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Trial · NCT02970942

Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis.

NCT02970942, Phase 2, Completed, Novo Nordisk A/S; results first posted 2021-04-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis. Trials, record NCT02970942. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02970942

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Trial

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

Title
Investigation of Efficacy and Safety of Three Dose Levels of Subcutaneous Semaglutide Once Daily Versus Placebo in Subjects With Non-alcoholic Steatohepatitis.
NCT number
NCT02970942
Status
Completed
Phases
Phase 2
Enrollment
320 participants, actual
Lead sponsor
Novo Nordisk A/S
Conditions
Hepatobiliary Disorders, Non-alcoholic Steatohepatitis
Interventions
Semaglutide, Placebo
First posted
2016-11-22
Last updated
2021-11-16
Other registries' IDs
eudract:2016-000685-39
Results first posted
2021-04-21

Source ClinicalTrials.gov

Registered outcomes88

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)After 72 weeks
NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1 and hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning ranges from 0-2; lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)After 72 weeks
NASH resolution defined by NASH clinical research network as lobular inflammation of 0 or 1; hepatocellular ballooning reduced to 0; both criteria were necessary conditions. Hepatocellular ballooning range: 0-2; lobular inflammation range: 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Worsening of fibrosis defined by an increase in fibrosis at least one stage of Kleiner fibrosis classification: fibrosis stages range from 0-4, higher scores indicate greater fibrosis (0=None, 4=Cirrhosis). Endpoint was evaluated based on data from in-trial period which started on date of randomisation visit and ended on first of following dates (both inclusive):1) follow-up visit (Week 79); 2) withdrawal of consent; 3)last contact with participant (for participants lost to follow-up); 4)death.
SecondaryPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Baseline (week 0), Week 72
Percentage of participants who had worsened, improved or had no change in total NAS from baseline to week 72 is presented. Worsening is defined as an increase of at least 1 in the NAS; Improvement is defined as a decrease of at least 1 in the NAS; while no change corresponds to no change in NAS from baseline to week 72. NAS is calculated as the sum of scores for steatosis (0 to 3), lobular inflammation (0 to 3), and hepatocyte ballooning (0 to 2). Therefore, it is assessed on a scale of 0-8, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryPercentage of Participants With Change in SteatosisBaseline (week 0), Week 72
Percentage of participants who had improved, worsened, or had no change in steatosis from baseline to week 72 is presented. Steatosis was assessed on a scale of 0-3, with higher scores indicating more severe steatosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryPercentage of Participants With Change in Lobular InflammationBaseline (week 0), Week 72
Percentage of participants who had improved, worsened, or had no change in lobular inflammation from baseline to week 72 is presented. Lobular inflammation was assessed on a scale of 0-3, with higher scores indicating more severe lobular inflammation. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryPercentage of Participants With Change in Hepatocyte BallooningBaseline (week 0), Week 72
Percentage of participants who had improved, worsened, or had no change in hepatocyte ballooning from baseline to week 72 is presented. Hepatocyte ballooning was assessed on a scale of 0-2, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationBaseline (week 0), Week 72
Percentage of participants who had improved, worsened, or had no change in fibrosis stage from baseline to week 72 is presented. The degree of fibrosis is described by the Kleiner fibrosis staging system, ranging from F0 (absence of fibrosis), F1 (portal/perisinusoidal fibrosis), F2 (perisinusoidal and portal/periportal fibrosis), F3 (septal or bridging fibrosis) through F4 (cirrhosis). The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreBaseline (week 0), Week 72
Percentage of participants who had improved, worsened, or had no change in the activity component of the SAF score from baseline to week 72 is presented. SAF score was assessed on a scale of 0-4, with higher scores indicating more severe disease. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryChange in Fibrosis-4 ScoreBaseline (week 0), Week 72
Change in fibrosis-4 score is presented as ratio to baseline. Fibrosis-4 is the ratio of age in years and aminotransferase to platelet count. It is a non-invasive hepatic fibrosis index score combining standard biochemical values, platelets, alanine aminotransferase (ALT), AST and age that is calculated using formula: Fibrosis-4 = (Age \[years\] x AST \[U/L\]) / (platelets \[10\^9/L\] x (square root of ALT \[U/L\])). A Fibrosis-4 index of \< 1.45 indicated no or moderate fibrosis and an index of \> 3.25 indicated extensive fibrosis/cirrhosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.
SecondaryChange in NAFLD Fibrosis Score (NFS)Baseline (week 0), Week 72
Change in NFS from baseline to week 72 is presented. NFS is calculated using formula: NFS = -1.675 + 0.037 \* age (years) + 0.094 \* body mass index (BMI) (kg/m\^2) + 1.13 \* hyperglycaemia (yes/no) + 0.99 \* Aspartate aminotransferase (AST)/ Alanine aminotransferase (ALT) ratio + 0.013 × platelet count (\*10\^9/L) - 0.66 \* albumin (g/dL). The score is used to classify the probability of fibrosis. A score a) \< -1.5 indicates a low probability, b) \> -1.5 to \< 0.67 indicates intermediate probability, and a score of c) \> 0.67 indicates a high probability of liver fibrosis. The endpoint was evaluated based on the data from in-trial period which started on the date of the randomisation visit and ended on the first of the following dates (both inclusive): 1) follow-up visit (Week 79); 2) withdrawal of consent; 3) last contact with participant (for participants lost to follow-up); 4) death.

Outcomes88

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)After 72 weeks
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with fibrosis stage 2 or 3 at baseline who contributed to the analysis. In below table, 'Yes' infers percentage of participants who achieved NASH resolution without worsening of fibrosis and 'No' infers vice-versa; 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With at Least One Stage of Liver Fibrosis Improvement With no Worsening of NASH After 72 Weeks (Yes/No)After 72 weeks
Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants with fibrosis stage 2 or 3 at baseline who contributed to the analysis. In below table, 'Yes' infers percentage of participants who achieved at least one stage of fibrosis improvement with no worsening of NASH; 'No' infers vice-versa; 'Missing' refers to percentage of participants with data missing due to different reasons (lost to follow-up, withdrawal).
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Change in Total NAFLD (Non- Alcoholic Fatty Liver Disease) Activity Score (NAS)Baseline (week 0), Week 72Full analysis set included all randomised participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Change in SteatosisBaseline (week 0), Week 72Full analysis set included all randomised participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Change in Lobular InflammationBaseline (week 0), Week 72Full analysis set included all randomised participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Change in Hepatocyte BallooningBaseline (week 0), Week 72Full analysis set included all randomised participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Change in Fibrosis Stage According to the Kleiner Fibrosis ClassificationBaseline (week 0), Week 72Full analysis set included all randomised participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Change in Activity Component of Steatosis-activity-fibrosis (SAF) ScoreBaseline (week 0), Week 72Full analysis set included all randomised participants.Percentage of participantsNUMBER
SECONDARYChange in Fibrosis-4 ScoreBaseline (week 0), Week 72Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysisRatio of fibrosis-4 scoreGEOMETRIC_MEAN
SECONDARYChange in NAFLD Fibrosis Score (NFS)Baseline (week 0), Week 72Full analysis set included all randomised participants. Overall number of participants analysed = Number of participants who contributed to the analysis.Score on a scaleMEAN

Results by group724

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.1 mgYes40.4Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.2 mgYes35.6Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.4 mgYes58.9Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)PlaceboYes17.2Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.1 mgNo54.4Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.2 mgNo47.5Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.4 mgNo30.4Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)PlaceboNo74.1Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.1 mgMissing5.3Percentage of participants
Percentage of Participants With Non- Alcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis After 72 Weeks (Yes/No)Semaglutide 0.2 mgMissing16.9Percentage of participants

Participant flow24

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSemaglutide 0.1 mg80
Overall StudySTARTEDSemaglutide 0.2 mg78
Overall StudySTARTEDSemaglutide 0.4 mg82
Overall StudySTARTEDPlacebo80
Overall StudyFull Analysis SetSemaglutide 0.1 mg80
Overall StudyFull Analysis SetSemaglutide 0.2 mg78
Overall StudyFull Analysis SetSemaglutide 0.4 mg82
Overall StudyFull Analysis SetPlacebo80
Overall StudySafety Analysis SetSemaglutide 0.1 mg80
Overall StudySafety Analysis SetSemaglutide 0.2 mg78

Adverse events380

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal distensionGastrointestinal disordersSemaglutide 0.1 mg1801
otherAbdominal distensionGastrointestinal disordersSemaglutide 0.2 mg8789
otherAbdominal distensionGastrointestinal disordersSemaglutide 0.4 mg4817
otherAbdominal distensionGastrointestinal disordersPlacebo4805
otherAbdominal painGastrointestinal disordersSemaglutide 0.1 mg98010
otherAbdominal painGastrointestinal disordersSemaglutide 0.2 mg8789
otherAbdominal painGastrointestinal disordersSemaglutide 0.4 mg6817
otherAbdominal painGastrointestinal disordersPlacebo3804
otherAbdominal pain upperGastrointestinal disordersSemaglutide 0.1 mg5805
otherAbdominal pain upperGastrointestinal disordersSemaglutide 0.2 mg6787

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySemaglutide 0.1 mg080
Total, all-cause mortalitySemaglutide 0.2 mg178
Total, all-cause mortalitySemaglutide 0.4 mg081
Total, all-cause mortalityPlacebo080
Total, other adverse eventsSemaglutide 0.1 mg6180
Total, other adverse eventsSemaglutide 0.2 mg6478
Total, other adverse eventsSemaglutide 0.4 mg6381
Total, other adverse eventsPlacebo5580
Total, serious adverse eventsSemaglutide 0.1 mg1280
Total, serious adverse eventsSemaglutide 0.2 mg1578

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33039693DERIVEDPubMed
33185364RESULTPubMed
37328931DERIVEDPubMed
38058795DERIVEDPubMed
38112484DERIVEDPubMed
40980163DERIVEDPubMed
40985232DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT02970942

GET https://conductscience.org/api/trials/v1/NCT02970942/registered?page=2