Safety and Efficacy of Exenatide Once Weekly Injection Versus Metformin, Dipeptidyl Peptidase-4 Inhibitor, or Thiazolidinedione as Monotherapy in Drug-Naive Patients With Type 2 Diabetes (DURATION-4)

NCT ID: NCT00676338

Last Updated: 2015-04-09

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

820 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2011-01-31

Brief Summary

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This study will compare the effects of 2.0 mg exenatide once weekly injection as monotherapy to 3 active comparators(metformin, dipeptidyl peptidase-4 inhibitor, and thiazolidinedione) in drug naive patients with type 2 diabetes treated with diet and exercise.

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 Once Weekly

Group Type EXPERIMENTAL

exenatide once weekly

Intervention Type DRUG

subcutaneous injection, 2mg, once weekly plus placebo oral once daily

Metformin

Group Type ACTIVE_COMPARATOR

metformin

Intervention Type DRUG

oral, 1000-2500mg, daily plus placebo once weekly subcutaneous injection

Sitagliptin

Group Type ACTIVE_COMPARATOR

sitagliptin

Intervention Type DRUG

oral, 100 mg, daily plus placebo once weekly subcutaneous injection

Pioglitazone

Group Type ACTIVE_COMPARATOR

pioglitazone

Intervention Type DRUG

oral, 30-45mg, daily plus placebo once weekly subcutaneous injection

Interventions

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exenatide once weekly

subcutaneous injection, 2mg, once weekly plus placebo oral once daily

Intervention Type DRUG

metformin

oral, 1000-2500mg, daily plus placebo once weekly subcutaneous injection

Intervention Type DRUG

sitagliptin

oral, 100 mg, daily plus placebo once weekly subcutaneous injection

Intervention Type DRUG

pioglitazone

oral, 30-45mg, daily plus placebo once weekly subcutaneous injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* have type 2 diabetes and are treated with diet and exercise alone.
* at least 18 years of age.
* HbA1c between 7.1% and 11.0%, inclusive.
* Body mass index (BMI) of 23 kg/m2 to 45 kg/m2, inclusive.
* Have a history of stable body weight (not varying by \>5% for at least 3 months prior to screening).

Exclusion Criteria

* Have history of cardiac disease or presence of active cardiac disease within the year prior to inclusion in the study including myocardial infarction, clinically significant arrhythmia, unstable angina, moderate to severe congestive heart failure, coronary artery bypass surgery, or angioplasty
* Have a history of renal transplantation or are currently receiving renal dialysis
* Have active or untreated malignancy, or have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years.
* Have history of severe GI disorder (e.g., gastroparesis)
* Have a history of acute or chronic pancreatitis.
* Have active proliferative retinopathy.
* Have been treated with drugs that promote weight loss (e.g., Xenical®\[orlistat\], Meridia® \[sibutramine\], Acomplia® \[rimonabant\], Acutrim® \[phenylpropanolamine\], or similar over-the-counter medications) within 3 months of screening.
* Have been treated with any antidiabetic agent for more than 7 days within 3 months prior to screening.
* Have had an organ transplant.
* Have previously completed or discontinued study drug in this study, withdrawn from this study or any other study investigating exenatide once weekly.
* Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
* Are currently enrolled in any other clinical study.
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

Buena Park, California, United States

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Los Angeles, California, United States

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Valencia, California, United States

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Jacksonville, Florida, United States

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Atlanta, Georgia, United States

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Meridian, Idaho, United States

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Des Moines, Iowa, United States

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Grand Rapids, Michigan, United States

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Minneapolis, Minnesota, United States

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Billings, Montana, United States

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Toms River, New Jersey, United States

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Wilmington, North Carolina, United States

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Danville, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Wilke Barre, Pennsylvania, United States

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Austin, Texas, United States

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El Paso, Texas, United States

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New Branufels, Texas, United States

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Buenos Aires, , Argentina

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Mar del Plata, , Argentina

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Leuven, , Belgium

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Marchovelette, , Belgium

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Tessenderlo, , Belgium

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Brasília, , Brazil

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Campinas, , Brazil

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Curitiba, , Brazil

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Fortaleza, , Brazil

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Joinville, , Brazil

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Porto Alegre, , Brazil

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Recife, , Brazil

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São Paulo, , Brazil

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Coquitlam, British Columbia, Canada

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Penticton, British Columbia, Canada

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Ottawa, Ontario, Canada

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Gatineu, Quebec, Canada

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Mississauga, , Canada

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Petitcodiac, , Canada

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Pointe-Claire, , Canada

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Regina, , Canada

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Saint John, , Canada

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Châteaugiron, , France

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Mûrs-Erigné, , France

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Nantes, , France

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Vieux-Condé, , France

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Dresden, , Germany

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Mainz, , Germany

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Münster, , Germany

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Rodgau, , Germany

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Budapest, , Hungary

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Gyula, , Hungary

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Hódmezővásárhely, , Hungary

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Pécs, , Hungary

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Ahmedabad, , India

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Bangalore, , India

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Channai, , India

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Kochi, , India

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Mumbai, , India

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New Dehli, , India

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Pune, , India

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Holon, , Israel

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Tel Litwinsky, , Israel

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Florence, , Italy

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Milan, , Italy

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Siena, , Italy

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Chihuahua City, , Mexico

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Guadalajara, , Mexico

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Monterrey, , Mexico

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Lublin, , Poland

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Szczecin, , Poland

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Wroclaw, , Poland

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Manatí, , Puerto Rico

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Toa Baja, , Puerto Rico

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Galati, , Romania

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Oradea, , Romania

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Târgu Mureş, , Romania

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Arkhangelsk, , Russia

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Moscow, , Russia

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Rostov-on-Don, , Russia

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Saint Petersburg, , Russia

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Stavropol, , Russia

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Bratislava, , Slovakia

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Trebišov, , Slovakia

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Johannesburg, , South Africa

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Kempton Park, , South Africa

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Midrand, , South Africa

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Soweto, , South Africa

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Busan, , South Korea

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Daegu, , South Korea

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Jeonju, , South Korea

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Seoul, , South Korea

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Sungnam, , South Korea

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Alicante, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Seville, , Spain

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Ankara, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Sisli-Istanbul, , Turkey (Türkiye)

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Bath, , United Kingdom

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Birmingham, , United Kingdom

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Edinburgh, , United Kingdom

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Frome, , United Kingdom

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Guildford, , United Kingdom

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Hull, , United Kingdom

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Sheffield, , United Kingdom

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Swansea, , United Kingdom

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Countries

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United States Argentina Belgium Brazil Canada France Germany Hungary India Israel Italy Mexico Poland Puerto Rico Romania Russia Slovakia South Africa South Korea Spain Turkey (Türkiye) United Kingdom

References

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Guja C, Frias JP, Suchower L, Hardy E, Marr G, Sjostrom CD, Jabbour SA. Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease. Diabetes Ther. 2020 Jul;11(7):1467-1480. doi: 10.1007/s13300-020-00815-z. Epub 2020 Apr 18.

Reference Type DERIVED
PMID: 32306296 (View on PubMed)

Malloy J, Meloni A, Han J. Efficacy and tolerability of exenatide once weekly versus sitagliptin in patients with type 2 diabetes mellitus: a retrospective analysis of pooled clinical trial data. Postgrad Med. 2013 May;125(3):58-67. doi: 10.3810/pgm.2013.05.2661.

Reference Type DERIVED
PMID: 23748507 (View on PubMed)

Grimm M, Han J, Weaver C, Griffin P, Schulteis CT, Dong H, Malloy J. Efficacy, safety, and tolerability of exenatide once weekly in patients with type 2 diabetes mellitus: an integrated analysis of the DURATION trials. Postgrad Med. 2013 May;125(3):47-57. doi: 10.3810/pgm.2013.05.2660.

Reference Type DERIVED
PMID: 23748506 (View on PubMed)

Meloni AR, DeYoung MB, Han J, Best JH, Grimm M. Treatment of patients with type 2 diabetes with exenatide once weekly versus oral glucose-lowering medications or insulin glargine: achievement of glycemic and cardiovascular goals. Cardiovasc Diabetol. 2013 Mar 23;12:48. doi: 10.1186/1475-2840-12-48.

Reference Type DERIVED
PMID: 23522121 (View on PubMed)

Russell-Jones D, Cuddihy RM, Hanefeld M, Kumar A, Gonzalez JG, Chan M, Wolka AM, Boardman MK; DURATION-4 Study Group. Efficacy and safety of exenatide once weekly versus metformin, pioglitazone, and sitagliptin used as monotherapy in drug-naive patients with type 2 diabetes (DURATION-4): a 26-week double-blind study. Diabetes Care. 2012 Feb;35(2):252-8. doi: 10.2337/dc11-1107. Epub 2011 Dec 30.

Reference Type DERIVED
PMID: 22210563 (View on PubMed)

Other Identifiers

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H8O-MC-GWCH (DURATION - 4)

Identifier Type: -

Identifier Source: org_study_id

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