A Phase 3 interventional study of Insulin icodec and Insulin glargine in Diabetes, Type 2, sponsored by Novo Nordisk A/S. Completed at 83 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-11.
Sponsored by Novo Nordisk A/S · Phase 3, Interventional, and Treatment
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.
9,362 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,317 are open to participants now.
This study's enrollment of 412 is above the median of 80 across 7,528 interventional studies indexed under Diabetes Mellitus, Type 2.
Browse Diabetes Mellitus, Type 2 studies →Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 101 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.
Exclusion Criteria:
Participants will receive Insulin icodec subcutaneously once weekly.
Drug: Insulin icodec · Drug: Insulin glargine
Participants will receive Insulin glargine subcutaneously once daily.
Drug: Insulin icodec · Drug: Insulin glargine
Insulin Icodec will be administered subcutaneously.
Insulin glargine will be administered subcutaneously.
Change in Glycated Haemoglobin (HbA1c)
Change in HbA1c from week 0 to week 26 in percentage point is presented.
Time frame: Week 0, Week 26
Change in Time in Range 3.9-10.0 Millimoles Per Litre (mmol/L) (70-180 Milligrams Per Decilitre (mg/dL))
Change in time in range 3.9-10.0 mmol/L (70-180 mg/dL) from week -4-0 to week 22-26 is presented. Time in range is defined as 100 times the number of recorded measurements in glycaemic range 3.9-10.0 mmol/L (70-180 mg/dL), both inclusive, divided by the total number of recorded measurements.
Time frame: week -4-0, week 22-26
Change in DTSQs (Diabetes Treatment Satisfaction Questionnaire Status Version) Total Treatment Satisfaction
Change in DTSQs total treatment satisfaction from week 0 to week 26 is presented. DTSQs measures the satisfaction with diabetes treatment regimens in people with diabetes. The measure consists of 8 items, of which 6 items contribute to 1 global score. Total Treatment Satisfaction score range is 0-36. 6 items scored on a scale of 0 to 6. The higher the score the greater the satisfaction with treatment.
Time frame: week 0 to week 26
Number of Severe Hypoglycaemic Episodes (Level 3)
Number of severe hypoglycaemic episodes (level 3) from baseline (week 0) to week 31 is presented.
Time frame: From baseline (week 0) to week 31
Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by Blood Glucose (BG) Meter)
Number of clinically significant hypoglycaemic episodes (level 2) (\<3.0 mmol/L (54 mg/dL), confirmed by BG meter) from baseline (week 0) to week 31 is presented.
Time frame: From baseline (week 0) to week 31
Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3)
Number of clinically significant hypoglycaemic episodes (level 2) (\<3.0 mmol/L (54 mg/dL), confirmed by BG meter) or severe hypoglycaemic episodes (level 3) from baseline (week 0) to week 31 is presented.
Time frame: From baseline (week 0) to week 31
Time Spent < 3.0 mmol/L (54 mg/dL)
Time spent \< 3.0 mmol/L (54 mg/dL) during week 22 - 26 is presented. Time spent below threshold is defined as 100 times the number of recorded measurements below 3.0 mmol/L (54 mg/dL), divided by the total number of recorded measurements.
Time frame: Week 22-26
Change in Time Spent > 10.0 mmol/L (180 mg/dL)
Change in time spent \> 10.0 mmol/L 180 mg/dL from week -4 - 0 to week 22-26 is presented. Time spent above threshold is defined as 100 times the number of recorded measurements above 10.0 mmol/L (180 mg/dL) divided by the total number of recorded measurements.
Time frame: Week -4-0, Week 22-26
Mean Weekly Insulin Dose
Mean weekly insulin dose from week 24 to week 26 is presented.
Time frame: From week 24 to week 26
Change in Body Weight
Change in body weight from baseline (week 0) to (week 26) is presented.
Time frame: Week 0, Week 26
The trial was conducted at 66 sites in 8 countries.
| Milestone | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Started | 206 | 206 |
| Full analysis set | 206 | 206 |
| Safety analysis set | 206 | 206 |
| Completed | 206 | 203 |
| Not completed | 0 | 3 |
| Withdrew: Withdrawal by subject | 0 | 3 |
Change in HbA1c from week 0 to week 26 in percentage point is presented.
| Percentage (%) point | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Change in Glycated Haemoglobin (HbA1c) | -0.84 ± 0.83 | -0.58 ± 0.89 |
Change in time in range 3.9-10.0 mmol/L (70-180 mg/dL) from week -4-0 to week 22-26 is presented. Time in range is defined as 100 times the number of recorded measurements in glycaemic range 3.9-10.0 mmol/L (70-180 mg/dL), both inclusive, divided by the total number of recorded measurements.
| Percentage (%) of time | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Change in Time in Range 3.9-10.0 Millimoles Per Litre (mmol/L) (70-180 Milligrams Per Decilitre (mg/dL)) | 19.94 ± 20.49 | 11.04 ± 19.43 |
Change in DTSQs total treatment satisfaction from week 0 to week 26 is presented. DTSQs measures the satisfaction with diabetes treatment regimens in people with diabetes. The measure consists of 8 items, of which 6 items contribute to 1 global score. Total Treatment Satisfaction score range is 0-36. 6 items scored on a scale of 0 to 6. The higher the score the greater the satisfaction with treatment.
| Score on a scale | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Change in DTSQs (Diabetes Treatment Satisfaction Questionnaire Status Version) Total Treatment Satisfaction | 3.94 ± 6.96 | 2.20 ± 5.94 |
Number of severe hypoglycaemic episodes (level 3) from baseline (week 0) to week 31 is presented.
| Episodes | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Number of Severe Hypoglycaemic Episodes (Level 3) | 2 | 1 |
Number of clinically significant hypoglycaemic episodes (level 2) (\<3.0 mmol/L (54 mg/dL), confirmed by BG meter) from baseline (week 0) to week 31 is presented.
| Episodes | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by Blood Glucose (BG) Meter) | 53 | 70 |
Number of clinically significant hypoglycaemic episodes (level 2) (\<3.0 mmol/L (54 mg/dL), confirmed by BG meter) or severe hypoglycaemic episodes (level 3) from baseline (week 0) to week 31 is presented.
| Episodes | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3) | 55 | 71 |
Time spent \< 3.0 mmol/L (54 mg/dL) during week 22 - 26 is presented. Time spent below threshold is defined as 100 times the number of recorded measurements below 3.0 mmol/L (54 mg/dL), divided by the total number of recorded measurements.
| % of time | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Time Spent < 3.0 mmol/L (54 mg/dL) | 0.27 ± 0.48 | 0.23 ± 0.54 |
Change in time spent \> 10.0 mmol/L 180 mg/dL from week -4 - 0 to week 22-26 is presented. Time spent above threshold is defined as 100 times the number of recorded measurements above 10.0 mmol/L (180 mg/dL) divided by the total number of recorded measurements.
| % of time | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Change in Time Spent > 10.0 mmol/L (180 mg/dL) | -20.54 ± 21.10 | -11.19 ± 19.94 |
Mean weekly insulin dose from week 24 to week 26 is presented.
| Units of insulin/week | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Mean Weekly Insulin Dose | 278.45 ± 71.44 | 270.19 ± 62.45 |
Change in body weight from baseline (week 0) to (week 26) is presented.
| Kilogram (kg) | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Change in Body Weight | 2.04 ± 2.87 | 0.55 ± 3.16 |
Collected over From week 1 to week 31. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Insulin Icodec | 0/206 (0%) | 16/206 (7.8%) | 42/206 (20.4%) |
| Insulin Glargine | 0/206 (0%) | 12/206 (5.8%) | 30/206 (14.6%) |
| Event | Insulin Icodec | Insulin Glargine |
|---|---|---|
| Acute kidney injuryRenal and urinary disorders | 0/206 | 2/206 |
| PneumoniaInfections and infestations | 2/206 | 2/206 |
| Acquired oesophageal webGastrointestinal disorders | 0/206 | 1/206 |
| Alanine aminotransferase increasedInvestigations | 0/206 | 1/206 |
| Angina unstableCardiac disorders | 1/206 | 0/206 |
| Arthritis bacterialInfections and infestations | 0/206 | 1/206 |
| Aspartate aminotransferase increasedInvestigations | 0/206 | 1/206 |
| Atrial flutterCardiac disorders | 1/206 | 0/206 |
| Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/206 | 0/206 |
| Bronchitis bacterialInfections and infestations | 1/206 | 0/206 |
| Event | Insulin Icodec | Insulin Glargine |
|---|---|---|
| NasopharyngitisInfections and infestations | 28/206 | 16/206 |
| Diabetic retinopathyEye disorders | 6/206 | 15/206 |
| DiarrhoeaGastrointestinal disorders | 11/206 | 4/206 |
Full analysis set included all randomised participants.
| Age, Continuous(Years) | Insulin Icodec | Insulin Glargine | Total |
|---|---|---|---|
| Mean | 62.41 ± 9.91 | 62.52 ± 9.65 | 62.47 ± 9.77 |
| Sex: Female, Male(Participants) | Insulin Icodec | Insulin Glargine | Total |
|---|---|---|---|
| Female | 84 | 90 | 174 |
| Male | 122 | 116 | 238 |
| Ethnicity (NIH/OMB)(Participants) | Insulin Icodec | Insulin Glargine | Total |
|---|---|---|---|
| Hispanic or Latino | 26 | 27 | 53 |
| Not Hispanic or Latino | 178 | 175 | 353 |
| Unknown or Not Reported | 2 | 4 | 6 |
| Race/Ethnicity, Customized(Participants) | Insulin Icodec | Insulin Glargine | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 |
| Asian | 69 | 74 | 143 |
| Black or African American | 8 | 8 | 16 |
| White | 127 | 122 | 249 |
| American Indian or Alaska Native, White | 0 | 1 | 1 |
| Not reported | 1 | 1 | 2 |
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Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com.
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