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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03596450
Other study ID # NN9535-4416
Secondary ID U1111-1207-6474
Status Completed
Phase Phase 4
First received
Last updated
Start date July 13, 2018
Est. completion date June 9, 2023

Study information

Verified date October 2023
Source Novo Nordisk A/S
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main purpose of this study is to compare the effects of semaglutide (Ozempic®) with the effects of other treatments for type 2 diabetes in a normal practice setting. The participant will be assigned by chance (like flipping a coin) to one of the following treatment groups: Group 1: semaglutide (Ozempic®) (by injection into skin) Group 2: standard of care antidiabetic medication (oral or injectable). The participant has an equal chance of being in either of the treatment groups. Neither the participant nor the study doctor or study staff will be able to pick which group the participant is in, but the participant will know which study drug the participant has been assigned to. The study doctor will provide the participant with a prescription for the study diabetes medication based on the treatment group the participant is assigned. The participation will last about 2 years.


Recruitment information / eligibility

Status Completed
Enrollment 1278
Est. completion date June 9, 2023
Est. primary completion date June 9, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria:- - Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study. - Male or female, age 18 years or older at the time of signing informed consent. - Type 2 diabetes mellitus diagnosis. - Treatment with either 1 or 2 oral antidiabetic medications. - Current member of a commercial or Medicare health plan with pharmacy benefits. - Recorded HbAlc value within the last 90 days prior to randomization. - Further intensification with an additional antidiabetic oral or injectable medication is indicated to achieve glycemic target at the discretion of the study physician according to approved labelling. Exclusion Criteria: - Previous randomization in this study - Treatment with more than 2 oral antidiabetic medications, oral semaglutide, or any injectable medication in a period of 30 days before the day of eligibility assessment. Temporary/emergency use of any type of insulin is allowed, as is prior insulin treatment for gestational diabetes. - Contraindications to semaglutide according to the Food and Drug Administration approved label. - Female who is pregnant, breastfeeding or intends to become pregnant - Participation in another clinical trial.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Semaglutide
Participants will be prescribed commercially available semaglutide s.c. and will be instructed to initiate treatment with semaglutide s.c. according to the approved label. The study doctor will determine the intended maintenance dose of semaglutide, as well as changes to the maintenance dose thereafter.
Standard of care
Participants will receive standard of care, defined as commercially available oral or injectable antidiabetic medication other than semaglutide. Participants will be prescribed and instructed to initiate commercially available antidiabetic medication according to the approved label and, if relevant for the specific antidiabetic medication, adjusted at the discretion of the study doctor.

Locations

Country Name City State
United States Novo Nordisk Investigational Site Albany New York
United States Novo Nordisk Investigational Site Anderson Indiana
United States Novo Nordisk Investigational Site Arlington Virginia
United States Novo Nordisk Investigational Site Ashland Kentucky
United States Novo Nordisk Investigational Site Athens Tennessee
United States Novo Nordisk Investigational Site Atlanta Georgia
United States Novo Nordisk Investigational Site Atlanta Georgia
United States Novo Nordisk Investigational Site Augusta Georgia
United States Novo Nordisk Investigational Site Avon Indiana
United States Novo Nordisk Investigational Site Belfast Maine
United States Novo Nordisk Investigational Site Berne Indiana
United States Novo Nordisk Investigational Site Blanchester Ohio
United States Novo Nordisk Investigational Site Blue Ridge Georgia
United States Novo Nordisk Investigational Site Bristol Connecticut
United States Novo Nordisk Investigational Site Bristol Tennessee
United States Novo Nordisk Investigational Site Brooklyn New York
United States Novo Nordisk Investigational Site Buena Park California
United States Novo Nordisk Investigational Site Buford Georgia
United States Novo Nordisk Investigational Site Canton Ohio
United States Novo Nordisk Investigational Site Carlisle Ohio
United States Novo Nordisk Investigational Site Charlotte North Carolina
United States Novo Nordisk Investigational Site Charlotte North Carolina
United States Novo Nordisk Investigational Site Chatham Virginia
United States Novo Nordisk Investigational Site Chesterfield Missouri
United States Novo Nordisk Investigational Site Cleveland Ohio
United States Novo Nordisk Investigational Site Colonial Heights Virginia
United States Novo Nordisk Investigational Site Columbia Missouri
United States Novo Nordisk Investigational Site Columbus Ohio
United States Novo Nordisk Investigational Site Columbus Georgia
United States Novo Nordisk Investigational Site Covington Kentucky
United States Novo Nordisk Investigational Site Daleville Virginia
United States Novo Nordisk Investigational Site Danbury Connecticut
United States Novo Nordisk Investigational Site Danville Virginia
United States Novo Nordisk Investigational Site Denver Colorado
United States Novo Nordisk Investigational Site Englewood Colorado
United States Novo Nordisk Investigational Site Evansville Indiana
United States Novo Nordisk Investigational Site Falls Church Virginia
United States Novo Nordisk Investigational Site Fargo North Dakota
United States Novo Nordisk Investigational Site Fort Wayne Indiana
United States Novo Nordisk Investigational Site Franklin Indiana
United States Novo Nordisk Investigational Site Franklin Ohio
United States Novo Nordisk Investigational Site Fullerton California
United States Novo Nordisk Investigational Site Garden Grove California
United States Novo Nordisk Investigational Site Great Neck New York
United States Novo Nordisk Investigational Site Great Neck New York
United States Novo Nordisk Investigational Site Green Bay Wisconsin
United States Novo Nordisk Investigational Site Greenfield Indiana
United States Novo Nordisk Investigational Site Hamden Connecticut
United States Novo Nordisk Investigational Site Hampton Virginia
United States Novo Nordisk Investigational Site Harleysville Pennsylvania
United States Novo Nordisk Investigational Site Humboldt Tennessee
United States Novo Nordisk Investigational Site Jefferson City Missouri
United States Novo Nordisk Investigational Site LaGrange Georgia
United States Novo Nordisk Investigational Site Lancaster California
United States Novo Nordisk Investigational Site Lansdale Pennsylvania
United States Novo Nordisk Investigational Site Las Vegas Nevada
United States Novo Nordisk Investigational Site Lilburn Georgia
United States Novo Nordisk Investigational Site Locust Grove Georgia
United States Novo Nordisk Investigational Site Los Alamitos California
United States Novo Nordisk Investigational Site Lynchburg Virginia
United States Novo Nordisk Investigational Site Marietta Georgia
United States Novo Nordisk Investigational Site Marietta Georgia
United States Novo Nordisk Investigational Site Mason Ohio
United States Novo Nordisk Investigational Site McMinnville Tennessee
United States Novo Nordisk Investigational Site McMurray Pennsylvania
United States Novo Nordisk Investigational Site Michigan City Indiana
United States Novo Nordisk Investigational Site Milford Connecticut
United States Novo Nordisk Investigational Site Milpitas California
United States Novo Nordisk Investigational Site Milwaukee Wisconsin
United States Novo Nordisk Investigational Site Milwaukee Wisconsin
United States Novo Nordisk Investigational Site Mishawaka Indiana
United States Novo Nordisk Investigational Site Mission Hills California
United States Novo Nordisk Investigational Site Monterey California
United States Novo Nordisk Investigational Site Muncie Indiana
United States Novo Nordisk Investigational Site Napa California
United States Novo Nordisk Investigational Site New Albany Indiana
United States Novo Nordisk Investigational Site New Braunfels Texas
United States Novo Nordisk Investigational Site New York New York
United States Novo Nordisk Investigational Site Newport News Virginia
United States Novo Nordisk Investigational Site Owensboro Kentucky
United States Novo Nordisk Investigational Site Oxnard California
United States Novo Nordisk Investigational Site Paris Kentucky
United States Novo Nordisk Investigational Site Pittsburgh Pennsylvania
United States Novo Nordisk Investigational Site Pomona California
United States Novo Nordisk Investigational Site Portsmouth Virginia
United States Novo Nordisk Investigational Site Radford Virginia
United States Novo Nordisk Investigational Site Richmond Kentucky
United States Novo Nordisk Investigational Site Richmond Indiana
United States Novo Nordisk Investigational Site Roswell Georgia
United States Novo Nordisk Investigational Site Saint George Utah
United States Novo Nordisk Investigational Site Saint Louis Missouri
United States Novo Nordisk Investigational Site Saint Louis Missouri
United States Novo Nordisk Investigational Site San Jose California
United States Novo Nordisk Investigational Site Sandersville Georgia
United States Novo Nordisk Investigational Site Savannah Georgia
United States Novo Nordisk Investigational Site South Boston Virginia
United States Novo Nordisk Investigational Site Springfield Missouri
United States Novo Nordisk Investigational Site Statesboro Georgia
United States Novo Nordisk Investigational Site Sterling Heights Michigan
United States Novo Nordisk Investigational Site Stockbridge Georgia
United States Novo Nordisk Investigational Site Suffolk Virginia
United States Novo Nordisk Investigational Site Sugar Land Texas
United States Novo Nordisk Investigational Site Suwanee Georgia
United States Novo Nordisk Investigational Site Swainsboro Georgia
United States Novo Nordisk Investigational Site Toluca Lake California
United States Novo Nordisk Investigational Site Torrance California
United States Novo Nordisk Investigational Site Tulare California
United States Novo Nordisk Investigational Site Virginia Beach Virginia
United States Novo Nordisk Investigational Site Virginia Beach Virginia
United States Novo Nordisk Investigational Site Visalia California
United States Novo Nordisk Investigational Site Wadsworth Ohio
United States Novo Nordisk Investigational Site Walnut Creek California
United States Novo Nordisk Investigational Site Warrenton Virginia
United States Novo Nordisk Investigational Site Waycross Georgia
United States Novo Nordisk Investigational Site Williamsburg Virginia
United States Novo Nordisk Investigational Site Yonkers New York

Sponsors (1)

Lead Sponsor Collaborator
Novo Nordisk A/S

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Glycosylated Haemoglobin (HbA1c) Less Than 7.0 Percentage (%) (53 Millimoles Per Mole [mmol/Mol]) at Year 1 (Yes/No) Number of participants who achieved HbA1c less than 7.0 % (53 mmol/mol) at year 1 is presented. Yes: number of participants who achieved HbA1c less than 7.0 % at year 1; No: number of participants who did not achieve HbA1c less than 7.0 % at year 1. At year 1
Secondary Change in HbA1c (Percentage-point [%-Point]) From Baseline to Year 1 Change in HbA1c from baseline to year 1 is presented in %-point. Baseline (less than or equal to 90 days prior to randomization at week 0), year 1
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) at Year 2 (Yes/No) At year 2
Secondary Change in HbA1c (%-Point) From Baseline to Year 2 Baseline (less than or equal to 90 days prior to randomization at week 0), year 2
Secondary Number of Participants With Individualized HbA1c Target Attained at Year 1 (Yes/No) Number of participants who achieved individualized HbA1c target attained at year 1 is presented. Study physicians set and documented an individualized HbA1c target for participants prior to randomization based on their clinical judgement and knowledge of the participant. Yes: number of participants who achieved individualized HbA1c target attained at year 1; No: number of participants who did not achieve individualized HbA1c target attained at year 1 At year 1
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) or At Least 1% Point Improvement in HbA1c Compared to Baseline at Year 1 (Yes/No) Number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) or at least 1% point improvement in HbA1c compared to baseline at year 1 is presented. Yes: number of participants who achieved HbA1c less than 7.0% or at least 1% point improvement in HbA1c compared to baseline at year 1; No: number of participants who did not achieve HbA1c less than 7.0% or at least 1% point improvement in HbA1c compared to baseline at year 1 At year 1
Secondary Number of Participants With HbA1c Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria at Year 1 (Yes/No) Number of participants who achieved HbA1c target attainment per HEDIS criteria (less than 8.0% if age = 65 years or with defined comorbidities, otherwise less than 7.0%) at year 1 is presented. Yes: Number of participants who achieved HbA1c target attainment per HEDIS criteria at year 1; No: Number of participants who did not achieve HbA1c target attainment per HEDIS criteria at year 1 At year 1
Secondary Change in Body Weight (in Pounds) From Baseline to Year 1 Change in body weight (in pounds) from baseline to year 1 is presented. Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Percentage Change in Body Weight From Baseline to Year 1 Percentage change in body weight from baseline to year 1 is presented. Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change in Systolic Blood Pressure (SBP) From Baseline to Year 1 Change in SBP from baseline to year 1 is presented. Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change in Diastolic Blood Pressure (DBP) From Baseline to Year 1 Change in DBP from baseline to year 1 is presented. Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Time to First Study Drug Discontinuation During 2 Years Week 0 to year 2
Secondary Time to First Treatment Intensification (Add-on) or Change (Switch) After Randomization During 2 Years Week 0 to year 2
Secondary Percentage of Medication Possession Ratio (MPR) for Study Drug Medication Adherence for the First Year of the Study Percentage of MPR for study drug medication adherence for the first year of the study is presented. Medication adherence referred to a participant's conformance to the provider's recommendation with respect to timing, dosage, and frequency of medication taken during the prescribed length of time. The MPR was used to assess adherence. MPR was calculated as follows: MPR (%) = Sum of days supply for all prescription fills*100/Total number of days in time period. MPR was capped at 100%. MPR was calculated from pharmacy claims data and irrespective of adherence to randomized treatment or changes to antidiabetic treatment. Week 0 to year 1
Secondary Number of Hypoglycemic Episodes Leading to an Inpatient Admission or Emergency Room (ER) Encounter From Baseline to Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Treatment Satisfaction Questionnaire, Change Version (DTSQc), Total Treatment Satisfaction Score Measured at Year 1 DTSQc total treatment satisfaction score measured at year 1 is presented. The DTSQc provides a measure of how satisfied participants are with their current diabetes treatment compared with previous treatment. It consists of 8 questions, which are to be answered on a Likert scale from -3 to +3 (-3 = much less satisfied now to +3 = much more satisfied now), with 0 (midpoint), representing no change. Six questions are summed to produce a total treatment satisfaction score. The remaining two questions concern perceived frequency of hyperglycemia and perceived frequency of hypoglycemia, respectively. The DTSQc total treatment satisfaction score ranges from -18 to +18, with higher scores associated with greater treatment satisfaction. At year 1
Secondary DTSQc, Total Treatment Satisfaction Score Measured at Year 2 At year 2
Secondary Change From Baseline in Short Form 12-Item Version 2 Survey (SF-12 v2), Physical Summary Component (PCS-12) Score at Year 1 Change from baseline in SF-12 v2, PCS-12 score at year 1 is presented. The SF-12 v2 is a 12-item generic health-related quality of life measure that assesses physical and mental functioning. The items were scored using the scoring software. It contains two summary scores: Physical summary component (PCS) Score and Mental summary component (MCS) Score. The scores are norm-scored such that the scores range from 0-100 with a mean of 50 and standard deviation of 10. A higher score is associated with better quality of life and a lower score, poorer quality of life. Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change From Baseline in SF-12 v2, PCS-12 Score at Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change From Baseline in SF-12 v2, Mental Summary Component (MCS-12) Score at Year 1 Change from baseline in SF-12 v2, MCS-12 score at year 1 is presented. The SF-12 v2 is a 12-item generic health-related quality of life measure that assesses physical and mental functioning. The items were scored using the scoring software. It contains two summary scores: PCS Score and MCS Score. The scores are norm-scored such that the scores range from 0-100 with a mean of 50 and standard deviation of 10. A higher score is associated with better quality of life and a lower score, poorer quality of life. Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change From Baseline in SF-12 v2, MCS-12 Score at Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change From Baseline in Work Productivity and Activity Impairment, General Health Questionnaire (WPAI-GH) Absenteeism (Work Time Missed) Score at Year 1 Change from baseline in WPAI-GH Absenteeism (work time missed) score at year 1 is presented. The WPAI-GH yields four types of scores: Absenteeism (work time missed), Presenteesism (impairment at work/reduced on-the-job effectiveness), Work productivity loss (overall work impairment/absenteeism plus presenteeism), and Activity Impairment. WPAI outcomes are expressed as impairment percentages (0-100), with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes (percent work time missed due to health, percent impairment while working due to health, percent overall work impairment due to health, percent activity impairment due to health). Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change From Baseline in WPAI-GH Absenteeism (Work Time Missed) Score at Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change From Baseline in WPAI-GH Presenteeism (Impairment at Work/Reduced On-the-job Effectiveness) Score at Year 1 Change from baseline in WPAI-GH Presenteeism (Impairment at Work/Reduced On-the-job Effectiveness) score at year 1 is presented. The WPAI-GH yields four types of scores: Absenteeism (work time missed), Presenteesism (impairment at work / reduced on-the-job effectiveness), Work productivity loss (overall work impairment / absenteeism plus presenteeism), and Activity Impairment. WPAI outcomes are expressed as impairment percentages (0-100), with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes (percent work time missed due to health, percent impairment while working due to health, percent overall work impairment due to health, percent activity impairment due to health). Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change From Baseline in WPAI-GH Presenteeism (Impairment at Work/Reduced On-the-job Effectiveness) Score at Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change From Baseline in WPAI-GH Work Productivity Loss (Overall Work Impairment/Absenteeism Plus Presenteeism) Score at Year 1 Change from baseline in WPAI-GH work productivity loss (overall work impairment/absenteeism plus presenteeism) score at year 1 is presented. The WPAI-GH yields four types of scores: Absenteeism (work time missed), Presenteesism (impairment at work / reduced on-the-job effectiveness), Work productivity loss (overall work impairment / absenteeism plus presenteeism), and Activity Impairment. WPAI outcomes are expressed as impairment percentages (0-100), with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes (percent work time missed due to health, percent impairment while working due to health, percent overall work impairment due to health, percent activity impairment due to health). Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change From Baseline in WPAI-GH Work Productivity Loss (Overall Work Impairment/Absenteeism Plus Presenteeism) Score at Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change From Baseline in WPAI-GH Activity Impairment Score at Year 1 Change from baseline in WPAI-GH activity impairment score at year 1 is presented. The WPAI-GH yields four types of scores: Absenteeism (work time missed), Presenteesism (impairment at work/reduced on-the-job effectiveness), Work productivity loss (overall work impairment/absenteeism plus presenteeism), and Activity Impairment. WPAI outcomes are expressed as impairment percentages (0-100), with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes (percent work time missed due to health, percent impairment while working due to health, percent overall work impairment due to health, percent activity impairment due to health). Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 1
Secondary Change From Baseline in WPAI-GH Activity Impairment Score at Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary All Cause Healthcare Resource Utilization (HCRU): Number of Inpatient Admissions From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Cumulative Length of Stay for Inpatient Admissions From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Number of Emergency Room (ER) Encounters From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Number of Outpatient Encounters From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Number of Medications From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Occurrence of Inpatient Admission (Yes/No) From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Occurrence of ER Encounter (Yes/No) From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary All Cause HCRU: Occurrence of Outpatient Encounter (Yes/No) From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Number of Diabetes Related Inpatient Admissions From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Cumulative Length of Stay for Diabetes Related Inpatient Admissions From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Number of Diabetes Related ER Encounters From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Number of Diabetes Related Outpatient Encounters From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Number of Diabetes Related Medications From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Occurrence of Diabetes Related Inpatient Admission (Yes/No) From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Occurrence of Diabetes Related ER Encounter (Yes/No) From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Diabetes Related HCRU: Occurrence of Diabetes Related Outpatient Encounter (Yes/No) From Baseline to Year 2 From baseline (less than or equal to 4 weeks prior to the randomization at week 0) to year 2
Secondary Number of Participants With Individualized HbA1c Target Attained at Year 2 (Yes/No) At year 2
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) or At Least 1% Point Improvement in HbA1c Compared to Baseline at Year 2 (Yes/No) At year 2
Secondary Number of Participants With HbA1c Less Than 8.0% (64 mmol/Mol) at Year 1 (Yes/No) Number of participants who achieved HbA1c less than 8.0% (64 mmol/mol) at year 1 is presented. Yes: number of participants who achieved HbA1c less than 8.0% (64 mmol/mol) at year 1; No: number of participants who did not achieve HbA1c less than 8.0% (64 mmol/mol) at year 1. At year 1
Secondary Number of Participants With HbA1c Less Than 8.0% (64 mmol/Mol) at Year 2 (Yes/No) At year 2
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) and No Further Antidiabetic Medication Intensification After Randomization at Year 1 (Yes/No) Number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) and no further antidiabetic medication intensification after randomization at year 1 is presented. Yes: number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) and no further antidiabetic medication intensification after randomization at year 1; No: number of participants who did not achieve HbA1c less than 7.0% (53 mmol/mol) and no further antidiabetic medication intensification after randomization at year 1. At year 1
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) and No Further Antidiabetic Medication Intensification After Randomization at Year 2 (Yes/No) At year 2
Secondary Number of Participants With HbA1c Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria at Year 2 (Yes/No) At year 2
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) at Year 1 in Participants With HbA1c >9.0% at Baseline (Yes/No) Number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) at year 1 in participants with HbA1c >9.0% at baseline is presented. Yes: number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) at year 1 in participants with HbA1c >9.0% at baseline; No: number of participants who did not achieve HbA1c less than 7.0% (53 mmol/mol) at year 1 in participants with HbA1c >9.0% at baseline. At year 1
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) at Year 2 in Participants With HbA1c >9.0% at Baseline (Yes/No) At year 2
Secondary Number of Participants With HbA1c Less Than 8.0% (64 mmol/Mol) at Year 1 in Participants With HbA1c >9.0% at Baseline (Yes/No) Number of participants who achieved HbA1c less than 8.0% (64 mmol/mol) at year 1 in participants with HbA1c >9.0% at baseline is presented. Yes: number of participants who achieved HbA1c less than 8.0% (64 mmol/mol) at year 1 in participants with HbA1c >9.0% at baseline; No: number of participants who did not achieve HbA1c less than 8.0% (64 mmol/mol) at year 1 in participants with HbA1c >9.0% at baseline At year 1
Secondary Number of Participants With HbA1c Less Than 8.0% (64 mmol/Mol) at Year 2 in Participants With HbA1c >9.0% at Baseline (Yes/No) At year 2
Secondary Change in Body Weight (in Percentage) From Baseline to Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change in Body Weight (in Pounds) From Baseline to Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change in SBP From Baseline to Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Change in DBP From Baseline to Year 2 Baseline (less than or equal to 4 weeks prior to the randomization at week 0), year 2
Secondary Number of Participants With Reported Hypoglycemia Leading to Inpatient Admission or ER Encounter During Year 1 (Yes/No) Number of participants who reported hypoglycemia leading to inpatient admission or ER encounter during year 1 is presented. Yes: number of participants who reported hypoglycemia leading to inpatient admission or ER encounter during year 1; No: number of participants who did not report hypoglycemia leading to inpatient admission or ER encounter during year 1. Week 0 to year 1
Secondary Number of Participants With Reported Hypoglycemia Leading to Inpatient Admission or ER Encounter During Year 2 (Yes/No) Week 0 to year 2
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) Without Experiencing Hypoglycemia Leading to Inpatient Admission or ER Encounter and Body Weight Loss of = 5% Versus Baseline at Year 1 (Yes/No) Number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) without experiencing hypoglycemia leading to inpatient admission or ER encounter and body weight loss of = 5% versus baseline at year 1 is presented. Yes: number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) without experiencing hypoglycemia leading to inpatient admission or ER encounter and body weight loss of = 5% versus baseline at year 1; No: number of participants who did not achieve HbA1c less than 7.0% (53 mmol/mol) without experiencing hypoglycemia leading to inpatient admission or ER encounter and body weight loss of = 5% versus baseline at year 1 At year 1
Secondary Number of Participants With Absolute HbA1c Reduction of = 0.5% Without Experiencing Hypoglycemia Leading to Inpatient Admission or ER Encounter and a Body Weight Loss of = 5% Versus Baseline at Year 1 (Yes/No) Number of participants who achieved absolute HbA1c reduction of = 0.5% without experiencing hypoglycemia leading to inpatient admission or ER encounter and a body weight loss of = 5% versus baseline at year 1 is presented. Yes: number of participants who achieved absolute HbA1c reduction of = 0.5% without experiencing hypoglycemia leading to inpatient admission or ER encounter and a body weight loss of = 5% versus baseline at year 1; No: number of participants who did not achieve absolute HbA1c reduction of = 0.5% without experiencing hypoglycemia leading to inpatient admission or ER encounter and a body weight loss of = 5% versus baseline at year 1. At year 1
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) Without Experiencing Hypoglycemia Leading to Inpatient Admission or ER Encounter and Body Weight Loss of = 5% Versus Baseline at Year 2 (Yes/No) At year 2
Secondary Number of Participants With Absolute HbA1c Reduction of = 0.5% Without Experiencing Hypoglycemia Leading to Inpatient Admission or ER Encounter and a Body Weight Loss of = 5% Versus Baseline at Year 2 (Yes/No) At year 2
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) Without Experiencing Hypoglycemia Leading to Inpatient Admission or ER Encounter and No Body Weight Gain Versus Baseline at Year 1 (Yes/No) Number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) without experiencing hypoglycemia leading to inpatient admission or ER encounter and no body weight gain versus baseline at year 1 is presented. Yes: number of participants who achieved HbA1c less than 7.0% (53 mmol/mol) without experiencing hypoglycemia leading to inpatient admission or ER encounter and no body weight gain versus baseline at year 1; No: number of participants who did not achieve HbA1c less than 7.0% (53 mmol/mol) without experiencing hypoglycemia leading to inpatient admission or ER encounter and no body weight gain versus baseline at year 1. At year 1
Secondary Number of Participants With HbA1c Less Than 7.0% (53 mmol/Mol) Without Experiencing Hypoglycemia Leading to Inpatient Admission or ER Encounter and No Body Weight Gain Versus Baseline at Year 2 (Yes/No) At year 2
Secondary Percentage of Medication Possession Ratio (MPR) for Study Drug Medication Adherence For The Two Years of The Study Week 0 to year 2
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