← Trials/Trial dossier/NCT02621489
Rebuild
CompletedPhase 4Effects on Re-endothelialisation With Bydureon Treatment in Type 2 Diabetes Subjects
Effects on Re-endothelialisation With Bydureon Treatment Add on to Insulin Versus Insulin Alone, Both in Combination With Metformin in Type 2 Diabetic Subjects
Lead sponsor
Asset
Exenatide
GLP-1 agonist
Listed sites
1
Recruiting sites
—
Enrollment
38
actual
Study population
Cardiovascular disease, Type 2 diabetes
Key I/E criterion
—
Primary endpoint
•Degree of non-covered stent struts by Bydureon add on to Insulin over that
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
1. Patients eligible for PCI with application of DES, due to ACS.
2. Patients with known or newly diagnosed T2D (type 2 diabetes is diagnosed according to current WHO criteria or by the use of anti-diabetic drugs)
3. Male and female subjects 18-80 years.
4. HbA1c (accordingly to IFCC) 47 mmol/mol - 110 mmol/mol.
5. Signed informed consent form.
Exclusion criteria
1. Type 1 diabetes (autoantibody positive).
2. Any history of receiving GLP-1 analogues or dipeptidyl peptidase inhibitors within 6 months
3. Known severe heart failure, classified as NYHA 4.
4. Active myocarditis; malfunctioning artificial heart valve.
5. History of ventricular tachycardia within 3 months before study entry; second- or third-degree atrioventricular block.
6. Supine systolic blood pressure <85 mm Hg or >200 mm Hg at screening.
7. Primary renal impairment, creatinine clearance < 45 ml/min if treated with metformin.
8. Uncorrected hypokalemia or hyperkalemia (potassium <3.5 mmol/l or >5.5 mmol/l).
9. Significant anemia (Hb < 90 g/l)
10. Severe gastrointestinal disease, including gastroparesis. As judged by the Investigator.
11. Body mass index (BMI) > 45 kg/m2.
12. Malignant neoplasm requiring chemotherapy, surgery, radiation or palliative therapy in the previous 5 years. Patients with intraepithelial squamous cell carcinoma of the skin treated with topical 5FU and subjects with basal cell skin cancer are allowed to enter the trial.
13. Females of child bearing potential who are pregnant, breast-feeding or intend to become pregnant.
14. Current drug and alcohol abuse.
15. History of acute or chronic pancreatitis
16. Subjects considered by the Investigator to be unsuitable for the study.
Endpoints (16)
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
Cardiovascular outcomes
6 endpointsThe degree of non-covered stent struts by Bydureon add on to Insulin over that of Insulin as analyzed by optical coherence tomography (OCT).
Time frame:12 weeks
change from baseline, improvement
Fractional flow reserve positive re-stenosis
Time frame:12 weeks
categorical status, event
Target lesion failure
Time frame:12 weeks
Coronary revascularization
time to event, event
SNOMED 415070008
Acute coronary syndrome (ACS) and/or repeat revascularization
Time frame:12 weeks
Expanded / custom MACE composite
composite event, event
componentsUnstable angina hospitalization, Coronary revascularization
Late lumen loss/neointima thickness measured with OCT
Time frame:12 weeks
change from baseline, improvement
Change in minimal lumen area by OCT
Time frame:12 weeks
change from baseline, improvement
Cardiometabolic biomarkers
4 endpointsRecovery from endothelial damage, measured by high resolution ultrasound, after PCI
Time frame:12 weeks
change from baseline, improvement
Plasma markers of endothelial activation i.e., E-Selectin, VCAM-1, ICAM-1, nitrotyrosine levels
Time frame:12 weeks
change from baseline, improvement
Plasma markers of inflammation i.e., CRP, IL-1β, IL-6 and IL-8.
Time frame:12 weeks
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Circulating endothelial progenitor cells
Time frame:12 weeks
descriptive
Other (unclassified)
6 endpointsFractional Flow Reserve (FFR)
Time frame:12 weeks
descriptive
Coronary Flow velocity Reserve (CRF)
Time frame:12 weeks
ratio, improvement
Index of Microcirculatory Resistance (IMR)
Time frame:12 weeks
descriptive
Left ventricular systolic and diastolic function assessed by echocardiography
Time frame:12 weeks
descriptive
Plasma markers of matrix remodeling enzymes i.e., MMP-2 and MMP9
Time frame:12 weeks
concentration, descriptive
Gene expression (Affymetrix) e.g., transcription factors of sirtuins (SIRT) and nitric oxide synthase (NOS)
Time frame:12 weeks
descriptive
Publications (8)
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
- Cardiovascular diabetology2023 Dec 8PMID38066597doi:10.1186/s12933-023-02071-4via clinicaltrials gov reference derived + pubmed nct search
- Journal of molecular endocrinology2013 Apr (month)PMID23343509doi:10.1530/JME-12-0166via CT.gov reference
- American journal of physiology. Heart and circulatory physiology2013 Feb 15PMID23241323doi:10.1152/ajpheart.00282.2012via CT.gov reference
- Biochemical and biophysical research communications2012 Mar 23PMID22390929doi:10.1016/j.bbrc.2012.02.106via CT.gov reference
- Molecular and cellular endocrinology2010 Aug 30PMID20452396doi:10.1016/j.mce.2010.04.022via CT.gov reference
- JACC. Cardiovascular interventions2010 Jun (month)PMID20630463doi:10.1016/j.jcin.2010.04.005via CT.gov reference
- American journal of physiology. Endocrinology and metabolism2004 Dec (month)PMID15353407doi:10.1152/ajpendo.00237.2004via CT.gov reference
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.