LivingGLP1
parallel randomized trial

PIONEER 10

Safety and Efficacy of Oral Semaglutide Versus Dulaglutide Both in Combination With One OAD in Japanese Subjects With Type 2 Diabetes

Design

Randomized
458
Start year
2017
Treatment
52 weeks, follow-up 57 weeks
Countries
Japan (36 sites)
Sponsor
Novo Nordisk (industry)
Eligibility
Japanese adults 20 or older; T2D; HbA1c 7.0 to 10.5 percent on one oral glucose lowering drug

Conduct and analysis

Blinding
single blind
Sequence generation
other adequate
Allocation concealment
central
Outcome adjudication
yes
Primary estimand
treatment policy
Analysis population
safety
Missing data
multiple imputation

Arms

ArmTreatmentBackgroundRandomizedAnalyzedCompleted treatment
A1Semaglutide 3 mg oral once daily (original tablet)
Oral semaglutide 3 mg
one oral glucose lowering drug (SU, glinide, TZD, AGI or SGLT2i); lifestyle: not reported131131124
A2Semaglutide 7 mg oral once daily (original tablet)
Oral semaglutide 7 mg
one oral glucose lowering drug (SU, glinide, TZD, AGI or SGLT2i); lifestyle: not reported132132123
A3Semaglutide 14 mg oral once daily (original tablet)
Oral semaglutide 14 mg
one oral glucose lowering drug (SU, glinide, TZD, AGI or SGLT2i); lifestyle: not reported130130115
A4Dulaglutide 0.75 mg subcutaneous once weekly
Dulaglutide 0.75 mg
one oral glucose lowering drug (SU, glinide, TZD, AGI or SGLT2i); lifestyle: not reported656561

Baseline characteristics

As printed in the trial reports or registry, per arm or for the whole trial.
CharacteristicStatisticSemaglutide 3 mg oral once daily (original tablet)
A1
Semaglutide 7 mg oral once daily (original tablet)
A2
Semaglutide 14 mg oral once daily (original tablet)
A3
Dulaglutide 0.75 mg subcutaneous once weekly
A4
Whole trial
ALL
age: 75 or oldern24
age: 75 or olderpercent5
agemean (years)59585761
agesd (years)1011109
asiann13113213065
blackn0000
bmimean (kg/m2)25.826.826.326.0
bmisd (kg/m2)4.55.05.24.0
diabetes durationmean (years)9.49.39.19.9
diabetes durationsd (years)6.36.36.46.3
egfr: 30 to 59n0211
egfr: 30 to 59percent212
egfr: 60 to 89n36373514
egfr: 60 to 89percent27282722
egfr: 90 or moren95939450
egfr: 90 or morepercent73707277
egfr: less than 30n0000
egfrmean (mL/min/1.73 m2)96979796
egfrsd (mL/min/1.73 m2)13141413
femalen31423014
femalepercent24322322
hba1cmean (percent)8.28.38.48.4
hba1csd (percent)0.90.91.00.9
hispanicn0000
other background: alpha glucosidase inhibitor onlyn22222211
other background: alpha glucosidase inhibitor onlypercent17171717
other background: glinide onlyn22222211
other background: glinide onlypercent17171717
other background: sglt2i onlyn22232211
other background: sglt2i onlypercent17171717
other background: sulfonylurea onlyn42424221
other background: sulfonylurea onlypercent32323232
other background: thiazolidinedione onlyn23232211
other background: thiazolidinedione onlypercent18171717
waistmean (cm)90.191.890.891.2
waistsd (cm)11.511.110.710.1
weightmean (kg)71.572.772.671.2
weightsd (kg)16.016.415.214.3
whiten0000

Analyses this trial contributes to

Results

435 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (50 lines; O01)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change-1.1 percent0.1126hypothetical; full analysis; R0018421:Figure 2D
26A1 vs A4md0.5 percent0.3 to 0.7hypothetical; full analysis; R0018421:Figure 2D
26A1change-1.1 percent87treatment policy; randomized; age:less_than_65; R0016956:Figure 1A
26A1change-1.1 percent0.1131treatment policy; full analysis; R0018421:Figure 2C
26A1change-1.1 percent0.9131treatment policy; full analysis; registry:outcomes
26A1 vs A4md0.4 percent0.1 to 0.7treatment policy; full analysis; R0018421:Figure 2C
26A1 vs A4md0.4 percent-0.1 to 0.8treatment policy; randomized; age:65_or_older; R0016956:Supplement Figure S1
26A1change-1.2 percent44treatment policy; randomized; age:65_or_older; R0016956:Figure 1A
26A1 vs A4md0.4 percent0.1 to 0.7treatment policy; randomized; age:less_than_65; R0016956:Supplement Figure S1
26A2 vs A4md-0.1 percent-0.6 to 0.4treatment policy; randomized; age:65_or_older; R0016956:Supplement Figure S1
26A2 vs A4md-0.1 percent-0.3 to 0.1hypothetical; full analysis; R0018421:Figure 2D
26A2change-1.7 percent0.1124hypothetical; full analysis; R0018421:Figure 2D
26A2change-1.7 percent41treatment policy; randomized; age:65_or_older; R0016956:Figure 1A
26A2change-1.7 percent0.1132treatment policy; full analysis; R0018421:Figure 2C
26A2 vs A4md-0.2 percent-0.5 to 0.1treatment policy; randomized; age:less_than_65; R0016956:Supplement Figure S1
26A2change-1.7 percent91treatment policy; randomized; age:less_than_65; R0016956:Figure 1A
26A2 vs A4md-0.1 percent-0.4 to 0.1treatment policy; full analysis; R0018421:Figure 2C
26A2change-1.7 percent0.9132treatment policy; full analysis; registry:outcomes
26A3change-2.3 percent34treatment policy; randomized; age:65_or_older; R0016956:Figure 1A
26A3change-2.0 percent0.1120hypothetical; full analysis; R0018421:Figure 2D
26A3 vs A4md-0.4 percent-0.6 to -0.2hypothetical; full analysis; R0018421:Figure 2D
26A3change-2.0 percent0.1130treatment policy; full analysis; R0018421:Figure 2C
26A3change-2.0 percent1.0130treatment policy; full analysis; registry:outcomes
26A3 vs A4md-0.4 percent-0.7 to -0.2treatment policy; full analysis; R0018421:Figure 2C
26A3 vs A4md-0.3 percent-0.6 to 0.0treatment policy; randomized; age:less_than_65; R0016956:Supplement Figure S1
26A3change-1.8 percent96treatment policy; randomized; age:less_than_65; R0016956:Figure 1A
26A3 vs A4md-0.7 percent-1.2 to -0.3treatment policy; randomized; age:65_or_older; R0016956:Supplement Figure S1
26A4change-1.6 percent0.965treatment policy; full analysis; registry:outcomes
26A4change-1.5 percent0.165treatment policy; full analysis; R0018421:Figure 2C
26A4change-1.6 percent0.162hypothetical; full analysis; R0018421:Figure 2D
26A4change-1.6 percent18treatment policy; randomized; age:65_or_older; R0016956:Figure 1A
26A4change-1.5 percent47treatment policy; randomized; age:less_than_65; R0016956:Figure 1A
52A1change-0.7 percent0.1102hypothetical; full analysis; R0018421:Figure 2D
52A1 vs A4md0.6 percent0.3 to 0.9hypothetical; full analysis; R0018421:Figure 2D
52A1change-0.9 percent0.1131treatment policy; full analysis; R0018421:Figure 2C
52A1change-0.8 percent1.0131treatment policy; full analysis; registry:outcomes
52A1 vs A4md0.5 percent0.2 to 0.8treatment policy; full analysis; R0018421:Figure 2C
52A2change-1.4 percent0.1114hypothetical; full analysis; R0018421:Figure 2D
52A2 vs A4md-0.1 percent-0.3 to 0.2treatment policy; full analysis; R0018421:Figure 2C
52A2change-1.4 percent1.0132treatment policy; full analysis; registry:outcomes
52A2change-1.4 percent0.1132treatment policy; full analysis; R0018421:Figure 2C
52A2 vs A4md-0.1 percent-0.4 to 0.2hypothetical; full analysis; R0018421:Figure 2D
52A3change-1.7 percent0.1130treatment policy; full analysis; R0018421:Figure 2C
52A3change-1.8 percent0.1113hypothetical; full analysis; R0018421:Figure 2D
52A3 vs A4md-0.3 percent-0.6 to -0.1treatment policy; full analysis; R0018421:Figure 2C
52A3change-1.8 percent1.0130treatment policy; full analysis; registry:outcomes
52A3 vs A4md-0.5 percent-0.8 to -0.2hypothetical; full analysis; R0018421:Figure 2D
52A4change-1.4 percent0.165treatment policy; full analysis; R0018421:Figure 2C
52A4change-1.3 percent0.156hypothetical; full analysis; R0018421:Figure 2D
52A4change-1.4 percent0.965treatment policy; full analysis; registry:outcomes
Body weight change in kilograms (diabetes) (50 lines; O02)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change-0.2 kg0.3131treatment policy; full analysis; R0018421:Figure 3C
26A1change-0.1 kg0.2126hypothetical; full analysis; R0018421:Figure 3D
26A1 vs A4md-0.4 kg-1.2 to 0.4hypothetical; full analysis; R0018421:Figure 3D
26A1change-0.1 kg2.0131treatment policy; full analysis; registry:outcomes
26A1 vs A4md-0.5 kg-1.3 to 0.4treatment policy; full analysis; R0018421:Figure 3C
26A1change-1.0 kg44treatment policy; randomized; age:65_or_older; R0016956:Figure 1B
26A1 vs A4md-0.5 kg-2.0 to 1.0treatment policy; randomized; age:65_or_older; R0016956:Supplement Figure S2
26A1 vs A4md-0.4 kg-1.4 to 0.6treatment policy; randomized; age:less_than_65; R0016956:Supplement Figure S2
26A1change0.2 kg87treatment policy; randomized; age:less_than_65; R0016956:Figure 1B
26A2change-1.0 kg3.0132treatment policy; full analysis; registry:outcomes
26A2 vs A4md-1.3 kg-2.2 to -0.5treatment policy; full analysis; R0018421:Figure 3C
26A2 vs A4md-1.5 kg-2.5 to -0.5treatment policy; randomized; age:less_than_65; R0016956:Supplement Figure S2
26A2 vs A4md-1.5 kg-2.3 to -0.6hypothetical; full analysis; R0018421:Figure 3D
26A2 vs A4md-0.7 kg-2.3 to 0.9treatment policy; randomized; age:65_or_older; R0016956:Supplement Figure S2
26A2change-1.0 kg0.3132treatment policy; full analysis; R0018421:Figure 3C
26A2change-1.2 kg41treatment policy; randomized; age:65_or_older; R0016956:Figure 1B
26A2change-1.2 kg0.2124hypothetical; full analysis; R0018421:Figure 3D
26A2change-1.0 kg91treatment policy; randomized; age:less_than_65; R0016956:Figure 1B
26A3 vs A4md-2.6 kg-3.6 to -1.6treatment policy; randomized; age:less_than_65; R0016956:Supplement Figure S2
26A3change-2.2 kg0.2130treatment policy; full analysis; R0018421:Figure 3C
26A3change-2.2 kg3.2130treatment policy; full analysis; registry:outcomes
26A3 vs A4md-2.5 kg-3.3 to -1.7treatment policy; full analysis; R0018421:Figure 3C
26A3 vs A4md-2.2 kg-3.8 to -0.7treatment policy; randomized; age:65_or_older; R0016956:Supplement Figure S2
26A3change-2.7 kg34treatment policy; randomized; age:65_or_older; R0016956:Figure 1B
26A3change-2.1 kg96treatment policy; randomized; age:less_than_65; R0016956:Figure 1B
26A3change-2.3 kg0.2120hypothetical; full analysis; R0018421:Figure 3D
26A3 vs A4md-2.6 kg-3.5 to -1.8hypothetical; full analysis; R0018421:Figure 3D
26A4change0.3 kg0.364hypothetical; full analysis; R0018421:Figure 3D
26A4change0.3 kg0.365treatment policy; full analysis; R0018421:Figure 3C
26A4change0.3 kg2.165treatment policy; full analysis; registry:outcomes
26A4change-0.5 kg18treatment policy; randomized; age:65_or_older; R0016956:Figure 1B
26A4change0.6 kg47treatment policy; randomized; age:less_than_65; R0016956:Figure 1B
52A1change0.1 kg0.3103hypothetical; full analysis; R0018421:Figure 3D
52A1 vs A4md-0.9 kg-1.9 to 0.0treatment policy; full analysis; R0018421:Figure 3C
52A1change0.0 kg2.4131treatment policy; full analysis; registry:outcomes
52A1change0.0 kg0.3131treatment policy; full analysis; R0018421:Figure 3C
52A1 vs A4md-0.9 kg-1.9 to 0.1hypothetical; full analysis; R0018421:Figure 3D
52A2change-0.9 kg0.3132treatment policy; full analysis; R0018421:Figure 3C
52A2 vs A4md-1.9 kg-2.8 to -0.9treatment policy; full analysis; R0018421:Figure 3C
52A2 vs A4md-2.1 kg-3.1 to -1.1hypothetical; full analysis; R0018421:Figure 3D
52A2change-0.9 kg3.4132treatment policy; full analysis; registry:outcomes
52A2change-1.0 kg0.3115hypothetical; full analysis; R0018421:Figure 3D
52A3change-1.6 kg0.3130treatment policy; full analysis; R0018421:Figure 3C
52A3 vs A4md-2.6 kg-3.5 to -1.6treatment policy; full analysis; R0018421:Figure 3C
52A3 vs A4md-3.0 kghypothetical; full analysis; R0018421:Figure 3D
52A3change-1.9 kg0.3113hypothetical; full analysis; R0018421:Figure 3D
52A3change-1.7 kg3.5130treatment policy; full analysis; registry:outcomes
52A4change1.0 kg0.465treatment policy; full analysis; R0018421:Figure 3C
52A4change1.0 kg2.765treatment policy; full analysis; registry:outcomes
52A4change1.1 kg0.456hypothetical; full analysis; R0018421:Figure 3D
HbA1c below 7 percent (28 lines; O03)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A4or0.200.09 to 0.42hypothetical; full analysis; R0018421:Table 4
26A1responders58 / 126hypothetical; full analysis; R0018421:Table 4
26A1 vs A4or0.260.13 to 0.54treatment policy; full analysis; R0018421:Table 4
26A1responders59 / 128treatment policy; full analysis; R0018421:Table 4
26A2 vs A4or1.330.64 to 2.77treatment policy; full analysis; R0018421:Table 4
26A2responders94 / 124hypothetical; full analysis; R0018421:Table 4
26A2 vs A4or1.270.58 to 2.78hypothetical; full analysis; R0018421:Table 4
26A2responders96 / 128treatment policy; full analysis; R0018421:Table 4
26A3 vs A4or2.831.22 to 6.57hypothetical; full analysis; R0018421:Table 4
26A3responders105 / 128treatment policy; full analysis; R0018421:Table 4
26A3responders101 / 120hypothetical; full analysis; R0018421:Table 4
26A3 vs A4or2.631.20 to 5.73treatment policy; full analysis; R0018421:Table 4
26A4responders45 / 62hypothetical; full analysis; R0018421:Table 4
26A4responders45 / 64treatment policy; full analysis; R0018421:Table 4
52A1 vs A4or0.410.21 to 0.80treatment policy; full analysis; R0018421:Table 4
52A1responders43 / 126treatment policy; full analysis; R0018421:Table 4
52A1 vs A4or0.340.17 to 0.68hypothetical; full analysis; R0018421:Table 4
52A1responders40 / 102hypothetical; full analysis; R0018421:Table 4
52A2 vs A4or1.580.80 to 3.11hypothetical; full analysis; R0018421:Table 4
52A2responders74 / 114hypothetical; full analysis; R0018421:Table 4
52A2responders77 / 129treatment policy; full analysis; R0018421:Table 4
52A2 vs A4or1.510.78 to 2.92treatment policy; full analysis; R0018421:Table 4
52A3responders85 / 113hypothetical; full analysis; R0018421:Table 4
52A3 vs A4or3.071.53 to 6.16treatment policy; full analysis; R0018421:Table 4
52A3responders90 / 127treatment policy; full analysis; R0018421:Table 4
52A3 vs A4or3.821.85 to 7.92hypothetical; full analysis; R0018421:Table 4
52A4responders32 / 63treatment policy; full analysis; R0018421:Table 4
52A4responders32 / 56hypothetical; full analysis; R0018421:Table 4
Level 2 or 3 hypoglycemia (participants) (12 lines; O04)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events14 / 131while on treatment; safety; R0018421:Table 3
A1events3 / 131while on treatment; safety; R0018421:Table 3
A1events0 / 131while on treatment; safety; R0018421:Table 3
A2events3 / 132while on treatment; safety; R0018421:Table 3
A2events26 / 132while on treatment; safety; R0018421:Table 3
A2events0 / 132while on treatment; safety; R0018421:Table 3
A3events0 / 130while on treatment; safety; R0018421:Table 3
A3events27 / 130while on treatment; safety; R0018421:Table 3
A3events4 / 130while on treatment; safety; R0018421:Table 3
A4events0 / 65while on treatment; safety; R0018421:Table 3
A4events0 / 65while on treatment; safety; R0018421:Table 3
A4events13 / 65while on treatment; safety; R0018421:Table 3
Level 2 or 3 hypoglycemia (episode rate) (8 lines; O04B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1rate3131while on treatment; safety; R0018421:Table 3
A1rate22131while on treatment; safety; R0018421:Table 3
A2rate41132while on treatment; safety; R0018421:Table 3
A2rate3132while on treatment; safety; R0018421:Table 3
A3rate3130while on treatment; safety; R0018421:Table 3
A3rate38130while on treatment; safety; R0018421:Table 3
A4rate65while on treatment; safety; R0018421:Table 3
A4rate2865while on treatment; safety; R0018421:Table 3
Systolic blood pressure change (36 lines; O05)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change-3.0 mmHg13.0131while on treatment; safety; registry:outcomes
26A1change-3 mmHg131treatment policy; safety; R0018421:Supplement Table S4
26A1change-3 mmHg126hypothetical; safety; R0018421:Supplement Table S4
26A1 vs A4md-0 mmHg-4 to 3hypothetical; safety; R0018421:Supplement Table S4
26A1 vs A4md-1 mmHg-4 to 3treatment policy; safety; R0018421:Supplement Table S4
26A2 vs A4md-2 mmHg-5 to 2hypothetical; safety; R0018421:Supplement Table S4
26A2change-5 mmHg124hypothetical; safety; R0018421:Supplement Table S4
26A2change-5 mmHg132treatment policy; safety; R0018421:Supplement Table S4
26A2 vs A4md-2 mmHg-5 to 2treatment policy; safety; R0018421:Supplement Table S4
26A2change-5.0 mmHg13.0132while on treatment; safety; registry:outcomes
26A3 vs A4md-3 mmHg-7 to 0treatment policy; safety; R0018421:Supplement Table S4
26A3change-6 mmHg121hypothetical; safety; R0018421:Supplement Table S4
26A3 vs A4md-3 mmHg-7 to 0hypothetical; safety; R0018421:Supplement Table S4
26A3change-6.0 mmHg15.0130while on treatment; safety; registry:outcomes
26A3change-6 mmHg130treatment policy; safety; R0018421:Supplement Table S4
26A4change-3 mmHg63hypothetical; safety; R0018421:Supplement Table S4
26A4change-3 mmHg65treatment policy; safety; R0018421:Supplement Table S4
26A4change-4.0 mmHg12.065while on treatment; safety; registry:outcomes
52A1change-2 mmHg124hypothetical; safety; R0018421:Supplement Table S4
52A1change-2.0 mmHg14.0131while on treatment; safety; registry:outcomes
52A1change-3 mmHg131treatment policy; safety; R0018421:Supplement Table S4
52A1 vs A4md-1 mmHg-5 to 2treatment policy; safety; R0018421:Supplement Table S4
52A1 vs A4md-1 mmHg-5 to 2hypothetical; safety; R0018421:Supplement Table S4
52A2change-2 mmHg132treatment policy; safety; R0018421:Supplement Table S4
52A2change-2 mmHg123hypothetical; safety; R0018421:Supplement Table S4
52A2 vs A4md-1 mmHg-4 to 3hypothetical; safety; R0018421:Supplement Table S4
52A2change-2.0 mmHg13.0132while on treatment; safety; registry:outcomes
52A2 vs A4md-0 mmHg-4 to 3treatment policy; safety; R0018421:Supplement Table S4
52A3 vs A4md-1 mmHg-4 to 2hypothetical; safety; R0018421:Supplement Table S4
52A3change-2 mmHg114hypothetical; safety; R0018421:Supplement Table S4
52A3change-1 mmHg130treatment policy; safety; R0018421:Supplement Table S4
52A3 vs A4md0 mmHg-3 to 4treatment policy; safety; R0018421:Supplement Table S4
52A3change-2.0 mmHg13.0130while on treatment; safety; registry:outcomes
52A4change-1 mmHg61hypothetical; safety; R0018421:Supplement Table S4
52A4change-3.0 mmHg13.065while on treatment; safety; registry:outcomes
52A4change-2 mmHg65treatment policy; safety; R0018421:Supplement Table S4
Percent body weight change (36 lines; O10)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1percent change-0.4 percent131treatment policy; full analysis; R0018421:Supplement Table S5
26A1percent change-0.2 percent126hypothetical; full analysis; R0018421:Supplement Table S5
26A1 vs A4md-0.5 percent-1.6 to 0.7hypothetical; full analysis; R0018421:Supplement Table S5
26A1percent change-0.28 percent2.79131treatment policy; full analysis; registry:outcomes
26A1 vs A4md-0.6 percent-1.9 to 0.6treatment policy; full analysis; R0018421:Supplement Table S5
26A2percent change-1.6 percent132treatment policy; full analysis; R0018421:Supplement Table S5
26A2 vs A4md-2.0 percent-3.1 to -0.8hypothetical; full analysis; R0018421:Supplement Table S5
26A2percent change-1.7 percent124hypothetical; full analysis; R0018421:Supplement Table S5
26A2 vs A4md-1.8 percent-3.1 to -0.6treatment policy; full analysis; R0018421:Supplement Table S5
26A2percent change-1.49 percent4.25132treatment policy; full analysis; registry:outcomes
26A3 vs A4md-3.7 percent-4.8 to -2.5hypothetical; full analysis; R0018421:Supplement Table S5
26A3percent change-3.2 percent130treatment policy; full analysis; R0018421:Supplement Table S5
26A3percent change-3.21 percent4.32130treatment policy; full analysis; registry:outcomes
26A3 vs A4md-3.5 percent-4.7 to -2.3treatment policy; full analysis; R0018421:Supplement Table S5
26A3percent change-3.4 percent120hypothetical; full analysis; R0018421:Supplement Table S5
26A4percent change0.3 percent65treatment policy; full analysis; R0018421:Supplement Table S5
26A4percent change0.25 percent3.3365treatment policy; full analysis; registry:outcomes
26A4percent change0.3 percent62hypothetical; full analysis; R0018421:Supplement Table S5
52A1percent change-0.02 percent3.28131treatment policy; full analysis; registry:outcomes
52A1percent change0.2 percent103hypothetical; full analysis; R0018421:Supplement Table S5
52A1 vs A4md-1.2 percent-2.6 to 0.2hypothetical; full analysis; R0018421:Supplement Table S5
52A1percent change-0.0 percent131treatment policy; full analysis; R0018421:Supplement Table S5
52A1 vs A4md-1.3 percent-2.5 to 0.0treatment policy; full analysis; R0018421:Supplement Table S5
52A2 vs A4md-2.6 percent-3.9 to -1.3treatment policy; full analysis; R0018421:Supplement Table S5
52A2percent change-1.34 percent4.77132treatment policy; full analysis; registry:outcomes
52A2percent change-1.6 percent115hypothetical; full analysis; R0018421:Supplement Table S5
52A2 vs A4md-3.0 percent-4.4 to -1.6hypothetical; full analysis; R0018421:Supplement Table S5
52A2percent change-1.4 percent132treatment policy; full analysis; R0018421:Supplement Table S5
52A3 vs A4md-3.5 percent-4.8 to -2.3treatment policy; full analysis; R0018421:Supplement Table S5
52A3percent change-2.8 percent113hypothetical; full analysis; R0018421:Supplement Table S5
52A3 vs A4md-4.2 percent-5.5 to -2.8hypothetical; full analysis; R0018421:Supplement Table S5
52A3percent change-2.3 percent130treatment policy; full analysis; R0018421:Supplement Table S5
52A3percent change-2.33 percent4.67130treatment policy; full analysis; registry:outcomes
52A4percent change1.2 percent65treatment policy; full analysis; R0018421:Supplement Table S5
52A4percent change1.4 percent56hypothetical; full analysis; R0018421:Supplement Table S5
52A4percent change1.25 percent4.0665treatment policy; full analysis; registry:outcomes
Weight loss of 5 percent or more (28 lines; O11A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A4or0.850.23 to 3.12treatment policy; full analysis; R0018421:Table 4
26A1responders6 / 126hypothetical; full analysis; R0018421:Table 4
26A1 vs A4or0.700.19 to 2.60hypothetical; full analysis; R0018421:Table 4
26A1responders6 / 128treatment policy; full analysis; R0018421:Table 4
26A2responders22 / 124hypothetical; full analysis; R0018421:Table 4
26A2responders23 / 128treatment policy; full analysis; R0018421:Table 4
26A2 vs A4or3.471.14 to 10.59treatment policy; full analysis; R0018421:Table 4
26A2 vs A4or3.811.25 to 11.63hypothetical; full analysis; R0018421:Table 4
26A3 vs A4or7.372.46 to 22.07hypothetical; full analysis; R0018421:Table 4
26A3responders36 / 120hypothetical; full analysis; R0018421:Table 4
26A3responders39 / 128treatment policy; full analysis; R0018421:Table 4
26A3 vs A4or6.892.31 to 20.49treatment policy; full analysis; R0018421:Table 4
26A4responders4 / 62hypothetical; full analysis; R0018421:Table 4
26A4responders4 / 64treatment policy; full analysis; R0018421:Table 4
52A1responders7 / 127treatment policy; full analysis; R0018421:Table 4
52A1responders5 / 103hypothetical; full analysis; R0018421:Table 4
52A1 vs A4or0.730.19 to 2.71hypothetical; full analysis; R0018421:Table 4
52A1 vs A4or0.890.25 to 3.16treatment policy; full analysis; R0018421:Table 4
52A2responders20 / 115hypothetical; full analysis; R0018421:Table 4
52A2responders21 / 129treatment policy; full analysis; R0018421:Table 4
52A2 vs A4or2.940.96 to 9.01treatment policy; full analysis; R0018421:Table 4
52A2 vs A4or3.261.07 to 9.94hypothetical; full analysis; R0018421:Table 4
52A3responders28 / 113hypothetical; full analysis; R0018421:Table 4
52A3 vs A4or5.141.71 to 15.46hypothetical; full analysis; R0018421:Table 4
52A3responders28 / 127treatment policy; full analysis; R0018421:Table 4
52A3 vs A4or4.231.41 to 12.70treatment policy; full analysis; R0018421:Table 4
52A4responders4 / 56hypothetical; full analysis; R0018421:Table 4
52A4responders4 / 63treatment policy; full analysis; R0018421:Table 4
Weight loss of 10 percent or more (16 lines; O11B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1responders0 / 128treatment policy; full analysis; R0018421:Supplement Table S5
26A1responders0 / 126hypothetical; full analysis; R0018421:Supplement Table S5
26A2responders6 / 128treatment policy; full analysis; R0018421:Supplement Table S5
26A2responders5 / 124hypothetical; full analysis; R0018421:Supplement Table S5
26A3responders8 / 128treatment policy; full analysis; R0018421:Supplement Table S5
26A3responders8 / 120hypothetical; full analysis; R0018421:Supplement Table S5
26A4responders1 / 62hypothetical; full analysis; R0018421:Supplement Table S5
26A4responders1 / 64treatment policy; full analysis; R0018421:Supplement Table S5
52A1responders0 / 103hypothetical; full analysis; R0018421:Supplement Table S5
52A1responders0 / 127treatment policy; full analysis; R0018421:Supplement Table S5
52A2responders9 / 129treatment policy; full analysis; R0018421:Supplement Table S5
52A2responders9 / 115hypothetical; full analysis; R0018421:Supplement Table S5
52A3responders7 / 113hypothetical; full analysis; R0018421:Supplement Table S5
52A3responders7 / 127treatment policy; full analysis; R0018421:Supplement Table S5
52A4responders0 / 56hypothetical; full analysis; R0018421:Supplement Table S5
52A4responders0 / 63treatment policy; full analysis; R0018421:Supplement Table S5
Acute kidney injury (8 lines; O121)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131treatment policy; safety; R0018421:Supplement Table S3
A1events0 / 131while on treatment; safety; R0018421:Table 2
A2events0 / 132while on treatment; safety; R0018421:Table 2
A2events0 / 132treatment policy; safety; R0018421:Supplement Table S3
A3events0 / 130treatment policy; safety; R0018421:Supplement Table S3
A3events0 / 130while on treatment; safety; R0018421:Table 2
A4events0 / 65treatment policy; safety; R0018421:Supplement Table S3
A4events0 / 65while on treatment; safety; R0018421:Table 2
All cause mortality (4 lines; O20)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131treatment policy; safety; R0018421:Table 2
A2events0 / 132treatment policy; safety; R0018421:Table 2
A3events0 / 130treatment policy; safety; R0018421:Table 2
A4events0 / 65treatment policy; safety; R0018421:Table 2
Three point MACE (2 lines; O21)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A2events0 / 132while on treatment; safety; R0018421:Table 2
A4events0 / 65while on treatment; safety; R0018421:Table 2
Four point MACE including unstable angina (2 lines; O21B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A2events0 / 132while on treatment; safety; R0018421:Table 2
A4events0 / 65while on treatment; safety; R0018421:Table 2
Hospitalization for heart failure (4 lines; O23)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131while on treatment; safety; R0018421:Table 2
A2events0 / 132while on treatment; safety; R0018421:Table 2
A3events0 / 130while on treatment; safety; R0018421:Table 2
A4events0 / 65while on treatment; safety; R0018421:Table 2
Heart failure events (2 lines; O23B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A2events0 / 132while on treatment; safety; R0018421:Table 2
A4events0 / 65while on treatment; safety; R0018421:Table 2
SF-36 physical component summary change (12 lines; O24A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A4md0.36 points-0.88 to 1.60hypothetical; full analysis; R0018421:Supplement Figure S5B
26A1 vs A4md0.57 points-0.74 to 1.87treatment policy; full analysis; R0018421:Supplement Figure S5A
26A2 vs A4md0.37 points-0.95 to 1.70treatment policy; full analysis; R0018421:Supplement Figure S5A
26A2 vs A4md0.53 points-0.72 to 1.78hypothetical; full analysis; R0018421:Supplement Figure S5B
26A3 vs A4md0.01 points-1.24 to 1.27hypothetical; full analysis; R0018421:Supplement Figure S5B
26A3 vs A4md0.32 points-0.97 to 1.62treatment policy; full analysis; R0018421:Supplement Figure S5A
52A1 vs A4md-0.67 points-2.06 to 0.72hypothetical; full analysis; R0018421:Supplement Figure S5B
52A1 vs A4md-0.55 points-1.86 to 0.77treatment policy; full analysis; R0018421:Supplement Figure S5A
52A2 vs A4md0.47 points-0.91 to 1.84hypothetical; full analysis; R0018421:Supplement Figure S5B
52A2 vs A4md0.16 points-1.15 to 1.46treatment policy; full analysis; R0018421:Supplement Figure S5A
52A3 vs A4md0.12 points-1.26 to 1.50hypothetical; full analysis; R0018421:Supplement Figure S5B
52A3 vs A4md0.03 points-1.28 to 1.35treatment policy; full analysis; R0018421:Supplement Figure S5A
Physical functioning (any instrument) (12 lines; O24B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A4md0.09 points-1.00 to 1.18treatment policy; full analysis; R0018421:Supplement Figure S5A
26A1 vs A4md0.07 points-0.98 to 1.12hypothetical; full analysis; R0018421:Supplement Figure S5B
26A2 vs A4md0.32 points-0.74 to 1.37hypothetical; full analysis; R0018421:Supplement Figure S5B
26A2 vs A4md0.02 points-1.08 to 1.12treatment policy; full analysis; R0018421:Supplement Figure S5A
26A3 vs A4md0.29 points-0.79 to 1.37treatment policy; full analysis; R0018421:Supplement Figure S5A
26A3 vs A4md0.33 points-0.73 to 1.39hypothetical; full analysis; R0018421:Supplement Figure S5B
52A1 vs A4md0.10 points-1.07 to 1.28hypothetical; full analysis; R0018421:Supplement Figure S5B
52A1 vs A4md0.26 points-0.89 to 1.42treatment policy; full analysis; R0018421:Supplement Figure S5A
52A2 vs A4md1.16 points0.01 to 2.32hypothetical; full analysis; R0018421:Supplement Figure S5B
52A2 vs A4md1.16 points0.01 to 2.31treatment policy; full analysis; R0018421:Supplement Figure S5A
52A3 vs A4md0.52 points-0.64 to 1.68hypothetical; full analysis; R0018421:Supplement Figure S5B
52A3 vs A4md0.72 points-0.44 to 1.88treatment policy; full analysis; R0018421:Supplement Figure S5A
Health related quality of life total score (any instrument) (28 lines; O24C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change7.0 points131treatment policy; full analysis; R0009540:Figure 1
26A1 vs A4md0.28 points-3.44 to 3.99treatment policy; full analysis; R0018421:Supplement Figure S4A
26A1 vs A4md-1.22 points-4.78 to 2.35hypothetical; full analysis; R0018421:Supplement Figure S4B
26A1change6.74 points13.01131treatment policy; full analysis; registry:outcomes
26A2 vs A4md1.09 points-2.64 to 4.82treatment policy; full analysis; R0018421:Supplement Figure S4A
26A2 vs A4md-0.01 points-3.58 to 3.57hypothetical; full analysis; R0018421:Supplement Figure S4B
26A2change7.8 points132treatment policy; full analysis; R0009540:Results
26A2change7.88 points14.40132treatment policy; full analysis; registry:outcomes
26A3 vs A4md1.01 points-2.67 to 4.69treatment policy; full analysis; R0018421:Supplement Figure S4A
26A3change7.7 points130treatment policy; full analysis; R0009540:Results
26A3change7.90 points12.72130treatment policy; full analysis; registry:outcomes
26A3 vs A4md-0.54 points-4.14 to 3.06hypothetical; full analysis; R0018421:Supplement Figure S4B
26A4change6.7 points65treatment policy; full analysis; R0009540:Results
26A4change7.18 points15.5665treatment policy; full analysis; registry:outcomes
52A1change3.5 points131treatment policy; full analysis; R0009540:Figure 1
52A1 vs A4md0.13 points-3.67 to 3.93treatment policy; full analysis; R0018421:Supplement Figure S4A
52A1 vs A4md-0.33 points-4.38 to 3.71hypothetical; full analysis; R0018421:Supplement Figure S4B
52A1change3.31 points13.47131treatment policy; full analysis; registry:outcomes
52A2change7.15 points15.69132treatment policy; full analysis; registry:outcomes
52A2 vs A4md3.01 points-1.01 to 7.02hypothetical; full analysis; R0018421:Supplement Figure S4B
52A2 vs A4md3.93 points0.15 to 7.71treatment policy; full analysis; R0018421:Supplement Figure S4A
52A2change7.3 points132treatment policy; full analysis; R0009540:Results
52A3 vs A4md4.51 points0.49 to 8.54hypothetical; full analysis; R0018421:Supplement Figure S4B
52A3change8.1 points130treatment policy; full analysis; R0009540:Results
52A3change8.25 points12.81130treatment policy; full analysis; registry:outcomes
52A3 vs A4md4.78 points0.99 to 8.58treatment policy; full analysis; R0018421:Supplement Figure S4A
52A4change3.44 points14.8965treatment policy; full analysis; registry:outcomes
52A4change3.3 points65treatment policy; full analysis; R0009540:Results
Serious adverse events (4 lines; O25)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events9 / 131while on treatment; safety; R0018421:Table 2
A2events4 / 132while on treatment; safety; R0018421:Table 2
A3events7 / 130while on treatment; safety; R0018421:Table 2
A4events1 / 65while on treatment; safety; R0018421:Table 2
Discontinuation due to adverse events (5 lines; O26)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events5 / 131not stated; safety; R0018421:Figure 1
A1events4 / 131while on treatment; safety; R0018421:Table 2
A2events8 / 132while on treatment; safety; R0018421:Table 2
A3events8 / 130while on treatment; safety; R0018421:Table 2
A4events2 / 65while on treatment; safety; R0018421:Table 2
Nausea (4 lines; O27A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events7 / 131while on treatment; safety; R0018421:Table 2
A2events11 / 132while on treatment; safety; R0018421:Table 2
A3events12 / 130while on treatment; safety; R0018421:Table 2
A4events6 / 65while on treatment; safety; R0018421:Table 2
Vomiting (4 lines; O27B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events3 / 131while on treatment; safety; R0018421:Table 2
A2events1 / 132while on treatment; safety; R0018421:Table 2
A3events9 / 130while on treatment; safety; R0018421:Table 2
A4events1 / 65while on treatment; safety; R0018421:Table 2
Diarrhea (4 lines; O27C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events2 / 131while on treatment; safety; R0018421:Table 2
A2events2 / 132while on treatment; safety; R0018421:Table 2
A3events10 / 130while on treatment; safety; R0018421:Table 2
A4events4 / 65while on treatment; safety; R0018421:Table 2
Constipation (4 lines; O27D)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events12 / 131while on treatment; safety; R0018421:Table 2
A2events16 / 132while on treatment; safety; R0018421:Table 2
A3events20 / 130while on treatment; safety; R0018421:Table 2
A4events6 / 65while on treatment; safety; R0018421:Table 2
Discontinuation due to gastrointestinal adverse events (4 lines; O27E)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events2 / 131while on treatment; safety; R0018421:Table 2
A2events4 / 132while on treatment; safety; R0018421:Table 2
A3events5 / 130while on treatment; safety; R0018421:Table 2
A4events1 / 65while on treatment; safety; R0018421:Table 2
Gallbladder and biliary disease (4 lines; O28)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events2 / 131while on treatment; safety; R0018421:Table 2
A2events1 / 132while on treatment; safety; R0018421:Table 2
A3events0 / 130while on treatment; safety; R0018421:Table 2
A4events1 / 65while on treatment; safety; R0018421:Table 2
Acute pancreatitis (8 lines; O29)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131treatment policy; safety; R0018421:Supplement Table S3
A1events0 / 131while on treatment; safety; R0018421:Table 2
A2events0 / 132while on treatment; safety; R0018421:Table 2
A2events0 / 132treatment policy; safety; R0018421:Supplement Table S3
A3events0 / 130treatment policy; safety; R0018421:Supplement Table S3
A3events0 / 130while on treatment; safety; R0018421:Table 2
A4events0 / 65treatment policy; safety; R0018421:Supplement Table S3
A4events0 / 65while on treatment; safety; R0018421:Table 2
Medullary thyroid carcinoma (8 lines; O32A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131treatment policy; safety; R0018421:Supplement Table S3
A1events0 / 131while on treatment; safety; R0018421:Table 2
A2events0 / 132treatment policy; safety; R0018421:Supplement Table S3
A2events0 / 132while on treatment; safety; R0018421:Table 2
A3events0 / 130while on treatment; safety; R0018421:Table 2
A3events0 / 130treatment policy; safety; R0018421:Supplement Table S3
A4events0 / 65treatment policy; safety; R0018421:Supplement Table S3
A4events0 / 65while on treatment; safety; R0018421:Table 2
Thyroid cancer (any) (8 lines; O32B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131while on treatment; safety; R0018421:Table 2
A1events0 / 131treatment policy; safety; R0018421:Supplement Table S3
A2events0 / 132while on treatment; safety; R0018421:Table 2
A2events0 / 132treatment policy; safety; R0018421:Supplement Table S3
A3events0 / 130treatment policy; safety; R0018421:Supplement Table S3
A3events0 / 130while on treatment; safety; R0018421:Table 2
A4events0 / 65while on treatment; safety; R0018421:Table 2
A4events0 / 65treatment policy; safety; R0018421:Supplement Table S3
Diabetic retinopathy complications (28 lines; O33)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131treatment policy; safety; retinal haemorrhage; R0018421:Table 2
A1events9 / 131treatment policy; safety; R0018421:Table 2
A1events7 / 131treatment policy; safety; diabetic retinopathy; R0018421:Table 2
A1events6 / 131not stated; safety; diabetic retinopathy; registry:adverse_events
A1events1 / 131not stated; safety; diabetic retinopathy; registry:adverse_events
A1events2 / 131treatment policy; safety; retinopathy; R0018421:Table 2
A1events0 / 131treatment policy; safety; maculopathy; R0018421:Table 2
A2events0 / 132treatment policy; safety; maculopathy; R0018421:Table 2
A2events12 / 132not stated; safety; diabetic retinopathy; registry:adverse_events
A2events0 / 132not stated; safety; diabetic retinopathy; registry:adverse_events
A2events12 / 132treatment policy; safety; R0018421:Table 2
A2events12 / 132treatment policy; safety; diabetic retinopathy; R0018421:Table 2
A2events0 / 132treatment policy; safety; retinal haemorrhage; R0018421:Table 2
A2events0 / 132treatment policy; safety; retinopathy; R0018421:Table 2
A3events1 / 130treatment policy; safety; retinal haemorrhage; R0018421:Table 2
A3events0 / 130treatment policy; safety; retinopathy; R0018421:Table 2
A3events5 / 130not stated; safety; diabetic retinopathy; registry:adverse_events
A3events0 / 130not stated; safety; diabetic retinopathy; registry:adverse_events
A3events7 / 130treatment policy; safety; R0018421:Table 2
A3events5 / 130treatment policy; safety; diabetic retinopathy; R0018421:Table 2
A3events1 / 130treatment policy; safety; maculopathy; R0018421:Table 2
A4events3 / 65treatment policy; safety; R0018421:Table 2
A4events0 / 65not stated; safety; diabetic retinopathy; registry:adverse_events
A4events2 / 65not stated; safety; diabetic retinopathy; registry:adverse_events
A4events2 / 65treatment policy; safety; diabetic retinopathy; R0018421:Table 2
A4events0 / 65treatment policy; safety; maculopathy; R0018421:Table 2
A4events0 / 65treatment policy; safety; retinal haemorrhage; R0018421:Table 2
A4events1 / 65treatment policy; safety; retinopathy; R0018421:Table 2
Death by suicide (4 lines; O35B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 131treatment policy; safety; R0018421:Table 2
A2events0 / 132treatment policy; safety; R0018421:Table 2
A3events0 / 130treatment policy; safety; R0018421:Table 2
A4events0 / 65treatment policy; safety; R0018421:Table 2
Any cancer (8 lines; O39)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 131while on treatment; safety; R0018421:Table 2
A1events2 / 131treatment policy; safety; R0018421:Supplement Table S3
A2events2 / 132treatment policy; safety; R0018421:Supplement Table S3
A2events1 / 132while on treatment; safety; R0018421:Table 2
A3events1 / 130treatment policy; safety; R0018421:Supplement Table S3
A3events1 / 130while on treatment; safety; R0018421:Table 2
A4events1 / 65treatment policy; safety; R0018421:Supplement Table S3
A4events0 / 65while on treatment; safety; R0018421:Table 2