Phase 3 · Exenatide

NCT01003184 trial results

Efficacy of Once-Weekly Exenatide Versus Once or Twice Daily Insulin Detemir in Patients With Type 2 Diabetes Treated With Metformin Alone or in Combination With Sulphonylurea

Percentage of Patients Achieving Glycosylated Hemoglobin (HbA1c) Concentration ≤7.0% With Weight Loss (≥1.0 kg) at Endpoint (Week 26) (Percentage), Baseline, Week 26. Exenatide Once Weekly: 44.1; Insulin Detemir: 11.4.

Participants
222
Status
completed
Completed
2011-12
Sponsor
AstraZeneca

As posted on ClinicalTrials.gov (NCT01003184), 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 NCT01003184 measured first

Percentage of Patients Achieving Glycosylated Hemoglobin (HbA1c) Concentration ≤7.0% With Weight Loss (≥1.0 kg) at Endpoint (Week 26)Percentage · Baseline, Week 26 · number
Exenatide Once Weeklyn=111Insulin Detemirn=105
44.1(34.7 to 53.9)11.4(6.0 to 19.1)
Side effects by arm

Side effects in NCT01003184

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

EventExenatide Once WeeklyInsulin Detemir
Any serious event5.4%5.7%
Nausea47.7%11.4%
Nasopharyngitis20.7%29.5%
Headache20.7%14.3%
Injection site nodule19.8%0%
Diarrhoea17.1%10.5%
Vomiting14.4%8.6%
Injection site pruritus10.8%1%
Constipation9%2.9%
Cough6.3%8.6%
Back pain8.1%6.7%
Oropharyngeal pain3.6%7.6%
Dyspepsia6.3%1%
Musculoskeletal6.3%1.9%
Lower respiratory tract infection4.5%5.7%
Influenza1.8%5.7%
Arthralgia4.5%5.7%
Malaise5.4%1.9%
Pain in extremity5.4%2.9%
Secondary outcomes

What else it measured

Percentage of Patients Who Have Achieved HbA1c ≤7.4% With Weight Loss (≥1.0 kg) at Endpoint (Week 26)Percentage · Baseline, Week 26 · number
Exenatide Once Weeklyn=107Insulin Detemirn=101
58.9(49.0 to 68.3)17.8(10.9 to 26.7)
Change in HbA1c From Baseline to Week 26Percentage of total hemoglobin · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=95Insulin Detemirn=96
-1.32(0.076)-0.91(0.077)
Change in Body Weight From Baseline to Week 26kilograms · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=96Insulin Detemirn=98
-2.79(0.347)0.88(0.351)
Percentage of Patients Achieving HbA1c ≤7.4% at EndpointPercentage · Week 26 · number
Exenatide Once Weeklyn=111Insulin Detemirn=105
66.7(57.1 to 75.3)54.3(44.3 to 64.0)
Percentage of Patients Achieving ≤7.0% at EndpointPercentage · Week 26 · number
Exenatide Once Weeklyn=111Insulin Detemirn=105
51.4(41.7 to 61.0)34.3(25.3 to 44.2)
Percentage of Patients Achieving ≤6.5% at EndpointPercentage · Week 26 · number
Exenatide Once Weeklyn=111Insulin Detemirn=105
27.9(19.8 to 37.2)7.6(3.3 to 14.5)
Change in Fasting Serum Glucose From Baseline to Endpoint (Week 26).mmol/L · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=108Insulin Detemirn=104
-2.33(0.191)-2.43(0.196)
Changes in Systolic Blood Pressure From Baseline to Week 26mmHg · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=95Insulin Detemirn=98
-7.37(1.342)-2.65(1.339)
Change in Diastolic Blood Pressure From Baseline to Week 26.mmHg · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=95Insulin Detemirn=98
-0.79(0.855)-0.34(0.859)
Change in Total Cholesterol From Baseline to Endpoint (Week 26).mmol/L · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=105Insulin Detemirn=100
-0.09(0.067)0.06(0.068)
Change in High-density Lipoprotein (HDL) Cholesterol From Baseline to Endpoint (Week 26).mmol/L · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=105Insulin Detemirn=100
0.02(0.014)0.04(0.015)
Change in Triglycerides From Baseline to Endpoint (Week 26).mmol/L · Baseline, Week 26 · least squares mean
Exenatide Once Weeklyn=105Insulin Detemirn=100
-0.01(0.079)-0.08(0.081)
The trial

How NCT01003184 was run

The purpose of this study is to compare the effects of exenatide once weekly (QW) and insulin detemir with respect to glycemic control, body weight, lipids, safety, tolerability, and patient reported outcomes.

  • 1
  • 2
Who could join the trial

Inclusion Criteria: * Have suboptimal glycaemic control as evidenced by an HbA1c 7.1% to 10.0%, inclusive * Have a body mass index (BMI) of 25 kg/m2 to 45 kg/m2, inclusive * Are receiving metformin at a stable dose (consistent with country specific requirements) of a minimum of 1000mg for at least 3 months prior to start start OR are receiving metformin at a minimum dose (consistent with country specific requirements) of 1000mg and sulphonylurea (as separate medications not as a fixed dose combination) at stable doses for 3 months prior to study start Exclusion Criteria: * Have any contraindication for the OAD that they have been using * Have a known allergy or hypersensitivity to insulin detemir, exenatide or excipients contained in these agents * Have been treated within 4 weeks of screening with systemic glucocorticoid therapy by oral, intravenous (IV) or intramuscular (IM) route, or are regularly treated with potent, inhaled intranasal steroids that are known to have a high rate of systemic absorption. Exceptions to this criterion include patients who are receiving glucocorticoid therapy for corticotropic hypopituitary deficiency (e.g. Addison disease) * Have been treated with drugs that promote weight loss, within 3 months of screening * Have been treated for longer than 2 weeks with any of the following excluded medications within 3 months prior to screening: insulin, alpha-glucosidase, Byetta® (exenatide BID formulation), thiazolidinediones (TZD), dipeptidyl peptidase (DPP)-4 inhibitors * Have previously completed or withdrawn from this study or any other study investigating exenatide QW * 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 * Are currently enrolled in, or discontinued within the last 30 days from, a clinical trial involving an off-label use of an investigational drug or device (other than the study drug/device used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study

Published papers

Papers from NCT01003184

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

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.