ADA2021

#ADA2021 Investigational 2.0 mg dose of Ozempic® (semaglutide) demonstrates superior reductions in blood sugar vs Ozempic® 1.0 mg in adults with type 2 diabetes in a phase 3 trial

Novo Nordisk, Inc. (PRNewsFoto/Novo Nordisk)

Bagsværd, Denmark, 26 June 2021 – Novo Nordisk today presented data showing that an investigational 2.0 mg dose of Ozempic® (semaglutide) provided statistically significant and superior reductions in blood sugar (HbA1C) compared with Ozempic® 1.0 mg1. These data were the outcome of the SUSTAIN FORTE trial, a phase 3b, 40-week, efficacy and safety trial comparing once-weekly semaglutide 2.0 mg vs Ozempic® 1.0 mg as add-on to metformin with or without sulfonylureas in 961 adults with type 2 diabetes in need of additional blood sugar reduction. The results were presented at the 81st Annual Scientific Sessions of the American Diabetes Association (ADA)1, and primary results are in press for publication in The Lancet Diabetes & Endocrinology.

The trial met its primary endpoint, where people treated with once-weekly semaglutide 2.0 mg with an elevated mean baseline HbA1C of 8.9% demonstrated a statistically significant and superior 2.2% reduction in HbA1C compared with a reduction of 1.9% seen with Ozempic® 1.0 mg after 40 weeks, when taken as intended*1.

Pubblicità e progresso

Further post-hoc subgroup analyses, presented at the congress, showed that semaglutide 2.0 mg demonstrated greater reductions in blood sugar at 40 weeks compared with Ozempic® 1.0 mg, across baseline HbA1C subgroups (Table 1) 2.

”Some people living with type 2 diabetes require additional support to reach their blood glucose targets,” said Dr Juan Pablo Frias, medical director of the National Research Institute, Los Angeles, and principal investigator of SUSTAIN FORTE. “The reductions in blood glucose seen with semaglutide 2.0 mg demonstrate that a higher dose of Ozempic® may offer individuals the opportunity to further improve their diabetes control, with comparable tolerability to Ozempic® 1.0 mg.”

From a mean baseline body weight of 99.3 kg, semaglutide 2.0 mg demonstrated a statistically significant weight reduction of 6.9 kg compared with 6.0 kg with Ozempic 1.0 kg®*. Further post-hoc analyses presented across baseline BMI subgroups showed greater non-significant reductions in body weight with semaglutide 2.0 mg compared with the 1.0 mg dose (Table 1).

The incidence of adverse events (AEs) was similar for both doses in the primary analysis and included gastrointestinal events (nausea, diarrhoea and vomiting) across baseline HbA1C and BMI subgroups1,2. This is consistent with AEs seen across the GLP-1 RA class.

“Ozempic® has helped millions of people with type 2 diabetes worldwide lower their blood sugar, reduce their risk of major cardiovascular events in adults with established cardiovascular disease and has demonstrated weight reduction for some patients,” said Martin Lange, executive vice president of Novo Nordisk. “For almost a century, our mission has been to drive change in diabetes treatment and innovation to improve the lives of people living with diabetes. These data show us that with a higher 2.0 mg dose of semaglutide, we can help even more adults living with type 2 diabetes, who are not at glycaemic control, lower their HbA1c.”

Posthoc subgroup analysis of primary endpoint:
Change in HbA1C2
Posthoc subgroup analysis of secondary endpoint:
Change in body weight2
Baseline HbA1C
<9.0%
HbA1C
?9.0%
BMI
<35
BMI
?35
HbA1C
<9.0%
HbA1C
?9.0%
BMI
<35
BMI
?35
Semaglutide 2.0 mg -1.9% -2.6% -2.2% -2.1% -7.4 kg -6.3 kg -6.6 kg -7.4 kg
Ozempic®
1.0 mg
-1.7% -2.3% -1.9% -2.0% -6.2 kg -5.8 kg -5.2 kg -7.1 kg

Table 1. Posthoc subgroup analysis showing change in mean HbA1C and body weight stratified from baseline to Week 40.

On the basis of the primary results, Novo Nordisk previously announced submission of a label extension application to the European Medicines Agency (EMA) in December 2020, and to the US Food and Drug Administration (FDA) in May 2021, to evaluate an additional higher dose of 2.0 mg Ozempic® for adults with type 2 diabetes.


References
1.      Frias J, Auerbach P, Bajaj H, et al. Efficacy and Safety of Once-Weekly Semaglutide 2.0 vs 1.0 mg for Type 2 Diabetes: SUSTAIN FORTE Randomized Trial. Presented during the 81st Scientific Sessions of the American Diabetes Association: Oral 101-OR.
2.      Frias J, Auerbach P, Bajaj H, et al. Efficacy and Safety of Once-Weekly Semaglutide 2.0 vs 1.0 mg by Baseline HBA1c and BMI: SUSTAIN FORTE Subgroup Analyses. Presented during the 81st Scientific Sessions of the American Diabetes Association: ePoster 665-P.
3.      EMA. Ozempic® (once-weekly semaglutide) Summary of Product Characteristics. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/004174/WC500244163.pdf. Last accessed: June 2021.
4.      FDA. Ozempic® (once-weekly semaglutide) US Prescribing Information. Available at: https://www.novo-pi.com/ozempic.pdf Last accessed: June 2021.

Categorie:ADA2021

Con tag: