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Durability of Combination Therapy With Exenatide/Pioglitazone/Metformin vs. Conventional Therapy in New Onset T2DM

Plain-language guide to NCT01107717: phase 4 randomized trial of Exenatide and Insulin Glargine, 318 participants. Who took part, design and what was measured.

Key Facts

Registry ID
NCT01107717
Phase
phase 4
Status
completed
Start
2009-01
Completion (planned or actual)
2023-02-03
Participants
318 (actual)
Design
randomized, open label (everyone knows who gets what), treatment
Conditions studied
Diabetes
Results posted
yes

What This Study Did, in Plain Language

What Was Tested

In this phase 4 trial, researchers set out to test Exenatide and Insulin Glargine.

Multiple defects, e.g. impaired insulin secretion and impaired insulin action, contribute to the development of the disease.

It had two arms (groups): Triple Therapy (experimental) and conventional therapy (active comparator).

Sequential addition of metformin, glyburide and basal insulin.

The registry classes the interventions as drug.

More on the Plan

The first intervention is based on the novel concept of initiating therapy at the time of diagnosis with combination therapy using agents that correct specific pathophysiologic defects that are characteristic of T2DM (insulin resistance and beta cell failure).

Who Took Part

The registry lists 318 actual participants took part.

It was open to people of any sex aged from 18 years up to 80 years.

Healthy volunteers were not accepted; participants needed the condition being studied.

Examples of who could join: Above 18 years of age,. Drug naive, or have been on metformin less than 3 months.

The full record lists 3 inclusion and 1 exclusion criteria.

How the Study Was Run

It was run as a randomized, parallel-group and open-label study.

The participants were allocated by chance, so the Exenatide group and the comparison group should start out alike.

The Exenatide group and the comparison group ran side by side rather than switching.

Everyone knew when Exenatide was being given (open label), which is simpler to run but leaves more room for expectations to affect what is reported.

It started in 2009-01 with completion listed for 2023-02-03.

It ran at 1 site in United States.

Its stated primary purpose is treatment.

What Was Measured

Researchers chose this as the main measure: HbA1c Level (time frame: at the end of the study (3 years)).

It also tracked 2 secondary outcomes, for example Treatment Failure and Percentage of Patients With Reported Hypoglycemic Events.

What This Means in Plain Language

Put simply, this is a phase 4, randomized trial of Exenatide and Insulin Glargine in 318 people.

The trial is marked completed; results are posted on the registry, and this page does not restate them.

More context: the Exenatide compound page and the Insulin Glargine compound page, all human trials.

Our Notes on the Compounds

Exenatide: A 39-amino-acid GLP-1 receptor agonist first identified in Gila monster venom; sold as Byetta and Bydureon for type 2 diabetes.

Insulin Glargine: A long-acting insulin analog given once daily; brands include Lantus, Toujeo, Basaglar and Semglee.

Related Pages

Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.