Phase 3 · Exenatide

NCT00375492 trial results

Effect on Weight Loss of Exenatide Versus Placebo in Subjects With Type 2 Diabetes Participating in a Lifestyle Modification Program

Change From Baseline in Body Weight (kg), Baseline, Week 24. Group A (Exenatide): -6.16; Group B (Placebo): -3.97.

Participants
196
Status
completed
Completed
2008-02
Sponsor
AstraZeneca

As posted on ClinicalTrials.gov (NCT00375492), 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 NCT00375492 measured first

Change From Baseline in Body Weightkg · Baseline, Week 24 · least squares mean
Group A (Exenatide)n=70Group B (Placebo)n=72
-6.16(0.54)-3.97(0.52)
Side effects by arm

Side effects in NCT00375492

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

EventGroup A (Exenatide)Group B (Placebo)
Nausea44.8%19.4%
Vomiting21.9%9.2%
Diarrhea18.8%21.4%
Upper respiratory tract infection17.7%17.3%
Injection site bruising5.2%14.3%
Headache11.5%9.2%
Nasopharyngitis11.5%6.1%
Constipation9.4%10.2%
Back pain4.2%8.2%
Pain in extremity7.3%5.1%
Urinary tract infection3.1%7.1%
Decreased appetite6.3%6.1%
Contusion6.3%4.1%
Injection site pruritus6.3%0%
Cough5.2%6.1%
Dizziness5.2%5.1%
Myalgia5.2%2%
Dysgeusia5.2%1%
Injection site erythema5.2%0%
Nasal congestion5.2%0%
Musculoskeletal pain1%5.1%
Secondary outcomes

What else it measured

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24percent hemoglobin · baseline, Week 24 · least squares mean
Group A (Exenatide)n=70Group B (Placebo)n=71
-1.21(0.09)-0.73(0.09)
Change From Baseline in 6-point Self Monitored Blood Glucose (SMBG) Profile at Week 24mmol/L · baseline, Week 24 · least squares mean
MeasureGroup A (Exenatide)n=69Group B (Placebo)n=72
Morning Pre-Meal-1.87(0.17)-1.20(0.17)
2 Hours Post Morning Meal-2.67(0.22)-1.92(0.22)
Midday Pre-Meal-1.40(0.19)-1.37(0.19)
2 Hours Post Midday Meal-2.12(0.21)-1.51(0.20)
Evening Pre-Meal-1.57(0.19)-1.32(0.19)
2 Hours Post Evening Meal-3.09(0.22)-2.28(0.23)
Change From Baseline in Waist Circumference at Week 24cm · baseline, Week 24 · least squares mean
Group A (Exenatide)n=69Group B (Placebo)n=69
-5.33(0.71)-4.18(0.73)
Ratio of Homeostatic Model Assessment-Beta Cell (HOMA-B) at Week 24 to HOMA-B at BaselineRatio · baseline, Week 24 · geometric mean
Group A (Exenatide)n=68Group B (Placebo)n=76
1.46(0.12)1.29(0.10)
Ratio of Homeostatic Model Assessment-Insulin Sensitivity (HOMA-S) at Week 24 to HOMA-S at BaselineRatio · baseline, Week 24 · geometric mean
Group A (Exenatide)n=68Group B (Placebo)n=76
1.08(0.07)0.97(0.06)
Change From Baseline in High Density Lipoprotein (HDL) Cholesterol at Week 24mmol/L · baseline, Week 24 · least squares mean
Group A (Exenatide)n=81Group B (Placebo)n=89
0.02(0.02)0.02(0.02)
Change From Baseline in Low Density Lipoprotein (LDL) Cholesterol at Week 24mmol/L · baseline, Week 24 · least squares mean
Group A (Exenatide)n=81Group B (Placebo)n=89
-0.06(0.08)-0.04(0.07)
Change From Baseline in Total Cholesterol at Week 24mmol/L · baseline, week 24 · least squares mean
Group A (Exenatide)n=81Group B (Placebo)n=89
-0.16(0.10)-0.03(0.10)
Ratio of Triglycerides at Week 24 to Triglycerides at BaselineRatio · baseline, Week 24 · geometric mean
Group A (Exenatide)n=81Group B (Placebo)n=89
0.83(0.04)0.92(0.04)
Number of Participants With Hypoglycemic Events During the Studyparticipants · Baseline to 24 weeks · number
Group A (Exenatide)n=96Group B (Placebo)n=98
3330
Rate of Hypoglycemic Eventsevents per patient per year · 24 weeks · least squares mean
Group A (Exenatide)n=96Group B (Placebo)n=98
7.14(1.45)4.58(1.43)
The trial

How NCT00375492 was run

This trial is designed to compare the effects of twice-daily exenatide and twice-daily placebo on weight loss. This trial will evaluate overweight and obese subjects with type 2 diabetes who have inadequate glycemic control with metformin, sulfonylurea, or metformin plus a sulfonylurea. Subjects will be treated with exenatide or placebo in addition to their current oral antidiabetes agent regimen and participate in a lifestyle modification program.

  • Group A
  • Group B
Who could join the trial

Inclusion Criteria: * Diagnosed with type 2 diabetes for at least 6 months * Have been treated with a stable dose of the following for at least 6 weeks prior to screening: \*immediate or extended release metformin, or \*a sulfonylurea, or \*a fixed-dose sulfonylurea/metformin combination therapy * Have an HbA1c of 6.6% to 10.0%, inclusive * Have a Body Mass Index (BMI) of 25 kg/m\^2 to 39.9 kg/m\^2, inclusive Exclusion Criteria: * Are treated with any of the following excluded medications: \*exogenous insulin, thiazolidinedione, or alpha-glucosidase inhibitor for more than 1 week within 6 weeks of screening; \*Symlin injection at any time; \* Byetta injection within 3 months of screening or discontinuation of therapy at any time due to adverse reaction; \*drugs that directly affect gastrointestinal motility; \*use of a weight loss drug (including those available over the counter) within 3 months of screening; \*chronic (lasting longer than 2 weeks) systemic corticosteroids (excluding topical, intranasal, and inhaled preparations) by oral, intravenous, or intramuscular route within 2 months of screening * Have conditions contraindicating metformin and/or sulfonylurea use * Have had a change in lipid-lowering agents within 6 weeks of screening * Have received glucagon-like peptide-1 (GLP-1) analogs, or dipeptidyl peptidase-IV inhibitors (DPP-IV inhibitors) or have previously participated in this study * Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry

Published papers

Papers from NCT00375492

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

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