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CompletedNCT04597697Updated Jul 12, 2024

A Study to Test How a New Long-acting Insulin (Insulin Icodec) Works in the Body of People With Liver Disease

A Phase 1 interventional study of Insulin icodec in Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 2 sites in 2 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-07-12.

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

Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Participants will receive one insulin icodec dose, which will be administered in the morning of the day of dosing.

The study will last for about 8 weeks. Participants will have 8 visits with the study doctor in the clinical research unit.

Insulin icodec will be injected into a skin fold with a small needle (subcutaneous application) using a pen injector prefilled with a volume of 3 mL (about a spoonful).

Participants must not participate if they meet certain conditions called exclusion criteria, such as an age of below 18 years or above 70 years, if participants are over- or underweight, using certain medicines, or have serious health conditions (other than impaired liver function ).

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

02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus, Type 2

9,590 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,332 are open to participants now.

This study's enrollment of 25 is below the median of 81 across 7,713 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,401 studies on the registry; 102 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 98 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female
  • Aged 18-70 years (both inclusive) at the time of signing informed consent
  • Body mass index between 18.5 and 39.9 kg/m\^2 (both inclusive) Specific inclusion criterion only for subjects with hepatic impairment
  • Subjects with stable hepatic impairment classified as Child-Pugh grade A, B or C as assessed by the investigator. Stable hepatic impairment is defined as no clinically significant change in disease status, as judged by the investigator.

Exclusion criteria

Exclusion Criteria:

  • Known or suspected hypersensitivity to trial product 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 (adequate contraceptive measures as required by local regulation or practice)
  • Diagnosis of diabetes mellitus
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Subjects with normal hepatic function

    The participants will be allocated into four groups. Receiving one insulin icodec dose, administered subcutaneously.

    Drug: Insulin icodec

  • Experimental
    Subjects with mild hepatic impairment, child-pugh grade A

    The participants will be allocated into four groups. Receiving one insulin icodec dose, administered subcutaneously.

    Drug: Insulin icodec

  • Experimental
    Subjects with moderate hepatic impairment, child-pugh grade B

    The participants will be allocated into four groups. Receiving one insulin icodec dose, administered subcutaneously.

    Drug: Insulin icodec

  • Experimental
    Subjects with severe hepatic impairment, child-pugh grade C

    The participants will be allocated into four groups. Receiving one insulin icodec dose, administered subcutaneously.

    Drug: Insulin icodec

Interventions

  • Insulin icodec will be investigated in participants with impaired liver function and subjects with normal liver function. Administered as a single dose subcutaneously (under the skin) The study will last for about 8 weeks.

06

What researchers measure

Primary outcomes

  1. AUC,Ico,0-inf,SD, Area under the serum insulin icodec concentration-time curve after a single dose

    From 0 hours until infinity after trial product administration (pmol\*h/L)

    Time frame: Day 1

Secondary outcomes

  1. Cmax,Ico,SD, Maximum observed serum insulin icodec concentration after a single dose

    From 0 hours until last measurement time after trial product administration (pmol/L)

    Time frame: Day 1

  2. tmax,Ico,SD, Time to maximum observed serum insulin icodec concentration after a single dose

    From 0 hours until last measurement time after trial product administration (hours)

    Time frame: Day 1

07

Study locations

2 sites
  • Pharmaceutical Research Associates CZ, s.r.o.
    Prague, 17000, Czechia
  • Summit Clinical Research s.r.o.
    Bratislava, 83101, Slovakia
08

References and documents

Publications

  • Haahr H, Cieslarova B, Hingst JR, Jiang S, Kristensen NR, Kupcova V, Norgreen L, Wagner FH, Ignatenko S. The Effect of Various Degrees of Renal or Hepatic Impairment on the Pharmacokinetic Properties of Once-Weekly Insulin Icodec. Clin Pharmacokinet. 2024 Jun;63(6):819-830. doi: 10.1007/s40262-024-01375-2. Epub 2024 May 9. PubMed 38722461 ↗

Individual participant data

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

Data sharing details ↗ · novonordisk-trials.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04597697
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Oct 22, 2020
Start date
Dec 22, 2020
Primary completion
Mar 24, 2022
Completion
Mar 24, 2022
Last update
Jul 12, 2024

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 ↗

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Insulin icodec

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