Drug
Intervention Name(s)
Dulaglutide
Intervention Description
Subjects will receive 1 dose of semaglutide 0.25 mg and 1 dose of dulaglutide 0.75 mg on the same day.
Primary Outcome Measure Information:
Title
Intensity of Injection Site Pain
Description
The intensity of injection site pain was measured on a visual analogue scale (VAS). The VAS consists of a horizontal 100 millimeters (mm) line where 0 mm corresponded to no pain and 100 mm corresponded to unbearable pain. After each injection, the participants rated their pain perception at the VAS by marking a vertical line across the 100 mm horizontal line. The distance (mm) between the endpoint "no pain" and the vertical line on the VAS was recorded and analysed.
Time Frame
1 minute after each injection (Day 1)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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, aged 18-75 years (both inclusive) at the time of signing informed consent. Body mass index equal to or above 25.0 kg/m^2. Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the Investigator. Exclusion Criteria: Known or suspected hypersensitivity to trial product(s) or related products. Previous participation in trial INS-4603, INS-4582 or NN9535-4648. Participation is defined as having received investigational product. Female who is pregnant, breast-feeding or intends to become pregnant within 4 weeks of Day 1 or is of childbearing potential and not using highly effective contraceptive methods. Participation in a drug study within 60 days prior to drug administration in the current trial OR participation in more than 4 other drug studies in the 12 months prior to drug administration in the current trial. Any disorder which in the Investigator's opinion might jeopardise subject's safety, evaluation of results, or compliance with the protocol. Glycosylated haemoglobin (HbA1c) equal to or above 6.5 % (48 mmol/mol) at screening. Supine blood pressure at screening (after resting for 5 minutes or longer) outside the range of 90-160 mmHg for systolic or 45-89 mmHg for diastolic. Supine pulse rate (as part of vital signs) outside the range of 40-100 beats/min after resting for 5 minutes or longer at screening. Use of prescription medicinal products or non-prescription drugs or herbal products, except routine vitamins, topical medication, contraceptives and occasional use of paracetamol (not allowed within 24 hours prior to drug administration), within 14 days prior to Day 1. Diagnostic test results positive for HIV-1 or HIV-2 infection. Diagnostic test results positive for active hepatitis B or hepatitis C infection. Mental incapacity, language barriers, or unwillingness to comply with the requirements of the protocol, which may preclude adequate understanding or cooperation during the trial as judged by the Investigator. Average intake of more than 21 units of alcohol per week for male subjects and more than 14 units per week for female subjects: 1 unit of alcohol equals approximately 250 mL of beer, 100 mL of wine, or 35 mL of spirits). Positive drug and alcohol screen (opiates, methadone, cocaine, amphetamines [including ecstasy], cannabinoids, barbiturates, benzodiazepines, tricyclic antidepressants, and alcohol) at screening and admission to the clinical research centre. Use of tobacco and nicotine products, defined as any of the below: Smoking more than 1 cigarette or the equivalent per day on average. Not able or willing to refrain from smoking and use of nicotine substitute products during the in-house period. Blood donation, plasma donation, or blood draw In excess of 400 mL within the past 90 days prior to the day of screening In excess of 50 mL within the past 30 days prior to the day of screening Personal or first-degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Subjects with a history of malignant neoplasms within the past 5 years prior to screening will be excluded from the trial. Presence or history of pancreatitis (acute or chronic; as declared by the subject or reported in the medical records). Subject is not able to understand and read English or Dutch, or subject is not able to understand and comply with the trial requirements. Subject depends on the Sponsor, the Investigator, or the study centre, or subject is the Investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff, or relative thereof directly involved in the conduct of the trial. Vulnerable subject (e.g. person kept in detention) who may have an increased likelihood of being wronged or of incurring additional harm.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Reporting Anchor and Disclosure (1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Groningen
ZIP/Postal Code
9728 NZ
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
IPD Sharing URL
http://novonordisk-trials.com
Citations:
PubMed Identifier
33591618
Citation
Snitker S, Andersen A, Berg B, van Marle S, Sparre T. Comparison of the injection-site experience of the starting doses with semaglutide and dulaglutide: A randomized, double-blind trial in healthy subjects. Diabetes Obes Metab. 2021 Jun;23(6):1415-1419. doi: 10.1111/dom.14349. Epub 2021 Mar 18.
Results Reference
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Comparison of Injection Site Pain Experience for Semaglutide and Dulaglutide sc

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