CI

At a glance

ClinicalIndex Comparison Record
Phase 3Completed· 683 enrolled / 683 target
Drug / intervention
IcoSema +1 moredrug
Likely dose
Semaglutide 1 mgfrom record
Structured eligibility isn't available for this trial yet — see the full criteria in the Eligibility tab below.

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT05259033
NCT05259033Phase 3CompletedMonitor (13.5/mo)Completion was 30mo ago

A 52 Week Study Comparing the Efficacy and Safety of Once Weekly IcoSema and Once Weekly Semaglutide, Both Treatment Arms With or Without Oral Anti Diabetic Drugs, in Participants With Type 2 Diabetes Inadequately Controlled With a GLP 1 Receptor Agonist. COMBINE 2

Novo Nordisk A/S·interventional·Posted Feb 28, 2022·Updated Jun 12, 2026

In Brief

A Phase 3 clinical trial evaluating IcoSema and Semaglutide 1 mg for Diabetes Mellitus, Type 2. Completed, enrolled 683 participants across 193 sites in 15 countries.

Signals

Enrolling slower than its timeline implies

Detailed Summary

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.

Study Details

Study Typeinterventional
Allocation--
Masking--
Primary Purpose--
CountriesBrazil, Canada, China, France, Greece, Hungary, Israel, Japan, Russia, Slovakia, Sweden, Switzerland, Taiwan, Ukraine, United States
Collaborators--

Timeline

Phase 3CompletedFinished
2023202420252026
First PostedFeb 28, 2022
Enrollment StartApr 11, 2022
Primary CompletionDec 13, 2023
Study CompletionJan 16, 2024
TodayJul 2, 2026
Enrollment to primary: 1.7 yearsPosted 4.3 years ago

Arms & Interventions

IcoSemaexperimental

Participants will get once weekly dose

Drug: IcoSema
Semaglutideexperimental

Participants will get once weekly dose

Drug: Semaglutide 1 mg

Interventions

IcoSemadrug

IcoSema once weekly subcutaneously (s.c., under the skin) using a needle and a pen. For about 1 year and 1 month.

Semaglutide 1 mgdrug

Semaglutide once weekly subcutaneously (s.c., under the skin). Dose titrated to 1mg over 8 weeks (0.25 mg for 4 weeks, 0.5 mg for 4 weeks). For about 1 year and 1 month.