Diabetes Mellitus Type 2
Conditions
Brief summary
This 3-arm study will assess the efficacy, safety and tolerability of taspoglutide compared with exenatide in patients with type 2 diabetes mellitus inadequately controlled with metformin, thiazolidinedione or a combination of both. Patients will be randomized to receive taspoglutide (10mg once weekly or 10mg once weekly for 4 weeks followed by 20mg once weekly) or exenatide (5 micrograms twice daily for 4 weeks followed by 10 micrograms twice daily) in a ratio of 1:1:1 in addition to continued prestudy metformin and thiazolidinedione either alone or in combination. The anticipated time on study treatment is 3+ years, and the target sample size is \>500 individuals.
Interventions
5mg twice daily for 4 weeks followed by 10mg twice daily
10mg once weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, 18-75 years of age; * type 2 diabetes receiving metformin and/or pioglitazone or rosiglitazone for at least 12 weeks; * HbA1c \>=7.0% and \<=10% at screening; * BMI \>=25kg/m2 (\>23kg/m2 for Asians) and \<=45kg/m2 at screening; * stable weight +/- 5% for at least 12 weeks prior to screening.
Exclusion criteria
* history of type 1 diabetes, diabetes resulting from pancreatic injury or secondary forms of diabetes; * history of acute metabolic diabetic complications within the previous 6 months; * evidence of clinically significant diabetic complications; * known proliferative diabetic retinopathy; * myocardial infarction (MI), coronary artery bypass surgery, post-transplantation cardiomyopathy (PTCM) or stroke within the past 6 months; * any abnormality in clinical laboratory test or ECG, which precludes safe involvement in the study as judged by the investigator; * known hemoglobinopathy or chronic anemia; * clinically significant gastrointestinal disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in HbA1c | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Fasting body weight | 24 weeks |
| Proportion of patients reaching target HbA1c <=7.0%, <=6.5% | 24 weeks |
| Relative change in glucose, insulin, C-peptide and glucagon values during a meal tolerance test in a subset of patients. | 24 weeks |
| Beta cell function (proinsulin/insulin ratio) | 24 weeks |
Countries
Argentina, Australia, Brazil, Canada, Denmark, Finland, France, Germany, Greece, Guatemala, Israel, Italy, Mexico, New Zealand, Peru, Puerto Rico, Russia, South Africa, South Korea, Spain, Sweden, Switzerland, Thailand, Ukraine, United Kingdom, United States