Phase 3 · Semaglutide

STRIDE trial results

Effects of Semaglutide on Functional Capacity in Patients With Type 2 Diabetes and Peripheral Arterial Disease

Change in Maximum Walking Distance on a Constant Load Treadmill Test (Ratio of maximum walking distance), Baseline (week 0), end of treatment (week 52). Semaglutide: 1.21; Placebo: 1.08.

Participants
792
Status
completed
Completed
2024-07-12
Sponsor
Novo Nordisk A/S

As posted on ClinicalTrials.gov (NCT04560998), updated at source Jun 5, 2026. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What STRIDE measured first

Change in Maximum Walking Distance on a Constant Load Treadmill TestRatio of maximum walking distance · Baseline (week 0), end of treatment (week 52) · median
Semaglutiden=338Placebon=345
1.21(0.95 to 1.55)1.08(0.86 to 1.36)
Side effects by arm

Side effects in STRIDE

Percent of participants affected, Until week 57. The most common events the registry lists.

EventSemaglutidePlacebo
Any serious event18.7%19.7%
COVID-197.6%5.3%
Nausea5.6%0.8%
Secondary outcomes

What else it measured

Follow-up Change in Maximum Walking Distance on a Constant Load Treadmill TestRatio of maximum walking distance · Baseline (week 0), end of follow-up (week 57) · median
Semaglutiden=329Placebon=333
1.16(0.92 to 1.48)1.10(0.87 to 1.40)
Change in Vascular Quality of Life Questionnaire-6 (VascuQoL-6) ScoreScores on a scale · Baseline (week 0), end of treatment (week 52) · median
Semaglutiden=362Placebon=362
2.0(0.00 to 4.00)1.0(-1.00 to 4.00)
Change in Pain-free Walking Distance on a Constant Load Treadmill TestRatio of pain-free walking distance · Baseline (week 0), end of treatment (week 52) · median
Semaglutiden=338Placebon=344
1.21(0.92 to 1.52)1.10(0.86 to 1.44)
Follow-up Change in Pain-free Walking Distance on a Constant Load Treadmill TestRatio of pain-free walking distance · Baseline (week 0), end of follow-up (week 57) · median
Semaglutiden=329Placebon=333
1.18(0.92 to 1.59)1.10(0.83 to 1.48)
Change in Glycosylated Haemoglobin (HbA1c)Percentage-point of HbA1c · Baseline (week 0), end of treatment (week 52) · mean
Semaglutiden=304Placebon=311
-0.8(1.1)0.2(1.1)
Change in Body WeightKilogram (kg) · Baseline (week 0), end of treatment (week 52) · mean
Semaglutiden=310Placebon=318
-5.2(4.8)-1.2(4.2)
Change in Systolic Blood PressureMillimetre of mercury (mmHg) · Baseline (week 0), end of treatment (week 52) · mean
Semaglutiden=310Placebon=319
-4(15)-1(18)
Change in Total CholesterolRatio of total cholesterol · Baseline (week 0), end of treatment (week 52) · geometric mean
Semaglutiden=305Placebon=312
0.96(20.18)1.00(19.88)
Change in Low-density Lipoprotein (LDL)-CholesterolRatio of LDL · Baseline (week 0), end of treatment (week 52) · geometric mean
Semaglutiden=294Placebon=296
0.99(38.37)1.03(42.27)
Change in High Density Lipoprotein (HDL)-CholesterolRatio of HDL · Baseline (week 0), end of treatment (week 52) · geometric mean
Semaglutiden=294Placebon=295
1.04(15.95)0.99(13.91)
Change in TriglyceridesRatio of triglycerides · Baseline (week 0), end of treatment (week 52) · geometric mean
Semaglutiden=305Placebon=310
0.80(45.95)0.95(41.73)
Change in Ankle-Brachial Index (ABI)Ratio of ABI · Screening (week -2), end of treatment (week 52) · geometric mean
Semaglutiden=306Placebon=315
1.06(34.0)1.02(19.6)
The trial

How STRIDE was run

This study is done to see if semaglutide has an effect on walking ability compared with placebo (dummy medicine) in people with peripheral arterial disease (PAD) and type 2 diabetes. Participants will either get semaglutide or placebo ("dummy") medicine - which treatment participants get is decided by chance. Semaglutide is a medicine for type 2 diabetes that can be prescribed by doctors in some countries. Participants will get the study medicine (semaglutide or placebo) in a pre-filled pen for injection. Participants must inject it once a week into the stomach area, thigh, or upper arm, at any time of the day. The study will last for about 59 weeks. Participants will have 8 clinic visits and 1 phone call with the study doctor. At some clinic visits, participants will have blood tests. At some visits participants will also do a treadmill test to measure how far they can walk. Women cannot take part if pregnant, breast-feeding or planning to become pregnant during the study period.

  • Semaglutide: Semaglutide given in addition to standard-of-care treatment
  • Placebo (semaglutide): Placebo given in addition to standard-of-care treatment
Who could join the trial

Inclusion Criteria: * Male or female, age above or equal to 18 years at the time of signing informed consent. For Japan: Male or female, age above or equal to 20 years at time of signing informed consent * Diagnosed with type 2 diabetes mellitus at least 180 days prior to the day of screening. * Symptomatic PAD with intermittent claudication corresponding to Fontaine stage IIa (Rutherford classification grade I, category 1 and 2) meeting all of the following: 1. Stable symptoms of PAD with intermittent claudication in Fontaine stage IIa (able to walk without stopping more than 200 m/656 feet/2 blocks) for at least 90 days prior to the day of screening based on patient interview. 2. Screening flat treadmill test (3.2 km/h (2 mph)): Pain-free walking distance of at least 200 meters/656 feet. 3. Screening constant load treadmill test with fixed inclination of 12% and a fixed speed of 3.2 km/h (2 mph): Walking distance equal to or less than 600 meters/1968 feet. 4. Ankle-brachial-index (ABI) equal to or below 0.90 or toe-brachial index (TBI) equal to or below 0.7 (the leg with lowest index is chosen in case of bilateral disease). Exclusion Criteria: * Current or previous treatment with any GLP-1 receptor agonist (GLP-1-RA) within 90 days prior to the day of screening. * Walking ability limited by conditions other than PAD (e.g. aortic aneurism, dysregulated arrhythmia or hypertension, angina pectoris, heart failure, chronic obstructive or restrictive pulmonary disease, Parkinson's disease, severe peripheral neuropathy, amputations, wheel chair or walker dependency, osteoarthritis, morbid obesity, severe varicose veins, etc.). * Planned orthopaedic surgery in the legs, or other major surgery known on the day of screening (surgery affecting walking ability). * Vascular revascularisation procedure of any kind 180 days prior to the day of screening. * Planned arterial revascularisation known on the day of screening. * Myocardial infarction, stroke, hospitalisation for unstable angina pectoris or transient ischemic attack within 180 days prior to the day of screening. * Heart failure presently classified as being in New York Heart Association (NYHA) class III-IV.

Published papers

Papers from STRIDE

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

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