Overview
Sponsor-declared trial summary
Overweight and obesity
To confirm superiority on body weight reduction of CagriSema versus placebo as adjunct to reduced-calorie diet and increased physical activity in participants with overweight or obesity.
Key facts
- Sponsor
- Novo Nordisk A/S
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Trial duration
- 17 Oct 2022 → ongoing
- Decision date (initial)
- 2024-05-27
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Novo Nordisk A/S
External identifiers
- EU CT number
- 2023-506929-11-00
- EudraCT number
- 2020-005435-75
- WHO UTN
- U1111-1261-1912
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy
To confirm superiority on body weight reduction of CagriSema versus placebo as adjunct to reduced-calorie diet and increased physical activity in participants with overweight or obesity.
Secondary objectives 8
- To confirm superiority of CagriSema versus placebo on achievement of ≥ 20% weight reduction.
- To confirm superiority of CagriSema versus placebo on achievement of ≥ 25% weight reduction.
- To confirm superiority of CagriSema versus placebo on achievement of ≥ 30% weight reduction.
- To confirm superiority of CagriSema versus cagrilintide on body weight.
- To confirm superiority of CagriSema versus semaglutide on body weight.
- To confirm superiority of CagriSema versus placebo on body weight.
- To confirm superiority of CagriSema versus placebo on: Waist circumference Systolic blood pressure Physical functioning
- To compare the safety and tolerability of CagriSema versus placebo, semaglutide and cagrilintide.
Conditions and MedDRA coding
Overweight and obesity
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10029883 | Obesity | 100000004861 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- No
- IPD plan description
- Not Applicable
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 3
- Male or female
- Age above or equal to 18 years at the time of signing informed consent
- a) BMI ≥ 30.0 kg/m2 or b) BMI ≥ 27.0 kg/m2 with the presence of at least one obesity-related complication including, but not limited to hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease
Exclusion criteria 2
- HbA1c ≥ 6.5 % (48 mmol/mol) as measured by the central laboratory at screening
- History of type 1 or type 2 diabetes mellitus
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Relative change in body weight
- Achievement of ≥ 5% weight reduction
Secondary endpoints 10
- Achievement of ≥ 20% weight reduction
- Achievement of ≥ 25% weight reduction
- Achievement of ≥ 30% weight reduction
- Relative change in body weight
- Change in waist circumference
- Change in systolic blood pressure (SBP)
- Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function score
- Change in SF-36 V2 Health Survey Acute (SF-36v2) Physical Functioning score
- Number of Treatment-emergent Adverse Events (TEAEs)
- Number of Treatment-emergent Serious adverse events (TESAEs)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 5
—
PRD8977530 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977528 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977531 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977529 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977527 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 10
—
PRD8977522 · Product
- Substance synonyms
- NNC0113-0217
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977525 · Product
- Substance synonyms
- NNC0113-0217
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977524 · Product
- Substance synonyms
- NNC0113-0217
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977526 · Product
- Substance synonyms
- NNC0113-0217
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977523 · Product
- Substance synonyms
- NNC0113-0217
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977518 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977521 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977520 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977519 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
—
PRD8977517 · Product
- Substance synonyms
- NNC0174-0833, NN9838, N-alfa-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyryl]-[Glu14,Arg17,Pro25,Pro28,Pro29,Pro37]-human amylin
- Authorisation status
- Not Authorised
- MA holder
- NOVO NORDISK A/S
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
—
N/A · Product
- Other product name
- N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- 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 13
| Organisation | City, country | Duties |
|---|---|---|
| Q Squared Solutions Limited ORG-100042527
|
Reading, United Kingdom | Laboratory analysis |
| Icon (Lr) Limited ORG-100042612
|
Dublin 18, Ireland | Other |
| Somalogic Operating Co. Inc. ORG-100042788
|
Boulder, United States | Other |
| Perceptive Informatics Inc. ORG-100013171
|
Billerica, United States | Other |
| 4G Clinical B.V. ORG-100044721
|
Amsterdam, Netherlands | Other |
| Transperfect Translations International Inc. ORG-100043494
|
New York, United States | Other |
| Signant Health Global LLC ORG-100040604
|
Blue Bell, United States | Other |
| HCL Technologies Denmark Aps ORG-100051223
|
Copenhagen Oe, Denmark | Other |
| Marken Limited ORG-100050177
|
London, United Kingdom | Other |
| IQVIA Limited ORG-100008655
|
Livingston, United Kingdom | Other |
| Oracle America Inc. ORG-100039874
|
Redwood City, United States | Other |
| Celerion Switzerland AG ORG-100013062
|
Fehraltorf, Switzerland | Other |
| SYRINX Bioanalytics Oy ORG-100021026
|
Turku, Finland | Other |
Locations
10 EU/EEA countries · 80 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruitment ended | 75 | 6 |
| Bulgaria | Ongoing, recruitment ended | 177 | 15 |
| Denmark | Ongoing, recruitment ended | 90 | 5 |
| Finland | Ongoing, recruitment ended | 101 | 4 |
| France | Ongoing, recruitment ended | 62 | 5 |
| Germany | Ongoing, recruitment ended | 113 | 9 |
| Italy | Ongoing, recruitment ended | 126 | 9 |
| Netherlands | Ongoing, recruitment ended | 101 | 5 |
| Poland | Ongoing, recruitment ended | 187 | 15 |
| Spain | Ongoing, recruitment ended | 69 | 7 |
| Rest of world
Australia, Mexico, Korea, Democratic People's Republic of, United States, India, Japan, Taiwan, Argentina, Canada, South Africa, Turkey, United Kingdom
|
— | 2,314 | — |
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 |
|---|---|---|---|---|---|
| Belgium | 2023-01-23 | 2023-01-30 | 2023-06-28 | ||
| Bulgaria | 2022-12-05 | 2022-12-08 | 2023-06-19 | ||
| Denmark | 2022-10-28 | 2022-11-01 | 2023-06-27 | ||
| Finland | 2022-10-17 | 2022-11-01 | 2023-06-06 | ||
| France | 2023-04-14 | 2023-04-17 | 2023-06-16 | ||
| Germany | 2023-01-03 | 2023-01-04 | 2023-06-15 | ||
| Italy | 2022-12-06 | 2022-12-12 | 2023-06-19 | ||
| Netherlands | 2022-11-17 | 2023-01-05 | 2023-06-26 | ||
| Poland | 2022-11-02 | 2022-11-03 | 2023-06-19 | ||
| Spain | 2023-01-27 | 2023-01-30 | 2023-06-28 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 65 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | d1_nn9838-4608-protocol-2023-506929-11-english_for-publication | 6 |
| Protocol (for publication) | Patient facing material with copyright_blank document-For Publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Recruitment arrangements (for publication) | Transition statement - For publication | 1 |
| Subject information and informed consent form (for publication) | L1_BE NN9838-4608 SI-IC Future Research DU_For publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_BE NN9838-4608 SI-IC Future Research FR_For publication | 4.0 |
| Subject information and informed consent form (for publication) | L1_BE NN9838-4608 SI-IC Main DU_For publication | 8.0 |
| Subject information and informed consent form (for publication) | L1_BE NN9838-4608 SI-IC Main FR_For publication | 8.0 |
| Subject information and informed consent form (for publication) | L1_BE NN9838-4608 SI-IC Male Partner DU_For publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_BE NN9838-4608 SI-IC Male Partner FR_For publication | 3.0 |
| Subject information and informed consent form (for publication) | L1_BG NN9838-4608 SI-IC DTP_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_BG NN9838-4608 SI-IC Future Research_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_BG NN9838-4608 SI-IC Main_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_BG NN9838-4608 SI-IC Male Partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_DE NN9838-4608 SI-IC Direct To Patient_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_DE NN9838-4608 SI-IC Future Research_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_DE NN9838-4608 SI-IC Main_For publication | 7 |
| Subject information and informed consent form (for publication) | L1_DE NN9838-4608 SI-IC Male Partner_For publication | 3.1 |
| Subject information and informed consent form (for publication) | L1_DK NN9838-4608 SI-IC Direct To Patient_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_DK NN9838-4608 SI-IC Main_For publication | 8 |
| Subject information and informed consent form (for publication) | L1_ES NN9838-4608 SI-IC Direct To Patient_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_ES NN9838-4608 SI-IC Future Research_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_ES NN9838-4608 SI-IC Main_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_ES NN9838-4608 SI-IC Male Partner_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_FI NN9838-4608 SI-IC Direct To Patient_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_FI NN9838-4608 SI-IC Main Attachment 1_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_FI NN9838-4608 SI-IC Main Attachment 2_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_FI NN9838-4608 SI-IC Main_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_FI NN9838-4608 SI-IC Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_FR NN9838-4608 SI-IC Direct To Patient_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_FR NN9838-4608 SI-IC Main Adult_For publication | 5 |
| Subject information and informed consent form (for publication) | L1_FR NN9838-4608 SI-IC Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_IT NN9838-4608 SI-IC Direct to Patient-For Publication | 2 |
| Subject information and informed consent form (for publication) | L1_IT NN9838-4608 SI-IC Future Research-For Publication | 3 |
| Subject information and informed consent form (for publication) | L1_IT NN9838-4608 SI-IC Main-For Publication | 5 |
| Subject information and informed consent form (for publication) | L1_IT NN9838-4608 SI-IC Male Partner-For Publication | 2 |
| Subject information and informed consent form (for publication) | L1_NL NN9838-4608 SI-IC Direct Shipment of IMP_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_NL NN9838-4608 SI-IC Future_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_NL NN9838-4608 SI-IC Main_For publication | 6 |
| Subject information and informed consent form (for publication) | L1_NL NN9838-4608 SI-IC Male Partner_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_NL NN9838-4608 SI-IC Revoke Consent Biobank_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_PL NN9838-4608 SI-IC Data Processing Option 1_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_PL NN9838-4608 SI-IC Data Processing Option 2_For publication | 3 |
| Subject information and informed consent form (for publication) | L1_PL NN9838-4608 SI-IC DTP_For publication | 1 |
| Subject information and informed consent form (for publication) | L1_PL NN9838-4608 SI-IC Future Research_For publication | 2 |
| Subject information and informed consent form (for publication) | L1_PL NN9838-4608 SI-IC Main_For publication | 4 |
| Subject information and informed consent form (for publication) | L1_PL NN9838-4608 SI-IC Male Partner_For publication | 1 |
| Synopsis of the protocol (for publication) | d1_be_nn9838-4608-protocol-synopsis-2023-506929-11-dutch-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_be_nn9838-4608-protocol-synopsis-2023-506929-11-french-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_be_nn9838-4608-protocol-synopsis-2023-506929-11-german-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_bg_nn9838-4608-protocol-synopsis-2023-506929-11-bulgarian-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_es_nn9838-4608-protocol-synopsis-2023-506929-11-spanish-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_fr_nn9838-4608-protocol-synopsis-2023-506929-11-french-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_it_nn9838-4608-protocol-synopsis-2023-506929-11-italian-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_nl_nn9838-4608-protocol-synopsis-2023-506929-11-dutch-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_nn9838-4608-protocol-synopsis-2023-506929-11-english_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_pl_nn9838-4608-protocol-synopsis-2023-506929-11-polish-_for-publication | 1 |
Application history
8 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-04-15 | Denmark | Acceptable 2024-05-21
|
2024-05-22 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-08-20 | Denmark | Acceptable 2024-10-16
|
2024-10-17 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-01-13 | Denmark | Acceptable 2025-03-14
|
2025-03-14 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-06-03 | Acceptable | 2025-06-24 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-06-03 | Denmark | Acceptable | 2025-06-23 |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-09-12 | Denmark | Acceptable 2025-11-21
|
2025-11-21 |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2026-03-16 | Denmark | Acceptable 2026-05-01
|
2026-05-01 |
| 8 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-05-29 | Acceptable 2026-05-01
|
2026-05-29 |