The Effects of Exenatide After Gastric Restriction
AGREE
A Pilot Study of the Effects of BYETTA® (Exenatide) on Weight Loss in Morbidly Obese Non Diabetic Patients Following Adjustable Gastric Banding
1 other identifier
interventional
28
1 country
2
Brief Summary
The purpose of this study is to describe change in body weight in non-diabetic morbidly obese patients after laparoscopic adjustable gastric banding (LAGB) with twice daily exenatide or placebo injections.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Feb 2009
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 27, 2009
CompletedFirst Posted
Study publicly available on registry
March 31, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2010
CompletedMarch 31, 2009
March 1, 2009
1.8 years
March 27, 2009
March 30, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To describe change in body weight in non-diabetic morbidly obese patients after laparoscopic adjustable gastric banding (LAGB) with twice daily exenatide plus lifestyle modification plan or placebo plus lifestyle modification plan.
52 weeks
Secondary Outcomes (4)
Body Mass Index (BMI)
52 Weeks
Waist circumference
52 Weeks
Changes in: 2 hour Oral Glucose Tolerance Test; Lipid panel; Comprehensive metabolic panel; Glycosylated hemoglobin A1c
52 Weeks
Carotid intima media thickness(CIMT)
52 Weeks
Study Arms (2)
Exenatide
ACTIVE COMPARATORLaparoscopic adjustable gastric banding group: twice daily exenatide therapy plus a standard diet and exercise program
Placebo
PLACEBO COMPARATORLaparoscopic adjustable gastric banding group: twice daily placebo therapy plus a standard diet and exercise program
Interventions
Exenatide titrated up to 20mcg BID. (4 weeks at 5mcg BID; 4 weeks at 10mcg BID; 4 weeks at 15mcg BID; 37 weeks at 20mcg BID).
Placebo titrated up to 20mcg BID. (4 weeks at 5mcg BID; 4 weeks at 10mcg BID; 4 weeks at 15mcg BID; 37 weeks at 20mcg BID).
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years,
- Have a body mass index ≥ 40 kg/m2 or ≥ 35 kg/m2 with comorbidities (1991 NIH Guidelines for Bariatric Surgery),
- For women of childbearing age, must have a negative pregnancy test at screening, and agree to use barrier contraceptives for the duration of the study, AND
- Are able to understand and comply with the study process, and give informed consent.
You may not qualify if:
- A diagnosis of type 1 diabetes mellitus,
- A diagnosis of type 2 diabetes mellitus (A diagnosis of T2DM will be a previous fasting plasma glucose greater than or equal to 126 mg/dL, or a random plasma glucose greater than 200 mg/dL),
- Have experienced hypersensitivity reaction or a worsening of glycemic control on Byetta® (exenatide),
- Patients with end stage renal disease or severe renal impairment,
- Patients with severe gastrointestinal disease, including gastroparesis,
- Liver function tests 2.5 standard deviations above normal values,
- Contraindication for bariatric surgery,
- Treatment with exenatide (Byetta) in the last three months,
- Currently using or have used within three months before this trial: sibutramine, orlistat, or phentermine(patients must also agree to not use these medications for the duration of the study),
- Treatment with any investigational drug in the last 30 days,
- Active malignancy, liver of kidney failure, symptomatic coronary heart disease, or severe psychiatric disease,
- History of malignancy other than basal cell skin carcinoma, OR
- In the opinion of the investigator, patient is abusing alcohol and/or drugs.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Advanced Specialty Care
Bend, Oregon, 97701, United States
Endocrinology Services NorthWest
Bend, Oregon, 97701, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick J McCarthy, M.D.
Endocrinology Services NorthWest
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 27, 2009
First Posted
March 31, 2009
Study Start
February 1, 2009
Primary Completion
December 1, 2010
Study Completion
December 1, 2010
Last Updated
March 31, 2009
Record last verified: 2009-03