Type 2 Diabetes Mellitus
Conditions
Keywords
Type 2 Diabetes Mellitus, T2DM, GLP-1, GLP-1 Once weekly, Exenatide
Brief summary
As current study is conducted to provide additional information regarding safety and efficacy Bydureon, exenatide once weekly for injectable suspension, in the Korean population open label, non-comparative, multi-centre design is used.
Interventions
exenatide once weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, 19-75 years of age * diagnosed with type 2 diabetes mellitus * Patients who have not achieved adequate glycaemic control on maximally tolerated doses of these oral therapies; * Metformin * Sulphonylurea * Thiazolidinedione * Metformin and sulphonylurea * Metformin and thiazolidinedione
Exclusion criteria
* Has been treated, is currently being treated, or is expected to require or undergo treatment with any of the following medications: 1. Alpha glucosidase inhibitor or meglitinide within 30 days of screening; 2. Insulin within 2 weeks prior to screening or insulin for longer than 1 week within 3 months of screening; 3. DPP-4 inhibitors within 30 days of screening; 4. Regular use (\> 14 days) of drugs that directly affect gastrointestinal motility within 3 months of screening; 5. Regular use (\> 14 days) of systemic corticosteroids by oral, intravenous, or intramuscular route; or potent, inhaled, or intrapulmonary steroids known to have a high rate of systemic absorption within 3 months of screening; 6. GLP-1 receptor agonist except exenatide within 3 months of screening; * diagnosed with type 1 diabetes mellitus or diabetic ketoacidosis; * type 2 diabetes by beta-cell dysfunction requiring insulin treatment * Has ever used exenatide * Pregnant or breast feeding patients * Hepatic disease (defined by aspartate or alanine transaminase \>3.0 times the upper limit of normal * End-stage renal disease or severe renal impairment (creatinine clearance \< 30 ml/min)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs) | baseline and 12/24 weeks | was to estimate the incidence rates of adverse events (AEs) and serious adverse events (SAEs) in patients who are treated with 2 mg exenatide once weekly for type 2 diabetes mellitus in the normal clinical practice setting over a period of 12/24 weeks for long-term surveillance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in HbA1c | baseline and 12/24 weeks | Change in HbA1c at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment) |
| Change in Fasting Plasma Gloucose | baseline and 12/24 weeks | Change in Fasting plasma gloucose at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment) |
| Change in Body Weight | baseline and 12/24 weeks | Change in body weight at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment) |
| Change in Vital Sign | baseline and 12/24 weeks | Change in vital sign at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment) |
| Evaluation of Subjective Improvement of Main Indication | baseline and 12/24 weeks | Subjective improvement of main indication will be assessed as improved, slightly improved, unchanged, aggravated, or unable to evaluate. |
Countries
South Korea
Participant flow
Recruitment details
Participants recruited from 15 hospitals in South Korea between Jan 2016 and Jul 2016.
Pre-assignment details
115 subjects were participated: 5 failed screening without treatment with the study drug.
Participants by arm
| Arm | Count |
|---|---|
| 12/24 Weeks Treatment Exenatide 2mg / 12/24 weeks treatment | 104 |
| Total | 104 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 6 |
| Overall Study | Protocol Violation | 1 |
| Overall Study | Withdrawal by Subject | 2 |
Baseline characteristics
| Characteristic | 12/24 Weeks Treatment |
|---|---|
| Age, Customized <50 years | 44 Participants |
| Age, Customized >=70 years | 2 Participants |
| Age, Customized Between 50 and 69 years | 58 Participants |
| Sex: Female, Male Female | 62 Participants |
| Sex: Female, Male Male | 42 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 55 / 104 |
| serious Total, serious adverse events | 4 / 104 |
Outcome results
Percentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs)
was to estimate the incidence rates of adverse events (AEs) and serious adverse events (SAEs) in patients who are treated with 2 mg exenatide once weekly for type 2 diabetes mellitus in the normal clinical practice setting over a period of 12/24 weeks for long-term surveillance.
Time frame: baseline and 12/24 weeks
Population: Of 110 subjects, 104 were included in the safety set with 3 of inclusion/exclusion criteria deviations, 2 of treatment with prohibited concomitant medications, and 1 of enrolment before IRB approval excluded.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 12/24 Weeks Treatment | Percentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs) | rate of all AEs | 52.9 percentage of participants |
| 12/24 Weeks Treatment | Percentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs) | rate of all SAEs | 3.8 percentage of participants |
Change in Body Weight
Change in body weight at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment)
Time frame: baseline and 12/24 weeks
Population: Of 110 subjects, 104 were included in the safety set with 5 subjects of non-treatment with the study drug, 3 of inclusion/exclusion criteria deviations, 2 of treatment with prohibited concomitant medications, and 1 of enrolment before IRB approval excluded.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 12/24 Weeks Treatment | Change in Body Weight | -0.95 kg | Standard Deviation 2.86 |
Change in Fasting Plasma Gloucose
Change in Fasting plasma gloucose at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment)
Time frame: baseline and 12/24 weeks
Population: Of 110 subjects, 104 were included in the safety set with 3 of inclusion/exclusion criteria deviations, 2 of treatment with prohibited concomitant medications, and 1 of enrolment before IRB approval excluded. Of 104 subjects, 1 subject who failed to receive the efficacy analysis was excluded, and 103 were included in the efficacy set.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 12/24 Weeks Treatment | Change in Fasting Plasma Gloucose | -34.2 mg/dL | Standard Deviation 48.3 |
Change in HbA1c
Change in HbA1c at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment)
Time frame: baseline and 12/24 weeks
Population: Of 110 subjects, 104 were included in the safety set with 3 of inclusion/exclusion criteria deviations, 2 of treatment with prohibited concomitant medications, and 1 of enrolment before IRB approval excluded. Of 104 subjects, 1 subject who failed to receive the efficacy analysis was excluded, and 103 were included in the efficacy set.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 12/24 Weeks Treatment | Change in HbA1c | -1.21 percentage of Hba1c | Standard Deviation 1.1 |
Change in Vital Sign
Change in vital sign at 12 and 24 weeks from start of the treatment(24 weeks just for patients allocated in long-term treatment)
Time frame: baseline and 12/24 weeks
Population: Of 110 subjects, 104 were included in the safety set with 5 subjects of non-treatment with the study drug, 3 of inclusion/exclusion criteria deviations, 2 of treatment with prohibited concomitant medications, and 1 of enrolment before IRB approval excluded.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 12/24 Weeks Treatment | Change in Vital Sign | SBP | -3.35 mmHg | Standard Deviation 11.95 |
| 12/24 Weeks Treatment | Change in Vital Sign | DBP | -0.15 mmHg | Standard Deviation 9.58 |
Evaluation of Subjective Improvement of Main Indication
Subjective improvement of main indication will be assessed as improved, slightly improved, unchanged, aggravated, or unable to evaluate.
Time frame: baseline and 12/24 weeks
Population: Of 110 subjects, 104 were included in the safety set with 3 of inclusion/exclusion criteria deviations, 2 of treatment with prohibited concomitant medications, and 1 of enrolment before IRB approval excluded. Of 104 subjects, 1 subject who failed to receive the efficacy analysis was excluded, and 103 were included in the efficacy set.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 12/24 Weeks Treatment | Evaluation of Subjective Improvement of Main Indication | Improved | 84 participants |
| 12/24 Weeks Treatment | Evaluation of Subjective Improvement of Main Indication | Slightly improved | 11 participants |
| 12/24 Weeks Treatment | Evaluation of Subjective Improvement of Main Indication | Unchanged | 6 participants |
| 12/24 Weeks Treatment | Evaluation of Subjective Improvement of Main Indication | Aggravated | 1 participants |
| 12/24 Weeks Treatment | Evaluation of Subjective Improvement of Main Indication | unable to evaluate | 1 participants |