Effect of Semaglutide 2.4 mg Once-weekly on Function and Symptoms in Subjects With Obesity-related Heart Failure With Preserved Ejection Fraction, and Type 2 Diabetes

ClinicalTrials.gov processed this data on October 8, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

COMPLETED (See Contacts and Locations)
Verified October 2024 by Novo Nordisk A/S

Sponsor

Novo Nordisk A/S

Information Provided by (Responsible Party)

Novo Nordisk A/S

Clinicaltrials.gov Identifier

NCT04916470
Other Study ID Numbers: EX9536-4773
First Submitted: June 1, 2021
First Posted: June 7, 2021
Last Update Posted: October 9, 2024
Last Verified: October 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Heart Failure With Preserved Ejection Fraction (HFpEF) and Diabetes Mellitus, Type 2
  • Drug: Semaglutide
  • Drug: Placebo (Semaglutide)

Study Design

Study TypeInterventional
Actual Enrollment617 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingQuadruple
Primary PurposeTreatment
Official TitleEffect of Semaglutide 2.4 mg Once-weekly on Function and Symptoms in Subjects With Obesity-related Heart Failure With Preserved Ejection Fraction, and Type 2 Diabetes
Study Start DateJune 15, 2021
Actual Primary Completion DateOctober 11, 2023
Actual Study Completion DateOctober 11, 2023

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • Semaglutide 2.4 mg once weekly (OW)
    • Participants will receive semaglutide injections for 52 weeks.
  • Drug: Semaglutide
    • Participants will receive semaglutide subcutaneous (s.c.; under the skin) injection(s) once-weekly for 52 weeks. Dose will be gradually increased to 2.4 mg: 0.25 mg from week 1 to 4, 0.5 mg from week 5 to 8, 1.0 mg from week 9 to 12, 1.7 mg from week 13 to 16 and 2.4 mg from week 17 to week 52.
  • Semaglutide placebo OW
    • Participants will receive semaglutide placebo injections for 52 weeks.
  • Drug: Placebo (Semaglutide)

    Outcome Measures

    Primary Outcome Measures

    1. Change in KCCQ (Kansas City Cardiomyopathy Questionnaire) clinical summary score [From baseline (week 0) to end of treatment (week 52)]
      Score on a scale of 0 to 100 where the score 100 means the least burden for the participant.
    2. Change in body weight [From baseline (week 0) to end of treatment (week 52)]
      Percentage (%)

    Secondary Outcome Measures

    1. Change in 6-minute walking distance [From baseline (week 0) to end of treatment (week 52)]
      Measured in metres
    2. Hierarchical composite of time to all-cause death [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group.
    3. Hierarchical composite of number of heart failure events requiring hospitalisation or urgent heart failure visit [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group
    4. Hierarchical composite of time to first heart failure event requiring hospitalisation or urgent heart failure visit [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group.
    5. Hierarchical composite of difference at least 15 inKansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary score change from baseline to 52 weeks [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group.
    6. Hierarchical composite of difference at least 10 in KCCQ clinical summary score change from baseline to 52 weeks [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group.
    7. Hierarchical composite of difference at least 5 in KCCQ clinical summary score change from baseline to 52 weeks [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group.
    8. Hierarchical composite of difference at least 30 metres in six-minute walking distance change from baseline to 52 weeks (assessed by the win ratio) [From baseline (week 0) to end of study (week 57)]
      Measured as total wins for each treatment group.
    9. Change in C-Reactive Protein [From baseline (week -2) to end of treatment (week 52)]
      Presented as ratio to baseline
    10. Participant achieving 10% weight loss or more (Yes/No) [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    11. Participant achieving 15% weight loss or more (Yes/No) [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    12. Participant achieving 20% weight loss or more (Yes/No) [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    13. Participant improving 5 points or more in KCCQ clinical summary score [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    14. Participant improving 10 points or more in KCCQ clinical summary score (Yes/No) [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    15. Change in KCCQ overall summary score [From baseline (week 0) to end of treatment (week 52)]
      Score on a scale of 0 to 100 where the score 100 means the least burden for the participant.
    16. Participant achieving threshold for clinically meaningful within-subject change in KCCQ-CSS [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    17. Participant achieving threshold for clinically meaningful within-subject change in 6MWD [From baseline (week 0) to end of treatment (week 52)]
      Count of participants
    18. Change in waist circumference [From baseline (week 0) to end of treatment (visit 52)]
      Measured in centimetre (cm)
    19. Change in systolic blood pressure [From baseline (week -2) to end of treatment (week 52)]
      Measured in millimetre of mercury (mmHg)
    20. Change in glycated haemoglobin (HbA1c) [From baseline (week 0) to end of treatment (week 52)]
      Measured in percentage (%)-point
    21. Number of treatment emergent severe or clinically significant hypoglycaemia episodes [From baseline (week 0) to end of trial (week 57)]
      Count of events

    Eligibility Criteria

    Ages Eligible for Study 18 Years and Older (Adult, Older Adult)
    Sexes Eligible for Study All
    Accepts Healthy Volunteers No
    Inclusion Criteria
    • Male or female, age above or equal to 18 years at the time of signing informed consent.
    • Body mass index (BMI) greater than or equal to 30.0 kg/m^2
    • New York Heart Association (NYHA) Class II-IV
    • Left ventricular ejection fraction (LVEF) greater than or equal to 45% at screening
    • Diagnosed with T2D greater than or equal to 90 days prior to the day of screening
    • HbA1c of below or equal to 10.0% as measured at the screening visit
    Exclusion Criteria
    • A self-reported change in body weight greater than 5 kg (11 lbs) within 90 days before screening irrespective of medical records
    • Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days prior to 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.

    Contacts and Locations

    Sponsors and Collaborators Novo Nordisk A/S
    Locations
    • Eastern Shore Rsrch Inst, LLC | Fairhope, Alabama, United States, 36532
    • Keck Medical Center of USC - Outpatient Clinic | Los Angeles, California, United States, 90033
    • Baptist Heart Specialists_Jacksonville | Jacksonville, Florida, United States, 32258
    • Northwest Heart Clin. Res. | Arlington Heights, Illinois, United States, 60005
    • Chicago Medical Research LLC | Hazel Crest, Illinois, United States, 60429
    • Ascension St. Vincent Medical Group | Indianapolis, Indiana, United States, 46260
    • Cotton-O'Neil Heart Center | Topeka, Kansas, United States, 66606
    • Baptist Health Woodland | Elizabethtown, Kentucky, United States, 42701
    • Baptist Health Louisville | Louisville, Kentucky, United States, 40207
    • Grace Research, LLC | Bossier City, Louisiana, United States, 71111
    • Grace Research, LLC_Shreveport | Shreveport, Louisiana, United States, 71105
    • John Hopkins Hospital | Baltimore, Maryland, United States, 21287
    • Mayo Clinic | Rochester, Minnesota, United States, 55905
    • Univ of Mississippi Med Ctr | Jackson, Mississippi, United States, 39216
    • Saint Luke's Hospital of Kansas City | Kansas City, Missouri, United States, 64111
    • St Louis Heart & Vascular, P.C. | Saint Louis, Missouri, United States, 63136
    • Bryan Heart | Lincoln, Nebraska, United States, 68506
    • CHI Health Clinic Cardiology (CUMC - Bergan Mercy) | Omaha, Nebraska, United States, 68124
    • Carteret Medical Group | Morehead City, North Carolina, United States, 28557
    • Wake Forest Baptist Health | Winston-Salem, North Carolina, United States, 27157
    • University of Texas Southwestern Medical Center | Dallas, Texas, United States, 75390
    • Virginia Commonwealth University | Richmond, Virginia, United States, 23298-5058
    • Virginia Commonwealth University | Richmond, Virginia, United States, 23298
    • CEMEDIC | Caba, Buenos Aires, Argentina, C1440CFD
    • Instituto de Cardiología de Corrientes | Corrientes, Buenos Aires, Argentina, W3400AMZ
    • Centro de Investigación y Prevención Cardiovascular | Caba, Argentina, C1061AAS.
    • Centro de Investigación y Prevención Cardiovascular | Caba, Argentina, C1119ACN
    • CEMEDIC | Caba, Argentina, C1440CFD
    • Cardiología Palermo | Ciudad Autónoma de Buenos Aire, Argentina, 1425
    • Instituto de Cardiología de Corrientes | Corrientes, Argentina, W3400AMZ
    • Consultorio Integral de Atención al Diabético | Morón, Argentina, B1708IFF
    • Sanatorio Britanico S.A. | Rosario, Santa Fe, Argentina, S2000CVB
    • Krankenhaus St. Josef Braunau | Braunau, Austria, A 5280
    • Medizinische Universität Graz | Graz, Austria, A 8036
    • Fließer-Görzer [Ordination] | Saint Stefan, Austria, 8511
    • Imed 19- privat | Wien, Austria, 1190
    • Universitätsklinik für Innere Medizin II | Wien, Austria, A 1090
    • University of Calgary_Calgary | Calgary, Alberta, Canada, T2N 4Z6
    • Cambridge Cardiac Care Centre | Cambridge, Ontario, Canada, N1R 6V6
    • Partnrs Adv Cardio Eval (PACE) | Newmarket, Ontario, Canada, L3Y 2P6
    • Heart Health Institute Research, Inc. | Scarborough, Ontario, Canada, M1B 4Z8
    • Ctr de Med Metab de Lanaudiere | Terrebonne, Quebec, Canada, J6X 4P7
    • Institut universitaire de cardiologie | Quebec, Canada, G1V 4G5
    • Edumed Broumov | Broumov, Czechia, 550 01
    • Fakultní poliklinika VFN ambulance Srdecniho selhani | Praha 2, Czechia, 120 00
    • IKEM | Praha 4, Czechia, 140 21
    • Poliklinika Holešovice VISIONARY - MEDICON a.s. | Praha 7, Czechia, 170 00
    • Poliklinika Holešovice VISIONARY - Medicon Pharm s.r.o. | Praha 7, Czechia, 170 00
    • Charite Universitatsmedizin Berlin KöR | Berlin, Germany, 13353
    • MVZ "Am Felsenkeller" (Dresden) | Dresden, Germany, 01277
    • Zentrum fuer klinische Studien Suedbrandenburg GmbH | Elsterwerda, Germany, 04910
    • MVZ CCB Frankfurt Und Main-Taunus GbR | Frankfurt, Germany, 60389
    • Medical Center - University Of Freiburg | Freiburg, Germany, 79106
    • University of Leipzig - Kardiologie | Leipzig, Germany, 04103
    • Universitatsklinikum Würzburg - Zentrum für Herzinsuffizienz | Würzburg, Germany, 97078
    • Lausmed Kft. | Baja, Bács-Kiskun Vármegye, Hungary, 6500
    • Selye János Kórház | Komárom, Komárom-Esztergom, Hungary, 2921
    • Szent Margit Rendelőintézet Nonprofit Kft. | Budapest, Hungary, 1032
    • Semmelweis Egyetem Szent Rókus Klinikai Tömb | Budapest, Hungary, 1085
    • Gottsegen György Országos Kardiológiai Intézet | Budapest, Hungary, 1096
    • Semmelweis Egyetem Városmajori Szív- és Érgyógyászat | Budapest, Hungary, 1122
    • Jahn Ferenc Dél-pesti Kórház és Rendelőintézet | Budapest, Hungary, 1204
    • DE KK Kardiológiai és Szívsebészeti klinika | Debrecen, Hungary, 4032
    • Borsod-Abaúj-Zemplén Megyei Központi Kórház | Miskolc, Hungary, 3526
    • Zala Megyei Szent Rafael Kórház | Zalaegerszeg, Hungary, 8900
    • G B Pant Institute of Postgraduate Medical Education and Research | New Delhi, Delhi, India, 110002
    • Max Super Speciality Hospital, Saket | New Delhi, Delhi, India, 110017
    • Lisie Hospital | Kochi, Kerala, India, 682018
    • Vijan Cardiac & Critical Care | Nashik, Maharashtra, India, 422005
    • Vijan Hospital & Research Centre | Nashik, Maharashtra, India, 422005
    • VMMC & Safdarjung Hospital | New Dehli, New Delhi, India, 110029
    • SP Medical College & A.G.Hospital Bikaner | Bikaner, Rajasthan, India, 334003
    • SP Medical College | Bikaner, Rajasthan, India, 334003
    • Apollo Hospitals Education & Research Foundation | Chennai, Tamil Nadu, India, 600006
    • Gandhi Memorial Hospital- King George's Medical University | Lucknow, Uttar Pradesh, India, 226003
    • G B Pant Institute of Postgraduate Medical Education and Res | New Delhi, India, 110002
    • Max Super Speciality Hospital_New Delhi | New Delhi, India, 110017
    • Sir Ganga Ram Hospital | New Delhi, India, 110060
    • Hadassah Ein Kerem MC - Cardio | Jerusalem, Israel, 91120
    • Cardiology department, Western Galilee Medical Center | Nahariya, Israel, 22100
    • Heart Failure Unit, Rabin Medical Center - Beilinson Campus | Petah-Tikva, Israel, 49100
    • Cardio Vascular Research Center Sourasky MC | Tel Aviv, Israel, 6423906
    • Sheba Medica Center - Clinical Research Unit | Tel Hashomer, Israel, 5265601
    • ASST Papa Giovanni XXIII | Bergamo, Bg, Italy, 24127
    • Spedali Civili Brescia | Brescia, Bs, Italy, 25123
    • A.O.U. Ferrara, Sant'Anna | Cona (Ferrara), Fe, Italy, 44124
    • Centro Cardiologico Monzino. Istituto di Ricovero e Cura | Milano, Italy, 20138
    • A.O.U. Policlinico Umberto I | Roma, Italy, 00161
    • Policlinico A. Gemelli IRCCS | Rome, Italy, 00168
    • Hyogo Prefectural HarimaHimeji General Medical Center_Cardiology | Himeji-shi, Hyogo, Japan, 670-8560
    • Kokura Memorial Hospital, Cardiology | Kitakyushu-shi,Fukuoka, Japan, 802-8555
    • Omihachiman Community Medical Center_Omihachiman-shi, Siga | Omihachiman-shi, Siga, Japan, 523-0082
    • Osaka City General Hospital | Osaka, Japan, 534-0021
    • Hanaoka Seishu Memorial Hospital | Sapporo-shi, Hokkaido, Japan, 062-0003
    • Tokyo Shinagawa Hospital Social Medical Corporation Association Tokyokyojuno-kai | Tokyo, Japan, 140-8522
    • Rode Kruis Ziekenhuis Beverwijk | Beverwijk, Netherlands, 1942 LE
    • UMC Groningen | Groningen, Netherlands, 9713 GZ
    • Saxenburgh Medisch Centrum | Hardenberg, Netherlands, 7772 SE
    • Medisch Centrum Leeuwarden | Leeuwarden, Netherlands, 8934 AD
    • Bravis Ziekenhuis | Roosendaal, Netherlands, 4708 AE
    • Uniwersytecki Szpital Kliniczny Im Wojskowej Akademii Medycznej Centralny Szpital Weteranow | Lodz, Lodzkie, Poland, 90-549
    • Malopolskie Centrum Sercowo-Naczyniowe | Chrzanow, Malopolskie, Poland, 32-500
    • Uniwersytecki Szpital Kliniczny w Bialymstoku K. Kardio | Bialystok, Podlaskie, Poland, 15-276
    • Ind. Prak. Lek. w dziedz. Kardiologii lek. med. K. Cymerman | Gdynia, Poland, 81-157
    • I Katedra i Klinika Kardiologii WUM SPCSK | Warsaw, Poland, 02-097
    • Pro Familia Altera Sp. z o.o. | Katowice, Śląskie, Poland, 40-648
    • Complejo Hospitalario Universitario de Santiago | Santiago de Compostela, Spain, 15706
    • Clínica Nuevas Tecnologías en Diabetes y Endocrinología | Sevilla, Spain, 41003
    • Hospital Clínico Universitario de Valencia | Valencia, Spain, 46010
    • Dept of Med Sahlgrenska/Östra | Göteborg, Sweden, 416 50
    • Hjärtmottagningen | Uppsala, Sweden, 751 85
    • Ninewells Hospital | Dundee, United Kingdom, DD1 9SY
    • Glasgow Clinical Research Facility | Glasgow, United Kingdom, G31 2ER
    • Queen Elizabeth University Hospital | Glasgow, United Kingdom, G51 4TF
    • Wycombe General Hospital | High Wycombe, United Kingdom, HP11 2TT
    • University Hospital Aintree | Liverpool, United Kingdom, L9 7AL
    • Manchester Royal Infirmary_Manchester_0 | Manchester, United Kingdom, M13 9WL
    • Great Western Hospital | Swindon, United Kingdom, SN3 6BB
    Investigators