Exenatide Compared With Twice-Daily Biphasic Insulin Aspart in Patients With Type 2 Diabetes Using Sulfonylurea and Metformin
- Conditions
- Diabetes Mellitus, Type 2
- Interventions
- Registration Number
- NCT00082407
- Lead Sponsor
- AstraZeneca
- Brief Summary
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).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 505
- 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
- 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 drug to promote weight loss within 3 months prior to screening.
- Patients have been treated for longer than 2 weeks with any of the following excluded medications within 3 months prior to screening: insulin, thiazolidinediones, alpha-glucosidase inhibitors, meglitinides.
- Patients have any other condition (including known drug or alcohol abuse or psychiatric disorder) that precludes them from following and completing the protocol, in the opinion of the investigator.
- Patients fail to satisfy the investigator of suitability to participate for any other reason.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Biphasic Insulin Aspart Arm biphasic insulin aspart subcutaneous injection, twice daily; titration to target blood glucose level Exenatide Arm exenatide subcutaneous injection, twice daily; 5 mcg for 4 weeks followed by 10 mcg for 48 weeks
- Primary Outcome Measures
Name Time Method Change in Glcosylated Hemoglobin (HbA1c) baseline, week 52 Change in HbA1c from baseline to week 52
- Secondary Outcome Measures
Name Time Method Percentage of Patients Achieving HbA1c <=7% 52 weeks Percentage of patients in each arm who had HbA1c \>7% at baseline and had HbA1c \<=7% at week 52 (percentage = \[number of subjects with HbA1c \<=7% at week 52 divided by number of subjects with HbA1c \>7% at baseline\] \* 100%).
Change in Body Weight baseline, week 52 Change in body weight from baseline to week 52.
Change in 7-point Self-monitored Blood Glucose (SMBG) Profile baseline, week 52 Change in 7-point (pre-breakfast, after breakfast, pre-lunch, after lunch, pre-dinner, after dinner, 0300 hours) SMBG profile from baseline to week 52
Change in Fasting Serum Glucose baseline, week 52 Change in fasting serum glucose from baseline to week 52
Percentage of Patients With Hypoglycemic Events 52 weeks Percentage of patients who experienced at least one episode of hypoglycemia at any point during the 52 week Parent Study (incidence of hypoglycemia = number of patients who experienced at least one episode of hypoglycemia at any point during the 52 week Parent Study divided by the total number of patients who particiapted in the 52 week Parent Study
Change in Rate of Hypoglycemic Events baseline, week 52 Change in rate of hypoglycemic events per 30 days per patient from baseline to week 52
Trial Locations
- Locations (69)
Hospital Pedro Hispano
🇵🇹Matosinhos, Portugal
Clinical Hospital Osijek
ðŸ‡ðŸ‡·Osijek, Croatia
Klinica bolnica Dubrava
ðŸ‡ðŸ‡·Zagreb, Croatia
Klinicki bolnicki centar Zagreb-Rebro
ðŸ‡ðŸ‡·Zagreb, Croatia
Internistische Gemeinschaftspraxis
🇩🇪Augsburg, Germany
Opca bolnica "Sveti Duh"
ðŸ‡ðŸ‡·Zagreb, Croatia
Dr. Karlheinz Hehemann
🇩🇪Beckum, Germany
Dr. Klaus Busch
🇩🇪Dortmund, Germany
Diabetologische Schwerpunktpraxis
🇩🇪Hamburg, Germany
Medical Clinic and Policlinic 3
🇩🇪Giessen, Germany
Dr. Bernd Donaubauer
🇩🇪Oschatz, Germany
IKFE GmbH
🇩🇪Mainz, Germany
Institut for diabetic research
🇩🇪Munich, Germany
Profil, Institut fur Stoffwechselstorungen
🇩🇪Neuss, Germany
Dr. Thomas Behnke
🇩🇪Neuwied, Germany
Marienhospital Osnabruck
🇩🇪Osnabruck, Germany
Dr. Joerg Steindorf
🇩🇪Schkeuditz, Germany
Dr. Jerzi Jasinski
🇩🇪Wiesbaden, Germany
"Polyclinic" General Hospital of Athens
🇬🇷Athens, Greece
Diabetes Center
🇬🇷Athens, Greece
University Hospital of Patras
🇬🇷Patras, Greece
Department of Endocrinology
🇬🇷Athens, Greece
1st Internal Medicine Department "Papagergiou"
🇬🇷Thessaloniki, Greece
Ospedale Civile di Padova
🇮🇹Padova, Italy
Rijnstate Ziekenhuis
🇳🇱Arnhem, Netherlands
Instituto di Endocrinologia
🇮🇹Catania, Italy
Dipartimento di fisiopatologia clinica
🇮🇹Florence, Italy
Gelre Ziekenhuizen
🇳🇱Apeldoorn, Netherlands
U.O. Medicina Generale
🇮🇹Milan, Italy
Policlinico Univarsitario P. Giaccone
🇮🇹Palermo, Italy
U.O. Universita di Malattie del Metabolismo e Diabetologia
🇮🇹Torino, Italy
Maxima Medisch Centrum Location Eindhoven
🇳🇱Eindhoven, Netherlands
Institutul de Diabet
🇷🇴Bucuresti, Romania
Associacao Protectora dos Diabeticos de Portugal
🇵🇹Lisboa, Portugal
Hospitais da Universidade de Coimbra
🇵🇹Coimbra, Portugal
Spitalul Judetean Brasov
🇷🇴Brasov, Romania
Hospital de Santo Andre
🇵🇹Leiria, Portugal
National Endocrinology Research Center
🇷🇺Moscow, Russian Federation
Spitalul Clinic nr. 1 Judetean
🇷🇴Judet Timis, Romania
Setchenov Moscow Medical Academy
🇷🇺Moscow, Russian Federation
Moscow State Medical Stomatological
🇷🇺Moscow, Russian Federation
Russian Medical Academy for Advanced Medical Studies, Ministry of Health
🇷🇺Moscow, Russian Federation
Hospital of St. Elizabeth's
🇷🇺St. Petersburg, Russian Federation
City Clinical Hospital #2
🇷🇺St. Petersburg, Russian Federation
Medical Military Academy
🇷🇺St. Petersburg, Russian Federation
Splosna bolnisnica Maribor
🇸🇮Maribor, Slovenia
Univerzitetni klinicni center Ljubljana
🇸🇮Ljubljana, Slovenia
Hospital Vega Baja
🇪🇸Alicante, Spain
Hospital Clinic i Provincial de Barcelona
🇪🇸Barcelona, Spain
Hospital General de Teruel
🇪🇸Teruel, Spain
Hospital la Ribera Alzira
🇪🇸Valencia, Spain
Changhua Christian Hospital
🇨🇳Changhua, Taiwan
Tzu Chi General Hospital
🇨🇳Hualien, Taiwan
Diabetes Research, Ward 34, Birmingham Heartlands Hospital
🇬🇧Birmingham, United Kingdom
Veteran General Hospital-Taichung
🇨🇳Taichung, Taiwan
Tri-Service General Hospital
🇨🇳Taipei, Taiwan
Diabetes Unit, Blackburn Royal Infirmary
🇬🇧Blackburn, United Kingdom
Colchester General Hospital
🇬🇧Colchester, United Kingdom
Royal Infirmary of Edinburgh
🇬🇧Edinburgh, United Kingdom
Glasgow Royal Infirmary
🇬🇧Glasgow, United Kingdom
The Michael White Center for Diabetes and Endocrinology
🇬🇧Hull, United Kingdom
Clinical Sciences Centre
🇬🇧Liverpool, United Kingdom
Education Centre, James Cook University Hospital
🇬🇧Middlesbrough, United Kingdom
Wellcome Labs, Royal Victoria Infirmary
🇬🇧Newcastle upon Tyne, United Kingdom
Queens Medical Centre
🇬🇧Nottingham, United Kingdom
Diabetes Trial Unit OCDEM, Churchill Hospital
🇬🇧Oxford, United Kingdom
Diabetes Unit, Gladsone Centre, Maelor Hospital
🇬🇧Wrexham, United Kingdom
Endocrinology Service (Planta Baja)
🇪🇸Palma de Mallorca, Spain
Hospital Virgen de Valme
🇪🇸Sevilla, Spain