Overview
A Comparison of Adding Exenatide With Switching to Exenatide in Patients With Type 2 Diabetes Experiencing Inadequate Glycemic Control With Sitagliptin Plus Metformin
Status:
Completed
Completed
Trial end date:
2010-04-01
2010-04-01
Target enrollment:
0
0
Participant gender:
All
All
Summary
The purpose of this study is to determine whether ceasing sitagliptin and switching to exenatide and metformin is non-inferior to adding exenatide to sitagliptin and metformin, in those patients with type 2 diabetes who are experiencing inadequate glycemic control with a combination of sitagliptin and metformin.Phase:
Phase 4Accepts Healthy Volunteers?
NoDetails
Lead Sponsor:
AstraZenecaCollaborator:
Eli Lilly and CompanyTreatments:
Exenatide
Metformin
Sitagliptin Phosphate
Criteria
Inclusion Criteria:- Present with type 2 diabetes
- Patients have been treated with a stable dose of the following for at least 3 months
prior to screening:
- 100 mg/day sitagliptin and
- ≥1500 mg/day metformin, or maximum tolerated dose (extended release or
immediate-release).
- Have inadequate glycemic control as evidenced by an HbA1c between 7.1% and 9%,
inclusive.
- Have a body mass index (BMI) ≥20 kg/m2 and <45 kg/m2
Exclusion Criteria:
- Are currently enrolled in, or discontinued within the last 30 days (or longer, if
local guidelines require) from, a clinical trial involving an off-label use of an
investigational drug or device, or concurrently enrolled in any other type of medical
research judged not to be scientifically or medically compatible with this study.
- Have previously completed or withdrawn from this study or any other study
investigating exenatide.
- Have a known allergy or hypersensitivity to exenatide, sitagliptin or excipients
contained in exenatide or sitagliptin.
- Used drugs for weight loss (for example, orlistat, sibutramine, phenylpropanolamine,
or similar over-the-counter medications) within 1 month of screening.
- Are currently treated with any of the following excluded medications:
- Thiazolidinediones (TZD) within 3 months of screening.
- Sulfonylurea (SU) within 3 months of screening.
- Dipeptidyl peptidase-4 [DPP-4] inhibitors, with the exception of sitagliptin,
within 3 months of screening.
- Meglitinide derivatives (for example, repaglinide or nateglinide) within 3 months
of screening.
- Alpha-glucosidase inhibitors (for example, miglitol or acarbose) within 3 months
of screening.
- Exogenous insulin within the 3 months prior to screening.
- Drugs that directly affect gastrointestinal motility, including, but not limited
to: metoclopramide, cisapride, and chronic macrolide antibiotics.
- Systemic corticosteroids (excluding topical and inhaled preparations) by oral,
intravenous (IV), or intramuscular (IM) route used regularly (for longer than 1
month) or used within 1 month immediately prior to screening.
- Any other oral antidiabetic (OAD) agent, other than sitagliptin or metformin,
within 3 months prior to screening.