Logo 1 Logo 2

Clinical Trial Details

Trial ID: L4716
Source ID: NCT00658021
Associated Drug: Placebo
Title: Safety and Efficacy of Exenatide as Monotherapy and Adjunctive Therapy to Oral Antidiabetic Agents in Adolescents With Type 2 Diabetes
Acronym:
Status: COMPLETED
Study Results: YES
Results: https://ClinicalTrials.gov/show/NCT00658021/results
Conditions: Type 2 Diabetes
Interventions: DRUG: Placebo|DRUG: Exenatide|DRUG: Exenatide
Outcome Measures: Primary: Adjusted Change From Baseline in Glycated Hemoglobin A1c (HbA1c) at Week 28, Change from baseline in HbA1c is reported as adjusted least square (LS) mean values at Week 28. Baseline is defined as the last non-missing assessment (scheduled or unscheduled) on or prior to the first dose of study medication. A mixed model with repeated measures (MMRM) analysis was performed, excluding measurements after initiation of rescue medication and study drug discontinuation., Baseline (Day 1) and Week 28|Number of Participants With Post-Treatment Adverse Events of Special Interest (AESI) During Safety Follow-up Period, Post-treatment adverse events (AEs) were defined as AEs that started or worsened during the off-treatment period (Safety Follow-up Period), which was defined as the day after the Week 28/early discontinuation (ED) visit to the date of completion of the Safety Follow-up Period. The AESIs recorded were as follows: hematological malignancies, thyroid neoplasms, pancreas neoplasms, aplastic anemia, pancreatitis, pregnancy and pregnancy outcomes (including congenital anomalies)., From 1 day after the Week 28/ED visit to 3 years after Week 28/ED visit. | Secondary: Percentage of Participants Achieving HbA1c Goals of < 7%, <= 6.5%, and < 6.5% Through Week 28, The percentage of participants achieving HbA1c goals of \< 7%, \<= 6.5%, and \< 6.5% through Week 28 were compared between treatments using the Cochran-Mantel-Haenszel (CMH) procedure, in which screening HbA1c strata and background diabetes therapy strata served as the stratification factors. The CMH analysis excluded measurements after initiation of rescue medication and study drug discontinuation with missing data treated as non-responder., Weeks 0, 4, 12, 20 and 28|Adjusted Change From Baseline in Body Weight Through Week 28, Change from baseline in body weight is reported as adjusted LS mean values at Weeks 4, 12, 20 and 28. Baseline is defined as the last non-missing assessment (scheduled or unscheduled) on or prior to the first dose of study medication. A MMRM analysis was performed, excluding measurements after initiation of rescue medication and study drug discontinuation., Baseline (Day 1) up to Week 28|Adjusted Change From Baseline in Fasting Serum Glucose (FSG) at Week 28, Change from baseline in FSG is reported as adjusted LS mean values at Week 28. Baseline is defined as the last non-missing assessment (scheduled or unscheduled) on or prior to the first dose of study medication. An analysis of covariance (ANCOVA) analysis was performed, excluding measurements after initiation of rescue medication and study drug discontinuation., Baseline (Day 1) and Week 28|Adjusted Change From Baseline in Self-Monitored Blood Glucose (SMBG) at Week 28, Change from baseline in SMBG measurements are reported as adjusted LS mean values at Week 28. SMBG measurements were taken before (pre-prandial) and 2 hours after (post-prandial) the 2 main meals of the day on 3 separate days during the week before baseline (Day 1) and Week 28. Post-prandial excursions were calculated as the difference between the pre-prandial and post-prandial blood glucose concentrations (post-prandial - pre-prandial) and averaged (mean) over the 2 main meals over the 3 separate days in each period. Baseline is defined as the last non-missing assessment (scheduled or unscheduled) on or prior to the first dose of study medication. An ANCOVA analysis was performed, excluding measurements after initiation of rescue medication and study drug discontinuation., Pre-meal and 2 hours post-meal on Baseline (Day 1) and Week 28|Adjusted Change From Baseline in Fasting Serum Insulin at Week 28, Change from baseline in fasting serum insulin is reported as adjusted LS mean values at Week 28. Baseline is defined as the last non-missing assessment (scheduled or unscheduled) on or prior to the first dose of study medication. An ANCOVA analysis was performed, excluding measurements after initiation of rescue medication and study drug discontinuation., Baseline (Day 1) and Week 28|Adjusted Change From Baseline in Homeostasis Model Assessments - Beta-Cell Function (HOMA-B) and Insulin Sensitivity (HOMA-S) at Week 28, Change from baseline in HOMA-B and HOMA-S are reported as adjusted LS mean values at Week 28. Baseline is defined as the last non-missing assessment (scheduled or unscheduled) on or prior to the first dose of study medication. An ANCOVA analysis was performed, excluding measurements after initiation of rescue medication and study drug discontinuation., Baseline (Day 1) and Week 28|Percentage of Participants Discontinuing the Study Due to Failure to Maintain Glycemic Control Through Week 28, Participants were discontinued from the study due to failure to maintain glycemic control if either discontinuation reason on summary case report form was "Loss of glucose control" or AE with lower level Medical Dictionary for Regulatory Activities (MedDRA) term "Loss of control of blood sugar" or "Hyperglycaemia" leading to study drug discontinuation, using MedDRA Version 23.0., Weeks 2, 4, 8, 12, 16, 20, 24 and 28
Sponsor/Collaborators: Sponsor: AstraZeneca | Collaborators: Quintiles, Inc.
Gender: ALL
Age: CHILD
Phases: PHASE3
Enrollment: 122
Study Type: INTERVENTIONAL
Study Designs: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, INVESTIGATOR)|Primary Purpose: TREATMENT
Start Date: 2008-05-30
Completion Date: 2020-04-01
Results First Posted: 2020-12-01
Last Update Posted: 2020-12-01
Locations: Research Site, Birmingham, Alabama, 35233, United States|Research Site, Tucson, Arizona, 85724, United States|Research Site, Los Angeles, California, 90048, United States|Research Site, Montclair, California, 91763, United States|Research Site, Sacramento, California, 95819, United States|Research Site, San Diego, California, 92123, United States|Research Site, Santa Ana, California, 92707, United States|Research Site, Aurora, Colorado, 80045, United States|Research Site, Melbourne, Florida, 32901, United States|Research Site, Miami Lakes, Florida, 33014, United States|Research Site, Miami, Florida, 33144, United States|Research Site, Orlando, Florida, 32806, United States|Research Site, Pensacola, Florida, 32504, United States|Research Site, Tallahassee, Florida, 32308, United States|Research Site, Dalton, Georgia, 30721, United States|Research Site, Chicago, Illinois, 60612, United States|Research Site, Chicago, Illinois, 60637, United States|Research Site, Indianapolis, Indiana, 46202, United States|Research Site, Wichita, Kansas, 67226, United States|Research Site, Dearborn, Michigan, 48124, United States|Research Site, Kansas City, Missouri, 64108, United States|Research Site, Saint Louis, Missouri, 63104, United States|Research Site, Reno, Nevada, 89502, United States|Research Site, Jamaica, New York, 11432, United States|Research Site, Greenville, North Carolina, 27834, United States|Research Site, Raleigh, North Carolina, 27610, United States|Research Site, Oklahoma City, Oklahoma, 73104-5008, United States|Research Site, Memphis, Tennessee, 38401, United States|Research Site, Dallas, Texas, 75235, United States|Research Site, San Antonio, Texas, 78207, United States|Research Site, Spokane, Washington, 99202, United States|Research Site, Fortaleza, 60430-370, Brazil|Research Site, Juiz de Fora, 36025-330, Brazil|Research Site, Santo André, 09030-010, Brazil|Research Site, Ahmedabad, 380006, India|Research Site, Bangalore, India|Research Site, Pune, India|Research Site, Seoul, Korea, Republic of|Research Site, Aguascalientes, 20127, Mexico|Research Site, Culiacán, 80200, Mexico|Research Site, Guadalajara, 44650, Mexico|Research Site, Monterrey, 64710, Mexico|Research Site, San Juan del Rio, 76800, Mexico|Research Site, Tamaupilas, 87070, Mexico|Research Site, Tampico, 89170, Mexico|Research Site, Quezon City, 1100, Philippines|Research Site, Moscow, 125373, Russian Federation|Research Site, Tomsk, 634050, Russian Federation|Research Site, Ufa, 450077, Russian Federation|Research Site, Moloto, 1022, South Africa|Research Site, Paarl, 7626, South Africa|Research Site, Pretoria, 0087, South Africa|Research Site, Verulam, 4345, South Africa
URL: https://clinicaltrials.gov/show/NCT00658021