Overview
Sponsor-declared trial summary
Diabetes Mellitus, Type 2
To confirm that oral semaglutide and dapagliflozin steady state pharmacokinetics are not influenced by each other when dosed in a fixed- dose combination compared to when dosed alone in healthy participants.
Key facts
- Sponsor
- Novo Nordisk A/S
- Participant type
- Healthy volunteers
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Trial duration
- 14 Jun 2022 → 13 Apr 2023
- Decision date (initial)
- 2022-06-02
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Novo Nordisk A/S
External identifiers
- EU CT number
- 2022-500007-52-00
- WHO UTN
- U1111-1266-4254
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Bioequivalence, Pharmacokinetic
To confirm that oral semaglutide and dapagliflozin steady state pharmacokinetics are not influenced by each other when dosed in a fixed- dose combination compared to when dosed alone in healthy participants.
Conditions and MedDRA coding
Diabetes Mellitus, Type 2
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10045242 | Type II diabetes mellitus | 10027433 |
Regulatory references
- Scientific advice from competent authorities
- Food And Drug Administration, Pharmaceuticals And Medical Devices Agency, European Medicines Agency, Health Canada
| EU CT number | Title | Sponsor |
|---|---|---|
| 2021-003341-38 | The effect of oral semaglutide 50 mg once-daily on energy intake, gastric emptying, appetite, control of eating and pharmacokinetics in participants with obesity |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 4
- Male or female
- Aged 18-64 years (both inclusive) at the time of signing informed consent
- Body mass index between 20.0 and 29.9 kg/m^2 (both inclusive)
- 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 7
- Participation (i.e., signed informed consent) in any other interventional, clinical study within 30 days (or 5 half-lives of the investigational medicinal product, whichever is longer) before randomisation
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly-effective contraceptive method
- Any disorder which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
- Use of tobacco and nicotine products, defined as any of the below: a) Smoking more than 5 cigarettes or the equivalent per day b) Not willing to refrain from smoking and use of nicotine substitute products during the in-house periods
- Blood donation, plasma donation or blood draw, defined as any of the below: a) In excess of 400 mL within the past 90 days prior to the day of screening b) In excess of 50 mL within the past 30 days prior to the day of screening
- History of major surgical procedures involving the stomach potentially affecting absorption of trial products (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery) or current presence of gastrointestinal implant
- Presence of clinically significant gastrointestinal disorders or symptoms of gastrointestinal disorders potentially affecting absorption of drugs and/or nutrients, as judged by the investigator
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- AUC(0-24h,sema,ss): area under the semaglutide plasma concentration−time curve during a dosing interval (0 to 24 hours) at steady state
- AUC(0-24h,dapa,ss): area under the dapagliflozin plasma concentration−time curve during a dosing interval (0 to 24 hours) at steady state
Secondary endpoints 4
- Cmax,(sema,ss): maximum observed semaglutide plasma concentration during a dosing interval (0 to 24 hours) at steady state
- Cmax,(dapa,ss): maximum observed dapagliflozin plasma concentration during a dosing interval (0 to 24 hours) at steady state
- tmax,(sema,ss): time to maximum observed semaglutide plasma concentration during a dosing interval (0 to 24) at steady state
- tmax,(dapa,ss): time to maximum observed dapagliflozin plasma concentration during a dosing interval (0 to 24 hours) at steady state
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
Semaglutide/dapagliflozin A 1.5/10 mg
PRD9431159 · Product
- Active substance
- Dapagliflozin
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 11.5 mg milligram(s)
- Max total dose
- 80.5 mg milligram(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Semaglutide/dapagliflozin A 4/10 mg
PRD9431160 · Product
- Active substance
- Dapagliflozin
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 14 mg milligram(s)
- Max total dose
- 98 mg milligram(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Semaglutide/dapagliflozin A 9/10 mg
PRD9431161 · Product
- Active substance
- Dapagliflozin
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 19 mg milligram(s)
- Max total dose
- 665 mg milligram(s)
- Max treatment duration
- 5 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 4
Forxiga 10 mg film-coated tablets
PRD2427550 · Product
- Active substance
- Dapagliflozin
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 10 mg milligram(s)
- Max total dose
- 40 mg milligram(s)
- Max treatment duration
- 4 Day(s)
- Authorisation status
- Authorised
- ATC code
- A10BK01 — -
- Marketing authorisation
- EU/1/12/795/009
- MA holder
- ASTRAZENECA AB
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD9207380 · Product
- Active substance
- Semaglutide
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 9 mg milligram(s)
- Max total dose
- 315 mg milligram(s)
- Max treatment duration
- 5 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
PRD9207381 · Product
- Active substance
- Semaglutide
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 1.5 mg milligram(s)
- Max total dose
- 10.5 mg milligram(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
PRD9207382 · Product
- Active substance
- Semaglutide
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 4 mg milligram(s)
- Max total dose
- 28 mg milligram(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Novo Nordisk A/S
- Sponsor organisation
- Novo Nordisk A/S
- Address
- Novo Alle 1
- City
- Bagsvaerd
- Postcode
- 2880
- Country
- Denmark
Scientific contact point
- Organisation
- Novo Nordisk A/S
- Contact name
- EU Submission Hub
Public contact point
- Organisation
- Novo Nordisk A/S
- Contact name
- EU Submission Hub
Third parties 6
| Organisation | City, country | Duties |
|---|---|---|
| SGS Analytics Germany GmbH ORG-100013017
|
Berlin, Germany | Other |
| Parexel International GmbH ORG-100008131
|
Berlin, Germany | Other |
| Parexel International GmbH ORG-100008131
|
Berlin, Germany | Other |
| Hubertus Apotheke Am Salzufer Bernd Drevenstedt e.K. ORG-100017055
|
Berlin, Germany | Other |
| Perceptive Eclinical Limited ORG-100041144
|
Nottingham, United Kingdom | E-data capture |
| Celerion Inc. ORG-100029202
|
Lincoln, United States | Other |
Locations
1 EU/EEA country · 1 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Germany | Ended | 138 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Germany | 2022-06-14 | 2023-04-13 | 2022-06-22 | 2023-01-16 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| Clinical study report synopsis SUM-19671
|
2024-04-04T14:08:10 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| Summary of the result for layperson | 2024-04-04T14:08:22 | Submitted | Laypersons Summary of Results |
Documents 2 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Laypersons summary of results (for publication) | NN9917-4751- Summary of the result for layperson- For publication | 1 |
| Summary of results (for publication) | NN9917-4751- Clinical study report synopsis- For publication | 1 |
Application history
6 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2022-02-15 | Germany | Acceptable 2022-05-30
|
2022-06-02 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2022-07-12 | Germany | Acceptable 2022-05-30
|
2022-07-12 |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2022-07-15 | Germany | Acceptable 2022-08-25
|
2022-08-25 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2022-10-28 | Germany | Acceptable 2022-08-25
|
2022-10-28 |
| 5 | SUBSTANTIAL MODIFICATION | SM-2 | 2022-12-06 | Germany | Acceptable 2023-02-14
|
2023-02-15 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2023-04-17 | Germany | Acceptable 2023-02-14
|
2023-04-17 |