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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Exeantide in Type 2 Diabetes on Insulin

Overview

Status
Completed
Phase
Phase 2
Enrollment
24 participants (actual)
Sponsor
University at Buffalo · Other
Design
Randomized · Single masking
Countries
1 country

United States

Start
Apr 2008
Primary completion
Nov 2011
Completion
Nov 2011
First posted
1 Jul 2010 (estimated)
Last update posted
6 Oct 2022
Conditions
Type 2 Diabetes

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20082009201020112012
  1. Ph 2

    Exeantide in Type 2 Diabetes on Insulin

    NCT01154933

    Apr 2008 to Nov 2011

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

Exenatide has been shown to result in better glycemic control in type II diabetes patients. Obesity and diabetes are states of increased inflammation; exenatide is expected to lead to decreased inflammation by virtue of better glycemic control and weight loss. The purpose of this study is to determine if the addition of Exenatide to diabetic patients will reduce the requirements of insulin particularly the short acting insulin. Exenatide may also lead to decreased inflammation by virtue of better glycemic control and weight loss, or an independent effect.

Interventions

  • exenatide 5 mcgDrug
  • exenatide 10 mcgDrug
  • placeboDrug

Arms3

  • Experimental

    exenatide 5 mcg

    exenatide 5 mcg

  • Experimental

    exenatide 10 mcg

    exenatide 10 mcg

  • Placebo comparator

    placebo

    placebo

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Fasting Insulin

    Time frame · after 24 hours fast at baseline and 12 weeks

    Registry description

    To compare the fasting insulin level at the end of 12 weeks in patients on exenatide subcutaneously twice daily (5 or 10 mcg/injection) as compared to controls in insulin treated obese type 2 diabetic patients.

Secondary outcomes(3)
  1. Weight

    Time frame · value at 12 weeks minus value at baseline

    Registry description

    To compare the body weight at the end of 12 weeks in patients on exenatide subcutaneously twice daily (5 or 10 mcg/injection) as compared to controls in insulin treated obese type 2 diabetic patients

  2. HbA1c

    Time frame · value at 12 weeks minus value at baseline

    Registry description

    To compare the HbA1c at the end of 12 weeks in patients on exenatide subcutaneously twice daily (5 or 10 mcg/injection) as compared to controls in insulin treated obese type 2 diabetic patients.

  3. Intranuclear NFκB Binding Activity

    Time frame · measured after 6 hours of a single dose of placebo or exenatide treatment for value measured at 12 weeks minus baseline

    Registry description

    Measured by a gel shift assay showing the NFKB and Oct-1 binding to the doublestranded oligonucleotide containing the NFKB DNA binding site in Exenatide group and placebo group

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· after 24 hours fast at baseline and 12 weeks

Fasting Insulin

GroupValue (μU/mL)Spread
Exenatide 10 mcg12.72.8
Placebo13.13.1
Secondary and other outcome results(3)
Secondary outcomeMean· value at 12 weeks minus value at baseline

Weight

GroupValue (lbs)Spread
Exenatide 10 mcg020
Placebo318
Secondary outcomeMean· value at 12 weeks minus value at baseline

HbA1c

GroupValue (percent)Spread
Exenatide 10 mcg-1.20.5
Placebo-0.50.3
Secondary outcomeMean· measured after 6 hours of a single dose of placebo or exenatide treatment for value measured at 12 weeks minus baseline

Intranuclear NFκB Binding Activity

GroupValue (% ratio of NFKB/Oct-1)Spread
Exenatide 10 mcg267
Placebo07

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Exenatide 5mcg Then Exenatide 10 mcggiven exenatide 5mcg followed by exenatide 10mcg–0 / 120 / 12
Placeboplacebo placebo: saline sq–0 / 120 / 12

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 2018

7 results

Exenatide Increases IL-1RA Concentration and Induces Nrf-2‒Keap-1‒Regulated Antioxidant Enzymes: Relevance to β-Cell Function.

Dandona et al. 2018The Journal of clinical endocrinology and metabolismcited by 15

PMID 29346597DOI 10.1210/jc.2017-02343PUB-29346597

Rights unknown7 results

Eligibility

Who could join, as posted.

Sex
All
Age
from 20 Years up to 75 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Males or females 20-75 years of age inclusive. * Type 2 diabetes * On insulin therapy * HbA1c ≥7.5% and ≤ 9% * BMI ≥ 30 kg/m2 * Subjects on statins, ACE inhibitors, metformin, thiazolidinediones and antioxidants will be allowed as long as they are on stable doses of these compounds and the dosage in not changed during the study. Exclusion Criteria: * Coronary event or procedure (myocardial infarction, unstable angina, coronary artery bypass, surgery or coronary angioplasty) in the previous four weeks * Pregnancy * Hepatic disease (abnormal LFT's) * Use of DPP4 inhibitors. * Renal impairment (serum creatinine \> 1.5) * Participation in any other concurrent clinical trial * Any other life-threatening, non-cardiac disease * Uncontrolled hypertension (BP \> 160/100 mm of Hg) * Congestive Heart Failure. * Use of an investigational agent or therapeutic regimen within 30 days of study

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