NCT04760626

Brief Summary

This study compares insulin icodec to different daily insulins in people with type 2 diabetes. The study will look at how well insulin icodec taken once weekly controls blood sugar compared to the insulins taken once daily. Participants will either get insulin icodec, that participants will have to inject once a week on the same day of the week, or a marketed insulin, that participants will have to inject once a day. Which treatment participants get is decided at random. The insulin is injected with a needle in a skin fold in the thigh, upper arm or stomach. Participants will measure their blood sugar every day. Participants will get a study phone to record safety data in the electronic diary (eDiary). If participants get a daily insulin they will record their insulin doses in the eDiary. If Participants get weekly insulin icodec, participants study phone will also have the DoseGuide App. The DoseGuide App gives dose recommendations based on their blood sugar and previous doses. Participants will record their insulin doses in the DoseGuide App. The study will last for about 1 year and 2 months. Participants will have 8 planned clinic visits with the study doctor. More visits will be planned to meet individual needs. At 6 clinic visits participants will have blood samples taken. Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,085

participants targeted

Target at P75+ for phase_3 diabetes-mellitus-type-2

Timeline
Completed

Started Mar 2021

Geographic Reach
8 countries

180 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 17, 2021

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 18, 2021

Completed
11 days until next milestone

Study Start

First participant enrolled

March 1, 2021

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 12, 2022

Completed
17 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 29, 2022

Completed
3 years until next milestone

Results Posted

Study results publicly available

August 26, 2025

Completed
Last Updated

September 3, 2025

Status Verified

August 1, 2025

Enrollment Period

1.4 years

First QC Date

February 17, 2021

Results QC Date

August 7, 2025

Last Update Submit

August 29, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Glycated Haemoglobin (HbA1c)

    Change in HbA1c from baseline (week 0) to week 52 is presented.

    Baseline (week 0), week 52

Secondary Outcomes (6)

  • Time From Baseline to Treatment Discontinuation or Intensification

    From baseline (week 0) to week 52

  • Change in Diabetes Treatment Satisfaction Questionnaire (DTSQs) in Total Treatment Satisfaction

    Baseline (week 0), week 52

  • Treatment Related Impact Measure for Diabetes (TRIM-D) Compliance Domain

    At end of treatment (week 52)

  • Number of Severe Hypoglycaemic Episodes (Level 3)

    From baseline (week 0) to week 57

  • Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (Below 3.0 Millimoles Per Liter [mmol/L] (54 Milligrams Per Deciliter [mg/dL]), Confirmed by Blood Glucose (BG) Meter)

    From baseline (week 0) to week 57

  • +1 more secondary outcomes

Study Arms (2)

Insulin icodec with DoseGuide

EXPERIMENTAL

Participants randomised to insulin icodec will use insulin icodec with the DoseGuide App to guide their titration.

Drug: Insulin icodec

Once daily basal insulin analogues

ACTIVE COMPARATOR

Participants randomised to basal insulin analogue injections once daily

Drug: Insulin Glargine 100U/mLDrug: Insulin DegludecDrug: Insulin Glargine 300U/mL

Interventions

Participants will receive subcutaneous (s.c.) injections of insulin icodec once weekly for 52 weeks.

Insulin icodec with DoseGuide

Participants will receive subcutaneous (s.c.) injections of insulin analogues once daily for 52 weeks.

Once daily basal insulin analogues

Participants will receive subcutaneous (s.c.) injections of insulin analogues once daily for 52 weeks.

Once daily basal insulin analogues

Participants will receive subcutaneous (s.c.) injections of insulin analogues once daily for 52 weeks.

Once daily basal insulin analogues

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
  • Male or female.
  • Age above or equal to 18 years at the time of signing informed consent.
  • Diagnosed with T2D greater than or equal to 180 days prior to the day of screening.
  • HbA1c above 7.0% (53 mmol/mol) as measured by central lab.
  • Insulin naïve. However, short term insulin treatment for a maximum of 14 days prior to the day of screening is allowed, as is prior insulin treatment for gestational diabetes.
  • Stable daily dose(s) greater than or equal to 90 days prior to the day of screening of any of the following antidiabetic drug(s) or combination regimen(s): a .Any metformin formulations greater than or equal to 1500 mg or maximum tolerated or effective dose. b .Any metformin combination formulations greater than or equal to 1500 mg or maximum tolerated or effective dose. c. Any of the following non-insulin antidiabetic drug classes including combinations (greater than or equal to half of the maximum approved dose according to local label or maximum tolerated or effective dose):i). Sulfonylureas ii). Meglitinides (glinides) iii). DPP-4 inhibitors iv. SGLT2 inhibitors v). Thiazolidinediones vi). Alpha-glucosidase inhibitors vii). Oral combination products (for the allowed individual Oral Antidiabetic Drugs (OADs)) viii). Oral or injectable GLP-1-receptor agonists.
  • Intensification with insulin is indicated to achieve glycaemic target (4.4-7.2 mmol/L, 80-130 mg/dL) at the discretion of the treating investigator.

You may not qualify if:

  • Known or suspected hypersensitivity to trial product(s) or related products.
  • Previous participation in this trial. Participation is defined as signed informed consent.
  • 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).
  • Participation in any clinical trial of an approved or non-approved investigational medicinal product within 30 days before screening. (Simultaneous participation in a trial with the primary objective of evaluating an approved or non-approved investigational medicinal product for prevention or treatment of COVID-19 disease or postinfectious conditions is allowed if the last dose of the investigational medicinal product has been received more than 30 days before screening)
  • Any disorder which in the investigator's opinion might jeopardise subject's safety.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (180)

Univ of Alabama Birmingham

Birmingham, Alabama, 35233, United States

Location

Lakeview Clinical Research, LLC

Guntersville, Alabama, 35976, United States

Location

American Clinical Trials

Buena Park, California, 90620, United States

Location

San Fernando Valley Hlth Inst, LLC

Canoga Park, California, 91304, United States

Location

Valley Research

Fresno, California, 93720, United States

Location

Advanced Investigative Medicine, Inc.

Hawthorne, California, 90250, United States

Location

Diabetes/Lipid Mgmt & Res Ctr

Huntington Beach, California, 92648, United States

Location

Scripps Whittier Diabetes Inst

La Jolla, California, 92037, United States

Location

First Valley Medical Group

Lancaster, California, 93534, United States

Location

Torrance Clin Res Inst, Inc.

Lomita, California, 90717, United States

Location

Valley Clinical Trials, Inc.

Northridge, California, 91325, United States

Location

Desert Oasis Hlthcr Med Group

Palm Springs, California, 92262, United States

Location

Clinical Trials Research_Sacramento

Sacramento, California, 95821, United States

Location

San Diego Family Care

San Diego, California, 92111, United States

Location

NorCal Endocrinology and Internal Medicine

San Ramon, California, 94583, United States

Location

Encompass Clinical Research_Spring Valley

Spring Valley, California, 91978, United States

Location

Coastal Metabolic Research Center

Ventura, California, 93003, United States

Location

Est Cst Inst for Rsrch,Jksnvil

Jacksonville, Florida, 32216, United States

Location

Adult Medicine of Lake County, Inc.

Mt. Dora, Florida, 32757, United States

Location

Suncoast Clin Res Port Richey

New Port Richey, Florida, 34652, United States

Location

Florida Inst For Clin Res

Orlando, Florida, 32825, United States

Location

Palm Harbor Medical Associates

Palm Harbor, Florida, 34684-3609, United States

Location

Suncoast Clinical Research, Inc.

Palm Harbor, Florida, 34684, United States

Location

Metabolic Research Institute Inc

West Palm Beach, Florida, 33401, United States

Location

Clinical Research of Cent FL

Winter Haven, Florida, 33880, United States

Location

Atlanta Diabetes Associates

Atlanta, Georgia, 30318, United States

Location

Endo Res Solutions, Inc

Roswell, Georgia, 30076, United States

Location

Elite Clinical Trials

Blackfoot, Idaho, 83221, United States

Location

Cedar-Crosse Research Center

Chicago, Illinois, 60607, United States

Location

Central Illinois Diabetes and Clinical Research

Springfield, Illinois, 62711, United States

Location

Cotton O'Neil Diab & Endo Ctr

Topeka, Kansas, 66606, United States

Location

MedStar Community Clin Res Ctr

Hyattsville, Maryland, 20782, United States

Location

Endo and Metab Consultants

Rockville, Maryland, 20852, United States

Location

Northern Pines Hlth Ctr, PC

Buckley, Michigan, 49620, United States

Location

Arcturus Healthcare, PLC.

Troy, Michigan, 48098, United States

Location

Jefferson City Medical Group, PC

Jefferson City, Missouri, 65109, United States

Location

Methodist Physicians Clin

Omaha, Nebraska, 68114, United States

Location

Univ of Nebraska Medical CTR

Omaha, Nebraska, 68198-3020, United States

Location

Palm Research Center Inc-Vegas

Las Vegas, Nevada, 89148, United States

Location

Southern New Hampshire Diabetes and Endocrinology

Nashua, New Hampshire, 03060, United States

Location

Albuquerque Clin Trials, Inc.

Albuquerque, New Mexico, 87102, United States

Location

AMC Community Endocrinology

Albany, New York, 12203, United States

Location

N.Y. Total Medical Care PC

Brooklyn, New York, 11215, United States

Location

Mid Hudson Medical Research, PLLC

New Windsor, New York, 12553, United States

Location

Endocrine Associates of Long Island, PC

Smithtown, New York, 11787, United States

Location

Southgate Medical Group, LLP

West Seneca, New York, 14224, United States

Location

Physicians East Endocrinology

Greenville, North Carolina, 27834, United States

Location

Medication Management, LLC

Raleigh, North Carolina, 27609, United States

Location

Accellacare

Wilmington, North Carolina, 28401, United States

Location

Plains Clinical Research Center, LLC_Fargo

Fargo, North Dakota, 58104, United States

Location

Diab & Endo Assoc of Stark Co

Canton, Ohio, 44718, United States

Location

Providence Health Partners Ctr

Dayton, Ohio, 45439, United States

Location

New Venture Medical Research

Wadsworth, Ohio, 44281, United States

Location

The Diabetes Center, LLC

Murrells Inlet, South Carolina, 29576, United States

Location

Hillcrest Clinical Research

Simpsonville, South Carolina, 29681-1538, United States

Location

AM Diabetes And Endocrinology Center

Bartlett, Tennessee, 38133, United States

Location

Chattanooga Medical Research, LLC

Chattanooga, Tennessee, 37404, United States

Location

Univ Diab & Endo Consultants

Chattanooga, Tennessee, 37411, United States

Location

Holston Medical Group

Kingsport, Tennessee, 37660, United States

Location

HealthStar Physicians PC

Morristown, Tennessee, 37813, United States

Location

Amarillo Med Spec LLP

Amarillo, Texas, 79106, United States

Location

Texas Diab & Endo, P.A.

Austin, Texas, 78731, United States

Location

Texas Diabetes & Endocrinology

Austin, Texas, 78749, United States

Location

Velocity Clinical Res-Dallas

Dallas, Texas, 75230, United States

Location

UT Southwestern Med Cntr

Dallas, Texas, 75390-9302, United States

Location

PrimeCare Medical Group

Houston, Texas, 77024, United States

Location

Juno Research, LLC

Houston, Texas, 77074, United States

Location

Protenium Clinical Research

Hurst, Texas, 76054, United States

Location

Medical Colleagues-Texas LLP

Katy, Texas, 77450, United States

Location

Fmc Science, Llc

Lampasas, Texas, 76550, United States

Location

Andres Garcia-Zuniga, MD, P.A

Laredo, Texas, 78041, United States

Location

Texas Diab & Endo, P.A.

Round Rock, Texas, 78681, United States

Location

Clinical Trials of Texas, LLC

San Antonio, Texas, 78229, United States

Location

NE Clin Res of San Antonio

San Antonio, Texas, 78233, United States

Location

Simcare Medical Research, LLC

Sugar Land, Texas, 77478, United States

Location

Wade Family Medicine

Bountiful, Utah, 84010, United States

Location

Chrysalis Clinical Research

St. George, Utah, 84790, United States

Location

TPMG Clinical Research

Newport News, Virginia, 23606, United States

Location

Clinical Inv Spec, Inc.Kenosha

Kenosha, Wisconsin, 53144, United States

Location

LMC Clin Res Inc. Calgary

Calgary, Alberta, T2H 2G4, Canada

Location

The Bailey Clinic

Red Deer, Alberta, T4N 6V7, Canada

Location

Dr. M.B. Jones Inc

Victoria, British Columbia, V8V 4A1, Canada

Location

Rivergrove Medical Clinic

Winnipeg, Manitoba, R2V 4W3, Canada

Location

Winnipeg Clinic

Winnipeg, Manitoba, R3C 0N2, Canada

Location

G.A. Research Associates Ltd.

Moncton, New Brunswick, E1G 1A7, Canada

Location

Commonwealth Medical Clinic

Mount Pearl, Newfoundland and Labrador, A1N 1W7, Canada

Location

Eastern Health Authority

St. John's, Newfoundland and Labrador, A1B 3V6, Canada

Location

LMC Diabetes & Endocrinology (Barrie)

Barrie, Ontario, L4N 7L3, Canada

Location

Centricity Research LMC

Brampton, Ontario, L6S 0C6, Canada

Location

LMC Clinical Res Thornhill

Concord, Ontario, L4K 4M2, Canada

Location

Medical Trust Clinics, Inc.

Courtice, Ontario, L1E2J5, Canada

Location

LMC Endo Ctr (Etobicoke) Ltd

Etobicoke, Ontario, M9R 4E1, Canada

Location

Wharton Med Clin Trials

Hamilton, Ontario, L8L 5G8, Canada

Location

Premier Clinical Trial Research Network (PCTRN)

Hamilton, Ontario, L8M 1K7, Canada

Location

Milestone Research

London, Ontario, N5W 6A2, Canada

Location

Western Univ. Cnt for Studies in Fam Med

London, Ontario, N6G 2M1, Canada

Location

LMC Research Inc. Ottawa

Nepean, Ontario, K2J 0V2, Canada

Location

LMC Oakville

Oakville, Ontario, L6M 1M1, Canada

Location

Bluewater Clin Res Group,Inc

Sarnia, Ontario, N7T 4X3, Canada

Location

Winterberry Family Medicine

Stoney Creek, Ontario, L8J 0B6, Canada

Location

LMC Endo Centres Ltd.(Bayview)

Toronto, Ontario, M4G 3E8, Canada

Location

Dr. Anil K Gupta Medicine Professional Corporation

Toronto, Ontario, M9V 4B4, Canada

Location

ViaCar Recherche Clinique Inc

Brossard, Quebec, J4Z 2K9, Canada

Location

Ecogene-21

Chicoutimi, Quebec, G7H 7K9, Canada

Location

Ctr de rech Clin de Laval

Laval, Quebec, H7T 2P5, Canada

Location

Manna Research Mirabel

Mirabel, Quebec, J7J 2K8, Canada

Location

Applied Med Inf Res

Montreal, Quebec, H4A 3T2, Canada

Location

Diex Recherche Joliette

Saint-Charles-Borromée, Quebec, J6E 2B4, Canada

Location

LMC Clin Rsrch Inc. (Montreal)

Saint-Laurent, Quebec, H4T 1Z9, Canada

Location

Ctr Méd. et pro d l'Ost d port

Saint-Marc-des-Carrieres, Quebec, G0A 4B0, Canada

Location

Diex Recherche Victoriaville

Victoriaville, Quebec, G6P 6P6, Canada

Location

Recherche Clinique Sigma inc

Québec, G1G 3Y8, Canada

Location

Diex Recherche Quebec Inc.

Québec, G1V 4T3, Canada

Location

Centre de Recherche Saint-Louis

Québec, G1W 4R4, Canada

Location

Diabetespraxis Mergentheim

Bad Mergentheim, 97980, Germany

Location

Medizinisches Versorgungszentrum Am Bahnhof Spandau GbR

Berlin, 13597, Germany

Location

InnoDiab Forschung GmbH

Essen, 45136, Germany

Location

Zentrum für klinische Forschung, Dr. med. Lüdemann

Falkensee, 14612, Germany

Location

Wendisch/Dahl Hamburg (DZHW)

Hamburg, 22607, Germany

Location

Milek, Hohenmölsen

Hohenmölsen, 06679, Germany

Location

Institut für Diabetesforschung GmbH Münster - Dr. med. Rose

Münster, 48145, Germany

Location

MedicalCenter am Clemenshospital - Schwerpunktpraxis für Diabetologie und Ernährungsmedizin

Münster, 48153, Germany

Location

RED-Institut für medizinische Forschung und Fortbildung GmbH

Oldenburg in Holstein, 23758, Germany

Location

Praxis Dr. med. Wenzl-Bauer

Rehlingen-Siersburg, 66780, Germany

Location

Med.Versorgungszentrum Riesa-Dr. Bieler

Riesa, 01587, Germany

Location

Zentrum für klinische Studien Alexander Segner

Saint Ingbert-Oberwürzbach, 66386, Germany

Location

MZM Praxis Drs. Erlinger

Stuttgart, 70378, Germany

Location

Zentrum für klinische Studien Allgäu Oberschwaben

Wangen, 88239, Germany

Location

Iatriko Psychicou Private Clinic

Athens, 115 25, Greece

Location

'G. Gennimatas' General Hospital of Athens

Athens, 115 27, Greece

Location

"Laiko" General Hospital of Athens

Athens, 11527, Greece

Location

Iatriko Athinon 'Palaiou Falirou'

Athens, 17562, Greece

Location

Korgiallenio - Benakio Hospital (Red Cross Hosp.)

Athens, GR-11526, Greece

Location

Univ Gen Hospital Larisa

Larissa, 41110, Greece

Location

General Hospital of Thessaloniki 'G. Gennimatas

Thessaloniki, 54635, Greece

Location

AHEPA General University Hospital

Thessaloniki, 54636, Greece

Location

"Ippokrateio" G.H. of Thessaloniki

Thessaloniki, 54642, Greece

Location

EUROMEDICA Gen Clinic The/ki, Endocrin,Metabolism,Diabetes

Thessaloniki, 54645, Greece

Location

"Thermi" Private Hosital

Thessaloniki, 57001, Greece

Location

General Hospital of Thessaloniki "G.Papanikolaou"

Thessaloniki, 57010, Greece

Location

"Ippokrateio" General Hosp Thessaloniki, A' Internal Med

Thessaloniki, GR-54642, Greece

Location

Belinus Bt.

Debrecen, Hajdú-Bihar, 4025, Hungary

Location

Komáromi Selye János Kórház

Komárom, Komárom-Esztergom, 2900, Hungary

Location

Szent Margit Kórház

Budapest, 1032, Hungary

Location

Óbudai Egészségügyi Centrum

Budapest, 1036, Hungary

Location

Szőcs Depot Egészségügyi Szolgáltató Kft.

Budapest, 1042, Hungary

Location

ClinDiab Egészségügyi Szolgáltató és Kereskedelmi Kft.

Budapest, 1089, Hungary

Location

MED-TIMA Kft.

Budapest, 1132, Hungary

Location

MH Egészségügyi Központ

Budapest, 1134, Hungary

Location

Uno Medical Trials Eü. Szolgáltató és Kereskedelmi Kft.

Budapest, 1152, Hungary

Location

Kaposi Mór Oktató Kórház

Kaposvár, 7400, Hungary

Location

Szegedi Tudomanyegyetem St Györgyi Albert Klinikai Központ

Szeged, H-6725, Hungary

Location

Vas Vármegyei Markusovszky Egyetemi Oktatókórház

Szombathely, 9700, Hungary

Location

Zala Megyei Szent Rafael Kórház

Zalaegerszeg, 8900, Hungary

Location

Centrum Medyczne Pratia Gdynia

Gdynia, Pomeranian Voivodeship, 81-338, Poland

Location

NZOZ Gdanska Poradnia Cukrzycowa Sp.z o.o.

Gdansk, 80-858, Poland

Location

Centrum Medyczne Pratia Katowice

Katowice, 40-081, Poland

Location

Gabinet Lekarski Malgorzata Saryusz-Wolska

Lodz, 90-132, Poland

Location

Pro Salus Centrum Medyczne

Lodz, 91-473, Poland

Location

Katedra i Klinika Chorob Wewnetrznych AM w Lublinie

Lublin, 20-081, Poland

Location

Oddzial Chorób - Wewn.

Poznan, 60-834, Poland

Location

Velocity Nova Sp. z o.o.

Puławy, 24-100, Poland

Location

Lubelskie Centrum Diagnostyczne Tomasz Blicharski

Świdnik, 21-040, Poland

Location

Poradnia dla Chorych na Cukrzycę

Zabrze, 41-800, Poland

Location

Velocity Nova Sp. z o.o.

Staszów, Świętokrzyskie Voivodeship, 28-200, Poland

Location

Manati Ctr For Clin Research

Manatí, 00674, Puerto Rico

Location

T.C. Saglık Bakanlıgı Adana Sehir Egitim ve Arastirma Hastan

Adana, 01000, Turkey (Türkiye)

Location

Baskent Universitesi Adana

Adana, 01250, Turkey (Türkiye)

Location

Ankara Universitesi Ibni Sina Hastanesi

Ankara, 06100, Turkey (Türkiye)

Location

Gaziantep Universitesi Tip Fakultesi Hastanesi

Gaziantep, 27070, Turkey (Türkiye)

Location

Hatay Mustafa Kemal Universitesi Saglik Uygulama ve Arastirm

Hatay, 31060, Turkey (Türkiye)

Location

Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi

Istanbul, 34303, Turkey (Türkiye)

Location

Seyrantepe Hamidiye Etfal Egitim ve Arastirma Hastanesi

Istanbul, 34371, Turkey (Türkiye)

Location

Istanbul Universitesi Istanbul Tip Fakultesi - Endokrinoloji

Istanbul, 34390, Turkey (Türkiye)

Location

Haydarpasa Numune Hastanesi

Istanbul, 34718, Turkey (Türkiye)

Location

T.C SB Goztepe Prof. Dr. Suleyman Yalcin City Hospital

Istanbul, 34722, Turkey (Türkiye)

Location

Umraniye Egitim ve Arastirma Hastanesi

Istanbul, 34760, Turkey (Türkiye)

Location

T.C. S.B. Ist Il SagMud Pendik Egitim ve Arastirma Hastanesi

Istanbul, 34899, Turkey (Türkiye)

Location

Dokuz Eylul University Medical Faculty

Izmir, 35340, Turkey (Türkiye)

Location

Erciyes Universitesi Tip Fakultesi

Kayseri, 38039, Turkey (Türkiye)

Location

Related Publications (6)

  • Philis-Tsimikas A, Bajaj HS, Begtrup K, Cailleteau R, Gowda A, Lingvay I, Mathieu C, Russell-Jones D, Rosenstock J. Rationale and design of the phase 3a development programme (ONWARDS 1-6 trials) investigating once-weekly insulin icodec in diabetes. Diabetes Obes Metab. 2023 Feb;25(2):331-341. doi: 10.1111/dom.14871. Epub 2022 Oct 14.

  • Philis-Tsimikas A, Krogsdahl Bache J, Fu A, Kellerer M, Salvesen-Sykes K, Bain SC. Insights on Hospitalisations from the Phase 3a ONWARDS 1-6 Trials of Once-Weekly Insulin Icodec. Diabetes Ther. 2025 Aug;16(8):1615-1631. doi: 10.1007/s13300-025-01745-4. Epub 2025 Jun 4.

  • Riddell MC, Heller S, Carstensen L, Rocha TMP, Kehlet Watt S, Woo VC. The effect of once-weekly insulin icodec vs once-daily basal insulin on physical activity-attributed hypoglycaemia in type 2 diabetes: a post hoc analysis of ONWARDS 1-5. Diabetologia. 2025 Jul;68(7):1416-1422. doi: 10.1007/s00125-025-06414-6. Epub 2025 Apr 5.

  • Billings LK, Asong M, Bog M, Clancy S, Kruse C, de Laguiche E, Maddaloni E. AUGMENTed Real-World Data Enhances Comparative Efficacy Between Once-Weekly Insulin Icodec with Dosing Guide App Versus Once-Daily Insulin Glargine U300 in Insulin-Naive Type 2 Diabetes. Diabetes Ther. 2025 Feb;16(2):227-239. doi: 10.1007/s13300-024-01679-3. Epub 2024 Dec 19.

  • Polonsky W, Benamar M, Carstensen L, Davies M, Meller Donatsky A, Franek E, Kellerer M, Philis-Tsimikas A, Goldenberg R. Improved treatment satisfaction with once-weekly insulin icodec compared with once-daily basal insulin in individuals with type 2 diabetes: An analysis of patient-reported outcomes and participant interviews from ONWARDS 2 and 5 and a physician survey from ONWARDS 1. Diabetes Res Clin Pract. 2024 Nov;217:111885. doi: 10.1016/j.diabres.2024.111885. Epub 2024 Oct 4.

  • Bajaj HS, Aberle J, Davies M, Donatsky AM, Frederiksen M, Yavuz DG, Gowda A, Lingvay I, Bode B. Once-Weekly Insulin Icodec With Dosing Guide App Versus Once-Daily Basal Insulin Analogues in Insulin-Naive Type 2 Diabetes (ONWARDS 5) : A Randomized Trial. Ann Intern Med. 2023 Nov;176(11):1476-1485. doi: 10.7326/M23-1288. Epub 2023 Sep 26.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

insulin icodecInsulin Glargineinsulin degludec

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Insulin, Long-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Clinical Reporting Office (2834)
Organization
Novo Nordisk A/S

Study Officials

  • Clinical Transparency (dept. 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 17, 2021

First Posted

February 18, 2021

Study Start

March 1, 2021

Primary Completion

August 12, 2022

Study Completion

August 29, 2022

Last Updated

September 3, 2025

Results First Posted

August 26, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share

According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

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Locations