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Trial ยท NCT02692716

A Trial Investigating the Cardiovascular Safety of Oral Semaglutide in Subjects With Type 2 Diabetes

NCT02692716, Phase 3, Completed, Novo Nordisk A/S; results first posted 2020-02-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Trial Investigating the Cardiovascular Safety of Oral Semaglutide in Subjects With Type 2 Diabetes. Trials, record NCT02692716. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02692716

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Trial Investigating the Cardiovascular Safety of Oral Semaglutide in Subjects With Type 2 Diabetes
NCT number
NCT02692716
Status
Completed
Phases
Phase 3
Enrollment
3,183 participants, actual
Lead sponsor
Novo Nordisk A/S
Conditions
Diabetes, Diabetes Mellitus, Type 2
Interventions
semaglutide, placebo
First posted
2016-02-26
Last updated
2022-07-20
Other registries' IDs
eudract:2015-003563-10
Results first posted
2020-02-27

Source ClinicalTrials.gov

Registered outcomes18

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE) Composite Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction or Non-fatal StrokeMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.
Number of participants experiencing a first event of a MACE, defined as cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
Secondary
Time From Randomisation to First Occurrence of an Expanded Composite Cardiovascular Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke, UAP Requiring Hospitalisation or Hospitalisation for Heart Failure
Maximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.
Participants experiencing first occurrence of an expanded composite CV endpoint \[defined as cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, UAP (unstable angina pectoris) requiring hospitalisation or heart failure requiring hospitalisation\] are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
SecondaryTime From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.
Participants experiencing an event onset for each individual component of the expanded composite cardiovascular outcomes (defined as cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, unstable angina requiring hospitalisation or heart failure requiring hospitalisation) are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
SecondaryTime From Randomisation to First Occurrence of a Composite Endpoint Consisting of: All-cause Death, Non-fatal Myocardial Infarction or Nonfatal StrokeMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.
Participants experiencing first occurrence of a composite CV endpoint (defined as all-cause death, non-fatal myocardial infarction or nonfatal stroke) are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
SecondaryTime From Randomisation to First Occurrence of Fatal or Non-fatal Myocardial InfarctionMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.
Number of participants experiencing a first event of a fatal or non-fatal myocardial infarction are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
SecondaryTime From Randomisation to First Occurrence of Fatal or Non-fatal StrokeMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.
Number of participants experiencing a first event of a fatal or non-fatal stroke are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
SecondaryTime From Randomisation to All-cause DeathMaximum treatment duration is dependent on event rates and is expected to be no longer than 19 months + 5 weeks of follow-up period.
Number of all-cause deaths in the study are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.
SecondaryTime to First AE Leading to Permanent Trial Product DiscontinuationMaximum treatment duration is dependent on event rates and is expected to be no longer than 19 months + 38 days of ascertainment window.
Number of participants who permanently discontinued trial product in ths study are presented. Results are based on the on-treatment observation period which starts at the date of first dose on trial product; ends on last date on trial product +38 days (ascertainment window).
SecondaryNumber of Serious Adverse EventsMaximum treatment duration is dependent on event rates and is expected to be no longer than 19 months + 38 days of ascertainment window.
Number of serious adverse events were recorded from week 0 to week 87 in the study. Results are based on the on-treatment observation period which started at the date of first dose on trial product and ended on last date on trial product +38 days (ascertainment window).
SecondaryChange in Eye Examination CategoryWeek -3, End of treatment
Participants with eye examination findings, normal, abnormal non clinically significant (NCS) and abnormal clinically significant (CS) at baseline (week -3) and end of treatment visit (week 83) are presented. Results are based on the in-trial observation period which started at the date of randomisation, included the period after permanent trial product discontinuation, if any and ended at the date of the follow-up visit regardless of adherence to treatment.

Outcomes18

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE) Composite Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction or Non-fatal StrokeMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY
Time From Randomisation to First Occurrence of an Expanded Composite Cardiovascular Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke, UAP Requiring Hospitalisation or Hospitalisation for Heart Failure
Maximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime From Randomisation to First Occurrence of a Composite Endpoint Consisting of: All-cause Death, Non-fatal Myocardial Infarction or Nonfatal StrokeMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime From Randomisation to First Occurrence of Fatal or Non-fatal Myocardial InfarctionMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime From Randomisation to First Occurrence of Fatal or Non-fatal StrokeMaximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime From Randomisation to All-cause DeathMaximum treatment duration is dependent on event rates and is expected to be no longer than 19 months + 5 weeks of follow-up period.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to First AE Leading to Permanent Trial Product DiscontinuationMaximum treatment duration is dependent on event rates and is expected to be no longer than 19 months + 38 days of ascertainment window.Overall number of participants analyzed = FAS which comprised all randomised participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Serious Adverse EventsMaximum treatment duration is dependent on event rates and is expected to be no longer than 19 months + 38 days of ascertainment window.Overall number of participants analyzed = FAS which comprised all randomised participants.EventsNUMBER
SECONDARYChange in Eye Examination CategoryWeek -3, End of treatmentOverall number of participants analyzed = FAS which comprised all randomised participants. Number Analyzed = number of participants with available data.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group68

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE) Composite Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction or Non-fatal StrokeOral Semaglutide61Participants
Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE) Composite Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction or Non-fatal StrokePlacebo76Participants
Time From Randomisation to First Occurrence of an Expanded Composite Cardiovascular Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke, UAP Requiring Hospitalisation or Hospitalisation for Heart Failure
Oral Semaglutide83Participants
Time From Randomisation to First Occurrence of an Expanded Composite Cardiovascular Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke, UAP Requiring Hospitalisation or Hospitalisation for Heart Failure
Placebo100Participants
Time From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointOral SemaglutideCardiovascular death15Participants
Time From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointPlaceboCardiovascular death30Participants
Time From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointOral SemaglutideNon-fatal myocardial infarction37Participants
Time From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointPlaceboNon-fatal myocardial infarction31Participants
Time From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointOral SemaglutideNon-fatal stroke12Participants
Time From Randomisation to First Occurrence of Each of the Individual Components in the Expanded Composite Cardiovascular EndpointPlaceboNon-fatal stroke16Participants

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOral Semaglutide1,591
Overall StudySTARTEDPlacebo1,592
Overall StudyFull Analysis Set (FAS)Oral Semaglutide1,591
Overall StudyFull Analysis Set (FAS)Placebo1,592
Overall StudyExposedOral Semaglutide1,591
Overall StudyExposedPlacebo1,591
Overall StudyCOMPLETEDOral Semaglutide1,586
Overall StudyCOMPLETEDPlacebo1,586
Overall StudyNOT COMPLETEDOral Semaglutide5
Overall StudyNOT COMPLETEDPlacebo6

Adverse events840

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousAbdominal painGastrointestinal disordersOral Semaglutide21,5912
seriousAbdominal painGastrointestinal disordersPlacebo21,5912
seriousAbdominal pain upperGastrointestinal disordersOral Semaglutide11,5911
seriousAbdominal pain upperGastrointestinal disordersPlacebo01,5910
seriousAbscess limbInfections and infestationsOral Semaglutide11,5911
seriousAbscess limbInfections and infestationsPlacebo01,5910
seriousAccidental overdoseInjury, poisoning and procedural complicationsOral Semaglutide11,5911
seriousAccidental overdoseInjury, poisoning and procedural complicationsPlacebo01,5910
seriousAcute coronary syndromeCardiac disordersOral Semaglutide11,5911
seriousAcute coronary syndromeCardiac disordersPlacebo01,5910

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOral Semaglutide231,591
Total, all-cause mortalityPlacebo451,591
Total, other adverse eventsOral Semaglutide01,591
Total, other adverse eventsPlacebo01,591
Total, serious adverse eventsOral Semaglutide3011,591
Total, serious adverse eventsPlacebo3581,591

Papers14

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29263194RESULTPubMed
30284349RESULTPubMed
31185157RESULTPubMed
31903692DERIVEDPubMed
32267058DERIVEDPubMed
32998732DERIVEDPubMed
33606902DERIVEDPubMed
34277983RESULTPubMed
35373893RESULTPubMed
35484580RESULTPubMed

1 to 10 of 14

See all 14 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons9

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Oral Semaglutide vs Placebo: Time From Randomisation to First Occurrence of a Composite Endpoint Consisting of: All-cause Death, Non-fatal Myocardial Infarction or Nonfatal StrokeTrial comparisons
Oral Semaglutide vs Placebo: Time From Randomisation to First Occurrence of an Expanded Composite Cardiovascular Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction, Non-fatal Stroke, UAP Requiring Hospitalisation or Hospitalisation for Heart Failure
Trial comparisons
Oral Semaglutide vs Placebo: Time to First AE Leading to Permanent Trial Product DiscontinuationTrial comparisons
Oral Semaglutide vs Placebo: Time From Randomisation to All-cause DeathTrial comparisons
Oral Semaglutide vs Placebo: Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE) Composite Endpoint Consisting of: Cardiovascular Death, Non-fatal Myocardial Infarction or Non-fatal Stroke
Trial comparisons
Oral Semaglutide vs Placebo: Time From Randomisation to First Occurrence of Fatal or Non-fatal StrokeTrial comparisons
Oral Semaglutide vs Placebo: Time From Randomisation to First Occurrence of Fatal or Non-fatal Myocardial InfarctionTrial comparisons
Oral Semaglutide vs Placebo: deaths from any causeTrial comparisons
Oral Semaglutide vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02692716

GET https://conductscience.org/api/trials/v1/NCT02692716/results?page=2