A Research Study to See How Well the New Weekly Medicine IcoSema, Which is a Combination of Insulin Icodec and Semaglutide, Controls Blood Sugar Level in People With Type 2 Diabetes Compared to Weekly Semaglutide (COMBINE 2)

Completed · Phase 3

Conditions studied: Diabetes Mellitus, Type 2

In brief

This study will compare the new medicine IcoSema, which is a combination of insulin icodec and semaglutide, taken once a week, to semaglutide taken once a week in people with type 2 diabetes. The study will look at how well IcoSema controls blood sugar level in people with type 2 diabetes compared to semaglutide. Participants will either get IcoSema or semaglutide. Which treatment participants get is decided by chance. IcoSema is a new medicine that doctors cannot prescribe. Doctors can already prescribe semaglutide in many countries. Participants will get IcoSema or semaglutide, which they must inject once a week with a pen, which has a small needle, in a skin fold in the thigh, upper arm, or stomach. The study will last for about 1 year and 1 month. Participants will have 18 clinic visits, 34 phone/video calls with the study doctor, and 4 contacts with the site that can either be clinic visits or phone/video calls. At 11 clinic visits participants will have blood samples taken. At 7 clinic visits participants cannot eat or drink (except for water) for 8 hours before the visit. Women cannot take part if pregnant, breast-feeding or plan to get pregnant during the study period.

Key facts

Study ID

NCT05259033

Run by

Novo Nordisk A/S

People needed

683

Starts

2022-04-11

Expected to finish

2024-01-16

Last updated by the study team

2026-06-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male or female and age above or equal to 18 years at the time of signing informed consent.
• Diagnosed with type 2 diabetes mellitus 180 days or more before screening.
• HbA1c of 7.0 - 10.0% (53.0 - 85.8 mmol/mol) (both inclusive) as assessed by central laboratory on the day of screening.
• Insulin naïve. The following exceptions are permitted: short term insulin treatment for a maximum of 14 days before screening and/or prior insulin treatment for gestational diabetes.
• Treated with stable doses of daily or weekly GLP-1 receptor agonist (excluding once weekly semaglutide with doses higher than 1.0 mg) according to local label for the treatment of diabetes for 90 days or more before screening. The treatment can be with or without any of the following anti diabetic drugs with stable doses for 90 days or more before screening: Metformin - Sulfonylureas (Sulfonylureas, meglitinides (glinides) and DPP 4 inhibitors must be discontinued at randomisation) - Meglitinides (glinides)(Sulfonylureas, meglitinides (glinides) and DPP 4 inhibitors must be discontinued at randomisation) - DPP 4 inhibitors (Sulfonylureas, meglitinides (glinides) and DPP 4 inhibitors must be discontinued at randomisation) - Sodium glucose co transporter 2 inhibitors - Alpha-glucosidase inhibitors - Thiazolidinediones - Marketed oral combination products only including the products listed above.
• Body mass index (BMI) below or equal to 40.0 kg/m\^2.

You may not qualify if…

• Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
• Anticipated initiation or change in concomitant medication (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g. treatment with orlistat, thyroid hormones, or systemic corticosteroids).
• Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening.
• Any episodes (as declared by the participant or in the medical records) of diabetic ketoacidosis within 90 days before screening.
• Presence or history of pancreatitis (acute or chronic) within 180 days before screening.
• Any of the following: Myocardial infarction, stroke, hospitalization for unstable angina pectoris or transient ischaemic attack within 180 days before screening.
• Chronic heart failure classified as being in New York Heart Association Class IV at screening.
• Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within the past 90 days before screening or in the period between screening and randomisation. Pharmacological pupil dilation is a requirement unless using a digital fundus photography camera specified for non dilated examination

Where it is running

• Pri Med Grp dba/Gil Ctr Fam — Gilbert, Arizona, United States
• Phoenician Centers for Research & Innovation PCRI — Phoenix, Arizona, United States
• Clinical Research Institute of Arizona — Sun City West, Arizona, United States
• John Muir Physicians Network — Concord, California, United States
• Scripps Whittier Diabetes Inst — La Jolla, California, United States
• Clinical Trials Research_Sacramento — Lincoln, California, United States
• Downtown LA Res Ctr. Inc. — Los Angeles, California, United States
• Velocity Clin Res Los Angeles — Los Angeles, California, United States
• Velocity Clin Res Wstlke — Los Angeles, California, United States
• Valley Clinical Trials, Inc. — Northridge, California, United States
• San Diego Family Care_San Diego — San Diego, California, United States
• Premier Medical Center, Inc. — Toluca Lake, California, United States
• Northeast Research Institute — Fleming Island, Florida, United States
• Encore Medical Research LLC — Hollywood, Florida, United States
• Northeast Res Inst. Inc. — Jacksonville, Florida, United States
• Est Cst Inst for Rsrch,Jksnvil — Jacksonville, Florida, United States
• University Of Miami — Miami, Florida, United States
• South Broward Research LLC — Miramar, Florida, United States
• Adult Medicine of Lake County, Inc. — Mt. Dora, Florida, United States
• Clinical Neuroscience Solution — Orlando, Florida, United States
• Florida Institute For Clinical Research — Orlando, Florida, United States
• Oviedo Medical Research, LLC — Oviedo, Florida, United States
• Metabolic Research Institute Inc — West Palm Beach, Florida, United States
• Javara/Privia Med Grp GA,LLC — Albany, Georgia, United States
• Univ of AL at Birmingham_BRM — Birmingham, Alabama, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.