Addition Of Exenatide To Insulin Glargine In Type 2 Diabetes Mellitus
2016년 10월 21일 업데이트: 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.
연구 개요
연구 유형
중재적
등록 (실제)
261
단계
- 3단계
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Athens, 그리스
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Wisconsin
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
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:
- metformin (stable dose for 6 weeks)
- pioglitazone (stable dose for 6 weeks)
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.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: 2
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피하주사, 1일 2회, 10mcg
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위약 비교기: 1
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피하 주사, 하루에 두 번
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Change in Glycosylated Hemoglobin (HbA1c)
기간: baseline and 30 weeks
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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.
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baseline and 30 weeks
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Percentage of Patients Achieving HbA1c <=7%
기간: baseline and 30 weeks
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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%).
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baseline and 30 weeks
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Percentage of Patients Achieving HbA1c <=6.5%
기간: baseline and 30 weeks
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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%).
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baseline and 30 weeks
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Change in Fasting Serum Glucose
기간: baseline and 30 weeks
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Change in fasting serum glucose following 30 weeks of therapy (i.e., fasting serum glucose at week 30 minus fasting serum glucose at baseline)
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baseline and 30 weeks
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Change in 7-point Self-monitored Blood Glucose (SMBG) Profile
기간: baseline and 30 weeks
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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)
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baseline and 30 weeks
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Change in Total Cholesterol
기간: baseline and 30 weeks
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Change in total cholesterol following 30 weeks of therapy (i.e., total cholesterol at week 30 minus total cholesterol at baseline)
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baseline and 30 weeks
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Change in Low Density Lipoprotein (LDL) Cholesterol
기간: baseline and 30 weeks
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Change in LDL cholesterol following 30 weeks of therapy (i.e., LDL cholesterol at week 30 minus LDL cholesterol at baseline)
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baseline and 30 weeks
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Change in High Density Lipoprotein (HDL) Cholesterol
기간: baseline and 30 weeks
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Change in HDL cholesterol following 30 weeks of therapy (i.e., HDL cholesterol at week 30 minus HDL cholesterol at baseline)
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baseline and 30 weeks
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Change in Triglycerides
기간: baseline and 30 weeks
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Change in triglycerides following 30 weeks of therapy (i.e., triglycerides at week 30 minus triglycerides at baseline)
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baseline and 30 weeks
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Change in Body Weight
기간: baseline and 30 weeks
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Change in body weight following 30 weeks of therapy (i.e., body weight at week 30 minus body weight at baseline)
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baseline and 30 weeks
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Change in Waist Circumference
기간: baseline and 30 weeks
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Change in waist circumference following 30 weeks of therapy (i.e., waist circumference at week 30 minus waist circumference at baseline)
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baseline and 30 weeks
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Change in Daily Insulin Dose
기간: baseline and 30 weeks
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Change in daily insulin dose following 30 weeks of therapy (i.e., daily insulin dose at week 30 minus daily insulin dose at baseline)
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baseline and 30 weeks
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Change in Daily Insulin Dose (on a Per Body Weight Basis)
기간: baseline and 30 weeks
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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)
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baseline and 30 weeks
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Change in Systolic Blood Pressure (SBP)
기간: baseline and 30 weeks
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Change in SBP following 30 weeks of therapy (i.e., SBP at week 30 minus SBP at baseline)
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baseline and 30 weeks
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Change in Diastolic Blood Pressure (DBP)
기간: baseline and 30 weeks
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Change in DBP following 30 weeks of therapy (i.e., DBP at week 30 minus DBP at baseline)
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baseline and 30 weeks
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Minor Hypoglycemia Rate Per Year
기간: baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
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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).
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baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
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Percentage of Subjects Experiencing Minor Hypoglycemia
기간: baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
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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).
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baseline and weeks 2, 4, 6, 8, 10, 14, 18, 22, 26, and 30
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
스폰서
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Pencek R, Blickensderfer A, Li Y, Brunell SC, Anderson PW. Exenatide twice daily: analysis of effectiveness and safety data stratified by age, sex, race, duration of diabetes, and body mass index. Postgrad Med. 2012 Jul;124(4):21-32. doi: 10.3810/pgm.2012.07.2567.
- Buse JB, Han J, Miller S, MacConell L, Pencek R, Wintle M. Addition of exenatide BID to insulin glargine: a post-hoc analysis of the effect on glycemia and weight across a range of insulin titration. Curr Med Res Opin. 2014 Jul;30(7):1209-18. doi: 10.1185/03007995.2014.896329. Epub 2014 Mar 18.
- Zinman B, Philis-Tsimikas A, Cariou B, Handelsman Y, Rodbard HW, Johansen T, Endahl L, Mathieu C; NN1250-3579 (BEGIN Once Long) Trial Investigators. Insulin degludec versus insulin glargine in insulin-naive patients with type 2 diabetes: a 1-year, randomized, treat-to-target trial (BEGIN Once Long). Diabetes Care. 2012 Dec;35(12):2464-71. doi: 10.2337/dc12-1205. Epub 2012 Oct 5.
- Rosenstock J, Shenouda SK, Bergenstal RM, Buse JB, Glass LC, Heilmann CR, Kwan AY, MacConell LA, Hoogwerf BJ. Baseline factors associated with glycemic control and weight loss when exenatide twice daily is added to optimized insulin glargine in patients with type 2 diabetes. Diabetes Care. 2012 May;35(5):955-8. doi: 10.2337/dc11-1434. Epub 2012 Mar 19.
- Buse JB, Bergenstal RM, Glass LC, Heilmann CR, Lewis MS, Kwan AY, Hoogwerf BJ, Rosenstock J. Use of twice-daily exenatide in Basal insulin-treated patients with type 2 diabetes: a randomized, controlled trial. Ann Intern Med. 2011 Jan 18;154(2):103-12. doi: 10.7326/0003-4819-154-2-201101180-00300. Epub 2010 Dec 6.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
2008년 10월 1일
기본 완료 (실제)
2010년 1월 1일
연구 완료 (실제)
2010년 1월 1일
연구 등록 날짜
최초 제출
2008년 10월 1일
QC 기준을 충족하는 최초 제출
2008년 10월 1일
처음 게시됨 (추정)
2008년 10월 3일
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
2016년 10월 24일
QC 기준을 충족하는 마지막 업데이트 제출
2016년 10월 21일
마지막으로 확인됨
2016년 10월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .