Phase 3 · Exenatide

NCT00082407 trial results

Efficacy of Exenatide (AC2993, Synthetic Exendin-4, LY2148568) Compared With Twice-Daily Biphasic Insulin Aspart in Patients With Type 2 Diabetes Using Sulfonylurea and Metformin

Participants
505
Status
completed
Completed
2008-07
Sponsor
AstraZeneca

As posted on ClinicalTrials.gov (NCT00082407), updated at source Apr 7, 2015. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What NCT00082407 measured first

Change in Glcosylated Hemoglobin (HbA1c)percentage · baseline, week 52 · least squares mean
MeasureExenatide Armn=248Biphasic Insulin Aspart Armn=246
Baseline HbA1c8.59(0.07)8.65(0.07)
Change in HbA1c at week 52-0.98(0.07)-0.88(0.07)
Side effects by arm

Side effects in NCT00082407

Percent of participants affected. The most common events the registry lists.

EventExenatide ArmBiphasic Insulin Aspart Arm
Hypoglycemia53%51.6%
Nausea33.2%0.4%
Vomiting15%3.2%
Nasopharyngitis11.1%9.7%
Diarrhea9.5%2%
Influenza7.1%6.5%
Headache4.7%5.2%
Secondary outcomes

What else it measured

Percentage of Patients Achieving HbA1c <=7%percentage of participants · 52 weeks · number
Exenatide Armn=227Biphasic Insulin Aspart Armn=237
31.724.1
Change in Body Weightkg · baseline, week 52 · least squares mean
MeasureExenatide Armn=205Biphasic Insulin Aspart Armn=223
Baseline body weight85.51(0.99)83.38(0.99)
Change in body weight at week 52-2.54(0.17)2.92(0.17)
Change in Fasting Serum Glucosemmol/L · baseline, week 52 · least squares mean
MeasureExenatide Armn=198Biphasic Insulin Aspart Armn=218
Baseline fasting serum glucose11.00(0.18)11.30(0.18)
Change in fasting serum glucose at week 52-1.75(0.19)-1.64(0.19)
Change in 7-point Self-monitored Blood Glucose (SMBG) Profilemmol/L · baseline, week 52 · mean
MeasureExenatide Armn=253Biphasic Insulin Aspart Armn=248
Pre-breakfast: Baseline SMBG9.57(2.34)9.86(2.65)
Pre-breakfast: Change in SMBG at week 52-1.15(2.60)-1.68(2.33)
After breakfast: Baseline SMBG12.30(3.02)12.71(3.03)
After breakfast: Change in SMBG at week 52-3.83(3.30)-3.06(3.26)
Pre-lunch: Baseline SMBG9.38(2.86)9.86(3.30)
Pre-lunch: Change in SMBG at week 52-1.47(3.01)-2.40(3.44)
After lunch: Baseline SMBG11.18(3.14)11.39(3.58)
After lunch: Change in SMBG at week 52-1.72(3.48)-1.76(3.74)
Pre-dinner: Baseline SMBG9.35(2.86)9.57(3.03)
Pre-dinner: Change in SMBG at week 52-1.06(3.25)-1.52(3.42)
After dinner: Baseline SMBG11.25(3.04)11.68(3.27)
After dinner: Change in SMBG at week 52-3.11(3.76)-2.44(3.69)
Percentage of Patients With Hypoglycemic Eventspercentage of participants · 52 weeks · number
Exenatide Armn=253Biphasic Insulin Aspart Armn=248
53.051.6
Change in Rate of Hypoglycemic Eventsevents per 30 days per patient · baseline, week 52 · least squares mean
MeasureExenatide Armn=253Biphasic Insulin Aspart Armn=248
Baseline event rate0.22(0.07)0.18(0.07)
Change in event rate at week 520.19(0.06)0.26(0.06)
The trial

How NCT00082407 was run

This is a Phase 3, multicenter, open-label, comparator-controlled trial comparing the effect of exenatide twice daily to twice daily biphasic insulin aspart on glycemic control, as measured by hemoglobin A1c (HbA1c).

  • Exenatide Arm: subcutaneous injection, twice daily; 5 mcg for 4 weeks followed by 10 mcg for 48 weeks
  • Biphasic Insulin Aspart Arm: subcutaneous injection, twice daily; titration to target blood glucose level
Who could join the trial

Inclusion Criteria: * Patients have been treated with a stable dose of the following for at least 3 months prior to screening: 1. \>=1500 mg/day immediate-release metformin or extended-release metformin and at least an optimally effective dose for brand of sulfonylurea, or 2. a fixed-dose sulfonylurea/metformin combination therapy with the same sulfonylurea and metformin requirements as for the individual components * HbA1c between 7.0% and 11.0%, inclusive. * Patients have a body mass index \>25kg/m2 and \<40 kg/m2. * Female patients are not breastfeeding, and female patients of childbearing potential test negative for pregnancy, do not intend to become pregnant during the study, and agree to continue using a reliable method of birth control Exclusion Criteria: * Patients are investigator site personnel directly affiliated with the study, or are immediate family of investigator site personnel directly affiliated with the study. * Patients are employed by Lilly or Amylin. * Patients have previously, in this or any other study, received exenatide or glucagon-like peptide-1 analogs. * Patients have participated in an interventional medical, surgical, or pharmaceutical study within 30 days prior to screening. This criterion includes drugs that have not received regulatory approval for any indication at the time of study entry. * Patients have had greater than three episodes of severe hypoglycemia within 6 months prior to screening. * Patients have less than 5 years of remission history from any malignancy (other than basal cell or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer). * Patients have cardiac disease that is Class III or IV, according to the New York Heart Association criteria. * Patients have a known allergy or hypersensitivity to biphasic insulin aspart, exenatide, or excipients contained in these agents. * Patients have characteristics contraindicating metformin or sulfonylurea use, according to product-specific label. * Patients have a history of renal transplantation or are currently receiving renal dialysis or have serum creatinine \>=1.5 mg/dL for males and \>=1.2 mg/dL for females. * Patients have obvious clinical signs or symptoms of liver disease, acute or chronic hepatitis, or alanine aminotransferase/serum glutamic pyruvic transaminase greater than three times the upper limit of the reference range. * Patients have known hemoglobinopathy or chronic anemia. * Patients have active proliferative retinopathy or macular edema. * Patients are receiving treatment for gastrointestinal disease with a drug directly affecting gastrointestinal motility, including but not limited to metoclopramide, cisapride, and chronic macrolide antibiotics. * Patients are receiving chronic (lasting longer than 2 weeks) systemic glucocorticoid therapy (excluding topical and inhaled preparations) or have received such therapy within 2 weeks immediately prior to screening. * Patients have used any prescription...

Published papers

Papers from NCT00082407

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

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