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A 12/24-weeks, Open, Multi-centre, Phase IV Study on Safety and Efficacy of 2mg Exenatide Once Weekly (Bydureon) in T2DM Patients.

A 12/24-weeks, Open, Multi-centre, Phase IV Study on Safety and Efficacy of 2mg Exenatide Once Weekly (Bydureon) in Patients With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02533453
Acronym
Bydureon
Enrollment
110
Registered
2015-08-26
Start date
2016-01-28
Completion date
2016-12-07
Last updated
2019-05-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

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

BIOLOGICALBydureon

exenatide once weekly

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to 75 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs)baseline and 12/24 weekswas 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

MeasureTime frameDescription
Change in HbA1cbaseline and 12/24 weeksChange 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 Gloucosebaseline and 12/24 weeksChange 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 Weightbaseline and 12/24 weeksChange 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 Signbaseline and 12/24 weeksChange 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 Indicationbaseline and 12/24 weeksSubjective 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

ArmCount
12/24 Weeks Treatment
Exenatide 2mg / 12/24 weeks treatment
104
Total104

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event6
Overall StudyProtocol Violation1
Overall StudyWithdrawal by Subject2

Baseline characteristics

Characteristic12/24 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 typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
55 / 104
serious
Total, serious adverse events
4 / 104

Outcome results

Primary

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.

ArmMeasureGroupValue (NUMBER)
12/24 Weeks TreatmentPercentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs)rate of all AEs52.9 percentage of participants
12/24 Weeks TreatmentPercentage of Participants With Adverse Events(AEs) and Serious Adverse Event(SAEs)rate of all SAEs3.8 percentage of participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
12/24 Weeks TreatmentChange in Body Weight-0.95 kgStandard Deviation 2.86
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
12/24 Weeks TreatmentChange in Fasting Plasma Gloucose-34.2 mg/dLStandard Deviation 48.3
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
12/24 Weeks TreatmentChange in HbA1c-1.21 percentage of Hba1cStandard Deviation 1.1
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
12/24 Weeks TreatmentChange in Vital SignSBP-3.35 mmHgStandard Deviation 11.95
12/24 Weeks TreatmentChange in Vital SignDBP-0.15 mmHgStandard Deviation 9.58
Secondary

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.

ArmMeasureGroupValue (NUMBER)
12/24 Weeks TreatmentEvaluation of Subjective Improvement of Main IndicationImproved84 participants
12/24 Weeks TreatmentEvaluation of Subjective Improvement of Main IndicationSlightly improved11 participants
12/24 Weeks TreatmentEvaluation of Subjective Improvement of Main IndicationUnchanged6 participants
12/24 Weeks TreatmentEvaluation of Subjective Improvement of Main IndicationAggravated1 participants
12/24 Weeks TreatmentEvaluation of Subjective Improvement of Main Indicationunable to evaluate1 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026