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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
Asset
Exenatide
Subcutaneous · GLP-1 agonist
Listed sites
22
Recruiting sites
—
Enrollment
427
actual
Study population
Type 2 diabetes
Key I/E criteria
•BMI 18-35•HbA1c 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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
Exclusion criteria
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
Weight & body composition
1 endpointChange 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
| Group | Value (least_squares_mean), kg | 95% CI |
|---|---|---|
| Exenatide Once Weekly | -1.67 | — |
| Insulin Glargine | 0.34 | — |
Glycemic / diabetes
4 endpointsChange in HbA1c From Baseline to Endpoint (Week 26)
Time frame:Baseline, Week 26
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Posted result
| Group | Value (least_squares_mean), percentage of total hemoglobin | 95% CI |
|---|---|---|
| Exenatide Once Weekly | -1.11 | — |
| Insulin Glargine | -0.68 | — |
Percentage of Subjects Achieving HbA1c<=7%
Time frame:Baseline, Week 26
HbA1c <7.0% achievement
threshold achievement, improvement
LOINC 4548-4
Posted result
| Group | Value (number), percentage of subjects | 95% CI |
|---|---|---|
| Exenatide Once Weekly | 42.2 | — |
| Insulin Glargine | 21.0 | — |
Percentage of Subjects Achieving HbA1c<=6.5%
Time frame:Baseline, Week 26
HbA1c <6.5% achievement
threshold achievement, improvement
LOINC 4548-4
Posted result
| Group | Value (number), percentage of subjects | 95% CI |
|---|---|---|
| Exenatide Once Weekly | 20.6 | — |
| Insulin Glargine | 4.2 | — |
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
| Group | Value (least_squares_mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide Once Weekly | -46.09 | — |
| Insulin Glargine | -40.82 | — |
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 endpointsChange 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
| Group | Value (least_squares_mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide Once Weekly | -14.21 | — |
| Insulin Glargine | -6.32 | — |
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
| Group | Value (least_squares_mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide Once Weekly | -0.99 | — |
| Insulin Glargine | -0.71 | — |
Ratio of Fasting Triglycerides at Endpoint (Week 26) to Baseline
Time frame:Baseline, Week 26
Triglycerides, change
ratio, improvement
Posted result
| Group | Value (least_squares_mean), ratio | 95% CI |
|---|---|---|
| Exenatide Once Weekly | 1.00 | — |
| Insulin Glargine | 1.00 | — |
Change in Blood Pressure From Baseline to Endpoint (Week 26)
Time frame:Baseline, Week 26
change from baseline, improvement
Posted result
| Group | Value (mean), mmHg | 95% 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 endpointsAssessment on Event Rate of Treatment-emergent Major Hypoglycemic Events
Time frame:Baseline to Week 26
Severe hypoglycemia
event count, event
Posted result
| Group | Value (mean), events per subject-year | 95% CI |
|---|---|---|
| Exenatide Once Weekly | 0.00 | — |
| Insulin Glargine | 0.00 | — |
Assessment on Event Rate of Treatment-emergent Minor Hypoglycemic Events
Time frame:Baseline to Week 26
Documented hypoglycemia
event count, event
Posted result
| Group | Value (mean), events per subject-year | 95% CI |
|---|---|---|
| Exenatide Once Weekly | 0.01 | — |
| Insulin Glargine | 0.16 | — |
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
- Diabetes therapy : research, treatment and education of diabetes and related disorders2020 Jul (month)PMID32306296doi:10.1007/s13300-020-00815-zvia clinicaltrials gov reference derived + pubmed nct search
- Clinical therapeutics2012 Sep (month)PMID22884767doi:10.1016/j.clinthera.2012.07.007via clinicaltrials gov reference derived + pubmed nct search
Provenance
Sources
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.