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Data updated: Jun 28, 2026

LEVEMIR (insulin detemir) · Novo Nordisk

Metabolic Approved 2005-06-16

Levemir is a long-acting insulin analog used to help both adults and children manage their blood sugar levels. It treats patients living with diabetes mellitus by providing consistent glycemic control. While it is effective for daily management, it is not used for patients experiencing diabetic ketoacidosis.

Source: FDA Label • Insulin Analog

How LEVEMIR Works

This medication works by regulating glucose metabolism and lowering blood sugar levels. It encourages skeletal muscle and fat to absorb glucose while stopping the liver from producing it. It also helps the body build protein and prevents the breakdown of fats and proteins.

5
Indications
--
Phase 3 Trials
21
Years on Market

Details

Status
Prescription
First Approved
2005-06-16
Routes
INJECTION, SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: INSULIN DETEMIR

LEVEMIR Approval History

2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
29 FDA actions from 2005 to 2022 · 3 indication expansions
Dec 2022 SUPPL
Label · Labeling
Jul 2022 SUPPL
Label · Labeling
Dec 2019 SUPPL
Label · Labeling

What LEVEMIR Treats

1 indications

LEVEMIR is approved for 1 conditions since its original approval in 2005. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

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Novo Nordisk's other novel FDA approvals

Other CDER-designated drugs from the same sponsor (2016–2025).

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Clinical Trial Registry

37 trials
Trial Sponsor ID Phase Status Title
NCT06685185 NN1644-7794 2024-511808-17, U1111-1304-2544 Ph 1 completed A Research Study of a New Medicine NNC0363-1063 in Healthy Participants and Participants With Type 1 Diabetes
NCT02048189 TRICIDIA RUDONI PARI 2011 Ph 4 terminated Treatment With Continuous Sub-cutaneous Insulin Infusion Via a Portable Pump Versus Discontinuous Insulin Infusion Via Multiple-injections in Type 2 Diabetes
NCT05124457 DETERMINE DETERMINE Ph 2 recruiting DETERMINE: Detemir vs NPH
NCT03377699 EXPECT results posted NN1250-4300 U1111-1191-3018, 2017-000048-17 Ph 3 completed Research Study Comparing Insulin Degludec to Insulin Detemir, Together With Insulin Aspart, in Pregnant Women With Type 1 Diabetes
NCT05134987 NN1845-4886 U1111-1266-4162, 2021-003271-33 Ph 1 completed A Multiple Dose Study Investigating Pharmacokinetics and Pharmacodynamics of Subcutaneous NNC0363-0845 in Participants With Type 1 Diabetes Pharmacokinetics and Pharmacodynamics: How Insulin NNC0363-0845 is Transported Throughout the Body and How It Works
NCT02967224 Reach-Control LPS13931 2015-001831-18, U1111-1170-8104 Ph 4 completed A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo Compared to "Standard of Care" Basal Insulins in Insulin Naïve Patients Initiating Insulin
NCT02967211 REGAIN CONTROL LPS14060 2015-001832-39, U1111-1170-8132 Ph 4 completed A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo Compared to "Standard of Care" Basal Insulin in Patients Already Using Basal Insulin
NCT00591227 results posted 07070902 Ph 4 completed Management of Diabetes in the Emergency Room: a Randomized Trial of an Insulin Protocol.
NCT01595646 SL120 results posted IRB00023230 ZEN-10-173646US Ph 2 completed Study of Nasal Insulin to Fight Forgetfulness - Long-acting Insulin Detemir - 120 Days (SL120)
NCT02451137 results posted LPS14347 U1111-1168-0354 Ph 4 completed A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo (ACHIEVE CONTROL REAL LIFE STUDY PROGRAM)
NCT01513473 BEGIN™ results posted NN1250-3561 2011-003148-39, P/44/2010 Ph 3 completed A Trial Investigating the Efficacy and Safety of Insulin Degludec in Children and Adolescents With Type 1 Diabetes Mellitus
NCT01831765 onset® 1 results posted NN1218-3852 2010-024049-53, U1111-1118-2442 Ph 3 completed Efficacy and Safety of FIAsp Compared to Insulin Aspart Both in Combination With Insulin Detemir in Adults With Type 1 Diabetes
NCT01835431 results posted NN5401-3816 2012-003566-41, U1111-1133-0958 Ph 3 completed A Trial Investigating the Efficacy and Safety of Insulin Degludec/Insulin Aspart Once Daily Plus Insulin Aspart for the Remaining Meals Versus Insulin Detemir Once or Twice Daily Plus Meal Time Insulin Aspart in Children and Adolescents With Type 1 Diabetes Mellitus
NCT02131272 iDEAt2 results posted NN304-4093 2013-005500-33, U1111-1151-4056 Ph 3 terminated A Trial Investigating the Efficacy and Safety of Insulin Detemir Versus Insulin NPH in Combination With Metformin and Diet/Exercise in Children and Adolescents With Type 2 Diabetes Insufficiently Controlled on Metformin With or Without Other Oral Antidiabetic Drug(s) With or Without Basal Insulin
NCT01232491 DIET™ results posted NN304-3785 U1111-1116-2629, 2009-014894-42 Ph 4 completed Impact of Dietary Intervention on Weight Change in Subjects With Type 2 Diabetes
NCT00978627 BOOST™ results posted NN5401-3594 2008-005769-71, U1111-1111-8943 Ph 3 completed Comparison of NN5401 Plus Insulin Aspart With Insulin Detemir Plus Insulin Aspart in Type 1 Diabetes
NCT01486966 results posted NN304-3954 U1111-1123-7088 Ph 4 terminated Comparing Efficacy and Safety of Insulin Detemir Plus Insulin Aspart and NPH Insulin Plus Human Soluble Insulin With or Without Metformin in Chinese Patients With Type 2 Diabetes
NCT00789191 results posted NN304-3511 2008-001050-40 Ph 3 completed Effect of Detemir and Sitagliptin on Blood Glucose Control in Type 2 Diabetes
NCT00634842 TITRATE™ results posted NN304-3502 Ph 4 completed Effect of Two Different Fasting Blood Glucose Targets on Glucose Control in Patients With Type 2 Diabetes Using Insulin Detemir Once Daily
NCT00909480 EFFICACY results posted NN304-1768 Ph 4 completed Effect of Insulin Detemir and Insulin Glargine on Blood Glucose Control in Subjects With Type 2 Diabetes
NCT00856986 results posted NN2211-1842 2007-005317-19 Ph 3 completed The Effect of Insulin Detemir in Combination With Liraglutide and Metformin Compared to Liraglutide and Metformin in Subjects With Type 2 Diabetes
NCT01074268 BEGIN™ results posted NN1250-3585 2009-011672-29, U1111-1111-7249 Ph 3 completed Comparison of NN1250 Plus Insulin Aspart With Insulin Detemir Plus Insulin Aspart in Type 1 Diabetes
NCT00841087 results posted NN1250-3569 JapicCTI-090711 Ph 2 completed Comparison of NN1250 Versus Insulin Detemir, Both Combined With Insulin Aspart in Subjects With Type 1 Diabetes
NCT01868542 results posted NN304-3994 U1111-1132-9267 Ph 4 completed A Trial Comparing the Glycaemic Control of Levemir® Administered Once Daily According to Two Insulin Detemir Titration Algorithms After 20 Weeks in Subjects With Type 2 Diabetes Mellitus Inadequately Controlled on Metformin Treatment With or Without Other Anti-diabetic Drugs (OADs)
NCT01165684 Full STEP™ results posted ANA-3786 2010-018974-19, U1111-1116-0908 Ph 4 completed Efficacy and Safety of Basal-bolus Therapy, Comparing Stepwise Addition of Insulin Aspart Versus Complete Basal-bolus Regimen
NCT00873223 NN2211-3673 Ph 1 completed Examination of the Effects of Liraglutide on the Mode of Action of Insulin Detemir
NCT01043510 NN1250-3762 U1111-1112-6185 Ph 1 completed The Effect of NN1250 in Subjects With Type 2 Diabetes of Different Race and/or Ethnic Origin
NCT01135927 NN1250-1996 U1111-1113-6722, JapicCTI-101158 Ph 1 completed A Trial Investigating the Effect of NN1250 in Japanese Subjects With Type 1 Diabetes
NCT01068652 results posted INS-3782 U1111-1112-6407 Ph 4 completed Effect of Different Insulin Administrations, All in Combination With Metformin, on Glycaemic Control in Subjects With Type 2 Diabetes Inadequately Controlled by Oral Anti-diabetic Drugs
NCT00623194 results posted NN304-1690 2006-002478-23 Ph 3 completed Safety Follow-up on Children and Adolescents With Type 1 Diabetes Treated With Insulin Detemir. An Extension to Trial NN304-1689
NCT00795600 results posted NN304-3614 2008-003739-19 Ph 4 completed Comparison of the Change in Fat Distribution in Overweight and Obese Subjects With Type 2 Diabetes After Insulin Treatment
NCT01003184 results posted H8O-EW-GWDL Ph 3 completed Efficacy of Once-Weekly Exenatide Versus Once or Twice Daily Insulin Detemir in Patients With Type 2 Diabetes
NCT00657943 CIMT EudraCT 2007-006665-33 Ph 4 completed The Copenhagen Insulin and Metformin Therapy Trial
NCT01547169 SNIFF-LONG 21 39683-A 2P50AG005136-27 Ph 2 completed Study of Nasal Insulin to Fight Forgetfulness - Long-acting Insulin Detemir - 21 Days
NCT00607737 APPLY APPLY EudraCT 2007-005677-59 Ph 4 completed Applications Site Reactions After Injection of Insulin Detemir and Saline in Subjects With Diabetes
NCT00941148 LANT_001 EudraCT Number: 2007-006109-26 Ph 4 completed Beta-Cell Function of Insulin Glargine Compared to Neutral Protamine Hagedorn (NPH) Insuline and to Insulin Detemir in Combination With Metformin
NCT00810589 ENM-HS-001 ENM-HS-001 Ph 1 completed A Randomised, Single Centre, Double-Blind, Two-Period Crossover, Glucose Clamp Trial
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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.

LEVEMIR FDA Label Details

Indications & Usage

FDA Label (PDF)

LEVEMIR is indicated to improve glycemic control in adult and pediatric patients with diabetes mellitus. Limitations of Use LEVEMIR is not recommended for the treatment of diabetic ketoacidosis. LEVEMIR is a long-acting human insulin analog indicated to improve glycemic control in adult and pediatric patients with diabetes mellitus . Limitations of Use: Not recommended for the treatment of diabetic ketoacidosis.

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Data Sources

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