AzTrials
AzTrials

Diabetes MellitusPhase 3NCT02229396

Phase 3 28-Week Study With 24-Week and 52-week Extension Phases to Evaluate Efficacy and Safety of Exenatide Once Weekly and Dapagliflozin Versus Exenatide and Dapagliflozin Matching Placebo

A Phase 3 study testing Exantide with Dapagliflozin, Exentide and Dapagliflozin in people with Diabetes Mellitus, run by AstraZeneca at 133 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

Study D5553C0003 is a 28-week, randomized, double-blind, active-controlled, multicenter, Phase 3 efficacy and safety study with 24-week and 52-week extension phases of simultaneous administration of exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg once daily (QD) compared to EQW 2 mg alone and dapagliflozin 10… Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Diabetes Mellitus
What is being tested?
Exantide with Dapagliflozin, Exentide and Dapagliflozin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
695 participants
Where
133 sitesin 6 countries
Study dates
4 Sep 2014to 28 Dec 2017
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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has a diagnosis of T2DM.
  • Has HbA1c of 8.0% to 12.0%, inclusive, at Visit 1 and Visit 2.
  • Treated with a stable dose of metformin ≥1500 mg/day for at least 2 months prior to Screening.

Who cannot join

  • FPG ≥280 mg/dL (15.6 mmol/L).
  • Serum calcitonin concentration ≥40 pg/mL (≥40 ng/L) at Visit 1 (Screening)
  • Clinically significant abnormal free T4 values or patients needing initiation or adjustment of thyroid treatment according to the investigator.
  • Abnormal thyroid stimulating hormone (TSH) value at Screening will be further evaluated by free T4.Patients with clinically significant abnormal free T4 values will be excluded.
  • Known active proliferative retinopathy.
  • History of, or currently have, acute or chronic pancreatitis, or have triglyceride concentrations ≥500 mg/dL (≥5.65 mmol/L) at Visit 1
  • History or presence of inflammatory bowel disease or other severe GI diseases, particularly those which may impact gastric emptying, such as gastroparesis or pyloric stenosis.
  • History of gastric bypass surgery or gastric banding surgery, or either procedure is planned during the time period of the study. Current use of gastric balloons is also excluded.

Trial locations and contacts

133 sites in 6 countries.

133 sites in 6 countries

United States76 sites
  • Research Site

    Anaheim, California, 92801

  • Research Site

    Avon, Indiana, 46123

  • Research Site

    Bellevue, Nebraska, 68005

  • Research Site

    Birmingham, Alabama, 35235

  • Research Site

    Boynton Beach, Florida, 33437

  • Research Site

    Burke, Virginia, 22015

  • Research Site

    Burlington, North Carolina, 27215

  • Research Site

    Charleston, South Carolina, 29407

  • Research Site

    Chicago, Illinois, 60607

  • Research Site

    Chula Vista, California, 91911

  • Research Site

    Cincinnati, Ohio, 45242

  • Research Site

    Clearwater, Florida, 33765

  • Research Site

    Clinton, Utah, 84015

  • Research Site

    Coral Gables, Florida, 33134

  • Research Site

    Dakota Dunes, South Dakota, 57049

  • Research Site

    Dallas, Texas, 75218

  • Research Site

    Dallas, Texas, 75230

  • Research Site

    El Cajon, California, 92020

  • Research Site

    Evansville, Indiana, 47714

  • Research Site

    Fort Lauderdale, Florida, 33316

  • Research Site

    Franklin, Indiana, 46131

  • Research Site

    Fresno, California, 93720

  • Research Site

    Glendale, Arizona, 85306

  • Research Site

    Greensboro, North Carolina, 27408

  • Research Site

    Greer, South Carolina, 29651

  • Research Site

    Haddon Heights, New Jersey, 08035

  • Research Site

    Hazelwood, Missouri, 63042

  • Research Site

    Hialeah, Florida, 33012

  • Research Site

    Houston, Texas, 77074

  • Research Site

    Houston, Texas, 77079

  • Research Site

    Houston, Texas, 77090

  • Research Site

    Huntsville, Alabama, 35801

  • Research Site

    Jacksonville, Florida, 32256

  • Research Site

    Jacksonville, Florida, 32277

  • Research Site

    La Mesa, California, 91942

  • Research Site

    Las Vegas, Nevada, 89109

  • Research Site

    Long Beach, California, 90807

  • Research Site

    Los Angeles, California, 90057

  • Research Site

    Manassas, Virginia, 20110

  • Research Site

    Medford, Oregon, 97504

  • Research Site

    Memphis, Tennessee, 38119

  • Research Site

    Miami, Florida, 33126

  • Research Site

    Miami, Florida, 33133

  • Research Site

    Miami, Florida, 33135

  • Research Site

    Miami, Florida, 33142

  • Research Site

    Miami, Florida, 33165

  • Research Site

    Miami, Florida, 33175

  • Research Site

    Miami, Florida, 33186

  • Research Site

    Mission Hills, California, 91345

  • Research Site

    Monroe, Louisiana, 71201

  • Research Site

    Montclair, California, 91763

  • Research Site

    Mooresville, North Carolina, 28117

  • Research Site

    Morehead City, North Carolina, 28557

  • Research Site

    Muncie, Indiana, 47304

  • Research Site

    Newton, Kansas, 67114

  • Research Site

    North Miami Beach, Florida, 33162

  • Research Site

    Oceanside, California, 92056

  • Research Site

    Orlando, Florida, 32801

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Pearland, Texas, 77584

  • Research Site

    Philadelphia, Pennsylvania, 91307

  • Research Site

    Richmond, Virginia, 23294

  • Research Site

    Salt Lake City, Utah, 84102

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    San Diego, California, 92103

  • Research Site

    San Diego, California, 92114

  • Research Site

    Spartanburg, South Carolina, 29303

  • Research Site

    Summerville, South Carolina, 29485

  • Research Site

    Tampa, Florida, 33603

  • Research Site

    Tempe, Arizona, 85283

  • Research Site

    Tomball, Texas, 77375

  • Research Site

    Tuscumbia, Alabama, 35674

  • Research Site

    Tustin, California, 92780

  • Research Site

    Van Nuys, California, 91405

  • Research Site

    Vandalia, Ohio, 45377

  • Research Site

    Williston, Florida, 32696

Other trials in United States

Hungary17 sites
  • Research Site

    Baja, 6500

  • Research Site

    Balatonfüred, 8230

  • Research Site

    Budaörs, 2040

  • Research Site

    Budapest, 1033

  • Research Site

    Budapest, 1083

  • Research Site

    Budapest, 1088

  • Research Site

    Debrecen, 4025

  • Research Site

    Eger, 3300

  • Research Site

    Gödöllő, 2100

  • Research Site

    Gyula, 5700

  • Research Site

    Kecskemét, 6000

  • Research Site

    Komárom, 2921

  • Research Site

    Létavértes, 4281

  • Research Site

    Nyíregyháza, 4405

  • Research Site

    Pécs, 7623

  • Research Site

    Szeged, 6722

  • Research Site

    Szekszárd, 7100

Other trials in Hungary

Slovakia14 sites
  • Research Site

    Banská Bystrica, 97517

  • Research Site

    Bardejov, 085 01

  • Research Site

    Bratislava, 81108

  • Research Site

    Bratislava, 82106

  • Research Site

    Bratislava, 85101

  • Research Site

    Dolný Kubín, 026 01

  • Research Site

    Košice, 04001

  • Research Site

    Levice, 934 01

  • Research Site

    Levice, 93401

  • Research Site

    Lučenec, 984 01

  • Research Site

    Nitra, 94911

  • Research Site

    Pezinok, 90201

  • Research Site

    Štúrovo, 943 01

  • Research Site

    Trebišov, 07501

Other trials in Slovakia

Romania10 sites
  • Research Site

    Baia Mare, 430222

  • Research Site

    Bucharest, 010192

  • Research Site

    Bucharest, 010825

  • Research Site

    Bucharest, 020475

  • Research Site

    Galati, 800578

  • Research Site

    Oradea, 410032

  • Research Site

    Oradea, 410169

  • Research Site

    Oradea, 410469

  • Research Site

    Ploieşti, 100342

  • Research Site

    Timișoara, 300456

Other trials in Romania

Poland8 sites
  • Research Site

    Lodz, 94-048

  • Research Site

    Lodz, 94-255

  • Research Site

    Lublin, 20-538

  • Research Site

    Oświęcim, 32-600

  • Research Site

    Parczew, 21-200

  • Research Site

    Poznan, 61-655

  • Research Site

    Torun, 87-100

  • Research Site

    Zgierz, 95-100

Other trials in Poland

South Africa8 sites
  • Research Site

    Bloemfontein, 9301

  • Research Site

    Cape Town, 7925

  • Research Site

    Johannesburg, 1818

  • Research Site

    Kempton Park, 1619

  • Research Site

    Middelburg, 1055

  • Research Site

    Parow, 7505

  • Research Site

    Port Elizabeth, 6014

  • Research Site

    Pretoria, 0001

Other trials in South Africa

About this study

Official title: A 28-week, Multicenter, Randomized, Double-Blind, Active-Controlled, Phase 3 Study With a 24-week Extension Phase Followed by a 52-week Extension Phase to Evaluate the Efficacy and Safety of Simultaneous Administration of Exenatide Once Weekly 2 mg and Dapagliflozin Once Daily 10 mg Compared to Exenatide Once Weekly 2 mg Alone and Dapagliflozin Once Daily 10 mg Alone in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin

Study D5553C0003 is a 28-week, randomized, double-blind, active-controlled, multicenter, Phase 3 efficacy and safety study with 24-week and 52-week extension phases of simultaneous administration of exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg once daily (QD) compared to EQW 2 mg alone and dapagliflozin 10 mg QD alone in patients with Type 2 diabetes who have inadequate glycemic control on metformin.

Being tested
Exantide with Dapagliflozin, Exentide, Dapagliflozin
Keywords
Diabetes Mellitus, Exenatide, Dapagliflozin, Diabetes medication, Treatment efficacy, Placebo, Metabolism, Cardiovascular metabolic
Medical subject headings
Diabetes Mellitus

What participants receive

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

  • Exantide with DapagliflozinDrug

    2 mg weekly suspension injection and 10 mg Dapagliflozin

  • ExentideDrug

    2 mg

  • DapagliflozinDrug

    10 mg once daily Dapagliflozin

Study groups in NCT02229396
Study groupRoleWhat they receive
Exenatide Once Weekly 2 mg and Dapagliflozin Once Daily 10 mgExperimentalNot described
Receives: Drug: Exantide with Dapagliflozin
Exenatide Once Weekly 2 mg AloneExperimentalNot described
Receives: Drug: Exentide
Dapagliflozin Once Daily 10 mg AloneActive comparatorNot described
Receives: Drug: Dapagliflozin

What is being measured

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

  1. Change in HbA1c From Baseline to Week 28

    To compare the change from baseline to Week 28 in HbA1c between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

Secondary outcomes (7)
  1. Change in Body Weight From Baseline to Week 28

    To compare the change from baseline to Week 28 in body weight between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

  2. Change in Fasting Plasma Glucose From Baseline to Week 28

    To compare the change from baseline to Week 28 in fasting plasma glucose between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

  3. Change From Baseline to Week 28 in 2-hour Postprandial Glucose After a Standard Meal Tolerance Test

    To compare the change from baseline to Week 28 in 2-hour postprandial glucose after a standard Meal Tolerance Test between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

  4. Percentage of Patients Achieving Weight Loss ≥5.0% at Week 28

    To compare the percentage of patients achieving weight loss ≥5.0% at 28 weeks between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

  5. Change in Fasting Plasma Glucose From Baseline to Week 2

    To compare the change from baseline to Week 2 in fasting plasma glucose between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 2

  6. Percentage of Patients Achieving HbA1c <7% at Week 28

    To compare the percentage of patients achieving HbA1c <7% at 28 weeks between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

  7. Change in Systolic Blood Pressure From Baseline to Week 28

    To compare the change from baseline to Week 28 in systolic blood pressure between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

    Measured: Baseline to Week 28

Timeline

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

  1. First posted1 Sep 2014 (estimated)
  2. Study start4 Sep 2014
  3. Primary completion26 Apr 2016
  4. Study completion28 Dec 2017

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
695 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02229396
Sponsor's protocol ID
D5553C00003
Other IDs
2014-003503-29, 2014
Status last verified
Dec 2018
First submitted
28 Aug 2014
Last updated
31 Dec 2018
Data monitoring committee
No

Publications

  • Jabbour SA, Frias JP, Ahmed A, Hardy E, Choi J, Sjostrom CD, Guja C. Efficacy and Safety Over 2 Years of Exenatide Plus Dapagliflozin in the DURATION-8 Study: A Multicenter, Double-Blind, Phase 3, Randomized Controlled Trial. Diabetes Care. 2020 Oct;43(10):2528-2536. doi: 10.2337/dc19-1350. Epub 2020 Aug 18.

    PubMed 32816874
  • 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.

    PubMed 32306296
  • Jabbour SA, Frias JP, Hardy E, Ahmed A, Wang H, Ohman P, Guja C. Safety and Efficacy of Exenatide Once Weekly Plus Dapagliflozin Once Daily Versus Exenatide or Dapagliflozin Alone in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy: 52-Week Results of the DURATION-8 Randomized Controlled Trial. Diabetes Care. 2018 Oct;41(10):2136-2146. doi: 10.2337/dc18-0680. Epub 2018 Aug 6.

    PubMed 30082326
  • Frias JP, Guja C, Hardy E, Ahmed A, Dong F, Ohman P, Jabbour SA. Exenatide once weekly plus dapagliflozin once daily versus exenatide or dapagliflozin alone in patients with type 2 diabetes inadequately controlled with metformin monotherapy (DURATION-8): a 28 week, multicentre, double-blind, phase 3, randomised controlled trial. Lancet Diabetes Endocrinol. 2016 Dec;4(12):1004-1016. doi: 10.1016/S2213-8587(16)30267-4. Epub 2016 Sep 16.

    PubMed 27651331

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Exantide with Dapagliflozin, Exentide and Dapagliflozin in people with Diabetes Mellitus, run by AstraZeneca at 133 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 3 inclusion and 8 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 31 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 133 sites in United States, Hungary, Slovakia, Romania, Poland 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. 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 8 Sep 2017). 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 HbA1c From Baseline to Week 28 (time frame: Baseline to Week 28). 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 NCT02229396, which also lists 4 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 31 Dec 2018.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
Clinical Trial NCT02229396 | AzTrials