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ObesitySCALA-TK-CMNCT07781371

A Retrospective Real-World Cohort Study

An observational study of Obesity and Type 2 Diabetes (T2D), run by Novo Nordisk A/S at 1 site in Denmark.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The primary objectives are to determine the prevalence and overlap of major cardiometabolic diseases, identify multimorbidity clusters, and characterize demographic, clinical, laboratory, and treatment patterns across the cohort and relevant subgroups. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Obesity, Type 2 Diabetes (T2D), Prediabetes
What is being tested?
No treatment given
How many people
100,000 participants
Where
1 siteDenmark
Study dates
20 Aug 2026to 2 Nov 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: SCALA cohort

Who may be able to join

  • Participants aged above or equal to 12 years at index date.
  • Participants with international classification of diseases (ICD-10) coded diagnosis or secondary criteria for either diabetes (type 2 diabetes, pre-diabetes), overweight, obesity, metabolic dysfunction-associated steatotic liver disease (or non-alcoholic fatty liver disease), cardiovascular disease (arterial hypertension, ischemic heart disease, myocardial infarction, heart failure, cerebrovascular disease (including stroke and transient ischemic attack), atherosclerosis, atrial fibrillation), chronic kidney disease, dyslipidemia.
  • At least one healthcare encounter within 12 months prior to index date (pre-index) to ensure availability of baseline data.

Who cannot join

  • None.

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Novo Nordisk Investigational Site

    Copenhagen

Other trials in Denmark

About this study

Official title: SCALA-TK-CM: Semaglutide and CArdiometabolic Real-Life Atlas - TürKiye CardioMetabolic Epidemiology Study: A Retrospective Real-World Cohort Study

The primary objectives are to determine the prevalence and overlap of major cardiometabolic diseases, identify multimorbidity clusters, and characterize demographic, clinical, laboratory, and treatment patterns across the cohort and relevant subgroups. This study is based on anonymized electronic health record (EHR) data and spanning January 2022 to December 2025. EHR will be extracted from participants of Acibadem hospital network in Turkey. Participants received routine clinical care according to physician discretion. Index date will be defined by the first diagnosis of cardiometabolic conditions.

Follow-up period will include at least one year of to allow description of long-term outcomes. It will extend until the end of study, last recorded encounter, or death.

Being tested
No treatment given
Medical subject headings
Obesity, Diabetes Mellitus, Type 2, Prediabetic State, Cardiovascular Diseases, Dyslipidemias, Renal Insufficiency, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • No treatment givenOther

    No treatment given

Study groups in NCT07781371
Study groupRoleWhat they receive
SCALA cohortParticipants from Acibadem hospital network in Türkiye with index date followed by at least one year of follow-up and the data extraction period spanning from 1 January 2022 to 31 December 2025.
Receives: Other: No treatment given

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Index and yearly prevalence of major cardiometabolic diseases (percentage)

    Measured in percentage

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025), and at the end of each calendar year

  2. Index and yearly prevalence of major cardiometabolic diseases: binary (yes/no)

    Measured as binary (yes/no)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025), and at the end of each calendar year

  3. Overlap of major cardiometabolic diseases (percentage)

    Presence of two or more predefined cardiometabolic conditions documented on or prior to the index date. Measured as percentage

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  4. Overlap of major cardiometabolic diseases: binary (yes/no)

    Presence of two or more predefined cardiometabolic conditions documented on or prior to the index date. Measured as binary (yes/no)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  5. Age distribution

    Measured in years

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  6. Age distribution: Number of participants

    Measured as number of participants

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  7. Gender distribution

    Defined as male or female. Measured in percentage

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  8. Gender distribution: binary (yes/no)

    Defined as count of male or female. Measured as binary (male/female)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  9. BMI distribution

    Measured as kilogram (kg)/m^2

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  10. BMI distribution: number of participants

    Measured categorically: number of participants (under 18, 18-25, 25-30, and above 30 kg/m^2 )

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  11. Medical history of interest: percentage of events

    Measured in percentage of events

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  12. Smoking status: percentage of participants

    Defined by the next categories at index date non-smoker, formal smoker, occasional smoker or current smoker. Measured in percentage of participants

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  13. Systolic and diastolic blood pressure (BP)

    Measured in millimeters of mercury (mmHg)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  14. Laboratory assessment of C reactive protein (CRP)/high sensitive (hs)-CRP

    Measured in milligram (mg) /Liter (L)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  15. Laboratory assessment of CRP/hs-CRP: binary (under and above 2 mg/L)

    Laboratory assessment of CRP . Measured as binary (under and above 2 mg/L)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  16. Laboratory assessment of ferritin

    Measured in nanogram (ng)/mL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  17. Laboratory assessment of transferrin

    Measured in mg/ deciliter (dL)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  18. Laboratory assessment of serum creatinine

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  19. Laboratory assessment of estimated glomerular filtration rate (eGFR)

    Measured in mL/min/1.73m^2 in categories (under 30 / 30-44 / 45-59 / above or equal to 60 mL/min/1.73m^2)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  20. Laboratory assessment of creatinine clearance (CrCl)

    Measured in mL/ minute (min)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  21. Laboratory assessment of serum albumin levels

    Measured in grams (g)/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  22. Laboratory assessment of albuminuria

    Defined as UACR (urine albumin-to-creatinine ratio) under 30 (A1), above or equal to 30 (A2), or above or equal to 300 mg/g (A3). Measured in mg/g in categories (A1 / A2 / A3)

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  23. Laboratory assessment of albumin-to-creatinine ratio (ACR)

    Measured in mg/g

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  24. Laboratory assessment of platelets

    Measured in 10^9 cells/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  25. Laboratory assessment of neutrophils

    Measured in 10^9 cells/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  26. Laboratory assessment of lymphocytes

    Measured in 10^9 cells/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  27. Laboratory assessment of monocytes

    Measured in 10^9 cells/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  28. Laboratory assessment of troponin T (TnT)/high sensitive (hs)-TnT

    Measured in ng/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  29. Laboratory assessment of troponin I (TnI)/high sensitive (hs)-TnI

    Measured in ng/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  30. Laboratory assessment of fasting glucose

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  31. Laboratory assessment of hemoglobin (Hb)

    Measured in g/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  32. Laboratory assessment of hemoglobin A1c (HbA1c)

    Measured in percentage of total Hb

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  33. Laboratory assessment of triglycerides

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  34. Laboratory assessment of total cholesterol

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  35. Laboratory assessment of low-density lipoprotein cholesterol (LDL-c)

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  36. Laboratory assessment of high-density lipoprotein cholesterol (HDL-c)

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  37. Laboratory assessment of lipoprotein A (LpA)

    Measured in mg/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  38. Laboratory assessment of alanine transaminase (ALT)

    Measured in unit (U) /L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  39. Laboratory assessment of aspartate transaminase (AST)

    Measured in U/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  40. Laboratory assessment of FIB-4 score

    FIB-4 liver fibrosis score, with previously validated cut-off points to rule in and out the risk of advanced liver fibrosis. FIB-4 score indicating low to high risk ranges from 0.1 (low risk) to 20 (highest risk), where the higher score indicates a higher risk or greater severity of advanced liver fibrosis. Measured categorically as score on the scale (under 1.45, 1.45-2.67, and above 2.67).

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  41. Laboratory assessment of N-terminal pro-Btype natriuretic peptide (NTproBNP) levels

    Measured in ng/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  42. Laboratory assessment of thyroid-stimulating hormone (TSH) levels

    Measured in milli-unit (mU)/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  43. Laboratory assessment of follicle-stimulating hormone (FSH) levels

    Measured in U/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  44. Laboratory assessment of luteinizing hormone (LH) levels

    Measured in U/L

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  45. Laboratory assessment of progesterone levels

    Measured in ng/mL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  46. Laboratory assessment of estrogen levels

    Measured in picograms (pg)/mL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

  47. Laboratory assessment of testosterone levels

    Measured in ng/dL

    Measured: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Aug 2026
  2. Study start20 Aug 2026
  3. Primary completion2 Nov 2026 (estimated)
  4. Study completion2 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
100,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07781371
Sponsor's protocol ID
DAS-9012
Other IDs
U1111-1341-4025
Acronym
SCALA-TK-CM
Status last verified
Sep 2026
First submitted
19 Aug 2026
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated device
No
Individual data sharing
Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Questions about this trial

What is this clinical trial studying?

An observational study of Obesity and Type 2 Diabetes (T2D), run by Novo Nordisk A/S at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Index and yearly prevalence of major cardiometabolic diseases (percentage) (time frame: Baseline (at index date i.e., between 1 January 2022 to 31 December 2025), and at the end of each calendar year). The study lists 47 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2026.

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A Retrospective Real-World Cohort Study (NCT07781371) | AzTrials