Trial Outcomes & Findings for Study to Evaluate the Effect of BYDUREON on 24-hour Glucose Control in Metformin Treated Patients With Type 2 Diabetes. (NCT NCT02288273)

NCT ID: NCT02288273

Last Updated: 2017-01-27

Results Overview

Change in 24-hour mean weighted glucose from baseline (Day -1/1) to Day 6 of Week 4 (Day 27/28) and to Day 6 of Week 10 (Day 69/70).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

239 participants

Primary outcome timeframe

Day 27/28

Results posted on

2017-01-27

Participant Flow

239 subjects were screened in order to randomize 117 subjects; however, 116 subjects were included in the modified intent to treat population, which consisted of all randomized patients who received at least one dose of randomized study drug.

Participant milestones

Participant milestones
Measure
Once Weekly (EQW) + Met
Bydureon EQW + Metformin XR 1500-2000 mg
Placebo + Met
Placebo + Metformin 1500 + 2000 mg
Overall Study
STARTED
61
56
Overall Study
COMPLETED
53
48
Overall Study
NOT COMPLETED
8
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Evaluate the Effect of BYDUREON on 24-hour Glucose Control in Metformin Treated Patients With Type 2 Diabetes.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Once Weekly (EQW) + Met
n=60 Participants
Bydureon EQW + Metformin XR 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Total
n=116 Participants
Total of all reporting groups
Age, Continuous
55 Years
STANDARD_DEVIATION 10.63 • n=93 Participants
56 Years
STANDARD_DEVIATION 9.80 • n=4 Participants
55.6 Years
STANDARD_DEVIATION 10.21 • n=27 Participants
Gender
Female
27 Participants
n=93 Participants
24 Participants
n=4 Participants
51 Participants
n=27 Participants
Gender
Male
33 Participants
n=93 Participants
32 Participants
n=4 Participants
65 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Day 27/28

Change in 24-hour mean weighted glucose from baseline (Day -1/1) to Day 6 of Week 4 (Day 27/28) and to Day 6 of Week 10 (Day 69/70).

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 (mg/dL)
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 (mg/dL)
Placebo + Metformin 1500 + 2000 mg
Change in 24-hour Mean Weighted Glucose
Baseline (Day -1/1)
185.7 (mg/dL)
Standard Deviation 41.99
183.8 (mg/dL)
Standard Deviation 42.59
Change in 24-hour Mean Weighted Glucose
Day 27/28
158.3 (mg/dL)
Standard Deviation 35.72
176.9 (mg/dL)
Standard Deviation 44.03
Change in 24-hour Mean Weighted Glucose
Change from Baseline to Day 27/28
-26.0 (mg/dL)
Standard Deviation 3.58
-5.3 (mg/dL)
Standard Deviation 3.85
Change in 24-hour Mean Weighted Glucose
Change from Baseline to Day 69/70
-30.8 (mg/dL)
Standard Deviation 4.54
-3.0 (mg/dL)
Standard Deviation 4.78

SECONDARY outcome

Timeframe: Day 64/65

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 Participants
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Change in 24-hour Mean Weighted Glucose Between Day 1 of Week 10 (Day 64/65) and Day 6 of Week 10 (Day 69/70) Within Each EQW-treated Patient
5.2 mg/dL
Standard Error 3.46
-6.9 mg/dL
Standard Error 3.68

SECONDARY outcome

Timeframe: Day 22/Day70

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 Participants
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Change From Baseline (Day1) to Day 70 and Day 22 in FPG
Baseline to Day 22
-29.6 mg/dL
Standard Error 4.85
-1.9 mg/dL
Standard Error 4.99
Change From Baseline (Day1) to Day 70 and Day 22 in FPG
Baseline to Day 70
-41.9 mg/dL
Standard Error 5.21
-5.0 mg/dL
Standard Error 5.53

SECONDARY outcome

Timeframe: Day 22 and Day 64

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 Participants
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Change From Baseline (Day -1) to Day 64 and Day 22 in 2- Hour Mean Weighted PPG (After the Breakfast Meal)
Baseline to Day 22
-32.1 mg/dL
Standard Error 5.30
-2.0 mg/dL
Standard Error 5.51
Change From Baseline (Day -1) to Day 64 and Day 22 in 2- Hour Mean Weighted PPG (After the Breakfast Meal)
Baseline to Day 64
-44.4 mg/dL
Standard Error 5.62
-6.0 mg/dL
Standard Error 6.12

SECONDARY outcome

Timeframe: Week 4 and Week 10

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 Participants
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in mean weighted glucose baseline to Week 4
-4.5 mg/dL
Standard Error 1.09
-1.8 mg/dL
Standard Error 1.13
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in mean weighted glucose baseline - Week 10
-6.3 mg/dL
Standard Error 1.31
0.7 mg/dL
Standard Error 1.36
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in MAGE (mg/dL) from baseline to Week 4
-8.2 mg/dL
Standard Error 3.13
-3.8 mg/dL
Standard Error 3.25
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in MAGE (mg/dL) from baseline to Week 10
-15.2 mg/dL
Standard Error 3.51
2.9 mg/dL
Standard Error 3.62

SECONDARY outcome

Timeframe: Day 22 and Day 70

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 Participants
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Change in HbA1c From Baseline to Day 22 and Baseline to Day 70
Change from baseline to Day 22
-0.30 % Alc
Standard Error 0.045
-0.10 % Alc
Standard Error 0.047
Change in HbA1c From Baseline to Day 22 and Baseline to Day 70
Change from baseline to Day 70
-0.92 % Alc
Standard Error 0.102
-0.20 % Alc
Standard Error 0.108

SECONDARY outcome

Timeframe: Week 4 and Week 10

Outcome measures

Outcome measures
Measure
EQW + Met
n=60 Participants
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 Participants
Placebo + Metformin 1500 + 2000 mg
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in times(%): PG<70 baseline to Week 4
0.5 % times patients had specific CGM/24-hr
Standard Error 0.19
0.2 % times patients had specific CGM/24-hr
Standard Error 0.19
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in times (%): PG <70 baseline to Week 10
0.5 % times patients had specific CGM/24-hr
Standard Error 0.21
0.1 % times patients had specific CGM/24-hr
Standard Error 0.21
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in %: 70 </= PG </=180 baseline to week 4
15.8 % times patients had specific CGM/24-hr
Standard Error 2.37
4.1 % times patients had specific CGM/24-hr
Standard Error 2.46
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in %: 70 </= PG </=180 baseline to week 10
21.4 % times patients had specific CGM/24-hr
Standard Error 2.99
1.3 % times patients had specific CGM/24-hr
Standard Error 3.09
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in times (%): PG >180 baseline to Week 4
-16.2 % times patients had specific CGM/24-hr
Standard Error 2.37
-4.3 % times patients had specific CGM/24-hr
Standard Error 2.47
Average of Change in 24-hour Mean Weighted Glucose From Baseline to Week 4 and Baseline to Week 10
Change in times (%): PG >180 baseline to Week 10
-22.0 % times patients had specific CGM/24-hr
Standard Error 3.04
-1.4 % times patients had specific CGM/24-hr
Standard Error 3.14

Adverse Events

EQW + Met

Serious events: 4 serious events
Other events: 35 other events
Deaths: 0 deaths

Placebo + Met

Serious events: 1 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
EQW + Met
n=60 participants at risk
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 participants at risk
Placebo + Metformin 1500 + 2000 mg
General disorders
Chest Pain
1.7%
1/60 • Number of events 1 • 18 weeks
0.00%
0/56 • 18 weeks
General disorders
Non-Cardiac Chest Pain
1.7%
1/60 • Number of events 1 • 18 weeks
0.00%
0/56 • 18 weeks
Gastrointestinal disorders
Acute Pancreatitis
1.7%
1/60 • Number of events 1 • 18 weeks
0.00%
0/56 • 18 weeks
Infections and infestations
Upper respiratory tract infection
0.00%
0/60 • 18 weeks
1.8%
1/56 • Number of events 1 • 18 weeks
Renal and urinary disorders
Nephrolithiasis
1.7%
1/60 • Number of events 1 • 18 weeks
0.00%
0/56 • 18 weeks

Other adverse events

Other adverse events
Measure
EQW + Met
n=60 participants at risk
Bydureon EQW + Metformin 1500-2000 mg
Placebo + Met
n=56 participants at risk
Placebo + Metformin 1500 + 2000 mg
Infections and infestations
Urinary tract infection
6.7%
4/60 • Number of events 4 • 18 weeks
8.9%
5/56 • Number of events 5 • 18 weeks
Infections and infestations
Bronchitis
1.7%
1/60 • Number of events 1 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
Infections and infestations
Gastroenteritis
3.3%
2/60 • Number of events 2 • 18 weeks
1.8%
1/56 • Number of events 1 • 18 weeks
Infections and infestations
Upper respiratory tract infection
3.3%
2/60 • Number of events 2 • 18 weeks
1.8%
1/56 • Number of events 1 • 18 weeks
Infections and infestations
Pharyngitis
0.00%
0/60 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
Infections and infestations
Vulvovaginal mycotic infection
0.00%
0/60 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
General disorders
Injection site induration
5.0%
3/60 • Number of events 3 • 18 weeks
5.4%
3/56 • Number of events 3 • 18 weeks
General disorders
Injection site nodule
10.0%
6/60 • Number of events 6 • 18 weeks
0.00%
0/56 • 18 weeks
General disorders
Edema peripheral
0.00%
0/60 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
Gastrointestinal disorders
Diarrhea
5.0%
3/60 • Number of events 3 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
Gastrointestinal disorders
Nausea
6.7%
4/60 • Number of events 4 • 18 weeks
0.00%
0/56 • 18 weeks
Gastrointestinal disorders
Vomiting
3.3%
2/60 • Number of events 2 • 18 weeks
0.00%
0/56 • 18 weeks
Investigations
Lipase increased
3.3%
2/60 • Number of events 2 • 18 weeks
1.8%
1/56 • Number of events 1 • 18 weeks
Investigations
Amylase increased
3.3%
2/60 • Number of events 2 • 18 weeks
0.00%
0/56 • 18 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
5.0%
3/60 • Number of events 3 • 18 weeks
0.00%
0/56 • 18 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/60 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/60 • 18 weeks
3.6%
2/56 • Number of events 2 • 18 weeks
Renal and urinary disorders
Proteinuria
5.0%
3/60 • Number of events 3 • 18 weeks
1.8%
1/56 • Number of events 1 • 18 weeks
Renal and urinary disorders
Hematuria
5.0%
3/60 • Number of events 3 • 18 weeks
0.00%
0/56 • 18 weeks
Renal and urinary disorders
Glycosuria
3.3%
2/60 • Number of events 2 • 18 weeks
0.00%
0/56 • 18 weeks
Blood and lymphatic system disorders
Anemia
3.3%
2/60 • Number of events 2 • 18 weeks
0.00%
0/56 • 18 weeks

Additional Information

Sergey Zhuplatov MD, PhD

AstraZeneca, PLL

Phone: 215-542-3222

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution \& PI agree they will not use or disclose and confidential information to third parties for a period of 10 years from receipt.
  • Publication restrictions are in place

Restriction type: OTHER