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Safety and Efficacy of Exenatide as Monotherapy and Adjunctive Therapy to Oral Antidiabetic Agents in Adolescents with Type 2 Diabetes

Not Applicable
Terminated
Conditions
Endocrine, nutritional and metabolic disease
Registration Number
KCT0000711
Lead Sponsor
Eli Lilly Korea
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Terminated
Sex
All
Target Recruitment
10
Inclusion Criteria

[1] are a male or a female between ages 10 to 17 years, inclusive. The number of
patients =17 years of age will be limited to no more than 10% of patients in
each treatment arm
[2] have a history of type 2 diabetes with the original diagnosis based on at least
one ADA diagnostic criteria (Section 7.1.1)
[3] have been treated with metformin, an SU, or both metformin and an SU (with
or without diet and exercise), for at least 3 months or are naive to anti-diabetes
agents and being treated with diet and exercise alone. The dose of oral
agent(s) should be stable for the 30 days prior to the screening visit
[4] have fasting C-peptide >0.6 ng/mL
[5] have no antibodies to glutamic acid decarboxylase (GAD65) or islet cell
antigen (ICA512)
[6] have HbA1c between 6.5% and 10.5%, inclusive
[7] present an appropriately signed assent form
[8] a parent or adult guardian agrees in writing to participate in the patient’s
treatment by signing a consent form
[9] both the patient and parent or responsible adult guardian are able to
understand and comply with a lifestyle modification program
[10] the investigator determines that patient and parent or responsible adult

Exclusion Criteria

Patients will be excluded from the study if they meet any of the following criteria:
[11] are the children or immediate family members of either Lilly or Amylin
employees or investigator site personnel directly affiliated with this study.
Immediate family is defined as a spouse, parent, child, or sibling, whether
biological or legally adopted
[12] have received treatment within the last 60 days with a drug that has not
received regulatory approval for any indication at the time of study entry
[13] have previously been exposed to exenatide or, completed or withdrawn from
this study or any other study investigating exenatide
[14] are unwilling or unable to inject the study medication
[15] have a genetic syndrome or disorder other than diabetes known to affect
glucose tolerance
[16] have a known allergy or hypersensitivity to exenatide or excipients contained
in the agent
[17] have used an alpha-glucosidase inhibitor, a meglitinide, or pramlintide for
more than 1 week during the 3 months prior to screening
[18] currently use inhaled steroids at a dose equal to or above 1000 ?g Flovent?
(fluticasone propionate) daily
[19] have used oral steroids within the last 60 days or more than 20 days use within
the past year
[20] have used a TZD within 120 days prior to screening
[21] have used any weight loss medication(s) within 30 days of screening
[22] are sexually active female of childbearing potential who is unwilling to
appropriately use TWO methods of birth control (for example, use of oral
contraceptives; condoms with contraceptive foam; or abstinence) for the
duration of the study
[23] are female who is pregnant or planning to become pregnant within 6 months
of study screening
H8O-MC-GWBQ(b) Clinical Protocol Page 22
LY2148568
[24] are female who is lactating.
[25] have history of renal disease, or serum creatinine >1.6 mg/dL (141.4 µmol/L)
(males) or >1.4 mg/dL (123.8 µmol/L) (females)
[26] have hepatic dysfunction, defined by aspartate (AST) or alanine (ALT)
transaminase >3.0 times the upper limit of normal (ULN)
[27] have had at least 1 episode of diabetic ketoacidosis after receiving antidiabetes
medication. A history of diabetic ketoacidosis at the time of diagnosis will
not be an exclusion criterion
[28] have physical limitations that prevent participation in lifestyle intervention
[29] have admitted use of anabolic steroids within the past 60 days
[30] have an active or untreated malignancy, or have been in remission from
clinically significant malignancy (other than in situ carcinomas of the cervix)
for less than 5 years
[31] have investigator-determined significant organ system illness or condition,
including but not limited to psychiatric or developmental disorder that prevent
participation in lifestyle intervention
[32] fail to satisfy the investigator of suitability to participate for any other reason
[33] have used insulin for more than 10 weeks during the 3 months prior to
screening

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the change in HbA1c from baseline to 28 weeks of treatment
Secondary Outcome Measures
NameTimeMethod
proportion of patient achieving an HbA1c =7%, <7%, =6.5%, and <6.5%
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