Safety and Efficacy of Exenatide in Patients With Type 2 Diabetes Using a Thiazolidinedione or a Thiazolidinedione and Metformin

NCT ID: NCT00603239

Last Updated: 2015-04-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

165 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2009-07-31

Brief Summary

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This study will assess safety and efficacy of exenatide in combination with a thiazolidinedione (TZD) and a TZD plus metformin over 26 weeks in adult patients with type 2 diabetes who have not achieved adequate glycemic control.

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Exenatide twice daily (BID)

Group Type EXPERIMENTAL

exenatide

Intervention Type DRUG

subcutaneous injection, 5 mcg or 10 mcg, twice a day (BID)

Placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

subcutaneous injection, volume equivalent to 5 mcg or 10 mcg of active drug, twice a day

Interventions

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exenatide

subcutaneous injection, 5 mcg or 10 mcg, twice a day (BID)

Intervention Type DRUG

placebo

subcutaneous injection, volume equivalent to 5 mcg or 10 mcg of active drug, twice a day

Intervention Type DRUG

Other Intervention Names

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Byetta

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with type 2 diabetes
* If treated with a thiazolidinedione (TZD) alone, the TZD dose must have been stable for at least 120 days
* The dose of TZD must be: Rosiglitazone (≥4 mg/day) or pioglitazone (≥30 mg/day)
* The metformin dose has been stable for at least 90 days
* Have suboptimal glycemic control as evidenced by an HbA1c between 7.1% and 10.0%, inclusive.
* Have a body mass index (BMI): 25 kg/m2 \< BMI \< 45 kg/m2.

Exclusion Criteria

* Have participated in this study previously or any other study using exenatide (AC2993/LY2148568) or glucagon-like peptide-1 (GLP-1) analogs, or have been previously treated with exenatide or GLP-1 analogs
* Have participated in an interventional medical, surgical, or pharmaceutical study (a study in which an experimental, drug, medical, or surgical treatment was given) within 30 days of screening. This criterion includes drugs that have not received regulatory approval for any indication at the time of study entry.
* Have been treated with exogenous insulin for more than 1 week within the 2 months prior to screening
* Used drugs for weight loss (e.g., orlistat, rimonabant, sibutramine, or similar over-the-counter medications) within 3 months prior to screening.
* Are currently treated with any of the following excluded medications:

* Sulfonylurea or meglitinide derivatives (e.g., repaglinide or nateglinide) within 3 months prior to screening
* Alpha-glucosidase inhibitor (e.g., miglitol or acarbose) within 3 months of screening
* Dipeptidyl peptidase-4 (DPP-4) inhibitors (e.g., sitagliptin or vildagliptin) within 3 months prior to screening
* Pramlintide acetate injection within 3 months prior to screening
* Drugs that directly affect gastrointestinal motility, including, but not limited to: Metoclopramide, cisapride, and chronic macrolide antibiotics
* Are receiving chronic (lasting longer than 2 weeks) systemic glucocorticoid therapy (excluding topical and inhaled preparations) or have received such therapy within the 4 weeks immediately preceding study start
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chief Medical Officer, MD

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Research Site

Birmingham, Alabama, United States

Site Status

Research Site

Concord, California, United States

Site Status

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Fresno, California, United States

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Denver, Colorado, United States

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Las Vegas, Nevada, United States

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Mogadore, Ohio, United States

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Corvallis, Oregon, United States

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Research Site

New Westminster, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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Ajax, Ontario, Canada

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Cambridge, Ontario, Canada

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Windsor, Ontario, Canada

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Chihuahua City, Chihuahua, Mexico

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Celaya, Guanajuato, Mexico

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Mexico City, Mexico City, Mexico

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Monterrey, Nuevo León, Mexico

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Mexico City, , Mexico

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Baia Mare, , Romania

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Brasov, , Romania

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Bucharest, , Romania

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Dolj, , Romania

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Iași, , Romania

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Suceava, , Romania

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Johannesburg, , South Africa

Site Status

Research Site

Pretoria, , South Africa

Site Status

Countries

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United States Canada Mexico Romania South Africa

References

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Liutkus J, Rosas Guzman J, Norwood P, Pop L, Northrup J, Cao D, Trautmann M. A placebo-controlled trial of exenatide twice-daily added to thiazolidinediones alone or in combination with metformin. Diabetes Obes Metab. 2010 Dec;12(12):1058-65. doi: 10.1111/j.1463-1326.2010.01251.x.

Reference Type RESULT
PMID: 20977576 (View on PubMed)

Pencek R, Blickensderfer A, Li Y, Brunell SC, Anderson PW. Exenatide twice daily: analysis of effectiveness and safety data stratified by age, sex, race, duration of diabetes, and body mass index. Postgrad Med. 2012 Jul;124(4):21-32. doi: 10.3810/pgm.2012.07.2567.

Reference Type DERIVED
PMID: 22913891 (View on PubMed)

Other Identifiers

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H8O-MC-GWCG

Identifier Type: -

Identifier Source: org_study_id

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