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History of Changes for Study: NCT03548935
STEP 1: Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity (STEP 1)
Latest version (submitted November 18, 2021) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 May 25, 2018 None (earliest Version on record)
2 June 7, 2018 Recruitment Status, Study Status and Contacts/Locations
3 June 18, 2018 Contacts/Locations and Study Status
4 June 20, 2018 Contacts/Locations and Study Status
5 July 3, 2018 Contacts/Locations and Study Status
6 July 5, 2018 Contacts/Locations and Study Status
7 July 10, 2018 Contacts/Locations and Study Status
8 July 12, 2018 Contacts/Locations and Study Status
9 July 16, 2018 Contacts/Locations and Study Status
10 August 7, 2018 Contacts/Locations and Study Status
11 August 10, 2018 Contacts/Locations and Study Status
12 August 13, 2018 Contacts/Locations and Study Status
13 August 16, 2018 Contacts/Locations and Study Status
14 August 21, 2018 Contacts/Locations and Study Status
15 September 4, 2018 Contacts/Locations, Study Status, Eligibility and Study Description
16 September 12, 2018 Contacts/Locations and Study Status
17 September 13, 2018 Contacts/Locations, Eligibility and Study Status
18 September 18, 2018 Contacts/Locations and Study Status
19 September 21, 2018 Contacts/Locations and Study Status
20 September 25, 2018 Contacts/Locations and Study Status
21 September 27, 2018 Contacts/Locations and Study Status
22 October 7, 2018 Study Status and Contacts/Locations
23 October 24, 2018 Study Status
24 October 30, 2018 Contacts/Locations and Study Status
25 November 1, 2018 Study Status and Contacts/Locations
26 November 5, 2018 Contacts/Locations and Study Status
27 November 27, 2018 Contacts/Locations and Study Status
28 November 29, 2018 Contacts/Locations and Study Status
29 December 2, 2018 Study Status and Contacts/Locations
30 December 6, 2018 Contacts/Locations and Study Status
31 December 11, 2018 Contacts/Locations and Study Status
32 December 13, 2018 Contacts/Locations and Study Status
33 December 17, 2018 Contacts/Locations and Study Status
34 December 20, 2018 Contacts/Locations and Study Status
35 December 21, 2018 Recruitment Status, Study Status and Contacts/Locations
36 April 3, 2019 Contacts/Locations, Study Status, Eligibility and Study Description
37 December 5, 2019 Study Status
38 December 9, 2019 Study Status
39 January 6, 2020 Study Status
40 January 15, 2020 Study Status
41 January 20, 2020 Study Status
42 January 29, 2020 Study Status
43 February 3, 2020 Study Status
44 February 5, 2020 Study Status
45 February 6, 2020 Study Status
46 February 12, 2020 Study Status
47 February 17, 2020 Study Status
48 February 20, 2020 Study Status
49 February 24, 2020 Study Status
50 February 26, 2020 Study Status
51 February 27, 2020 Study Status
52 March 9, 2020 Study Status
53 April 2, 2020 Study Status, Study Design and Contacts/Locations
54 April 15, 2020 Study Status
55 April 20, 2020 Study Status
56 April 23, 2020 Recruitment Status, Study Status and Study Design
57 April 27, 2020 Study Status
58 May 13, 2020 Study Status
59 May 28, 2020 Contacts/Locations and Study Status
60 June 2, 2020 Study Status and References
61 August 25, 2020 Recruitment Status, Study Status and Contacts/Locations
62 January 8, 2021 Contacts/Locations and Study Status
63 January 13, 2021 Study Status
64 January 19, 2021 Study Status
65 January 22, 2021 Study Status
66 January 26, 2021 Study Status
67 January 28, 2021 Study Status
68 February 8, 2021 Study Status
69 February 11, 2021 References and Study Status
70 February 22, 2021 Study Design and Study Status
71 February 23, 2021 Study Status
72 February 24, 2021 Study Status
73 March 2, 2021 Study Status
74 March 3, 2021 Study Status
75 March 3, 2021 Study Status
76 March 8, 2021 Study Status
77 March 10, 2021 Contacts/Locations and Study Status
78 March 18, 2021 Recruitment Status and Study Status
79 June 16, 2021
Quality Control Review has not concluded Returned: July 8, 2021
Contacts/Locations, Outcome Measures, Study Status, Document Section, Adverse Events, Baseline Characteristics and Participant Flow
80 July 20, 2021 Study Status, Document Section, Adverse Events and Contacts/Locations
81 November 8, 2021 Study Status
82 November 18, 2021 Contacts/Locations and Study Status
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Study NCT03548935
Submitted Date:  May 25, 2018 (v1)

Open or close this module Study Identification
Unique Protocol ID: NN9536-4373
Brief Title: STEP 1: Research Study Investigating How Well Semaglutide Works in People Suffering From Overweight or Obesity (STEP 1)
Official Title: Effect and Safety of Semaglutide 2.4 mg Once-weekly in Subjects With Overweight or Obesity
Secondary IDs: U1111-1200-8053 [World Health Organization (WHO)]
2017-003436-36 [Registry Identifier: European Medicines Agency (EudraCT)]
Open or close this module Study Status
Record Verification: May 2018
Overall Status: Not yet recruiting
Study Start: June 4, 2018
Primary Completion: September 23, 2019 [Anticipated]
Study Completion: April 20, 2020 [Anticipated]
First Submitted: May 25, 2018
First Submitted that
Met QC Criteria:
May 25, 2018
First Posted: June 7, 2018 [Actual]
Last Update Submitted that
Met QC Criteria:
May 25, 2018
Last Update Posted: June 7, 2018 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Novo Nordisk A/S
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring: No
Open or close this module Study Description
Brief Summary:

This study will look at the change in participants' body weight from the start to the end of the study. The weight loss in participants taking semaglutide (a new medicine) will be compared to the weight loss of participants taking "dummy" medicine. In addition to taking the medicine, participants will have talks with study staff about healthy food choices, how to be more physically active and what you can do to lose weight.

Participants will either get semaglutide or "dummy" medicine - which treatment participants get, is decided by chance. Participants will need to take 1 injection once a week. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study will last for about 1.5 years. Participants will have 15 clinic visits and 10 phone calls with the study doctor.

Detailed Description:
Open or close this module Conditions
Conditions: Metabolism and Nutrition Disorder
Overweight or Obesity
Keywords:
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 3
Interventional Study Model: Parallel Assignment
Number of Arms: 2
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation: Randomized
Enrollment: 1950 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Semaglutide s.c. 2.4 mg once weekly
Participants will receive semaglutide for 68 weeks.
Drug: Semaglutide
Participants will receive semaglutide subcutaneous (s.c.; under the skin) injection(s) once-weekly as well as diet and physical activity counselling for 68 weeks. Dose escalation of semaglutide will take place as follows: 0.25 mg from week 1 to 4, 0.5 mg from week 5 to 8, 1.0 mg from week 9 to 12, 1.7 mg from week 13 to 16 and 2.4 mg from week 17 to week 68.
Placebo Comparator: Semaglutide placebo
Participants will receive semaglutide matching placebo for 68 weeks.
Drug: Placebo (semaglutide)
Participants will receive semaglutide matching placebo s.c. injection(s) once-weekly as well as diet and physical activity counselling for 68 weeks.
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Change in body weight
[ Time Frame: Week 0, Week 68 ]

Measured in %.
2. Subjects who achieve 5 or more percent body weight reduction (yes/no)
[ Time Frame: Week 68 ]

Number of subjects.
Secondary Outcome Measures:
1. Subjects who achieve 10 or more percent body weight reduction (yes/no)
[ Time Frame: Week 68 ]

Number of subjects.
2. Subjects who achieve 15 or more percent body weight reduction (yes/no)
[ Time Frame: Week 68 ]

Number of subjects.
3. Change in waist circumference
[ Time Frame: Week 0, Week 68 ]

Measured in cm.
4. Change in systolic blood pressure
[ Time Frame: Week 0, Week 68 ]

Measured in mmHg.
5. Change in physical functioning score (SF-36)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
6. Change in physical function domain (5-item) score (IWQoL-Lite for CT)
[ Time Frame: Week 0, Week 68 ]

The Impact of Weight on Quality of Life Lite for Clinical Trials Version (IWQoL-Lite for CT) questionnaire is a 20-item modified version of an instrument designed to assess weight-related quality of life.
7. Change in body weight
[ Time Frame: Week 0, Week 68 ]

Measured in kg.
8. Change in body mass index (BMI)
[ Time Frame: Week 0, Week 68 ]

Measured in kg/m2
9. Change in glycated haemoglobin (HbA1C)
[ Time Frame: Week 0, Week 68 ]

Measured in %.
10. Change in HbA1C
[ Time Frame: Week 0, Week 68 ]

Measured in mmol/mol.
11. Change in fasting plasma glucose (FPG)
[ Time Frame: Week 0, Week 68 ]

Measured in mg/dL.
12. Change in fasting serum insulin
[ Time Frame: Week 0, Week 68 ]

Measured in mIU/L.
13. Change in diastolic blood pressure
[ Time Frame: Week 0, Week 68 ]

Measured in mmHg.
14. Change in lipids (total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, very low density lipoprotein (VLDL) cholesterol, free fatty acids and triglycerides)
[ Time Frame: Week 0, Week 68 ]

Measured in mg/dL.
15. Change in high sensitivity C-Reactive Protein (hsCRP)
[ Time Frame: Week 0, Week 68 ]

Measured in mg/L.
16. Change in plasminogen activator inhibitor-1 (PAI-1) activity
[ Time Frame: Week 0, Week 68 ]

Measured in AU/mL.
17. Change in soluble leptin receptor
[ Time Frame: Week 0, Week 68 ]

Measured in ng/mL.
18. Change in leptin
[ Time Frame: Week 0, Week 68 ]

Measured in ng/mL.
19. Change in SF-36 (role-physical score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
20. Change in SF-36 (bodily pain score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
21. Change in SF-36 (general health score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
22. Change in SF-36 (vitality score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
23. Change in SF-36 (social functioning score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
24. Change in SF-36 (role-emotional score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
25. Change in SF-36 (mental health score)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
26. Change in SF-36 (physical component summary)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
27. Change in SF-36 (mental component summary)
[ Time Frame: Week 0, Week 68 ]

Short Form 36 v2.0 acute (SF-36) is a 36-item, patient-reported survey of patient health. SF-36 measures the subject's overall Health Related Quality of Life on 8 domains: physical functioning, role functioning, bodily pain, general health, vitality, social functioning, role emotional and mental health.
28. Change in IWQoL-Lite for CT (pain/discomfort domain score)
[ Time Frame: Week 0, Week 68 ]

The Impact of Weight on Quality of Life Lite for Clinical Trials Version (IWQoL-Lite for CT) questionnaire is a 20-item modified version of an instrument designed to assess weight-related quality of life.
29. Change in IWQoL-Lite for CT (psychosocial domain score)
[ Time Frame: Week 0, Week 68 ]

The Impact of Weight on Quality of Life Lite for Clinical Trials Version (IWQoL-Lite for CT) questionnaire is a 20-item modified version of an instrument designed to assess weight-related quality of life.
30. Change in IWQoL-Lite for CT (total score)
[ Time Frame: Week 0, Week 68 ]

The Impact of Weight on Quality of Life Lite for Clinical Trials Version (IWQoL-Lite for CT) questionnaire is a 20-item modified version of an instrument designed to assess weight-related quality of life.
31. Change in body composition (total fat mass)
[ Time Frame: Week 0, Week 68 ]

Assessed by dual energy X-ray absorpmetry (DEXA). Measured in %.
32. Change in body composition (total fat mass)
[ Time Frame: Week 0, Week 68 ]

Assessed by DEXA. Measured in g.
33. Change in body composition (lean body mass)
[ Time Frame: Week 0, Week 68 ]

Assessed by DEXA. Measured in %.
34. Change in body composition (lean body mass)
[ Time Frame: Week 0, Week 68 ]

Assessed by DEXA. Measured in g.
35. Change in body composition (visceral fat mass)
[ Time Frame: Week 0, Week 68 ]

Assessed by DEXA. Measured in %.
36. Change in body composition (visceral fat mass)
[ Time Frame: Week 0, Week 68 ]

Assessed by DEXA. Measured in g.
37. Subjects who achieve "responder definition value" (yes/no) for SF-36 physical functioning score
[ Time Frame: Week 68 ]

Number of subjects.
38. Subjects who achieve "responder definition value" (yes/no) for IWQoL-Lite for CT physical function domain (5-items) score
[ Time Frame: Week 68 ]

Number of subjects.
39. Number of treatment emergent adverse events (TEAEs)
[ Time Frame: Weeks 0 to 75 ]

Number of events.
40. Number of serious adverse events (SAEs)
[ Time Frame: Weeks 0 to 75 ]

Number of events.
41. Change in pulse
[ Time Frame: Week 0, Week 68 ]

Measured in bpm.
42. Change in amylase
[ Time Frame: Week 0, Week 68 ]

Measured in U/L.
43. Change in lipase
[ Time Frame: Week 0, Week 68 ]

Measured in U/L.
44. Change in calcitonin
[ Time Frame: Week 0, Week 68 ]

Measured in ng/L.
Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age:
Sex: All
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Male or female, age greater than or equal to 18 years at the time of signing informed consent
  • Body mass index (BMI) greater than or equal to 30 kg/sqm or greater than or equal to 27 kg/sqm with the presence of at least one of the following weight-related comorbidities (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease
  • History of at least one self-reported unsuccessful dietary effort to lose body weight

Exclusion Criteria:

  • Glycated haemoglobin (HbA1C) greater than or equal to 48 mmol/mol (6.5%) as measured by the central laboratory at screening
  • A self-reported change in body weight greater than 5 kg (11 lbs) within 90 days before screening irrespective of medical records
Open or close this module Contacts/Locations
Central Contact Person: Novo Nordisk
Telephone: (+1) 866-867-7178
Email: clinicaltrials@novonordisk.com
Study Officials: Clinical Reporting Anchor and Disclosure (1452)
Study Director
Novo Nordisk A/S
Locations: United States, Alabama
Novo Nordisk Investigational Site
Anniston, Alabama, United States, 36207
United States, California
Novo Nordisk Investigational Site
Anaheim, California, United States, 92801
Novo Nordisk Investigational Site
Lomita, California, United States, 90717
Novo Nordisk Investigational Site
Spring Valley, California, United States, 91978
United States, Colorado
Novo Nordisk Investigational Site
Aurora, Colorado, United States, 80045
United States, Connecticut
Novo Nordisk Investigational Site
Waterbury, Connecticut, United States, 06708
United States, Florida
Novo Nordisk Investigational Site
Chiefland, Florida, United States, 32626
Novo Nordisk Investigational Site
Crystal River, Florida, United States, 34429
Novo Nordisk Investigational Site
Jacksonville, Florida, United States, 32205
Novo Nordisk Investigational Site
Jacksonville, Florida, United States, 32216
Novo Nordisk Investigational Site
Ocala, Florida, United States, 34470
Novo Nordisk Investigational Site
Panama City, Florida, United States, 32401
Novo Nordisk Investigational Site
Plantation, Florida, United States, 33324
Novo Nordisk Investigational Site
Ponte Vedra, Florida, United States, 32081
United States, Georgia
Novo Nordisk Investigational Site
Roswell, Georgia, United States, 30076
United States, Illinois
Novo Nordisk Investigational Site
Chicago, Illinois, United States, 60607
United States, Indiana
Novo Nordisk Investigational Site
Indianapolis, Indiana, United States, 46260
United States, Kansas
Novo Nordisk Investigational Site
Topeka, Kansas, United States, 66606
United States, Kentucky
Novo Nordisk Investigational Site
Louisville, Kentucky, United States, 40213
United States, Michigan
Novo Nordisk Investigational Site
Buckley, Michigan, United States, 49620
United States, Missouri
Novo Nordisk Investigational Site
Saint Peters, Missouri, United States, 63303
United States, Montana
Novo Nordisk Investigational Site
Butte, Montana, United States, 59701
United States, Nebraska
Novo Nordisk Investigational Site
Omaha, Nebraska, United States, 68105
United States, New York
Novo Nordisk Investigational Site
Rochester, New York, United States, 14609
United States, North Carolina
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Salisbury, North Carolina, United States, 28144
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Wilmington, North Carolina, United States, 28401
United States, South Carolina
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Simpsonville, South Carolina, United States, 29681
United States, Texas
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Austin, Texas, United States, 78749
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Dallas, Texas, United States, 75230
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Dallas, Texas, United States, 75234
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Dallas, Texas, United States, 75246
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Round Rock, Texas, United States, 78681
United States, Utah
Novo Nordisk Investigational Site
Bountiful, Utah, United States, 84010
United States, Virginia
Novo Nordisk Investigational Site
Richmond, Virginia, United States, 23294
United States, Washington
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Renton, Washington, United States, 98057
Argentina
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Caba, Argentina, C1093AAS
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Ciudad de Buenos Aires, Argentina, C1204AAD
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Santa Rosa, Argentina, 6300
Belgium
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Boussu, Belgium, 7300
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Bruxelles, Belgium, 1200
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Edegem, Belgium, 2650
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Leuven, Belgium, 3000
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Liège, Belgium, 4000
Bulgaria
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Plovdiv, Bulgaria, 4002
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Sofia, Bulgaria, 1431
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Sofia, Bulgaria, 1606
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Sofia, Bulgaria, 1750
Denmark
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Aarhus N, Denmark, 8200
Finland
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Oulu, Finland, 90220
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University Of Helsinki, Finland, 00014
France
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Le Coudray, France, 28630
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Narbonne, France, 11108
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PARIS cedex 13, France, 75651
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Paris, France, 75908
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Pessac, France, 33600
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Pierre Benite, France, 69495
Novo Nordisk Investigational Site
Poitiers, France, 86000
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Venissieux, France, 69200
Germany
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Berlin, Germany, 12627
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Bochum, Germany, 44787
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Essen, Germany, 45136
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Essen, Germany, 45219
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Falkensee, Germany, 14612
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Frankfurt, Germany, 60313
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Giessen, Germany, 35392
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Hamburg, Germany, 22607
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Hohenmölsen, Germany, 06679
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Leipzig, Germany, 04103
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Saint Ingbert, Germany, 66386
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Stuttgart, Germany, 70378
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Wangen, Germany, 88239
Japan
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Chiba-shi, Chiba, Japan, 260-8677
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Chuo-ku, Tokyo, Japan, 103 0027
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Shinjuku-ku, Tokyo, Japan, 160-0008
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Suita-shi, Osaka, Japan, 565-0853
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Tokyo, Japan, 103-0028
Mexico, Jalisco
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Guadalajara, Jalisco, Mexico, 44670
Mexico, Sonora
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Hermosillo, Sonora, Mexico, 83280
Mexico, Yucatan
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Merida, Yucatan, Mexico, 97070
Poland
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Gdynia, Poland, 81-338
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Lodz, Poland, 90-242
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Poznan, Poland, 60-589
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Szczecin, Poland, 70-376
Puerto Rico
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San Juan, Puerto Rico, 00921
Russian Federation
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Penza, Russian Federation, 440026
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Saint-Petersburg, Russian Federation, 194358
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Tomsk, Russian Federation, 634041
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Voronezh, Russian Federation, 394018
Novo Nordisk Investigational Site
Yaroslavl, Russian Federation, 150003
Taiwan
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Taipei, Taiwan, 100
United Kingdom
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Bristol, United Kingdom, BS10 5NB
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Cambridge, United Kingdom, CB2 0QQ
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Coventry, United Kingdom, CV2 2DX
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Glasgow, United Kingdom, G31 2ER
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Liverpool, United Kingdom, L9 7AL
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London, United Kingdom, SE1 9RT
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London, United Kingdom, W1T 7HA
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Norwich, United Kingdom, NR4 7TJ
Novo Nordisk Investigational Site
Rotherham, United Kingdom, S65 1DA
Novo Nordisk Investigational Site
Taunton, United Kingdom, TA1 5DA
Open or close this module IPDSharing
Plan to Share IPD: Yes
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Supporting Information:
Time Frame:
Access Criteria:
URL: http://novonordisk-trials.com/sharing-results
Open or close this module References
Links:
Available IPD/Information:

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