TheraRadar
Data updated: May 26, 2026

AWIQLI FLEXTOUCH (insulin icodec)

Trial Activity: Declining 2 active trials
Metabolic Approved 2026-03-26

Awiqli is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

Source: FDA Label • Novo Nordisk

Development Insights

Novo Nordisk A/S conducting 28 trials (100%)
5 indications explored (Moderate)
diabetes mellitus, type 2 (22 trials)
diabetes mellitus, type 1 (4 trials)
diabetes (2 trials)
1
Indication
--
Phase 3 Trials
0
Years on Market

Details

Status
Prescription
First Approved
2026-03-26
Routes
SOLUTION
Dosage Forms
INJECTION

Companies

Active Ingredient: INSULIN ICODEC

AWIQLI FLEXTOUCH Approval History

Original
New Indication
New Form
Label Update
1 FDA actions from 2026 to 2026
Mar 2026 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What AWIQLI FLEXTOUCH Treats

1 FDA approvals

Originally approved for its first indication in 2026 .

  • Other (1)
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Clinical Trial Registry

28 trials
Trial Sponsor ID Phase Status Title
NCT05823948 ONWARDS 9 results posted NN1436-4909 U1111-1271-9296 Ph 3 completed A Study Using Flash Glucose Measurements for a New Once-weekly Insulin (Insulin Icodec) in People With Type 2 Diabetes Who Have Not Used Insulin Before (ONWARDS 9)
NCT05790681 NN1436-4888 U1111-1271-9231 Ph 1 completed A Study to Test How New Long-acting Insulin (Insulin Icodec) Works in the Body of Children and Teenagers
NCT06340854 NN1436-7724 U1111-1292-6151, 2023-506084-34 Ph 3 completed A Research Study to See How Switching From a Daily Basal Insulin to a New Weekly Insulin, Insulin Icodec, Helps in Reducing the Blood Sugar Compared to Daily Insulin Glargine in Adults With Type 2 Diabetes
NCT05813912 NN1436-4910 2022-002847-24, U1111-1281-4752 Ph 3 completed A Research Study to See How a New Weekly Insulin, Insulin Icodec When Given Along With Semaglutide Helps in Reducing the Blood Sugar Level in Patients With Type 2 Diabetes
NCT07112339 NN1436-7727 U1111-1302-4943, 2024-520068-32 Ph 4 recruiting A Research Study to See How Well Weekly Insulin Icodec Maintains Blood Sugar Levels Compared to Daily Basal Insulins in Adults With Type 2 Diabetes
NCT07076199 ONWARDS 11 NN1436-8182 U1111-1310-7017, 2024-519945-31 Ph 3 recruiting A Research Study to See How a Weekly Insulin, Insulin Icodec, Helps in Reducing the Blood Sugar Compared to Daily Insulin Glargine, Both in Combination With Insulin Aspart, in Adults With Type 1 Diabetes
NCT04770532 ONWARDS 2 results posted NN1436-4478 U1111-1247-4945, 2020-000454-10 Ph 3 completed A Research Study to Compare Two Types of Insulin, a New Weekly Insulin, Insulin Icodec and an Available Daily Insulin, Insulin Degludec, in People With Type 2 Diabetes Who Use Daily Insulin
NCT04460885 ONWARDS 1 results posted NN1436-4477 U1111-1247-3878, 2020-000442-34 Ph 3 completed A Research Study to Compare Two Types of Insulin, a New Insulin, Insulin Icodec and an Available Insulin, Insulin Glargine, in People With Type 2 Diabetes Who Have Not Used Insulin Before
NCT04880850 ONWARDS 4 results posted NN1436-4480 U1111-1247-5269, 2020-000474-16 Ph 3 completed A Research Study to Compare Two Types of Insulin, a New Weekly Insulin, Insulin Icodec and an Available Daily Insulin, Insulin Glargine, Both in Combination With Mealtime Insulin, in People With Type 2 Diabetes Who Use Daily Insulin and Mealtime Insulin (ONWARDS 4)
NCT04848480 ONWARDS 6 results posted NN1436-4625 U1111-1251-7315, 2020-002374-27 Ph 3 completed A Research Study to Compare a New Weekly Insulin, Insulin Icodec, and an Available Daily Insulin, Insulin Degludec, Both in Combination With Mealtime Insulin in People With Type 1 Diabetes (ONWARDS 6)
NCT05352815 COMBINE 1 results posted NN1535-4591 U1111-1260-8259, 2020-005281-34 Ph 3 completed 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 Insulin Icodec
NCT04760626 ONWARDS 5 results posted NN1436-4481 U1111-1247-5279, 2020-000476-38 Ph 3 completed A Research Study to Compare a New Weekly Insulin, Insulin Icodec Used With DoseGuide App, and Daily Insulins in People With Type 2 Diabetes Who Have Not Used Insulin Before
NCT06288412 NN1436-7615 U1111-1285-1665, 2023-505012-38 Ph 1 completed A Study to Test How a New Long-acting Insulin Works in the Body of Patients With Type 2 Diabetes During Exercise and Prolonged Fasting
NCT05435677 NN1535-4710 U1111-1262-1959 Ph 1 completed A Research Study to Look at How Insulin Icodec and Semaglutide Work in the Body of People From China With Type 2 Diabetes When Given Alone or Together
NCT03723772 NN1436-4225 U1111-1204-8909, 2017-004528-31 Ph 1 completed A Research Study of How Different Doses of a New Medicine NNC0148-0287 C (Insulin 287) Work on the Blood Sugar in People With Type 1 Diabetes When it is Taken Once a Week
NCT04795531 ONWARDS 3 results posted NN1436-4479 U1111-1247-5218, 2020-000472-37 Ph 3 completed A Research Study to Compare Two Types of Insulin, a New Insulin, Insulin Icodec and an Available Insulin, Insulin Degludec, in People With Type 2 Diabetes Who Have Not Used Insulin Before (ONWARDS 3)
NCT04597697 NN1436-4570 Ph 1 completed A Study to Test How a New Long-acting Insulin (Insulin Icodec) Works in the Body of People With Liver Disease
NCT03723785 NN1436-4226 2017-004529-34, U1111-1204-8972 Ph 1 completed A Research Study of How a New Medicine NNC0148-0287 C (Insulin 287) Works in the Body of People With Kidney Problems
NCT04582435 NN1436-4569 U1111-1244-4346, 2019-004606-10 Ph 1 completed A Trial Investigating the Pharmacokinetic and Pharmacodynamic Properties of Insulin Icodec in Subjects With Type 2 Diabetes
NCT03945656 NN1436-4462 U1111-1214-2688, 2018-001993-74 Ph 1 completed A Research Study of How Overdosing of a New Once Weekly Medicine NNC0148-0287 C (Insulin 287) Influences the Blood Sugar Level in People With Type 2 Diabetes
NCT04857398 NN1436-4571 U1111-1244-4473 Ph 1 completed A Study to Test How a New Long-acting Insulin (Insulin Icodec) Works in the Body of People From China With Type 2 Diabetes
NCT04582448 NN1436-4572 U1111-1244-4495, 2019-004660-21 Ph 1 completed A Study Looking at How Insulin Icodec is Taken up in the Blood When Administered in Different Injection Sites in People With Type 2 Diabetes
NCT03922750 results posted NN1436-4466 U1111-1219-5541, 2018-003407-18 Ph 2 completed A Research Study in People With Type 2 Diabetes to Compare Two Types of Insulin: Insulin 287 and Insulin Glargine
NCT02964104 NN1436-4314 2016-000436-18, U1111-1178-9795 Ph 1 completed A Trial Investigating the Safety, Tolerability, Pharmacokinetics (the Exposure of the Trial Drug in the Body) and Pharmacodynamics (the Effect of the Investigated Drug on the Body) of Insulin 287 in Subjects With Type 2 Diabetes
NCT03951805 results posted NN1436-4465 U1111-1219-5474, 2018-003406-11 Ph 2 completed A Research Study to Compare Two Types of Insulin: Insulin 287 and Insulin Glargine in People With Type 2 Diabetes Who Have Not Used Insulin Before
NCT03751657 results posted NN1436-4383 U1111-1208-4124, 2018-000322-63 Ph 2 completed A Research Study to Compare Insulin 287 Once a Week to Insulin Glargine (100 Units/mL) Once a Day in People With Type 2 Diabetes.
NCT03766854 NN1436-4422 U1111-1211-7635 Ph 1 completed A Research Study of How Different Amounts of a New Medicine NNC0148-0287 C (Insulin 287) Works on the Blood Sugar of People Who Are Japanese With Type 1 Diabetes When Given Once a Week
NCT02148861 NN1436-4057 2013-001180-22, U1111-1140-5344 Ph 1 completed A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneously Administered NNC0148-0287 (Insulin 287) in Subjects With Type 2 Diabetes
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

AWIQLI FLEXTOUCH FDA Label Details

Indications & Usage

FDA Label (PDF)

Awiqli is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Awiqli is a long-acting human insulin analog indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment