A Phase 3 interventional study of Exenatide Once Weekly and Insulin Glargine in Type 2 Diabetes Mellitus, sponsored by AstraZeneca. Completed at 75 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-06-15.
Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment
The purpose of this study is to compare the effects of 2.0 mg exenatide once weekly and insulin glargine, titrated to glucose targets using the algorithm described by Yki- Järvinen et al.(2007), with respect to glycemic improvements, body weight, fasting lipids, safety, and tolerability.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 467 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.
Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Have been treated for longer than 2 weeks with any of the following excluded medications within 3 months prior to screening:
Drug: Exenatide Once Weekly
Drug: Insulin Glargine
subcutaneous injection, 2.0mcg, once weekly
subcutaneous injection, variable dose, QD
Change in HbA1c From Baseline to Week 26
Change in HbA1c from baseline to Week 26
Time frame: Baseline, Week 26
Percentage of Patients Achieving HbA1c <=7.0% at Week 26
Percentage of patients achieving HbA1c \<=7.0% at Week 26 (for patients with HbA1c \>7% at baseline)
Time frame: Baseline, Week 26
Percentage of Patients Achieving HbA1c <=6.5% at Week 26
Percentage of patients achieving HbA1c \<=6.5% at Week 26 (for patients with HbA1c \>6.5% at baseline)
Time frame: Baseline, Week 26
Change in Fasting Serum Glucose (FSG) From Baseline to Week 26
Change in FSG (mmol/L) from Baseline to Week 26
Time frame: Baseline, Week 26
Change in Body Weight (BW) From Baseline to Week 26
Change in BW (kg) from Baseline to Week 26
Time frame: Baseline, Week 26
Change in Total Cholesterol From Baseline to Week 26
Change in Total Cholesterol (mmol/L) from Baseline to Week 26
Time frame: Baseline, Week 26
Change in High-density Lipoprotein Cholesterol (HDL) From Baseline to Week 26
Change in HDL (mmol/L) from Baseline to Week 26
Time frame: Baseline, Week 26
Ratio of Triglycerides at Week 26 to Baseline
Ratio of Triglycerides (measured in mmol/L) at Week 26 to Baseline. Log (Postbaseline Triglycerides) - log (Baseline Triglycerides); change from baseline to endpoint is presented as ratio of endpoint to baseline.
Time frame: Baseline, Week 26
Change in Blood Pressure From Baseline to Week 26
Change in Systolic Blood Pressure (mmHg) and Diastolic Blood Pressure (mmHg) from Baseline to Week 26
Time frame: Baseline, Week 26
Assessment on Event Rate of Treatment-emergent Hypoglycemic Episodes
Major hypoglycemia: any episode with symptoms consistent with hypoglycemia that resulted in loss of consciousness or seizure with prompt recovery in response to administration of glucagon or glucose or documented hypoglycemia (blood glucose \<3.0 mmol/L \[54 mg/dL\]) and required the assistance of another person. Minor hypoglycemia: any time a patient felt that he or she was experiencing a sign or symptom of hypoglycemia that was self-treated or resolved on its own and had a blood glucose level \<3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia.
Time frame: Baseline to Week 26
| Milestone | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Started | 233 | 234 |
| Intent to treat (itt) | 233 | 223 |
| Completed | 204 | 209 |
| Not completed | 29 | 25 |
| Withdrew: Adverse event | 12 | 2 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Physician decision | 3 | 1 |
| Withdrew: Protocol violation | 2 | 0 |
| Withdrew: Entry criteria not met | 3 | 0 |
| Withdrew: Subject decision | 6 | 19 |
| Withdrew: Sponsor decision | 1 | 2 |
Change in HbA1c from baseline to Week 26
| percentage of total hemoglobin | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Change in HbA1c From Baseline to Week 26 | -1.47 ± 0.05 | -1.31 ± 0.06 |
Percentage of patients achieving HbA1c \<=7.0% at Week 26 (for patients with HbA1c \>7% at baseline)
| percentage of patients | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Percentage of Patients Achieving HbA1c <=7.0% at Week 26 | 62.2 | 54.1 |
Percentage of patients achieving HbA1c \<=6.5% at Week 26 (for patients with HbA1c \>6.5% at baseline)
| percentage of patients | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Percentage of Patients Achieving HbA1c <=6.5% at Week 26 | 43.2 | 28.4 |
Change in FSG (mmol/L) from Baseline to Week 26
| mmol/L | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Change in Fasting Serum Glucose (FSG) From Baseline to Week 26 | -2.13 ± 0.16 | -2.76 ± 0.16 |
Change in BW (kg) from Baseline to Week 26
| kg | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Change in Body Weight (BW) From Baseline to Week 26 | -2.63 ± 0.20 | 1.42 ± 0.20 |
Change in Total Cholesterol (mmol/L) from Baseline to Week 26
| mmol/L | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Change in Total Cholesterol From Baseline to Week 26 | -0.12 ± 0.06 | -0.04 ± 0.06 |
Change in HDL (mmol/L) from Baseline to Week 26
| mmol/L | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Change in High-density Lipoprotein Cholesterol (HDL) From Baseline to Week 26 | -0.00 ± 0.01 | 0.01 ± 0.01 |
Ratio of Triglycerides (measured in mmol/L) at Week 26 to Baseline. Log (Postbaseline Triglycerides) - log (Baseline Triglycerides); change from baseline to endpoint is presented as ratio of endpoint to baseline.
| ratio | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Ratio of Triglycerides at Week 26 to Baseline | 0.96 ± 0.03 | 0.89 ± 0.03 |
Change in Systolic Blood Pressure (mmHg) and Diastolic Blood Pressure (mmHg) from Baseline to Week 26
| mmHg | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Systolic Blood Pressure | -3.03 ± 16.57 | -0.63 ± 14.88 |
| Diastolic Blood Pressure | -1.15 ± 10.08 | -0.72 ± 8.73 |
Major hypoglycemia: any episode with symptoms consistent with hypoglycemia that resulted in loss of consciousness or seizure with prompt recovery in response to administration of glucagon or glucose or documented hypoglycemia (blood glucose \<3.0 mmol/L \[54 mg/dL\]) and required the assistance of another person. Minor hypoglycemia: any time a patient felt that he or she was experiencing a sign or symptom of hypoglycemia that was self-treated or resolved on its own and had a blood glucose level \<3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia.
| rate per subject-year | Exenatide Once Weekly With SU | Insulin Glargine With SU | Exenatide Once Weekly No SU | Insulin Glargine No SU |
|---|---|---|---|---|
| Major Hypoglycemia | 0.00 ± 0.000 | 0.03 ± 0.030 | 0.01 ± 0.013 | 0.01 ± 0.013 |
| Minor Hypoglycemia | 1.14 ± 0.184 | 2.66 ± 0.284 | 0.10 ± 0.037 | 0.63 ± 0.091 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Exenatide Once Weekly | — | 11/233 (4.7%) | 100/233 (42.9%) |
| Insulin Glargine | — | 10/223 (4.5%) | 52/223 (23.3%) |
| Event | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| Chest painGeneral disorders | 1/233 | 2/223 |
| AnaemiaBlood and lymphatic system disorders | 0/233 | 1/223 |
| Bile duct stoneHepatobiliary disorders | 0/233 | 1/223 |
| Carotid artery stenosisNervous system disorders | 0/233 | 1/223 |
| CholecystitisHepatobiliary disorders | 0/233 | 1/223 |
| Colon polypectomySurgical and medical procedures | 0/233 | 1/223 |
| MyocarditisCardiac disorders | 0/233 | 1/223 |
| Peripheral nerve transpositionSurgical and medical procedures | 0/233 | 1/223 |
| PresyncopeNervous system disorders | 0/233 | 1/223 |
| Retinal detachmentEye disorders | 0/233 | 1/223 |
| Event | Exenatide Once Weekly | Insulin Glargine |
|---|---|---|
| NasopharyngitisInfections and infestations | 30/233 | 39/223 |
| NauseaGastrointestinal disorders | 30/233 | 3/223 |
| HeadacheNervous system disorders | 23/233 | 16/223 |
| DiarrhoeaGastrointestinal disorders | 20/233 | 8/223 |
| Injection site noduleGeneral disorders | 12/233 | 0/223 |
| Age, Categorical(Participants) | Exenatide Once Weekly | Insulin Glargine | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 184 | 167 | 351 |
| >=65 years | 49 | 56 | 105 |
| Age, Continuous(years) | Exenatide Once Weekly | Insulin Glargine | Total |
|---|---|---|---|
| Mean | 57.6 ± 9.72 | 58.3 ± 9.08 | 57.9 ± 9.41 |
| Sex: Female, Male(Participants) | Exenatide Once Weekly | Insulin Glargine | Total |
|---|---|---|---|
| Female | 113 | 100 | 213 |
| Male | 120 | 123 | 243 |
| Glycosylated hemoglobin (HbA1c)(percentage of total hemoglobin) | Exenatide Once Weekly | Insulin Glargine | Total |
|---|---|---|---|
| Mean | 8.32 ± 1.094 | 8.29 ± 1.020 | 8.31 ± 1.057 |
| Weight(kg) | Exenatide Once Weekly | Insulin Glargine | Total |
|---|---|---|---|
| Mean | 91.22 ± 18.582 | 90.56 ± 16.348 | 90.90 ± 17.509 |
| Background Oral Antidiabetic Agent (OAD)(participants) | Exenatide Once Weekly | Insulin Glargine | Total |
|---|---|---|---|
| Metformin (Met) | 164 | 157 | 321 |
| Met+Sulfonylurea (SU) | 69 | 66 | 135 |
This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.
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