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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00099619
Registration number
NCT00099619
Ethics application status
Date submitted
17/12/2004
Date registered
20/12/2004
Date last updated
23/02/2015
Titles & IDs
Public title
Comparing Exenatide and Insulin Glargine in Type 2 Diabetes Patients for Whom Insulin is the Next Appropriate Therapy
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Scientific title
Efficacy of Exenatide Compared With Insulin Glargine in Patients With Type 2 Diabetes Using Metformin or Sulfonylurea for Whom Insulin is the Next Appropriate Therapy
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Secondary ID [1]
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H8O-MC-GWAO
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes Mellitus
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Condition category
Condition code
Metabolic and Endocrine
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - exenatide/insulin glargine
Treatment: Drugs - insulin glargine/exenatide
Experimental: exenatide/insulin glargine - Arm that first receives exenatide, then crosses over to insulin glargine
Experimental: Insulin glargine/exenatide - Arm that first receives insulin glargine, then crosses over to exenatide
Treatment: Drugs: exenatide/insulin glargine
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
Treatment: Drugs: insulin glargine/exenatide
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
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in HbA1c (glycosylated hemoglobin) from the baseline of the first period (16-weeks of exenatide or insulin) to the end of each 16-week period.
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Assessment method [1]
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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.
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Timepoint [1]
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Baseline, Week 16, Week 32
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Secondary outcome [1]
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Change in patient-reported outcomes from Baseline to the end of each 16-week period
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Assessment method [1]
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Change in patient-based outcomes (Hypoglycemic Fear Survey, patient-preference questionnaires \[Treatment Evaluation and Treatment Preference questionnaires), Diabetes Symptom Checklist-Revised, Diabetes Treatment Flexibility Scale, Psychological General Well-Being Index, and the EuroQol (EQ-5D) instrument\] from Baseline to the end of each 16-week exenatide or insulin glargine period
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Timepoint [1]
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Baseline, Week 16, Week 32
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Eligibility
Key inclusion criteria
Main
* Treated with a stable dose of metformin or sulfonylurea for at least 3 months prior to screening.
* HbA1c between 7.1% and 11.0%, inclusive.
* Insulin therapy should be the next appropriate step of diabetes treatment.
* Body Mass Index (BMI) >25 kg/m2 and <40 kg/m2.
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Minimum age
30
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patient previously in a study involving exenatide or glucagon-like peptide-1 analogs.
* Treated with insulin, thiazolidinediones, alpha-glucosidase inhibitors, or meglitinides within 3 months prior to screening.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2004
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2005
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Sample size
Target
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Accrual to date
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Final
138
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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Research Site - Westmead
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Recruitment hospital [2]
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Research Site - Daw Park
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Recruitment hospital [3]
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Research Site - Fullarton
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Recruitment hospital [4]
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Research Site - Box Hill
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Recruitment hospital [5]
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Research Site - East Ringwood
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Recruitment postcode(s) [1]
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- Westmead
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Recruitment postcode(s) [2]
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- Daw Park
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Recruitment postcode(s) [3]
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- Fullarton
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Recruitment postcode(s) [4]
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- Box Hill
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Recruitment postcode(s) [5]
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- East Ringwood
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Recruitment outside Australia
Country [1]
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Greece
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State/province [1]
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Athens
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Greece
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Piraeus
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Greece
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Thessaloniki
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Hungary
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Budapest
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Country [5]
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Hungary
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State/province [5]
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Gyula
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Country [6]
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Hungary
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State/province [6]
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Pecs
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Hungary
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Veszprem
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Country [8]
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Hungary
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Zalaegerszeg
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Italy
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Bari
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Italy
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State/province [10]
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Bergamo
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Italy
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Catania
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Italy
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State/province [12]
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Milan
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Italy
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Perugia
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Country [14]
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Italy
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State/province [14]
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Rome
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Country [15]
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Mexico
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State/province [15]
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Jalisco
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Mexico
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State/province [16]
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N.l.
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Country [17]
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Mexico
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State/province [17]
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Mexico City
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Poland
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State/province [18]
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Bydgoszcz
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Poland
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State/province [19]
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Gdansk
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Country [20]
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Poland
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State/province [20]
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Lublin
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AstraZeneca
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Eli Lilly and Company
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a study with two treatment sequences and two treatment periods that will assess the safety and efficacy of exenatide treatment in patients with type 2 diabetes who have inadequate glycemic control using metformin or sulfonylurea and for whom insulin is the next appropriate step in diabetes treatment.
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Trial website
https://clinicaltrials.gov/study/NCT00099619
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Trial related presentations / publications
Fineman MS, Mace KF, Diamant M, Darsow T, Cirincione BB, Booker Porter TK, Kinninger LA, Trautmann ME. Clinical relevance of anti-exenatide antibodies: safety, efficacy and cross-reactivity with long-term treatment. Diabetes Obes Metab. 2012 Jun;14(6):546-54. doi: 10.1111/j.1463-1326.2012.01561.x. Epub 2012 Feb 10.
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Public notes
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Contacts
Principal investigator
Name
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James Malone, MD
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Address
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Eli Lilly and Company
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00099619
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