Effects of Exenatide in Type 2 Diabetic Patients With Congestive Heart Failure

NCT ID: NCT00766857

Last Updated: 2015-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to determine if exenatide will improve global cardiac function in patients with type 2 diabetes mellitus and congestive heart failure, by favorable effects on cardiac metabolism leading to improvement of cardiac efficiency.

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus Congestive Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1. Exenatide

Group Type EXPERIMENTAL

exenatide

Intervention Type DRUG

Exenatide 5 mcg BID for 4 weeks, subsequently increased to 10 mcg BID for the remainder of the study (total of 26 weeks).

2. Insulin glargine

Group Type ACTIVE_COMPARATOR

Insulin glargine

Intervention Type DRUG

Insulin glargine will be initiated at 10 IU QD, titrated according to fasting blood glucose concentrations based on general protocol-defined guidance.

Interventions

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exenatide

Exenatide 5 mcg BID for 4 weeks, subsequently increased to 10 mcg BID for the remainder of the study (total of 26 weeks).

Intervention Type DRUG

Insulin glargine

Insulin glargine will be initiated at 10 IU QD, titrated according to fasting blood glucose concentrations based on general protocol-defined guidance.

Intervention Type DRUG

Other Intervention Names

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exenatide-Byetta insulin glargine-Lantus

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes mellitus
* Male and postmenopausal female
* Age 18 years an above
* Metformin therapy (stable, maximum tolerable dose for 2 months)
* HbA1c 6.5-10%
* Confirmed congestive heart failure (NHYA functional class II-IV)
* Ejection fraction \< 50%
* Patients should receive a stable standard therapy for their cardiac condition for 3 months prior entering the study

Exclusion Criteria

* Type 1 diabetes mellitus
* Serious renal or liver impairment
* (Receiving treatment for) malignant disease
* Cardiovascular event \< 3 months prior to inclusion
* Acute congestive heart failure
* Any reason for not being able to sustain the imaging studies
* Pacemaker/ICD
* Contraindications for the use of exenatide/ insulin
* Use of insulin, thiazolidinediones, incretin-based therapies within 4 months of screening
* Chronic use of glucocorticoids, NSAIDs or centrally acting drugs (\> 2 weeks) within 2 weeks immediately prior to screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Amsterdam UMC, location VUmc

OTHER

Sponsor Role lead

Responsible Party

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M.H.H. Kramer

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michaela Diamant, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

VUMC Diabetes Center

Locations

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VU University Medical Center

Amsterdam, North Holland, Netherlands

Site Status

Countries

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Netherlands

References

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Chen WJY, Diamant M, de Boer K, Harms HJ, Robbers LFHJ, van Rossum AC, Kramer MHH, Lammertsma AA, Knaapen P. Effects of exenatide on cardiac function, perfusion, and energetics in type 2 diabetic patients with cardiomyopathy: a randomized controlled trial against insulin glargine. Cardiovasc Diabetol. 2017 May 19;16(1):67. doi: 10.1186/s12933-017-0549-z.

Reference Type DERIVED
PMID: 28526033 (View on PubMed)

Other Identifiers

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EudraCT: 2008-005325-10

Identifier Type: -

Identifier Source: secondary_id

DC2008exe001

Identifier Type: -

Identifier Source: org_study_id