| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT00960661 | A Trial Comparing Two Therapies: Basal Insulin/Glargine, Exenatide and Metformin Therapy (BET) or Basal Insulin/Glargine, Bolus Insulin Lispro and Metformin Therapy (BBT) in Subjects With Type 2 Diabetes | PHASE3 | COMPLETED | 1,036 | — | — | Sep 1, 2009 | Aug 1, 2012 | Apr 7, 2015 | 95 | Argentina, Belgium +16 |
| NCT00603239 | Safety and Efficacy of Exenatide in Patients With Type 2 Diabetes Using a Thiazolidinedione or a Thiazolidinedione and Metformin | PHASE3 | COMPLETED | 165 | — | — | Jan 1, 2008 | Jul 1, 2009 | Apr 7, 2015 | 25 | United States, Canada +3 |
| NCT00516074 | A Study to Assess the Effect of Exenatide Treatment on Mean 24-Hour Heart Rate in Patients With Type 2 Diabetes | PHASE3 | COMPLETED | 54 | — | — | Sep 1, 2007 | Apr 1, 2008 | Apr 7, 2015 | 6 | Canada, Netherlands |
| NCT00516048 | An Exploratory Study of the Effect of Treatment Interruption on Safety of Exenatide in Patients With Type 2 Diabetes | PHASE3 | COMPLETED | 58 | — | — | Aug 1, 2007 | Apr 1, 2008 | Apr 7, 2015 | 13 | Australia, Canada +3 |
| NCT00359762 | Exenatide Versus Glimepiride in Patients With Type 2 Diabetes | PHASE3 | COMPLETED | 1,029 | — | — | Sep 1, 2006 | Mar 1, 2011 | Sep 15, 2015 | 114 | Austria, Czechia +12 |
| NCT00375492 | Effect on Weight Loss of Exenatide Versus Placebo | PHASE3 | COMPLETED | 196 | — | — | Sep 1, 2006 | Feb 1, 2008 | Apr 7, 2015 | 10 | United States |
| NCT00381342 | Safety and Efficacy of Exenatide as Monotherapy | PHASE3 | COMPLETED | 233 | — | — | Sep 1, 2006 | Sep 1, 2007 | Feb 23, 2015 | 19 | United States, India +3 |
| NCT00308139 | Effects of Exenatide Long-Acting Release on Glucose Control and Safety in Subjects With Type 2 Diabetes Mellitus(DURATION - 1) | PHASE3 | COMPLETED | 303 | — | — | Apr 1, 2006 | Aug 1, 2014 | Aug 26, 2015 | 25 | United States, Canada |
| NCT00324363 | Safety and Efficacy of Exenatide in Patients With Type 2 Diabetes Using Metformin or Sulfonylureas and Metformin | PHASE3 | COMPLETED | 466 | — | — | Jan 1, 2006 | Apr 1, 2007 | Feb 23, 2015 | 14 | China, India +2 |
| NCT00097500 | Effects of Exenatide and Insulin Glargine in Subjects With Type 2 Diabetes | PHASE3 | COMPLETED | 69 | — | — | Sep 1, 2004 | Dec 1, 2009 | Apr 7, 2015 | 3 | Finland, Netherlands +1 |
| NCT00099619 | Comparing Exenatide and Insulin Glargine in Type 2 Diabetes Patients for Whom Insulin is the Next Appropriate Therapy | PHASE3 | COMPLETED | 138 | — | — | Sep 1, 2004 | Aug 1, 2005 | Feb 23, 2015 | 26 | Australia, Greece +4 |
| NCT00099320 | Safety and Efficacy of Exenatide in Patients With Type 2 Diabetes Using Thiazolidinediones or Thiazolidinediones and Metformin | PHASE3 | COMPLETED | 182 | — | — | May 1, 2004 | Aug 1, 2005 | Feb 23, 2015 | 51 | United States, Canada +1 |
| NCT01876849 | An Open-Label Study Examining the Long-Term Safety of Exenatide Given Twice Daily to Patients With Type 2 Diabetes Mellitus | PHASE3 | COMPLETED | 275 | — | — | Dec 1, 2003 | Jul 1, 2008 | Feb 24, 2015 | 1 | United States |
| NCT00382239 | A Study to Assess the Effect on Glucose Control and Safety and Tolerability of LY2148568 In Japanese Patients With Type 2 Diabetes | PHASE2 | COMPLETED | 153 | — | — | Sep 1, 2006 | May 1, 2007 | Feb 23, 2015 | 14 | Japan |
| NCT00241423 | Effect of Exenatide on 24-Hour Blood Glucose Profile Compared With Placebo in Patients With Type 2 Diabetes | PHASE2 | COMPLETED | 30 | — | — | Oct 1, 2005 | Jun 1, 2007 | Feb 23, 2015 | 2 | United States |
| NCT00099333 | Study of the Safety of Substituting Exenatide for Insulin in Patients Using Insulin and Oral Antidiabetic Agents | PHASE2 | COMPLETED | 49 | — | — | Feb 1, 2004 | Aug 1, 2005 | Feb 23, 2015 | 5 | United States |
Change in HbA1c from baseline following 30 weeks of therapy (i.e. HbA1c at week 30 minus HbA1c at baseline).
Change in HbA1c from baseline to endpoint after 26 weeks of treatment (i.e., HbA1c at endpoint minus HbA1c at baseline)
Change from baseline to endpoint in average heart rate measured over 24 hours by an ambulatory blood pressure monitor.
Patients who experienced specified treatment-emergent antibody status at any point during the study (grouped by maximum titer level experienced)
Number of patients experiencing a potentially immune-related treatment-emergent adverse event at any point during the study
Treatment failure is defined as one of the following:1. HbA1c exceeding 9% at any visit after the initial 3 months of treatment (i.e., earliest at Month 6), on the maximally tolerated dose of antidiabetic agents. 2. HbA1c exceeding 7% at 2 consecutive visits 3 months apart, after the initial 6 months of treatment (i.e., earliest at Month 9), on the maximally tolerated dose of antidiabetic agents.
Treatment failure is defined as one of the following:1. HbA1c exceeding 9% at any visit after the initial 3 months of treatment (i.e., earliest at Month 6), on the maximally tolerated dose of antidiabetic agents. 2. HbA1c exceeding 7% at 2 consecutive visits 3 months apart, after the initial 6 months of treatment (i.e., earliest at Month 9), on the maximally tolerated dose of antidiabetic agents.
Change in body weight from baseline (Week 0) after 24 weeks of treatment (i.e., weight at week 24 minus weight at week 0). Body weight measured in kilograms (k).
Change in HbA1c from Baseline to Week 24
Absolute change in HbA1c from Baseline (Day -3) to Week 30 \[Week 30 - Baseline\]
Measure by Geometric mean ratio (GMR) of plasma exenatide average steady state concentration Css,avg at Visit 11-14 to Visit 24-27 with 90% confidence interval
Treatment effect on beta-cell function as measured by the ratio of Week 52 arginine-stimulated insulin secretion during a hyperglycemic clamp(specifically, the incremental AUC of insulin with respect to basal value over a 10 min period \[i.e., clamp time 290 min to 300 min\]) to that at baseline (i.e., the ratio is calculated as arginine-stimulated insulin secretion at week 52 divided by arginine-stimulated insulin secretion at baseline \[week -2\]).
Change in HbA1c from Baseline to the end of each 16-week period. There is one 16-week period of exenatide treatment and one 16-week period of insulin glargine.
Change in HbA1c from Baseline (Visit 3) to study termination at Week 16, and at all study visits in between
Change from Baseline to Week 16 in FSG and glucose measured at different times throughout the day derived from 7-point self-monitored glucose (SMG) profile (glucose measurements before and 2 hours after the start of the morning, midday, and evening meals, and at bedtime)
Visits for this study occur at 6-mo (±2 wk) intervals until exenatide is approved for marketing.
Assess dose response effect on glucose control as measured by HbA1c among four doses (2.5 μg, 5 μg, 10 μg, and placebo) of subcutaneous injection of exenatide, twice daily before meals in the morning and evening, for 12 weeks
Change in HbA1c from Baseline study termination (Week 16)
| Arm | Type | Description |
|---|---|---|
| Exenatide (BET) | EXPERIMENTAL | Basal Insulin/Glargine, Exenatide and Metformin Therapy (BET) |
| Insulin Lispro (BBT) | ACTIVE_COMPARATOR | Basal Insulin/Glargine, Bolus Insulin Lispro and Metformin Therapy (BBT) |
| Exenatide twice daily (BID) | EXPERIMENTAL | - |
| Placebo | PLACEBO_COMPARATOR | - |
| Exenatide Arm | EXPERIMENTAL | This arm will receive 5mcg exenatide for 4 weeks, and then 10mcg exenatide for the remaining 8 weeks of the study. |
| Placebo Arm | PLACEBO_COMPARATOR | This arm will receive placebo injection (volume equivalent to the exenatide injection in the experimental arm). |
| Exenatide:Treatment-Emergent Antibody Negative | EXPERIMENTAL | This arm will receive 5mcg exenatide for 4 weeks, followed by 10mcg exenatide for 20 weeks. |
| Exenatide:Treatment-Emergent Antibody Positive | EXPERIMENTAL | This arm will receive 5mcg exenatide for 4 weeks, followed by 10mcg exenatide for 20 weeks. |
| Exenatide | EXPERIMENTAL | - |
| Glimepiride | ACTIVE_COMPARATOR | - |
| Group A | EXPERIMENTAL | - |
| Group B | PLACEBO_COMPARATOR | - |
| Exenatide 5 mcg/exenatide 5 mcg | EXPERIMENTAL | Exenatide 5 mcg; then exenatide 5 mcg |
| Exenatide 5 mcg/exenatide 10 mcg | EXPERIMENTAL | Exenatide 5 mcg, then exenatide 10 mcg |
| Exenatide Once Weekly | EXPERIMENTAL | Subcutaneous injection (SC), once a week of long acting release (LAR) exenatide. |
| Exenatide Twice Daily | ACTIVE_COMPARATOR | subcutaneous injection (SC), twice a day for the first 30 weeks, followed by exenatide LAR SC injection weekly for the remainder of the study. Sub-study: Exenatide 2 mg subcutaneous injection, Administered Using the Exenatide Once Weekly Single-Dose Tray , once a week for 11 visits, switch to Exenatide 2 mg subcutaneous injection, Administered Using the Dual chamber pen device. Exenatide 2mg SC injection administered using the Dual chamber pen device. |
| Insulin Glargine Arm | ACTIVE_COMPARATOR | Insulin Glargine and Metformin |
| exenatide/insulin glargine | EXPERIMENTAL | Arm that first receives exenatide, then crosses over to insulin glargine |
| Insulin glargine/exenatide | EXPERIMENTAL | Arm that first receives insulin glargine, then crosses over to exenatide |
| Exenatide 2.5 mcg/exenatide 2.5 mcg | EXPERIMENTAL | - |
| Placebo/placebo | PLACEBO_COMPARATOR | - |
| Insulin | ACTIVE_COMPARATOR | The subjects will remain on their current insulin therapy. Subjects will also remain on their existing oral diabetic therapy. |
| Name | Type | Description |
|---|---|---|
| exenatide | DRUG | subcutaneous injection, 5mcg (4 weeks) followed by 10mcg (26 weeks), twice a day |
| insulin lispro | DRUG | titrated based on pre-meal glucose level; three times a day |
| Metformin | DRUG | - |
| Insulin/ Glargine | DRUG | - |
| placebo | DRUG | subcutaneous injection, volume equivalent to 5 mcg or 10 mcg of active drug, twice a day |
| glimepiride | DRUG | oral tablet (titrated to maximally tolerated dose), once daily |
| exenatide, long acting release | DRUG | - |
| Insulin glargine | DRUG | subcutaneous injection, once a day, titrated as necessary in order to meet defined blood glucose targets |
| exenatide/insulin glargine | DRUG | Subcutaneously injected exenaide 10 mcg twice daily for 16 weeks; then insulin glargine subcutaneously injected once daily for 16 weeks given in a dose that varies for individuals to achieve target glucose levels |
| insulin glargine/exenatide | DRUG | Subcutaneously injected insulin glargine subcutaneously injected once daily for 16 weeks given in a dose that varies for individuals to achieve target glucose levels; then exenaide 10 mcg twice daily for 16 weeks |
| exenatide (LY2148568) | DRUG | subcutaneous injection twice daily, 5 mcg for 4 weeks, then 10 mcg for 8 weeks |
| Insulin | DRUG | Insulin will be taken according to the subject's current regimen |
Inclusion Criteria: * Have been taking a basal insulin Glargine, at dose of ≥ 20 units/day, for at least 3 months prior to study start. * Have been taking basal insulin Glargine at dose of ≥ 20 units/day, in combination with 1 of the following oral antidiabetic medication (OAM) regimens, for at lea...