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Exenatide and Basal Insulins Use in the Real Setting: an Observational Study in Patients With Type 2 Diabetes
EBIRIOS - Exenatide and Basal Insulins Use in the Real Setting: an Italian Observational Study in Patients With Type 2 Diabetes and Secondary Failure of Oral Antihyperglycemic Treatment
Lead sponsor
Asset
Exenatide
Subcutaneous · GLP-1 agonist
Listed sites
50
Recruiting sites
—
Enrollment
888
actual
Study population
Type 2 diabetes
Key I/E criterion
•HbA1c ≥7%
Primary endpoint
•HbA1c <7.0% achievement
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
Study population text
The targeted population consists of adult patients with type 2 diabetes mellitus treated in outpatient setting by specialists.
Eligibility criteria
1. Are inadequately controlled with single or multiple OHA as evidenced by an HbA1c > 7.0%
2. Have presented during the routine course of care and, together with their physician, have decided to initiate treatment with either exenatide twice daily or conventional insulin therapy with basal insulin (insulin glargine, detemir, protaminated insulin lispro, protaminated human insulin) added to the existing treatment with OHA
3. Have not been treated with GLP-1 receptor agonist for more than 7 consecutive days within 3 months before entering the study
4. Have not been treated with insulins for more than 7 consecutive days within last 3 months or more than 3 months in the course of the disease
5. Are not simultaneously participating in another study which includes an investigational drug or procedure at study entry
6. Have been fully informed and given their written consent for use of their data
Endpoints (23)
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
4 endpointsChanges in Weight From Baseline to Month 12
Time frame:Baseline, Month 12
Body weight, absolute change (kg)
change from baseline, improvement
Posted result
| Group | Value (mean), kg | 95% CI |
|---|---|---|
| Exenatide | -3.9 | — |
| Basal Insulin | 0.2 | — |
Percentage of Patients Achieving a Weight Decrease >=3% Between Baseline and Month 12
Time frame:Baseline, Month 12
threshold achievement, improvement
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 43.0 | — |
| Basal Insulin | 17.6 | — |
Percentage of Patients Achieving a Weight Decrease >=5% Between Baseline and Month 12
Time frame:Baseline, Month 12
≥5% weight-loss responders
threshold achievement, improvement
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 29.7 | — |
| Basal Insulin | 10.7 | — |
Factor of Higher Body Mass Index (BMI) Associated With Treatment Choice at Baseline
Time frame:baseline
descriptive
Posted result
| Group | Value (mean), kg/m^2 | 95% CI |
|---|---|---|
| Exenatide | 35.4 | — |
| Basal Insulin | 29.4 | — |
Glycemic / diabetes
8 endpointsPercentage of Patients Who Achieved Glycemic Target of HbA1c ≤ 7.0% With Minimal Weight Gain (≤ 1 Kg) at Month 12.
Time frame:Baseline, Month 12
HbA1c <7.0% achievement
threshold achievement, improvement
LOINC 4548-4
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 35.0 | 30.32 – 39.93 |
| Basal Insulin | 15.8 | 12.39 – 19.73 |
Changes in HbA1c From Baseline to Month 12
Time frame:Baseline, Month 12
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Posted result
| Group | Value (mean), percent | 95% CI |
|---|---|---|
| Exenatide | -1.1 | — |
| Basal Insulin | -1.4 | — |
Changes in Fasting Blood Glucose From Baseline to Month 12
Time frame:Baseline, Month 12
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Posted result
| Group | Value (mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide | -26.7 | — |
| Basal Insulin | -51.4 | — |
Percentage of Patients With HbA1c Reduction From Baseline >= 1.0% at Month 12
Time frame:Baseline, Month 12
threshold achievement, improvement
LOINC 4548-4
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 49.4 | — |
| Basal Insulin | 51.1 | — |
Percentage of Patients Achieving HbA1c Concentration <=7.0% at Month 12
Time frame:Month 12
HbA1c <7.0% achievement
threshold achievement, improvement
LOINC 4548-4
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 39.0 | — |
| Basal Insulin | 22.2 | — |
Percentage of Patients Achieving HbA1c Concentration <6.5% at Month 12
Time frame:Month 12
HbA1c <6.5% achievement
threshold achievement, improvement
LOINC 4548-4
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 13.1 | — |
| Basal Insulin | 4.9 | — |
Factor of 1 Percent (%) Higher Baseline HbA1c Associated With Treatment Choice at Baseline
Time frame:baseline
HbA1c baseline OR
ratio, descriptive
LOINC 4548-4
Posted result
| Group | Value (mean), Percentage of normal | 95% CI |
|---|---|---|
| Exenatide | 8.7 | — |
| Basal Insulin | 9.2 | — |
Factor of Longer Duration of Diabetes Associated With Treatment Choice at Baseline
Time frame:baseline
descriptive
Posted result
| Group | Value (mean), years | 95% CI |
|---|---|---|
| Exenatide | 9.0 | — |
| Basal Insulin | 12.4 | — |
Cardiometabolic biomarkers
7 endpointsChanges in Fasting Total Cholesterol Between Baseline and Month 12
Time frame:Baseline, Month 12
Total cholesterol, change
change from baseline, improvement
LOINC 2093-3
Posted result
| Group | Value (mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide | -6.0 | — |
| Basal Insulin | -7.5 | — |
Changes in Fasting HDL Between Baseline and Month 12
Time frame:Baseline, Month 12
HDL-C, change
change from baseline, improvement
LOINC 2085-9
Posted result
| Group | Value (mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide | 1.3 | — |
| Basal Insulin | 0.2 | — |
Changes in Fasting LDL Between Baseline and Month 12
Time frame:Baseline, Month 12
LDL-C, change
change from baseline, improvement
LOINC 13457-7
Posted result
| Group | Value (mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide | -4.6 | — |
| Basal Insulin | -4.5 | — |
Changes in Fasting Triglycerides Between Baseline and Month 12
Time frame:Baseline, Month 12
Triglycerides, change
change from baseline, improvement
LOINC 2571-8
Posted result
| Group | Value (mean), mg/dL | 95% CI |
|---|---|---|
| Exenatide | -16.5 | — |
| Basal Insulin | -30.2 | — |
Changes in Diastolic Blood Pressure Between Baseline and Month 12
Time frame:Baseline, Month 12
Diastolic BP, change
change from baseline, improvement
LOINC 8462-4
Posted result
| Group | Value (mean), mmHg | 95% CI |
|---|---|---|
| Exenatide | -2.4 | — |
| Basal Insulin | 0.2 | — |
Changes in Systolic Blood Pressure Between Baseline and Month 12
Time frame:Baseline, Month 12
Systolic BP, change
change from baseline, improvement
LOINC 8480-6
Posted result
| Group | Value (mean), mmHg | 95% CI |
|---|---|---|
| Exenatide | -4.6 | — |
| Basal Insulin | -1.0 | — |
Factors of Higher Creatinine, Higher Fasting High Density Lipoprotein (HDL) Cholesterol, Higher Fasting Cholesterol, and Higher Fasting Triglycerides Which Were Associated With Treatment Choice at Baseline
Time frame:baseline
descriptive
Posted result
| Group | Value (mean), mg/dL | 95% CI |
|---|---|---|
| ExenatideCreatinine (N=324, 333) | 0.9 | — |
| HDL (N=335, 326) | 44.7 | — |
| Total Cholesterol (N=368, 355) | 181.1 | — |
| Triglycerides (N=364, 360) | 177.5 | — |
| Basal InsulinCreatinine (N=324, 333) | 1.0 | — |
| HDL (N=335, 326) | 46.9 | — |
| Total Cholesterol (N=368, 355) | 182.7 | — |
| Triglycerides (N=364, 360) | 173.6 | — |
Safety / tolerability / PK
1 endpointPercentage of Patients With Hypoglycemia Episodes Between Baseline and Month 12
Time frame:Baseline to Month 12
Documented hypoglycemia
threshold achievement, event
Posted result
| Group | Value (number), percentage of patients | 95% CI |
|---|---|---|
| Exenatide | 3.6 | — |
| Basal Insulin | 8.2 | — |
Other clinical outcomes
3 endpointsFactors of Gender, Baseline Presence of Medical Conditions, and Previous Gastrointestinal Symptoms Associated With Treatment Choice at Baseline
Time frame:baseline
descriptive
Posted result
| Group | Value (number), participants | 95% CI |
|---|---|---|
| ExenatideMale Gender | 246 | 0.62 – 1.46 |
| Female Gender | 198 | — |
| Medical conditions present | 371 | 0.74 – 1.76 |
| No medical conditions | 73 | — |
| Previous gastrointestinal symptoms present | 8 | 0.43 – 3.42 |
| No gastrointestinal symptoms | 436 | — |
| Basal InsulinMale Gender | 247 | — |
| Female Gender | 191 | — |
| Medical conditions present | 363 | — |
| No medical conditions | 75 | — |
| Previous gastrointestinal symptoms present | 11 | — |
| No gastrointestinal symptoms | 427 | — |
Factor of Older Age Associated With Treatment Choice at Baseline
Time frame:baseline
categorical status, descriptive
Posted result
| Group | Value (mean), years | 95% CI |
|---|---|---|
| Exenatide | 59.2 | — |
| Basal Insulin | 65.9 | — |
Factor of Greater Height Associated With Treatment Choice at Baseline
Time frame:baseline
descriptive
Posted result
| Group | Value (mean), cm | 95% CI |
|---|---|---|
| Exenatide | 165.8 | — |
| Basal Insulin | 164.4 | — |
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.