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CompletedPhase 3Results posted

Study to Evaluate the Efficacy and Safety of Exenatide Once-Weekly Injection Compared to Once-Daily Insulin in Type 2 Diabetes Mellitus

Parallel Group Study to Evaluate the Efficacy and Safety of Exenatide Once-Weekly Injection Compared to Once-Daily Insulin in Type 2 Diabetes Mellitus Treated With Oral Antidiabetic(s)

Lead sponsor

AstraZeneca

Asset

Exenatide

Subcutaneous · GLP-1 agonist

Listed sites

22

Recruiting sites

Enrollment

427

actual

Study population

Type 2 diabetes

Key I/E criteria

BMI 18-35HbA1c 7.1-11%

Primary endpoint

HbA1c, change

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 IDNCT00935532
Org study IDH8O-JE-GWBX

Timeline

Milestones

Study first posted2009-07-09estimated
Results first posted2012-10-24estimated
Last update posted2015-06-15estimated
Study start2009-07 (month precision)
Primary completion2010-09actual (month precision)
Study completion2011-07actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 2 diabetes

Eligibility

Who can enroll

Minimum age20 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

present with type 2 diabetes mellitus
HbA1c between 7.1% and 11.0% inclusive
body mass index (BMI) of >18kg/m2 and <35kg/m2, inclusive
treated with a stable dose regimen of either of biguanide (BG) alone, BG + thiazolidinedione (TZD), BG + sulfonylurea (SU), or BG + TZD + SU for 90 days prior to study start

Exclusion criteria

Have received chronic (>14 consecutive days) systemic adrenocorticosteroid therapy by oral, intravenous, or intramuscular route or intraarticular steroid injection within 4 weeks prior to study start.
Have been treated with drugs that promote weight loss within 90 days prior to study start.
Have been treated with drugs that directly affect gastrointestinal motility for > 21 consecutive days within 90 days prior to study start.
Have had prior exposure to exenatide BID or QW or participated in the clinical trial of exenatide BID or QW (including the case that the study drug was not administered).
Have been treated for >2 consecutive weeks with any of the following excluded medications within 90 days prior to study start: Insulin, Dipeptidyl peptidase-4 (DPP-4) inhibitors, GLP-1 analogs
Have received treatment within 30 days prior to study start drug that has not received regulatory approval for any indication.
Are currently enrolled in any other clinical study or participated in and completed the clinical study within 30 days prior to study start.
Have donated blood within 30 days prior to study start.

Endpoints (11)

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
4
Cardiometabolic biomarkers
4
Safety / tolerability / PK
2
Weight & body composition
1

Weight & body composition

1 endpoint
Secondary/protocol endpoint

Change in Body Weight From Baseline to Endpoint (Week 26)

Time frame:Baseline, Week 26

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kg95% CI
Exenatide Once Weekly-1.67
Insulin Glargine0.34
Least Squares Mean Difference-2.0195% CI-2.46-1.56p<.001ANCOVA

Glycemic / diabetes

4 endpoints
Primary/protocol endpoint

Change in HbA1c From Baseline to Endpoint (Week 26)

Time frame:Baseline, Week 26

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percentage of total hemoglobin95% CI
Exenatide Once Weekly-1.11
Insulin Glargine-0.68
Least Squares Mean Difference-0.4395% CI-0.59-0.26p<.001ANCOVA
Secondary/protocol endpoint

Percentage of Subjects Achieving HbA1c<=7%

Time frame:Baseline, Week 26

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of subjects95% CI
Exenatide Once Weekly42.2
Insulin Glargine21.0
p<.001Cochran-Mantel-Haenszel
Secondary/protocol endpoint

Percentage of Subjects Achieving HbA1c<=6.5%

Time frame:Baseline, Week 26

HbA1c <6.5% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of subjects95% CI
Exenatide Once Weekly20.6
Insulin Glargine4.2
p<.001Cochran-Mantel-Haenszel
Secondary/protocol endpoint

Change in Fasting Serum Glucose (FSG) From Baseline to Endpoint (Week 26)

Time frame:Baseline, Week 26

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (least_squares_mean), mg/dL95% CI
Exenatide Once Weekly-46.09
Insulin Glargine-40.82
Least Squares Mean Difference-5.2895% CI-11.621.07p0.103ANCOVA

Change in FSG from baseline to endpoint was analyzed using a LOCF ANCOVA model with treatment, background OAD, and presence/absence of pretreatment with SU as factors and baseline FSG as a covariate.

Cardiometabolic biomarkers

4 endpoints
Secondary/protocol endpoint

Change in Total Cholesterol From Baseline to Endpoint (Week 26)

Time frame:Baseline, Week 26

Total cholesterol, change

change from baseline, improvement

LOINC 2093-3

Posted result

GroupValue (least_squares_mean), mg/dL95% CI
Exenatide Once Weekly-14.21
Insulin Glargine-6.32
Least Squares Mean Difference-7.8995% CI-12.33-3.45p<.001ANCOVA
Secondary/protocol endpoint

Change in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Endpoint (Week 26)

Time frame:Baseline, Week 26

HDL-C, change

change from baseline, improvement

LOINC 2085-9

Posted result

GroupValue (least_squares_mean), mg/dL95% CI
Exenatide Once Weekly-0.99
Insulin Glargine-0.71
Least Squares Mean Difference-0.2895% CI-1.641.09p0.689ANCOVA
Secondary/protocol endpoint

Ratio of Fasting Triglycerides at Endpoint (Week 26) to Baseline

Time frame:Baseline, Week 26

Triglycerides, change

ratio, improvement

Posted result

GroupValue (least_squares_mean), ratio95% CI
Exenatide Once Weekly1.00
Insulin Glargine1.00
Geometric Least Squares Mean Ratio1.0095% CI0.941.06p0.990ANCOVA
Secondary/protocol endpoint

Change in Blood Pressure From Baseline to Endpoint (Week 26)

Time frame:Baseline, Week 26

change from baseline, improvement

Posted result

GroupValue (mean), mmHg95% CI
Exenatide Once WeeklySystolic Blood Pressure-4.5
Diastolic Blood Pressure-1.1
Insulin GlargineSystolic Blood Pressure-2.6
Diastolic Blood Pressure-2.5

Safety / tolerability / PK

2 endpoints
Secondary/protocol endpoint

Assessment on Event Rate of Treatment-emergent Major Hypoglycemic Events

Time frame:Baseline to Week 26

Severe hypoglycemia

event count, event

Posted result

GroupValue (mean), events per subject-year95% CI
Exenatide Once Weekly0.00
Insulin Glargine0.00
Secondary/protocol endpoint

Assessment on Event Rate of Treatment-emergent Minor Hypoglycemic Events

Time frame:Baseline to Week 26

Documented hypoglycemia

event count, event

Posted result

GroupValue (mean), events per subject-year95% CI
Exenatide Once Weekly0.01
Insulin Glargine0.16

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.