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CTRI Number  CTRI/2025/06/089290 [Registered on: 23/06/2025] Trial Registered Prospectively
Last Modified On: 04/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   This is a study to establish non-inferiority of Intas semaglutide subcutaneous injection against Innovator semaglutide (Ozempic, Novo Nordisk) subcutaneous injection in adult participants with type 2 diabetes mellitus who are inadequately controlled on metformin, in adjunct to diet and exercise 
Scientific Title of Study   A Prospective, Phase 3, Randomized, Interventional, Open-label, Parallel-Group, Multicentre, Active Controlled Study to Establish Noninferiority of Intas Semaglutide Subcutaneous Injection Against Innovator Semaglutide (Ozempic, Novo Nordisk) Subcutaneous Injection in Adult Participants With Type 2 Diabetes Mellitus Who Are Inadequately Controlled on Metformin, in Adjunct to Diet and Exercise 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol No: 0130-24, Version: 1.0, Dated: 03-Feb-2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Naman Shah 
Designation  Senior General Manager 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club,S. G. Highway, Gota, Ahmadabad, Gujarat, India

Ahmadabad
GUJARAT
382481
India 
Phone  07940202389  
Fax  07940202021  
Email  namanshah@lambda-cro.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jogesh Mahajan 
Designation  Senior Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club,S. G. Highway, Gota, Ahmadabad, Gujarat, India

Ahmadabad
GUJARAT
382481
India 
Phone  07940202288  
Fax  07940202021  
Email  jogeshmahajan@lambda-cro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jogesh Mahajan 
Designation  Senior Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club,S. G. Highway, Gota, Ahmadabad, Gujarat, India


GUJARAT
382481
India 
Phone  07940202288  
Fax  07940202021  
Email  jogeshmahajan@lambda-cro.com  
 
Source of Monetary or Material Support  
Intas Pharmaceuticals Limited, Corporate House, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India. Pincode- 380054 
 
Primary Sponsor  
Name  Intas Pharmaceuticals Limited 
Address  Corporate House, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India. Pincode- 380054 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 40  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kartikey Parmar  B J Medical College & Civil Hospital  Department of Clinical research, Room No. NA, Department of Medicine, B. J. Medical College and Civil Hospital, Asarwa, Ahmedabad 380016, Gujarat, india
Ahmadabad
GUJARAT 
992464379

drkartik@gmail.com  
Dr Atul Jani  Bhailal Amin General Hospital  Department of Clinical research, Room No. NA, Bhailal Amin General Hospital, Gorwa, Vadodara
Vadodara
GUJARAT 
9825035925

dratuljani60@yahoo.com 
Dr Manas Ghosh  COLLEGE OF MEDICINE & JNM HOSPITAL  Department of Clinical research, Room No. NA, A Block, Kalyani, Nadia, West Bengal, Pin 741235
Nadia
WEST BENGAL 
9007338202

dr.manas.ghosh@gmail.com 
Dr Rajesh Khadgawat  Department of Endocrinology, AIIMS  Department of Clinical research, Room No. NA, All India Institute of Medical Sciences, Ansari Nagar New Delhi 110029
New Delhi
DELHI 
9891418190

rajeshkhadgawat@hotmail.com 
Dr Anurag Ranjan Kundan Lal Lila  Department of Endocrinology, Seth GS Medical College and KEM Hospital  Department of Clinical research, Room No. NA, OPD 103, First Floor, OPD building, Seth GS Medical College and KEM Hospital, Acharya Donde Marg, Parel, Mumbai-400012
Mumbai
MAHARASHTRA 
9323065346

dranuraglila@gmail.com 
Dr Sanjay Saran  Department of Endocrinology, SMS Medical College  Department of Clinical research, Room No. NA, SMS Medical College & Attached Hospitals, JLN March, Jaipur, Rajasthan, India-302004
Jaipur
RAJASTHAN 
9760190799

drsanjaysaran@gmail.com 
Dr Archit Parikh  DHS Hospital  Department of Clinical research, Room No. NA, DHS Multispecialty Hospital, 18 Sunrise Park society Vastrapur Lake- Drive in Link Road, Gurukul, Ahmedabad, Gujarat 380054
Ahmadabad
GUJARAT 
9265121085

parikharchit@yahoo.com 
DrSanjay Mehendiratta  Diabetes Bhawan and multispecialty hospital  Department of Clinical research, Room No. NA, D-52-53, Ramanagar, Gali no-4, Housing Board RD, Shastri Nagar, Jaipur 302016, Rajasthan
Jaipur
RAJASTHAN 
9829066516

drsmehendi@gmail.com 
Dr Sujit Chandrartey  Endocare Clinic  Department of Clinical research, Room No. NA, Mohiniraj, Ghaghanpur Road, Nasik 422013, Maharashtra
Nashik
MAHARASHTRA 
9422758018

sujitchandratreya@gmail.com 
Dr Kongara Srikanth  Endoliofe Speciality Hospitals  Department of Clinical research, Room No. NA, D.No: 12-12-94, Old Club Road, Kothapet, Guntur, Andhra Pradesh-522001, India
Guntur
ANDHRA PRADESH 
9849945577

srikanthendo@gmail.com 
Dr Richa Giri  G.S.V.M. Medical College  Department of Clinical research, Room No. NA, Swaroop Nagar, Kanpur 208002, Uttar Pradesh, India
Kanpur Nagar
UTTAR PRADESH 
9839087069

krricha227@gmail.com 
Dr Parag Shah  Gujarat Endocrine Centre  Department of Clinical research, Room No. NA, AWS 3, 518-526, Drive In Rd, opp. Manav Mandir Road, near helmet circle, Sushil Nagar Society, Memnagar, Ahmedabad, Gujarat 380052
Ahmadabad
GUJARAT 
9824042688

paragendo@gmail.com 
Dr Vipul Gupta  Gupta Ultrasound & Heart care centre  Department of Clinical research, Room No. NA, A-4/22, Paschim vihar, New Delhi 110063
New Delhi
DELHI 
9953702661

guptavipul@hotmail.com 
Dr Manoj Vithalani  HCG Hospitals  Department of Clinical research, Room No. NA, 1, Maharashtra Society, Near Mithakhali Six Roads, Ellisbridge, Ahmedabad-380006
Ahmadabad
GUJARAT 
9825024355

drmvithalani@gmail.com 
Dr Nilesh Jagdale  Indrayani Hospital & Cancer Institute  Department of Clinical research, Room No. NA, Alandi Chakan Road, Alandi Devachi, Tal.Khed, Pune 412105
Pune
MAHARASHTRA 
7887884983

dr.nilesh.jagdale@gmail.com 
Dr Sujoy Ghosh  IPGME&R and SSKM Hospital   Department of Clinical research, Room No. NA, 244 AJC Bose road, Kolkata -700020, West Bengal, India.
Kolkata
WEST BENGAL 
9674625823

drsujoyghosh2000@gmail.com 
Dr Summaiya Anjum  K R Hospital  Department of Clinical research, Room No. NA, Department of Medicine, K R Hospital attached to Mysore Medical College and Research Institute, Irwin Road, Mysore 570001, Karnataka, India
Mysore
KARNATAKA 
7760218464

dr.sumaiyaanjum@gmail.com 
Dr Sambit das  KIMS Hospital  Department of Clinical research, Room No. NA, Kalinga Institute of Medical Sciences Kushbhadra camous, 5, KIIT Roads, Bhubaneshwar, Odisha 751024
Khordha
ORISSA 
8093060177

drsambitendocrine@gmail.com 
Dr Aruna Mangipudi  King George Hospital  Department of Clinical research, Room No. NA, Department of Endocrinology, King George Hospital, Maharanipeta, Visakhapatnam, Andhra Pradesh- 530002.
Visakhapatnam
ANDHRA PRADESH 
9440105711

drarunamangipudiresearch@gmail.com 
Dr Shailesh Jethwa  Kiran Multi Super Speciality Hospital  Department of Clinical research, Room No. NA, Kiran Multi Super Speciality Hospital & Research Center, Vasta Devdi Road, Near Sumul Dairy, Surat - 395004
Surat
GUJARAT 
9879397811

drshaileshcjethwa@outlook.com 
Dr R Balamurugan  Kovai Diabetes Specialty Centre and Hospital  Department of Clinical research, Room No. NA, No. 15, Vivekananda Road, Ramnaga, Coimbatore-641009
Coimbatore
TAMIL NADU 
9842244881

rbmkdsc@gmail.com 
Dr L Srinivas Murthy  LIFECARE HOSPITAL AND RESEARCH CENTRE   Department of Clinical research, Room No. NA, 2748/2152, M.L.N COMPLEX , 16TH E CROSS, 8TH MAIN ROAD, D BLOCK NEXT TO UNION BANK OF INDIA , SAHAKARNAGAR, BENGALURU KARANATAKA 560092
Bangalore
KARNATAKA 
9448051046

drsreenivasamurthy@gmail.com 
Dr Sandeep Kumar Gupta  M. V Hospital & Research Centre  Department of Clinical research, Room No. NA, 314/30, Mirza Mandi Chowk, Lucknow-226003
Lucknow
UTTAR PRADESH 
9336077839

sandeepkumar.gupta@rediffmail.com  
Dr Ambrish C   Medstar Speciality Hospital   Department of Clinical research, Room No. NA, 641/17/1/3, Kodigehalli Main Road, Sahakar Nagar, Bangalore-560092, Karnataka, India
Bangalore
KARNATAKA 
9845895911

drambrishmedstar@gmail.com 
Dr Chimu Chopde  New Mangal Murti Hospital  Department of Clinical research, Room No. NA, Plot no. 09, Ganeshwadi, Near Pande Dairy Chowk, Jalgoan-425001, Maharashtra, India.
Jalgaon
MAHARASHTRA 
9975163030

drchimu119@gmail.com 
Dr Madhusudan C  NRR Hospital  Department of Clinical research, Room No. NA, 3 & 3A, Hesaraghatta Main Road, Chikkasandra, Near Chikkabanavara, Railway Station, Bengaluru, Karnataka 560090
Bangalore
KARNATAKA 
7022274227

drmadhusudanmadhu123@gmail.com 
Dr Rakesh Kumar Sahay  OSMANIA MEDICAL COLLEGE AND HOSPITAL  Department of Clinical research, Room No. NA, Department of Endocrinology, 2nd floor, Golden Jubilee Block, Osmania Medical College & Osmania General Hospital, 15-5-104 BEGUM BAZAR AFZAL GUNJ HYDERABAD TELANGANA 500012
Hyderabad
TELANGANA 
9849597507

sahayrk@gmail.com 
Dr Sanjaykumar Bhadada  Postgraduate Institute of Medical Education & Research  Department of Clinical research, Room No. NA, Nehru Hospital, Extension Block Ground Floor Room no:4, PGIMER, Chandigarh-160012
Chandigarh
CHANDIGARH 
9876602448

bhadadask@rediffmail.com 
Dr Nilesh Bastewad  Renukai Critical Care & Multispeciality Hospital  Department of Clinical research, Room No. NA, Behind LIC Office, Bafna Road, Nanded-431602, Maharashtra, India
Nanded
MAHARASHTRA 
9730712666

drnilesh.research@gmail.com 
Dr Vipul Chavda  Rudraksh Hospital  Department of Clinical research, Room No. NA, Rudraksh Hospital Ethics Committee, Rudraksh Hospital, 1st Floor, Raj mandir Complex, Bareja Fly Over, Rudraksh Hospital Road, Bareja, Ahmedabad-382425
Ahmadabad
GUJARAT 
9909979236

drvpchavda@gmail.com 
Dr Tapan Shah  Sangini Hospital  Department of Clinical research, Room No. NA, 1st & 7th floor, Sangini Hospital, Santorini Square, B/h Abhishree Complex, Star Bazar, Near Jodhpur Cross Roads, Satellite, Ahmedabad-380015
Ahmadabad
GUJARAT 
9825739241

drtapansah@gmail.com 
Dr Santosh Saklecha  Santosh Hospital  Department of Clinical research, Room No. NA, Santosh Hospital, 6/1, Promenade Road, Behind Coles Park, Bengaluru, Karnataka- 560005
Bangalore
KARNATAKA 
9845306703

ssaklecha@gmail.com 
Dr Ashutosh Sonawane  Sarthak Health Clinic   Mumbai Naka, Tajane Anusaya Complex, shop No. 5 to 8, Above SBI Insurance, Maharashtra - 422001
Mumbai
MAHARASHTRA 
8828226607

ashumarch@gmail.com 
Dr Deepak Varade   Shree Ashirwad Hospital  Department of Clinical research, Room No. NA, C/3 Shree Complex , Opposite Mahavir Nagar , Manpada Road , Dombivli East 421201 Maharashtra, India .
Mumbai
MAHARASHTRA 
9870409142

deepak.varade@gmail.com 
Dr Puneet Saxena  SMS Medical College & Hospitals  Department of Clinical research, Room No. NA, Room No.-219, 2nd Floor, SMS Medical College & Hospitals, Jaipur
Jaipur
RAJASTHAN 
9414079182

puneetsaxena96@yahoo.co.in 
Dr Bharat Das   Sparsh Hospitals and Critical Care Private Limited    Department of Clinical research, Room No. NA, Plot No-A/407, Saheed Nagar, Bhubaneswar Khordha, Orissa - 751007 India
Khordha
ORISSA 
9938190845

bharatdas74@gmail.com 
Dr Sunil Gupta  Sunils Diabetic Care and Research Centre Pvt. Ltd  Department of Clinical research, Room No. NA, 42, Lendra Park, Ramdas Peth -440010 Nagpur, Maharashtra, India
Nagpur
MAHARASHTRA 
9823152111

drsgupta_ngp@rediffmail.com 
Dr Nikhil Bhagwat  Topiwala National Medical College & BYL Nair Ch. Hospital  Department of Clinical research, Room No. NA, Deaprtment of Endocrinology, 4th Floor, Room No. 419, College Building, Topiwala National Medical College and BYL Nair Ch. Hospital, Dr. A. L. Nair Road, Mumbai Central, Mumbai - 400008, Maharashtra, India
Mumbai
MAHARASHTRA 
9619221532

bhagwatnik@yahoo.co.in 
Dr Shweta Bhandari  Vincare Hospital  Department of Clinical research, Room No. NA, 100 Feet Road, Opp. Petrol Pump, Bathinda, Punjab-151001, India
Bathinda
PUNJAB 
9316195900

drshwetabhandari23@yahoo.com 
Dr Baratam Hari Kiran  Visakha Institute of Medical Sciences  Department of Clinical research, Room No. NA, Department of Endocrinology, Visakha Institute of Medical Sciences (VIMS), Hanumanthvaka, Chinnagadhilli Village, Visakhapatnam - 530040, Andhra Pradesh, India
Visakhapatnam
ANDHRA PRADESH 
9959682999

drbharikiranresearch@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 40  
Name of Committee  Approval Status 
Altezza Institutional Ethics Committee, Dr. Deepak Varade   Approved 
Ethics Committee of Diabetes Care Foundation of India, Dr. Sunil Gupta  Approved 
Ethics Committee of G.S.V.M. Medical College, Dr. Richa Giri  Approved 
Ethics Committee. SMS Medical college and Attached Hospitals, Dr. Puneet Saxena  Approved 
Ethics Committee. SMS Medical college and Attached Hospitals, Dr. Sanjay Saran  Approved 
Good Society for Ethical Research, Dr. Vipul Gupta  Approved 
HCG Multi Speciality Ethics Committee, Dr. Manoj Vithalani  Approved 
IEC Diabetes Bhawan and Multispecialty hospital, Dr.Sanjay Mehendiratta  Approved 
Independent Ethics Committee CLINISYD Research Global Solutions Pvt. Ltd., Dr. Madhusudan C  Approved 
Institutional Ethics Committee for M V Hospital & Research Centre, Dr. Sandeep Kumar Gupta  Approved 
Institutional Ethics Committee KIMS, Dr. Sambit das  Approved 
Institutional Ethics Committee King George Hospital, Dr Aruna Mangipudi   Approved 
Institutional Ethics Committee Mysore Medical College & Research Institute & Associate Hospitals, Dr. Summaiya Anjum  Approved 
Institutional Ethics Committee of Endolife Speciality Hospital, Dr. Kongara Srikanth  Approved 
Institutional Ethics Committee of Kovai Diabetes Specialty Centre and Hospital, Dr. R Balamurugan  Approved 
Institutional Ethics Committee Osmania Medical College, Dr. Rakesh Kumar Sahay  Approved 
Institutional Ethics Committee TNMC NAIR HOSPITAL, Dr. Nikhil Bhagwat  Approved 
Institutional Ethics Committee, AIIMS, Dr. Rajesh Khadgawat  Submittted/Under Review 
Institutional Ethics Committee, Bhailal Amin General Hospital, Dr. Atul Jani  Approved 
Institutional Ethics Committee, COLLEGE OF MEDICINE & JNM HOSPITAL, Dr. Manas Ghosh  Approved 
Institutional Ethics Committee, Dr Bharat Das    Approved 
Institutional Ethics Committee, Dr. Kartikey Parmar  Submittted/Under Review 
Institutional Ethics Committee, Nehru Hospital, Dr. Sanjaykumar Bhadada  Submittted/Under Review 
Institutional Ethics Committee, Vincare Hospital, Dr. Shweta Bhandari  Approved 
Institutional Ethics Committee-I, Dr. Anurag Ranjan Kundan Lal Lila  Approved 
IPGME and RESEARCH OVERSIGHT COMMITTEE, Dr. Sujoy Ghosh  Submittted/Under Review 
Kiran Hospital Ethics Committee, Dr. Shailesh Jethwa  Approved 
Life care Hospital Institutional Review Board, Dr. L Srinivas Murthy  Submittted/Under Review 
Mangal Murti Institutional Ethics Committee, Dr. Chimu Chopde  Approved 
Medstar Speciality Hospital Ethics Committee, Dr Ambrish C    Approved 
Muktai Hospital Institutional Ethics Committee, Dr. Ashutosh Sonawane  Approved 
Narshima Saraswati Medical Foundation, Dr. Nilesh Jagdale  Approved 
Renukai Institutional Ethics Committee, Dr. Nilesh Bastewad  Approved 
Rudraksh Hospital Ethics Committee, Dr. Vipul Chavda  Approved 
Sangini Hospital Ethics Committee, Dr Tapan Shah  Approved 
Sangini Hospital Ethics Committee, Dr. Archit Parikh  Approved 
Sangini Hospital Ethics Committee, Dr. Parag Shah  Approved 
Santosh Hospital - Institutional Ethics Committee, Dr Santosh Saklecha   Approved 
Vijan Hospital Ethics Committee, Dr Sujit Chandrartey  Approved 
Visakha Institute of Medical Sciences, Dr. Baratam Hari Kiran  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E00-E89||Endocrine, nutritional and metabolic diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Semaglutide-Reference (R)  Formulation: Multi-dose pre-filled pen for single-patient use, Dose: Ozempic 0.25 mg (Semaglutide solution for injection in prefilled pen, 1.34 mg/mL, 1.5 mL), Ozempic 0.5 mg (Semaglutide solution for injection in prefilled pen, 1.34 mg/mL, 1.5 mL or 0.68 mg/mL, 3 mL), Ozempic 1 mg (Semaglutide solution for injection in prefilled pen, 1.34 mg/mL, 3 mL), Ozempic 2 mg (Semaglutide solution for injection in prefilled pen, 2.68 mg/mL, 3 mL) Dosage Level: Once weekly Timing of Dose: At any time of day, with or without meal Route of Administration: Subcutaneous Duration of dose: 24 weeks 
Intervention  Semaglutide-Test (T)  Formulation: Multi-dose pre-filled pen for single-patient use, Dose: Semaglutide Injection 0.68 mg/mL, 1.5 mL (0.25 mg dose) pre-filled pen, Semaglutide Injection 1.34 mg/mL, 1.5 mL (0.5 mg dose) pre filled pen, Semaglutide Injection 1.34 mg/mL, 3 mL (1 mg dose) pre-filled pen, Semaglutide Injection 2.68 mg/mL, 3 mL (2 mg dose) pre-filled pen Dosage Level: Once weekly Timing of Dose: At any time of day, with or without meal Route of Administration: Subcutaneous Duration of dose: 24 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1) Must sign an ICF indicating that the participant understands the purpose of, and procedures required for the study as described in Appendix 10.1.3 as well as in this protocol and is willing to participate in the study
2) Male or female participants with age 18 to 65 in completed years (both inclusive) at the time of signing the informed consent.
3) Participants with type 2 diabetes mellitus having Glycosylated Haemoglobin (HbA1c) greater than or equal to 7 percentage and less than 10.5 percentage at screening assessment.
4) Participants along with diet and exercise control, additionally on stable daily dose of metformin (greater than or equal to 1500 mg or maximum tolerated dose based on clinical record) within 12 weeks prior to the day of screening).
5) Contraceptive use by participants or participant’s partners should be consistent with local regulations regarding the methods of contraception for those participating in clinical
studies. A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of childbearing potential (WOCBP) as defined in Appendix 4. Is a WOCBP and agrees to remain on an acceptable contraceptive method that is highly
effective (with a failure rate of less than 1 percentage per year), preferably with low user dependency
when used consistently and correctly, as described in Appendix 4 during the
intervention period and for at least 2 months after the last dose of the study intervention.
The investigator should evaluate the effectiveness and the potential for contraceptive
method failure (e.g., noncompliance, recently initiated) of the contraceptive method in
relation to the first dose of the study intervention. A WOCBP agrees not to donate eggs (ova, oocytes), freeze them for future use for
reproduction or retrieve them for their use during the recommended period of
contraception. A WOCBP agrees to seek advice about donation and cryopreservation of
germ cells. A WOCBP must have a negative highly sensitive serum Bhuman chorionic
gonadotropin (BhCG) test at Screening and urine BhCG test at Baseline. If a urine test cannot be confirmed as negative (e.g., an ambiguous result), a serum
pregnancy test is required. In such cases, the participant must be excluded from
participation if the serum pregnancy result is positive. Additional requirements for pregnancy testing during and after study intervention are located in Section 8.3.5. The investigator is responsible for review of medical history, menstrual history, and
recent sexual activity to decrease the risk of inclusion of a woman with early undetected
pregnancy.
6) Male participants are eligible to participate if they agree to the following during the intervention period and for at least 2 months after the last dose of study intervention: Must agree not to plan to father a child or donate sperm for reproduction; PLUS, either of the following: Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent; OR Must agree to use contraception barrier as detailed below a male participant must wear a condom when engaging in any activity that allows for the passage of ejaculate to another person
o With female partner use of an additional highly effective contraceptive method with a failure rate of less than 1 percentage per year as described in Appendix 4
7) The participant with adequate hematologic, liver, renal function and other parameters as
mentioned below, at screening assessment.
a) Haemoglobin greater than or equal to 9 g per dL
b) WBC count greater than or equal to 2500 per cu.mm
c) Neutrophil count greater than or equal to 1500 per cu.mm
d) Platelet count greater than or equal to 100,000 per cu.mm
e) Calcitonin less than or equal to 50 ng per L
f) Blood amylase less than or equal to 3 into ULN
g) Blood lipase less than or equal to 3 into ULN
h) Total bilirubin less than or equal to 1.5 into ULN
i) Alanine aminotransferase (ALT) less than or equal to 3 into ULN
j) Aspartate aminotransferase (AST) less than or equal to 3 into ULN
k) Alkaline phosphatase (ALP) less than or equal to 3 into ULN
l) Estimated glomerular filtration rate (eGFR) greater than 30ml per min per 1.73m2 as assessed by CKD-EPI 2021 equation 
 
ExclusionCriteria 
Details  1) Known allergies, hypersensitivity, or intolerance to any of the study interventions and other GLP-1 receptor agonists, or components excipients thereof (refer to the SmPC of Ozempic), or drug or other allergies that, in the opinion of the investigator, contraindicates
participation in the study.
2) Participants with Fasting blood glucose greater than or equal to 270 mg per dL at screening.
3) Participants with Body Mass Index greater than or equal to 45 kg per m2 at screening.
4) Contraindications or limitations for administration of investigational intervention according to SmPC of Ozempic.
5) Treatment with any medication for diabetes or obesity 12 weeks or less before screening
[other than metformin, or short-term insulin (less than or equal to 14 days in total).
6) Presence of hepatitis B surface antigen (HBsAg) at screening or within 3 months prior to the
first dose of investigational intervention.
7) Positive hepatitis C antibody test result at screening or within 3 months prior to starting the
investigational intervention. NOTE: Participants with positive hepatitis C antibody due to
prior resolved disease can be enrolled only if a confirmatory negative hepatitis C RNA test is
obtained.
8) Has known human immunodeficiency virus (HIV) seropositive status, or positive HIV antibody test at screening.
9) Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative.
10) Participants with a documented medical history of uncontrolled, clinically significant intercurrent medical conditions that, in the investigators opinion, could affect weight and glucose metabolism.
11) Continuous or cumulative use of systemic glucocorticoids for more than 14 days within 3 months before screening (systemic glucocorticoids: intravenous, oral or intra articular glucocorticoid treatment).
12) Plan to receive glucocorticoids, immunosuppressants, or other drugs (except topical medications and inhaled preparations) that are assessed as unsuitable during the study by the investigator.
13) Participants with documented diagnosis of type 1 diabetes, monogenic diabetes, diabetes resulting from pancreatic injury, or secondary forms of diabetes (e.g. Cushing syndrome or acromegaly-associated diabetes).
14) History or presence of malignancy within the past 5 years except for adequately treated cervical carcinoma in situ, basal cell or squamous cell skin cancer
15) Have a history of acute diabetic complications (diabetic ketoacidosis, lactic acidosis or hyperosmolar hyperglycaemic state) within 6 months before screening.
16) Participants who have undergone bariatric surgery within 12 months prior to screening.
17) Participant with clinically significant current or recent [within the past 90 days before
randomization (unless otherwise specified below)] cardiac conditions as defined below:
a) Acute coronary syndrome, stroke [including transient ischemic attack (TIA)] or other
ischemic event or thromboembolic event [e.g., deep vein thrombosis (DVT), pulmonary
embolism] within the past 90 days prior to randomization.
b) Clinical risk assessment of cardiac function using the New York Heart Association Functional
Classification of Class III and IV presently.
18) History of proliferative retinopathy or diabetic macular oedema, or any other unstable retinopathy (rapidly progressive) recorded in medical history and may require treatment
during the study.
19) Participants with a history of acute chronic pancreatitis.
20) Received any other investigational intervention or used a drug releasing invasive investigational medical device within 3 months or 5 half lives prior to the first dose of study intervention, whichever is longer, or participant is currently enrolled in an investigational study.
21) Participants with known alcohol or other substance abuse within last one year of screening.
22) Planned coronary, carotid or peripheral artery revascularisation known on the day of screening.
23) Any condition (e.g. infection, trauma, and surgery) which require insulin therapy at the time
of screening or during the study period.
24) Participants with uncontrolled hypertension with sitting systolic BP greater than or equal to 160 mmHg and or diastolic BP greater than or equal to 100 mmHg at screening. Note: If blood pressure is out of range, up to 2 repeated assessments are permitted no more
than 60 minutes apart. Participants may be re-tested or rescreened after initiation or
adjustments of antihypertensive medications to establish control.
25) Participants with any abnormality on 12-lead ECG at screening that in the opinion of the
investigator is clinically significant and is judged as potential risk for his her participation in the study.
26) Pre-planned surgery or medical procedure that would interfere with the conduct of the study.
27) Documented medical history of uncontrolled, clinically significant intercurrent medical
condition(s) for which, in the opinion of the investigator, participation would not be in the
best interest of the participant (e.g., compromise the well-being) or that could prevent, limit,
or confound the protocol-specified assessments. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To establish non-inferiority of semaglutidetest
compared to semaglutide-reference in
adult participants with type 2 diabetes
mellitus who are inadequately controlled on
metformin, in adjunct to diet and exercise 
Change from Baseline to Week 24 in Glycosylated Haemoglobin (HbA1c) 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate efficacy of semaglutide-test
compared to semaglutide-reference in adult
participants with type 2 diabetes mellitus who
are inadequately controlled on metformin, in
adjunct to diet and exercise. 
a) Change from Baseline in HbA1c levels [Timeframe: Weeks 4, 8, 12, 16, 20].
b) Change from Baseline in Fasting Blood Glucose (FBG) levels [Timeframe: Weeks 4, 8, 12, 16, 20, and 24].
c) Change from Baseline in Postprandial Blood Glucose (PPBG) levels [Timeframe: Weeks 4, 8, 12, 16, 20 and 24].
d) Change from Baseline in Bodyweight and BMI [Timeframe: Weeks 4, 8, 12, 16, 20, and 24].
e) Change from Baseline in Fasting Lipid Profile
Parameters [Timeframe: Weeks 24].
f) Proportion of participants achieving HbA1c less than 7.0 percentage and less than 6.5 percentage from baseline [Timeframe: Weeks 12, 16, 20 and 24].
g) Proportion of participants receiving rescue
medications [Timeframe: Throughout the
study period].
h) Proportion of participants with weight loss
greater than or equal to 5 percentage , greater than or equal to 7.5 percentage and greater than or equal to 10 percentage at Week 24. 
To evaluate the safety of semaglutide-test
compared to semaglutide-reference in adult
participants with type 2 diabetes mellitus who
are inadequately controlled on metformin, in
adjunct to diet and exercise 
a) Incidence of TEAEs and SAEs [Timeframe:
Throughout the study period].
b) Proportion of participants requiring
hypoglycaemia management [Timeframe:
Throughout the study period]. 
To evaluate the immunogenicity of
semaglutide-test compared to semaglutidereference
in adult participants with type 2
diabetes mellitus who are inadequately
controlled on metformin, in adjunct to diet and
exercise. 
Proportion of participants with anti-drug
antibodies (ADA) and Neutralizing Antibody
(NAb) [Timeframe: Baseline (Pre-dose),
Week 12, 20 & 24] 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   02/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This is a study to establish non-inferiority of Intas semaglutide subcutaneous injection against Innovator semaglutide (Ozempic, Novo Nordisk) subcutaneous injection in adult participants with type 2 diabetes mellitus who are inadequately controlled on metformin, in adjunct to diet and exercise
 
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