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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1218-1527 | Other Identifier | World Health Organization (WHO) | |
| 2018-002952-34 | Registry Identifier | European Medicines Agency (EudraCT) |
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This study compares 2 medicines for type 2 diabetes: semaglutide (new medicine) and a dummy medicine (placebo). Semaglutide will be tested to see how well it works compared to the dummy medicine. The study will also test if semaglutide is safe in children and teenagers. Participants will either get semaglutide or the dummy medicine - which one is decided by chance. Participants will take 1 tablet of the study medicine every morning on an empty stomach. They have to wait 30 minutes before they eat, drink or take any other medication by mouth. The study will last for about 1 year and 3 months (66 weeks). Participants will have 12 clinic visits and 8 phone calls with the study doctor. At all 12 clinic visits, participants will have blood samples taken. Participants will also be asked some questions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Semaglutide - max. tolerated dose | Experimental | Participants will receive semaglutide tablets once daily in addition to background treatment with metformin or basal insulin or both, in addition to diet and exercise. |
|
| Placebo (semaglutide) | Placebo Comparator | Participants will receive semaglutide placebo tablets once daily in addition to background treatment with metformin or basal insulin or both, in addition to diet and exercise. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral semaglutide | Drug | Oral semaglutide treatment for 52 weeks. All participants will be dose-escalated to an individual maximum tolerated dose. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in glycosylated haemoglobin (HbA1c) | Percentage point | Week 0, week 26 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in fasting plasma glucose (FPG) | mmol/L | Week 0, week 26 |
| Change from baseline in body mass index (BMI) standard deviation score (SDS) | SDS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Reporting Anchor and Disclosure (1452) | Novo Nordisk A/S | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UAB Ped Endo Children's Hosp | Birmingham | Alabama | 35233 | United States | ||
| Children's Hospital Los Angeles - Endocrinology |
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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| Placebo (semaglutide) | Drug | Placebo treatment for 52 weeks. |
|
| Week 0, week 26 |
| Change from baseline in glycosylated haemoglobin (HbA1c) | Percentage point | Week 0, week 52 |
| Change from baseline in FPG | mmol/L | Week 0, week 52 |
| Change from baseline in body weight | kg | Week 0, week 26 |
| Change from baseline in body weight | kg | Week 0, week 52 |
| Relative change from baseline in body weight | Percentage | Week 0, week 26 |
| Relative change from baseline in body weight | Percentage | Week 0, week 52 |
| Change from baseline in waist circumference | cm | Week 0, week 26 |
| Change from baseline in waist circumference | cm | Week 0, week 52 |
| Change from baseline in BMI SDS | SDS | Week 0, week 52 |
| BMI percentile (age and gender adjusted) | Percent | Week 0, week 26 |
| BMI percentile (age and gender adjusted) | Percent | Week 0, week 52 |
| Change from baseline in systolic blood pressure | mmHg | Week 0, week 26 |
| Change from baseline in systolic blood pressure | mmHg | Week 0, week 52 |
| Change from baseline in diastolic blood pressure | mmHg | Week 0, week 26 |
| Change from baseline in diastolic blood pressure | mmHg | Week 0, week 52 |
| HbA1c below 7.0% (53 mmol/mol) (yes/no), American Diabetes Association (ADA) target and International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines from 2018 | Count of participants | At week 26 |
| HbA1c equal to or below 6.5% (48 mmol/mol) (yes/no), American Association of Clinical Endocrinologists (AACE) target | Count of participants | At week 26 |
| HbA1c below 7.0% (53 mmol/mol) (yes/no), ADA target and ISPAD guidelines from 2018 | Count of participants | At week 52 |
| HbA1c equal to or below 6.5% (48 mmol/mol) (yes/no), AACE targetat week 26 | Count of participants | At week 52 |
| Time to additional anti-diabetic medication (to support the treatment policy estimand) | Days | Week 0 - week 52 |
| Time to rescue medication (to support the hypothetical estimand) | Days | Week 0 - week 52 |
| Number of treatment-emergent adverse events (TEAEs) during exposure to trial product | Count of events | Week 0 - week 57 |
| Number of treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemic episodes | Count of episodes | From randomisation (week 0) to week 26 |
| Number of treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemic episodes during exposure to trial product | Count of episodes | Week 0 - week 57 |
| Treatment emergent severe or blood glucose confirmed symptomatic hypoglycaemia episode | Count of participants | From randomisation (week 0) to week 26 |
| Treatment-emergent severe or blood glucose confirmed symptomatic hypoglycaemia episode during exposure to trial product | Count of participants | Week 0 - week 57 |
| Change from baseline in amylase | U/L | Week 0, week 26 |
| Change from baseline in amylase | U/L | Week 0, week 52 |
| Change from baseline in lipase | U/L | Week 0, week 26 |
| Change from baseline in lipase | U/L | Week 0, week 52 |
| Change from baseline in insulin-like growth factor 1 (IGF-1) | ng/mL | Week 0, week 26 |
| Change from baseline in insulin-like growth factor 1 (IGF-1) | ng/mL | Week 0, week 52 |
| Change from baseline in insulin-like growth factor binding protein 3 (IGFBP 3) | ng/mL | Week 0, week 26 |
| Change from baseline in insulin-like growth factor binding protein 3 (IGFBP 3) | ng/mL | Week 0, week 52 |
| Change from baseline in calcitonin | pmol/L | Week 0, week 26 |
| Change from baseline in calcitonin | pmol/L | Week 0, week 52 |
| Change from baseline in estradiol (for girls) | pmol/L | Week 0, week 26 |
| Change from baseline in estradiol (for girls) | pmol/L | Week 0, week 52 |
| Change from baseline in testosterone (for boys) | nmol/L | Week 0, week 26 |
| Change from baseline in testosterone (for boys) | nmol/L | Week 0, week 52 |
| Change from baseline in prolactin | mIU/L | Week 0, week 26 |
| Change from baseline in prolactin | mIU/L | Week 0, week 52 |
| Change from baseline in thyroid stimulating hormone (TSH/thyrotropin) | mIU/L | Week 0, week 26 |
| Change from baseline in thyroid stimulating hormone (TSH/thyrotropin) | mIU/L | Week 0, week 52 |
| Change from baseline in follicle stimulating hormone (FSH) | mIU/mL | Week 0, week 26 |
| Change from baseline in follicle stimulating hormone (FSH) | mIU/mL | Week 0, week 52 |
| Change from baseline in luteinizing hormone (LH) | mIU/mL | Week 0, week 26 |
| Change from baseline in luteinizing hormone (LH) | mIU/mL | Week 0, week 52 |
| Change from baseline in dehydroepiandrosterone sulfate (DHEAS) | μmol/L | Week 0, week 26 |
| Change from baseline in dehydroepiandrosterone sulfate (DHEAS) | μmol/L | Week 0, week 52 |
| Anti-semaglutide antibody status | Count of participants | Week 0 - week 57 |
| Anti-semaglutide antibody titer | Count of participants | Up to 57 weeks |
| Anti-semaglutide antibodies with in vitro neutralising effect to semaglutide | Count of participants | Week 0 to week 57 |
| Anti-semaglutide antibodies cross reacting with endogenous GLP-1 | Count of participants | Week 0 to week 57 |
| Cross reacting antibodies with in vitro neutralising effect to endogenous GLP-1 | Count of participants | Week 0 to week 57 |
| Height velocity | cm/year | At week 26 |
| Height velocity | cm/year | At week 52 |
| Change from baseline in height SDS | SDS | Week 0, week 26 |
| Change from baseline in bone age assessment, X-ray | Years | Week 0, week 52 |
| Change from baseline in pubertal assessment (Tanner staging) | Stage 1-5 where 5 is full sexual maturity | Week 0, week 26 |
| Change from baseline in pubertal assessment (Tanner staging) | Stage 1-5 where 5 is full sexual maturity | Week 0, week 52 |
| Change from baseline in pulse rate | Beats/minute | Week 0, week 26 |
| Change from baseline in pulse rate | Beats/minute | Week 0, week 52 |
| Change from pre-dose to post-dose (25 and 40 min) in lactate | mmol/L | At week 12 |
| Change from pre-dose to post-dose (25 and 40 min) in lactate | mmol/L | At week 26 |
| Apparent clearance (CL/F) | L/h | Week 0 - week 52 |
| Average concentration (Cavg) | nmol/L | Week 0 - week 52 |
| SNAC plasma concentrations | ng/mL | Week 0 - week 52 |
| Los Angeles |
| California |
| 90027 |
| United States |
| Yale School Of Medicine | New Haven | Connecticut | 06520 | United States |
| Nemours Chld Clnc Jacksonville | Jacksonville | Florida | 32207 | United States |
| Nemours Children's Health | Pensacola | Florida | 32514 | United States |
| University of South Florida Diabetes Center | Tampa | Florida | 33612 | United States |
| Children's Healthcare Atlanta | Atlanta | Georgia | 30329 | United States |
| Columbus Research Foundation | Columbus | Georgia | 31904 | United States |
| Indiana Uni School of Med-Ped | Indianapolis | Indiana | 46202 | United States |
| University Of Louisville Research Foundation | Louisville | Kentucky | 40202 | United States |
| Pennington Biomed Res Ctr | Baton Rouge | Louisiana | 70808-4124 | United States |
| Barry J. Reiner, MD LLC | Baltimore | Maryland | 21229 | United States |
| University of Mississippi Medical Center | Jackson | Mississippi | 39216 | United States |
| UBMD Peds-Div of Endo/Diabetes | Buffalo | New York | 14203 | United States |
| UPMC Child Hosp-Pittsburgh | Pittsburgh | Pennsylvania | 15224 | United States |
| Monument Health Clinical Rsrch | Rapid City | South Dakota | 57701 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| Texas Tech University HSC | Amarillo | Texas | 79106 | United States |
| Univ Of Texas Hlth Science Cntr | San Antonio | Texas | 78207 | United States |
| NE Clin Res of San Antonio | San Antonio | Texas | 78233 | United States |
| Pediatric Endo UVHS | Charlottesville | Virginia | 22908 | United States |
| Virginia Commonwealth University_Richmond | Richmond | Virginia | 23298 | United States |
| Virginia Commonwealth Univ | Richmond | Virginia | 23298 | United States |
| Gosford Hospital | Gosford | New South Wales | 2250 | Australia |
| Westmead Children's Hospital- The Clinical Research Centre | Westmead | New South Wales | 2145 | Australia |
| Women's & Children's Hospital | North Adelaide | South Australia | 5006 | Australia |
| Monash Children's Hospital | Clayton | Victoria | 3168 | Australia |
| Murdoch Children's Research Institute | Parkville | Victoria | 3052 | Australia |
| Perth Children's Hospital | Nedlands | Western Australia | 6009 | Australia |
| Universitätsklinik für Kinder und Jugendheilkunde Haus E | Salzburg | 5020 | Austria |
| UZ Brussel | Brussels | 1090 | Belgium |
| Cliniques Universitaires Saint-Luc - Serv. Pédiatrie | Brussels | 1200 | Belgium |
| CHU - UCL Namur - Site Sainte Elisabeth_Namur_1 | Namur | 5000 | Belgium |
| Fakultní Nemocnice Ostrava | Ostrava-Poruba | 708 00 | Czechia |
| Masarykova nemocnice v Usti nad Labem, o.z. - Detska klinika | Ústí nad Labem | 40011 | Czechia |
| University Hospital of Athens ATTIKON | Athens | Attica | 12462 | Greece |
| University Hospital of Athens ATTIKON | Haidari-Athens | Attica | GR-12462 | Greece |
| Henry Dunant Hospital Center,2nd Internal Medicine Clinic | Athens | 11526 | Greece |
| U.G.H. "Attikon", Pediatric Endocrinology Outpatient Clinic | Athens | 12462 | Greece |
| Athens Paediatric Center | Athens | 15125 | Greece |
| Iatriko Athinon (Athens Medical Canter) | Athens | 15125 | Greece |
| Henry Dunant Hospital Center,2nd Internal Medicine Clinic | Athens | GR-11526 | Greece |
| University General Hospital of Ioannina, Endocrinology | Ioannina | 45500 | Greece |
| General Hospital of Lamia | Lamia | 35100 | Greece |
| General Hospital of Lamia | Lamia | GR35100 | Greece |
| Univ Gen Hospital Larisa | Larissa | 41110 | Greece |
| Univ Gen Hospital Larisa, Endocrinology & Metabolic Disease | Larissa | GR-41110 | Greece |
| Pentelis Children's Hospital - Pediatric Clinic | Penteli, Athens | 15236 | Greece |
| "AHEPA" University General Hospital of Thessaloniki | Thessaloniki | 54636 | Greece |
| EUROMEDICA Gen Clinic The/ki, Endocrin,Metabolism,Diabetes | Thessaloniki | 54645 | Greece |
| Endolife Specialty Hospitals | Guntur | Andhra Pradesh | 522001 | India |
| Excel Endocrine Centre | Kolhāpur | Maharashtra | 416008 | India |
| P D Hinduja National Hospital and Medical Research Centre | Mumbai | Maharashtra | 400016 | India |
| All India Institute of Medical Sciences | New Dehli | New Delhi | 110029 | India |
| Eternal Heart Care Centre | Jaipur | Rajasthan | 302017 | India |
| Ramdev Rao Hospital | Hyderabad | Telangana | 500072 | India |
| Dr P V Rao - Diabetes Research Centre | Hyderabad | Telangana | 50082 | India |
| SSKM | Kolkata | West Bengal | 700020 | India |
| Jothydev's Diabetes & Research Center | Thriruvananthapuram | 695 032 | India |
| Soroka MC - Pediatric Endocrinology | Beersheba | 84101 | Israel |
| Rambam MC - Department of Pediatrics A | Haifa | 31096 | Israel |
| Chronic Care Center | Hazmiyeh | 21211 | Lebanon |
| University Malaya Medical Centre | Kuala Lumpur | Kuala Lumpur | 59100 | Malaysia |
| University Malaya Medical Centre | Lembah Pantai | Kuala Lumpur | 59100 | Malaysia |
| University Malaya Medical Centre | Kuala Lumpur | 59100 | Malaysia |
| Hospital Putrajaya | Putrajaya | 62250 | Malaysia |
| Consultorio de Endocrinología y Pediatría | Puebla City | 72190 | Mexico |
| Hôpital d'Enfants | Rabat | 10000 | Morocco |
| Jeroen Bosch Zkh | 's-Hertogenbosch | 5223 GZ | Netherlands |
| De Kinderkliniek | Almere Stad | 1315 RC | Netherlands |
| Liggins Institute | Grafton | 1023 | New Zealand |
| PHI University Clinic for Children's Diseases-Skopje | Skopje | 1000 | North Macedonia |
| Hospital da Luz Lisboa, S.A. | Lisbon | 1500-650 | Portugal |
| Unidade Local De Saúde De Santa Maria E.P.E. | Lisbon | 1649-035 | Portugal |
| Centro Hospitalar de Vila Nova de Gaia | Vila Nova de Gaia | 4400-129 | Portugal |
| Ponce Med School Found Inc | Ponce | 00716 | Puerto Rico |
| Spitalul Judetean de Urgenta Targoviste | Targoviste | Dâmbovița County | 130083 | Romania |
| Diabet Center SRL | Brasov | 500260 | Romania |
| Spitalul Clinic de Urgenta pentru Copii "M.S.Curie" | Bucharest | 041451 | Romania |
| Emergency County Hospital Constanta | Constanța | 900591 | Romania |
| Republic Children's Hospital of Ministry of Health of Udmurt | Izhevsk | 426009 | Russia |
| RMAPE | Moscow | 125373 | Russia |
| NSMU paediatric clinic | Novosibirsk | 630048 | Russia |
| GFHI Omsk Region "Regional Children's Clinical Hospital" | Omsk | 644001 | Russia |
| SPSBHI City Children out-patient clinic #44 | Saint Petersburg | 191144 | Russia |
| Siberian State Medical University | Tomsk | 634050 | Russia |
| SAHI Sverdlovsk Reg "Regional Children's Clinical Hospital" | Yekaterinburg | 620149 | Russia |
| Taipei Mackay Memorial Hospital | Taipei | 104 | Taiwan |
| Chang Gung Memorial Hospital Linkou-Dept of Pediatrics | Taoyuan | 333 | Taiwan |
| City Clinical Hospital #9 (Dnipro) - Endocrinology department | Dnipro | 49023 | Ukraine |
| CNPE "City Clinical Hospital #9 Dnipro City Council" | Dnipro | 49023 | Ukraine |
| Kharkiv Regional Children's Clinical Hospital - Endocrinological department | Kharkiv | 61093 | Ukraine |
| Ukrainian scientific and practical center of endocrine surgery of MOH - department of paediatric endocrinology | Kiev | 01021 | Ukraine |
| "Verum clinic" LLC | Kyiv | 03039 | Ukraine |
| Komisarenko Institute of Endocrinology and Metabolism of NAMSU - Department of paediatric endocrine pathology | Kyiv | 04114 | Ukraine |
| Vinnytsia Regional Clinical Endocrinological Centre - Therapeutic department #2 | Vinnytsia | 21010 | Ukraine |
| Birmingham Children's Hospital | Birmingham | B4 6NH | United Kingdom |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 29, 2026 | May 21, 2026 | 83 | ||
| Jun 15, 2026 |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C000591245 | semaglutide |
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