Phase 3 · Semaglutide

NCT05064735 trial results

Effect of Subcutaneous Semaglutide 2.4 mg Once-weekly Compared to Placebo in Subjects With Obesity and Knee Osteoarthritis

Percentage Change in Body Weight (Percentage change in body weight), Baseline (week 0), end of treatment (week 68). Semaglutide 2.4 mg: -14.2; Placebo: -2.5.

Participants
407
Status
completed
Completed
2023-09-08
Sponsor
Novo Nordisk A/S

As posted on ClinicalTrials.gov (NCT05064735), updated at source Nov 17, 2025. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What NCT05064735 measured first

Percentage Change in Body WeightPercentage change in body weight · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=253Placebon=120
-14.2(8.6)-2.5(5.6)
Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain ScoreScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=245Placebon=117
-43.7(25.3)-26.2(25.0)
Side effects by arm

Side effects in NCT05064735

Percent of participants affected, From baseline (week 0) to end of trial (week 75). The most common events the registry lists.

EventSemaglutide 2.4 mgPlacebo
Any serious event10%8.1%
COVID-1918.6%22.2%
Nausea21.9%8.9%
Constipation11.9%5.2%
Arthralgia3%9.6%
Diarrhoea7.8%5.2%
Vomiting7.8%0.7%
Headache5.9%3.7%
Upper respiratory tract infection4.5%5.2%
Secondary outcomes

What else it measured

Percentage of Participants Achieving Body Weight Reduction Greater Than or Equal to (≥) 5 Percent (%) (Yes/No)Percentage of participants · From baseline (week 0) to end of treatment (week 68) · number
MeasureSemaglutide 2.4 mgn=253Placebon=120
Yes87.029.2
No13.070.8
Percentage of Participants Achieving Body Weight Reduction ≥ 10% (Yes/No)Percentage of participants · From baseline (week 0) to end of treatment (week 68) · number
MeasureSemaglutide 2.4 mgn=253Placebon=120
Yes70.49.2
No29.690.8
Change in WOMAC Physical Function ScoreScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=246Placebon=117
-43.4(25.5)-25.8(25.1)
Change in Short Form 36 (SF-36) Physical Functioning ScoreScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=241Placebon=115
12.7(9.9)6.4(9.8)
Change in Waist CircumferenceCentimeter · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=253Placebon=120
-13.3(9.3)-5.9(10.4)
Change in WOMAC Stiffness ScoreScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=246Placebon=117
-45.4(27.7)-27.6(29.3)
Change in WOMAC Total ScoreScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=245Placebon=117
-43.8(24.9)-26.0(24.9)
Change in SF-36 Bodily Pain ScoreScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=241Placebon=115
12.8(9.4)7.7(10.0)
Change in SF-36 Physical Component SummaryScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=241Placebon=115
13.2(9.1)6.9(9.3)
Change in SF-36 Mental Component SummaryScore on a scale · Baseline (week 0), end of treatment (week 68) · mean
Semaglutide 2.4 mgn=241Placebon=115
1.9(11.3)1.1(11.6)
Percentage of Participants Using Allowed Rescue Analgesics During Wash Out (Yes/No)Percentage of participants · At end of treatment (week 68) · number
MeasureSemaglutide 2.4 mgn=246Placebon=117
Yes4.95.1
No95.194.9
Amount of Allowed Rescue Analgesics Used During Wash OutMilligram · At end of treatment (week 68) · mean
Semaglutide 2.4 mgn=246Placebon=117
224.2(1756.4)170.1(1100.3)
The trial

How NCT05064735 was run

This study will look at participants body weight from the start to the end of the study. It will also look at how much pain participants have in participants knee from the start to the end of the study and how this affects participants daily life. This is to compare the effect on body weight and pain in the knee in people taking semaglutide with people taking "dummy" medicine. 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. During the study, participants will have talks with study staff about how to eat healthy food and how to be more physically active. The study will last for about 1 ½ years. Participants will have 14 clinic visits with the study staff. At the first clinic visit participants will have a blood sample taken. Participants will have an X-ray of participants knee taken at the first visit. If participants have had an X-ray recently, this may not be needed. At 6 of the clinic visits participants cannot take pain medications for 3 days before the visit. Participants cannot take part if participants have had a joint replacement surgery in participants knee. Participants cannot take part if participants have or have had diabetes. Women: Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

  • semaglutide 2.4 mg: Participants will receive semaglutide subcutaneous (s.c) 2.4 mg once-weekly as adjunct to a reduced-calorie diet and increased physical activity
  • semaglutide 2.4 mg (placebo): Participants will receive semaglutide subcutaneous (s.c) placebo once-weekly as adjunct to a reduced-calorie diet and increased physical activity
Who could join the trial

Inclusion Criteria: * Male or female, age above or equal to 18 years at the time of signing informed consent * Body Mass Index (BMI) equal to or greater than 30.0 kg/m\^2 * Clinical diagnosis of knee OA (American College of Rheumatology (ACR) criteria) with moderate radiographic changes (Kellgren-Lawrence (KL) grades 2 or 3 as per central reading) in target knee. Target knee joint is defined as most symptomatic knee at screening. If pain in knees are equal target knee joint will be in the most dominant leg. * Pain due to knee OA Exclusion Criteria: * Joint replacement in target knee * Arthroscopy or injections into target knee within last 3 months prior to enrolment * Any other joint disease in the target knee

Published papers

Papers from NCT05064735

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.