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Clinical Trials List

Protocol NumberNN9388-4894
NCT Number(ClinicalTrials.gov Identfier)NCT06221969
Active

2024-01-16 - 2026-06-30

Phase III

Recruiting7

ICD-10E11.65

Type 2 diabetes mellitus with hyperglycemia

ICD-10E11.8

Type 2 diabetes mellitus with unspecified complications

ICD-9250.92

Diabetes with unspecified complication, Type II [non-insulin dependent type][NIDDM type][adult-onset type] or unspecified type, uncontrolled

Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) 2.4 mg/2.4 mg s.c. Once Weekly Versus Tirzepatide 15 mg s.c. Once Weekly in Participants With Type 2 Diabetes Inadequately Controlled on Metformin With or Without an SGLT2 Inhibitor

  • Trial Applicant

    NOVO NORDISK PHARMA (TAIWAN) LTD.

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/06/18

Investigators and Locations

Principal Investigator CHIH-YUAN WANG Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 黃建寧 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Mei Yueh Lee Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator JUN-SING WANG Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 曾士婷 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Horng-Yih Ou

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Type 2 Diabetes

Objectives

Primary Objective: ● Confirm the non-inferiority of CagriSema 2.4 mg/2.4 mg compared to tirzepatide 15 mg in altering HbA1c and/or body weight in participants with poor glycemic control at a stable dose of metformin, with or without SGLT2 inhibitors. Secondary Objectives: ● Confirm the superiority of CagriSema 2.4 mg/2.4 mg compared to tirzepatide 15 mg in altering HbA1c. ● Compare the safety and tolerability of CagriSema 2.4 mg/2.4 mg compared to tirzepatide 15 mg.

Test Drug

Subcutaneous injections

Active Ingredient

Cagrilintide B /Semaglutide I
Tirzepatide

Dosage Form

Solution for injection
Solution for injection

Dosage

0.25/ 0.25 mg; 0.5/ 0.5 mg; 1.0/ 1.0mg; 1.7 /1.7mg; 2.4/ 2.4 mg
2.5, 5, 7.5, 10, 12.5, 15 mg

Endpoints

For participants with T2D who still had poor glycemic control at a stable dose of metformin with/without SGLT2 inhibitors, the non-inferiority of CagriSema 2.4 mg/2.4 mg compared to tirzepatide 15 mg in altering HbA1c and/or the superiority of tirzepatide 15 mg in altering body weight was confirmed.

- Change in HbA1c from baseline (week 0) to end of treatment (week 68)

- Relative change in body weight from baseline (week 0) to end of treatment (week 68)

Inclution Criteria

Inclusion Criteria:

Male or female (sex at birth).
Age 18 years or above at the time of signing the informed consent.
Diagnosed with type 2 diabetes ≥ 180 days before screening.
Stable daily dose(s) ≥ 90 days before screening of any of the following antidiabetic drug(s) or combination regimen(s) at effective or maximum tolerated dose as judged by the investigator: metformin with or without an sodium-glucose co-transporter-2 (SGLT2) inhibitor.
HbA1c 7.0-10.5% (53-91 mmol/mol) (both inclusive) as determined by central laboratory at screening.
Body mass index (BMI) of ≥ 30.0 kilogram per square meter (kg/m^2) at screening. BMI will be calculated in the electronic case report form (eCRF) based on height and body weight at screening.

Exclusion Criteria

Exclusion Criteria:

Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
Renal impairment with estimated Glomerular Filtration Rate < 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) as determined by central laboratory at screening.
Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed.
Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.

The Estimated Number of Participants

  • Taiwan

    50 participants

  • Global

    1000 participants