Clinical trial Recruiting at 58 sites Phase 4 Interventional Ages 18 and up

Once-weekly insulin icodec versus daily basal insulin for adults with type 2 diabetes

Official title: EFFectiveness of Once-weekly Insulin ICodec Versus Once-daily Basal Insulin Analogues in an Insulin-naïve Type 2 diabEtes Population in Real-world cliNical pracTice- The EFFICIENT Pragmatic Study Effectiveness of Insulin Icodec in Real-world Clinical Practice

Run by Novo Nordisk A/S · NCT07112339 · Data updated 2026-11-12

This test looks at whether a once-weekly injectable insulin (icodec) can keep blood sugar as well as commonly used daily basal insulins in adults with type 2 diabetes who need basal insulin.

More Diabetes Mellitus, Type 2 trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment586 (estimated)
SponsorNovo Nordisk A/S
Industry-sponsored
Locations75 sites (Calgary, Alberta and 74 other locations)
StatusRecruiting
StartedAugust 15, 2025
Main results expectedMarch 23, 2028
Study endsMarch 23, 2028
Registry record updatedAugust 11, 2026
Trial IDNCT07112339 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with type 2 diabetes for at least six months, an HbA1c of 7% or higher within the last 90 days, currently on non-insulin glucose-lowering therapies, and judged by a clinician to need basal insulin intensification.

Probably not a fit

People with known hypersensitivity to the study insulins, type 1 diabetes, recent conflicting trial participation, pregnant or breastfeeding individuals, or those already well controlled on a daily insulin regimen are unlikely to gain benefit from joining this comparison.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 4, post-approval comparison assigns adults with type 2 diabetes who need basal insulin intensification to receive either once-weekly insulin icodec or a commonly used daily basal insulin and follows them for about 13 months. Participants may continue allowed non-insulin glucose-lowering medications and will have regular clinic visits to monitor blood sugar control and safety. Key outcomes include HbA1c maintenance and rates of hypoglycemia and other adverse events. The trial is being run at several clinical research sites in Canada.

Why it matters

Potential benefit: If successful, once-weekly icodec could reduce injection frequency while maintaining blood sugar control, potentially making insulin treatment more convenient and improving adherence.

How similar studies have gone: Earlier phase 2 and 3 trials of icodec have shown it can match daily basal insulins for A1c lowering with comparable safety, so this trial builds on those positive findings in a post-approval setting.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • Centricity Research Calgary Endocrinology
    Calgary, Alberta, Canada
    Recruiting
  • Alta Clinical Research at Hermitage Medicentre
    Edmonton, Alberta, Canada
    Recruiting
  • Fraser Clinical Trials Inc.
    New Westminster, British Columbia, Canada
    Recruiting
  • Winnipeg Clinic
    Winnipeg, Manitoba, Canada
    Recruiting
  • G.A. Research Associates Ltd.
    Moncton, New Brunswick, Canada
    Recruiting
  • Centricity Research Brampton Endocrinology
    Brampton, Ontario, Canada
    Recruiting
Show 44 more locations
  • Centricity Research Vaughn Endocrinology
    Concord, Ontario, Canada
    Recruiting
  • Centricity Research Etobicoke Endocrinology
    Etobicoke, Ontario, Canada
    Recruiting
  • Janik Research
    Greater Sudbury, Ontario, Canada
    Recruiting
  • Hamilton Medical Research Group
    Hamilton, Ontario, Canada
    Recruiting
  • St. Josephs Health Care
    London, Ontario, Canada
    Recruiting
  • Western Univ. Cnt for Studies in Fam Med
    London, Ontario, Canada
    Recruiting
  • Centricity Research Ottawa LMC
    Nepean, Ontario, Canada
    Recruiting
  • Sewa Ram Singal Medicine Professional Corp
    Toronto, Ontario, Canada
    Recruiting
  • Centricity Research Toronto
    Toronto, Ontario, Canada
    Recruiting
  • Diex Recherche Joliette
    Joliette, Quebec, Canada
    Recruiting
  • Alpha Recherche Clinique - Clinique de Levis
    Lévis, Quebec, Canada
    Recruiting
  • Centricity Research Mirabel
    Mirabel, Quebec, Canada
    Recruiting
  • Applied Medical Informatics Research
    Montreal, Quebec, Canada
    Recruiting
  • Clinique Endocrinologie OASIS.
    Montreal, Quebec, Canada
    Recruiting
  • Centricity Res Pointe-Claire
    Pointe-Claire, Quebec, Canada
    Recruiting
  • Centre de Recherche Saint-Louis
    Sherbrooke, Quebec, Canada
    Recruiting
  • Ctr de Med Metab de Lanaudiere
    Terrebonne, Quebec, Canada
    Recruiting
  • Diex Recherche Trois-Rivieres
    Trois-Rivières, Quebec, Canada
    Recruiting
  • Diex Recherche Victoriaville
    Victoriaville, Quebec, Canada
    Recruiting
  • Recherche Clinique Sigma Inc.
    Québec, Canada
    Recruiting
  • Diex Recherche Quebec
    Québec, Canada
    Recruiting
  • Centre de Recherche Saint-Louis
    Québec, Canada
    Recruiting
  • Alpha Recherche Clinique - Lebourgneuf
    Québec, Canada
    Recruiting
  • Versdias - Diabetologikum Amberg
    Amberg, Bavaria, Germany
    Recruiting
  • Diabetespraxis Mergentheim
    Bad Mergentheim, Germany
    Recruiting
  • Medizinisches Versorgungszentrum Am Bahnhof Spandau GbR
    Berlin, Germany
    Recruiting
  • Studiengesellschaft Dres. Könemann/Steinmann GbR
    Bünde, Germany
    Recruiting
  • Diabetologische Schwerpunktpraxis Daaden
    Daaden, Germany
    Recruiting
  • Diabeteszentrum-Do Dres. K U. Ch. Busch GbR
    Dortmund, Germany
    Recruiting
  • Studienzentrum Dr. Faulmann GbR Dresden
    Dresden, Germany
    Recruiting
  • MVZ Hausärzte Großenbaum GmbH Duisburg
    Duisburg, Germany
    Recruiting
  • MVZ Contilia GmbH
    Essen, Germany
    Recruiting
  • Praxis am Markt Dr. Becker
    Essen, Germany
    Recruiting
  • MVZ im Altstadt-Carree Fulda GmbH - Zentrum für klinische Studien
    Fulda, Germany
    Recruiting
  • Diabetes-Zentrum-Wilhelmsburg GbR
    Hamburg, Germany
    Recruiting
  • Mesut Durmaz, Hof
    Hof, Germany
    Recruiting
  • Praxisgemeinschaft Jerichow
    Jerichow, Germany
    Recruiting
  • Familienmedizinisches Zentrum Radowsky
    Leipzig, Germany
    Recruiting
  • Praxis Am Oberen Tor - Dr. Simon-Wagner
    Lichtenfels, Germany
    Recruiting
  • Diabeteszentrum Ludwigsburg
    Ludwigsburg, Germany
    Recruiting
  • Institut für Diabetesforschung Osnabrück
    Osnabrück, Germany
    Recruiting
  • Dr. Schmidt-Reinwald Astrid, Trier
    Trier, Germany
    Recruiting
  • Azienda Ospedaliero Universitaria Renato Dulbecco - Mater Domini
    Catanzaro, Calabria, Italy
    Recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Centro malattie endocrine e metaboliche
    Rome, Lazio, Italy
    Recruiting

+25 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.