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A Research Study to See How Well Weekly Insulin Icodec Maintains Blood Sugar Levels Compared to Daily Basal Insulins in Adults With Type 2 Diabetes

Not Applicable
Not yet recruiting
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: Basal insulin analogues
Registration Number
NCT07112339
Lead Sponsor
Novo Nordisk A/S
Brief Summary

This study compares insulin icodec, taken once a week, with other basal insulins, taken once a day, in people with type 2 diabetes.The purpose of this study is to see how well the approved injectable weekly insulin icodec maintains blood sugar levels when compared to approved and available daily injectable basal insulins in people with type 2 diabetes. The participants will either be prescribed weekly insulin icodec or a daily basal insulin (insulin glargine, insulin detemir or insulin degludec) based on current standards for the treatment of type 2 diabetes. The study will last for about 13 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
586
Inclusion Criteria
  • Diagnosed with T2D greater than or equal to (≥) 180 days prior to the day of screening.
  • Treatment with any of the following non-insulin glucose-lowering medication(s) or combination regimen(s) at the time of screening:

Metformin, Sulfonylureas, Meglitinides (glinides), dipeptidyl peptidase-4 (DPP-4) inhibitors, sodium-glucose cotransporter-2 (SGLT2) inhibitors, Thiazolidinediones, Alpha-glucosidase inhibitors, Oral combination products (for the allowed individual oral antidiabetic drugs), Oral or injectable glucagon-like peptide-1 (GLP-1) receptor agonists and Injectable dual glucose-dependent insulinotropic polypeptides (GIP) and GLP-1 receptor agonist.

  • Need of intensification with basal insulin, as indicated at the discretion of the investigator.
  • Recorded HbA1c value ≥7% within the last 90 days prior to randomization.
Exclusion Criteria
  • Known or suspected hypersensitivity to study intervention(s) or related products.
  • Previous participation in this study. 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 adequate contraceptive method.
  • Participation (i.e., received any study intervention) in any interventional clinical study within 90 days before screening.
  • Any disorder which in the investigator's opinion might jeopardize participant's safety.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Insulin icodecInsulin icodecParticipants will receive subcutaneous (s.c) injection of once weekly insulin icodec.
Basal insulin analoguesBasal insulin analoguesParticipants will receive once daily s.c. injection of basal insulin analogues.
Primary Outcome Measures
NameTimeMethod
Change in glycated haemoglobin (HbA1c)From baseline week 0 to week 52

Measured as %-point.

Secondary Outcome Measures
NameTimeMethod
Adelphi Adherence Questionnaire (ADAQ©)At week 52

Measured as Score. The ADAQ© score is calculated as the mean of 11 individual items, each rated on a scale from 0 to 4. To obtain the mean score, at least 8 of these items must be answered. A lower score indicates greater adherence.

Change in Diabetes Treatment Satisfaction Questionnaire- status version(DTSQs) total treatment satisfactionFrom baseline week 0 to week 52

Measured as Score of 0-36. DTSQs score ranges from 0 to 36, based on 6 items that are each rated on a scale of 0 to 6. A higher score reflects greater satisfaction with the treatment received.

Treatment Related Impact Measure for Diabetes (TRIM-D) compliance domainAt week 52

Measured as Score of 4-20.The score ranges from 4 to 20, based on 4 items rated on a scale of 1 to 5. This score is then transformed to a 0-100 scale, where higher scores indicate better compliance.

Treatment Related Impact Measure for Diabetes (TRIM-D) treatment burden domainAt week 52

Measured as Score of 6-30. The score ranges from 6 to 30, derived from 6 items each rated on a scale of 1 to 5. This score is then transformed to a 0-100 scale, where higher scores indicate less treatment burden.

Number of severe hypoglycaemic episodes (level 3)From baseline week 0 to week 52

Measured as Number of episodes.

Mean weekly basal insulin doseFrom week 50 to week 52

Measures in Units.

Participant achieved individualised HbA1c targetAt week 52

Reported as Yes or No.

Trial Locations

Locations (64)

Centricity Research Calgary

🇨🇦

Calgary, Alberta, Canada

Alta Clinical Research at Hermitage Medicentre

🇨🇦

Edmonton, Alberta, Canada

Fraser Clinical Trials Inc.

🇨🇦

New Westminster, British Columbia, Canada

Winnipeg Clinic

🇨🇦

Winnipeg, Manitoba, Canada

G.A. Research Associates Ltd.

🇨🇦

Moncton, New Brunswick, Canada

Centricity Research Brampton

🇨🇦

Brampton, Ontario, Canada

Centricity Clinical Research Burlington

🇨🇦

Burlington, Ontario, Canada

Centricity Research Vaughn Endocrinology

🇨🇦

Concord, Ontario, Canada

Medical Trust Clinics, Inc.

🇨🇦

Courtice, Ontario, Canada

Centricity Research Etobicoke

🇨🇦

Etobicoke, Ontario, Canada

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Centricity Research Calgary
🇨🇦Calgary, Alberta, Canada

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