Effects of Exenatide on Glycemic Control and Weight in Continuous Subcutaneous Insulin Infusion (CSII) Type 2 Treated Patients With Type 2 Diabetes
EXEPUMP
Effects of EXEnatide on Glycemic Control and Weight Over 26 Weeks in Continuous Subcutaneous Insulin Infusion (CSII) Treated Patients With Type 2 Diabetes : a Phase 2/3 Double Blind randoMized Placebo-controlled Trial.
1 other identifier
interventional
110
1 country
3
Brief Summary
The purpose of this study is to determine whether exenatide is effective to improve glycemic control among type 2 diabetic patients treated by insulin pump therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 type-2-diabetes
3 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
First Submitted
Initial submission to the registry
May 3, 2010
CompletedFirst Posted
Study publicly available on registry
June 10, 2010
CompletedStudy Start
First participant enrolled
November 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2017
CompletedAugust 23, 2016
July 1, 2016
6.5 years
May 3, 2010
August 22, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline to 6 months of centrally measured HbA1c
baseline to 6 months
Secondary Outcomes (2)
Change from baseline in weight, BMI, waist circumference, 6 points glucose profile, insulin doses, % of daily use of insulin as basal rate, % of daily use of insulin as bolus, quality of life questionnaire
baseline to 6 months
Change from baseline in mean blood glucose value
baseline to 6 months
Study Arms (2)
exenatide
EXPERIMENTAL55 subjects
Placebo
PLACEBO COMPARATOR55 subjects
Interventions
Research drug (exenatide or placebo), will begin at V0, after randomization. The initial dosage for the first month will be 5 µg SC BID. Injections can be administered at any time within the 60 minute period before the morning and evening meal. From V1, research drug will be titrated from 5 to 10 µg SC BID. If gastro-intestinal adverse effects occur with 10 µg SC BID, the dosage will be back-titrated to 5 µg SC BID. Thus, the higher research drug dosage tolerated will be used during the study time.
Eligibility Criteria
You may qualify if:
- Men or women aged 35 to 70
- Type 2 diabetes diagnosed for at least 12 months, according the criteria of the American Diabetes Association :
- presence of classic symptoms of diabetes mellitus with unequivocal elevation of plasma glucose (2-hour post-prandial or random glucose \>200 mg/dL) or
- fasting plasma glucose elevation on more than 1 occasion \> 125 mg/dL or
- patient currently undergoing pharmacological and/or non-pharmacological treatment for diabetes mellitus
- CSII treatment using a rapid analog for at least 6 month (CSII being initiated in patients with HbA1c \> 8 % despite a well-conducted MDI trial using a 2 to 5 daily injection regimen)
- HbA1c ≥ 7,5% and ≤ 10 %
- BMI ≥ 25 and ≤ 45
- Stable body weight (≤10% variation) during the 3 last months
You may not qualify if:
- Type 1 diabetes assessed by positive anti-GAD65 or anti-insulin or anti-IA2 antibodies
- Monogenic diabetes (MODY, mitochondrial diabetes…)
- Use of corticosteroid therapy for more than 10 days within the 3-past months, or patient who ought to be treated by corticosteroid during the study period
- Clinically significant hepatic disease
- Documented gastroparesis, or current use of drugs that directly affect gastrointestinal motility, or any significant abdominal disease that may increase the risk of adverse gastrointestinal effects induced by exenatide
- Kidney failure (MDRD less than 50 ml/min)
- Pregnancy/breastfeeding
- Any social and/or mental condition rendering the subject unable to understand the scope and possible consequences of the study
- Concurrent enrolment in another clinical trial
- Geographically inaccessible for follow-up visits required by protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Caenlead
- Eli Lilly and Companycollaborator
Study Sites (3)
Endocrinology Unit and Clinical Research Center Basse Normandie, University Hospital of Caen
Caen, 14000, France
CERIDT
Corbeil-Essonne, France
Endocrinology Unit
Strasbourg, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michael JOUBERT, MD
Endocrinology Unit, University Hospital of Caen, FRANCE
- PRINCIPAL INVESTIGATOR
Yves REZNIK, MD
Endocrinology Unit, University Hospital of Caen, FRANCE
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 3, 2010
First Posted
June 10, 2010
Study Start
November 1, 2010
Primary Completion
May 1, 2017
Last Updated
August 23, 2016
Record last verified: 2016-07