Addition Of Exenatide To Insulin Glargine In Type 2 Diabetes Mellitus

NCT ID: NCT00765817

Last Updated: 2016-10-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

261 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2010-01-31

Brief Summary

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This study will compare the efficacy and safety of exenatide versus placebo in adults whose diabetes is not fully controlled by insulin glargine with or without metformin and/or pioglitazone.

Detailed Description

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Conditions

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Type 2 Diabetes

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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1

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

subcutaneous injection, twice a day

2

Group Type EXPERIMENTAL

exenatide

Intervention Type DRUG

subcutaneous injection, twice a day, 10mcg

Interventions

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placebo

subcutaneous injection, twice a day

Intervention Type DRUG

exenatide

subcutaneous injection, twice a day, 10mcg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have type 2 diabetes.
* Have been taking insulin glargine at a dose of ≥20 units/day for at least 3 months before entering the study.

Have been taking insulin glargine alone or in combination with one of the following for at least 3 months before entering the study:

1. metformin (stable dose for 6 weeks)
2. pioglitazone (stable dose for 6 weeks)
3. a combination of metformin and pioglitazone (stable dose for 6 weeks)

* Have HbA1C between 7.1% and 10.5%, inclusive.
* Have a body mass index (BMI) ≤45 kg/m2.
* Have a history of stable body weight (not varying by \>5% for at least 3 months prior to screening).

Exclusion Criteria

* Have taken medications to lower blood sugar other than insulin glargine, pioglitazone, or metformin in the 3 months before entering the study for more than a 1-week period, or within 1 week of entering the study.
* Have had more than one episode of major (severe) hypoglycemia in the 6 months before entering the study.
* Are pregnant or intend to become pregnant during the study or are sexually active women not actively practicing birth control.
* Women who are breastfeeding.
* Have any significant diseases of the blood, heart, kidney, gastrointestinal system, or other significant diseases such as cancer.
* Have had a kidney transplant or are currently on kidney dialysis.
* Have a cancer that's never been treated, that's currently being treated, or that was diagnosed within the last 5 years.
* Have had a bad reaction to exenatide in the past or have a condition that is not recommended to be exposed to exenatide or any of exenatide's other ingredients.
* Have used a drug for weight loss in the 3 months before entering the study for more than a 1-week period, or within 1 month of entering the study.
* Are currently on a weight-loss program or have been on one within 3 months of entering the study.
* Have had a blood transfusion or severe blood loss within 3 months of entering the study.
* Are taking systemic glucocorticoids or have received systemic glucocorticoids within 8 weeks of entering the study.
* Have an irregular sleep cycle (for example, sleeping during the day and working during the night).
* Have a history of pancreatitis.
* Have received treatment with an experimental drug within 30 days of entering the study.
* If on metformin, have a condition that is not recommended to be exposed to metformin, or any condition associated with hypoperfusion, hypoxemia, dehydration, or sepsis.
* If on metformin, have had a radiologic contrast study performed within 48 hours of entering the study.
* If on pioglitazone, have a condition that is not recommended to be exposed to pioglitazone, including congestive heart failure, or are taking pioglitazone at a dose that is not approved for use with insulin.
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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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Research Site

Peoria, Arizona, United States

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Phoenix, Arizona, United States

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Buena Park, California, United States

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Concord, California, United States

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Fresno, California, United States

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Greenbrae, California, United States

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La Mesa, California, United States

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Lancaster, California, United States

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Northridge, California, United States

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Palm Springs, California, United States

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Salinas, California, United States

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Hollywood, Florida, United States

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Jacksonville, Florida, United States

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Atlanta, Georgia, United States

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Honolulu, Hawaii, United States

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Idaho Falls, Idaho, United States

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Des Moines, Iowa, United States

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Wichita, Kansas, United States

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Baton Rouge, Louisiana, United States

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Lafayette, Louisiana, United States

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Matairie, Louisiana, United States

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Boston, Massachusetts, United States

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Minneapolis, Minnesota, United States

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Chesterfield, Missouri, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Berkeley Heights, New Jersey, United States

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Teaneck, New Jersey, United States

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Albuquerque, New Mexico, United States

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New York, New York, United States

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Durham, North Carolina, United States

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Bend, Oregon, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Georgetown, Texas, United States

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San Antonio, Texas, United States

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Richmond, Virginia, United States

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Vancouver, Washington, United States

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Kenosha, Wisconsin, United States

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Athens, Greece, Greece

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Thessaloniki, Greece, Greece

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Holon, Israel, Israel

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Kfar Saba, Israel, Israel

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Tel Litwinsky, Israel, Israel

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Coatzacoalcos, Mexico, Mexico

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Monterrey, Mexico, Mexico

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México, State of Mexico, Mexico

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Carolina, , Puerto Rico

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Hato Rey, , Puerto Rico

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Ponce, , Puerto Rico

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San Juan, , Puerto Rico

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Birmingham, United Kingdom, United Kingdom

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Guildford, United Kingdom, United Kingdom

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Leicester, United Kingdom, United Kingdom

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Livingston, United Kingdom, United Kingdom

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Middlesbrough, United Kingdom, United Kingdom

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Swansea, United Kingdom, United Kingdom

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Torquay, United Kingdom, United Kingdom

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Countries

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United States Greece Israel Mexico Puerto Rico United Kingdom

References

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Buse JB, Han J, Miller S, MacConell L, Pencek R, Wintle M. Addition of exenatide BID to insulin glargine: a post-hoc analysis of the effect on glycemia and weight across a range of insulin titration. Curr Med Res Opin. 2014 Jul;30(7):1209-18. doi: 10.1185/03007995.2014.896329. Epub 2014 Mar 18.

Reference Type DERIVED
PMID: 24621255 (View on PubMed)

Zinman B, Philis-Tsimikas A, Cariou B, Handelsman Y, Rodbard HW, Johansen T, Endahl L, Mathieu C; NN1250-3579 (BEGIN Once Long) Trial Investigators. Insulin degludec versus insulin glargine in insulin-naive patients with type 2 diabetes: a 1-year, randomized, treat-to-target trial (BEGIN Once Long). Diabetes Care. 2012 Dec;35(12):2464-71. doi: 10.2337/dc12-1205. Epub 2012 Oct 5.

Reference Type DERIVED
PMID: 23043166 (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)

Rosenstock J, Shenouda SK, Bergenstal RM, Buse JB, Glass LC, Heilmann CR, Kwan AY, MacConell LA, Hoogwerf BJ. Baseline factors associated with glycemic control and weight loss when exenatide twice daily is added to optimized insulin glargine in patients with type 2 diabetes. Diabetes Care. 2012 May;35(5):955-8. doi: 10.2337/dc11-1434. Epub 2012 Mar 19.

Reference Type DERIVED
PMID: 22432107 (View on PubMed)

Buse JB, Bergenstal RM, Glass LC, Heilmann CR, Lewis MS, Kwan AY, Hoogwerf BJ, Rosenstock J. Use of twice-daily exenatide in Basal insulin-treated patients with type 2 diabetes: a randomized, controlled trial. Ann Intern Med. 2011 Jan 18;154(2):103-12. doi: 10.7326/0003-4819-154-2-201101180-00300. Epub 2010 Dec 6.

Reference Type DERIVED
PMID: 21138825 (View on PubMed)

Other Identifiers

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H8O-US-GWCO

Identifier Type: -

Identifier Source: org_study_id

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