You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: April 7, 2025

CLINICAL TRIALS PROFILE FOR RYBELSUS


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for RYBELSUS

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Dosage NCT06083675 ↗ Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes Withdrawn Novo Nordisk A/S Phase 3 2024-01-26 This study compares the medicines semaglutide with empagliflozin or metformin in people with newly diagnosed type 2 diabetes. This study will look mainly at how well participant's blood sugar and body weight are controlled when they are taking the study medicines. Participants will either get semaglutide tablets, empagliflozin tablets or metformin tablets. Which treatment participants will get is decided by chance. Currently, doses of 3 milligram (mg), 7 mg and 14 mg semaglutide tablets (Rybelsus) can be prescribed in some countries. 25 mg and 50 mg semaglutide tablets are new doses. 10 mg and 25 mg empagliflozin tablets (Jardiance) can be prescribed in some countries. 500 mg metformin tablets (STADA) can be prescribed in some countries. Participants will get 1 to 4 tablets per day for 104 weeks. The study will last for about 2 years and 7 weeks (111 weeks). Participants should not have been treated for weight management 90 days before screening or never been treated with any medicine for type 2 diabetes (except diabetes during pregnancy) before screening. Women cannot take part if pregnant, breast-feeding or plan to get pregnant during the study period.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 1 of 1 entries

All Clinical Trials for RYBELSUS

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT05579977 ↗ Trial to Learn About the Study Medicine (PF-07081532) and Rybelsus in People With Type 2 Diabetes and Separately PF-07081532 in People With Obesity Not yet recruiting Pfizer Phase 2 2022-11-08 The purpose of this study is to find out if PF-07081532 ("the active study drug"), is safe and helps treat people with obesity without diabetes to lose weight, and people with diabetes to keep their blood sugar in good control. Individuals diagnosed with diabetes that are on metformin or individuals with obesity without diabetes will be included in the study. Those participating in the diabetes part of the study, will receive either active study drug, placebo, or an approved treatment called Rybelsus. Those in the obesity part of the study, will receive either active study drug or placebo. The study will last for about 36 weeks except for the first 25% of the participants that enter in which case the study will last for approximately 48 weeks. during this time there will be visits every 4 weeks with phone calls in between.
NCT05340868 ↗ Genetics of the Acute Response to Oral Semaglutide (GAROS) Not yet recruiting Medical University of Bialystok N/A 2022-05-16 The study aims to investigate the genetic basis of the response to short-term (3 months) orally administered semaglutide treatment, in terms of improving metabolic parameters, including the hormonal response to a standardized meal, and changes in body composition and liver steatosis. In the study, parameters such as fasting and 2-hour glucose during OGTT, HbA1c, body fat mass, body weight, total cholesterol, HDL and LDL, triglycerides, HOMA-IR, Matsuda Index and liver steatosis will be assessed. All the patients will undergo genome-wide genotyping. Moreover, in a subset of participants, muscle and fat biopsies will be performed, before and after the treatment, and liver, muscle and pancreas fat content will be assessed using MRI.
NCT05303857 ↗ Analyse the Effect of Semaglutide on Vascular Structure and Function in Patients With Early Type 2 Diabetes Recruiting University of Erlangen-Nürnberg Medical School Phase 4 2022-03-03 This is a phase IV, randomized (1:1), prospective, double-blind, placebo controlled, parallel-group, single center study at the Clinical Research Unit (CRC) of the Department of Nephrology and Hypertension, with its two separate locations: - Nürnberg, Kreuzburger Str. 2, 90471 Nürnberg, and - Erlangen, Ulmenweg 18, 91054 Erlangen The main goal of the study is to demonstrate the effect of semaglutide on different vascular parameters of the macro- and microcirculation. The primary objective is to analyze the effect of semaglutide, compared to placebo on central (aortic) pulse pressure. At least 90 patients will be randomized (1:1) and included (informed consent, intention to treat population) in order to obtain 80 fully evaluable subjects (per protocol population). Patients will be simultaneously recruited from investigator's outpatient clinics, referring physicians, and advertisement in local newspapers, and social media. Those patients that appear to potentially fulfill the inclusion criteria will be invited to a screening visit (visit 1). After providing informed consent, patients will be tested for inclusion/exclusion criteria. Patients will provide a blood sample for laboratory testing. If the patient then fulfills inclusion criteria and in the absence of exclusion criteria, the patient will be enrolled into the trial, and the study visits will be scheduled. Randomization will take place at the latest one day prior to the study visit 2 (e.g. at the latest at visit 2a). At visit 2 (2a and 2b), baseline vascular function parameters will be obtained and the patient will be given a SC injection of the study drug (either SC 0.25 mg semaglutide or SC placebo). After giving detailed instructions to the patient how to apply the injections, the patient will be advised to apply the injection once weekly. A safety visit will be conducted 1 week after first administration of study drug (visit 3). At visit 4 and 5, semaglutide will be up-titrated to 0.5 mg and 1.0 mg respectively. At visit 6, a safety visit will be conducted and the dose of semaglutide will be kept at 1.0 mg. After 16 weeks of treatment (visits 7a and 7b), testing of vascular function will be repeated. At visit 7b, a final close out visit will be performed to gather additional safety information.
NCT05147896 ↗ Semaglutide Anti-Atherosclerotic Mechanisms of Action Study in Type 2 Diabetes Patients Not yet recruiting University of Palermo N/A 2021-12-01 Diabetes is a chronic disease characterized by chronic hyperglycaemia, causing microvascular and macrovascular complications. The latter lead to various disabilities: blindness, end-stage renal failure, nerve damage, formation of leg ulcers, and atherosclerosis. In people with type 2 diabetes, the probability of these atherosclerosis associated complications is twice as high as in people without diabetes. Cardiovascular diseases are also the main cause of mortality in people with diabetes. Preventive measures are therefore crucial. In people with type 2 diabetes, in addition to good glycaemic control, the choice of antidiabetic drugs is also important. Large-scale research has shown that certain glucagon-like peptide (GLP-1) receptor agonists, in addition to improving the regulation of diabetes, also have a significant effect on reducing the macrovascular complications. It is now possible to use semaglutide, a GLP-1 receptor agonist, in the tablet form. Semaglutide lowers blood sugar only when the blood sugar value rises, due to food in the digestive tract, Thus, not increasing the risk of hypoglycaemia. In addition, semaglutide has a significant effect on weight loss and very beneficial, protective effects on the cardiovascular system. Large studies have shown that in its injectable form, it significantly reduces the incidence of cardiovascular death in patients with type 2 diabetes. Therefore, the aim of the present study is to examine how semaglutide provides protective effects on the cardiovascular system and reduces the risk of diabetes type 2 associated complications. The present study will include 100 people with type 2 diabetes and last for 12 months. The subjects will receive a semaglutide oral tablet daily in addition to their current treatment (combination of metformin and a sulphonyl urea). At the beginning of the study, after 6 months and at the end of the study (after 12 months of treatment), a detailed clinical examination will be performed and blood will be taken for laboratory parameters. In addition to basic blood tests, inflammatory and oxidative stress parameters, as well as lipid fractions parameters will also be assessed. Ultrasound examination of the changes in the carotid arteries and measures of additional properties of the arteries will also be performed. The confidentiality of the data of the participants in the research will be ensured, as the data obtained during the investigation will be encrypted before processing.
NCT05147896 ↗ Semaglutide Anti-Atherosclerotic Mechanisms of Action Study in Type 2 Diabetes Patients Not yet recruiting University Medical Centre Ljubljana N/A 2021-12-01 Diabetes is a chronic disease characterized by chronic hyperglycaemia, causing microvascular and macrovascular complications. The latter lead to various disabilities: blindness, end-stage renal failure, nerve damage, formation of leg ulcers, and atherosclerosis. In people with type 2 diabetes, the probability of these atherosclerosis associated complications is twice as high as in people without diabetes. Cardiovascular diseases are also the main cause of mortality in people with diabetes. Preventive measures are therefore crucial. In people with type 2 diabetes, in addition to good glycaemic control, the choice of antidiabetic drugs is also important. Large-scale research has shown that certain glucagon-like peptide (GLP-1) receptor agonists, in addition to improving the regulation of diabetes, also have a significant effect on reducing the macrovascular complications. It is now possible to use semaglutide, a GLP-1 receptor agonist, in the tablet form. Semaglutide lowers blood sugar only when the blood sugar value rises, due to food in the digestive tract, Thus, not increasing the risk of hypoglycaemia. In addition, semaglutide has a significant effect on weight loss and very beneficial, protective effects on the cardiovascular system. Large studies have shown that in its injectable form, it significantly reduces the incidence of cardiovascular death in patients with type 2 diabetes. Therefore, the aim of the present study is to examine how semaglutide provides protective effects on the cardiovascular system and reduces the risk of diabetes type 2 associated complications. The present study will include 100 people with type 2 diabetes and last for 12 months. The subjects will receive a semaglutide oral tablet daily in addition to their current treatment (combination of metformin and a sulphonyl urea). At the beginning of the study, after 6 months and at the end of the study (after 12 months of treatment), a detailed clinical examination will be performed and blood will be taken for laboratory parameters. In addition to basic blood tests, inflammatory and oxidative stress parameters, as well as lipid fractions parameters will also be assessed. Ultrasound examination of the changes in the carotid arteries and measures of additional properties of the arteries will also be performed. The confidentiality of the data of the participants in the research will be ensured, as the data obtained during the investigation will be encrypted before processing.
NCT05035082 ↗ A Research Study Comparing RYBELSUS® to Other Blood Sugar Lowering Tablets in People Living in America With Type 2 Diabetes (REALYSE) Recruiting Novo Nordisk A/S Phase 4 2021-09-01 This study is comparing the medicine RYBELSUS® to other medicines in people with type 2 diabetes who need extra treatment. All medicines used in this study are tablets which lower blood sugar in people with type 2 diabetes. The purpose of the study is to see how well RYBELSUS® is at lowering blood sugar compared to other tablets when used in addition to metformin. Participants doctor will give participants either RYBELSUS® or any other blood sugar lowering tablets - which treatment participants get is decided by chance. The doctor treating participants diabetes will give participants a prescription for the medicine and tell how to take it. The study will last for about 2 years. Participants will have 3 planned visits with their doctor which are part of the usual routine diabetes management: the first visit is when participants are included in the study, the second visit is a 1-year follow-up visit, and the last visit is a 2-year follow-up visit. In addition, the study personnel will contact participants up to 3 times per year during this period and to follow-up on information from participant doctors visits. Participant will be asked to respond 3 times to 4 questionnaires via their personal smartphone or tablet or paper if participant do not have access to one during the study. All clinic visits are part of the usual routine diabetes management and are covered by participants health insurance plan. The study team will collect information from these visits recorded in the medical chart. Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.
NCT04707469 ↗ Research Study to Compare Three Doses of Semaglutide Tablets Taken Once Daily in People With Type 2 Diabetes Recruiting Novo Nordisk A/S Phase 3 2021-01-15 This study compares three doses of once daily semaglutide tablets in people with type 2 diabetes who were previously treated with other oral anti-diabetic medicines. Participants will be initiated on the lowest starting dose of 3 mg and gradually increased until they reach the final trial dose of 14 mg, 25 mg or 50 mg once daily semaglutide tablets. The final three doses will be randomized (i.e., decided by chance). Participants will be administered one tablet per day for 68 weeks. Women cannot take part if they are pregnant, breast-feeding or planning to become pregnant during the study period. Women who can get pregnant will be checked for pregnancy via urine tests. Once daily semaglutide tablets (3 mg, 7 mg and 14 mg) are approved for the treatment of type 2 diabetes in the US, in the EU and in some other countries, under the brand name Rybelsus®.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 7 of 7 entries

Clinical Trial Conditions for RYBELSUS

Condition Name

52110-0.500.511.522.533.544.555.5Diabetes Mellitus, Type 2ObesityAlzheimer DiseaseAtherosclerosis[disabled in preview]
Condition Name for RYBELSUS
Intervention Trials
Diabetes Mellitus, Type 2 5
Obesity 2
Alzheimer Disease 1
Atherosclerosis 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

651100123456Diabetes MellitusDiabetes Mellitus, Type 2AlcoholismAlcohol Drinking[disabled in preview]
Condition MeSH for RYBELSUS
Intervention Trials
Diabetes Mellitus 6
Diabetes Mellitus, Type 2 5
Alcoholism 1
Alcohol Drinking 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for RYBELSUS

Trials by Country

+
Trials by Country for RYBELSUS
Location Trials
United States 40
India 25
Poland 7
Canada 4
Australia 4
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

+
Trials by US State for RYBELSUS
Location Trials
Texas 3
Illinois 2
Georgia 2
Florida 2
Colorado 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for RYBELSUS

Clinical Trial Phase

22.2%22.2%33.3%22.2%01.922.12.22.32.42.52.62.72.82.933.1Phase 4Phase 3Phase 2[disabled in preview]
Clinical Trial Phase for RYBELSUS
Clinical Trial Phase Trials
Phase 4 2
Phase 3 2
Phase 2 3
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

44.4%44.4%11.1%000.511.522.533.54RecruitingNot yet recruitingWithdrawn[disabled in preview]
Clinical Trial Status for RYBELSUS
Clinical Trial Phase Trials
Recruiting 4
Not yet recruiting 4
Withdrawn 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for RYBELSUS

Sponsor Name

trials011223344Novo Nordisk A/SUniversity of PalermoUniversity Medical Centre Ljubljana[disabled in preview]
Sponsor Name for RYBELSUS
Sponsor Trials
Novo Nordisk A/S 3
University of Palermo 1
University Medical Centre Ljubljana 1
[disabled in preview] 4
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

58.3%33.3%8.3%001234567OtherIndustryNIH[disabled in preview]
Sponsor Type for RYBELSUS
Sponsor Trials
Other 7
Industry 4
NIH 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Rybelsus: A Comprehensive Update on Clinical Trials, Market Analysis, and Projections

Introduction to Rybelsus

Rybelsus, developed by Novo Nordisk, is the first and only oral GLP-1 (glucagon-like peptide-1) receptor agonist approved by the U.S. FDA for improving glycemic control in patients with type 2 diabetes. It contains the active ingredient semaglutide, which is also found in the injectable medications Ozempic and Wegovy.

Clinical Trials Update

PIONEER PLUS Trial

The PIONEER PLUS trial is a significant phase 3 clinical trial that tested oral semaglutide (Rybelsus) at high doses in patients with type 2 diabetes. This trial enrolled 1,244 patients who required treatment intensification due to inadequately controlled diabetes. Participants were started on a low dose of 3 mg and later randomly assigned to final doses of 25 mg, 50 mg, or the currently approved 14 mg.

Key findings from the PIONEER PLUS trial include:

  • Patients taking the 25 mg and 50 mg doses of Rybelsus experienced significant reductions in A1C levels, with an average decrease of about 2 percentage points.
  • Those on the 50 mg dosage saw an average weight loss of approximately 10% of their body weight over 68 weeks.
  • The trial demonstrated that the higher doses of Rybelsus outperformed the approved 14 mg dose in reducing HbA1c levels and body weight[1][3].

OASIS 1 Trial

The OASIS 1 trial focused on the efficacy of Rybelsus in adults with overweight or obesity, but without type 2 diabetes, and who had one or more chronic conditions such as high blood pressure, high cholesterol, or cardiovascular disease. This trial involved 667 participants and tested the highest dose of Rybelsus, 50 mg.

The results showed:

  • Participants taking 50 mg of Rybelsus lost more than 17% of their body weight on average over 68 weeks.
  • Nearly 40% of the participants achieved a weight loss of 20% or more compared to the placebo group[1].

SOUL Trial

The SOUL trial, a phase 3 cardiovascular outcomes trial, assessed the effect of oral semaglutide on cardiovascular outcomes in people with type 2 diabetes and established cardiovascular disease (CVD) and/or chronic kidney disease (CKD). This multicenter, international trial enrolled 9,650 participants.

Key findings include:

  • Oral semaglutide demonstrated a 14% reduction in the risk of major adverse cardiovascular events (a composite endpoint of cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke) compared to placebo[4].

Safety and Tolerability

The clinical trials have shown that Rybelsus, even at higher doses, has a safe and well-tolerated profile. The most common adverse events were gastrointestinal, which occurred most frequently during dose escalation and were more common in patients taking the higher doses. However, these side effects were generally mild to moderate and resolved over time[1][3].

Market Analysis

Current Market Performance

Rybelsus has been a significant success for Novo Nordisk, despite its market share being lower compared to its injectable counterparts, Ozempic and Wegovy. In 2023, Rybelsus generated approximately $2.7 billion in sales, accounting for 14% of the GLP-1 market share. This is a substantial increase from its sales in previous years, making it one of the company's key growth drivers[2].

Market Projections

The global GLP-1 receptor agonist market is expected to experience rapid growth. Here are some key projections:

  • The market size is anticipated to reach $173.62 billion by 2030, expanding at a CAGR of 21.65% from 2024 to 2030.
  • The strong product pipeline and formulation advancements, including the development of oral GLP-1 analogs like Rybelsus, are driving this growth.
  • By 2030, the GLP-1 market is predicted to tip $100 billion, with a significant portion of this growth attributed to the increasing demand for oral GLP-1 medications[2][5].

Competitive Landscape

The success of Rybelsus has not deterred other pharmaceutical and biotech companies from developing their own oral GLP-1 agonists. The market is highly competitive, with companies like Eli Lilly and others racing to get their products across the clinical finish line. Rybelsus, however, remains a key player, particularly with its proven efficacy and safety profile at higher doses[2][3].

Regulatory Filings and Global Launch

Following the positive results from the clinical trials, Novo Nordisk plans to seek regulatory approvals for the higher doses of Rybelsus in the U.S. and Europe. The global launch will be contingent on portfolio prioritizations and manufacturing capacity[3].

Key Takeaways

  • Clinical Efficacy: Rybelsus has demonstrated significant reductions in A1C levels and body weight in patients with type 2 diabetes and those with overweight or obesity.
  • Safety Profile: The drug has shown a safe and well-tolerated profile, with manageable gastrointestinal side effects.
  • Market Performance: Rybelsus has generated substantial revenue and holds a notable market share within the GLP-1 segment.
  • Market Projections: The global GLP-1 market is expected to grow significantly, driven by the demand for oral GLP-1 agonists.
  • Regulatory Filings: Novo Nordisk is set to seek approvals for higher doses of Rybelsus, which could further expand its market reach.

FAQs

What is Rybelsus and how does it work?

Rybelsus is an oral GLP-1 receptor agonist containing semaglutide, which helps improve glycemic control in patients with type 2 diabetes by mimicking the action of the natural hormone GLP-1.

What were the key findings of the PIONEER PLUS trial?

The PIONEER PLUS trial showed that higher doses of Rybelsus (25 mg and 50 mg) outperformed the approved 14 mg dose in reducing A1C levels and body weight in patients with type 2 diabetes.

How effective is Rybelsus for weight loss?

In the OASIS 1 trial, participants taking 50 mg of Rybelsus lost more than 17% of their body weight on average over 68 weeks, with nearly 40% achieving a weight loss of 20% or more.

What are the common side effects of Rybelsus?

The most common side effects of Rybelsus are gastrointestinal, which are generally mild to moderate and resolve over time.

What are the market projections for the GLP-1 segment?

The global GLP-1 receptor agonist market is expected to reach $173.62 billion by 2030, growing at a CAGR of 21.65% from 2024 to 2030.

Is Rybelsus approved for use in patients without type 2 diabetes?

While Rybelsus is primarily approved for type 2 diabetes, clinical trials like OASIS 1 have shown its efficacy in adults with overweight or obesity without type 2 diabetes.

Sources

  1. Diatribe: "Ozempic in a Tablet? A New Daily Pill Option for Weight Loss and Diabetes" - March 27, 2023
  2. PharmaVoice: "As weight loss booms, drugmakers look for an edge with oral options" - May 28, 2024
  3. FiercePharma: "Novo's high-dose Rybelsus win tees up filings—and rivalries" - March 27, 2023
  4. Novo Nordisk: "Company announcement - News Details" - October 21, 2024
  5. GlobeNewswire: "Global GLP-1 Receptor Agonist (Ozempic, Rybelsus, Trulicity, Saxenda, Wegovy, Victoza, Mounjaro, Zepbound) Market Analysis Report 2024-2030" - July 17, 2024

More… ↓

⤷  Try for Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.