Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes
Diabetes Mellitus, Type 2
About this trial
This is an interventional treatment trial for Diabetes Mellitus, Type 2
Eligibility Criteria
Inclusion Criteria: Male or female. Age ≥18 and <60 years at the time of signing the informed consent. Diagnosed with type 2 diabetes mellitus within 24 months from the day of screening. HbA1c of 7.0-10.0% (53-86 millimoles per mole [mmol/mol]) Body mass index ≥25.0 kilogram per square meter (kg/m^2) Exclusion Criteria: Treatment with any medication for the indication of diabetes. Prior insulin treatment for gestational diabetes is allowed. Treatment with any medication for the indication of weight management 90 days prior to screening. Renal impairment measured as estimated glomerular filtration rate (eGFR) <60 milliliters per minute per 1.73 meter sqaure (mL/min/1.73 m^2) at screening. Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. C-peptide <1.5 nanograms per milliliter (ng/mL) at screening. Positive insulinoma associated-protein 2 (IA-2) antibodies ≥7.5 Units/mL or anti-glutamic acid decarboxylase (anti-GAD) antibodies greater than (>) 5.0 international units per milliliter (IU/mL). Impaired liver function, defined as Alanine aminotransferase (ALT) ≥2.5 times or Bilirubin >1.5 times upper normal limit at screening. History of major surgical procedures involving the stomach potentially affecting absorption of trial products (example subtotal or total gastrectomy, sleeve gastrectomy, gastric bypass surgery) or current presence of gastrointestinal implant. Presence of clinically significant gastrointestinal disorders affecting absorption of drugs and/or nutrients, as judged by the investigator. Any contraindications for empagliflozin or metformin according to local labelling at the investigator's discretion
Sites / Locations
- Novo Nordisk Investigational Site
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Semaglutide 25 mg
Semaglutide 50 mg
Empagliflozin 25 mg
Metformin 2000 mg
Participants will receive 25 mg oral semaglutide once daily in maintenance period after dose escalation period.
Participants will receive 50 mg oral semaglutide once daily in maintenance period after dose escalation period.
Participants will 25 mg empagliflozin oral once daily in maintenance period after dose escalation period.
Participants will receive metformin 1000 mg orally twice daily (total 2000 mg) in maintenance period after dose escalation period.