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CompletedNCT04582435Updated Sep 18, 2023

A Trial Investigating the Pharmacokinetic and Pharmacodynamic Properties of Insulin Icodec in Subjects With Type 2 Diabetes

A Phase 1 interventional study of Insulin Icodec in Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 1 site in Austria. Per ClinicalTrials.gov, last updated 2023-09-18.

Sponsored by Novo Nordisk A/S · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
46
Allocation
Not applicable
Sex
All
01

Study summary

The aim of the study is to improve clinical outcomes for patients with type 2 diabetes by limiting the burden associated with insulin treatment.

Participants will get insulin degludec as well as insulin icodec - Insulin icodec is a new medicine while insulin degludec is commonly used and prescribed by doctors.

Participants will administer subcutaneous injections of insulin degludec once daily for at least one week (7 injections) but this period may be extended up to 8 weeks. Thereafter, once weekly subcutaneous injections of insulin icodec will follow, resulting in a total of at least 8 but not more than 16 subcutaneous injections of icodec.

The study will last for about 17-32 weeks Participants will have at least 5 in-house visits (where participants will stay at the clinic) and 17 outpatient visits with the study doctor.

Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 46 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 102 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 94 (47%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female
  • Aged 18-75 years (both inclusive) at the time of signing informed consent
  • Body mass index between 18.0 and 38.0 kg/m\^2 (both inclusive)
  • HbA1c (glycated haemoglobin) below or equal to 9 percentage (75 mmol/mol) at screening
  • Current daily basal insulin treatment greater than or equal to 0.2 (I)U/kg/day with or without any of the following anti-diabetic drugs/regimens with stable doses greater than or equal to 90 days prior to the day of screening: 1) Any metformin formulation 2) Other oral antidiabetic drugs: DPP-4 nhibitors / SGLT2 inhibitors / Oral combination products (for the allowed individual oral antidiabetic drugs)
  • Oral or injectable GLP-1 Receptor Agonists

Exclusion criteria

Exclusion Criteria:

  • Known or suspected hypersensitivity to trial product(s) or related products
  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Insulin icodec

    Participants will receive individualised weekly doses of insulin icodec

    Drug: Insulin Icodec

Interventions

  • DrugInsulin Icodec

    Participants will receive 1 dose from a prefilled pen, administered subcutaneously (under the skin), once a week by designated study staff, for a total of at least 8 and a maximum of 16 doses which equals 8-16 weeks of treatment.

06

What researchers measure

Primary outcomes

  1. AUCIco,τ,SS, Area under the serum insulin icodec concentration-time curve during one dosing interval at steady state

    pmol\*h/L

    Time frame: From 0 to 168 hours after trial product administration (Day 50)

Secondary outcomes

  1. AUCGIR,0-36h,SS,Area under the glucose infusion rate-time curve at steady state

    mg/kg

    Time frame: From 0 to 36 hours after trial product administration (Day 36)

  2. AUCGIR,40-64h,SS,Area under the glucose infusion rate-time curve at steady state

    mg/kg

    Time frame: From 40 to 64 hours after trial product administration (Day 43)

  3. AUCGIR,144-168h,SS,Area under the glucose infusion rate-time curve at steady state

    mg/kg

    Time frame: From 144 to 168 hours after trial product administration (Day 50)

  4. AUCGIR,τ,SS,model, Model-based area under the glucose infusion rate-time curve during one dosing interval at steady state

    mg/kg

    Time frame: From 0 to 168 hours after trial product administration (Day 50)

  5. AUCIco,τ,SS, Area under the serum insulin icodec concentration-time curve during one dosing interval at steady state

    pmol\*h/L

    Time frame: From 0 to 168 hours after trial product administration (Day 36 and 43)

  6. Dose-normalised AUCIco,τ,SS, Area under the serum insulin icodec concentration-time curve during one dosing interval at steady state divided by dose

    (pmol\*h/L)/(U/kg)

    Time frame: From 0 to 168 hours after trial product administration (Day 50)

  7. Cmax,Ico,SS, Maximum observed serum insulin icodec concentration during one dosing interval at steady state

    pmol/L

    Time frame: From 0 to 168 hours after trial product administration (Day 36, 43 and 50)

  8. Dose-normalised Cmax,Ico,SS, Maximum observed serum insulin icodec concentration after the last dose divided by dose

    (pmol/L)/(U/kg)

    Time frame: From 0 to 168 hours after trial product administration (Day 50)

  9. tmax,Ico,SS, Time to maximum observed serum insulin icodec concentration after the last dose

    hours

    Time frame: From 0 to 168 hours after trial product administration (Day 50)

  10. t½,Ico,SS, Terminal half-life for insulin icodec at steady state

    hours

    Time frame: Terminal part of the serum insulin icodec concentration-time curve where the curve is well approximated by a straight line on logarithmic scale after last trial product administration (Day 50)

07

Study locations

1 site
  • Novo Nordisk Investigational Site
    Graz, 8010, Austria
08

References and documents

Publications

  • Pieber TR, Asong M, Fluhr G, Holler V, Kristensen NR, Larsen JH, Ribel-Madsen R, Svehlikova E, Vinther S, Voortman M, Haahr H. Pharmacokinetic and pharmacodynamic properties of once-weekly insulin icodec in individuals with type 2 diabetes. Diabetes Obes Metab. 2023 Dec;25(12):3716-3723. doi: 10.1111/dom.15266. Epub 2023 Sep 11. PubMed 37694740 ↗

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04582435
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Oct 9, 2020
Start date
Oct 16, 2020
Primary completion
Apr 22, 2022
Completion
Apr 22, 2022
Last update
Sep 18, 2023

Study contacts

Clinical Transparency (dept. 1452)
study director · Novo Nordisk A/S

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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