Type 2 & other diabetes

Semaglutide Injection in Indian Patients With Type 2 Diabetes Mellitus: A Randomised, Phase III , Active‐Controlled Study

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Change in HbA1c from baselineResult — go to the resultLeast-squares mean difference −0.09 % 95% CI −0.26 to 0.09

Authors' conclusion

The Test synthetic semaglutide injection demonstrated non-inferior glycaemic efficacy, comparable safety in comparison to Reference semaglutide

Study context

Population
Indian adults aged 18–65 years with T2D and HbA1c ≥ 7.0% to ≤ 10.5% despite stable metformin and diet & exercise; 35 centres in India290 completed
Participants
314 adults
Comparison
Test synthetic semaglutide vs Reference semaglutide (Ozempic), once weekly for 24 weeks
Primary endpoint
Change in HbA1c from baseline
Follow-up
Week 24
Methodological detailsphase III, open-label, multicentre, parallel-group, active-controlled, non-inferiority
  • Phase III
  • Open-label
  • Multicentre
  • Parallel-group
  • Active-controlled
  • Non-inferiority

Primary result

As reported in the abstract

Least-squares mean difference

−0.09 %

95% CI −0.26 to 0.09

Change by group

Test

−2.04

%

Reference

−1.95

%

Testvs Reference
least-squares mean difference −0.09 % (95% CI −0.26 to 0.09)
Significant reduction in HbA1c within each group
P < 0.0001 within groups

Secondary outcomes

Fasting and post-prandial blood glucose, HbA1c < 7.0% achievers, bodyweight

Improvements similar between the two groups

Safety

Most common TEAEs: predominantly mild-to-moderate gastrointestinal events

Immunogenicity

No anti-drug or neutralising antibodies were detected

Original publication

Semaglutide Injection in Indian Patients With Type 2 Diabetes Mellitus: A Randomised, Phase III , Active‐Controlled Study. Diabetes Obes Metab. Published 31 May 2026. doi:10.1111/dom.70891

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