Drugs / Insulin icodec
last change Aug 2026 re-read 1 minute ago

Insulin icodec

also known as icodec · insulin 287 · NNC0148-0000-0287

Protein / enzyme biologic

Developed for
type 2 diabetes mellitus · type 1 diabetes mellitus · diabetes mellitus
Investigated by
Novo Nordisk A/S · Innovent Biologics (Suzhou) Co. Ltd.

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved US (FDA) AWIQLI FLEXTOUCH 2026-03-26 fda.gov
Approved EU (EMA) Awiqli 2024-05-17 europa.eu

Trials 31 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 115 trials
Phase 1 NCT07591519 May 2026 → Jul 2027 expected Innovent Biologics (Suzhou) Co. Ltd. Recruiting No outcome recorded
Phase 1 NCT06288412 Feb 2024 → Mar 2025 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT05790681 Apr 2023 → Feb 2024 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT05435677 Jun 2022 → Apr 2023 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT04857398 Apr 2021 → Apr 2022 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT04597697 Dec 2020 → Mar 2022 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT04582435 Oct 2020 → Apr 2022 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT04582448 Oct 2020 → Sep 2021 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT03945656 May 2019 → Sep 2021 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 1 NCT03766854 Dec 2018 → Dec 2019 type 1 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 23 trials
Phase 2 NCT03922750 May → Dec 2019 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 2 NCT03951805 May → Dec 2019 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 2 NCT03751657 Nov 2018 → Dec 2019 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 312 trials
Phase 3 NCT07076199 Aug 2025 → Jan 2027 expected type 1 diabetes mellitus Novo Nordisk A/S Recruiting No outcome recorded
Phase 3 NCT06340854 Apr 2024 → May 2025 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT05813912 Sep 2023 → Apr 2025 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT05823948 Apr 2023 → Mar 2024 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT05259033 Apr 2022 → Dec 2023 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT05013229 Nov 2021 → Nov 2023 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT04880850 May 2021 → Jun 2022 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT04848480 Apr 2021 → Apr 2022 type 1 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT04795531 Mar 2021 → Jun 2022 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 3 NCT04770532 Mar 2021 → Jan 2022 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded
Phase 41 trial
Phase 4 NCT07112339 Aug 2025 → Aug 2026 overdue type 2 diabetes mellitus Novo Nordisk A/S Recruiting No outcome recorded
Also used as a comparator or background therapy in 3 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT07630233 Comparator Jun → Oct 2026 expected type 2 diabetes mellitus The United Bio-Technology (Hengqin) Co., Ltd. Not yet recruiting No outcome recorded
Phase 32 trials
Phase 3 NCT07165223 Comparator Oct 2025 → Nov 2026 expected diabetes mellitus Gan & Lee Pharmaceuticals. Recruiting No outcome recorded
Phase 3 NCT05352815 Comparator Jun 2022 → Mar 2024 type 2 diabetes mellitus Novo Nordisk A/S Completed No outcome recorded

Press releases naming this drug 6 releases

DateIssuerRelease
2024-07-10 Novo Nordisk A/S Novo Nordisk receives Complete Response Letter in the US for once-weekly basal insulin icodec novonordisk.com
2024-03-21 Novo Nordisk A/S Awiqli® (once-weekly basal insulin icodec) recommended for approval for the treatment of diabetes by the European regulatory authorities novonordisk.com
2022-10-03 Novo Nordisk A/S Once-weekly insulin icodec demonstrates superior reduction in HbA1c in combination with a dosing guide app versus once-daily basal insulin in people with type 2 diabetes in ONWARDS 5 phase 3a trial novonordisk.com
2022-07-29 Novo Nordisk A/S Novo Nordisk achieves primary objectives of ONWARDS 3 and 4 trials with once-weekly insulin icodec demonstrating superior reduction in HbA1c vs insulin degludec in ONWARDS 3 novonordisk.com
2022-06-03 Novo Nordisk A/S Novo Nordisk achieves primary objectives of ONWARDS 1 and 6 trials with once-weekly insulin icodec demonstrating superior reduction in HbA1c vs insulin glargine U100 in ONWARDS 1 novonordisk.com
2022-04-28 Novo Nordisk A/S Once-weekly insulin icodec demonstrates superior reduction in HbA1c vs insulin degludec in people with type 2 diabetes in ONWARDS 2 phase 3a trial novonordisk.com

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 43 sources stand behind the page.

FieldValueCited text
Known as insulin icodec “IcoSema is a once-weekly combination therapy of basal insulin icodec (icodec) and semaglutide (a GLP-1 analogue) developed for the treatment of type 2 diabetes.” PMID 40482670 Jun 2025
32

“IcoSema (a combination therapy of basal insulin icodec and semaglutide)” PMID 39820580 Jan 2025

NCT03766854

NCT03723785

NCT04582448

NCT03751657

NCT04795531

NCT06340854

NCT04848480

NCT04880850

NCT04770532

NCT07112339

NCT04857398

NCT05435677

NCT05813912

NCT06288412

NCT07165223

NCT03951805

NCT04460885

NCT07076199

NCT03723772

NCT02964104

NCT04760626

NCT07630233

NCT03922750

NCT05823948

NCT04597697

NCT04582435

NCT03945656

NCT02148861

NCT05790681

NCT07591519

NCT05352815

Known as icodec “AIM: To describe the phase 3a ONWARDS clinical development programme investigating insulin icodec (icodec), a once-weekly basal insulin, including the design and rationale for...” PMID 36106652 Oct 2022
7

“AIMS: To investigate the efficacy and safety of intensifying once-weekly insulin icodec (icodec) with once-weekly semaglutide in adults with type 2 diabetes (T2D).” PMID 42387310 Jul 2026

“IcoSema is a once-weekly combination therapy of basal insulin icodec (icodec) and semaglutide (a GLP-1 analogue) developed for the treatment of type 2 diabetes.” PMID 40482670 Jun 2025

“BACKGROUND AND OBJECTIVE: Icodec is a once-weekly insulin being developed to provide basal insulin coverage in diabetes mellitus.” PMID 38722461 May 2024

“Insulin icodec (icodec) is a once-weekly basal insulin currently under development” PMID 37148899 May 2023

“once-weekly insulin icodec (icodec) on glycemic control and safety outcomes” PMID 40040516 Mar 2025

“Insulin icodec (icodec) is a novel once-weekly basal insulin analog.” PMID 33875485 Apr 2021

“Once-weekly insulin icodec (icodec) is a basal insulin analogue” PMID 37748181 Sep 2023

Known as insulin 287 ClinicalTrials.gov intervention name — accepted as the source's own label NCT01809184
Known as NNC0148-0000-0287 NNC0148-0000-0287 (insulin 287) in a GIPET® I tablet formulation” NCT01809184
Action Activate “In vitro cell-based studies showed that insulin icodec activates the same dose-dependent IR-mediated signaling and metabolic responses as native human insulin (HI).” PMID 34413118 Aug 2021
Modality Protein / enzyme biologic “Insulin icodec is a basal insulin analogue designed for once-weekly administration that is in development for the treatment of diabetes.” PMID 32960514 Sep 2020
Route Oral Orally administered insulin 287.” NCT01809184