A Research Study to See How Switching From a Daily Basal Insulin to a New Weekly Insulin, Insulin Icodec, Helps in Reducing the Blood Sugar Compared to Daily Insulin Glargine in Adults With Type 2 Diabetes

NCT ID: NCT06340854

Last Updated: 2025-09-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

429 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-19

Study Completion Date

2025-06-13

Brief Summary

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This study compares insulin icodec, a new insulin taken once a week, to insulin glargine, an insulin taken once a day. The study medicine will be investigated in participants with type 2 diabetes. Participants will either get insulin icodec or insulin glargine. Which treatment participants get is decided by chance. Insulin icodec is the new medicine being tested, while insulin glargine is already approved and can be prescribed by doctors. Participants will get one injection of insulin icodec once a week, or one injection of insulin glargine once a day, depending on the treatment group participants are assigned into. Participants will use a pen with a small needle to inject the medicine under participants skin into participants thigh, upper arm or stomach.The study will last for about 9 months, but participants will only be taking the study medicine for 6 months.

Detailed Description

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Conditions

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Diabetes, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Insulin icodec

Participants will receive Insulin icodec subcutaneously once weekly.

Group Type EXPERIMENTAL

Insulin icodec

Intervention Type DRUG

Insulin Icodec will be administered subcutaneously.

Insulin glargine

Intervention Type DRUG

Insulin glargine will be administered subcutaneously.

Insulin glargine U100

Participants will receive Insulin glargine subcutaneously once daily.

Group Type ACTIVE_COMPARATOR

Insulin icodec

Intervention Type DRUG

Insulin Icodec will be administered subcutaneously.

Insulin glargine

Intervention Type DRUG

Insulin glargine will be administered subcutaneously.

Interventions

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Insulin icodec

Insulin Icodec will be administered subcutaneously.

Intervention Type DRUG

Insulin glargine

Insulin glargine will be administered subcutaneously.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with T2D greater than equal to (≥) 180 days prior to the day of screening.
* HbA1c from 7.0-10.0% (53.0-85.8 mmol/mol), both inclusive, at screening confirmed by central laboratory analysis.
* Treated with once-daily or twice-daily basal insulin (Neutral Protamine Hagedorn insulin, insulin degludec, insulin detemir, insulin glargine 100 U/mL, or insulin glargine 300 U/mL) ≥ 90 days prior to the day of screening with or without any of the following anti-diabetic drugs/regimens with stable doses greater than equal to (≥) 90 days prior to screening: metformin, sulfonylureas, meglitinides (glinides), Dipeptidyl peptidase 4 (DPP-4) inhibitors, Sodium-Glucose Transport Protein 2 (SGLT2) inhibitors, thiazolidinediones, alphaglucosidase inhibitors, oral combination products (for the allowed individual oral anti- diabetic drugs), oral or injectable glucagon-like peptide 1 receptor agonists (GLP-1 RAs), injectable glucagon-like peptide 1(GLP-1)/ glucose-dependent insulinotropic polypeptide receptor agonist (GIP RA) combination products.
* Body mass index (BMI) ≤ 40.0 kilogram per square meter (kg/m\^2).

Exclusion Criteria

* Any episodes of diabetic ketoacidosis within 90 days prior to the day of screening.
* Myocardial infarction, stroke, hospitalisation for unstable angina pectoris or transient ischaemic attack within 180 days prior to the day of screening.
* Chronic heart failure classified as being in New York Heart Association Class IV at screening.
* Anticipated initiation or change in concomitant medications (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g., treatment with orlistat, thyroid hormones, or corticosteroids).
* Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days prior to screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Transparency (dept. 2834)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Advanced Investigative Medicine, Inc.

Hawthorne, California, United States

Site Status

Scripps Whittier Diabetes Inst

La Jolla, California, United States

Site Status

Clinical Trials Research

Lincoln, California, United States

Site Status

Northeast Research Institute of Florida

Fleming Island, Florida, United States

Site Status

South Broward Research LLC

Miramar, Florida, United States

Site Status

Endo Res Solutions Inc

Roswell, Georgia, United States

Site Status

Cotton-Oneill Diabetes and End

Topeka, Kansas, United States

Site Status

International Diabetes Center

Minneapolis, Minnesota, United States

Site Status

Jefferson City Medical Group, PC

Jefferson City, Missouri, United States

Site Status

Univ of Nebraska Medical CTR

Omaha, Nebraska, United States

Site Status

Palm Research Center Inc-Vegas

Las Vegas, Nevada, United States

Site Status

Southern NH Diabetes and Endo_Nashua

Nashua, New Hampshire, United States

Site Status

PharmQuest Life Sciences LLC

Greensboro, North Carolina, United States

Site Status

Accellacare Wilmington

Wilmington, North Carolina, United States

Site Status

Trial Management Associates

Myrtle Beach, South Carolina, United States

Site Status

Amarillo Medical Specialists

Amarillo, Texas, United States

Site Status

Velocity Clinical Res-Dallas

Dallas, Texas, United States

Site Status

Victorium Clinical Research

Houston, Texas, United States

Site Status

PlanIt Research, PLLC

Houston, Texas, United States

Site Status

Chrysalis Clinical Research

St. George, Utah, United States

Site Status

Rainier Clin Res Ctr Inc

Renton, Washington, United States

Site Status

"Medical Center Viva Feniks" Ood

Dobrich, , Bulgaria

Site Status

MHAT "Knyaginya Klementina" -Sofia EAD

Sofia, , Bulgaria

Site Status

UMHAT Aleksandrovska

Sofia, , Bulgaria

Site Status

Medical Institute of Ministry of interior

Sofia, , Bulgaria

Site Status

Medical centre Clinic Nova

Varna, , Bulgaria

Site Status

Medical centre Berbatov Beli drin

Yambol, , Bulgaria

Site Status

InnoDiab Forschung GmbH

Essen, , Germany

Site Status

Institut für Diabetesforschung GmbH Münster - Dr. med. Rose

Münster, , Germany

Site Status

MedicalCenter am Clemenshospital - Schwerpunktpraxis für Diabetologie und Ernährungsmedizin

Münster, , Germany

Site Status

RED-Institut für medizinische Forschung und Fortbildung GmbH

Oldenburg in Holstein, , Germany

Site Status

Institut für Diabetesforschung Osnabrück

Osnabrück, , Germany

Site Status

Zentrum für klinische Studien Allgäu Oberschwaben

Wangen, , Germany

Site Status

Lifecare Hospital and Research Centre

Bangalore, Karnataka, India

Site Status

Belgaum Diabetes Centre

Belagavi, Karnataka, India

Site Status

Manipal Hospital, Old Airport Road, Bengaluru

Bengaluru, Karnataka, India

Site Status

TOTALL Diabetes Hormone Institute

Indore, Madhya Pradesh, India

Site Status

Seth GS Medical College & KEM Hospital

Mumbai, Maharashtra, India

Site Status

Grant Medical Foundation Ruby Hall Clinic

Pune, Maharashtra, India

Site Status

Chellaram Diabetes Institute

Pune, Maharashtra, India

Site Status

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

Puducherry, Tamil Nadu, India

Site Status

Gandhi Hospital & Medical college

Hyderabad, Telangana, India

Site Status

Malla Reddy Narayana Multispeciality Hospital

Hyderabad, Telangana, India

Site Status

Government Institute of Medical Sciences

Noida, Uttar Pradesh, India

Site Status

Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh

Chandigarh, , India

Site Status

Christian Medical College and Hospital

Ludhiana, , India

Site Status

Heiwadai Hospital_Internal Medicine

Miyazaki, Miyazaki, Japan

Site Status

Tokyo Medical Univ. Hospital_Diabetes, Metabolism and Endocrinology

Shinjuku-ku, Tokyo, Tokyo, Japan

Site Status

Futata Tetsuhiro Clinic Meinohama_Internal medicine

Fukuoka-shi, Fukuoka, , Japan

Site Status

Oyama East Clinic_Internal Medicine

Tochigi, , Japan

Site Status

Noritake Clinic

Ushiku-shi, Ibaraki, , Japan

Site Status

Uniwersytecki Szpital Kliniczny w Opolu

Opole, Opole Voivodeship, Poland

Site Status

NZOZ Specjalistyczny Osrodek Internistyczno-Diabetologiczny Małgorzata Arciszewska

Bialystok, Podlaskie Voivodeship, Poland

Site Status

NZOZ Vita-Diabetica Malgorzata Buraczyk

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Centrum Medyczne Pratia Gdynia

Gdynia, Pomeranian Voivodeship, Poland

Site Status

Centrum Medyczne Pratia Katowice

Katowice, , Poland

Site Status

Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji

Warsaw, , Poland

Site Status

Trialmed CRS

Piotrkow Trybunalski, Łódź Voivodeship, Poland

Site Status

Advanced Clinical Research LLC

Bayamón, , Puerto Rico

Site Status

Manati Ctr For Clin Research

Manatí, , Puerto Rico

Site Status

Hemant Makan

Johannesburg, Gauteng, South Africa

Site Status

Dr Moosa's Rooms

Lenasia, Gauteng, South Africa

Site Status

Botho ke Bontle Health Services

Pretoria, Gauteng, South Africa

Site Status

Dr A Amod

Durban, KwaZulu-Natal, South Africa

Site Status

Dr MB Moosa's Practice

Durban, KwaZulu-Natal, South Africa

Site Status

Dr Mahesh Duki Research And Trial Site

Durban, KwaZulu-Natal, South Africa

Site Status

Hospital Clinic i Provincial

Barcelona, , Spain

Site Status

ABS La Roca del Vallés

La Roca Del Vallés, , Spain

Site Status

Hospital Clinico Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital Universitario Quirónsalud Madrid

Pozuelo de Alarcón, , Spain

Site Status

Countries

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United States Bulgaria Germany India Japan Poland Puerto Rico South Africa Spain

Other Identifiers

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U1111-1292-6151

Identifier Type: OTHER

Identifier Source: secondary_id

2023-506084-34

Identifier Type: OTHER

Identifier Source: secondary_id

NN1436-7724

Identifier Type: -

Identifier Source: org_study_id

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