Evidence mapPaperPMID 37308751Full record

Trial reportDiabetologia2023

Hypoglycaemia frequency and physiological response after double or triple doses of once-weekly insulin icodec vs once-daily insulin glargine U100 in type 2 diabetes: a randomised crossover trial.

Thomas R Pieber, Kristine N Arfelt, Roman Cailleteau, Marlies Hart, Soumitra Kar, Ines Mursic, Eva Svehlikova, Martina Urschitz, Hanne Haahr

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03945656 (A Trial Investigating the Hypoglycaemic Response to Overdosing of NNC0148-0287 C), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03945656 phase1completednot on this map

A Trial Investigating the Hypoglycaemic Response to Overdosing of NNC0148-0287 C (Insulin 287) in Subjects With Type 2 Diabetes

TypeinterventionalSponsorNovo Nordisk A/SRan2019 to 2021Enrolled43ConditionsDiabetes Mellitus, Type 2Armsinsulin icodec, Insulin glargine
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Insights on Hospitalisations from the Phase 3a ONWARDS 1-6 Trials of Once-Weekly Insulin Icodec.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Counseling for Insulin Icodec: A Proposed Practitioner's Guide.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Thomas R PieberDepartment of Internal Medicine, Medical University of Graz, Graz, Austria. thomas.pieber@medunigraz.at.ORCID http://orcid.org/0000-0003-3554-0405
Kristine N ArfeltNovo Nordisk A/S, Søborg, Denmark.
Roman CailleteauNovo Nordisk A/S, Søborg, Denmark.ORCID http://orcid.org/0000-0002-8938-7912
Marlies HartDepartment of Internal Medicine, Medical University of Graz, Graz, Austria.
Soumitra KarNovo Nordisk Service Centre India Private Ltd., Bangalore, India.ORCID http://orcid.org/0000-0003-1701-0347
Ines MursicDepartment of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0003-3836-6529
Eva SvehlikovaDepartment of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-9743-2031
Martina UrschitzDepartment of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-3729-8977
Hanne HaahrNovo Nordisk A/S, Søborg, Denmark.ORCID http://orcid.org/0000-0002-6980-8230
Medical University of Graz · ATNovo Nordisk (Denmark) · DKNovo Nordisk (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThis study compared the frequency of hypoglycaemia, time to hypoglycaemia and recovery from hypoglycaemia after double or triple doses of once-weekly insulin icodec vs once-daily insulin glargine U100. Furthermore, the symptomatic and counterregulatory responses to hypoglycaemia were compared between icodec and glargine U100 treatment.

methodsIn a randomised, single-centre (Department of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria), open-label, two-period crossover trial, individuals with type 2 diabetes (age 18-72 years, BMI 18.5-37.9 kg/m

resultsHypoglycaemia induction was initiated in 43 and 42 participants after double dose of icodec and glargine U100, respectively, and in 38 and 40 participants after triple doses, respectively. Clinically significant hypoglycaemia, defined as PG CONCLUSIONS/

interpretationDouble or triple doses of once-weekly icodec lead to a similar risk of hypoglycaemia compared with double or triple doses of once-daily glargine U100. During hypoglycaemia, comparable symptomatic and moderately greater endocrine responses are elicited by icodec vs glargine U100.

trial registrationClinicalTrials.gov NCT03945656.

fundingThis study was funded by Novo Nordisk A/S.

Indexed as

Diabetes Mellitus, Type 2HypoglycemiaAdolescentAdultAgedBlood GlucoseCross-Over StudiesEpinephrineGlucoseHumansHydrocortisoneHypoglycemic AgentsInsulinInsulin GlargineInsulin, Long-ActingMiddle AgedBlood GlucoseEpinephrineGlucoseHydrocortisoneHypoglycemic AgentsInsulinInsulin Glargineinsulin icodecInsulin, Long-ActingCognitive functionCounterregulationHypoglycaemiaHypoglycaemia awarenessHypoglycaemic symptomsInsulin glargine U100Insulin icodecOnce-weeklyPharmacokineticsType 2 diabetes

Identifiers

PMID37308751
PMCPMC10317887
OpenAlexW4380361686

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.