diabetes type 2 | superior to insulin (add on SU/MET) in terms of CV events in EXSCEL, 2017 inferior to insulin (add on SU/MET) in terms of nausea in Davis, 2007 inferior to insulin (add on SU/MET) in terms of nausea in Barnett, 2007 inferior to insulin (add on SU/MET) in terms of vomiting in Barnett, 2007 inferior to insulin (add on SU/MET) in terms of nausea in Nauck, 2007 inferior to insulin (add on SU/MET) in terms of vomiting in Nauck, 2007 inferior to insulin (add on SU/MET) in terms of diarrhoea in Nauck, 2007 inferior to insulin (add on SU/MET) in terms of treatment-emergent
adverse events (TEAEs) in Nauck, 2007 inferior to insulin (add on SU/MET) in terms of nausea in Heine, 2005 inferior to insulin (add on SU/MET) in terms of vomiting in Heine, 2005 inferior to insulin (add on SU/MET) in terms of diarrhoea in Heine, 2005 inferior to insulin (add on SU/MET) in terms of nausea in DeFronzo 10µg/d, 2005 inferior to insulin (add on SU/MET) in terms of vomiting in DeFronzo 10µg/d, 2005 inferior to insulin (add on SU/MET) in terms of nausea in Zinman 20µg/j, 2007 inferior to insulin (add on SU/MET) in terms of vomiting in Zinman 20µg/j, 2007 inferior to insulin (add on SU/MET) in terms of nausea in Buse 10µg/d, 2004 inferior to insulin (add on SU/MET) in terms of vomiting in Buse 10µg/d, 2004 inferior to insulin (add on SU/MET) in terms of diarrhoea in Buse 10µg/d, 2004 inferior to insulin (add on SU/MET) in terms of nausea in Kendall 20µg/d, 2005 inferior to insulin (add on SU/MET) in terms of vomiting in Kendall 20µg/d, 2005 inferior to insulin (add on SU/MET) in terms of diarrhoea in Kendall 20µg/d, 2005 inferior to insulin (add on SU/MET) in terms of ant hypoglycemia in Kendall 20µg/d, 2005 inferior to insulin (add on SU/MET) in terms of HbA1c inf a 7% in Kadowaki (trial 8683), 2009 inferior to insulin (add on SU/MET) in terms of nausea in DURATION-3 (Diamant), 2010 inferior to insulin (add on SU/MET) in terms of diarrhoea in DURATION-3 (Diamant), 2010 inferior to insulin (add on SU/MET) in terms of nausea in Buse, 2011 inferior to insulin (add on SU/MET) in terms of vomiting in Buse, 2011 inferior to insulin (add on SU/MET) in terms of diarrhoea in Buse, 2011 inferior to insulin (add on SU/MET) in terms of nausea in Gao, 2009 inferior to insulin (add on SU/MET) in terms of ant hypoglycemia in Gao, 2009 inferior to insulin (add on SU/MET) in terms of treatment-emergent
adverse events (TEAEs) in Gao, 2009 inferior to insulin (add on SU/MET) in terms of nausea in Kendall 10µg/d, 2005 inferior to insulin (add on SU/MET) in terms of vomiting in Kendall 10µg/d, 2005 inferior to insulin (add on SU/MET) in terms of HbA1c inf a 7% in Drucker, 2008 inferior to insulin (add on SU/MET) in terms of HbA1c inf a 7% in LEAD 6 (Buse) exe vs lira, 2009 | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
Davis, 2007 | vs insulin (add on SU/MET) | | nausea 3.88 [1.01; 14.86] | death NaN [NaN; NaN] CV events ∞ [NaN; ∞] vomiting 3.88 [0.53; 28.41] diarrhoea ∞ [NaN; ∞] severe hypoglycemia ∞ [NaN; ∞] ant hypoglycemia 1.05 [0.49; 2.25] treatment-emergent
adverse events (TEAEs) 1.40 [0.88; 2.23] | Barnett, 2007 | vs insulin (add on SU/MET) | ant hypoglycemia 0.58 [0.35; 0.97] | nausea 13.54 [5.06; 36.22] vomiting 3.03 [1.02; 9.07] | death NaN [NaN; NaN] CV events NaN [NaN; NaN] diarrhoea 1.25 [0.28; 5.45] severe hypoglycemia 0.00 [0.00; NaN] | Nauck, 2007 | vs insulin (add on SU/MET) | | nausea 82.34 [11.55; 586.81] vomiting 4.66 [2.22; 9.78] diarrhoea 4.71 [1.82; 12.14] treatment-emergent
adverse events (TEAEs) 1.43 [1.23; 1.65] | death 1.96 [0.18; 21.48] CV deaths 0.98 [0.06; 15.59] CV events 1.96 [0.68; 5.65] severe hypoglycemia NaN [NaN; NaN] HbA1c inf a 7% 1.32 [0.98; 1.77] serious adverse events 1.69 [0.82; 3.48] | Heine, 2005 | vs insulin (add on SU/MET) | | nausea 6.63 [4.43; 9.92] vomiting 4.64 [2.40; 8.97] diarrhoea 2.84 [1.30; 6.21] | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events 1.58 [0.38; 6.54] severe hypoglycemia 0.95 [0.24; 3.75] HbA1c inf a 7% 0.95 [0.80; 1.14] | DeFronzo 10µg/d, 2005 | vs insulin (add on SU/MET) | | nausea 1.58 [1.04; 2.40] vomiting 3.08 [1.03; 9.27] | death NaN [NaN; NaN] diarrhoea 1.48 [0.66; 3.33] severe hypoglycemia NaN [NaN; NaN] | Zinman 20µg/j, 2007 | vs insulin (add on SU/MET) | HbA1c inf a 7% 3.86 [2.47; 6.02] | nausea 2.61 [1.60; 4.27] vomiting 14.81 [2.00; 109.86] | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] diarrhoea 2.16 [0.57; 8.15] ant hypoglycemia 1.50 [0.65; 3.49] | Buse 10µg/d, 2004 | vs insulin (add on SU/MET) | | nausea 5.36 [2.75; 10.43] vomiting 3.94 [1.14; 13.61] diarrhoea 2.76 [1.02; 7.42] | death NaN [NaN; NaN] severe hypoglycemia NaN [NaN; NaN] | Kendall 20µg/d, 2005 | vs insulin (add on SU/MET) | HbA1c inf a 7% 4.34 [2.64; 7.14] | nausea 2.35 [1.78; 3.10] vomiting 3.07 [1.59; 5.94] diarrhoea 2.69 [1.56; 4.65] ant hypoglycemia 3.77 [2.64; 5.38] | death 0.00 [0.00; NaN] severe hypoglycemia ∞ [NaN; ∞] | Kadowaki (trial 8683), 2009 | vs insulin (add on SU/MET) | | HbA1c inf a 7% 0.12 [0.08; 0.19] | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] nausea ∞ [NaN; ∞] severe hypoglycemia NaN [NaN; NaN] | Kim, 2007 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV events NaN [NaN; NaN] nausea 3.50 [0.47; 25.90] vomiting NaN [NaN; NaN] severe hypoglycemia NaN [NaN; NaN] ant hypoglycemia ∞ [NaN; ∞] | Moretto (DOUBLONS avec druker), 2008 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] nausea ∞ [NaN; ∞] vomiting ∞ [NaN; ∞] diarrhoea ∞ [NaN; ∞] severe hypoglycemia NaN [NaN; NaN] ant hypoglycemia 3.52 [0.44; 28.13] | DURATION-3 (Diamant), 2010 | vs insulin (add on SU/MET) | HbA1c inférieur à 6.5% 1.54 [1.14; 2.08] HbA1c inf a 7% 1.25 [1.05; 1.50] | nausea 9.57 [2.96; 30.92] diarrhoea 2.39 [1.08; 5.32] | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events ∞ [NaN; ∞] vomiting 3.19 [0.89; 11.44] treatment-emergent
adverse events (TEAEs) 1.14 [1.00; 1.30] serious adverse events 1.05 [0.46; 2.43] | DURATION-2 (Bergenstal) (vs sitagliptin), 2010 | vs insulin (add on SU/MET) | HbA1c inf a 7% 1.34 [1.08; 1.66] | | CV events 0.00 [0.00; NaN] | DURATION-2 (Bergenstal) (vs pioglitazone), 2010 | vs insulin (add on SU/MET) | HbA1c inf a 7% 1.90 [1.46; 2.47] | | CV events 0.00 [0.00; NaN] | Buse, 2011 | vs insulin (add on SU/MET) | | nausea 4.99 [2.66; 9.34] vomiting 4.45 [1.76; 11.27] diarrhoea 2.23 [1.11; 4.45] | death 0.00 [0.00; NaN] severe hypoglycemia 0.00 [0.00; NaN] treatment-emergent
adverse events (TEAEs) 1.13 [0.98; 1.30] severe adverse events 0.65 [0.27; 1.56] | NCT00085969 | vs insulin (add on SU/MET) | | | | DeFronzo, 2008 | vs insulin (add on SU/MET) | | | | Fineman, 2003 | vs insulin (add on SU/MET) | | | | Poon, 2005 | vs insulin (add on SU/MET) | | | | Zinman 20µg/j A MODIFIER, 2007 | vs insulin (add on SU/MET) | | | | Trial 8078 | vs insulin (add on SU/MET) | | | | Gao, 2009 | vs insulin (add on SU/MET) | HbA1c inf a 7% 2.85 [2.08; 3.91] | nausea 29.25 [7.23; 118.31] ant hypoglycemia 3.92 [2.52; 6.10] treatment-emergent
adverse events (TEAEs) 1.58 [1.29; 1.94] | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events 0.00 [0.00; NaN] vomiting ∞ [NaN; ∞] diarrhoea 1.49 [0.54; 4.11] severe hypoglycemia 1.98 [0.18; 21.72] | Exenatide Trial 10749 | vs insulin (add on SU/MET) | | | | H8O-MC-GWBJ, 9698, 20µg/d, 2008 | vs insulin (add on SU/MET) | | | | phase 2 exenatide once monthly | vs insulin (add on SU/MET) | | | | DeFronzo 20µg/d, 2005 | vs insulin (add on SU/MET) | HbA1c inf a 7% 3.75 [2.10; 6.70] | | | Buse 20µg/d, 2004 | vs insulin (add on SU/MET) | | | | Kendall 10µg/d, 2005 | vs insulin (add on SU/MET) | | nausea 1.90 [1.42; 2.54] vomiting 3.30 [1.72; 6.33] | diarrhoea 1.58 [0.86; 2.88] | Apovian, 2010 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] | Bergenstal (once daily), 2009 | vs insulin (add on SU/MET) | | | | Bergenstal (twice daily), 2009 | vs insulin (add on SU/MET) | | | HbA1c inf a 7% 0.78 [0.49; 1.24] | Bunck, 2009 | vs insulin (add on SU/MET) | | | | DeFronzo (EXE vs ROSI), 2010 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] | Drucker, 2008 | vs insulin (add on SU/MET) | | HbA1c inf a 7% 0.79 [0.68; 0.93] | | HEELA (Davies), 2009 | vs insulin (add on SU/MET) | | | | LEAD 6 (Buse) exe vs lira, 2009 | vs insulin (add on SU/MET) | | HbA1c inf a 7% 0.79 [0.66; 0.96] | | Gill, 2010 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] | H8O-MC-GWBJ, 9698, 10µg/d, 2008 | vs insulin (add on SU/MET) | | | | Liutkus, 2010 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] CV events NaN [NaN; NaN] | Derosa, 2010 | vs insulin (add on SU/MET) | | | death NaN [NaN; NaN] CV deaths NaN [NaN; NaN] | NCT00360334 | vs insulin (add on SU/MET) | | | CV events 0.98 [0.14; 6.86] | EXSCEL, 2017 | vs insulin (add on SU/MET) | CV events 0.91 [0.83; 1.00] Demonstrated all causes death 0.86 [0.77; 0.97] | | CVdeath 0.88 [0.76; 1.02] fatal and non fatal stroke 0.85 [0.70; 1.03] fatal and non fatal MI 0.97 [0.85; 1.10] Hospitalization for heart failure 0.94 [0.78; 1.13] |
Trial | Treatments | Patients | Method |
---|
Davis, 2007 | Exenatide 20 µg daily (n=33) vs. Insulin on-top of sulphonylureas/metformin (n=16) | patients with type 2 diabetes using insulin in combination with oral antidiabetes agents | open Parallel groups Sample size: 33/16 Primary endpoint: glycemic control FU duration: 16 weeks | Barnett, 2007 | Exenatide 20 µg daily (n=136) vs. Insulin (n=127) | patients with type 2 diabetes | open Cross over Sample size: 136/127 Primary endpoint: HbA1c change FU duration: 16 weeks | Nauck, 2007 | Exenatide 20 µg daily (n=253) vs. Insulin on-top of sulphonylureas+metformin (n=248) | patients with type 2 diabetes who were suboptimally controlled with sulfonylurea and metformin | open Parallel groups Sample size: 253/248 Primary endpoint: HbA1c FU duration: 52 weeks | Heine, 2005 | Exenatide 20 µg daily (n=282) vs. Insulin on-top of sulphonylureas+metformin (n=267) | | open Sample size: 282/267 Primary endpoint: FU duration: 26 weeks | DeFronzo 10µg/d, 2005 | Exenatide 10–20 µg daily (n=110) vs. Placebo on-top of Metformin (n=113) 3 arms : exenatide 5µg twice daily, 10µg twice daily and placebo | patients with type 2 diabetes failing to achieve glycemic control with maximally effective metformin doses | double blind Parallel groups Sample size: 110/113 Primary endpoint: HbA1c FU duration: 30 weeks | Zinman 20µg/j, 2007 | Exenatide 20 µg daily
(n=121) vs. Placebo on-top of thiazolidinediones+/-metformin
(n=112)
| patients with type 2 diabetes that was suboptimally controlled with TZD treatment (with or without metformin)
| double blind Sample size: 121/112 Primary endpoint: FU duration: 16 weeks
| Buse 10µg/d, 2004 | Exenatide 5µg twice daily (n=125) vs. Placebo on-top of SU (n=123) 3rd arms with exenatide 10µg BID | patients with type 2 diabetes failing maximally effective doses of a sulfonylurea as monotherapy | double blind (not adequate) Parallel groups Sample size: 125/123 Primary endpoint: HbA1c FU duration: 30 weeks | Kendall 20µg/d, 2005 | Exenatide 10 µg bid (n=241) vs. Placebo on-top of sulphonylureas+metformin (n=247) 3 arms: exenatide 5, 10µg bid or placebo | patients with type 2 diabetes unable to achieve glycemic control with metformin-sulfonylurea combination therapy | double blind Parallel groups Sample size: 241/247 Primary endpoint: change in HbA1c FU duration: 30 weeks | Kadowaki (trial 8683), 2009 | Exenatide 10µg daily for 12 weeks (n=111) vs. Placebo on-top of sulphonylureas +/-metformin/thiazolidinediones (n=40) Exenatide 5–10–20 µg daily for 12 weeks | Japanese patients with type 2 diabetes suboptimally controlled despite therapeutic dose of sulfonylurea, SU+biguanide or SU+thiazolidinedione | open Parallel groups Sample size: 111/40 Primary endpoint: change in HbA1c FU duration: 12 weeks | Kim, 2007 | exenatide LAR 0.8 or 2 µg daily (n=30) vs. Placebo on-top of metformin (n=15) | subjects with type 2 diabetes suboptimally controlled with metformin and/or diet and exercise | double blind Parallel groups Sample size: 30/15 Primary endpoint: not defined FU duration: 15 weeks | Moretto (DOUBLONS avec druker), 2008 | Exenatide 10–20 µg daily (n=155) vs. Placebo (n=78) | | double blind Parallel groups Sample size: 155/78 Primary endpoint: FU duration: 24 weeks | DURATION-3 (Diamant), 2010 | exenatide (2 mg, once-a-week injection) (n=233) vs. insulin glargine once-daily injection (n=223) | adults with type 2 diabetes who had suboptimum glycaemic control despite use of maximum tolerated doses of blood-glucose-lowering drugs for 3 months or longer | open (blind analysis) Parallel groups Sample size: 233/223 Primary endpoint: HbA1c FU duration: 26 weeks | DURATION-2 (Bergenstal) (vs sitagliptin), 2010 | 2 mg injected exenatide once weekly plus oral placebo once daily
(n=170) vs. 100 mg oral sitagliptin once daily plus injected placebo once weekly
(n=-9) 3rd arms receiving 45 mg oral pioglitazone once daily plus injected placebo once weekly
| patients treated with metformin
| double blind Sample size: 170/-9 Primary endpoint: change in HbA1c FU duration: 26 weeks
| DURATION-2 (Bergenstal) (vs pioglitazone), 2010 | 2 mg injected exenatide once weekly plus oral placebo once daily (n=170) vs. 45 mg oral pioglitazone once daily plus injected placebo once weekly (n=172) 3rd arms receiving 100 mg oral sitagliptin once daily plus injected placebo once weekly
|
| double blind Parallel groups Sample size: 170/172 Primary endpoint: change in HbA1c FU duration: 26 weeks
| Buse, 2011 | twice-daily 10 µg exenatide injections (n=138) vs. placebo (on top insulin glargine) (n=123) | Adults with type 2 diabetes and an HbA1c level of 7.1% to 10.5% who were receiving insulin glargine alone or in combination with metformin or pioglitazone (or both agents) | double-blind Parallel groups Sample size: 138/123 Primary endpoint: change in HbA1c FU duration: 30 weeks | NCT00085969 | exenatide for 28 days (n=99) vs. placebo (n=0) Subjects were randomly assigned to one of six treatment groups (A1, A2, A3, B, C, or D). Subjects assigned
to exenatide groups B, C, and D received 10 ìg twice daily (BID) (group B), 10 ìg once daily (QD)
(group C), or 20 ìg QD (group D) during the 4-week, triple-blind treatment period. Subjects assigned to
placebo groups A1, A2, and A3 received placebo BID (A1) or QD (A2, A3) in dose volumes equivalent to
those received by groups B, C, and D, respectively. | subjects with type 2 diabetes mellitus | double-blind Sample size: 99/0 Primary endpoint: HbA1c change FU duration: 28 days phase 2 | DeFronzo, 2008 | exenatide subcutaneous injection (n=-9) vs. sitagliptin (100 mg QAM) for 2 weeks (n=-9) | metformin-treated T2D patients | double-blind Cross over Sample size: -9/-9 Primary endpoint: not unique FU duration: 2 weeks phase 4 | Fineman, 2003 | exenatide 3 regimen (0.08 micro g/kg) for 28 days (n=109) vs. placebo (n=0) 4 arms: three subcutaneously injected regimens of AC2993 or placebo | patients with tyep 2 diabetes treated with diet and a sulfonylurea and/or metformin | double-blind Parallel groups Sample size: 109/0 Primary endpoint: not defined FU duration: 28 days phase 2 | Poon, 2005 | exenatide at 2.5, 5.0, 7.5, or 10.0 microg administered b.i.d. for 28 days (n=-9) vs. placebo (n=-9) | patients with type 2 diabetes | double-blind Parallel groups Sample size: -9/-9 Primary endpoint: not defined FU duration: 28 days dose-ranging study | Zinman 20µg/j A MODIFIER, 2007 | exenatide Subcutaneous abdominal injections of 10 microg twice daily (n=121) vs. placebo (n=112) | patients with type 2 diabetes that was suboptimally controlled with TZD treatment (with or without metformin) | double-blind Parallel groups Sample size: 121/112 Primary endpoint: change from baseline in hemoglobin A1c FU duration: 16 weeks | Trial 8078 | exenatide (n=-9) vs. Insulin Glargine (n=-9) | Patients with Type 2 Diabetes Using Metformin or Sulfonylurea for Whom Insulin Is the Next Appropriate Therapy | Sample size: -9/-9 Primary endpoint: FU duration: | Gao, 2009 | exenatide 5 mg then 10 mg twice-daily for 4 and 12 weeks (n=234) vs. placebo
(n=232)
| Asian desccent with type 2 diabetes and inadequate glycemic control taking
metformin alone or Met and sulfonylureas
| double-blind Parallel groups Sample size: 234/232 Primary endpoint: change in HbA1c FU duration: 16 weeks phase 3
| Exenatide Trial 10749 | exenatide (10 ìg twice daily)
administered subcutaneously before lunch and dinner (n=187) vs. exenatide (10 ìg twice daily)
administered subcutaneously before breakfast and dinner (n=190) | patients with type 2 Diabetes using oral antidiabetic therapy | open Parallel groups Sample size: 187/190 Primary endpoint: FU duration: phase 3b | H8O-MC-GWBJ, 9698, 20µg/d, 2008 | exenatide twice daily 10 µg for 24 weeks (n=78) vs. placebo (n=78) 3 arms: exenatide 5µg BID, 10µg bid, placebo | Drug-Naive Patients with Type 2 Diabetes and inadequate glycemic control through diet and exercise | double-blind Parallel groups Sample size: 78/78 Primary endpoint: change in HbA1c FU duration: 24 weeks | phase 2 exenatide once monthly | exenatide once monthly at a low, medium or high dose, each administered once every four weeks, for a total of 20 weeks (n=121) vs. exenatide 2mg once weekly (n=0) | adults with type 2 diabetes who were not achieving adequate glucose control using diet and exercise alone or with a stable regimen of metformin, pioglitazone, or both | open Parallel groups Sample size: 121/0 Primary endpoint: FU duration: 20 weeks phase 2 | DeFronzo 20µg/d, 2005 | Exenatide 10–20 µg daily (n=-9) vs. Placebo on-top of Metformin (n=113) 3 arms : exenatide 5µg twice daily, 10µg twice daily and placebo
| patients with type 2 diabetes failing to achieve glycemic control with maximally effective metformin doses
| double blind Parallel groups Sample size: -9/113 Primary endpoint: HbA1c FU duration: 30 weeks
| Buse 20µg/d, 2004 | Exenatide 10µg twice daily
(n=129) vs. Placebo on-top of SU
(n=123) 3rd arms with exenatide 5µg BID
| patients with type 2 diabetes failing maximally effective doses of a sulfonylurea as monotherapy
| double blind (not adequate) Sample size: 129/123 Primary endpoint: HbA1c FU duration: 30 weeks
| Kendall 10µg/d, 2005 | Exenatide 5 µg bid
(n=245) vs. Placebo on-top of sulphonylureas+metformin
(n=247) 3 arms: exenatide 5, 10µg bid or placebo
| patients with type 2 diabetes unable to achieve glycemic control with metformin-sulfonylurea combination therapy
| double blind Parallel groups Sample size: 245/247 Primary endpoint: change in HbA1c FU duration: 30 weeks
| Apovian, 2010 | 10 microg exenatide twice daily injection + lifestyle modification program (n=96) vs. placebo + lifestyle modification program (n=98) | overweight or obese participants with type 2 diabetes treated with metformin and/or sulfonylurea | double-blind Parallel groups Sample size: 96/98 Primary endpoint: FU duration: 24 weeks | Bergenstal (once daily), 2009 | exenatide(5 microg BID for 4 weeks and 10 microg BID thereafter) (n=-9) vs. biphasic insulin aspart 70/30 (BIAsp 30) 30 QD (12 U before supper) (n=-9) | subjects with type 2 diabetes mellitus insulin naive, not achieving glycemic targets with metformin and sulfonylurea | open Parallel groups Sample size: -9/-9 Primary endpoint: not unique FU duration: 24 weeks | Bergenstal (twice daily), 2009 | exenatide (5 microg BID for 4 weeks and 10 microg BID thereafter) (n=-9) vs. biphasic insulin aspart 70/30 (BIAsp 30) 30 BID (12 U divided equally between pre-breakfast and pre-supper) (n=-9)
| subjects with type 2 diabetes mellitus insulin naive, not achieving glycemic targets with metformin and sulfonylurea
| open Parallel groups Sample size: -9/-9 Primary endpoint: not unique FU duration:
| Bunck, 2009 | exenatide 10µg bid (n=36) vs. insulin glargine (n=33) | metformin-treated patients with type 2 diabetes | Parallel groups Sample size: 36/33 Primary endpoint: beta-Cell function FU duration: 52 weeks | DeFronzo (EXE vs ROSI), 2010 | EXE 10 microg b.i.d. (n=45) vs. ROSI 4 mg b.i.d. (n=45) 3 arms: EXE 10 microg bid (n=45), ROSI 4 mg bid (n=45), or EXE 10 microg bid + ROSI 4 mg bid (n=47) | subjects with type 2 diabetes on metformin | open Parallel groups Sample size: 45/45 Primary endpoint: FU duration: 20 weeks | Drucker, 2008 | 10 mug exenatide administered twice a day (n=-9) vs. long-acting release formulation of exenatide 2 mg administered once weekly (n=-9) | patients with type 2 diabetes naive to drug therapy, or on one or more oral antidiabetic agents | open Parallel groups Sample size: -9/-9 Primary endpoint: FU duration: 30 weeks | HEELA (Davies), 2009 | exenatide 5¨C10 ¦Ìg
bid (n=-9) vs. insulin glargine o.d. (titrated to target fasting plasma glucose ¡Ü5.6 mmol/l) (n=-9) | Patients (BMI>27 kg/m2) with elevated cardiovascular risk and type 2 diabetes
inadequately controlled on two or three oral antidiabetes drugs | Sample size: -9/-9 Primary endpoint: FU duration: | LEAD 6 (Buse) exe vs lira, 2009 | (n=-9) vs. (n=-9) | | Sample size: -9/-9 Primary endpoint: FU duration: | Gill, 2010 | exenatide (5 microg for 4 weeks followed by 10 microg) for 12 weeks (n=28) vs. placebo (n=26) | subjects with type 2 diabetes mellitus on metformin and/or a thiazolidinedione | double-blind Parallel groups Sample size: 28/26 Primary endpoint: mean 24-hour HR FU duration: 12 weeks | H8O-MC-GWBJ, 9698, 10µg/d, 2008 | exenatide twice daily 5 et 10 µg for 24 weeks
(n=-9) vs. placebo
(n=78) 3 arms: exenatide 5µg BID, 10µg bid, placebo
| Drug-Naive Patients with Type 2 Diabetes and inadequate glycemic control through diet and exercise
| double-blind Parallel groups Sample size: -9/78 Primary endpoint: change in HbA1c FU duration: 24 weeks
| Liutkus, 2010 | exenatide twice-daily (n=111) vs. placebo (n=54) | subjects suboptimally controlled with TZDs with or without metformin | Sample size: 111/54 Primary endpoint: FU duration: | Derosa, 2010 | exenatide 10 microg twice a day (n=63) vs. glibenclamide 5 mg three times a day (n=65) | patients with uncontrolled type 2 diabetes mellitus receiving therapy with metformin | Sample size: 63/65 Primary endpoint: FU duration: | NCT00360334 | (n=118) vs. (n=116) | | Sample size: 118/116 Primary endpoint: FU duration: | EXSCEL, 2017 | subcutaneous injections of extended-release exenatide at a dose of 2 mg once weakly (n=7356) vs. placebo (n=7396) | patients with type 2 diabetes, with or without previous cardiovascular disease | double-blind Parallel groups Sample size: 7356/7396 Primary endpoint: CV death, MI, stroke FU duration: 3.2 years median |
|