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TerminatedNCT030293511981Updated Apr 16, 2024Results posted

GLP-1 Receptor Agonist Therapy and Albuminuria in Patients With Type 2 Diabetes

A Phase 4 interventional study of Exenatide Extended Release for Inj Susp 2 MG and Placebo in Type2 Diabetes and Kidney Diseases, sponsored by University at Buffalo. Terminated at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-04-16.

Sponsored by University at Buffalo · Phase 4, Interventional, and Treatment

Why this study was terminated
termination by sponsor
Phase
Phase 4
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This is a prospective study to evaluate effect of Exenatide extended release treatment for 1 year on albuminuria levels in T2DM patients with micro- and macroalbuminuria compared to placebo.

Read the detailed description

This is a prospective study to evaluate effect of Exenatide extended release treatment for 1 year on albuminuria levels in T2DM patients with micro- and macroalbuminuria compared to placebo. The similarities in baseline values between the study groups will be compared using appropriate parametric tests. Transformations of the data on order to meet statistical assumptions may be considered. All statistical analysis will be carried out using SPSS software (SPSS Inc, Chicago, Illinois) based on intention to treat principle. Data will be presented as mean±standard error. The primary endpoint of the study is the change from baseline in albuminuria level at weeks 12, 26, 39 and 56 following Exenatide extended release and placebo treatments. Fasting samples collected at weeks 0, 12, 26, 39 and 56 will be used for this assessment with values at week 0 considered as baseline. Changes from baselines form both drugs arms will be compared to those from the placebo arms in both the micro and macroalbuminuria groups. The statistical analysis will be done using mixed model for repeated measurement (MMRM) analysis with assigned α value of 0.05. Our preliminary data on retrospective analysis of the difference in albuminuria following GLP-1RA treatment for 2.5 yrs in T2DM patients with micro and macroalbuminuria show regression of albuminuria (UACR) by approximately 55mg/mg and 500mg/g (about 50% reduction), respectively. Conservatively estimating a difference in the change from baseline in albuminuria after 1 year between the Exenatide extended release and placebo groups (across both albuminuria groups) of 60mg/g, with standard deviation of no more than 91mg/g, a sample size of 38 patients per group should provide adequate power (beta = 0.2) to detect a significant difference (alpha = 0.05). Assuming a drop-out rate of 15% and 2:1 drug:placebo randomization ratio, 60 active and 30 control will be recruited for a total of 90 patients (rounded up). Patients will be enrolled based on a predetermined stratification according to the two albuminuria categories (micro and macro at 1:1 ratio) with 45 patients in each.

The secondary end points include the comparison of the changes in albuminuria based on baseline albuminuria category (micro or macro), creatinine clearance, Cystatin C, TGFβ, type I and IV collagen, CTGF, and fibronectin levels, the expression of SMAD3, SMAD4, NQO-1, GST-1P and HO-1, Nrf-2/keap-1 system activation between the Exenatide extended release and placebo groups and across albuminuria categories

02

Conditions studied

  • Type2 Diabetes
  • Kidney Diseases

Keywords

  • albuminuria
  • GLP-1 Receptor Agonist
  • Type 2 Diabetes
03

In context

Kidney Diseases

3,843 studies on the registry are indexed under Kidney Diseases; 492 are open to participants now.

This study's enrollment of 15 is below the median of 70 across 2,645 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

University at Buffalo is the lead sponsor of 76 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 6 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
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

  • Type 2 Diabetes for at least 1 year.
  • Microalbuminuria for at least 6 months (UACR: 30-300 mg/g)
  • Macroalbuminuria for at least 6 months (UACR: >300 mg/g)
  • HbA1c of ≤10%
  • Ages 18-65 years (inclusive of ages 18 and 65)
  • On ARBs/ACEi for at >3months

Exclusion criteria

Exclusion Criteria:

  • Use of GLP-1 Receptor agonists or SGLT-2 inhibitors therapy in the last 3 months
  • History or risk for pancreatitis (e.g., history of gallstones, alcohol abuse, and hypertriglyceridemia)
  • Coronary event or procedure (myocardial infarction, unstable angina, coronary artery bypass, surgery or coronary angioplasty) in the previous 3 months
  • Hepatic disease: Severe hepatic insufficiency and/or significant abnormal liver function defined as:

    1. Aspartate aminotransferase (AST) >3x upper limit of normal (ULN) and/or alanine aminotransferase (ALT) >3x ULN
    2. Total bilirubin >2.0 mg/dL (34.2 µmol/L)
    3. Positive serologic evidence of current infectious liver disease including Hepatitis B viral antibody IGM, Hepatitis B surface antigen and Hepatitis C virus antibody
    4. Liver function tests more than 3 times the upper limit of normal
  • Renal impairment (serum eGFR \<30 ml/min)
  • HIV
  • Inability to give informed consent
  • History of gastroparesis
  • History of medullary thyroid carcinoma or MEN 2 syndrome
  • Alcoholism
  • Hypertriglyceridemia (>500 mg/dl).
  • Any other life-threatening, non-cardiac disease
  • Uncontrolled hypertension (BP > 160/100 mm of Hg)
  • Congestive Heart Failure class III or IV
  • Use of an investigational agent or therapeutic regimen within 30 days of study
  • Participation in any other concurrent clinical trial
  • Pregnant or breastfeeding patients or females of childbearing age not on 2 forms of acceptable contraceptives.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Exenatide extended release

    Exenatide extended release treatment for 1 year on albuminuria levels in T2DM patients with micro- and macroalbuminuria compared to placebo.

    Drug: Exenatide Extended Release for Inj Susp 2 MG

  • Placebo comparator
    Placebo

    Placebo treatment for 1 year on albuminuria levels in T2DM patients with micro- and macroalbuminuria compared to Exenatide extended release.

    Drug: Placebo

Interventions

  • Exenatide extended release treatment weekly for 1 year in T2DM patients with micro- and macroalbuminuria

    Also known as: Bydureon

  • DrugPlacebo

    placebo treatment weekly for 1 year in type 2 diabetes with micro-and macroalbuminuria

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Urinary Albuminuria Levels

    change from baseline in 24-hr urinary albuminuria (albumin/creatine) level at week 52 following Exenatide extended release OR placebo treatments

    Time frame: baseline and 52 weeks

07

Results

Posted Apr 16, 2024

Participant flow

Participant flow — Overall Study
MilestoneExenatide Extended ReleasePlacebo
Started78
Completed45
Not completed33

Outcome measures

PrimaryChange From Baseline in Urinary Albuminuria Levels

change from baseline in 24-hr urinary albuminuria (albumin/creatine) level at week 52 following Exenatide extended release OR placebo treatments

Time frame:
baseline and 52 weeks
Reported as:
Mean · microgram/mg creatinine
Change From Baseline in Urinary Albuminuria Levels
microgram/mg creatinineExenatide Extended ReleasePlacebo
Change From Baseline in Urinary Albuminuria Levels-32 ± 122-12 ± 132

Adverse events

Collected over 52 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Exenatide Extended Release0/7 (0%)0/7 (0%)0/7 (0%)
Placebo0/8 (0%)0/8 (0%)0/8 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(YEARS)Exenatide Extended ReleasePlaceboTotal
Mean62 ± 865 ± 964 ± 8
Sex: Female, Male
Sex: Female, Male(Participants)Exenatide Extended ReleasePlaceboTotal
Female336
Male459
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Exenatide Extended ReleasePlaceboTotal
Count of participants——0
08

Study locations

1 site
  • Diabetes Endocrinology Research Center of WNY
    Williamsville, New York 14221, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 12, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03029351
Lead sponsor
University at Buffalo
Collaborators
AstraZeneca
Responsible party
Paresh Dandona (SUNY Distinguished Professor, University at Buffalo) — Principal investigator
First posted
Jan 24, 2017
Start date
Jan 10, 2017
Primary completion
Jul 2019
Completion
Jul 2019
Results posted
Apr 16, 2024
Last update
Apr 16, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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