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CompletedNCT00546728Updated Nov 8, 2013Results posted

The Vascular Effects of Exenatide Versus Metformin in Patients With Pre-Diabetes

A Phase 4 interventional study of Exenatide and Metformin in Impaired Glucose Tolerance, sponsored by St. Paul Heart Clinic. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-11-08.

Sponsored by St. Paul Heart Clinic · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to compare the effects of exenatide versus metformin on vascular health with chronic (3-month) therapy and during a 2-hour period following a meal in patients with pre-diabetes. It is predicted that exenatide will improve vascular health to a greater degree compared to metformin.

02

Conditions studied

  • Impaired Glucose Tolerance

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03

In context

Glucose Intolerance

792 studies on the registry are indexed under Glucose Intolerance; 126 are open to participants now.

This study's enrollment of 50 is below the median of 60 across 656 interventional studies indexed under Glucose Intolerance.

Browse Glucose Intolerance studies →

Lead sponsor

St. Paul Heart Clinic is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Greater than or equal to 18 years old
  • Impaired glucose tolerance: 2-hr oral glucose tolerance test (OGTT) plasma glucose >140 mg/dL OR impaired fasting glucose: fasting glucose > or = 100 mg/dL OR elevated glycosylated hemoglobin: Hemoglobin A1c > or = 5.7%
  • Abdominal obesity: waist circumference >102 cm (men) and >88 cm (women)
  • Stable cardiovascular medication regimen (or other medications known to affect endothelial function) at least 1 month prior to enrollment and throughout the study

Exclusion criteria

Exclusion Criteria:

  • Type 2 diabetes
  • Current use of glycemic control medications within one month of randomization
  • Fasting glucose >126 mg/dL
  • Current use of weight loss medication
  • Previous weight loss surgery
  • History of severe gastrointestinal disease
  • Standard clinical contraindications to exenatide or metformin therapy
  • Unstable angina
  • Heart failure
  • Stroke or coronary artery bypass graft within 3 months of screening
  • Women who are currently pregnant or planning to become pregnant
  • Breastfeeding women
  • Clinically significant liver disease
  • Creatinine > 1.5 mg/dL
  • Hepatic function greater than 3 times upper limit of normal
  • Patients who are mentally incompetent and cannot sign a Patient Informed Consent
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Exenatide

    Subjects were randomlly assigned to treatment arm: Exenatide 10 mcg twice daily vs. Metformin 500 mg twice daily.

    Drug: Exenatide

  • Active comparator
    Metformin

    Subjects were randomlly assigned to treatment arm: Exenatide 10 mcg twice daily vs. Metformin 500 mg twice daily.

    Drug: Metformin

Interventions

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What researchers measure

Primary outcomes

  1. Change in Reactive Hyperemic Index Over the 3-month Treatment Period

    Change in reactive hyperemic index over the 3-month treatment period, which is a measure of endothelial (inner lining of blood vessels) function. This is measured as a ratio of post-occlusion blood flow volume versus baseline blood flow volume in fingertips. Higher ratio values are considered indicative of better arterial health.

    Time frame: Change from baseline to 3 months

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Results

Posted Nov 8, 2013
Limitations and caveats
unblinded study design

Participant flow

Patients were recruited from medical clinics

Participant flow — Overall Study
MilestoneExenatideMetformin
Started2525
Completed2525
Not completed00

Outcome measures

PrimaryChange in Reactive Hyperemic Index Over the 3-month Treatment Period

Change in reactive hyperemic index over the 3-month treatment period, which is a measure of endothelial (inner lining of blood vessels) function. This is measured as a ratio of post-occlusion blood flow volume versus baseline blood flow volume in fingertips. Higher ratio values are considered indicative of better arterial health.

Time frame:
Change from baseline to 3 months
Reported as:
Mean · ratio
Change in Reactive Hyperemic Index Over the 3-month Treatment Period
ratioExenatideMetformin
Change in Reactive Hyperemic Index Over the 3-month Treatment Period0.01 ± 0.68-0.17 ± 0.72

Adverse events

Collected over 3-months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Exenatide—0/25 (0%)0/25 (0%)
Metformin—0/25 (0%)0/25 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)ExenatideMetforminTotal
<=18 years000
Between 18 and 65 years252550
>=65 years000
Age Continuous
Age Continuous(years)ExenatideMetforminTotal
Mean58.7 ± 1058.4 ± 10.158.5 ± 10.0
Sex: Female, Male
Sex: Female, Male(Participants)ExenatideMetforminTotal
Female201838
Male5712
Region of Enrollment
Region of Enrollment(participants)ExenatideMetforminTotal
United States252550
08

Study locations

2 sites
  • International Diabetes Center at Park Nicollet
    Saint Louis Park, Minnesota 55416, United States
  • St. Paul Heart Clinic
    Saint Paul, Minnesota 55102, United States
09

References and documents

Publications

  • Kelly AS, Bergenstal RM, Gonzalez-Campoy JM, Katz H, Bank AJ. Effects of exenatide vs. metformin on endothelial function in obese patients with pre-diabetes: a randomized trial. Cardiovasc Diabetol. 2012 Jun 8;11:64. doi: 10.1186/1475-2840-11-64. PubMed 22681705 ↗
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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2007, a primary completion of Jul 2011 and a completion of Jul 2011. It does not say whether these dates are actual or estimated.

Results were first posted in Nov 2013, 2 years 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 17, 2007
First posted
Oct 19, 2007
Start
Oct 2007
Primary completionActual
Jul 2011
CompletionActual
Jul 2011
Results first posted
Nov 8, 2013
Last update
Nov 8, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 8, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00546728
Lead sponsor
St. Paul Heart Clinic
Collaborators
Amylin Pharmaceuticals, LLC., Eli Lilly and Company, International Diabetes Center at Park Nicollet
Responsible party
Aaron S. Kelly, Ph.D. (Assistant Professor, University of Minnesota) — Principal investigator
First posted
Oct 19, 2007
Start date
Oct 2007
Primary completion
Jul 2011
Completion
Jul 2011
Results posted
Nov 8, 2013
Last update
Nov 8, 2013

Study contacts

Aaron S. Kelly, Ph.D.
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Exenatide

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