← Trials/Trial dossier/NCT00135330

CompletedPhase 3Results posted

An Evaluation of Exenatide and Rosiglitazone in Subjects With Type 2 Diabetes Mellitus

An Evaluation of the Metabolic Effects of Exenatide, Rosiglitazone, and Exenatide Plus Rosiglitazone in Subjects With Type 2 Diabetes Mellitus Treated With Metformin

Lead sponsor

AstraZeneca

Asset

Exenatide

Subcutaneous · GLP-1 agonist

Listed sites

19

Recruiting sites

Enrollment

137

actual

Study population

Type 2 diabetes

Key I/E criteria

BMI 25-40HbA1c 6.8-10%

Primary endpoint

C-peptide AUC

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT00135330
Org study IDH8O-US-GWAY

Timeline

Milestones

Study first posted2005-08-26estimated
Results first posted2009-08-28estimated
Last update posted2015-04-07estimated
Study start2005-10 (month precision)
Primary completion2008-07actual (month precision)
Study completion2008-07actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
Maximum age75 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

HbA1c of 6.8% to 10.0%, inclusive.
Body mass index (BMI) of 25 kg/m^2 to 40 kg/m^2, inclusive.

Exclusion criteria

Have participated in this study previously, or have received exenatide, pramlintide acetate, GLP-1 analogs, or dipeptidyl peptidase-IV (DPP-IV) inhibitors
Have participated in an interventional, medical, surgical, or pharmaceutical study (a study in which an experimental, drug, medical, or surgical treatment was given) within 30 days of study start. This criterion includes drugs that have not received regulatory approval for any indication at the time of study start.
Treated with any of the following medications:
Thiazolidinedione within 5 months of screening;
Sulfonylurea within 3 months of screening;
Metformin/sulfonylurea combination therapy within 3 months of screening;
Alpha-glucosidase inhibitor within 3 months of screening;
Meglitinide within 3 months of screening;
Insulin for more than 1 week within the 3 months prior to screening.
Symlin (pramlintide acetate) injection or Byetta (exenatide) injection at any time
Chronic (more than 2 weeks) or recent (within 4 weeks of study start) use of a drug that directly affects gastrointestinal motility
Are receiving chronic (lasting longer than 2 weeks) systemic glucocorticoid therapy (excluding topical and inhaled preparations) or have received such therapy within the 4 weeks immediately preceding study start
Regular use of a medication with addictive potential such as an opiate, narcotic, or tranquilizer
Systemic antineoplastic agent
Systemic transplantation medication
Drugs for weight loss, including over-the-counter medications, within the 4 months prior to study start

Endpoints (29)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Glycemic / diabetes
15
Weight & body composition
7
Cardiometabolic biomarkers
4
Safety / tolerability / PK
3

Weight & body composition

7 endpoints
Secondary/protocol endpoint

Change in Body Weight

Time frame:Week 20

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kg95% CI
ExenatideBaseline body weight93.05
Change in body weight at week 20-2.82
Exenatide Plus RosiglitazoneBaseline body weight93.76
Change in body weight at week 20-1.21
RosiglitazoneBaseline body weight91.78
Change in body weight at week 201.48
p<0.001MMRM
Secondary/protocol endpoint

Change in Percent Body Fat During a Meal Challenge Test (MCT)

Time frame:20 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percentage95% CI
ExenatideBaseline percent body fat33.42
Change in percent body fat at week 20-1.40
Exenatide Plus RosiglitazoneBaseline percent body fat34.07
Change in percent body fat at week 20-0.347
RosiglitazoneBaseline percent body fat32.50
Change in percent body fat at week 20-1.18
p0.581ANCOVA
Secondary/protocol endpoint

Change in Body Fat Mass During a Meal Challenge Test (MCT)

Time frame:20 weeks

Total fat mass

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kg95% CI
ExenatideBaseline body fat mass32.05
Change in body fat mass at week 20-2.76
Exenatide Plus RosiglitazoneBaseline body fat mass32.55
Change in body fat mass at week 20-1.06
RosiglitazoneBaseline body fat mass30.54
Change in body fat mass at week 20-1.99
p0.631ANCOVA
Secondary/protocol endpoint

Change in Lean Body Mass During a Meal Challenge Test (MCT)

Time frame:20 weeks

Lean mass

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kg95% CI
ExenatideBaseline lean body mass64.62
Change in lean body mass at week 20-2.99
Exenatide Plus RosiglitazoneBaseline lean body mass60.94
Change in lean body mass at week 200.532
RosiglitazoneBaseline lean body mass61.09
Change in lean body mass at week 201.23
p0.724ANCOVA
Secondary/protocol endpoint

Change in Waist Circumference

Time frame:20 weeks

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), cm95% CI
ExenatideBaseline waist circumference105.98
Change in waist circumference at Week 20-2.95
Exenatide Plus RosiglitazoneBaseline waist circumference106.85
Change in waist circumference at Week 20-2.38
RosiglitazoneBaseline waist circumference105.34
Change in waist circumference at Week 20-0.225
p0.117MMRM
Secondary/protocol endpoint

Change in Hip Circumference

Time frame:20 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), cm95% CI
ExenatideBaseline hip circumference113.29
Change in hip circumference at week 20-1.28
Exenatide Plus RosiglitazoneBaseline hip circumference112.12
Change in hip circumference at week 200.147
RosiglitazoneBaseline hip circumference111.90
Change in hip circumference at week 201.51
p0.251MMRM
Secondary/protocol endpoint

Change in Waist-to-hip Ratio

Time frame:20 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), ratio (cm/cm)95% CI
ExenatideBaseline waist-to-hip ratio0.939
Change in waist-to-hip ratio at week 20-0.016
Exenatide Plus RosiglitazoneBaseline waist-to-hip ratio0.957
Change in waist-to-hip ratio at week 20-0.022
RosiglitazoneBaseline waist-to-hip ratio0.943
Change in waist-to-hip ratio at week 20-0.016
p0.710MMRM

Glycemic / diabetes

15 endpoints
Primary/protocol endpoint

Change in ASIiAUC During a Hyperglycemic Clamp Test.

Time frame:20 weeks

C-peptide AUC

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), uIU-min/ml95% CI
ExenatideBaseline ASIiAUC643.40
Change in ASIiAUC at week 20747.26
Exenatide Plus RosiglitazoneBaseline ASIiAUC686.41
Change in ASIiAUC at week 20194.68
RosiglitazoneBaseline ASIiAUC786.12
Change in ASIiAUC at week 20-99.85
p0.282ANCOVA

The ratio of the ASI-iAUC at Week 20 to that at baseline was compared between the treatment groups.

Secondary/protocol endpoint

Change in AUC for Glucose During a Meal Challenge Test (MCT).

Time frame:Week 20

Postprandial glucose

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), mmol-min/L95% CI
ExenatideBaseline glucose AUC during MCT1782.86
Change in glucose AUC during MCT at week 20-560.12
Exenatide Plus RosiglitazoneBaseline glucose AUC during MCT1799.68
Change in glucose AUC during MCT at week 20-635.24
RosiglitazoneBaseline glucose AUC during MCT1741.87
Change in glucose AUC during MCT at week 20-425.59
p0.004ANCOVA
Secondary/protocol endpoint

Change in Insulin Sensitivity Index as Measured by M-value.

Time frame:Week 20

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), mg/kg-min95% CI
ExenatideM-Value at baseline3.89
Change in M-Value from baseline at week 200.477
Exenatide Plus RosiglitazoneM-Value at baseline2.49
Change in M-Value from baseline at week 202.07
RosiglitazoneM-Value at baseline4.02
Change in M-Value from baseline at week 201.42
p0.308ANCOVA
Secondary/protocol endpoint/low confidence

Change in Insulin AUC in the First Stage From Baseline to Endpoint.

Time frame:Week 20

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), uIU-min/ml95% CI
ExenatideBaseline insulin AUC200.50
Change from baseline insulin AUC at week 20134.88
Exenatide Plus RosiglitazoneBaseline insulin AUC136.84
Change from baseline insulin AUC at week 2032.12
RosiglitazoneBaseline insulin AUC157.49
Change from baseline insulin AUC at week 20-50.81
p0.079ANCOVA
Secondary/protocol endpoint

Change in Insulin iAUC From Baseline to Endpoint.

Time frame:Week 20

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), uIU-min/ml95% CI
ExenatideBaseline insulin iAUC5.98
Change from baseline insulin iAUC at week 2099.08
Exenatide Plus RosiglitazoneBaseline insulin iAUC-9.92
Change from baseline insulin iAUC at week 2053.71
RosiglitazoneBaseline insulin iAUC23.09
Change from baseline insulin iAUC at week 2011.51
p0.252ANCOVA
Secondary/protocol endpoint/low confidence

Ratio (Value at Endpoint Divided by Value at Baseline) of AUC for Insulin During a Meal Challenge Test (MCT).

Time frame:Week 20

ratio, improvement

Posted result

GroupValue (geometric_mean), uIU-min/ml95% CI
ExenatideBaseline AUC for insulin during MCT5171.40
Ratio(endpoint/baseline) of insulin AUC during MCT0.806
Exenatide Plus RosiglitazoneBaseline AUC for insulin during MCT4324.13
Ratio(endpoint/baseline) of insulin AUC during MCT0.664
RosiglitazoneBaseline AUC for insulin during MCT5816.83
Ratio(endpoint/baseline) of insulin AUC during MCT0.722
p0.465ANCOVA
Secondary/protocol endpoint

Change in AUC for C-peptide During a Meal Challenge Test (MCT).

Time frame:Week 20

C-peptide AUC

ratio, improvement

Posted result

GroupValue (geometric_mean), nmol-min/L95% CI
ExenatideBaseline C-peptide during a MCT319.77
Ratio(endpoint/baseline) of C-peptide during a MCT0.908
Exenatide Plus RosiglitazoneBaseline C-peptide during a MCT310.51
Ratio(endpoint/baseline) of C-peptide during a MCT0.804
RosiglitazoneBaseline C-peptide during a MCT325.65
Ratio(endpoint/baseline) of C-peptide during a MCT0.854
p0.348ANCOVA
Secondary/protocol endpoint

Change in Incremental for Postprandial Glucose During a Meal Challenge Test (MCT).

Time frame:Week 20

Postprandial glucose

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline glucose at 15 min0.950
Change fr baseline glucose at 15 min at wk 20-0.651
Baseline glucose at 30 min2.39
Change fr baseline glucose at 30 min at wk 20-1.46
Baseline glucose at 60 minutes3.59
Change fr baseline glucose at 60 min at wk 20-2.56
Baseline glucose at 90 minutes3.24
Change fr baseline glucose at 90 min at wk 20-2.87
Baseline glucose at 120 minutes2.49
Change fr baseline glucose at 120 min at wk 20-2.24
Baseline glucose at 150 minutes1.62
Change fr baseline glucose at 150 min at wk 20-1.42
Baseline glucose at 180 minutes0.461
Change fr baseline glucose at 180 min at wk 20-0.583
Exenatide Plus RosiglitazoneBaseline glucose at 15 min1.12
Change fr baseline glucose at 15 min at wk 20-0.286
Baseline glucose at 30 min2.54
Change fr baseline glucose at 30 min at wk 20-1.06
Baseline glucose at 60 minutes3.88
Change fr baseline glucose at 60 min at wk 20-2.46
Baseline glucose at 90 minutes3.36
Change fr baseline glucose at 90 min at wk 20-2.91
Baseline glucose at 120 minutes2.24
Change fr baseline glucose at 120 min at wk 20-2.52
Baseline glucose at 150 minutes1.14
Change fr baseline glucose at 150 min at wk 20-1.95
Baseline glucose at 180 minutes0.036
Change fr baseline glucose at 180 min at wk 20-0.995
RosiglitazoneBaseline glucose at 15 min0.828
Change fr baseline glucose at 15 min at wk 200.150
Baseline glucose at 30 min2.23
Change fr baseline glucose at 30 min at wk 20-0.066
Baseline glucose at 60 minutes3.48
Change fr baseline glucose at 60 min at wk 20-0.720
Baseline glucose at 90 minutes3.48
Change fr baseline glucose at 90 min at wk 20-0.952
Baseline glucose at 120 minutes2.31
Change fr baseline glucose at 120 min at wk 20-0.912
Baseline glucose at 150 minutes1.25
Change fr baseline glucose at 150 min at wk 20-0.830
Baseline glucose at 180 minutes0.279
Change fr baseline glucose at 180 min at wk 20-0.481
Secondary/protocol endpoint

Change in Incremental for Postprandial Insulin During Meal Challenge Test (MCT).

Time frame:Week 20

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline insulin at 15 min9.97
Change fr baseline insulin at 15 min at wk 20-1.71
Baseline insulin at 30 min19.81
Change fr baseline insulin at 30 min at wk 20-3.00
Baseline insulin at 60 min27.92
Change fr baseline insulin at 60 min at wk 20-11.04
Baseline insulin at 90 min26.06
Change fr baseline insulin at 90 min at wk 20-9.42
Baseline insulin at 120 min19.56
Change fr baseline insulin at 120 min at wk 20-11.26
Baseline insulin at 150 min15.67
Change fr baseline insulin at 150 min at wk 20-7.48
Baseline insulin at 180 min10.58
Change fr baseline insulin at 180 min at wk 200.031
Exenatide Plus RosiglitazoneBaseline insulin at 15 min8.09
Change fr baseline insulin at 15 min at wk 20-1.84
Baseline insulin at 30 min14.79
Change fr baseline insulin at 30 min at wk 20-2.63
Baseline insulin at 60 min27.67
Change fr baseline insulin at 60 min at wk 20-7.47
Baseline insulin at 90 min21.85
Change fr baseline insulin at 90 min at wk 20-9.27
Baseline insulin at 120 min17.52
Change fr baseline insulin at 120 min at wk 20-8.69
Baseline insulin at 150 min12.74
Change fr baseline insulin at 150 min at wk 20-8.13
Baseline insulin at 180 min8.18
Change fr baseline insulin at 180 min at wk 20-5.26
RosiglitazoneBaseline insulin at 15 min7.53
Change fr baseline insulin at 15 min at wk 20-0.455
Baseline insulin at 30 min18.83
Change fr baseline insulin at 30 min at wk 20-1.04
Baseline insulin at 60 min32.09
Change fr baseline insulin at 60 min at wk 20-7.42
Baseline insulin at 90 min32.25
Change fr baseline insulin at 90 min at wk 20-6.19
Baseline insulin at 120 min25.47
Change fr baseline insulin at 120 min at wk 20-6.43
Baseline insulin at 150 min18.11
Change fr baseline insulin at 150 min at wk 20-5.57
Baseline insulin at 180 min10.74
Change fr baseline insulin at 180 min at wk 20-4.04
Secondary/protocol endpoint

Change in Incremental for Postprandial C-peptide During Meal Challenge Test (MCT).

Time frame:Week 20

C-peptide AUC

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline C-peptide at 15 min0.238
Change fr baseline C-peptide at 15 min at week 20-0.006
Baseline C-peptide at 30 min0.521
Change fr baseline C-peptide at 30 min at week 20-0.071
Baseline C-peptide at 60 min0.818
Change fr baseline C-peptide at 60 min at week 20-0.148
Baseline C-peptide at 90 min0.895
Change fr baseline C-peptide at 90 min at week 20-0.185
Baseline C-peptide at 120 min0.817
Change fr baseline C-peptide at 120 min at week 20-0.259
Baseline C-peptide at 150 min0.843
Change fr baseline C-peptide at 150 min at week 20-0.251
Baseline C-peptide at 180 min0.610
Change fr baseline C-peptide at 180 min at week 20-0.075
Exenatide Plus RosiglitazoneBaseline C-peptide at 15 min0.259
Change fr baseline C-peptide at 15 min at week 200.016
Baseline C-peptide at 30 min0.517
Change fr baseline C-peptide at 30 min at week 20-0.036
Baseline C-peptide at 60 min0.871
Change fr baseline C-peptide at 60 min at week 20-0.025
Baseline C-peptide at 90 min0.953
Change fr baseline C-peptide at 90 min at week 20-0.117
Baseline C-peptide at 120 min0.828
Change fr baseline C-peptide at 120 min at week 20-0.134
Baseline C-peptide at 150 min0.651
Change fr baseline C-peptide at 150 min at week 20-0.254
Baseline C-peptide at 180 min0.482
Change fr baseline C-peptide at 180 min at week 20-0.238
RosiglitazoneBaseline C-peptide at 15 min0.206
Change fr baseline C-peptide at 15 min at week 200.087
Baseline C-peptide at 30 min0.560
Change fr baseline C-peptide at 30 min at week 200.099
Baseline C-peptide at 60 min0.881
Change fr baseline C-peptide at 60 min at week 200.054
Baseline C-peptide at 90 min1.03
Change fr baseline C-peptide at 90 min at week 20-0.052
Baseline C-peptide at 120 min0.972
Change fr baseline C-peptide at 120 min at week 20-0.016
Baseline C-peptide at 150 min0.813
Change fr baseline C-peptide at 150 min at week 20-0.093
Baseline C-peptide at 180 min0.619
Change fr baseline C-peptide at 180 min at week 20-0.092
Secondary/protocol endpoint

Change in HbA1c

Time frame:Week 20

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), Percentage95% CI
ExenatideBaseline HbA1c7.79
Change from baseline HbA1c at week 20-0.908
Exenatide Plus RosiglitazoneBaseline HbA1c7.84
Change from baseline HbA1c at week 20-1.31
RosiglitazoneBaseline HbA1c7.92
Change from baseline HbA1c at week 20-0.968
p0.039Mixed Model Repeated Measures (MMRM)
Secondary/protocol endpoint

Change in Fasting Serum Glucose Concentration.

Time frame:Week 20

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline fasting serum glucose8.42
Change fr baseline fasting serum glucose at wk 20-1.46
Exenatide Plus RosiglitazoneBaseline fasting serum glucose8.43
Change fr baseline fasting serum glucose at wk 20-1.60
RosiglitazoneBaseline fasting serum glucose8.48
Change fr baseline fasting serum glucose at wk 20-1.80
p0.555MMRM
Secondary/protocol endpoint

Change in Fasting C-peptide

Time frame:Week 20

C-peptide AUC

change from baseline, improvement

Secondary/protocol endpoint

Change in Fasting Insulin

Time frame:Week 20

change from baseline, improvement

Posted result

GroupValue (geometric_mean), uIU/ml95% CI
ExenatideBaseline fasting insulin12.84
Ratio (wk20/baseline)of fasting insulin0.980
Exenatide Plus RosiglitazoneBaseline fasting insulin10.96
Ratio (wk20/baseline)of fasting insulin0.599
RosiglitazoneBaseline fasting insulin12.77
Ratio (wk20/baseline)of fasting insulin0.755
p0.106MMRM
Secondary/protocol endpoint/low confidence

Change in Fasting Proinsulin

Time frame:Week 20

ratio, improvement

Posted result

GroupValue (geometric_mean), pmol/L95% CI
ExenatideBaseline fasting proinsulin4.32
Ratio(wk20/baseline)of fasting proinsulin0.663
Exenatide Plus RosiglitazoneBaseline fasting proinsulin3.80
Ratio(wk20/baseline)of fasting proinsulin0.538
RosiglitazoneBaseline fasting proinsulin3.56
Ratio(wk20/baseline)of fasting proinsulin0.623
p0.341MMRM

Cardiometabolic biomarkers

4 endpoints
Secondary/protocol endpoint

Change in Fasting Total Cholesterol.

Time frame:Week 20

Total cholesterol, change

change from baseline, improvement

LOINC 2093-3

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline total cholesterol4.42
Change fr baseline total cholesterol at week 20-0.128
Exenatide Plus RosiglitazoneBaseline total cholesterol4.41
Change fr baseline total cholesterol at week 200.258
RosiglitazoneBaseline total cholesterol4.62
Change fr baseline total cholesterol at week 200.438
p0.276MMRM
Secondary/protocol endpoint

Change in Fasting HDL Cholesterol

Time frame:Week 20

HDL-C, change

change from baseline, improvement

LOINC 2085-9

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline HDL1.13
Change from baseline HDL at week 200.022
Exenatide Plus RosiglitazoneBaseline HDL1.17
Change from baseline HDL at week 200.046
RosiglitazoneBaseline HDL1.17
Change from baseline HDL at week 200.055
p0.840MMRM
Secondary/protocol endpoint

Change in Fasting LDL Cholesterol

Time frame:Week 20

LDL-C, change

change from baseline, improvement

LOINC 13457-7

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
ExenatideBaseline LDL2.59
Change from baseline LDL at week 20-0.049
Exenatide Plus RosiglitazoneBaseline LDL2.57
Change from baseline LDL at week 200.096
RosiglitazoneBaseline LDL2.71
Change from baseline LDL at week 200.334
p0.096MMRM
Secondary/protocol endpoint

Change in Fasting Triglycerides

Time frame:Week 20

Triglycerides, change

ratio, improvement

LOINC 2571-8

Posted result

GroupValue (geometric_mean), mmol/L95% CI
ExenatideBaseline triglyceride1.56
Ratio (endpoint/baseline) for triglycerides0.861
Exenatide Plus RosiglitazoneBaseline triglyceride1.67
Ratio (endpoint/baseline) for triglycerides0.977
RosiglitazoneBaseline triglyceride1.76
Ratio (endpoint/baseline) for triglycerides0.992
p0.875MMRM

Safety / tolerability / PK

3 endpoints
Secondary/protocol endpoint

Incidence of Hypoglycemia Events

Time frame:20 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), participants95% CI
Exenatide8
Exenatide Plus Rosiglitazone9
Rosiglitazone6
p0.575Fisher Exact
Secondary/protocol endpoint

Hypoglycemia Rate Per 30 Days Per Patient

Time frame:20 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (mean), hypoglycemia events / 30 days / patient95% CI
Exenatide0.391
Exenatide Plus Rosiglitazone0.594
Rosiglitazone0.853
p0.436ANOVA
Secondary/protocol endpoint

Pedal Edema Score

Time frame:20 weeks

descriptive

Posted result

GroupValue (number), participants95% CI
ExenatideNo edema37
Edema score: 1+7
Edema score: 2+1
Edema score: 3+0
Exenatide Plus RosiglitazoneNo edema34
Edema score: 1+11
Edema score: 2+3
Edema score: 3+0
RosiglitazoneNo edema30
Edema score: 1+14
Edema score: 2+6
Edema score: 3+1
p0.168Generalized Linear Model

Publications (2)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Registry references + supporting bibliography

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.