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Insulin

Insulin icodec for Type 2 Diabetes (ONWARDS 4 Trial)

Phase 3
Waitlist Available
Research Sponsored by Novo Nordisk A/S
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from week 24 (v26) to week 26 (v28)
Awards & highlights

ONWARDS 4 Trial Summary

A Research Study to Compare Two Types of Insulin, a New Weekly Insulin, Insulin Icodec and an Available Daily Insulin, Insulin Glargine, Both in Combination With Mealtime Insulin, in People With Type 2 Diabetes Who Use Daily Insulin and Mealtime Insulin (ONWARDS 4)

Eligible Conditions
  • Type 2 Diabetes

ONWARDS 4 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from week 24 (v26) to week 26 (v28)
This trial's timeline: 3 weeks for screening, Varies for treatment, and from week 24 (v26) to week 26 (v28) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in Glycated haemoglobin (HbA1c)
Secondary outcome measures
Change in body weight
Change in fasting plasma glucose (FPG)
Mean weekly insulin dose
+6 more

Side effects data

From 2020 Phase 2 trial • 247 Patients • NCT03751657
11%
Headache
8%
Nasopharyngitis
6%
Upper respiratory tract infection
1%
Lower limb fracture
1%
Metrorrhagia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Insulin 287
Insulin Glargine

ONWARDS 4 Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: insulin icodec + insulin aspartExperimental Treatment2 Interventions
Participants will get once weekly injections in combination with 2-4 times daily injections of insulin aspart
Group II: Insulin glargine + insulin aspartActive Control2 Interventions
Participants will get once daily injections in combination with 2-4 times daily injections of insulin aspart
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Insulin icodec
2021
Completed Phase 3
~4140
Insulin aspart
2011
Completed Phase 4
~4140

Find a Location

Who is running the clinical trial?

Novo Nordisk A/SLead Sponsor
1,514 Previous Clinical Trials
2,414,486 Total Patients Enrolled
Clinical Transparency (dept. 1452)Study DirectorNovo Nordisk A/S
56 Previous Clinical Trials
44,538 Total Patients Enrolled

Frequently Asked Questions

~149 spots leftby Apr 2025