Trial Outcomes & Findings for A Study to Assess the Effect of Exenatide Treatment on Mean 24-Hour Heart Rate in Patients With Type 2 Diabetes (NCT NCT00516074)

NCT ID: NCT00516074

Last Updated: 2015-04-07

Results Overview

Change from baseline to endpoint in average heart rate measured over 24 hours by an ambulatory blood pressure monitor.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

54 participants

Primary outcome timeframe

12 weeks

Results posted on

2015-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
Exenatide BID
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Overall Study
STARTED
28
26
Overall Study
COMPLETED
22
23
Overall Study
NOT COMPLETED
6
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Exenatide BID
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Overall Study
Adverse Event
0
1
Overall Study
Subject Decision
4
2
Overall Study
Loss of Glucose Control
2
0

Baseline Characteristics

A Study to Assess the Effect of Exenatide Treatment on Mean 24-Hour Heart Rate in Patients With Type 2 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exenatide BID
n=28 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=26 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Total
n=54 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
23 Participants
n=7 Participants
46 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Age, Continuous
56.62 years
STANDARD_DEVIATION 10.90 • n=5 Participants
54.14 years
STANDARD_DEVIATION 10.13 • n=7 Participants
55.43 years
STANDARD_DEVIATION 10.51 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
15 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
11 Participants
n=7 Participants
30 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Intent to treat; Last observation carried forward

Change from baseline to endpoint in average heart rate measured over 24 hours by an ambulatory blood pressure monitor.

Outcome measures

Outcome measures
Measure
Exenatide BID
n=26 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=25 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Change in Mean 24-hour Heart Rate From Baseline to Endpoint
Baseline (Week 0)
74.83 beats per minute
Standard Error 2.04
74.47 beats per minute
Standard Error 2.08
Change in Mean 24-hour Heart Rate From Baseline to Endpoint
Change at endpoint (Week 12)
2.14 beats per minute
Standard Error 1.39
-0.71 beats per minute
Standard Error 1.42

SECONDARY outcome

Timeframe: 12 weeks

Population: Intent to treat; Last observation carried forward

Change from baseline to endpoint in daytime heart rate as measured by an ambulatory blood pressure monitor

Outcome measures

Outcome measures
Measure
Exenatide BID
n=26 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=25 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Change in Daytime Heart Rate From Baseline to Endpoint
Baseline (Week 0)
75.97 beats per minute
Standard Error 2.22
75.37 beats per minute
Standard Error 2.26
Change in Daytime Heart Rate From Baseline to Endpoint
Change at endpoint (Week 12)
2.35 beats per minute
Standard Error 1.59
-0.87 beats per minute
Standard Error 1.62

SECONDARY outcome

Timeframe: 12 weeks

Population: Intent to treat; Last observation carried forward

Change from baseline to endpoint in nighttime (2400-0600) heart rate as measured by an ambulatory blood pressure monitor

Outcome measures

Outcome measures
Measure
Exenatide BID
n=26 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=25 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Change in Nighttime (2400-0600) Heart Rate From Baseline to Endpoint
Baseline (Week 0)
71.54 beats per minute
Standard Error 2.12
71.77 beats per minute
Standard Error 2.16
Change in Nighttime (2400-0600) Heart Rate From Baseline to Endpoint
Change at endpoint (Week 12)
1.43 beats per minute
Standard Error 1.79
-0.28 beats per minute
Standard Error 1.83

SECONDARY outcome

Timeframe: 12 weeks

Population: Intent to treat; Last observation carried forward

Change from baseline to endpoint in average systolic blood pressure measured over 24 hours by an ambulatory blood pressure monitor

Outcome measures

Outcome measures
Measure
Exenatide BID
n=26 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=25 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Change in Mean 24 Hour Systolic Blood Pressure From Baseline to Endpoint
Baseline (Week 0)
126.61 mmHg
Standard Error 3.04
119.93 mmHg
Standard Error 3.10
Change in Mean 24 Hour Systolic Blood Pressure From Baseline to Endpoint
Change at endpoint (Week 12)
-0.81 mmHg
Standard Error 2.67
-0.34 mmHg
Standard Error 2.72

SECONDARY outcome

Timeframe: 12 weeks

Population: Intent to treat; Last observation carried forward

Change from baseline to endpoint in average diastolic blood pressure measured over 24 hours by an ambulatory blood pressure monitor

Outcome measures

Outcome measures
Measure
Exenatide BID
n=26 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=25 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Change in Mean 24 Hour Diastolic Blood Pressure From Baseline to Endpoint
Baseline (Week 0)
75.70 mmHg
Standard Error 2.05
70.54 mmHg
Standard Error 2.09
Change in Mean 24 Hour Diastolic Blood Pressure From Baseline to Endpoint
Change at endpoint (Week 12)
-0.60 mmHg
Standard Error 1.49
-2.34 mmHg
Standard Error 1.52

SECONDARY outcome

Timeframe: 12 weeks

Population: Intent to treat; Last observation carried forward

Change from baseline to endpoint in HbA1c

Outcome measures

Outcome measures
Measure
Exenatide BID
n=27 Participants
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
n=25 Participants
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Change in Hemoglobin A1c (HbA1c) From Baseline to Endpoint
Baseline (Week 0)
7.50 percent
Standard Error 0.16
7.11 percent
Standard Error 0.17
Change in Hemoglobin A1c (HbA1c) From Baseline to Endpoint
Change at endpoint (Week 12)
-0.15 percent
Standard Error 0.16
0.12 percent
Standard Error 0.17

Adverse Events

Exenatide BID

Serious events: 1 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Exenatide BID
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Injury, poisoning and procedural complications
Rib fracture
3.6%
1/28
0.00%
0/26
Psychiatric disorders
Depression
0.00%
0/28
3.8%
1/26

Other adverse events

Other adverse events
Measure
Exenatide BID
5mcg exenatide twice daily for 4 weeks, and then 10mcg exenatide twice daily for the remaining 8 weeks of the study.
Placebo
Placebo injection twice daily (volume equivalent to the exenatide injection in the experimental arm).
Gastrointestinal disorders
Nausea
35.7%
10/28
19.2%
5/26
Nervous system disorders
Headache
17.9%
5/28
15.4%
4/26
Infections and infestations
Influenza
17.9%
5/28
26.9%
7/26
Respiratory, thoracic and mediastinal disorders
Cough
7.1%
2/28
0.00%
0/26
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
7.1%
2/28
3.8%
1/26
Gastrointestinal disorders
Vomiting
7.1%
2/28
7.7%
2/26
Nervous system disorders
Dizziness
3.6%
1/28
7.7%
2/26
Metabolism and nutrition disorders
Hyperglycemia
3.6%
1/28
19.2%
5/26
Psychiatric disorders
Depression
0.00%
0/28
7.7%
2/26
Nervous system disorders
Migraine
0.00%
0/28
7.7%
2/26
Nervous system disorders
Restlessness
0.00%
0/28
7.7%
2/26

Additional Information

Peter Ohman, Medical Science Director

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60