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Addition Of Exenatide To Insulin Glargine In Type 2 Diabetes Mellitus

21. oktober 2016 opdateret af: AstraZeneca

A Randomized Trial Comparing Exenatide With Placebo in Subjects With Type 2 Diabetes on Insulin Glargine With or Without Oral Antihyperglycemic Medications

This study will compare the efficacy and safety of exenatide versus placebo in adults whose diabetes is not fully controlled by insulin glargine with or without metformin and/or pioglitazone.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

261

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Det Forenede Kongerige
      • Birmingham, Det Forenede Kongerige
        • Research Site
      • Guildford, Det Forenede Kongerige
        • Research Site
      • Leicester, Det Forenede Kongerige
        • Research Site
      • Livingston, Det Forenede Kongerige
        • Research Site
      • Middlesbrough, Det Forenede Kongerige
        • Research Site
      • Swansea, Det Forenede Kongerige
        • Research Site
      • Torquay, Det Forenede Kongerige
        • Research Site
  • Forenede Stater
    • Arizona
      • Peoria, Arizona, Forenede Stater
        • Research Site
      • Phoenix, Arizona, Forenede Stater
        • Research Site
    • California
      • Buena Park, California, Forenede Stater
        • Research Site
      • Concord, California, Forenede Stater
        • Research Site
      • Fresno, California, Forenede Stater
        • Research Site
      • Greenbrae, California, Forenede Stater
        • Research Site
      • La Mesa, California, Forenede Stater
        • Research Site
      • Lancaster, California, Forenede Stater
        • Research Site
      • Northridge, California, Forenede Stater
        • Research Site
      • Palm Springs, California, Forenede Stater
        • Research Site
      • Salinas, California, Forenede Stater
        • Research Site
    • Florida
      • Hollywood, Florida, Forenede Stater
        • Research Site
      • Jacksonville, Florida, Forenede Stater
        • Research Site
    • Georgia
      • Atlanta, Georgia, Forenede Stater
        • Research Site
    • Hawaii
      • Honolulu, Hawaii, Forenede Stater
        • Research Site
    • Idaho
      • Idaho Falls, Idaho, Forenede Stater
        • Research Site
    • Iowa
      • Des Moines, Iowa, Forenede Stater
        • Research Site
    • Kansas
      • Wichita, Kansas, Forenede Stater
        • Research Site
    • Louisiana
      • Baton Rouge, Louisiana, Forenede Stater
        • Research Site
      • Lafayette, Louisiana, Forenede Stater
        • Research Site
      • Matairie, Louisiana, Forenede Stater
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater
        • Research Site
    • Minnesota
      • Minneapolis, Minnesota, Forenede Stater
        • Research Site
    • Missouri
      • Chesterfield, Missouri, Forenede Stater
        • Research Site
      • St Louis, Missouri, Forenede Stater
        • Research Site
    • Nebraska
      • Omaha, Nebraska, Forenede Stater
        • Research Site
    • Nevada
      • Las Vegas, Nevada, Forenede Stater
        • Research Site
    • New Jersey
      • Berkeley Heights, New Jersey, Forenede Stater
        • Research Site
      • Teaneck, New Jersey, Forenede Stater
        • Research Site
    • New Mexico
      • Alburquerque, New Mexico, Forenede Stater
        • Research Site
    • New York
      • New York, New York, Forenede Stater
        • Research Site
    • North Carolina
      • Durham, North Carolina, Forenede Stater
        • Research Site
    • Oregon
      • Bend, Oregon, Forenede Stater
        • Research Site
    • Texas
      • Dallas, Texas, Forenede Stater
        • Research Site
      • El Paso, Texas, Forenede Stater
        • Research Site
      • Georgetown, Texas, Forenede Stater
        • Research Site
      • San Antonio, Texas, Forenede Stater
        • Research Site
    • Virginia
      • Richmond, Virginia, Forenede Stater
        • Research Site
    • Washington
      • Vancouver, Washington, Forenede Stater
        • Research Site
    • Wisconsin
      • Kenosha, Wisconsin, Forenede Stater
        • Research Site
  • Grækenland
      • Athens, Grækenland
        • Research Site
      • Thessaloniki, Grækenland
        • Research Site
  • Israel
      • Holon, Israel
        • Research Site
      • Kfar Sava, Israel
        • Research Site
      • Tel Hashomer, Israel
        • Research Site
  • Mexico
      • Coatzacoalcos, Mexico
        • Research Site
      • Mexico, Mexico
        • Research Site
      • Monterrey, Mexico
        • Research Site
  • Puerto Rico
      • Carolina, Puerto Rico
        • Research Site
      • Hato Rey, Puerto Rico
        • Research Site
      • Ponce, Puerto Rico
        • Research Site
      • San Juan, Puerto Rico
        • Research Site

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Have type 2 diabetes.
  • Have been taking insulin glargine at a dose of ≥20 units/day for at least 3 months before entering the study.

Have been taking insulin glargine alone or in combination with one of the following for at least 3 months before entering the study:

  1. metformin (stable dose for 6 weeks)
  2. pioglitazone (stable dose for 6 weeks)

  3. a combination of metformin and pioglitazone (stable dose for 6 weeks)

    • Have HbA1C between 7.1% and 10.5%, inclusive.
    • Have a body mass index (BMI) ≤45 kg/m2.
    • Have a history of stable body weight (not varying by >5% for at least 3 months prior to screening).

Exclusion Criteria:

  • Have taken medications to lower blood sugar other than insulin glargine, pioglitazone, or metformin in the 3 months before entering the study for more than a 1-week period, or within 1 week of entering the study.
  • Have had more than one episode of major (severe) hypoglycemia in the 6 months before entering the study.
  • Are pregnant or intend to become pregnant during the study or are sexually active women not actively practicing birth control.
  • Women who are breastfeeding.
  • Have any significant diseases of the blood, heart, kidney, gastrointestinal system, or other significant diseases such as cancer.
  • Have had a kidney transplant or are currently on kidney dialysis.
  • Have a cancer that's never been treated, that's currently being treated, or that was diagnosed within the last 5 years.
  • Have had a bad reaction to exenatide in the past or have a condition that is not recommended to be exposed to exenatide or any of exenatide's other ingredients.
  • Have used a drug for weight loss in the 3 months before entering the study for more than a 1-week period, or within 1 month of entering the study.
  • Are currently on a weight-loss program or have been on one within 3 months of entering the study.
  • Have had a blood transfusion or severe blood loss within 3 months of entering the study.
  • Are taking systemic glucocorticoids or have received systemic glucocorticoids within 8 weeks of entering the study.
  • Have an irregular sleep cycle (for example, sleeping during the day and working during the night).
  • Have a history of pancreatitis.
  • Have received treatment with an experimental drug within 30 days of entering the study.
  • If on metformin, have a condition that is not recommended to be exposed to metformin, or any condition associated with hypoperfusion, hypoxemia, dehydration, or sepsis.
  • If on metformin, have had a radiologic contrast study performed within 48 hours of entering the study.
  • If on pioglitazone, have a condition that is not recommended to be exposed to pioglitazone, including congestive heart failure, or are taking pioglitazone at a dose that is not approved for use with insulin.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: 2
Medicin: exenatid
subkutan injektion, to gange dagligt, 10mcg
Placebo komparator: 1
Medicin: placebo
subkutan injektion, to gange dagligt

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Glycosylated Hemoglobin (HbA1c)
Tidsramme: baseline and 30 weeks
Change in HbA1c from baseline following 30 weeks of therapy (i.e., HbA1c at week 30 minus HbA1c at baseline). Unit of measure is percent of hemoglobin that is glycosylated.
baseline and 30 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Patients Achieving HbA1c <=7%
Tidsramme: baseline and 30 weeks
Percentage of patients in each arm who had HbA1c >7% at baseline and had HbA1c <=7% at week 30 (percentage = [number of subjects with HbA1c <=7% at week 30 divided by number of subjects with HbA1c >7% at baseline] * 100%).
baseline and 30 weeks
Percentage of Patients Achieving HbA1c <=6.5%
Tidsramme: baseline and 30 weeks
Percentage of patients in each arm who had HbA1c >6.5% at baseline and had HbA1c <=6.5% at week 30 (percentage = [number of subjects with HbA1c <=6.5% at week 30 divided by number of subjects with HbA1c >6.5% at baseline] * 100%).
baseline and 30 weeks
Change in Fasting Serum Glucose
Tidsramme: baseline and 30 weeks
Change in fasting serum glucose following 30 weeks of therapy (i.e., fasting serum glucose at week 30 minus fasting serum glucose at baseline)
baseline and 30 weeks
Change in 7-point Self-monitored Blood Glucose (SMBG) Profile
Tidsramme: baseline and 30 weeks
Change in 7-point (pre-breakfast, 2 hour post-breakfast, pre-lunch, 2 hour post-lunch, pre-dinner, 2 hour post-dinner, 0300 hours) SMBG profile from baseline to week 30 (change = blood glucose value at week 30 minus blood glucose value at baseline)
baseline and 30 weeks
Change in Total Cholesterol
Tidsramme: baseline and 30 weeks
Change in total cholesterol following 30 weeks of therapy (i.e., total cholesterol at week 30 minus total cholesterol at baseline)
baseline and 30 weeks
Change in Low Density Lipoprotein (LDL) Cholesterol
Tidsramme: baseline and 30 weeks
Change in LDL cholesterol following 30 weeks of therapy (i.e., LDL cholesterol at week 30 minus LDL cholesterol at baseline)
baseline and 30 weeks
Change in High Density Lipoprotein (HDL) Cholesterol
Tidsramme: baseline and 30 weeks
Change in HDL cholesterol following 30 weeks of therapy (i.e., HDL cholesterol at week 30 minus HDL cholesterol at baseline)
baseline and 30 weeks
Change in Triglycerides
Tidsramme: baseline and 30 weeks
Change in triglycerides following 30 weeks of therapy (i.e., triglycerides at week 30 minus triglycerides at baseline)
baseline and 30 weeks
Change in Body Weight
Tidsramme: baseline and 30 weeks
Change in body weight following 30 weeks of therapy (i.e., body weight at week 30 minus body weight at baseline)
baseline and 30 weeks
Change in Waist Circumference
Tidsramme: baseline and 30 weeks
Change in waist circumference following 30 weeks of therapy (i.e., waist circumference at week 30 minus waist circumference at baseline)
baseline and 30 weeks
Change in Daily Insulin Dose
Tidsramme: baseline and 30 weeks
Change in daily insulin dose following 30 weeks of therapy (i.e., daily insulin dose at week 30 minus daily insulin dose at baseline)
baseline and 30 weeks
Change in Daily Insulin Dose (on a Per Body Weight Basis)
Tidsramme: baseline and 30 weeks
Change in daily insulin dose per kilogram (kg) following 30 weeks of therapy (i.e., daily insulin dose per kg at week 30 minus daily insulin dose per kg at baseline)
baseline and 30 weeks
Change in Systolic Blood Pressure (SBP)
Tidsramme: baseline and 30 weeks
Change in SBP following 30 weeks of therapy (i.e., SBP at week 30 minus SBP at baseline)
baseline and 30 weeks
Change in Diastolic Blood Pressure (DBP)
Tidsramme: baseline and 30 weeks
Change in DBP following 30 weeks of therapy (i.e., DBP at week 30 minus DBP at baseline)
baseline and 30 weeks
Minor Hypoglycemia Rate Per Year
Tidsramme: baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
Number of minor hypoglycemia events experienced per subject per year. Minor hypoglycemia was defined as any time a subject felt he or she was experiencing a sign or symptom associated with hypoglycemia that was either self-treated by the subject or resolved on its own and had a concurrent finger stick blood glucose <3.0 mmol/L (54 mg/dL).
baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
Percentage of Subjects Experiencing Minor Hypoglycemia
Tidsramme: baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
Percentage of subjects in each arm experiencing at least one episode of minor hypoglycemia at any point during the study. Minor hypoglycemia was defined as any time a subject felt he or she was experiencing a sign or symptom associated with hypoglycemia that was either self-treated by the subject or resolved on its own and had a concurrent finger stick blood glucose <3.0 mmol/L (54 mg/dL).
baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

AstraZeneca

Samarbejdspartnere

Eli Lilly and Company

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. oktober 2008

Primær færdiggørelse (Faktiske)

1. januar 2010

Studieafslutning (Faktiske)

1. januar 2010

Datoer for studieregistrering

Først indsendt

1. oktober 2008

Først indsendt, der opfyldte QC-kriterier

1. oktober 2008

Først opslået (Skøn)

3. oktober 2008

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

24. oktober 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. oktober 2016

Sidst verificeret

1. oktober 2016

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • H8O-US-GWCO

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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