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Addition Of Exenatide To Insulin Glargine In Type 2 Diabetes Mellitus

21. oktober 2016 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

261

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • Arizona
      • Peoria, Arizona, Forente stater
        • Research Site
      • Phoenix, Arizona, Forente stater
        • Research Site
    • California
      • Buena Park, California, Forente stater
        • Research Site
      • Concord, California, Forente stater
        • Research Site
      • Fresno, California, Forente stater
        • Research Site
      • Greenbrae, California, Forente stater
        • Research Site
      • La Mesa, California, Forente stater
        • Research Site
      • Lancaster, California, Forente stater
        • Research Site
      • Northridge, California, Forente stater
        • Research Site
      • Palm Springs, California, Forente stater
        • Research Site
      • Salinas, California, Forente stater
        • Research Site
    • Florida
      • Hollywood, Florida, Forente stater
        • Research Site
      • Jacksonville, Florida, Forente stater
        • Research Site
    • Georgia
      • Atlanta, Georgia, Forente stater
        • Research Site
    • Hawaii
      • Honolulu, Hawaii, Forente stater
        • Research Site
    • Idaho
      • Idaho Falls, Idaho, Forente stater
        • Research Site
    • Iowa
      • Des Moines, Iowa, Forente stater
        • Research Site
    • Kansas
      • Wichita, Kansas, Forente stater
        • Research Site
    • Louisiana
      • Baton Rouge, Louisiana, Forente stater
        • Research Site
      • Lafayette, Louisiana, Forente stater
        • Research Site
      • Matairie, Louisiana, Forente stater
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Forente stater
        • Research Site
    • Minnesota
      • Minneapolis, Minnesota, Forente stater
        • Research Site
    • Missouri
      • Chesterfield, Missouri, Forente stater
        • Research Site
      • St Louis, Missouri, Forente stater
        • Research Site
    • Nebraska
      • Omaha, Nebraska, Forente stater
        • Research Site
    • Nevada
      • Las Vegas, Nevada, Forente stater
        • Research Site
    • New Jersey
      • Berkeley Heights, New Jersey, Forente stater
        • Research Site
      • Teaneck, New Jersey, Forente stater
        • Research Site
    • New Mexico
      • Alburquerque, New Mexico, Forente stater
        • Research Site
    • New York
      • New York, New York, Forente stater
        • Research Site
    • North Carolina
      • Durham, North Carolina, Forente stater
        • Research Site
    • Oregon
      • Bend, Oregon, Forente stater
        • Research Site
    • Texas
      • Dallas, Texas, Forente stater
        • Research Site
      • El Paso, Texas, Forente stater
        • Research Site
      • Georgetown, Texas, Forente stater
        • Research Site
      • San Antonio, Texas, Forente stater
        • Research Site
    • Virginia
      • Richmond, Virginia, Forente stater
        • Research Site
    • Washington
      • Vancouver, Washington, Forente stater
        • Research Site
    • Wisconsin
      • Kenosha, Wisconsin, Forente stater
        • Research Site
  • Hellas
      • Athens, Hellas
        • Research Site
      • Thessaloniki, Hellas
        • 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
  • Storbritannia
      • Birmingham, Storbritannia
        • Research Site
      • Guildford, Storbritannia
        • Research Site
      • Leicester, Storbritannia
        • Research Site
      • Livingston, Storbritannia
        • Research Site
      • Middlesbrough, Storbritannia
        • Research Site
      • Swansea, Storbritannia
        • Research Site
      • Torquay, Storbritannia
        • Research Site

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 2
Legemiddel: exenatid
subkutan injeksjon, to ganger daglig, 10mcg
Placebo komparator: 1
Legemiddel: placebo
subkutan injeksjon, to ganger daglig

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

AstraZeneca

Samarbeidspartnere

Eli Lilly and Company

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. oktober 2008

Primær fullføring (Faktiske)

1. januar 2010

Studiet fullført (Faktiske)

1. januar 2010

Datoer for studieregistrering

Først innsendt

1. oktober 2008

Først innsendt som oppfylte QC-kriteriene

1. oktober 2008

Først lagt ut (Anslag)

3. oktober 2008

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

24. oktober 2016

Siste oppdatering sendt inn som oppfylte QC-kriteriene

21. oktober 2016

Sist bekreftet

1. oktober 2016

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • H8O-US-GWCO

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