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A research study to see how a new weekly insulin, insulin icodec when given along with semaglutide helps in reducing the blood sugar level in patients with type 2 diabetes
EU CTIS ID: 2022-502717-28-00
What this study is testing
To investigate the glycaemic control of intensification of insulin icodec with semaglutide in patients with T2D.
- Therapeutic confirmatory (Phase III)
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- Informed consent obtained before any study-related activities. Study‑related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
- Age above or equal to 18 years at the time of signing informed consent.
- Diagnosed with type 2 diabetes (T2D) greater than or equal to (≥) 180 days prior to the day of screening.
- Glycated haemoglobin (HbA1c) from 7.5 percent (%) ‑10.5 percent (%) (58‑91 millimoles/mole (mmol/mol)) (both inclusive) at screening confirmed by central laboratory analysis.
- Treated with once daily or twice daily basal insulin (minimum of 0.25 International Units (IU)/Kilograms (kg)/day or 20 IU/day) without concomitant glucagon-like peptide-1 receptor agonists (GLP-1 RAs) ≥ 90 days prior to the day of screening with or without any of the following antidiabetic drugs/regimens with stable doses ≥ 90 days prior to screening: Metformin, Sulfonylureas, Meglitinides (glinides), Dipeptidyl peptidase-4 (DPP-4) inhibitors, Sodium-glucose co-transporter-2 (SGLT2 inhibitors), Thiazolidinediones, Alpha-glucosidase inhibitors, Oral combination products (for the allowed individual oral anti-diabetic drugs)
- Body mass index (BMI) less than or equal to (≤) 40.0 kg/m2 (square meters)
You likely can't join if
- Known or suspected hypersensitivity to study intervention(s) or related products.
- Planned coronary, carotid or peripheral artery revascularisation.
- Renal impairment with estimated Glomerular Filtration Rate (eGFR) value of eGFR <30 mL/min/1.73m2.20
- Impaired liver function, defined as Alanine Aminotransferase (ALT) ≥2.5 times or Bilirubin >1.5 times upper normal limit at screening.
- Known hypoglycaemic unawareness as indicated by the investigator according to Clarke’s questionnaire question 821 (Section 8.2).
- Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
See the full eligibility criteria
Who can join
- Informed consent obtained before any study-related activities. Study‑related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
- Age above or equal to 18 years at the time of signing informed consent.
- Diagnosed with type 2 diabetes (T2D) greater than or equal to (≥) 180 days prior to the day of screening.
- Glycated haemoglobin (HbA1c) from 7.5 percent (%) ‑10.5 percent (%) (58‑91 millimoles/mole (mmol/mol)) (both inclusive) at screening confirmed by central laboratory analysis.
- Treated with once daily or twice daily basal insulin (minimum of 0.25 International Units (IU)/Kilograms (kg)/day or 20 IU/day) without concomitant glucagon-like peptide-1 receptor agonists (GLP-1 RAs) ≥ 90 days prior to the day of screening with or without any of the following antidiabetic drugs/regimens with stable doses ≥ 90 days prior to screening: Metformin, Sulfonylureas, Meglitinides (glinides), Dipeptidyl peptidase-4 (DPP-4) inhibitors, Sodium-glucose co-transporter-2 (SGLT2 inhibitors), Thiazolidinediones, Alpha-glucosidase inhibitors, Oral combination products (for the allowed individual oral anti-diabetic drugs)
- Body mass index (BMI) less than or equal to (≤) 40.0 kg/m2 (square meters)
- The need and willingness to undergo treatment intensification with the treatments investigated in this study with the aim to reach an HbA1c of 6.5% to 7.5% (48 mmol/mol to 58 mmol/mol) (both inclusive), as assessed by the investigator.
- Ability and willingness to adhere to the protocol including performance of self-measured plasma glucose (SMPG) profiles according to the protocol.
What rules you out
- Known or suspected hypersensitivity to study intervention(s) or related products.
- Planned coronary, carotid or peripheral artery revascularisation.
- Renal impairment with estimated Glomerular Filtration Rate (eGFR) value of eGFR <30 mL/min/1.73m2.20
- Impaired liver function, defined as Alanine Aminotransferase (ALT) ≥2.5 times or Bilirubin >1.5 times upper normal limit at screening.
- Known hypoglycaemic unawareness as indicated by the investigator according to Clarke’s questionnaire question 821 (Section 8.2).
- Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
- Inadequately treated blood pressure defined as systolic ≥180 millimetres of mercury (mmHg) or diastolic ≥110 mmHg at screening.
- Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days prior to the day of screening.
- Anticipated initiation or change in concomitant medications (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g., treatment with orlistat, thyroid hormones, or corticosteroids).
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days prior to screening or in the period between screening and initiation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
- Presence or history of malignant neoplasms or in situ carcinomas (other than basal or squamous cell skin cancer, low-risk prostate cancer, or in-situ carcinomas of the cervix or carcinoma in situ/high grade prostatic intraepithelial neoplasia (PIN)) within 5 years before screening.
- Previous participation in this study. Participation is defined as signed informed consent.
- Use of any medication with unknown or unspecified content within 90 days before screening.
- Personal or first-degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma.
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly effective contraceptive method, as defined in Appendix 4 (Section 10.4).
- Participation (i.e., signed informed consent) in any interventional, clinical study within 90 days before screening. Note: Simultaneous participation in a study 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 in the current study.
- Any disorder, except for conditions associated with T2D, which in the investigator’s opinion might jeopardise participant’s safety or compliance with the protocol.
- Any episodes of diabetic ketoacidosis within 90 days prior to the day of screening
- Presence or history of pancreatitis (acute or chronic) within 180 days before screening.
- Myocardial infarction, stroke, hospitalisation for unstable angina pectoris or transient ischaemic attack within 180 days prior to the day of screening and between screening and initiation.
- Chronic heart failure classified as being in New York Heart Association (NYHA) Class IV at screening.
The study team makes the final eligibility decision.
Where it's taking place
- Malaysia
- Thailand
- Serbia
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 65+ years, 18-64 years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Malaysia; Thailand; Serbia. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.