Trial Outcomes & Findings for Weight Loss With Exenatide Treatment (NCT NCT01590433)

NCT ID: NCT01590433

Last Updated: 2021-06-23

Results Overview

Change in body weight after 12 weeks of treatment with exenatide or placebo twice daily injections. This outcome compares baseline and 12 week body weight.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

249 participants

Primary outcome timeframe

12 weeks

Results posted on

2021-06-23

Participant Flow

249 subjects provided informed consent, 182 were randomized. I am reporting that 249 subjects were enrolled according to our local IRB definition of enrollment. 182 started study treatment. 67 subjects who did not start treatment were either found to be ineligible based on screening labs; withdrew consent; or were lost to followup.

Participant milestones

Participant milestones
Measure
Exenatide
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Placebo
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Overall Study
STARTED
127
55
Overall Study
COMPLETED
75
33
Overall Study
NOT COMPLETED
52
22

Reasons for withdrawal

Reasons for withdrawal
Measure
Exenatide
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Placebo
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Overall Study
Lost to Follow-up
20
8
Overall Study
Withdrawal by Subject
21
11
Overall Study
Adverse Event
11
3

Baseline Characteristics

Weight Loss With Exenatide Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exenatide
n=127 Participants
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Exenatide: Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Placebo
n=55 Participants
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Placebo: Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study. Dietary counseling: All subjects will also receive individualized dietary counseling. Subjects may or may not be asked to follow a reduced calorie diet in addition to receiving treatment.
Total
n=182 Participants
Total of all reporting groups
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
18 Participants
n=5 Participants
4 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
109 Participants
n=5 Participants
51 Participants
n=7 Participants
160 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
127 participants
n=5 Participants
55 participants
n=7 Participants
182 participants
n=5 Participants
Race (NIH/OMB)
Black or African American
33 Participants
n=5 Participants
11 Participants
n=7 Participants
44 Participants
n=5 Participants
Race (NIH/OMB)
White
92 Participants
n=5 Participants
41 Participants
n=7 Participants
133 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
43.9 years
STANDARD_DEVIATION 11.9 • n=5 Participants
44.6 years
STANDARD_DEVIATION 13.7 • n=7 Participants
44.2 years
STANDARD_DEVIATION 12.4 • n=5 Participants
Sex: Female, Male
Female
127 Participants
n=5 Participants
55 Participants
n=7 Participants
182 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: subjects randomized to exenatide or placebo

Change in body weight after 12 weeks of treatment with exenatide or placebo twice daily injections. This outcome compares baseline and 12 week body weight.

Outcome measures

Outcome measures
Measure
Exenatide
n=75 Participants
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Exenatide: Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Placebo
n=33 Participants
Subjects will be randomly assigned to the exenatide study treatment group or to the placebo study treatment group. Placebo: Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study. Dietary counseling: All subjects will also receive individualized dietary counseling. Subjects may or may not be asked to follow a reduced calorie diet in addition to receiving treatment.
Change in Body Weight
6.5 percentage weight loss
Standard Deviation 0.4
7.5 percentage weight loss
Standard Deviation 0.6

Adverse Events

Exenatide

Serious events: 0 serious events
Other events: 89 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Exenatide
n=127 participants at risk
Exenatide: Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study.
Placebo
n=55 participants at risk
Placebo: Subjects will inject 5mcg of exenatide or identically dispensed placebo subcutaneously 15 minutes before the morning and evening meal for the first 2 weeks of the study. At study week 2, subjects will increase to 10mcg twice daily for the remainder of the study. Dietary counseling: All subjects will also receive individualized dietary counseling. Subjects may or may not be asked to follow a reduced calorie diet in addition to receiving treatment.
Gastrointestinal disorders
nausea
70.1%
89/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
25.5%
14/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
Gastrointestinal disorders
diarrhea
18.9%
24/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
16.4%
9/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
Gastrointestinal disorders
vomiting
12.6%
16/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
1.8%
1/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
Gastrointestinal disorders
reflux
15.7%
20/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
16.4%
9/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
Nervous system disorders
headache
26.8%
34/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
23.6%
13/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
Metabolism and nutrition disorders
decreased appetite
40.9%
52/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
23.6%
13/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
Skin and subcutaneous tissue disorders
rash
11.0%
14/127 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.
1.8%
1/55 • Entire study duration, up to 1 year
Adverse events and serious adverse events are defined according to clinicaltrials.gov definition. Adverse event information was collected at each study visit, in person.

Additional Information

Jody Dushay

Beth Israel Deaconess Medical Center

Phone: 617-667-9344

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place