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Trial · Interventional

CompletedPhase 3Results postedRegistry data

Phase 3 28-Week Study With 24-Week and 52-week Extension Phases to Evaluate Efficacy and Safety of Exenatide Once Weekly and Dapagliflozin Versus Exenatide and Dapagliflozin Matching Placebo

NCTNCT02229396 (opens ClinicalTrials.gov in a new tab)Other idD5553C00003Other id2014-003503-29Other id2014

Overview

Status
Completed
Phase
Phase 3
Enrollment
695 participants (actual)
Sponsor
AstraZeneca · Industry
Design
Randomized · Double masking
Countries
6 countries

United States, Hungary, Poland, Romania, Slovakia, South Africa

Start
4 Sept 2014
Primary completion
26 Apr 2016
Completion
28 Dec 2017
First posted
1 Sept 2014 (estimated)
Last update posted
31 Dec 2018
Conditions
Diabetes Mellitus

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20142015201620172018
  1. Ph 3

    Phase 3 28-Week Study With 24-Week and 52-week Extension Phases to Evaluate Efficacy and Safety of Exenatide Once Weekly and Dapagliflozin Versus Exenatide and Dapagliflozin Matching Placebo

    NCT02229396

    4 Sept 2014 to 28 Dec 2017

Registry summary

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

Study D5553C0003 is a 28-week, randomized, double-blind, active-controlled, multicenter, Phase 3 efficacy and safety study with 24-week and 52-week extension phases of simultaneous administration of exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg once daily (QD) compared to EQW 2 mg alone and dapagliflozin 10 mg QD alone in patients with Type 2 diabetes who have inadequate glycemic control on metformin.

Interventions

  • Exantide with DapagliflozinDrug
  • ExentideDrug
  • DapagliflozinDrug

Arms3

  • Experimental

    Exenatide Once Weekly 2 mg and Dapagliflozin Once Daily 10 mg

  • Experimental

    Exenatide Once Weekly 2 mg Alone

  • Active comparator

    Dapagliflozin Once Daily 10 mg Alone

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in HbA1c From Baseline to Week 28

    Time frame · Baseline to Week 28

    Registry description

    To compare the change from baseline to Week 28 in HbA1c between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

Secondary outcomes(7)
  1. Change in Body Weight From Baseline to Week 28

    Time frame · Baseline to Week 28

    Registry description

    To compare the change from baseline to Week 28 in body weight between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

  2. Change in Fasting Plasma Glucose From Baseline to Week 28

    Time frame · Baseline to Week 28

    Registry description

    To compare the change from baseline to Week 28 in fasting plasma glucose between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

  3. Change From Baseline to Week 28 in 2-hour Postprandial Glucose After a Standard Meal Tolerance Test

    Time frame · Baseline to Week 28

    Registry description

    To compare the change from baseline to Week 28 in 2-hour postprandial glucose after a standard Meal Tolerance Test between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

  4. Percentage of Patients Achieving Weight Loss ≥5.0% at Week 28

    Time frame · Baseline to Week 28

    Registry description

    To compare the percentage of patients achieving weight loss ≥5.0% at 28 weeks between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

  5. Change in Fasting Plasma Glucose From Baseline to Week 2

    Time frame · Baseline to Week 2

    Registry description

    To compare the change from baseline to Week 2 in fasting plasma glucose between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

  6. Percentage of Patients Achieving HbA1c <7% at Week 28

    Time frame · Baseline to Week 28

    Registry description

    To compare the percentage of patients achieving HbA1c \<7% at 28 weeks between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

  7. Change in Systolic Blood Pressure From Baseline to Week 28

    Time frame · Baseline to Week 28

    Registry description

    To compare the change from baseline to Week 28 in systolic blood pressure between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone.

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 outcomeLeast squares mean· Baseline to Week 28

Change in HbA1c From Baseline to Week 28

GroupValue (% HbA1c)
Dapagliflozin + Placebo-1.39
Exenatide + Dapagliflozin-1.98
Exenatide + Placebo-1.60
Secondary and other outcome results(7)
Secondary outcomeLeast squares mean· Baseline to Week 28

Change in Body Weight From Baseline to Week 28

GroupValue (kilogram)
Dapagliflozin + Placebo-2.22
Exenatide + Dapagliflozin-3.55
Exenatide + Placebo-1.56
Secondary outcomeLeast squares mean· Baseline to Week 28

Change in Fasting Plasma Glucose From Baseline to Week 28

GroupValue (milligrams/deciliter (mg/dL))
Dapagliflozin + Placebo-49.19
Exenatide + Dapagliflozin-65.83
Exenatide + Placebo-45.75
Secondary outcomeLeast squares mean· Baseline to Week 28

Change From Baseline to Week 28 in 2-hour Postprandial Glucose After a Standard Meal Tolerance Test

GroupValue (mg/dL)
Dapagliflozin + Placebo-61.05
Exenatide + Dapagliflozin-87.83
Exenatide + Placebo-60.09
Secondary outcomeNumber· Baseline to Week 28

Percentage of Patients Achieving Weight Loss ≥5.0% at Week 28

GroupValue (% of patients)
Dapagliflozin + Placebo20.0
Exenatide + Dapagliflozin33.3
Exenatide + Placebo13.7
Secondary outcomeLeast squares mean· Baseline to Week 2

Change in Fasting Plasma Glucose From Baseline to Week 2

GroupValue (mg/dL)
Dapagliflozin + Placebo-26.31
Exenatide + Dapagliflozin-41.34
Exenatide + Placebo-21.08
Secondary outcomeNumber· Baseline to Week 28

Percentage of Patients Achieving HbA1c <7% at Week 28

GroupValue (% of patients)
Dapagliflozin + Placebo19.1
Exenatide + Dapagliflozin44.7
Exenatide + Placebo26.9
Secondary outcomeLeast squares mean· Baseline to Week 28

Change in Systolic Blood Pressure From Baseline to Week 28

GroupValue (millimeters of mercury (mmHg))
Dapagliflozin + Placebo-1.8
Exenatide + Dapagliflozin-4.3
Exenatide + Placebo-1.2

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Dapagliflozin + PlaceboDapagliflozin 10 mg tablet administered orally once daily + matching placebo for exenatide administered as SC injection once weekly. Patients continued to administer the same type and dose of metformin therapy they were using at study entry.2 / 23318 / 23373 / 233
Exenatide + DapagliflozinExenatide once weekly (EQW) 2 mg administered as SC injection + dapagliflozin 10 mg tablet administered orally once daily. Patients continued to administer the same type and dose of metformin therapy they were using at study entry.3 / 23117 / 23187 / 231
Exenatide + PlaceboExenatide once weekly (EQW) 2 mg administered as SC injection + matching placebo for dapagliflozin tablet administered orally once daily. Patients continued to administer the same type and dose of metformin therapy they were using at study entry.1 / 23018 / 23078 / 230

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

Studies4

Studies that cite this trial.

Studies with results

2 studies on this page

Indexing hint: Randomized controlled trial · 2020

5 results

Efficacy and Safety Over 2 Years of Exenatide Plus Dapagliflozin in the DURATION-8 Study: A Multicenter, Double-Blind, Phase 3, Randomized Controlled Trial.

Jabbour et al. 2020Diabetes carecited by 51

PMID 32816874PMC7510043DOI 10.2337/dc19-1350PUB-32816874

Rights unknown5 results

Indexing hint: Randomized controlled trial · 2018

12 results

Safety and Efficacy of Exenatide Once Weekly Plus Dapagliflozin Once Daily Versus Exenatide or Dapagliflozin Alone in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy: 52-Week Results of the DURATION-8 Randomized Controlled Trial.

Jabbour et al. 2018Diabetes carecited by 81

PMID 30082326PMC6150435DOI 10.2337/dc18-0680PUB-30082326

Rights unknown12 results

More studies

2 studies on this page

PubMed tag: none · 2020

Corrected

Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease.

Guja et al. 2020Diabetes therapy : research, treatment and education of diabetes and related disorderscited by 6

PMID 32306296PMC7324446DOI 10.1007/s13300-020-00815-zPUB-32306296

Free to read · publisher termsCC BY-NC

Indexing hint: Randomized controlled trial · 2016

Corrected

Exenatide once weekly plus dapagliflozin once daily versus exenatide or dapagliflozin alone in patients with type 2 diabetes inadequately controlled with metformin monotherapy (DURATION-8): a 28 week, multicentre, double-blind, phase 3, randomised controlled trial.

Frías et al. 2016The lancet. Diabetes & endocrinologycited by 322

PMID 27651331DOI 10.1016/s2213-8587(16)30267-4PUB-27651331

Full text at the publisher

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 130 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion criteria * Has a diagnosis of T2DM. * Has HbA1c of 8.0% to 12.0%, inclusive, at Visit 1 and Visit 2. * Treated with a stable dose of metformin ≥1500 mg/day for at least 2 months prior to Screening. Exclusion criteria * FPG ≥280 mg/dL (15.6 mmol/L). * Serum calcitonin concentration ≥40 pg/mL (≥40 ng/L) at Visit 1 (Screening) * Clinically significant abnormal free T4 values or patients needing initiation or adjustment of thyroid treatment according to the investigator. * Abnormal thyroid stimulating hormone (TSH) value at Screening will be further evaluated by free T4.Patients with clinically significant abnormal free T4 values will be excluded. * Known active proliferative retinopathy. * History of, or currently have, acute or chronic pancreatitis, or have triglyceride concentrations ≥500 mg/dL (≥5.65 mmol/L) at Visit 1 * History or presence of inflammatory bowel disease or other severe GI diseases, particularly those which may impact gastric emptying, such as gastroparesis or pyloric stenosis. * History of gastric bypass surgery or gastric banding surgery, or either procedure is planned during the time period of the study. Current use of gastric balloons is also excluded.

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