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Trial ยท NCT04788511

Research Study to Investigate How Well Semaglutide Works in People Living With Heart Failure and Obesity

NCT04788511, Phase 3, Completed, Novo Nordisk A/S; results first posted 2024-06-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Research Study to Investigate How Well Semaglutide Works in People Living With Heart Failure and Obesity. Trials, record NCT04788511. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04788511

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Trial

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

Title
Research Study to Investigate How Well Semaglutide Works in People Living With Heart Failure and Obesity
NCT number
NCT04788511
Status
Completed
Phases
Phase 3
Enrollment
529 participants, actual
Lead sponsor
Novo Nordisk A/S
Conditions
Obesity
Interventions
Semaglutide, Placebo (semaglutide)
First posted
2021-03-09
Last updated
2025-12-05
Other registries' IDs
eudract:2019-004452-11
Results first posted
2024-06-11

Source ClinicalTrials.gov

Registered outcomes15

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

ListOutcomeTime frameDescription
PrimaryChange in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS)From baseline (week 0) to end of treatment (week 52)
The KCCQ is a standardized 23-item, self-administered instrument that quantifies heart failure symptoms (frequency, severity, and recent change), physical limitation, quality of life, and social limitation. The overall summary score and all domains have been independently demonstrated to be valid, reliable, and responsive to clinical change. KCCQ-CSS includes the symptom and physical limitation domains of the KCCQ. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
PrimaryChange in Body WeightFrom baseline (week 0) to end of treatment (week 52)
Change in body weight from baseline (week 0) to end of treatment (week 52) is presented. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryChange in Six-minute Walking Distance (6MWD)From baseline (week 0) to end of treatment (week 52)
Observed mean change from baseline (week 0) in 6 minutes walking distance (6MWD) test to end of treatment (week 52) is presented. The 6MWD is a common test of functional exercise capacity that assesses the distance a participant can walk in 6 minutes. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryThe Hierarchical Composite Endpoint: Percentage of Wins of Participant PairsFrom baseline (week 0) to end of study (week 57)
The hierarchical composite outcome measure from baseline (week 0) to end of study (week 57) consists of the components: time to all-cause death, number of heart failure events requiring hospitalization or urgent heart failure visit, time to first heart failure event requiring hospitalization or urgent heart failure visit, difference at least 15 in KCCQ CSS change from baseline to 52 weeks, difference at least 10 in KCCQ CSS change from baseline to 52 weeks, difference at least 5 in KCCQ CSS change from baseline to 52 weeks and difference at least 30 meters in six-minute walking distance change from baseline to 52 weeks. It was analyzed by the win-ratio approach using all participants pairs across treatment groups. Overall summary of wins in each treatment group is presented. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryChange in C-Reactive Protein (CRP): Ratio to BaselineFrom baseline (week -2) to end of treatment (week 52)
Change in high sensitivity C-reactive protein measured in ratio of C-reactive protein to baseline (week -2) at end of treatment (week 52) is presented. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryPercentage of Participants Achieving 10 Percent (%) Weight Loss (Yes/No)From baseline (week 0) to end of treatment (week 52)
Percentage of participants who achieved 10% weight loss (yes/no) from baseline (week 0) to end of treatment (week 52) is presented. In the reported data, 'Yes' infers percentage of participants who have achieved 10% weight loss whereas 'No' infers percentage of participants who have not achieved 10% weight loss. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryPercentage of Participants Achieving 15% Weight Loss (Yes/No)From baseline (week 0) to end of treatment (week 52)
Percentage of participants who achieved 15% weight loss (yes/no) from baseline (week 0) to end of treatment (week 52) is presented. In the reported data, 'Yes' infers percentage of participants who have achieved 15% weight loss whereas 'No' infers percentage of participants who have not achieved 15% weight loss. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryPercentage of Participants Achieving 20% Weight Loss (Yes/No)From baseline (week 0) to end of treatment (week 52)
Percentage of participants who achieved 20% weight loss (yes/no) from baseline (week 0) to end of treatment (week 52) is presented. In the reported data, 'Yes' infers percentage of participants who have achieved 20% weight loss whereas 'No' infers percentage of participants who have not achieved 20% weight loss The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryPercentage of Participants Improving 5 Points or More in KCCQ Clinical Summary Score (Yes/No)From baseline (week 0) to end of treatment (week 52)
Percentage of participants improving 5 points or more in KCCQ-CSS from baseline to end of treatment is presented. The KCCQ is standardized 23-item, self-administered instrument that quantifies heart failure symptoms(frequency, severity, and recent change), physical limitation, quality of life, and social limitation. KCCQ-CSS includes the symptom and physical limitation domains of the KCCQ. Scores are transformed to range of 0-100, in which higher scores reflect better health status. In the reported data, 'Yes' infers percentage of participants who have improved 5 points or more in score whereas 'No' infers percentage of participants who have not improved 5 points or more in score. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.
SecondaryPercentage of Participants Improving 10 Points or More in KCCQ Clinical Summary Score (Yes/No)From baseline (week 0) to end of treatment (week 52)
Percentage of participants improving 10 points or more in KCCQ-CSS from baseline to end of treatment is presented. The KCCQ is standardized 23-item, self-administered instrument that quantifies heart failure symptoms(frequency, severity, and recent change), physical limitation, quality of life, and social limitation. KCCQ-CSS includes the symptom and physical limitation domains of the KCCQ. Scores are transformed to range of 0-100, in which higher scores reflect better health status. In reported data, 'Yes' infers percentage of participants who have improved 5 points or more in score whereas 'No' infers percentage of participants who have not improved 10 points or more in score. The outcome measure was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomization to date of last contact with trial site.

Outcomes15

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Score on a scaleMEAN
PRIMARYChange in Body WeightFrom baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Percentage of body weightMEAN
SECONDARYChange in Six-minute Walking Distance (6MWD)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.MetersMEAN
SECONDARYThe Hierarchical Composite Endpoint: Percentage of Wins of Participant PairsFrom baseline (week 0) to end of study (week 57)FAS included all the randomized participants for this trial.Percentages of wins of participant pairsNUMBER
SECONDARYChange in C-Reactive Protein (CRP): Ratio to BaselineFrom baseline (week -2) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Ratio of C-reactive proteinGEOMETRIC_MEAN
SECONDARYPercentage of Participants Achieving 10 Percent (%) Weight Loss (Yes/No)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving 15% Weight Loss (Yes/No)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving 20% Weight Loss (Yes/No)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Improving 5 Points or More in KCCQ Clinical Summary Score (Yes/No)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Improving 10 Points or More in KCCQ Clinical Summary Score (Yes/No)From baseline (week 0) to end of treatment (week 52)FAS included all the randomized participants for this trial. Here, Overall Number of Participants Analyzed signifies those participants who had an observed value at week 52.Percentage of participantsNUMBER

Results by group40

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

OutcomeGroupCategoryValueSpreadUnits
Change in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS)Semaglutide 2.4 mg16.8Standard Deviation 17.9Score on a scale
Change in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS)Placebo10.3Standard Deviation 17.3Score on a scale
Change in Body WeightSemaglutide 2.4 mg-13.9Standard Deviation 8.1Percentage of body weight
Change in Body WeightPlacebo-2.5Standard Deviation 5.6Percentage of body weight
Change in Six-minute Walking Distance (6MWD)Semaglutide 2.4 mg23.5Standard Deviation 59.2Meters
Change in Six-minute Walking Distance (6MWD)Placebo5.8Standard Deviation 62.7Meters
The Hierarchical Composite Endpoint: Percentage of Wins of Participant PairsSemaglutide 2.4 mg60.1Percentages of wins of participant pairs
The Hierarchical Composite Endpoint: Percentage of Wins of Participant PairsPlacebo34.9Percentages of wins of participant pairs
Change in C-Reactive Protein (CRP): Ratio to BaselineSemaglutide 2.4 mg0.55Geometric Coefficient of Variation 121.5Ratio of C-reactive protein
Change in C-Reactive Protein (CRP): Ratio to BaselinePlacebo0.92Geometric Coefficient of Variation 105.3Ratio of C-reactive protein

Participant flow10

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSemaglutide 2.4 mg263
Overall StudySTARTEDPlacebo266
Overall StudyFull Analysis Set (FAS)Semaglutide 2.4 mg263
Overall StudyFull Analysis Set (FAS)Placebo266
Overall StudySafety Analysis Set (SAS)Semaglutide 2.4 mg263
Overall StudySafety Analysis Set (SAS)Placebo266
Overall StudyCOMPLETEDSemaglutide 2.4 mg256
Overall StudyCOMPLETEDPlacebo254
Overall StudyNOT COMPLETEDSemaglutide 2.4 mg7
Overall StudyNOT COMPLETEDPlacebo12

Adverse events230

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCOVID-19Infections and infestationsSemaglutide 2.4 mg3626336
otherCOVID-19Infections and infestationsPlacebo4126643
otherConstipationGastrointestinal disordersSemaglutide 2.4 mg1726318
otherConstipationGastrointestinal disordersPlacebo72668
otherDiarrhoeaGastrointestinal disordersSemaglutide 2.4 mg2426328
otherDiarrhoeaGastrointestinal disordersPlacebo1026616
otherNauseaGastrointestinal disordersSemaglutide 2.4 mg4526351
otherNauseaGastrointestinal disordersPlacebo72668
otherVomitingGastrointestinal disordersSemaglutide 2.4 mg1726322
otherVomitingGastrointestinal disordersPlacebo32663

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySemaglutide 2.4 mg3263
Total, all-cause mortalityPlacebo4266
Total, other adverse eventsSemaglutide 2.4 mg93263
Total, other adverse eventsPlacebo57266
Total, serious adverse eventsSemaglutide 2.4 mg35263
Total, serious adverse eventsPlacebo71266

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37622681RESULTPubMed
37635157BACKGROUNDPubMed
37952180DERIVEDPubMed
37993201DERIVEDPubMed
38599221DERIVEDPubMed
38739118DERIVEDPubMed
39222642DERIVEDPubMed

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 comparisons2

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

ComparisonSource
Semaglutide 2.4 mg vs Placebo: deaths from any causeTrial comparisons
Semaglutide 2.4 mg 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/NCT04788511

GET https://conductscience.org/api/trials/v1/NCT04788511/results?page=2