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Safety and Efficacy of Exenatide in Patients With Type 2 Diabetes Using Thiazolidinediones or Thiazolidinediones and Metformin

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Placebo
Registration Number
NCT00099320
Lead Sponsor
AstraZeneca
Brief Summary

This study is designed to compare the effects of twice-daily exenatide plus oral antidiabetic (OAD) agents and twice-daily placebo plus OAD with respect to glycemic control, as measured by hemoglobin A1c (HbA1c), in patients with type 2 diabetes who experience inadequate glycemic control with OAD alone.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
182
Inclusion Criteria
  • Treated with thiazolidinedione (TZD) alone or in combination with metformin. TZD dose stable for at least 120 days prior to screening, and those patients on metformin must have been on a stable dose for at least 30 days prior to screening.
  • HbA1c between 7.1% and 10.0%, inclusive.
  • Body mass index (BMI) between 25 kg/m^2 and 45 kg/m^2.
Exclusion Criteria
  • Patient previously in a study using exenatide or GLP-1 analogs.
  • Treated with oral anti-diabetic medications other than TZD and metformin within 3 months of screening.
  • Treated with oral insulin within 3 months of screening.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ExenatideexenatideAfter a 2-week placebo lead-in period, exenatide will be given in an esclating dose along with the subject's current therapy regimen
PlaceboPlaceboAfter a 2-week placebo lead-in period, subjects will be given placebo (in equivalent amounts to exenatide) in addition to their current therapy regimen.
Primary Outcome Measures
NameTimeMethod
Change in HbA1c (glycosylated hemoglobin) from Baseline to Week 16, and if measured, any visits in betweenBaseline, Week 4, Week 8, Week 12, Week 16

Change in HbA1c from Baseline (Visit 3) to study termination at Week 16, and at all study visits in between

Change from Baseline to Week 16 in fasting serum glucose (FSG) and glucoseBaseline, Week 16

Change from Baseline to Week 16 in FSG and glucose measured at different times throughout the day derived from 7-point self-monitored glucose (SMG) profile (glucose measurements before and 2 hours after the start of the morning, midday, and evening meals, and at bedtime)

Secondary Outcome Measures
NameTimeMethod
Change in body weight from Baseline to Week 16Baseline, Week 16

Change in body weight (kg) from Baseline to Week 16

Changes in beta cell function and insulin sensitivity between Baseline and Week 16Baseline, Week 16

Changes in beta cell function and insulin sensitivity as assessed by homeostasis model assessment (HOMA) analyses and the proinsulin/insulin ratio Between Baseline and Week 16

Changes in lipids between Baseline and Week 16Baseline, Week 16

Changes from Baseline to Week 16 in serum lipids (total cholesterol \[TC\], high-density lipoprotein cholesterol \[HDL-C\], fasting triglycerides, calculated low-density lipoprotein cholesterol \[LDL-C\]

Percentage of subjects reaching the target HbA1c (<7%)Baseline, Week 2, Week 4, Week 8, Week 12, Week 16

The percentage of subjects reaching the target HbA1c (\<7%) will be summarized and compared by treatment

Change from Baseline to Week 16 in fasting serum glucose (FSG) and glucoseBaseline, Week 16

Change from Baseline to Week 16 in FSG and glucose measured at different times throughout the day derived from 7-point self-monitored glucose (SMG) profile (glucose measurements before and 2 hours after the start of the morning, midday, and evening meals, and at bedtime)

Trial Locations

Locations (1)

Research Site

🇪🇸

Zaragoza, Spain

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