A Study to Compare the Glycemic Effects, Safety, and Tolerability of Exenatide Once Weekly to Those of Sitagliptin and Pioglitazone,in Subjects With Type 2 Diabetes Treated With Metformin (DURATION - 2)
19 de marzo de 2015 actualizado por: AstraZeneca
A Randomized, Double-Blind, Parallel-Group, Multicenter Study to Compare the Glycemic Effects, Safety, and Tolerability of Exenatide Long-Acting Release(Once Weekly) to Those of Sitagliptin and a Thiazolidinedione in Subjects With Type 2 Diabetes Mellitus Treated With Metformin
This study will compare the benefits of exenatide once weekly treatment to those achieved by the approved antidiabetic therapies sitagliptin and pioglitazone in subjects whose type 2 diabetes is managed with metformin therapy alone.
The safety and tolerability of the three treatment regimens will also be compared.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
514
Fase
- Fase 3
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Arizona
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Peoria, Arizona, Estados Unidos
- Research Site
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California
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Artesia, California, Estados Unidos
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Concord, California, Estados Unidos
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Encino, California, Estados Unidos
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Greenbrae, California, Estados Unidos
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La Mesa, California, Estados Unidos
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Orange, California, Estados Unidos
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Walnut Creek, California, Estados Unidos
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Whittier, California, Estados Unidos
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Colorado
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Colorado Springs, Colorado, Estados Unidos
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District of Columbia
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Washington, District of Columbia, Estados Unidos
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Florida
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Coral Gables, Florida, Estados Unidos
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Deland, Florida, Estados Unidos
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Melbourne, Florida, Estados Unidos
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Miami, Florida, Estados Unidos
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New Port Richey, Florida, Estados Unidos
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Georgia
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Decatur, Georgia, Estados Unidos
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Indiana
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Avon, Indiana, Estados Unidos
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Kansas
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Wichita, Kansas, Estados Unidos
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Kentucky
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Paducah, Kentucky, Estados Unidos
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Louisiana
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Baton Rouge, Louisiana, Estados Unidos
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New Orleans, Louisiana, Estados Unidos
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Maryland
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Oxon Hill, Maryland, Estados Unidos
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Massachusetts
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Boston, Massachusetts, Estados Unidos
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Michigan
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Chelsea, Michigan, Estados Unidos
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Ypsilanti, Michigan, Estados Unidos
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Minnesota
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St. Louis Park, Minnesota, Estados Unidos
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Missouri
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St. Louis, Missouri, Estados Unidos
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Montana
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Butte, Montana, Estados Unidos
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Nebraska
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Lincoln, Nebraska, Estados Unidos
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Nevada
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Las Vegas, Nevada, Estados Unidos
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New York
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New Hyde Park, New York, Estados Unidos
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New Windsor, New York, Estados Unidos
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New York, New York, Estados Unidos
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Rochester, New York, Estados Unidos
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North Carolina
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Durham, North Carolina, Estados Unidos
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Statesville, North Carolina, Estados Unidos
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Winston-Salem, North Carolina, Estados Unidos
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Ohio
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Athens, Ohio, Estados Unidos
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Cincinnati, Ohio, Estados Unidos
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Dayton, Ohio, Estados Unidos
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Pennsylvania
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Philadelphia, Pennsylvania, Estados Unidos
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South Dakota
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Rapid City, South Dakota, Estados Unidos
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Tennessee
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Memphis, Tennessee, Estados Unidos
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Texas
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Austin, Texas, Estados Unidos
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Dallas, Texas, Estados Unidos
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San Antonio, Texas, Estados Unidos
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Virginia
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Richmond, Virginia, Estados Unidos
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Washington
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Olympia, Washington, Estados Unidos
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Spokane, Washington, Estados Unidos
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Tacoma, Washington, Estados Unidos
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Bangalore, India
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Indore, India
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Karnal, India
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Mumbai, India
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Pune, India
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Toluca, México
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Distrito Federal
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Mexico City, Distrito Federal, México
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Jalisco
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Guadalajara, Jalisco, México
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Zapopan, Jalisco, México
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Morelos
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Cuernavaca, Morelos, México
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NuevoLeon
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Monterrey, NuevoLeon, México
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Has been diagnosed with type 2 diabetes mellitus
- Has a hemoglobin-specific A1c fraction (HbA1c) of 7.1% to 11.0%, inclusive, at study start
- Has a body mass index (BMI)of 25 kg/m2 to 45 kg/m2, inclusive, at study start
- Has been on a stable treatment regimen of metformin for a minimum of 2 months prior to study start
Either is not treated with or has been on a stable treatment regimen with any of the following medications for a minimum of 2 months prior to study start:
- Hormone replacement therapy (female subjects)
- Oral contraceptives (female subjects)
- Antihypertensive agents
- Lipid-lowering agents
- Thyroid replacement therapy
- Antidepressant agents
- Drugs known to affect body weight, including prescription medications (e.g. orlistat [XENICAL®], sibutramine [MERIDIA®], topiramate [TOPAMAX®]) and over-the-counter antiobesity agents
Exclusion Criteria:
- Has been previously exposed to exenatide once weekly
- Has donated blood within 60 days of study start or is planning to donate blood during the study
Currently being treated, or is expected to require or undergo treatment with any of the following treatment-excluded medications:
- Exenatide (BYETTA®) or any Dipeptidyl peptidase-4 DPP-4)inhibitor, sulfonylurea (SU), thiazolidinedione (TZD), or glucagon-like peptide (GLP)-1 analog within 3 months prior to study start
- Alpha-glucosidase inhibitor, meglitinide, nateglinide, or pramlintide (SYMLIN®) within 30 days of study start
- Insulin within 2 weeks of study start or for more than 1 week within 3 months of study start
- Systemic corticosteroids by oral, intravenous, or intramuscular route; or potent, inhaled, or intrapulmonary (including ADVAIR®) steroids known to have a high rate of systemic absorption
- Drugs interacting with the CYP2C8 enzyme system, including gemfibrozil (LOPID®) and rifampin
- Has received any investigational drug within 1 month (or five half-lives of investigational drug, whichever is greater) of study start
- Has previously experienced a clinically significant adverse event (e.g., significant edema) related to TZD or DPP-4 inhibitor use
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: 1
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inyección subcutánea, 2,0 mg, una vez a la semana
oral tablet, once a day
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Comparador activo: 2
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oral tablet, 100mg, once a day
Otros nombres:
subcutaneous injection, once a week
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Comparador activo: 3
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subcutaneous injection, once a week
oral tablet, 45mg, once a day
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Change in HbA1c From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Absolute change in HbA1c from baseline (Day 1) to Week 26 [Week 26 - Baseline].
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Day 1, Week 26
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Percentage of Subjects Achieving HbA1c Target of <7% at Week 26
Periodo de tiempo: Week 26
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Percentages of subjects achieving HbA1c target values of <7% at Week 26.
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Week 26
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Percentage of Subjects Achieving HbA1c Target of <=6.5% at Week 26
Periodo de tiempo: Week 26
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Percentages of subjects achieving HbA1c target values of <=6.5% at Week 26.
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Week 26
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Percentage of Subjects Achieving HbA1c Target of <=6.0% at Week 26
Periodo de tiempo: Week 26
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Percentages of subjects achieving HbA1c target values of <=6.0% at Week 26.
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Week 26
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Change in Body Weight From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Change in body weight from baseline (Day 1) to Week 26.
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Day 1, Week 26
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Change in Fasting Plasma Glucose From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Change in fasting plasma glucose from baseline (Day 1) to Week 26.
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Day 1, Week 26
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Change in Systolic Blood Pressure From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Change in systolic blood pressure from baseline (Day 1) to Week 26.
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Day 1, Week 26
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Change in Diastolic Blood Pressure From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Change in diastolic blood pressure from baseline (Day 1) to Week 26.
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Day 1, Week 26
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Change in Fasting Total Cholesterol From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Change in fasting total cholesterol from baseline (Day 1) to Week 26.
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Day 1, Week 26
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Change in Fasting High-density Lipoprotein (HDL) From Baseline to Week 26
Periodo de tiempo: Day 1, Week 26
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Change in fasting HDL from baseline (Day 1) to Week 26.
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Day 1, Week 26
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Ratio of Fasting Triglycerides at Week 26 to Baseline
Periodo de tiempo: Day 1, Week 26
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Ratio of triglycerides (measured in mg/dL) at Week 26 to baseline (Day 1).
Log (Postbaseline Triglycerides) - log (Baseline Triglycerides); change from baseline to endpoint is presented as ratio of endpoint to baseline.
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Day 1, Week 26
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Assessment on Event Rate of Treatment-emergent Hypoglycemic Events
Periodo de tiempo: Day 1 to Week 26
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Major hypoglycemia: events that, in the judgment of the investigator or physician, resulted in loss of consciousness, seizure, coma, or other change in mental status consistent with neuroglycopenia, in which symptoms resolved after administration of intramuscular glucagon or intravenous glucose, required third-party assistance, and was accompanied by a blood glucose concentration < 54 mg/dL prior to treatment.
Minor hypoglycemia: symptoms consistent with hypoglycemia and blood glucose concentration < 54 mg/dL prior to treatment and not classified as major hypoglycemia.
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Day 1 to Week 26
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Fineman MS, Mace KF, Diamant M, Darsow T, Cirincione BB, Booker Porter TK, Kinninger LA, Trautmann ME. Clinical relevance of anti-exenatide antibodies: safety, efficacy and cross-reactivity with long-term treatment. Diabetes Obes Metab. 2012 Jun;14(6):546-54. doi: 10.1111/j.1463-1326.2012.01561.x. Epub 2012 Feb 10.
- Grimm M, Han J, Weaver C, Griffin P, Schulteis CT, Dong H, Malloy J. Efficacy, safety, and tolerability of exenatide once weekly in patients with type 2 diabetes mellitus: an integrated analysis of the DURATION trials. Postgrad Med. 2013 May;125(3):47-57. doi: 10.3810/pgm.2013.05.2660.
- Guja C, Frias JP, Suchower L, Hardy E, Marr G, Sjostrom CD, Jabbour SA. Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease. Diabetes Ther. 2020 Jul;11(7):1467-1480. doi: 10.1007/s13300-020-00815-z. Epub 2020 Apr 18. Erratum In: Diabetes Ther. 2020 Dec;11(12):3011-3013.
- Meloni AR, DeYoung MB, Han J, Best JH, Grimm M. Treatment of patients with type 2 diabetes with exenatide once weekly versus oral glucose-lowering medications or insulin glargine: achievement of glycemic and cardiovascular goals. Cardiovasc Diabetol. 2013 Mar 23;12:48. doi: 10.1186/1475-2840-12-48.
- Peyrot M, Bushnell DM, Best JH, Martin ML, Cameron A, Patrick DL. Development and validation of the self-management profile for type 2 diabetes (SMP-T2D). Health Qual Life Outcomes. 2012 Oct 5;10:125. doi: 10.1186/1477-7525-10-125.
- Malloy J, Meloni A, Han J. Efficacy and tolerability of exenatide once weekly versus sitagliptin in patients with type 2 diabetes mellitus: a retrospective analysis of pooled clinical trial data. Postgrad Med. 2013 May;125(3):58-67. doi: 10.3810/pgm.2013.05.2661.
- Wysham C, Bergenstal R, Malloy J, Yan P, Walsh B, Malone J, Taylor K. DURATION-2: efficacy and safety of switching from maximum daily sitagliptin or pioglitazone to once-weekly exenatide. Diabet Med. 2011 Jun;28(6):705-14. doi: 10.1111/j.1464-5491.2011.03301.x.
- Bergenstal RM, Wysham C, Macconell L, Malloy J, Walsh B, Yan P, Wilhelm K, Malone J, Porter LE; DURATION-2 Study Group. Efficacy and safety of exenatide once weekly versus sitagliptin or pioglitazone as an adjunct to metformin for treatment of type 2 diabetes (DURATION-2): a randomised trial. Lancet. 2010 Aug 7;376(9739):431-9. doi: 10.1016/S0140-6736(10)60590-9. Epub 2010 Jun 26.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de enero de 2008
Finalización primaria (Actual)
1 de febrero de 2009
Finalización del estudio (Actual)
1 de julio de 2009
Fechas de registro del estudio
Enviado por primera vez
6 de marzo de 2008
Primero enviado que cumplió con los criterios de control de calidad
10 de marzo de 2008
Publicado por primera vez (Estimar)
17 de marzo de 2008
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
7 de abril de 2015
Última actualización enviada que cumplió con los criterios de control de calidad
19 de marzo de 2015
Última verificación
1 de marzo de 2015
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Trastornos del metabolismo de la glucosa
- Enfermedades metabólicas
- Enfermedades del sistema endocrino
- Diabetes mellitus
- Diabetes Mellitus, Tipo 2
- Agentes hipoglucemiantes
- Efectos fisiológicos de las drogas
- Mecanismos moleculares de acción farmacológica
- Inhibidores de enzimas
- Hormonas
- Hormonas, sustitutos hormonales y antagonistas hormonales
- Inhibidores de la proteasa
- Agentes contra la obesidad
- Incretinas
- Inhibidores de la dipeptidil-peptidasa IV
- Pioglitazona
- Fosfato de sitagliptina
- Exenatida
Otros números de identificación del estudio
- BCB106 (DURATION - 2)
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .