LivingGLP1
Study S001381

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

Registration

Registration
NCT02692716
Acronym
PIONEER 6
Study type
INTERVENTIONAL
Allocation
RANDOMIZED
Phase
PHASE3
Masking
DOUBLE
Status
COMPLETED
Enrollment
3183
Start
2017-01-17
Primary completion
2018-09-25
Lead sponsor
Novo Nordisk A/S
Conditions
Diabetes; Diabetes Mellitus, Type 2
Interventions
DRUG:semaglutide; DRUG:placebo
Results posted
TRUE
Secondary identifiers
EUDRACT_NUMBER:2015-003563-10; OTHER:U1111-1173-0750; OTHER:NL56580.091.16; NIH:2015

Registered primary outcomes

  • 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 [Maximum treatment duration is dependent on event rates and is estimated to be no longer than 19 months + 5 weeks of follow-up period.]

Linked records (24)

Automatic links, confirmed or rejected during screening. A record citing this registration may be a secondary analysis, a commentary or a review that mentions the trial.
RecordTitleYearDesignIdentifiersLink basis
R0010237Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes.
Natale P, The Cochrane database of systematic reviews
2025Systematic reviewPMID 39963952DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:39963952
R0016776Effect of semaglutide versus placebo on cardiorenal outcomes by prior cardiovascular disease and baseline body mass index: Pooled post hoc analysis of SUSTAIN 6 and PIONEER 6.
Zhou J, Diabetes, obesity & metabolism
2025Other trialPMID 40704485DOIcites ClinicalTrials.gov:NCT02692716
R0018274Cardiovascular, Metabolic, and Safety Outcomes with Semaglutide by Baseline Age: Post Hoc Analysis of SUSTAIN 6 and PIONEER 6.
Bain SC, Diabetes therapy : research, treatment and education of diabetes and related disorders
2025Other trialPMID 39520501DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:39520501
R0042126Effects of semaglutide on stroke subtypes in type 2 diabetes: post hoc analysis of the randomised SUSTAIN 6 & PIONEER 6
WD Strain (14423826), Figshare
2025Randomized trialcites ClinicalTrials.gov:NCT02692716
R0020454Semaglutide and cardiovascular outcomes by baseline HbA1c in diabetes: the SUSTAIN 6 and PIONEER 6 trials.
Mellbin LG, European heart journal
2024Nonrandomized studyPMID 38416593DOIcites ClinicalTrials.gov:NCT02692716
R0039098Effect of semaglutide on major adverse cardiovascular events by baseline kidney parameters in participants with type 2 diabetes and at high risk of cardiovascular disease: SUSTAIN 6 and PIONEER 6 post hoc pooled analysis
Rossing, Peter, Figshare
2024Other trialDOIcites ClinicalTrials.gov:NCT02692716
R0020475Effect of semaglutide on major adverse cardiovascular events by baseline kidney parameters in participants with type 2 diabetes and at high risk of cardiovascular disease: SUSTAIN 6 and PIONEER 6 post hoc pooled analysis.
Rossing P, Cardiovascular diabetology
2023Other trialPMID 37620807DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:37620807
R0022330Semaglutide reduces the risk of major adverse cardiovascular events consistently across baseline triglyceride levels in patients with type 2 diabetes: Post hoc analyses of the SUSTAIN 6 and PIONEER 6 trials.
Verma S, Diabetes, obesity & metabolism
2023Randomized trialPMID 37016488DOIcites ClinicalTrials.gov:NCT02692716
R0007143Semaglutide reduces cardiovascular events regardless of metformin use: a post hoc subgroup analysis of SUSTAIN 6 and PIONEER 6.
Husain M, Cardiovascular diabetology
2022Systematic reviewPMID 35484580DOIcites ClinicalTrials.gov:NCT02692716; registry reference RESULT:35484580
R0010495Effects of Semaglutide on Stroke Subtypes in Type 2 Diabetes: Post Hoc Analysis of the Randomized SUSTAIN 6 and PIONEER 6.
Strain WD, Stroke
2022Randomized trialPMID 35582947DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:35582947
R0021795Efficacy and safety of oral semaglutide by subgroups of patient characteristics in the PIONEER phase 3 programme.
Aroda VR, Diabetes, obesity & metabolism
2022Other trialPMID 35373893DOIregistry reference RESULT:35373893
R0017715A population-adjusted indirect comparison of cardiovascular benefits of once-weekly subcutaneous semaglutide and dulaglutide in the treatment of patients with type 2 diabetes, with or without established cardiovascular disease.
Evans LM, Endocrinology, diabetes & metabolism
2021Randomized trialPMID 34277983DOIregistry reference RESULT:34277983
R0020208Applying REWIND cardiovascular disease criteria to SUSTAIN 6 and PIONEER 6: An exploratory analysis of cardiovascular outcomes with semaglutide.
Verma S, Diabetes, obesity & metabolism
2021Other trialPMID 33606902DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:33606902
R0052406664-P: Incorporating Treatment Pauses, Dosing Flexibility, and Education to Support GLP-1RA Therapy Persistence
Vanita R. Aroda, Diabetes
2021Other trialDOIcites ClinicalTrials.gov:NCT02692716
R0007971Efficacy, safety and cardiovascular outcomes of once-daily oral semaglutide in patients with type 2 diabetes: The PIONEER programme.
Thethi TK, Diabetes, obesity & metabolism
2020Randomized trialPMID 32267058DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:32267058
R0018529Effects of semaglutide on risk of cardiovascular events across a continuum of cardiovascular risk: combined post hoc analysis of the SUSTAIN and PIONEER trials.
Husain M, Cardiovascular diabetology
2020Randomized trialPMID 32998732DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:32998732
R0018857Semaglutide (SUSTAIN and PIONEER) reduces cardiovascular events in type 2 diabetes across varying cardiovascular risk.
Husain M, Diabetes, obesity & metabolism
2020OtherPMID 31903692DOIcites ClinicalTrials.gov:NCT02692716; registry reference DERIVED:31903692
R0041631APPLYING REWIND CVD CRITERIA TO SUSTAIN 6 AND PIONEER 6: AN EXPLORATORY ANALYSIS OF CV OUTCOMES WITH SEMAGLUTIDE
Subodh Verma, Journal of the American College of Cardiology
2020Other trialDOIcites ClinicalTrials.gov:NCT02692716
R0048083Estimating cardiovascular disease-free life-years with the addition of semaglutide in people with type 2 diabetes using pooled data from SUSTAIN 6 and PIONEER 6
Jan Westerink, European Heart Journal
2020Randomized trialDOIcites ClinicalTrials.gov:NCT02692716
R0049018Abstract 13814: Semaglutide Reduces Mace Consistently Across Baseline Triglyceride Levels in Patients With Type 2 Diabetes: A Post Hoc Analysis of the Sustain 6 and Pioneer 6 Trials
Subodh Verma, Circulation
2020Randomized trialDOIcites ClinicalTrials.gov:NCT02692716
R0049459Effects of liraglutide and semaglutide on stroke subtypes in patients with type 2 diabetes: a post hoc analysis of the LEADER, SUSTAIN 6 and PIONEER 6 trials
William David Strain, European Heart Journal
2020Randomized trialDOIcites ClinicalTrials.gov:NCT02692716
R0013172Cardiovascular safety of oral semaglutide in patients with type 2 diabetes: Rationale, design and patient baseline characteristics for the PIONEER 6 trial.
Bain SC, Diabetes, obesity & metabolism
2019ProtocolPMID 30284349DOIregistry reference RESULT:30284349
R0013782Oral Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes.
Husain M, The New England journal of medicine
2019Randomized trialPMID 31185157DOIcites ClinicalTrials.gov:NCT02692716; registry reference RESULT:31185157
R0028687Cardiovascular Outcomes Trials in Type 2 Diabetes: Where Do We Go From Here? Reflections From a Diabetes Care Editors' Expert Forum.
Cefalu WT, Diabetes care
2018Other trialPMID 29263194DOIregistry reference RESULT:29263194