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Faster-acting insulin aspart

Phase 3

Diabetes | Small molecule | Metabolic |Novo Nordisk A/S|Last Updated: Jan 11, 2022

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials24
Total Enrollment6,969

FDA Designations

No designations recorded

Clinical trial landscape

Faster-acting insulin aspart · 24 trials · 4 indications

Phase 3 8Phase 1 16
NCT03268005Research Study Comparing a New Medicine "Fast-acting Insulin Aspart" to Another Already Available Medicine "NovoRapid"/"NovoLog" in People With Type 2 DiabetesDiabetes
COMPLETED1,264 Analytics
NCT02825251Efficacy and Safety of Continuous Subcutaneous Insulin Infusion of Faster-acting Insulin Aspart Compared to NovoRapid® in Adults With Type 1 DiabetesDiabetes
COMPLETED472 Analytics
NCT02670915Efficacy and Safety of Faster-acting Insulin Aspart Compared to NovoRapid® Both in Combination With Insulin Degludec in Children and Adolescents With Type 1 DiabetesDiabetes
COMPLETED834 Analytics
NCT02500706Efficacy and Safety of Faster-acting Insulin Aspart Compared to NovoRapid® Both in Combination With Insulin Degludec in Adults With Type 1 DiabetesDiabetes
COMPLETED1,108 Analytics
NCT01999322A Trial Evaluating Compatibility and Safety of FIAsp and Insulin Aspart With an External Continuous Subcutaneous Insulin Infusion System in Adult Subjects With Type 1 DiabetesDiabetes
COMPLETED37 Analytics
NCT01850615Efficacy and Safety of FIAsp in a Basal-bolus Regimen Versus Basal Insulin Therapy, Both in Combination With Metformin in Adult Subjects With Type 2 DiabetesDiabetes
COMPLETED323 Analytics
NCT01819129Efficacy and Safety of FIAsp Compared to Insulin Aspart in Combination With Insulin Glargine and Metformin in Adults With Type 2 DiabetesDiabetes
COMPLETED881 Analytics
NCT01831765Efficacy and Safety of FIAsp Compared to Insulin Aspart Both in Combination With Insulin Detemir in Adults With Type 1 DiabetesDiabetes
COMPLETED1,290 Analytics
PHASE3COMPLETED
Research Study Comparing a New Medicine "Fast-acting Insulin Aspart" to Another Already Available Medicine "NovoRapid"/"NovoLog" in People With Type 2 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Continuous Subcutaneous Insulin Infusion of Faster-acting Insulin Aspart Compared to NovoRapid® in Adults With Type 1 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Faster-acting Insulin Aspart Compared to NovoRapid® Both in Combination With Insulin Degludec in Children and Adolescents With Type 1 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Faster-acting Insulin Aspart Compared to NovoRapid® Both in Combination With Insulin Degludec in Adults With Type 1 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
A Trial Evaluating Compatibility and Safety of FIAsp and Insulin Aspart With an External Continuous Subcutaneous Insulin Infusion System in Adult Subjects With Type 1 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of FIAsp in a Basal-bolus Regimen Versus Basal Insulin Therapy, Both in Combination With Metformin in Adult Subjects With Type 2 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of FIAsp Compared to Insulin Aspart in Combination With Insulin Glargine and Metformin in Adults With Type 2 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of FIAsp Compared to Insulin Aspart Both in Combination With Insulin Detemir in Adults With Type 1 Diabetes
DiabetesUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Glycosylated Haemoglobin (HbA1c)
Week 0, week 16

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 16. The endpoint was evaluated based on data from the in-trial observation period. In-trial observation period was from date of randomisation and until last trial-related participant-site contact.

Change in the Percentage of HbA1c
Week 0, Week 26

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated after 26 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In-trial period: the observation period from date of randomisation until last trial-related participant-site contact and included data collected after a subject discontinued trial product.

Change From Baseline in HbA1c 26 Weeks After Randomisation
Week 0, week 26

Change from baseline (week 0) in HbA1c was evaluated after 26 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In-trial period: the observation period from date of randomisation until last trial-related subject-site contact.

Number of Microscopically Confirmed Episodes of Infusion Set Occlusions
During 6 weeks of treatment

The number of microscopically confirmed episodes of infusion set occlusions during 6 weeks of treatment. Episodes of infusion set occlusions were confirmed by microscopic examination of the infusion sets at each routine weekly visit and infusion sets that had been changed prematurely because of leakage, unexplained hyperglycaemia or suspicion of occlusion (observation of a plug).

Change From Baseline in HbA1c
Week 0, week 18

For this endpoint, baseline (week 0) and week 18 data are presented, where week 18 data are the "end of trial" data containing last available measurements.

Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Week 0, week 26

Change from baseline in HbA1c after 26 weeks of randomised treatment.

Continuous subcutaneous infusion related area under the insulin aspart curve, baseline corrected and based on concentrations from 0 to 30 min
Day of dosing: day 1 visit 2, day 1 visit 3 (7-14 days after day 2 of visit 2), based on concentration measured at 56 times during 24 hours

Calculated based on insulin aspart measured in serum

Area under the serum insulin aspart concentration-time curve
From 0 to 30 minutes
Mean change in plasma glucose concentration
From 0-1 hour after trial product administration
Mean plasma glucose concentration
From 0-6 hours after start of a standardised meal
Area under the serum insulin aspart concentration-time curve (only for subcutaneous administration)
From 0 to 12 hours
Area under the glucose infusion rate curve
From 0 to 12 hours
CSII bolus related baseline corrected area under the serum insulin aspart concentration-time curve
From 0 to 30 minutes
Area under the blood glucose concentration-time curve
from 0-2 hours

Secondary Endpoints

Change From Baseline in 1-hour PPG Increment
Week 0, week 16
Change From Baseline in 1,5-anhydroglucitol
Week 0, week 16
Change From Baseline in Fasting Plasma Glucose (FPG)
Week 0, week 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Faster aspart + insulin degludec with or without metforminEXPERIMENTAL -
NovoRapid/NovoLog + insulin degludec with or without metforminACTIVE_COMPARATOR -
Faster-acting insulin aspart CSIIEXPERIMENTAL -
NovoRapid® CSIIACTIVE_COMPARATOR -
Meal-time faster-acting insulin aspart and insulin degludecEXPERIMENTAL -
Meal-time NovoRapid® (insulin aspart) and insulin degludecACTIVE_COMPARATOR -
Post-meal faster-acting insulin aspart and insulin degludecEXPERIMENTAL -
Mealtime faster-acting insulin aspart and insulin degludecEXPERIMENTAL -
Mealtime NovoRapid® and insulin degludecACTIVE_COMPARATOR -
Postmeal faster-acting insulin aspart and insulin degludecEXPERIMENTAL -
FIAspEXPERIMENTALThe trial duration is approximately 13 weeks and consists of a 1-week screening period, a 2-week run-in period, a 6-week treatment period and 1 week plus a 30-day follow-up period
Insulin AspartACTIVE_COMPARATORThe trial duration is approximately 13 weeks and consists of a 1-week screening period, a 2-week run-in period, a 6-week treatment period and 1 week plus a 30-day follow-up period
FIAsp and basal insulin + metforminEXPERIMENTALSubjects will receive FIAsp combined with their pre-trial basal insulin (insulin human, insulin detemir or insulin glargine) treatment in combination with their pre-trial metformin.
Basal insulin + metforminACTIVE_COMPARATORSubjects will continue their pre-trial basal insulin (insulin human, insulin detemir or insulin glargine) treatment in combination with their pre-trial metformin.
Faster-acting insulin aspart (FIAsp)EXPERIMENTALMeal time faster-acting insulin aspart is given in combination with once daily insulin glargine and metformin in a basal-bolus regimen. Insulin glargine and metformin treatment are open labelled background medication.
Meal time FIAsp and insulin detemirEXPERIMENTAL -
Meal time insulin aspart and insulin detemirACTIVE_COMPARATOR -
Post meal FIAsp and insulin detemirEXPERIMENTAL -
Faster aspart followed by insulin aspartEXPERIMENTALEach participant will have 2 dosing visits (faster aspart and insulin aspart), the order decided by lottery
Insulin aspart followed by faster aspartEXPERIMENTALEach participant will have 2 dosing visits (faster aspart and insulin aspart), the order decided by lottery
Faster AspartEXPERIMENTAL -
Faster-acting insulin aspartEXPERIMENTALEach subject will be allocated to two treatments (in random sequence).
NovoRapid®ACTIVE_COMPARATOREach subject will be allocated to two treatments (in random sequence).
FIAsp followed by NovoRapid®EXPERIMENTALEach subject will be randomly allocated to a treatment sequence consisting of 2 dosing visits separated by a wash-out period of 3-12 days
NovoRapid® followed by Insulin aspartACTIVE_COMPARATOREach subject will be randomly allocated to a treatment sequence consisting of 2 dosing visits separated by a wash-out period of 3-12 days
NovoRapid® followed by FIAspEXPERIMENTALEach subject will be randomly allocated to a treatment sequence consisting of 2 dosing visits separated by a wash-out period of 3-12 days
Formulation 1EXPERIMENTAL -
Formulation 2EXPERIMENTAL -
Insulin aspart (NovoLog®)ACTIVE_COMPARATOR -
Formulation AEXPERIMENTAL -
Formulation BEXPERIMENTAL -
NN1218EXPERIMENTAL -
Treatment sequence 1EXPERIMENTAL -
Treatment sequence 2ACTIVE_COMPARATOR -
NN1218, formulation AEXPERIMENTAL -
NN1218, formulation BEXPERIMENTAL -
NN1218, formulation CEXPERIMENTAL -
NN1218, formulation DEXPERIMENTAL -

Interventions

NameTypeDescription
Faster-acting insulin aspartDRUGFaster aspart given subcutaneously (s.c., under the skin) once a day for 16 weeks. Dose individually adjusted.
Insulin aspartDRUGInsulin aspart given subcutaneously (s.c., under the skin) once a day for 16 weeks. Dose individually adjusted.
Insulin degludecDRUGInsulin degludec given subcutaneously (s.c., under the skin) once a day for 16 weeks. Dose individually adjusted.
MetforminDRUGOnly participants who took metformin before the study should take metformin tablets, same dose as before the study
basal insulinDRUGAdministrated subcutaneously (s.c., under the skin) once daily.
Insulin glargineDRUGAdministered s.c. once daily at subjects' pre-trial dose. Subjects will continue their metformin treatment without changing the frequency or dose throughout the trial.
insulin detemirDRUGInjected subcutaneously (s.c., under the skin), dose individually adjusted. Administrated once or twice daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites167

Inclusion Criteria: - Male or female, age equal to or above 18 years at the time of signing informed consent. - Diagnosed with type 2 diabetes mellitus for 10 years or longer prior to screening (Visit 1). - Treated with a basal-bolus insulin regimen for 1 year or longer prior to the day of screening...

Countries:United StatesArgentinaBulgariaCanadaCroatiaCzechiaGermanyGreeceItalyPolandPuerto RicoRomaniaRussiaSerbiaSlovakiaSouth KoreaSpainUkraineBelgiumFranceNetherlandsSloveniaUnited KingdomEstoniaFinlandIndiaIsraelJapanLatviaLithuaniaTurkey (Türkiye)AustriaTaiwanMexicoHungary
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Competitive Landscape -Diabetes Complications 6 trials (matched to "Diabetes")

Frequently asked questions about Faster-acting insulin aspart

What is Faster-acting insulin aspart used for?

Faster-acting insulin aspart is an investigational drug being developed for the treatment of diabetes, including type 1 diabetes. It is designed to manage blood glucose levels in patients with this condition. The drug is currently in Phase 3 clinical development and has been studied in multiple trials.

Who makes Faster-acting insulin aspart?

Faster-acting insulin aspart is being developed by Novo Nordisk A/S, a pharmaceutical company listed on the stock exchange under the ticker symbol NVO. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with diabetes.

What phase is Faster-acting insulin aspart in?

Faster-acting insulin aspart is currently in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The drug has completed 24 clinical trials, with a total enrollment of 6,969 participants, and is being studied for the treatment of diabetes.

What clinical trials is Faster-acting insulin aspart in?

Faster-acting insulin aspart has been studied in several clinical trials, including NCT01296438, NCT01469143, NCT02568280, and NCT03215498. These trials have investigated the drug's pharmacokinetic properties, postprandial glucose metabolism, and its effects when administered via insulin pump in patients with type 1 diabetes.

Is Faster-acting insulin aspart the same as NN1218?

Yes, Faster-acting insulin aspart is also known as NN1218 in clinical trials. Several studies, including NCT01296438 and NCT01469143, refer to the drug as NN1218. This alternative name is used in the context of clinical research to identify the same investigational compound.