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Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes

Primary Purpose

Diabetes Mellitus, Type 2

Status
Not yet recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Semaglutide
Empagliflozin
Metformin
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

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
  • Novo Nordisk Investigational Site
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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Semaglutide 25 mg

Semaglutide 50 mg

Empagliflozin 25 mg

Metformin 2000 mg

Arm Description

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.

Outcomes

Primary Outcome Measures

Change in glycated haemoglobin (HbA1c)
Measured in Percentage (%)-points.

Secondary Outcome Measures

Change in body weight
Measured in kilograms (kg).
Change in fasting plasma glucose (FPG)
Measured in millimoles per liter (mmol/L).
Change in 7 point self measured plasma glucose (SMPG) mean profile
Measured in mmol/L.
Change in 7-point self-measured plasma glucose (SMPG) mean post prandial increments
Measured in mmol/L.
Relative change in body weight
Measured in Percentage (%).
Change in waist circumference
Measured in centimeters (cm).
HbA1c less than or equal to (≤) 6.5% (Yes/No)
Measured as count of participants.
HbA1c less than (<) 7% (Yes/No)
Measured as count of participants.
Body weight reduction greater than equal to ( ≥) 5% (Yes/No)
Measured as count of participants.
Body weight reduction ≥10% (Yes/No)
Measured as count of participants.
Body weight reduction ≥15% (Yes/No)
Measured as count of participants.
HbA1c <7.0% and body weight reduction ≥5% (Yes/No)
Measured as count of participants.
Change in systolic blood pressure
Measured in millimeters of mercury (mmHg).
Change in diastolic blood pressure
Measured in mmHg.
Change in High-sensitivity C-reactive protein (hsCRP)
Measured in milligrams per liter (mg/L).
Time to rescue medication
Measured in days.
Change in HbA1c
Measured in %-points.
Change in body weight
Measured in kg.
Change in FPG
Measured in mmol/L.
Change in 7 point SMPG mean profile
Measured in mmol/L.
Change in 7-point SMPG mean post prandial increments
Measured in mmol/L
Relative change in body weight
Measured in Percentage.
Change in waist circumference
Measured in cm.
HbA1c ≤6.5% (Yes/No)
Measured as count of participants.
HbA1c <7.0% (Yes/No)
Measured as count of participants.
Body weight reduction ≥5% (Yes/No)
Measured as count of participants.
Body weight reduction ≥10% (Yes/No)
Measured as count of participants.
Body weight reduction ≥15% (Yes/No)
Measured as count of participants.
HbA1c <7.0% and body weight reduction ≥5% (Yes/No)
Measured as count of participants.
Change in systolic blood pressure
Measured in mmHg.
Change in diastolic blood pressure
Measured in mmHg.
Change in hsCRP
Measured in mg/L.
Treatment emergent adverse events
Measured as count of events.
Number of severe (level 3) or clinically significant (level 2) hypoglycaemic episodes
Measured as count of episodes.
Treatment emergent adverse events
Measured as count of events.
Number of severe (level 3) or clinically significant (level 2) hypoglycaemic episodes
Measured as count of episodes.
Change in Control of Eating Questionnaire (CoEQ) score - Craving Control domain
CoEQ is a 19-item multidimensional patient reported outcome (PRO) that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving control subscale, the subscale score is reversed so that a higher score represents a greater level of craving control.
Change in CoEQ score - Craving for Savory domain
CoEQ is a 19-item multidimensional PRO that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving savoury food subscale, higher score represents a greater level of craving.
Change in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQOL-Lite-CT) score - Physical function domain
IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Composite scores (score range): Physical composite (0-100), Psychosocial composite (0 100), Physical Function composite (0-100). Total score range (0-100).
Change in American Heart Association (AHA) Life's Simple 7 summary score
The AHA recommends focusing on 7 cardiovascular health factors (smoking, BMI, physical activity, diet, total cholesterol, blood pressure, and fasting blood glucose) for early or primary prevention of cardiovascular disease. The 7 health factors are each categorized as ideal, intermediate, or poor. Scales range from 0 (minimum) to 14 (maximum). Higher score represents a greater level of health.
Change in CoEQ score - Craving Control domain
CoEQ is a 19-item multidimensional PRO that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving control subscale, the subscale score is reversed so that a higher score represents a greater level of craving control.
Change in CoEQ score - Craving for Savory domain
CoEQ is a 19-item multidimensional PRO that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving savoury food subscale, higher score represents a greater level of craving.
Change in IWQOL-Lite-CT score - Physical function domain
IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Composite scores (score range): Physical composite (0-100), Psychosocial composite (0 100), Physical Function composite (0-100). Total score range (0-100).
Change in AHA Life's Simple 7 summary score
The AHA recommends focusing on 7 cardiovascular health factors (smoking, BMI, physical activity, diet, total cholesterol, blood pressure, and fasting blood glucose) for early or primary prevention of cardiovascular disease. The 7 health factors are each categorized as ideal, intermediate, or poor. Scales range from 0 (minimum) to 14 (maximum). Higher score represents a greater level of health.

Full Information

First Posted
October 9, 2023
Last Updated
October 9, 2023
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT06083675
Brief Title
Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes
Official Title
Efficacy and Safety of First Line Use of Oral Semaglutide 25 mg or 50 mg Once Daily Versus Empagliflozin 25 mg or Versus Metformin 2000 mg in Newly Diagnosed Treatment naïve Patients With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
January 26, 2024 (Anticipated)
Primary Completion Date
January 24, 2025 (Anticipated)
Study Completion Date
May 28, 2027 (Anticipated)

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

5. Study Description

Brief Summary
This study compares the medicines semaglutide with empagliflozin or metformin in people with newly diagnosed type 2 diabetes. This study will look mainly at how well participant's blood sugar and body weight are controlled when they are taking the study medicines. Participants will either get semaglutide tablets, empagliflozin tablets or metformin tablets. Which treatment participants will get is decided by chance. Currently, doses of 3 milligram (mg), 7 mg and 14 mg semaglutide tablets (Rybelsus) can be prescribed in some countries. 25 mg and 50 mg semaglutide tablets are new doses. 10 mg and 25 mg empagliflozin tablets (Jardiance) can be prescribed in some countries. 500 mg metformin tablets (STADA) can be prescribed in some countries. Participants will get 1 to 4 tablets per day for 104 weeks. The study will last for about 2 years and 7 weeks (111 weeks). Participants should not have been treated for weight management 90 days before screening or never been treated with any medicine for type 2 diabetes (except diabetes during pregnancy) before screening. Women cannot take part if pregnant, breast-feeding or plan to get pregnant during the study period.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
912 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Semaglutide 25 mg
Arm Type
Experimental
Arm Description
Participants will receive 25 mg oral semaglutide once daily in maintenance period after dose escalation period.
Arm Title
Semaglutide 50 mg
Arm Type
Experimental
Arm Description
Participants will receive 50 mg oral semaglutide once daily in maintenance period after dose escalation period.
Arm Title
Empagliflozin 25 mg
Arm Type
Experimental
Arm Description
Participants will 25 mg empagliflozin oral once daily in maintenance period after dose escalation period.
Arm Title
Metformin 2000 mg
Arm Type
Experimental
Arm Description
Participants will receive metformin 1000 mg orally twice daily (total 2000 mg) in maintenance period after dose escalation period.
Intervention Type
Drug
Intervention Name(s)
Semaglutide
Intervention Description
Administered as oral tablets.
Intervention Type
Drug
Intervention Name(s)
Empagliflozin
Intervention Description
Administered as oral tablets.
Intervention Type
Drug
Intervention Name(s)
Metformin
Intervention Description
Administered as oral tablets.
Primary Outcome Measure Information:
Title
Change in glycated haemoglobin (HbA1c)
Description
Measured in Percentage (%)-points.
Time Frame
From randomisation (week 0) to week 52
Secondary Outcome Measure Information:
Title
Change in body weight
Description
Measured in kilograms (kg).
Time Frame
From randomisation (week 0) to week 52
Title
Change in fasting plasma glucose (FPG)
Description
Measured in millimoles per liter (mmol/L).
Time Frame
From randomisation (week 0) to week 52
Title
Change in 7 point self measured plasma glucose (SMPG) mean profile
Description
Measured in mmol/L.
Time Frame
From randomisation (week 0) to week 52
Title
Change in 7-point self-measured plasma glucose (SMPG) mean post prandial increments
Description
Measured in mmol/L.
Time Frame
From randomisation (week 0) to week 52
Title
Relative change in body weight
Description
Measured in Percentage (%).
Time Frame
From randomisation (week 0) to week 52
Title
Change in waist circumference
Description
Measured in centimeters (cm).
Time Frame
From randomisation (week 0) to week 52
Title
HbA1c less than or equal to (≤) 6.5% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 52
Title
HbA1c less than (<) 7% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 52
Title
Body weight reduction greater than equal to ( ≥) 5% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 52
Title
Body weight reduction ≥10% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 52
Title
Body weight reduction ≥15% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 52
Title
HbA1c <7.0% and body weight reduction ≥5% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 52
Title
Change in systolic blood pressure
Description
Measured in millimeters of mercury (mmHg).
Time Frame
From randomisation (week 0) to week 52
Title
Change in diastolic blood pressure
Description
Measured in mmHg.
Time Frame
From randomisation (week 0) to week 52
Title
Change in High-sensitivity C-reactive protein (hsCRP)
Description
Measured in milligrams per liter (mg/L).
Time Frame
From randomisation (week 0) to week 52
Title
Time to rescue medication
Description
Measured in days.
Time Frame
From randomisation (week 0) to week 104
Title
Change in HbA1c
Description
Measured in %-points.
Time Frame
From randomisation (week 0) to week 104
Title
Change in body weight
Description
Measured in kg.
Time Frame
From randomisation (week 0) to week 104
Title
Change in FPG
Description
Measured in mmol/L.
Time Frame
From randomisation (week 0) to week 104
Title
Change in 7 point SMPG mean profile
Description
Measured in mmol/L.
Time Frame
From randomisation (week 0) to week 104
Title
Change in 7-point SMPG mean post prandial increments
Description
Measured in mmol/L
Time Frame
From randomisation (week 0) to week 104
Title
Relative change in body weight
Description
Measured in Percentage.
Time Frame
From randomisation (week 0) to week 104
Title
Change in waist circumference
Description
Measured in cm.
Time Frame
From randomisation (week 0) to week 104
Title
HbA1c ≤6.5% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 104
Title
HbA1c <7.0% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 104
Title
Body weight reduction ≥5% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 104
Title
Body weight reduction ≥10% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 104
Title
Body weight reduction ≥15% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 104
Title
HbA1c <7.0% and body weight reduction ≥5% (Yes/No)
Description
Measured as count of participants.
Time Frame
At week 104
Title
Change in systolic blood pressure
Description
Measured in mmHg.
Time Frame
From randomisation (week 0) to week 104
Title
Change in diastolic blood pressure
Description
Measured in mmHg.
Time Frame
From randomisation (week 0) to week 104
Title
Change in hsCRP
Description
Measured in mg/L.
Time Frame
From randomisation (week 0) to week 104
Title
Treatment emergent adverse events
Description
Measured as count of events.
Time Frame
From randomisation (week 0) to week 52
Title
Number of severe (level 3) or clinically significant (level 2) hypoglycaemic episodes
Description
Measured as count of episodes.
Time Frame
From randomisation (week 0) to week 52
Title
Treatment emergent adverse events
Description
Measured as count of events.
Time Frame
From randomisation (week 0) to follow-up visit (week 109)
Title
Number of severe (level 3) or clinically significant (level 2) hypoglycaemic episodes
Description
Measured as count of episodes.
Time Frame
From randomisation (week 0) to follow-up visit (week 109)
Title
Change in Control of Eating Questionnaire (CoEQ) score - Craving Control domain
Description
CoEQ is a 19-item multidimensional patient reported outcome (PRO) that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving control subscale, the subscale score is reversed so that a higher score represents a greater level of craving control.
Time Frame
From randomisation (week 0) to week 52
Title
Change in CoEQ score - Craving for Savory domain
Description
CoEQ is a 19-item multidimensional PRO that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving savoury food subscale, higher score represents a greater level of craving.
Time Frame
From randomisation (week 0) to week 52
Title
Change in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQOL-Lite-CT) score - Physical function domain
Description
IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Composite scores (score range): Physical composite (0-100), Psychosocial composite (0 100), Physical Function composite (0-100). Total score range (0-100).
Time Frame
From randomisation (week 0) to week 52
Title
Change in American Heart Association (AHA) Life's Simple 7 summary score
Description
The AHA recommends focusing on 7 cardiovascular health factors (smoking, BMI, physical activity, diet, total cholesterol, blood pressure, and fasting blood glucose) for early or primary prevention of cardiovascular disease. The 7 health factors are each categorized as ideal, intermediate, or poor. Scales range from 0 (minimum) to 14 (maximum). Higher score represents a greater level of health.
Time Frame
From randomisation (week 0) to week 52
Title
Change in CoEQ score - Craving Control domain
Description
CoEQ is a 19-item multidimensional PRO that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving control subscale, the subscale score is reversed so that a higher score represents a greater level of craving control.
Time Frame
From randomisation (week 0) to week 104
Title
Change in CoEQ score - Craving for Savory domain
Description
CoEQ is a 19-item multidimensional PRO that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). For the craving savoury food subscale, higher score represents a greater level of craving.
Time Frame
From randomisation (week 0) to week 104
Title
Change in IWQOL-Lite-CT score - Physical function domain
Description
IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Composite scores (score range): Physical composite (0-100), Psychosocial composite (0 100), Physical Function composite (0-100). Total score range (0-100).
Time Frame
From randomisation (week 0) to week 104
Title
Change in AHA Life's Simple 7 summary score
Description
The AHA recommends focusing on 7 cardiovascular health factors (smoking, BMI, physical activity, diet, total cholesterol, blood pressure, and fasting blood glucose) for early or primary prevention of cardiovascular disease. The 7 health factors are each categorized as ideal, intermediate, or poor. Scales range from 0 (minimum) to 14 (maximum). Higher score represents a greater level of health.
Time Frame
From randomisation (week 0) to week 104

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Novo Nordisk
Phone
(+1) 866-867-7178
Email
clinicaltrials@novonordisk.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Transparency (dept. 2834)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Toluca Lake
State/Province
California
ZIP/Postal Code
91602
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27408
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Maumee
State/Province
Ohio
ZIP/Postal Code
43537
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77061
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Waco
State/Province
Texas
ZIP/Postal Code
76708
Country
United States
Facility Name
Novo Nordisk Investigational Site
City
Goiânia
State/Province
Goias
ZIP/Postal Code
74935-330
Country
Brazil
Facility Name
Novo Nordisk Investigational Site
City
Porto Alegre
State/Province
Rio Grande Do Sul
ZIP/Postal Code
90430-001
Country
Brazil
Facility Name
Novo Nordisk Investigational Site
City
São Paulo
State/Province
Sao Paulo
ZIP/Postal Code
01228-000
Country
Brazil
Facility Name
Novo Nordisk Investigational Site
City
São Paulo
State/Province
Sao Paulo
ZIP/Postal Code
01228-200
Country
Brazil
Facility Name
Novo Nordisk Investigational Site
City
Kyustendil
ZIP/Postal Code
2500
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Plovdiv
ZIP/Postal Code
4018
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Samokov
ZIP/Postal Code
1000
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Stara Zagora
ZIP/Postal Code
6000
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Velingrad
ZIP/Postal Code
4600
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Vratsa
ZIP/Postal Code
3000
Country
Bulgaria
Facility Name
Novo Nordisk Investigational Site
City
Osijek
State/Province
Osječko - Baranjska Županija
ZIP/Postal Code
31000
Country
Croatia
Facility Name
Novo Nordisk Investigational Site
City
Karlovac
ZIP/Postal Code
47000
Country
Croatia
Facility Name
Novo Nordisk Investigational Site
City
Krapinske Toplice
ZIP/Postal Code
49217
Country
Croatia
Facility Name
Novo Nordisk Investigational Site
City
Pula
ZIP/Postal Code
52100
Country
Croatia
Facility Name
Novo Nordisk Investigational Site
City
Rijeka
ZIP/Postal Code
51000
Country
Croatia
Facility Name
Novo Nordisk Investigational Site
City
Athens
ZIP/Postal Code
115 25
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Athens
ZIP/Postal Code
GR-11527
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Athens
ZIP/Postal Code
GR-15125
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Athens
ZIP/Postal Code
GR-17562
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Haidari-Athens
ZIP/Postal Code
GR-12462
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Ioannina
ZIP/Postal Code
45500
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Thessaloniki
ZIP/Postal Code
GR-54635
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Thessaloniki
ZIP/Postal Code
GR-54643
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Thessaloniki
ZIP/Postal Code
GR-57001
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Thessaloniki
ZIP/Postal Code
GR-57010
Country
Greece
Facility Name
Novo Nordisk Investigational Site
City
Szeged
State/Province
Csongrád-Csanád
ZIP/Postal Code
H-6725
Country
Hungary
Facility Name
Novo Nordisk Investigational Site
City
Budapest
ZIP/Postal Code
1089
Country
Hungary
Facility Name
Novo Nordisk Investigational Site
City
Budapest
ZIP/Postal Code
1132
Country
Hungary
Facility Name
Novo Nordisk Investigational Site
City
Debrecen
ZIP/Postal Code
4025
Country
Hungary
Facility Name
Novo Nordisk Investigational Site
City
Nyíregyháza
ZIP/Postal Code
4405
Country
Hungary
Facility Name
Novo Nordisk Investigational Site
City
Hyderabad
State/Province
A.p.
ZIP/Postal Code
500 063
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Guntur
State/Province
Andhra Pradesh
ZIP/Postal Code
522001
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Vijaywada
State/Province
Andhra Pradesh
ZIP/Postal Code
520002
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Ahmedabad
State/Province
Gujrat
ZIP/Postal Code
380009
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Vadodara
State/Province
Gujrat
ZIP/Postal Code
390001
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560054
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560092
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Mysuru
State/Province
Karnataka
ZIP/Postal Code
570001
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Indore
State/Province
Madhya Pradesh
ZIP/Postal Code
452010
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Goa
State/Province
Maharashtra
ZIP/Postal Code
403 202
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Kolhapur
State/Province
Maharashtra
ZIP/Postal Code
416008
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400012
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400058
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Thane
State/Province
Maharashtra
ZIP/Postal Code
421004
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Wardha
State/Province
Maharashtra
ZIP/Postal Code
442001
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Delhi
State/Province
New Delhi
ZIP/Postal Code
110002
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Ludhiana
State/Province
Punjab
ZIP/Postal Code
141001
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302006
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Chennai
State/Province
Tamil Nadu
ZIP/Postal Code
600 013
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Hyderabad
State/Province
Telengana
ZIP/Postal Code
500003
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Hyderabad
State/Province
Telengana
ZIP/Postal Code
500082
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226030
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Kolkata,
State/Province
West Bengal
ZIP/Postal Code
700053
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Ahmedabad
ZIP/Postal Code
390013
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Aligarh
ZIP/Postal Code
202002
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Bhubaneshwar
ZIP/Postal Code
751007
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Maharashtra
ZIP/Postal Code
441108
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Puducherry
ZIP/Postal Code
605006
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Pune
ZIP/Postal Code
411057
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Warangal
ZIP/Postal Code
506002
Country
India
Facility Name
Novo Nordisk Investigational Site
City
Sarawak
State/Province
Miri
ZIP/Postal Code
98000
Country
Malaysia
Facility Name
Novo Nordisk Investigational Site
City
Bintulu
ZIP/Postal Code
97000
Country
Malaysia
Facility Name
Novo Nordisk Investigational Site
City
Ipoh
ZIP/Postal Code
30450
Country
Malaysia
Facility Name
Novo Nordisk Investigational Site
City
Melaka
ZIP/Postal Code
75400
Country
Malaysia
Facility Name
Novo Nordisk Investigational Site
City
Temerloh,Pahang
ZIP/Postal Code
28000
Country
Malaysia
Facility Name
Novo Nordisk Investigational Site
City
Skierniewice
State/Province
Lodzkie
ZIP/Postal Code
96-100
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Siedlce
State/Province
Masovian
ZIP/Postal Code
08-110
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Bialystok
State/Province
Podlaskie Voivodeship
ZIP/Postal Code
15-879
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Bydgoszcz
ZIP/Postal Code
85-605
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Chorzów
ZIP/Postal Code
41-500
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Grudziadz
ZIP/Postal Code
86-300
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Olsztyn
ZIP/Postal Code
10-117
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Opole
ZIP/Postal Code
45-301
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Poznań
ZIP/Postal Code
61-853
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Wroclaw
ZIP/Postal Code
52-416
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Łódź
ZIP/Postal Code
91-053
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Piotrków Trybunalski
State/Province
Łódzkie
ZIP/Postal Code
97-300
Country
Poland
Facility Name
Novo Nordisk Investigational Site
City
Bucharest
State/Province
Bucurestii
ZIP/Postal Code
020475
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Targu Mures
State/Province
Mures
ZIP/Postal Code
540142
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Tirgu Mures
State/Province
Mures
ZIP/Postal Code
540142
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Braila
ZIP/Postal Code
810197
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Bucharest
ZIP/Postal Code
013764
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Bucuresti
ZIP/Postal Code
050913
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Ploiesti
ZIP/Postal Code
100561
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Satu-Mare
ZIP/Postal Code
440055
Country
Romania
Facility Name
Novo Nordisk Investigational Site
City
Belgrade
State/Province
RS
ZIP/Postal Code
11050
Country
Serbia
Facility Name
Novo Nordisk Investigational Site
City
Kragujevac
State/Province
RS
ZIP/Postal Code
34000
Country
Serbia
Facility Name
Novo Nordisk Investigational Site
City
Nis
State/Province
RS
ZIP/Postal Code
18000
Country
Serbia
Facility Name
Novo Nordisk Investigational Site
City
Bangkok Noi
State/Province
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Novo Nordisk Investigational Site
City
Klong Luang
State/Province
Pathum Thani
ZIP/Postal Code
12120
Country
Thailand
Facility Name
Novo Nordisk Investigational Site
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Facility Name
Novo Nordisk Investigational Site
City
Chiang Mai
ZIP/Postal Code
50200
Country
Thailand
Facility Name
Novo Nordisk Investigational Site
City
Khon Kaen
ZIP/Postal Code
40002
Country
Thailand
Facility Name
Novo Nordisk Investigational Site
City
Songkla
ZIP/Postal Code
90110
Country
Thailand

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

Learn more about this trial

Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes

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