A Phase 4 interventional study of exenatide and sitagliptin in Type 2 Diabetes Mellitus, sponsored by AstraZeneca. Completed at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2015-04-09.
Sponsored by AstraZeneca · Phase 4, Interventional, and Treatment
This study is designed to compare the short-term effects and mechanisms of action of exenatide with those of sitagliptin when either is added to an oral agent(metformin or a thiazolidinedione [TZD]) in adult patients with type 2 diabetes mellitus(T2DM) with inadequate glycemic control.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 83 is close to 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:
Female patients of childbearing potential (not surgically sterilized and between menarche and 1 year postmenopause) who meet any of the following criteria:
Treated with any of the following medications:
Drug: exenatide · Drug: sitagliptin · Drug: placebo
Drug: exenatide · Drug: sitagliptin · Drug: placebo
subcutaneous injection (5mcg or 10mcg), twice a day
Also known as: Byetta
oral administration (100mg), once a day in the morning
Also known as: Januvia
subcutaneous injection (5mcg or 10mcg), twice a day
oral administration (100mg), once a day in the morning
Change in Time-averaged Glucose During a 24 Hour Period
Change in time-averaged glucose during a 24-hour period from baseline to endpoint (i.e., time-averaged glucose over 24 hours at endpoint minus time-averaged glucose over 24 hours at baseline).
Time frame: baseline and 8 Weeks
Change in Two-hour Postprandial Glucose After the Morning Meal
Change in 2 hour post-prandial glucose after the morning meal from baseline to endpoint (i.e., glucose level 2 hours after the morning meal at baseline minus glucose level 2 hours after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Fasting Blood Glucose After the Morning Meal
Change in fasting blood glucose after the morning meal from baseline to endpoint (i.e., fasting blood glucose after the morning meal at baseline minus fasting blood glucose after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Glucagon Area Under the Concentration-time Curve (AUC) After the Morning Meal
Change in Postprandial Glucagon AUC after the morning meal (t=0 to 4 hours) (i.e., Glucagon AUC over the first 4 hours following the morning meal at baseline minus glucagon AUC over the first 4 hours following the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Glucagon AUC Excursion After the Morning Meal
Change in postprandial glucagon AUC excursion after the morning meal (t=0 to 4 hours) (i.e., glucagon AUC excursion for 4 hours following the morning meal at baseline minus glucagon AUC excursion for 4 hours following the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Triglyceride AUC After the Morning Meal
Change in postprandial triglyceride AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC after the morning meal at baseline minus postprandial triglyceride AUC after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Triglyceride AUC Excursion After the Morning Meal
Change in postprandial triglyceride AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC excursion after the morning meal at baseline minus postprandial triglyceride AUC excursion after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial C-peptide AUC After the Morning Meal
Change in postprandial C-peptide AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC after the morning meal at baseline minus postprandial C-peptide AUC after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial C-peptide AUC Excursion After the Morning Meal
Change in Postprandial C-peptide AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC excursion after the morning meal at baseline minus postprandial C-peptide AUC excursion after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Insulin AUC After the Morning Meal
Change in postprandial insulin AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC after the morning meal at baseline minus postprandial insulin AUC after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Insulin AUC Excursion After the Morning Meal
Change in Postprandial insulin AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC excursion after the morning meal at baseline minus postprandial insulin AUC excursion after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Active GLP-1 AUC After the Morning Meal
Change in Postprandial active GLP-1 AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC after the morning meal at baseline minus postprandial active GLP-1 AUC after the morning meal at endpoint)
Time frame: baseline and 8 Weeks
Change in Postprandial Active GLP-1 AUC Excursion After the Monrning Meal
Change in Postprandial active GLP-1 AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC excursion after the morning meal at baseline minus postprandial active GLP-1 AUC excursion after the morning meals at endpoint)
Time frame: baseline and 8 Weeks
Percentage of Patients Experiencing Hypoglycemia (Baseline to Week 4)
Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
Time frame: 4 Weeks
Episodes of Hypoglycemia (Baseline to Week 4)
Number of episodes of hypoglycemia experienced during the first 4 weeks of the study
Time frame: 4 weeks
Percentage of Patients Experiencing Hypoglycemia (Week 4 to Week 8)
Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
Time frame: 8 weeks
Episodes of Hypoglycemia (Week 4 to Week 8)
Number of episodes of hypoglycemia experienced between week 4 and week 8 of the study
Time frame: 8 weeks
Percentage of Patients Experiencing Hypoglycemia (Overall)
Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
Time frame: 4 weeks and 8 weeks
Episodes of Hypoglycemia (Overall)
Number of episodes of hypoglycemia experienced overall during the study
Time frame: 4 weeks and 8 weeks
| Milestone | Exenatide Followed By Sitagliptin | Sitagliptin Followed By Exenatide |
|---|---|---|
| Started | 41 | 42 |
| Completed | 31 | 33 |
| Not completed | 10 | 9 |
| Withdrew: Lost to follow-up | 2 | 0 |
| Withdrew: Physician decision | 0 | 1 |
| Withdrew: Protocol violation | 3 | 2 |
| Withdrew: Subject decision | 4 | 4 |
| Withdrew: Sponsor decision | 1 | 2 |
Change in time-averaged glucose during a 24-hour period from baseline to endpoint (i.e., time-averaged glucose over 24 hours at endpoint minus time-averaged glucose over 24 hours at baseline).
| mg/dL | Exenatide | Sitagliptin |
|---|---|---|
| Change in Time-averaged Glucose During a 24 Hour Period | -41.65 ± 2.55 | -29.56 ± 2.58 |
Change in 2 hour post-prandial glucose after the morning meal from baseline to endpoint (i.e., glucose level 2 hours after the morning meal at baseline minus glucose level 2 hours after the morning meal at endpoint)
| mg/dL | Exenatide | Sitagliptin |
|---|---|---|
| Change in Two-hour Postprandial Glucose After the Morning Meal | -108.35 ± 4.36 | -44.43 ± 4.40 |
Change in fasting blood glucose after the morning meal from baseline to endpoint (i.e., fasting blood glucose after the morning meal at baseline minus fasting blood glucose after the morning meal at endpoint)
| mg/dL | Exenatide | Sitagliptin |
|---|---|---|
| Change in Fasting Blood Glucose After the Morning Meal | -28.93 ± 2.70 | -28.22 ± 2.71 |
Change in Postprandial Glucagon AUC after the morning meal (t=0 to 4 hours) (i.e., Glucagon AUC over the first 4 hours following the morning meal at baseline minus glucagon AUC over the first 4 hours following the morning meal at endpoint)
| pmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Glucagon Area Under the Concentration-time Curve (AUC) After the Morning Meal | -29.60 ± 2.91 | -16.91 ± 2.93 |
Change in postprandial glucagon AUC excursion after the morning meal (t=0 to 4 hours) (i.e., glucagon AUC excursion for 4 hours following the morning meal at baseline minus glucagon AUC excursion for 4 hours following the morning meal at endpoint)
| pmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Glucagon AUC Excursion After the Morning Meal | -30.94 ± 2.12 | -14.93 ± 2.13 |
Change in postprandial triglyceride AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC after the morning meal at baseline minus postprandial triglyceride AUC after the morning meal at endpoint)
| mg*hours/dL | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Triglyceride AUC After the Morning Meal | 0.83 ± 0.03 | 0.87 ± 0.03 |
Change in postprandial triglyceride AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC excursion after the morning meal at baseline minus postprandial triglyceride AUC excursion after the morning meal at endpoint)
| mg*hours/dL | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Triglyceride AUC Excursion After the Morning Meal | -108.16 ± 8.38 | -41.39 ± 8.45 |
Change in postprandial C-peptide AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC after the morning meal at baseline minus postprandial C-peptide AUC after the morning meal at endpoint)
| nmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial C-peptide AUC After the Morning Meal | -1.78 ± 0.28 | 0.25 ± 0.28 |
Change in Postprandial C-peptide AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC excursion after the morning meal at baseline minus postprandial C-peptide AUC excursion after the morning meal at endpoint)
| nmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial C-peptide AUC Excursion After the Morning Meal | -2.83 ± 0.29 | 0.14 ± 0.29 |
Change in postprandial insulin AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC after the morning meal at baseline minus postprandial insulin AUC after the morning meal at endpoint)
| pmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Insulin AUC After the Morning Meal | -396.12 ± 56.79 | -8.79 ± 57.32 |
Change in Postprandial insulin AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC excursion after the morning meal at baseline minus postprandial insulin AUC excursion after the morning meal at endpoint)
| pmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Insulin AUC Excursion After the Morning Meal | -525.01 ± 58.77 | -34.83 ± 59.40 |
Change in Postprandial active GLP-1 AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC after the morning meal at baseline minus postprandial active GLP-1 AUC after the morning meal at endpoint)
| pmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Active GLP-1 AUC After the Morning Meal | -14.28 ± 3.12 | 47.37 ± 3.15 |
Change in Postprandial active GLP-1 AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC excursion after the morning meal at baseline minus postprandial active GLP-1 AUC excursion after the morning meals at endpoint)
| pmol*hours/L | Exenatide | Sitagliptin |
|---|---|---|
| Change in Postprandial Active GLP-1 AUC Excursion After the Monrning Meal | -14.04 ± 3.28 | 23.53 ± 3.31 |
Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
| Percentage of patients | Exenatide | Sitagliptin |
|---|---|---|
| Percentage of Patients Experiencing Hypoglycemia (Baseline to Week 4) | 2.9 | 2.7 |
Number of episodes of hypoglycemia experienced during the first 4 weeks of the study
| episodes of hypoglycemia | Exenatide | Sitagliptin |
|---|---|---|
| Episodes of Hypoglycemia (Baseline to Week 4) | 1 | 1 |
Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
| Percentage of patients | Exenatide | Sitagliptin |
|---|---|---|
| Percentage of Patients Experiencing Hypoglycemia (Week 4 to Week 8) | 5.7 | 0.0 |
Number of episodes of hypoglycemia experienced between week 4 and week 8 of the study
| episodes of hypoglycemia | Exenatide | Sitagliptin |
|---|---|---|
| Episodes of Hypoglycemia (Week 4 to Week 8) | 2 | 0 |
Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
| Percentage of patients | Exenatide | Sitagliptin |
|---|---|---|
| Percentage of Patients Experiencing Hypoglycemia (Overall) | 4.3 | 1.4 |
Number of episodes of hypoglycemia experienced overall during the study
| episodes of hypoglycemia | Exenatide | Sitagliptin |
|---|---|---|
| Episodes of Hypoglycemia (Overall) | 3 | 1 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Exenatide | — | 2/73 (2.7%) | 43/73 (58.9%) |
| Sitagliptin | — | 0/73 (0%) | 37/73 (50.7%) |
| Event | Exenatide | Sitagliptin |
|---|---|---|
| Anaphylactic reactionImmune system disorders | 1/73 | 0/73 |
| AngioedemaSkin and subcutaneous tissue disorders | 1/73 | 0/73 |
| Confusional statePsychiatric disorders | 1/73 | 0/73 |
| Event | Exenatide | Sitagliptin |
|---|---|---|
| NauseaGastrointestinal disorders | 27/73 | 12/73 |
| VomitingGastrointestinal disorders | 15/73 | 4/73 |
| HeadacheNervous system disorders | 9/73 | 9/73 |
| DiarrhoeaGastrointestinal disorders | 7/73 | 8/73 |
| DizzinessNervous system disorders | 7/73 | 5/73 |
| Back painMusculoskeletal and connective tissue disorders | 6/73 | 5/73 |
| CoughRespiratory, thoracic and mediastinal disorders | 4/73 | 5/73 |
| RhinorrhoeaRespiratory, thoracic and mediastinal disorders | 3/73 | 5/73 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 2/73 | 5/73 |
| Abdominal discomfortGastrointestinal disorders | 4/73 | 3/73 |
| Age, Categorical(Participants) | Exenatide Followed By Sitagliptin | Sitagliptin Followed By Exenatide | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 34 | 37 | 71 |
| >=65 years | 7 | 5 | 12 |
| Age, Continuous(years) | Exenatide Followed By Sitagliptin | Sitagliptin Followed By Exenatide | Total |
|---|---|---|---|
| Mean | 54.7 ± 10.10 | 53.5 ± 9.49 | 54.1 ± 9.75 |
| Sex: Female, Male(Participants) | Exenatide Followed By Sitagliptin | Sitagliptin Followed By Exenatide | Total |
|---|---|---|---|
| Female | 19 | 29 | 48 |
| Male | 22 | 13 | 35 |
This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
AstraZeneca