NCT01060059

Brief Summary

Although the efficacy and safety profile of exenatide has been well established, few data exist on the real world results of exenatide treatment in specific populations and clinical settings. This study is intended to fill this gap through observing and collecting prospective data from a population of Italian patients initiating treatment with either exenatide or basal insulin formulations after failure to achieve glycemic control with oral antihyperglycemic agents (OHA). Observational studies represent noninterventional research; therefore, this study does not involve randomization of patients to particular comparator arms or therapies. The term "noninterventional" means that the healthcare providers decisions regarding the proper treatment and care of the patient are made in the course of normal clinical practice. Patients enrolled in this study are enrolling for the collection of their data on observations made during normal clinical practice.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
888

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2010

Typical duration for all trials

Geographic Reach
1 country

50 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 26, 2010

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 2, 2010

Completed
2 months until next milestone

Study Start

First participant enrolled

April 1, 2010

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2012

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

January 16, 2014

Completed
Last Updated

April 9, 2015

Status Verified

March 1, 2015

Enrollment Period

2.1 years

First QC Date

January 26, 2010

Results QC Date

July 31, 2013

Last Update Submit

March 20, 2015

Conditions

Keywords

diabetes; exenatide; Byetta; basal insulin; Amylin; Lilly

Outcome Measures

Primary Outcomes (1)

  • Percentage of Patients Who Achieved Glycemic Target of HbA1c ≤ 7.0% With Minimal Weight Gain (≤ 1 Kg) at Month 12.

    Percentage of patients who achieved glycemic target of HbA1c ≤ 7.0% with minimal weight gain (≤ 1 Kg) at month 12.

    Baseline, Month 12

Secondary Outcomes (22)

  • Changes in HbA1c From Baseline to Month 12

    Baseline, Month 12

  • Changes in Fasting Blood Glucose From Baseline to Month 12

    Baseline, Month 12

  • Percentage of Patients With HbA1c Reduction From Baseline >= 1.0% at Month 12

    Baseline, Month 12

  • Percentage of Patients Achieving HbA1c Concentration <=7.0% at Month 12

    Month 12

  • Percentage of Patients Achieving HbA1c Concentration <6.5% at Month 12

    Month 12

  • +17 more secondary outcomes

Study Arms (2)

exenatide

The targeted population consists of adult patients with type 2 Diabetes Mellitus unable to achieve the desired level of glycemic control while using oral anti-hyperglycemic agents and who initiate treatment with exenatide.

Drug: exenatide

basal insulin

The targeted population consists of adult patients with type 2 Diabetes Mellitus unable to achieve the desired level of glycemic control while using oral anti-hyperglycemic agents and who initiate treatment with basal insulin.

Drug: basal insulin

Interventions

subcutaneous injection, 5mcg or 10mcg, twice a day

Also known as: BYETTA
exenatide

subcutaneous injection, dosing according to physician's clinical judgment

basal insulin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

The targeted population consists of adult patients with type 2 diabetes mellitus treated in outpatient setting by specialists.

You may qualify if:

  • Are inadequately controlled with single or multiple OHA as evidenced by an HbA1c \> 7.0%
  • Have presented during the routine course of care and, together with their physician, have decided to initiate treatment with either exenatide twice daily or conventional insulin therapy with basal insulin (insulin glargine, detemir, protaminated insulin lispro, protaminated human insulin) added to the existing treatment with OHA
  • Have not been treated with GLP-1 receptor agonist for more than 7 consecutive days within 3 months before entering the study
  • Have not been treated with insulins for more than 7 consecutive days within last 3 months or more than 3 months in the course of the disease
  • Are not simultaneously participating in another study which includes an investigational drug or procedure at study entry
  • Have been fully informed and given their written consent for use of their data

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (50)

Research site

Acquaviva delle Fonti, Italy

Location

Research site

Anzio, Italy

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Bassano del Grappa, Italy

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Bologna, Italy

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Brindisi, Italy

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Cagliari, Italy

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Campi Salentina, Italy

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Casarano, Italy

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Caserta, Italy

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Cesena, Italy

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Chieri, Italy

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Cisternino, Italy

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Copertino, Italy

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Cremona, Italy

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Distretto Vittoria, Italy

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Fermo, Italy

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Ferrara, Italy

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Fidenza, Italy

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Florence, Italy

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Forlì, Italy

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Genova, Italy

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Germaneto, Italy

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Lecce, Italy

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Livorno, Italy

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Lucca, Italy

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Manfredonia (Le), Italy

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Mariano Comense, Italy

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Messina, Italy

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Milan, Italy

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Monza, Italy

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Napoli, Italy

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Novara, Italy

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Olbia, Italy

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Palermo, Italy

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Palmi, Italy

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Parma, Italy

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Pavia, Italy

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Pisa, Italy

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Potenza, Italy

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Rimini, Italy

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Roma, Italy

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Rossano Scalo, Italy

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Salerno, Italy

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San Giovanni Rotondo, Italy

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Schio, Italy

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Sesto San Giovanni, Italy

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Siena, Italy

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Treviso, Italy

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Trieste, Italy

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Varese, Italy

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MeSH Terms

Conditions

Diabetes Mellitus, Type 2Diabetes Mellitus

Interventions

Exenatide

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

PeptidesAmino Acids, Peptides, and ProteinsVenomsComplex MixturesToxins, BiologicalBiological Factors

Results Point of Contact

Title
Peter Ohman, Medical Science Director
Organization
AstraZeneca

Study Officials

  • James Malone, MD

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 26, 2010

First Posted

February 2, 2010

Study Start

April 1, 2010

Primary Completion

May 1, 2012

Study Completion

May 1, 2012

Last Updated

April 9, 2015

Results First Posted

January 16, 2014

Record last verified: 2015-03

Locations