Phase 3 · Exenatide

NCT00097500 trial results

A Phase 3, Randomized, Open Label, Comparator-Controlled, Parallel Group, Multicenter Study to Compare the Effects of Exenatide and Insulin Glargine on Beta Cell Function and Cardiovascular Risk Markers in Subjects With Type 2 Diabetes Treated With Metformin Who Have Not Achieved Target HbA1c

Beta-cell Function After 52 Weeks of Therapy (ratio), Baseline (week -2) and 52 weeks. Exenatide Arm: 2.89; Insulin Glargine Arm: 1.15.

Participants
69
Status
completed
Completed
2009-12
Sponsor
AstraZeneca

As posted on ClinicalTrials.gov (NCT00097500), 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 NCT00097500 measured first

Beta-cell Function After 52 Weeks of Therapyratio · Baseline (week -2) and 52 weeks · least squares mean
Exenatide Armn=30Insulin Glargine Armn=30
2.89(0.27)1.15(0.11)
Side effects by arm

Side effects in NCT00097500

Percent of participants affected, Total reporting period for adverse events is 64 weeks: a 52-week on-drug period followed by a 12-week off-drug period.. The most common events the registry lists.

EventExenatide ArmInsulin Glargine Arm
Any serious event8.3%3%
Nausea50%0%
Hypoglycemia16.7%30.3%
Influenza13.9%27.3%
Dyspepsia13.9%6.1%
Anemia2.8%12.1%
Gastroenteritis2.8%12.1%
Arthralgia5.6%12.1%
Abdominal Distension11.1%0%
Vomiting11.1%0%
Hyperlipidemia0%9.1%
Diarrhea8.3%3%
Flatulence8.3%0%
Injection Site Rash8.3%0%
Urinary Tract Infection8.3%6.1%
Decreased Appetite8.3%0%
Edema Peripheral0%6.1%
Tooth Infection0%6.1%
Headache2.8%6.1%
Hypertension0%6.1%
Laryngitis5.6%3%
Proteinuria5.6%0%
Secondary outcomes

What else it measured

Beta-cell Function 4 Weeks After Cessation of Therapyratio · Baseline (week -2) and 56 weeks · least squares mean
Exenatide Armn=30Insulin Glargine Armn=30
1.02(0.06)1.08(0.07)
Change in First Phase C-peptide Releaseratio · baseline (week -2), 52 weeks, and 56 weeks · least squares mean
MeasureExenatide Armn=29Insulin Glargine Armn=30
52 weeks1.72(0.11)1.13(0.07)
56 weeks0.95(0.05)1.06(0.06)
Change in Second Phase C-peptide Releaseratio · baseline (-2 weeks), 52 weeks, and 56 weeks · least squares mean
MeasureExenatide Armn=30Insulin Glargine Armn=30
52 weeks2.88(0.18)1.01(0.07)
56 weeks1.00(0.05)1.08(0.06)
Change in Glycosylated Hemoglobin (HbA1c)percent · Week 0 and week 52 · least squares mean
Exenatide Armn=36Insulin Glargine Armn=33
-0.97(0.14)-0.87(0.15)
Change in Fasting Plasma Glucosemmol/L · 0 weeks and 52 weeks · least squares mean
Exenatide Armn=36Insulin Glargine Armn=33
-1.53(0.25)-3.10(0.27)
Seven Point Self Monitored Blood Glucose (SMBG) Measurementsmmol/L · 0 weeks and 52 weeks · mean
MeasureExenatide Armn=36Insulin Glargine Armn=33
Pre-breakfast measurement (week 0)8.92(1.80)8.38(1.91)
Pre-breakfast measurement (week 52)7.27(1.63)5.63(0.85)
2-hour post-breakfast measurement (week 0)11.00(2.58)11.17(3.30)
2-hour post-breakfast measurement (week 52)6.98(2.42)7.53(2.16)
Pre-lunch measurement (week 0)8.14(2.25)8.54(2.51)
Pre-lunch measurement (week 52)6.52(1.52)6.24(1.66)
2-hour post-lunch measurement (week 0)9.90(2.54)10.52(2.96)
2-hour post-lunch measurement (week 52)7.97(2.01)8.15(1.77)
Pre-dinner measurement (week 0)8.38(2.40)8.07(2.48)
Pre-dinner measurement (week 52)7.53(2.63)6.98(2.04)
2-hour post-dinner measurement (week 0)10.42(2.42)10.26(2.82)
2-hour post-dinner measurement (week 52)6.98(2.25)8.81(2.03)
Change in Body Weightkg · 0 weeks and 52 weeks · least squares mean
Exenatide Armn=36Insulin Glargine Armn=33
-3.80(0.87)0.75(0.95)
M-value at Baseline, Week 52 and Week 56mg/min/kg · baseline (week -2), 52 weeks, and 56 weeks · mean
MeasureExenatide Armn=30Insulin Glargine Armn=30
baseline (week -2)2.24(0.39)2.79(0.26)
week 523.18(0.42)3.85(0.32)
week 563.19(0.44)2.81(0.29)
The trial

How NCT00097500 was run

This Phase 3, open-label, multicenter study is designed to compare the effects of exenatide and insulin glargine (Lantus® injection) on beta-cell function in patients with type 2 diabetes mellitus using metformin.

  • Exenatide Arm: Exenatide and Metformin
  • Insulin Glargine Arm: Insulin Glargine and Metformin
Who could join the trial

Inclusion Criteria: * Diagnosis of type 2 diabetes, but otherwise healthy * HbA1c between 6.6% and 9.5%, inclusive. * Body mass index (BMI) of 25 kg/m2 to 40 kg/m2, inclusive. * Treated with a stable dose of metformin for at least 2 months prior to screening. Exclusion Criteria: * Patients previously in a study using exenatide. * Treated with oral anti-diabetic medications other than metformin within 2 months of screening (thiazolidinediones within 5 months of screening). * Treated with insulin within 3 months of screening.

Published papers

Papers from NCT00097500

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

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