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insulin degludec/insulin aspart

Phase 3

Diabetes | Small molecule | Metabolic |Novo Nordisk A/S|Last Updated: Dec 15, 2025

Target and mechanism

ModalitySmall molecule

Also known as Insulin degludec, insulin degludec, Insulin Degludec, Insulin Degludec (U-100)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials104
Total Enrollment36,803

FDA Designations

No designations recorded

Clinical trial landscape

insulin degludec/insulin aspart · 106 trials · 4 indications

Phase 3 56Phase 2 6Phase 1 44
NCT04770532A Research Study to Compare Two Types of Insulin, a New Weekly Insulin, Insulin Icodec and an Available Daily Insulin, Insulin Degludec, in People With Type 2 Diabetes Who Use Daily InsulinDiabetes Mellitus, Type 2
COMPLETED526 Analytics
NCT03377699Research Study Comparing Insulin Degludec to Insulin Detemir, Together With Insulin Aspart, in Pregnant Women With Type 1 DiabetesDiabetes
COMPLETED225 Analytics
NCT03175120A Trial Comparing Insulin Degludec/Liraglutide and Insulin Degludec in Combination With Metformin in Chinese Subjects With Type 2 Diabetes Mellitus Inadequately Controlled With Basal Insulin Therapy and Metformin With or Without One Other Oral Antidiabetic Drug (OAD)Diabetes
COMPLETED453 Analytics
NCT03172494A Trial Comparing Insulin Degludec/Liraglutide, Insulin Degludec, and Liraglutide in Chinese Subjects With Type 2 Diabetes Inadequately Controlled on Oral Antidiabetic Drugs (OADs)Diabetes
COMPLETED720 Analytics
NCT03078478A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine 300 Units/mL in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic DrugsDiabetes
COMPLETED1,609 Analytics
NCT02911948A Double-blinded Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide and Insulin Degludec Both in Combination With Metformin in Japanese Subjects With Type 2 Diabetes Mellitus Inadequately Controlled With Basal or Pre-mix/Combination Insulin Therapy and Oral Anti-diabetic DrugsDiabetes
COMPLETED210 Analytics
NCT02906917A 38 Week Trial Comparing Effect and Safety of Insulin Degludec/Insulin Aspart vs. Insulin Glargine Plus Insulin Aspart in Subjects With Type 2 Diabetes Treated With Basal Insulin With or Without Oral Antidiabetic Treatment in Need of Treatment IntensificationDiabetes
COMPLETED532 Analytics
NCT02773368A Clinical Trial Comparing Glycaemic Control and Safety of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine (IGlar) as add-on Therapy to SGLT2i in Subjects With Type 2 Diabetes MellitusDiabetes
COMPLETED420 Analytics
NCT02762578Comparing Efficacy and Safety of Insulin Degludec/Insulin Aspart and BIAsp 30 in Subjects With Type 2 DiabetesDiabetes
COMPLETED543 Analytics
NCT02501161A 104 Week Clinical Trial Comparing Long Term Glycaemic Control of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine Therapy in Subjects With Type 2 Diabetes MellitusDiabetes
COMPLETED1,012 Analytics
PHASE3COMPLETED
A Research Study to Compare Two Types of Insulin, a New Weekly Insulin, Insulin Icodec and an Available Daily Insulin, Insulin Degludec, in People With Type 2 Diabetes Who Use Daily Insulin
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Research Study Comparing Insulin Degludec to Insulin Detemir, Together With Insulin Aspart, in Pregnant Women With Type 1 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
A Trial Comparing Insulin Degludec/Liraglutide and Insulin Degludec in Combination With Metformin in Chinese Subjects With Type 2 Diabetes Mellitus Inadequately Controlled With Basal Insulin Therapy and Metformin With or Without One Other Oral Antidiabetic Drug (OAD)
DiabetesUnlock trial analytics
PHASE3COMPLETED
A Trial Comparing Insulin Degludec/Liraglutide, Insulin Degludec, and Liraglutide in Chinese Subjects With Type 2 Diabetes Inadequately Controlled on Oral Antidiabetic Drugs (OADs)
DiabetesUnlock trial analytics
PHASE3COMPLETED
A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine 300 Units/mL in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic Drugs
DiabetesUnlock trial analytics
PHASE3COMPLETED
A Double-blinded Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide and Insulin Degludec Both in Combination With Metformin in Japanese Subjects With Type 2 Diabetes Mellitus Inadequately Controlled With Basal or Pre-mix/Combination Insulin Therapy and Oral Anti-diabetic Drugs
DiabetesUnlock trial analytics
PHASE3COMPLETED
A 38 Week Trial Comparing Effect and Safety of Insulin Degludec/Insulin Aspart vs. Insulin Glargine Plus Insulin Aspart in Subjects With Type 2 Diabetes Treated With Basal Insulin With or Without Oral Antidiabetic Treatment in Need of Treatment Intensification
DiabetesUnlock trial analytics
PHASE3COMPLETED
A Clinical Trial Comparing Glycaemic Control and Safety of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine (IGlar) as add-on Therapy to SGLT2i in Subjects With Type 2 Diabetes Mellitus
DiabetesUnlock trial analytics
PHASE3COMPLETED
Comparing Efficacy and Safety of Insulin Degludec/Insulin Aspart and BIAsp 30 in Subjects With Type 2 Diabetes
DiabetesUnlock trial analytics
PHASE3COMPLETED
A 104 Week Clinical Trial Comparing Long Term Glycaemic Control of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine Therapy in Subjects With Type 2 Diabetes Mellitus
DiabetesUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Glycated Haemoglobin (HbA1c)
Baseline (Week 0), Week 26

Change in HbA1c from baseline week 0 to week 26 is presented. The outcome data was evaluated based on the in-trial observation period. In-trial observation period started at randomisation and ended at the date of: The last direct participant-site contact, withdrawal for participants who withdrew their informed consent, the last participant-investigator contact as defined by the investigator for participants who were lost to follow-up (i.e., possibly an unscheduled phone visit) and death for participants who died before any of the above.

Last Planned Glycosylated Haemoglobin (HbA1c) Prior to Delivery
From GW 16 to GW 36

Mean of the HbA1c data collected at gestational week (GW) corresponding to last planned visit prior to delivery is presented. This could be either GW 16, 20, 24, 28, 32, 36. The endpoint was evaluated based on the data from both in-trial and on-treatment observation periods. In-trial observation period started at randomization and ended at the date of trial completion, up to 24 months. The date of trial completion was the date of the final scheduled follow-up visit (delivery + 58 days). For participants who had not attended the follow-up visit, the date of trial completion was the date of the last participant-investigator contact. On-treatment observation period started at the date of first dose of trial product and ended at the date of the last day on trial product, up to 22 months.

Change in HbA1c
Week 0, week 26

Change in glycosylated haemoglobin (HbA1c) from baseline (week 0) to week 26 is presented.

Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)
36 Weeks

Severe or BG confirmed symptomatic hypoglycaemia was evaluated during maintenance 2 (36 weeks) period. Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results.

Change in Glycosylated Haemoglobin (HbA1c)
week 0, week 26

Change from baseline (week 0) in HbA1c after 26 weeks of treatment.

Change in HbA1c (%) - Week 26
Week 0, week 26

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated 26 weeks after randomisation.

Change in HbA1c (Glycosylated Haemoglobin)
Week 0, Week 26

The mean change from baseline (week 0) in HbA1c values evaluated after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product.

Change From Baseline in HbA1c (%) (Glycosylated Haemoglobin)
At 26 weeks

Change from baseline in HbA1c after 26 weeks of treatment. The response and change from baseline in response after 26 weeks are analysed using an analysis of covariance model with treatment, anti-diabetic therapy at screening and sex as fixed factors, age and baseline response as covariate. Missing values imputed using last observed value.

Time From Randomisation to Inadequate Glycaemic Control and Need for Treatment Intensification
Weeks 0-104 + 7 days follow-up-1 + 30 days follow-up-2

Inadequate glycaemic control and need for treatment intensification was defined as a glycosylated haemoglobin (HbA1c) of 7.0% or greater at 2 consecutive visits from week 26, including week 26 if HbA1c was greater than or equal to 7% at week 12. Time from randomisation to inadequate glycaemic control and need for treatment intensification was analysed using a stratified log-rank test where treatment, baseline HbA1c group and previous OAD treatment were included as strata in the model. The variable "baseline HbA1c group" was a dichotomised baseline HbA1c variable with 2 categories: HbA1c \< 8.5% or HbA1c ≥ 8.5% and the variable "previous OAD treatment" was a categorical variable with 2 categories: SU ± OAD(s) (SU users) or OAD(s) (Non-SU users). 25%, median (50%) and 75% percentiles for the cumulative distribution function were obtained from the Kaplan-Meier survival function.

Change in HbA1c (%) (Glycosylated Haemoglobin)
From week 0 to end of Ramadan (day 29 of Ramadan)

Mean change in HbA1c was evaluated from baseline (week 0) to end of Ramadan (day 29 of Ramadan).

Change From Baseline in HbA1c (Glycosylated Haemoglobin) Tested for Non-inferiority of IDegLira vs IDeg and Superiority of IDegLira vs Lira
Week 0, Week 52

Change from baseline (week 0) in HbA1c after 52 weeks of treatment was measured. Statistical analyses were performed to test the hypotheses: non-inferiority of IDegLira vs. IDeg and superiority of IDegLira vs. Liraglutide (Lira).

Change From Baseline in HbA1c
Week 0, week 32

Change in glycosylated haemoglobin A1c (HbA1c) (%) from baseline after 32 weeks of treatment.

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

Change from baseline in HbA1c after 26 weeks of treatment.

Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period
After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)

Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of \<56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.

Number of Treatment Emergent Severe or BG (Blood Glucose) Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period
A 16-week treatment period.

Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of \<3.1 mmol/L (56 mg/dL), with symptoms consistent with hypoglycaemia. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. Maintenance period: 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64).

Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE): Cardiovascular Death, Non-fatal Myocardial Infarction, or Non-fatal Stroke
From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)

Time from randomisation to first occurrence of an event adjudication committee (EAC)-confirmed 3-component major adverse cardiovascular event (MACE): cardiovascular death, non-fatal myocardial infarction, or nonfatal stroke. Events with EAC-confirmed onset date between randomisation and individual end of trial were included in the analyses. The number of subjects experiencing first EAC-confirmed MACEs, date between randomisation to the end of trial, both days included were presented. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months.

Change From Baseline in HbA1c (Glycosylated Haemoglobin) (%)
Week 0 to week 16

Percentage point change in glycosylated haemoglobin A1c (HbA1c) from baseline (week 0) to 16 Weeks. Change from baseline summary statistics at week 16 contains only those who had both baseline and week 16 assesment.

Change From Baseline in HbA1c (%) (Analysed by Central Laboratory)
Week 0, week 26

Change from baseline in HbA1c (%) after 26 weeks of treatment.

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

Changes from baseline in HbA1c values over time period of Week 0-26 were evaluated by dosing regimen (flexible vs. fixed dosing) and by titration algorithm (simple vs stepwise)

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

Change from baseline in HbA1c (%) after 26 weeks of treatment

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

Change from baseline in HbA1c after 26 weeks of treatment

Change in Glycosylated Haemoglobin (HbA1c) From Baseline (Randomisation, Visit 2)
Week 0, week 26
Change From Baseline (Visit 18) in Glycosylated Haemoglobin (HbA1c) at the End of Each 16 Week Treatment Period
Week 0, week 16 of each treatment period.

Values for change in HbA1c after each 16 weeks of treatment periods A and B.

Average Time Within Glycaemic Target Range (Above 70 mg/dL and Below 130 mg/dL)
CGM occured during the last 2 weeks of the 6 weeks treatment period.

Time within the glycaemic target range \[\> 70 mg/dL (3.9 mmol/L) and \< 130 mg/dL (7.2 mmol/L)\] measured by Continuous Glucose Monitoring (CGM) in the last four hours of each dosing interval during the last 2 weeks of the 6-week treatment period.

Change From Baseline in HbA1c (Glycosylated Haemoglobin) (%) at 26 Weeks (Analysed by Central Laboratory)
Week 0, week 26

Change from baseline in HbA1c (%) after 26 weeks of treatment.

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

Values of mean change in HbA1c.

HbA1c (Glycosylated Haemoglobin)
Week 4 and Week 16

HbA1C at week 4 and 16

Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment
Week 0, Week 26

Change from baseline in HbA1c after 26 weeks of treatment

Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Week 0 to Week 52 + 7 days follow up

Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L.

Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Week 0 to Week 52 + 7 days follow up

Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m.

Change in HbA1c (Glycosylated Haemoglobin) After 26 Weeks of Treatment
Week 0, Week 26

Change from baseline in HbA1c after 26 weeks of treatment.

Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs)
Week 0 to Week 52 + 7 days follow up

Rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no/transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect or important medical issues

Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Week 0, Week 52

Change from baseline in HbA1c after 52 weeks of treatment

Rate of Treatment Emergent Adverse Events (AEs)
Week 0 to Week 78 + 7 days follow up

Corresponds to rate of AEs per 100 patient years of exposure. Mild AEs: no or transient symptoms, no interference with subject's daily activities. Moderate AEs: marked symptoms, moderate interference with subject's daily activities. Severe AEs: considerable interference with subject's daily activities, unacceptable. Serious adverse event (SAE): AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect.

Extension Trial (Primary Endpoint): Cross-reacting Antibodies to Human Insulin
Week 0, Week 106

The unit for measuring antibody levels is amount of tracer bound to the antibodies in the precipitate (B) expressed in percentage of the total amount of tracer (T) added to the mixture (%B/T). Samples were taken before 1st dosing and after a 1-week wash-out period.

Rate of Major and Minor Hypoglycaemic Episodes
Week 0 to Week 6 + 5 days follow up

Rate of major and minor hypoglycaemic episodes per patient year (1year=365.25days) of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose ≤ 55 mg/dL.

Rate of Nocturnal Major and Minor Hypoglycaemic Episodes
Week 0 to Week 6 + 5 days follow up

Rate of nocturnal major and minor hypoglycaemic episodes per patient year (1year=365.25days) of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose ≤ 55 mg/dL. Episodes were defined as nocturnal if the time of onset was between 23:00 and 05:59 (both inclusive).

Area under the serum insulin degludec concentration time curve
From 0 to last quantifiable observation after single dose of insulin degludec/liraglutide and insulin degludec, assessments from 0 hours to 120 hours

Calculated based on insulin degludec concentration in serum

Area under the plasma liraglutide concentration time curve
from 0 to last quantifiable observation after single dose of insulin degludec/liraglutide and liraglutide, assessments from 0 hours to 72 hours

Calculated based on liraglutide concentration in plasma

Area under the serum insulin degludec concentration-time curve
From 0 to 120 hours after single dose
Area under the serum insulin aspart concentration-time curve
From 0 to 12 hours after single dose
Area under the glucose infusion rate curve
During one dosing interval (0-24h) at steady-state. At day 6, 9 and 12
Area under the serum IDeg concentration time curve after single dose
Assessed from 0 to 120 hours
Maximum observed serum IDeg concentration after single dose
Assessed from 0-120 hours
Area under the plasma liraglutide concentration time curve after single dose
Assessed from 0-72 hours
Maximum observed plasma liraglutide concentration after single dose
Assessed from 0-72 hours
BGpre-exe - BGminimum,exe, difference between blood glucose concentration before exercise and the minimum blood glucose concentration observed during exercise
From 0 to 30 minutes
Area under the serum insulin degludec concentration-of s.c. administration
From 0 to infinity after single dose
Area under the serum insulin degludec concentration-of i.v. administration
From 0 to infinity after single dose
Area under the glucose infusion rate curve during one dosing interval
At steady state (0-24 hours)
Maximum observed serum insulin degludec concentration
After single-dose (within 0 to 120 hours after dosing)
Maximum observed serum insulin aspart concentration
After single-dose (within 0 to 12 hours after dosing)
The area under insulin degludec concentration-time curve
from 0-infinity hours after trial product administration
The area under liraglutide concentration-time curve
from 0-infinity hours after trial product administration
Area under the Glucose Infusion Rate curve (only for NN5401)
from 0 to 24 hours after single-dose administration
Area under the Insulin Degludec concentration-time curve
From 0 to 120 hours after single-dose
Maximum observed Insulin Degludec concentration
From 0 to 120 hours after single-dose
Area under the NN1250 GIR (glucose infusion rate) curve
During one dosing interval at steady state
Area under the serum Insulin Degludec concentration-time curve (only for subcutaneous administration)
From 0 to 120 hours after single-dose
Area under the glucose infusion rate curve from 0-24 hours at steady state
0-24 hours (derived on treatment day 6)
Area under the glucose infusion rate curve during one dosing interval of Insulin Degludec at steady state
0-24 hours after dosing on day 8
Area under the glucose infusion rate curve (only for IDegAsp)
From 0 to 24 hours after single-dose
Area under the glucose infusion rate curve during one dosing interval at steady-date"
After 8 days of treatment
Area under the glucose infusion rate curve during one dosing interval at steady state
0-24 hours (derived on treatment day 6)
Area under the Glucose Infusion Rate curve after a single dose
From 4-12 hours
Area under the NN1250 concentration-time curve after single dose
0-72 hours after dosing
Baseline-adjusted hypoglycaemic symptoms score at nadir plasma glucose concentration
Within 0-46 hours after last trial product administration
Number and severity of adverse events, number and severity of local tolerability issues at the injection site, number and severity of hypoglycaemic episodes
assessed 0-96 hours after trial product administration
Area (AUC) under the glucose infusion rate curve
From 0 to 24 hours after single-dose administration
Area under the Insulin Degludec concentration-time curve from 0 to 120 hours after single dose
From 0 to 120 hours after dosing
Maximum observed Insulin Degludec concentration after single dose
From 0 to 120 hours after dosing
Area under the NN1250 concentration-time curve after single-dose
from 0 to 120 hours
Total number of periods where carbohydrate supplementation is needed during the treatment
Assessed every day of the two in-house stays of nine days
Area under the glucose infusion rate curve during one dosing interval at steady state (for NN1250)
0-24 hours (derived on treatment day 6)
Area under the serum insulin degludec concentration-time curve (for insulin degludec)
0-120 hours after dosing
Maximum serum insulin degludec concentration (Cmax) (for insulin degludec)
0-120 hours after dosing
Area under the serum insulin aspart concentration-time curve (for IDegAsp)
0-10 hours after dosing
Maximum serum insulin aspart concentration (Cmax) (for IDegAsp)
0-10 hours after dosing
Area under the serum insulin degludec concentration-time curve (for IDegAsp)
0-120 hours after dosing
Maximum serum insulin degludec concentration (Cmax) (for IDegAsp)
0-120 hours after dosing
Area under the insulin aspart concentration curve
0-2 hours after dosing
Adverse events (AEs)
Day 1-6 and 7-28 days after day 6
Frequency of adverse events (AEs)
From dosing visit and until follow-up 7-21 days after last dosing visit
Area under the insulin aspart concentration curve from 0-2 hours (for subjects with type 1 diabetes)
0-2 hours after dosing
Maximum glucose infusion rate divided by the average glucose infusion rate (for subjects with type 2 diabetes)
0-24 hours after dosing
Frequency of adverse events (trial part 1 only)
From day prior to dosing and until 10-14 days after dosing
Area under the glucose infusion rate curve (trial part 2 only)
0-24 hours after dosing

Secondary Endpoints

Change in Fasting Plasma Glucose (FPG)
Baseline (Week 0), Week 26
Percentage of Time in Target-range 3.9-10.0 Millimoles Per Liter (mmol/L) (70-180 Milligrams Per Deciliter [mg/dL]) Using Continuous Glucose Monitoring (CGM) System
From week 22 to week 26
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQs) in Total Treatment Satisfaction
Baseline (Week 0), Week 26
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Insulin icodecEXPERIMENTALInsulin icodec + non-insulin anti-diabetic drugs. Pre-trial non-insulin anti-diabetic background medication throughout the entire trial except from sulfonylureas and glinides, which must be discontinued at randomisation. The background medication should be maintained at the stable, pre-trial dose and at the same frequency during the entire treatment period.
Insulin degludecACTIVE_COMPARATORInsulin degludec + non-insulin anti-diabetic drugs. Pre-trial non-insulin anti-diabetic background medication throughout the entire trial except from sulfonylureas and glinides, which must be discontinued at randomisation. The background medication should be maintained at the stable, pre-trial dose and at the same frequency during the entire treatment period.
Insulin DetermirACTIVE_COMPARATORInsulin Determir once daily or twice daily and Insulin Aspart 2-4 times daily
Insulin degludec/liraglutideEXPERIMENTAL -
LiraglutideACTIVE_COMPARATOR -
IDeg 200 U/mLEXPERIMENTAL -
IGlar 300 U/mLACTIVE_COMPARATOR -
IDegAspEXPERIMENTAL -
IGlar + IAspACTIVE_COMPARATOR -
IDegLiraEXPERIMENTAL -
IGlarACTIVE_COMPARATOR -
IDegAsp BIDEXPERIMENTAL -
BIAsp 30 BIDACTIVE_COMPARATOR -
Insulin degludec/liraglutide QD + OAD(s)EXPERIMENTAL -
insulin glargine QD + OAD(s)ACTIVE_COMPARATOR -
IDegAsp U100 BIDEXPERIMENTAL -
BIAsp U100 BIDACTIVE_COMPARATOR -
Insulin degludec/liraglutide ODEXPERIMENTAL -
Insulin degludec ODACTIVE_COMPARATOR -
Liraglutide ODACTIVE_COMPARATOR -
IGlar plus IAspACTIVE_COMPARATOR -
Once weekly titrationEXPERIMENTAL -
Twice weekly titrationEXPERIMENTAL -
Insulin degludec/liraglutide + MetforminEXPERIMENTAL -
Insulin degludec/liraglutide + Insulin Aspart + MetforminACTIVE_COMPARATOR -
IDeg OD ± OADs followed by IGlar OD ± OADsEXPERIMENTALThe trial includes two 32-week treatment periods in a cross-over design. Total trial duration for the individual subjects will be up to 67 weeks.
IGlar OD ± OADs followed by IDeg OD ± OADsACTIVE_COMPARATORThe trial includes two 32-week treatment periods in a cross-over design. Total trial duration for the individual subjects will be up to 67 weeks.
IDeg OD + IAsp followed by IGlar OD + IAspEXPERIMENTALEach treatment period consists of a 16-week wash-out period and a 16-week maintenance period
IGlar OD + IAsp followed by IDeg OD + IAspACTIVE_COMPARATOREach treatment period consists of a 16-week wash-out period and a 16-week maintenance period
Insulin degludec (IDeg)EXPERIMENTALAll subjects will continue their current antidiabetic therapy except for the basal insulin component (if any) that will be replaced by the investigational product.
Insulin glargine (IGlar)ACTIVE_COMPARATORAll subjects will continue their current antidiabetic therapy except for the basal insulin component (if any) that will be replaced by the investigational product.
Insulin degludec/insulin aspartEXPERIMENTAL -
Insulin detemirACTIVE_COMPARATOR -
Insulin degludec/liraglutide OD plus metforminEXPERIMENTAL -
Insulin glargine OD plus metforminACTIVE_COMPARATOR -
Insulin GlargineEXPERIMENTAL -
IDeg OD Flexible DoseEXPERIMENTAL -
IDeg OD Fixed DoseEXPERIMENTAL -
IDeg OD SimpleEXPERIMENTAL -
IDeg OD StepwiseEXPERIMENTAL -
IDegAsp BID + IAsp ODEXPERIMENTAL -
IDeg OD + IAsp TIDEXPERIMENTAL -
IDegAsp BID+/-OADsEXPERIMENTAL -
IDeg OD plus IAsp +/-OADsEXPERIMENTAL -
IDeg + LiraEXPERIMENTAL -
Placebo + LiraEXPERIMENTAL -
IDegAsp SimpleEXPERIMENTAL -
IDegAsp Step wiseEXPERIMENTAL -
Insulin degludec/liraglutide + OADsEXPERIMENTAL -
Liraglutide or exenatide + OADsACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
IDeg followed by IGlarEXPERIMENTAL -
IGlar followed by IDegEXPERIMENTAL -
IDegEXPERIMENTAL -
Insulin Degludec + Insulin AspartEXPERIMENTAL -
Insulin Detemir +Insulin AspartEXPERIMENTAL -
IDegLira + metforminEXPERIMENTALIDegLira was injected subcutaneously once daily for 26 weeks.
IDeg + metforminEXPERIMENTALIDeg was injected subcutaneously once daily for 26 weeks.
IDeg (non-randomised)EXPERIMENTAL -
IDeg + IAspEXPERIMENTAL -
IDeg + liraglutideEXPERIMENTAL -
IDeg 100 U/mLEXPERIMENTAL -
LiraEXPERIMENTAL -
IDeg SimpleEXPERIMENTAL -
IDeg Step wiseEXPERIMENTAL -
IDegAsp ODEXPERIMENTAL -
IGlar ODACTIVE_COMPARATOR -
IGlar/IDegEXPERIMENTAL -
IDeg 3TWEXPERIMENTAL -
Flex + insulin aspartEXPERIMENTAL -
Fixed + insulin aspartEXPERIMENTAL -
IGlar + insulin aspartACTIVE_COMPARATOR -
IDeg 200 U/mL ODEXPERIMENTAL -
IDeg ODEXPERIMENTAL -
IDetACTIVE_COMPARATOR -
IDeg 3 times weekly (3TW)EXPERIMENTAL -
DPP-IV inhibitorEXPERIMENTAL -
IDeg OD FFEXPERIMENTAL -
Mix30ACTIVE_COMPARATOR -
SIACEXPERIMENTAL -
SIBAEXPERIMENTAL -
SIBA (D)EXPERIMENTAL -
SIBA (E)EXPERIMENTAL -
SIAC 30 (B)EXPERIMENTAL -
SIAC 45 (B)EXPERIMENTAL -
BIAsp 30ACTIVE_COMPARATOR -
SIBA (D) M, W, FEXPERIMENTAL -
IDeglira-IDeg-LiraglutideEXPERIMENTALTreatment sequence first Insulin Degludec/Liraglutide, then Insulin Degludec, then Liraglutide
IDeglira-Liraglutide-IDegEXPERIMENTALTreatment sequence first Insulin Degludec/Liraglutide, then Liraglutide, then Insulin Degludec
IDeg-Liraglutide-IDegliraEXPERIMENTALTreatment sequence first Isulin Degludec, then Liraglutide, then Insulin Degludec/Liraglutide
IDeg-IDeglira-LiraglutideEXPERIMENTALTreatment sequence first Insulin Degludec, then Insulin Degludec/Liraglutide, then Liraglutide
Liraglutide-IDeg-IDegliraEXPERIMENTALTreatment sequence first Liraglutide, then Insulin Degludec, then Insulin Degludec/Liraglutide
Liraglutide-IDeglira-IDegEXPERIMENTALTreatment sequence first Liraglutide, then Insulin Degludec/Liraglutide, then Insulin Degludec
IGlar U300ACTIVE_COMPARATOR -
Insulin degludec/liraglutide, B5EXPERIMENTALSubjects will be randomly allocated to the two single dose administrations (one for each of the two IDegLira formulations) on the two separate dosing visits. The two administration days will be separated by a wash-out period of 7-15 days.
Insulin degludec/liraglutide, V2EXPERIMENTALSubjects will be randomly allocated to the two single dose administrations (one for each of the two IDegLira formulations) on the two separate dosing visits. The two administration days will be separated by a wash-out period of 7-15 days.
IDegAsp 15EXPERIMENTAL -
IAspACTIVE_COMPARATOR -
s.c.EXPERIMENTAL -
i.v.EXPERIMENTAL -
IDeg-->IDegAspEXPERIMENTAL -
Formulation 1EXPERIMENTAL -
Formulation 2EXPERIMENTAL -
IDegAsp - BIAspEXPERIMENTAL -
BIAsp - IDegAspEXPERIMENTAL -
IDeg (M) IM1EXPERIMENTAL -
IDeg (M) IM2EXPERIMENTAL -
AEXPERIMENTAL -
BACTIVE_COMPARATOR -
NN5401EXPERIMENTAL -
IDeg i.m. thighEXPERIMENTAL -
IDeg i.v.EXPERIMENTAL -
IDeg s.c. abdomenEXPERIMENTAL -
IDeg s.c. deltoidEXPERIMENTAL -
IDeg s.c. thighEXPERIMENTAL -
IDeg 100U/mL 0.4U/kgEXPERIMENTAL -
IDeg 100U/mL 0.6U/kgEXPERIMENTAL -
IDeg 100U/mL 0.8U/kgEXPERIMENTAL -
IDeg 200U/mL 0.6U/kgEXPERIMENTAL -
IDeg 0.4 U/kgEXPERIMENTAL -
IDeg 0.6 U/kgEXPERIMENTAL -
IDeg 0.8 U/kgEXPERIMENTAL -
IGlar 0.4 U/kgACTIVE_COMPARATOR -
IGlar 0.6 U/kgACTIVE_COMPARATOR -
IGlar 0.8 U/kgACTIVE_COMPARATOR -
NN5401 - low doseEXPERIMENTAL -
NN5401 - medium doseEXPERIMENTAL -
NN5401 - high doseEXPERIMENTAL -
biphasic insulin aspart 30 - low doseACTIVE_COMPARATOR -
biphasic insulin aspart 30 - medium doseACTIVE_COMPARATOR -
biphasic insulin aspart 30 - high doseACTIVE_COMPARATOR -
IDegAsp BEXPERIMENTAL -
IDegAsp FEXPERIMENTAL -
A1, first periodEXPERIMENTAL -
A2, second periodACTIVE_COMPARATOR -
B1, first periodACTIVE_COMPARATOR -
B2, second periodEXPERIMENTAL -
ESRDEXPERIMENTAL -
MildEXPERIMENTAL -
ModerateEXPERIMENTAL -
NormalEXPERIMENTAL -
SevereEXPERIMENTAL -
CACTIVE_COMPARATOR -
DEXPERIMENTAL -
IDegAsp lowEXPERIMENTAL -
IDegAsp middleEXPERIMENTAL -
IDegAsp highEXPERIMENTAL -
BIAsp 30 lowEXPERIMENTAL -
BIAsp 30 middleEXPERIMENTAL -
BIAsp 30 highEXPERIMENTAL -
IDeg EEXPERIMENTAL -
IDeg MEXPERIMENTAL -
A: Healthy volunteersEXPERIMENTAL -
B: Subjects with mild liver impairmentEXPERIMENTAL -
C: Subjects with moderate liver impairmentEXPERIMENTAL -
D: Subjects with severe liver impairmentEXPERIMENTAL -
SIBA 3WEXPERIMENTAL -
SIBA ODEXPERIMENTAL -
IDegAsp 30 + placeboEXPERIMENTAL -
Insulin aspart + insulin degludec - low concentration 1EXPERIMENTAL -
IDegAsp 40 + placeboEXPERIMENTAL -
Insulin aspart + insulin degludec - high concentration 1EXPERIMENTAL -
IDegAsp 45 + placeboEXPERIMENTAL -
Insulin aspart + insulin degludecEXPERIMENTAL -
IDegAsp 55 + placeboEXPERIMENTAL -
Insulin aspart + insulin degludec - high concentrationEXPERIMENTAL -
BIAsp 30 + placeboACTIVE_COMPARATOR -
Low doseEXPERIMENTAL -
Medium doseEXPERIMENTAL -
High doseEXPERIMENTAL -
IDegAsp 30EXPERIMENTAL -
IDegAsp 45EXPERIMENTAL -
insulin degludec (B)EXPERIMENTAL -
insulin degludec (E)EXPERIMENTAL -
Low dose, insulin degludecEXPERIMENTAL -
Medium dose, insulin degludecEXPERIMENTAL -
High dose, insulin degludecEXPERIMENTAL -
IDegAsp 50EXPERIMENTAL -
Part 1 (Once-daily dosing regimen, high concentration)EXPERIMENTAL -
Part 2 (Twice-daily dosing regimen, high concentration)EXPERIMENTAL -
Part 3 (Once-daily dosing regimen, low concentration)EXPERIMENTAL -
Trial part 1EXPERIMENTAL -
Trial part 2EXPERIMENTAL -

Interventions

NameTypeDescription
Insulin degludecDRUGParticipants will receive subcutaneous (s.c.) injections of insulin degludec once daily for 26 weeks
Insulin IcodecDRUGParticipants will receive subcutaneous (s.c.) injections of insulin icodec once weekly for 26 weeks
Insulin AspartDRUGInjection for subcutaneous (s.c., under the skin) use 2-4 times daily with meals. The total trial duration for subjects will be maximum 25 months
Insulin detemirDRUGInjection for subcutaneous (s.c., under the skin) use, once daily or twice daily. The total trial duration for subjects will be maximum 25 months
Insulin degludec/liraglutideDRUGAdministered subcutaneously (s.c., under the skin) once daily in combination with metformin for the treatment duration of 26 weeks.
LiraglutideDRUGSubcutaneously (s.c., under the skin)administration once daily in combination with metformin. For 26 weeks.
Insulin glargineDRUGFor subcutaneous (s.c., under the skin) injection once daily
Insulin degludec/insulin aspartDRUGAdministered subcutaneously (s.c. under the skin) once daily.
biphasic insulin aspartDRUGTwice daily subcutaneous (sc, under the skin) injection.
placeboDRUGAdministered s.c. (under the skin) once daily. Dose individually adjusted.
exenatideDRUGSubjects will continue on their pre-trial treatment of exenatide (Byetta®) (GLP-1 receptor agonist) + OAD without changing the frequency or dose throughout the trial.
biphasic insulin aspart 30DRUGInjected subcutaneously twice daily. Dose was individually adjusted.
sitagliptinDRUGSitagliptin tablets administered orally once a day at the same time every day for 26 weeks
metforminDRUGTablets, 1500-2000 mg/day
insulin degludec/insulin aspart 15DRUGEach subject subject will be randomly allocated to five single doses. Administered subcutaneously (s.c, under the skin) on five dosing visits separated by 15-25 days. The dose level will be 0.5 U/kg Body Weight (BW).
insulin degludec/insulin aspart 30DRUGA single dose administered subcutaneously (s.c., under the skin).
insulin degludec/insulin aspart 40DRUGA single dose administered subcutaneously (s.c., under the skin).
insulin degludec/insulin aspart 45DRUGA single dose administered subcutaneously (s.c., under the skin).
insulin degludec/insulin aspart 55DRUGA single dose administered subcutaneously (s.c., under the skin).
insulin degludec/insulin aspart 50DRUGSingle dose of IDegAsp 50 administered subcutaneously (s.c., under the skin)
isophane human insulinDRUGA single dose of 0.4 IU/kg is administered to subjects with type 1 diabetes while a single dose of 0.6 IU/kg is administered to subjects with type 2 diabetes
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites88

Inclusion Criteria: * Male or female aged 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 from 7.0-10.0% (53.0 85.8 mmol/mol) both inclusive at screening confirmed by central laboratory...

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Competitive Landscape -Diabetes Complications 6 trials (matched to "Diabetes")