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.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 586 (estimated) |
| Sponsor | Novo Nordisk A/S Industry-sponsored |
| Locations | 75 sites (Calgary, Alberta and 74 other locations) |
| Status | Recruiting |
| Started | August 15, 2025 |
| Main results expected | March 23, 2028 |
| Study ends | March 23, 2028 |
| Registry record updated | August 11, 2026 |
| Trial ID | NCT07112339 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
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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
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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
- Study coordinator: Novo Nordisk
- Email: clinicaltrials@novonordisk.com
- Phone: (+1) 866-867-7178
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.