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Type 2 Diabetes MellitusPhase 3NCT00641056

Efficacy of Exenatide Once Weekly and Once-Daily Insulin Glargine in Patients With Type 2 Diabetes Treated With Metformin Alone or in Combination With Sulfonylurea (DURATION - 3)

A Phase 3 study testing Exenatide Once Weekly and Insulin Glargine in people with Type 2 Diabetes Mellitus, run by AstraZeneca at 75 sites in 16 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to compare the effects of 2.0 mg exenatide once weekly and insulin glargine, titrated to glucose targets using the algorithm described by Yki- Järvinen et al.(2007), with respect to glycemic improvements, body weight, fasting lipids, safety, and tolerability. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Type 2 Diabetes Mellitus
What is being tested?
Exenatide Once Weekly and Insulin Glargine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
467 participants
Where
75 sitesin 16 countries
Study dates
Apr 2008to Nov 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has type 2 diabetes and at least 18 years of age at screening.
  • Hemoglobin A1c (HbA1c) of 7.1% to 11.0%, inclusive, at screening.
  • Body mass index (BMI) of 25 kg/m2 to 45 kg/m2, inclusive, at screening.
  • Have a history of stable body weight (not varying by >5% for at least 3 months prior to screening).
  • Have been treated with metformin(Met) for at least 3 months and have been taking a stable dose for at least 8 weeks prior to screening OR
  • Have been treated with metformin(Met) for at least 3 months and have been taking a stable dose for at least 8 weeks prior to screening and have been treated with SU for at least 3 months and have been taking a stable dose of at least an optimally effective dose of brand of SU for 8 weeks prior to screening.

Who cannot join

  • Have had a clinically significant history of cardiac disease or presence of active cardiac disease within the year prior to inclusion in the study, including myocardial infarction, clinically significant arrhythmia, unstable angina, moderate to severe congestive heart failure, coronary artery bypass surgery, or angioplasty; or is expected to require coronary artery bypass surgery or angioplasty during the course of the study.
  • Have clinical signs or symptoms of liver disease, acute or chronic hepatitis.
  • Have a history of renal transplantation or are currently receiving renal dialysis.
  • Have active or untreated malignancy, or have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years.
  • Have had greater than three episodes of major hypoglycemia within 6 months prior to screening.
  • Have any contraindication for the oral antidiabetic agent which they use.
Show all 22Show fewer
  • Have a known allergy or hypersensitivity to insulin glargine, exenatide once weekly, or excipients contained in these agents.
  • Are known to have active proliferative retinopathy.
  • Have been treated with drugs that promote weight loss (e.g., Xenical® [orlistat], Meridia® [sibutramine], Acomplia® [rimonabant], Acutrim® [phenylpropanolamine], or similar over-the-counter medications) within 3 months of screening.
  • Have been treated for longer than 2 weeks with any of the following excluded medications within 3 months prior to screening:
  • Insulin
  • Thiazolidinediones (e.g., Actos® [pioglitazone] or Avandia® [rosiglitazone])
  • Alpha-glucosidase inhibitors (e.g., Glyset® [miglitol] or Precose® [acarbose])
  • Meglitinides (e.g., Prandin® [repaglinide] or Starlix® [nateglinide]).
  • Byetta® (exenatide BID formulation)
  • Dipeptidyl peptidase (DPP)-4 inhibitors (e.g., Januvia™ [sitagliptin], Galvus® [vildagliptin])
  • Symlin® (pramlintide acetate).
  • Have had an organ transplant.
  • Have donated blood within 30 days of screening.
  • Have previously completed or withdrawn from this study or any other study investigating exenatide once weekly.
  • Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
  • Are currently enrolled in any other clinical study.

Trial locations and contacts

75 sites in 16 countries.

75 sites in 16 countries

United States12 sites
  • Research Site

    Ada, Oklahoma

  • Research Site

    Dayton, Ohio

  • Research Site

    Escondido, California

  • Research Site

    Honolulu, Hawaii

  • Research Site

    Idaho Falls, Idaho

  • Research Site

    Jacksonville, Florida

  • Research Site

    Minneapolis, Minnesota

  • Research Site

    Orlando, Florida

  • Research Site

    San Antonio, Texas

  • Research Site

    Spokane, Washington

  • Research Site

    St Louis, Missouri

  • Research Site

    West Palm Beach, Florida

Other trials in United States

Germany9 sites
  • Research Site

    Bad Mergentheim

  • Research Site

    Dresden

  • Research Site

    Essen

  • Research Site

    Falkensee

  • Research Site

    Fulda

  • Research Site

    Münster

  • Research Site

    Othmarschen

  • Research Site

    Rothenburg An Der Fulda

  • Research Site

    Speyer

Other trials in Germany

Spain7 sites
  • Research Site

    Alicante

  • Research Site

    Alzira-Valencia

  • Research Site

    Barcelona

  • Research Site

    Bilbao

  • Research Site

    Madrid

  • Research Site

    Málaga

  • Research Site

    Teruel

Other trials in Spain

Australia6 sites
  • Research Site

    Adelaide, South Australia

  • Research Site

    Box Hill, Victoria

  • Research Site

    Geelong, Victoria

  • Research Site

    Herston, Queensland

  • Research Site

    Keswick, South Australia

  • Research Site

    Wollongong, New South Wales

Other trials in Australia

Netherlands6 sites
  • Research Site

    Amsterdam

  • Research Site

    Gouda

  • Research Site

    Hoogeveen

  • Research Site

    Rotterdam

  • Research Site

    Zwijndrecht

  • Research Site

    Zwolle

Other trials in Netherlands

France5 sites
  • Research Site

    Angers

  • Research Site

    Corbeil Essoness

  • Research Site

    Nancy

  • Research Site

    Nanterre

  • Research Site

    Toulouse

Other trials in France

Denmark4 sites
  • Research Site

    Aalborg

  • Research Site

    Arhus C

  • Research Site

    Herlev

  • Research Site

    Køge

Other trials in Denmark

Hungary4 sites
  • Research Site

    Budapest

  • Research Site

    Eger

  • Research Site

    Gyula

  • Research Site

    Pécs

Other trials in Hungary

Mexico4 sites
  • Research Site

    Mérida

  • Research Site

    Mexico City

  • Research Site

    Tampico

  • Research Site

    Tijuana

Other trials in Mexico

Taiwan4 sites
  • Research Site

    Chiayi City

  • Research Site

    Tainan County

  • Research Site

    Taipei

  • Research Site

    Taoyuan

Other trials in Taiwan

Czechia3 sites
  • Research Site

    Mělník

  • Research Site

    Prague

  • Research Site

    Stodůlky

Other trials in Czechia

Russia3 sites
  • Research Site

    Moscow

  • Research Site

    Rostov-on-Don

  • Research Site

    Saint Petersburg

Other trials in Russia

Belgium2 sites
  • Research Site

    Brussels

  • Research Site

    Edegem

Other trials in Belgium

Greece2 sites
  • Research Site

    Athens

  • Research Site

    Thessaloniki

Other trials in Greece

Puerto Rico2 sites
  • Research Site

    Caguas

  • Research Site

    Yabucoa

Other trials in Puerto Rico

South Korea2 sites
  • Research Site

    Gyeonggi-do

  • Research Site

    Seoul

Other trials in South Korea

About this study

Official title: Efficacy of Once-Weekly Exenatide Long-Acting Release and Once-Daily Insulin Glargine in Patients With Type 2 Diabetes Treated With Metformin Alone or in Combination With Sulfonylurea

The purpose of this study is to compare the effects of 2.0 mg exenatide once weekly and insulin glargine, titrated to glucose targets using the algorithm described by Yki- Järvinen et al.(2007), with respect to glycemic improvements, body weight, fasting lipids, safety, and tolerability.

Being tested
Exenatide Once Weekly, Insulin Glargine
Keywords
diabetes, exenatide, exenatide once weekly, metformin, sulfonylurea, insulin glargine, Amylin, Lilly
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Exenatide Once WeeklyDrug

    subcutaneous injection, 2.0mcg, once weekly

  • Insulin GlargineDrug

    subcutaneous injection, variable dose, QD

Study groups in NCT00641056
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: Exenatide Once Weekly
2Active comparatorNot described
Receives: Drug: Insulin Glargine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c From Baseline to Week 26

    Change in HbA1c from baseline to Week 26

    Measured: Baseline, Week 26

Secondary outcomes (9)
  1. Percentage of Patients Achieving HbA1c <=7.0% at Week 26

    Percentage of patients achieving HbA1c <=7.0% at Week 26 (for patients with HbA1c >7% at baseline)

    Measured: Baseline, Week 26

  2. Percentage of Patients Achieving HbA1c <=6.5% at Week 26

    Percentage of patients achieving HbA1c <=6.5% at Week 26 (for patients with HbA1c >6.5% at baseline)

    Measured: Baseline, Week 26

  3. Change in Fasting Serum Glucose (FSG) From Baseline to Week 26

    Change in FSG (mmol/L) from Baseline to Week 26

    Measured: Baseline, Week 26

  4. Change in Body Weight (BW) From Baseline to Week 26

    Change in BW (kg) from Baseline to Week 26

    Measured: Baseline, Week 26

  5. Change in Total Cholesterol From Baseline to Week 26

    Change in Total Cholesterol (mmol/L) from Baseline to Week 26

    Measured: Baseline, Week 26

  6. Change in High-density Lipoprotein Cholesterol (HDL) From Baseline to Week 26

    Change in HDL (mmol/L) from Baseline to Week 26

    Measured: Baseline, Week 26

  7. Ratio of Triglycerides at Week 26 to Baseline

    Ratio of Triglycerides (measured in mmol/L) at Week 26 to Baseline. Log (Postbaseline Triglycerides) - log (Baseline Triglycerides); change from baseline to endpoint is presented as ratio of endpoint to baseline.

    Measured: Baseline, Week 26

  8. Change in Blood Pressure From Baseline to Week 26

    Change in Systolic Blood Pressure (mmHg) and Diastolic Blood Pressure (mmHg) from Baseline to Week 26

    Measured: Baseline, Week 26

  9. Assessment on Event Rate of Treatment-emergent Hypoglycemic Episodes

    Major hypoglycemia: any episode with symptoms consistent with hypoglycemia that resulted in loss of consciousness or seizure with prompt recovery in response to administration of glucagon or glucose or documented hypoglycemia (blood glucose <3.0 mmol/L [54 mg/dL]) and required the assistance of another person. Minor hypoglycemia: any time a patient felt that he or she was experiencing a sign or symptom of hypoglycemia that was self-treated or resolved on its own and had a blood glucose level <3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia.

    Measured: Baseline to Week 26

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2008 (estimated)
  2. Study startApr 2008
  3. Primary completionMay 2009
  4. Study completionNov 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
467 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00641056
Sponsor's protocol ID
H8O-MC-GWBR (DURATION - 3)
Status last verified
May 2015
First submitted
17 Mar 2008
Last updated
15 Jun 2015
Data monitoring committee
No

Publications

  • Diamant M, Van Gaal L, Stranks S, Guerci B, MacConell L, Haber H, Scism-Bacon J, Trautmann M. Safety and efficacy of once-weekly exenatide compared with insulin glargine titrated to target in patients with type 2 diabetes over 84 weeks. Diabetes Care. 2012 Apr;35(4):683-9. doi: 10.2337/dc11-1233. Epub 2012 Feb 22.

    PubMed 22357185
  • Guja C, Frias JP, Suchower L, Hardy E, Marr G, Sjostrom CD, Jabbour SA. Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease. Diabetes Ther. 2020 Jul;11(7):1467-1480. doi: 10.1007/s13300-020-00815-z. Epub 2020 Apr 18.

    PubMed 32306296
  • Diamant M, Van Gaal L, Guerci B, Stranks S, Han J, Malloy J, Boardman MK, Trautmann ME. Exenatide once weekly versus insulin glargine for type 2 diabetes (DURATION-3): 3-year results of an open-label randomised trial. Lancet Diabetes Endocrinol. 2014 Jun;2(6):464-73. doi: 10.1016/S2213-8587(14)70029-4. Epub 2014 Apr 4.

    PubMed 24731672
  • Grimm M, Han J, Weaver C, Griffin P, Schulteis CT, Dong H, Malloy J. Efficacy, safety, and tolerability of exenatide once weekly in patients with type 2 diabetes mellitus: an integrated analysis of the DURATION trials. Postgrad Med. 2013 May;125(3):47-57. doi: 10.3810/pgm.2013.05.2660.

    PubMed 23748506
  • Meloni AR, DeYoung MB, Han J, Best JH, Grimm M. Treatment of patients with type 2 diabetes with exenatide once weekly versus oral glucose-lowering medications or insulin glargine: achievement of glycemic and cardiovascular goals. Cardiovasc Diabetol. 2013 Mar 23;12:48. doi: 10.1186/1475-2840-12-48.

    PubMed 23522121
  • Fineman MS, Mace KF, Diamant M, Darsow T, Cirincione BB, Booker Porter TK, Kinninger LA, Trautmann ME. Clinical relevance of anti-exenatide antibodies: safety, efficacy and cross-reactivity with long-term treatment. Diabetes Obes Metab. 2012 Jun;14(6):546-54. doi: 10.1111/j.1463-1326.2012.01561.x. Epub 2012 Feb 10.

    PubMed 22236356
  • Diamant M, Van Gaal L, Stranks S, Northrup J, Cao D, Taylor K, Trautmann M. Once weekly exenatide compared with insulin glargine titrated to target in patients with type 2 diabetes (DURATION-3): an open-label randomised trial. Lancet. 2010 Jun 26;375(9733):2234-43. doi: 10.1016/S0140-6736(10)60406-0.

    PubMed 20609969

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Exenatide Once Weekly and Insulin Glargine in people with Type 2 Diabetes Mellitus, run by AstraZeneca at 75 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in United States, Germany, Spain, Australia, Netherlands and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Jul 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in HbA1c From Baseline to Week 26 (time frame: Baseline, Week 26). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00641056, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2015.

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