Type 2 & other diabetes

Rationale and design of the phase 3a development programme ( ONWARDS 1–6 trials) investigating once‐weekly insulin icodec in diabetes

Diabetes Obes MetabPublished Design and rationale of a phase 3a programme of randomised controlled trials

Study context

Population
Adults with T2D (insulin-naive: ONWARDS 1, 3 and 5; previously insulin-treated: ONWARDS 2 and 4) and T1D (ONWARDS 6)6 RCTs
Planned comparison
Once-weekly insulin icodec vs daily basal insulin
Primary endpoint
Change in HbA1c from baseline, icodec vs comparator arms
Follow-up
Week 26 or week 52
Methodological detailssix RCTs (ONWARDS 1–6), ONWARDS 5 incorporates real-world elements and a digital dose titration solution to guide icodec dosing, Secondary objectives: other glycaemic control and safety parameters (fasting glucose, time in glycaemic range, hypoglycaemia); patient-reported treatment satisfaction
  • Six RCTs (ONWARDS 1–6)
  • ONWARDS 5 incorporates real-world elements and a digital dose titration solution to guide icodec dosing
  • Secondary objectives: other glycaemic control and safety parameters (fasting glucose, time in glycaemic range, hypoglycaemia); patient-reported treatment satisfaction

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and design of the phase 3a development programme ( ONWARDS 1–6 trials) investigating once‐weekly insulin icodec in diabetes. Diabetes Obes Metab. Published 14 October 2022. doi:10.1111/dom.14871

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