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Type 2 DiabetesPhase 3NCT00765817

Addition Of Exenatide To Insulin Glargine In Type 2 Diabetes Mellitus

A Phase 3 study testing exenatide in people with Type 2 Diabetes, run by AstraZeneca at 59 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Type 2 Diabetes
What is being tested?
exenatide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
261 participants
Where
59 sitesin 6 countries
Study dates
Oct 2008to Jan 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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:
  • metformin (stable dose for 6 weeks)
  • pioglitazone (stable dose for 6 weeks)
  • a combination of metformin and pioglitazone (stable dose for 6 weeks)
Show all 9Show fewer
  • 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).

Who cannot join

  • 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.
Show all 18Show fewer
  • 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.

Trial locations and contacts

59 sites in 6 countries.

59 sites in 6 countries

United States40 sites
  • Research Site

    Albuquerque, New Mexico

  • Research Site

    Atlanta, Georgia

  • Research Site

    Baton Rouge, Louisiana

  • Research Site

    Bend, Oregon

  • Research Site

    Berkeley Heights, New Jersey

  • Research Site

    Boston, Massachusetts

  • Research Site

    Buena Park, California

  • Research Site

    Chesterfield, Missouri

  • Research Site

    Concord, California

  • Research Site

    Dallas, Texas

  • Research Site

    Des Moines, Iowa

  • Research Site

    Durham, North Carolina

  • Research Site

    El Paso, Texas

  • Research Site

    Fresno, California

  • Research Site

    Georgetown, Texas

  • Research Site

    Greenbrae, California

  • Research Site

    Hollywood, Florida

  • Research Site

    Honolulu, Hawaii

  • Research Site

    Idaho Falls, Idaho

  • Research Site

    Jacksonville, Florida

  • Research Site

    Kenosha, Wisconsin

  • Research Site

    La Mesa, California

  • Research Site

    Lafayette, Louisiana

  • Research Site

    Lancaster, California

  • Research Site

    Las Vegas, Nevada

  • Research Site

    Matairie, Louisiana

  • Research Site

    Minneapolis, Minnesota

  • Research SIte

    New York, New York

  • Research Site

    Northridge, California

  • Research Site

    Omaha, Nebraska

  • Research Site

    Palm Springs, California

  • Research Site

    Peoria, Arizona

  • Research Site

    Phoenix, Arizona

  • Research Site

    Richmond, Virginia

  • Research Site

    Salinas, California

  • Research Site

    San Antonio, Texas

  • Research Site

    St Louis, Missouri

  • Research SIte

    Teaneck, New Jersey

  • Research Site

    Vancouver, Washington

  • Research Site

    Wichita, Kansas

Other trials in United States

United Kingdom7 sites
  • Research Site

    Birmingham, United Kingdom

  • Research Site

    Guildford, United Kingdom

  • Research Site

    Leicester, United Kingdom

  • Research Site

    Livingston, United Kingdom

  • Research Site

    Middlesbrough, United Kingdom

  • Research Site

    Swansea, United Kingdom

  • Research Site

    Torquay, United Kingdom

Other trials in United Kingdom

Puerto Rico4 sites
  • Research Site

    Carolina

  • Research Site

    Hato Rey

  • Research Site

    Ponce

  • Research Site

    San Juan

Other trials in Puerto Rico

Israel3 sites
  • Research Site

    Holon, Israel

  • Research Site

    Kfar Saba, Israel

  • Research Site

    Tel HaShomer, Israel

Other trials in Israel

Mexico3 sites
  • Research Site

    Coatzacoalcos, Mexico

  • Research Site

    México, State of Mexico

  • Research Site

    Monterrey, Mexico

Other trials in Mexico

Greece2 sites
  • Research Site

    Athens, Greece

  • Research Site

    Thessaloniki, Greece

Other trials in Greece

About this study

Official title: A Randomized Trial Comparing Exenatide With Placebo in Subjects With Type 2 Diabetes on Insulin Glargine With or Without Oral Antihyperglycemic Medications

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.

Conditions
Type 2 Diabetes
Being tested
placebo, exenatide
Keywords
diabetes, exenatide, Amylin, Lilly, metformin, pioglitazone, insulin glargine
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • placeboDrug

    subcutaneous injection, twice a day

  • exenatideDrug

    subcutaneous injection, twice a day, 10mcg

Study groups in NCT00765817
Study groupRoleWhat they receive
1Placebo comparatorNot described
Receives: Drug: placebo
2ExperimentalNot described
Receives: Drug: exenatide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Glycosylated Hemoglobin (HbA1c)

    Change in HbA1c from baseline following 30 weeks of therapy (i.e., HbA1c at week 30 minus HbA1c at baseline). Unit of measure is percent of hemoglobin that is glycosylated.

    Measured: baseline and 30 weeks

Secondary outcomes (16)
  1. Percentage of Patients Achieving HbA1c <=7%

    Percentage of patients in each arm who had HbA1c >7% at baseline and had HbA1c <=7% at week 30 (percentage = [number of subjects with HbA1c <=7% at week 30 divided by number of subjects with HbA1c >7% at baseline] * 100%).

    Measured: baseline and 30 weeks

  2. Percentage of Patients Achieving HbA1c <=6.5%

    Percentage of patients in each arm who had HbA1c >6.5% at baseline and had HbA1c <=6.5% at week 30 (percentage = [number of subjects with HbA1c <=6.5% at week 30 divided by number of subjects with HbA1c >6.5% at baseline] * 100%).

    Measured: baseline and 30 weeks

  3. Change in Fasting Serum Glucose

    Change in fasting serum glucose following 30 weeks of therapy (i.e., fasting serum glucose at week 30 minus fasting serum glucose at baseline)

    Measured: baseline and 30 weeks

  4. Change in 7-point Self-monitored Blood Glucose (SMBG) Profile

    Change in 7-point (pre-breakfast, 2 hour post-breakfast, pre-lunch, 2 hour post-lunch, pre-dinner, 2 hour post-dinner, 0300 hours) SMBG profile from baseline to week 30 (change = blood glucose value at week 30 minus blood glucose value at baseline)

    Measured: baseline and 30 weeks

  5. Change in Total Cholesterol

    Change in total cholesterol following 30 weeks of therapy (i.e., total cholesterol at week 30 minus total cholesterol at baseline)

    Measured: baseline and 30 weeks

  6. Change in Low Density Lipoprotein (LDL) Cholesterol

    Change in LDL cholesterol following 30 weeks of therapy (i.e., LDL cholesterol at week 30 minus LDL cholesterol at baseline)

    Measured: baseline and 30 weeks

  7. Change in High Density Lipoprotein (HDL) Cholesterol

    Change in HDL cholesterol following 30 weeks of therapy (i.e., HDL cholesterol at week 30 minus HDL cholesterol at baseline)

    Measured: baseline and 30 weeks

  8. Change in Triglycerides

    Change in triglycerides following 30 weeks of therapy (i.e., triglycerides at week 30 minus triglycerides at baseline)

    Measured: baseline and 30 weeks

  9. Change in Body Weight

    Change in body weight following 30 weeks of therapy (i.e., body weight at week 30 minus body weight at baseline)

    Measured: baseline and 30 weeks

  10. Change in Waist Circumference

    Change in waist circumference following 30 weeks of therapy (i.e., waist circumference at week 30 minus waist circumference at baseline)

    Measured: baseline and 30 weeks

  11. Change in Daily Insulin Dose

    Change in daily insulin dose following 30 weeks of therapy (i.e., daily insulin dose at week 30 minus daily insulin dose at baseline)

    Measured: baseline and 30 weeks

  12. Change in Daily Insulin Dose (on a Per Body Weight Basis)

    Change in daily insulin dose per kilogram (kg) following 30 weeks of therapy (i.e., daily insulin dose per kg at week 30 minus daily insulin dose per kg at baseline)

    Measured: baseline and 30 weeks

  13. Change in Systolic Blood Pressure (SBP)

    Change in SBP following 30 weeks of therapy (i.e., SBP at week 30 minus SBP at baseline)

    Measured: baseline and 30 weeks

  14. Change in Diastolic Blood Pressure (DBP)

    Change in DBP following 30 weeks of therapy (i.e., DBP at week 30 minus DBP at baseline)

    Measured: baseline and 30 weeks

  15. Minor Hypoglycemia Rate Per Year

    Number of minor hypoglycemia events experienced per subject per year. Minor hypoglycemia was defined as any time a subject felt he or she was experiencing a sign or symptom associated with hypoglycemia that was either self-treated by the subject or resolved on its own and had a concurrent finger stick blood glucose <3.0 mmol/L (54 mg/dL).

    Measured: baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30

  16. Percentage of Subjects Experiencing Minor Hypoglycemia

    Percentage of subjects in each arm experiencing at least one episode of minor hypoglycemia at any point during the study. Minor hypoglycemia was defined as any time a subject felt he or she was experiencing a sign or symptom associated with hypoglycemia that was either self-treated by the subject or resolved on its own and had a concurrent finger stick blood glucose <3.0 mmol/L (54 mg/dL).

    Measured: baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Oct 2008 (estimated)
  2. Study startOct 2008
  3. Primary completionJan 2010
  4. Study completionJan 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
261 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00765817
Sponsor's protocol ID
H8O-US-GWCO
Status last verified
Oct 2016
First submitted
1 Oct 2008
Last updated
24 Oct 2016
Data monitoring committee
No

Publications

  • 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.

    PubMed 24621255
  • 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.

    PubMed 23043166
  • 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.

    PubMed 22913891
  • 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.

    PubMed 22432107
  • 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.

    PubMed 21138825

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing exenatide in people with Type 2 Diabetes, run by AstraZeneca at 59 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in United States, United Kingdom, Puerto Rico, Israel, Mexico and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Jan 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Glycosylated Hemoglobin (HbA1c) (time frame: baseline and 30 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00765817, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2016.

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