Efficacy of Once-Weekly Exenatide Versus Once or Twice Daily Insulin Detemir in Patients With Type 2 Diabetes

NCT ID: NCT01003184

Last Updated: 2015-04-07

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

222 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this study is to compare the effects of exenatide once weekly (QW) and insulin detemir with respect to glycemic control, body weight, lipids, safety, tolerability, and patient reported outcomes.

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

NONE

Study Groups

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1

Group Type EXPERIMENTAL

exenatide once weekly

Intervention Type DRUG

subcutaneous injection, 2mg, once a week

2

Group Type ACTIVE_COMPARATOR

insulin detemir

Intervention Type DRUG

subcutaneous injection, with dosage titrated according to the determir label and published titration schedule, once or twice a day

Interventions

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exenatide once weekly

subcutaneous injection, 2mg, once a week

Intervention Type DRUG

insulin detemir

subcutaneous injection, with dosage titrated according to the determir label and published titration schedule, once or twice a day

Intervention Type DRUG

Other Intervention Names

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Levemir

Eligibility Criteria

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Inclusion Criteria

* Have suboptimal glycaemic control as evidenced by an HbA1c 7.1% to 10.0%, inclusive
* Have a body mass index (BMI) of 25 kg/m2 to 45 kg/m2, inclusive
* Are receiving metformin at a stable dose (consistent with country specific requirements) of a minimum of 1000mg for at least 3 months prior to start start OR are receiving metformin at a minimum dose (consistent with country specific requirements) of 1000mg and sulphonylurea (as separate medications not as a fixed dose combination) at stable doses for 3 months prior to study start

Exclusion Criteria

* Have any contraindication for the OAD that they have been using
* Have a known allergy or hypersensitivity to insulin detemir, exenatide or excipients contained in these agents
* Have been treated within 4 weeks of screening with systemic glucocorticoid therapy by oral, intravenous (IV) or intramuscular (IM) route, or are regularly treated with potent, inhaled intranasal steroids that are known to have a high rate of systemic absorption. Exceptions to this criterion include patients who are receiving glucocorticoid therapy for corticotropic hypopituitary deficiency (e.g. Addison disease)
* Have been treated with drugs that promote weight loss, within 3 months of screening
* Have been treated for longer than 2 weeks with any of the following excluded medications within 3 months prior to screening: insulin, alpha-glucosidase, Byetta® (exenatide BID formulation), thiazolidinediones (TZD), dipeptidyl peptidase (DPP)-4 inhibitors
* Have previously completed or withdrawn from this study or any other study investigating exenatide QW
* 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, or discontinued within the last 30 days from, a clinical trial involving an off-label use of an investigational drug or device (other than the study drug/device used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this 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

Dublin, , Ireland

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Addlestone, England, United Kingdom

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Bath, England, United Kingdom

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Birmingham, England, United Kingdom

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Blackburn, England, United Kingdom

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Bournemouth, England, United Kingdom

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Chippenham, England, United Kingdom

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Derby, England, United Kingdom

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Exeter, England, United Kingdom

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High Wycombe, England, United Kingdom

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Hull, England, United Kingdom

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Leicester, England, United Kingdom

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Liverpool, England, United Kingdom

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London, England, United Kingdom

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Manchester, England, United Kingdom

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Merseyside, England, United Kingdom

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Middlesbrough, England, United Kingdom

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Newcastle, England, United Kingdom

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Northampton, England, United Kingdom

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Oldham, England, United Kingdom

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Plymouth, England, United Kingdom

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Portsmouth, England, United Kingdom

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Sheffield, England, United Kingdom

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Stevenage, England, United Kingdom

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Suffolk, England, United Kingdom

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Wakefield, England, United Kingdom

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Wiltshire, England, United Kingdom

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Aberdeen, Scotland, United Kingdom

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Dundee, Scotland, United Kingdom

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Carmathen, Wales, United Kingdom

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Swansea, Wales, United Kingdom

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Wrexham, Wales, United Kingdom

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Leytonstone, , United Kingdom

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Livingston, , United Kingdom

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Countries

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Ireland 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)

Other Identifiers

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H8O-EW-GWDL

Identifier Type: -

Identifier Source: org_study_id

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