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Evaluating Exenatide for the Treatment of Postprandial Hyperinsulinemic Hypoglycemia
A Pilot Study Evaluating Exenatide for the Treatment of Postprandial Hyperinsulinemic Hypoglycemia Post-RYGB
Lead sponsor
Asset
Exenatide
GLP-1 agonist
Listed sites
1
Recruiting sites
—
Enrollment
11
actual
Study population
Bariatric Surgery
Key I/E criterion
—
Primary endpoints
•Postprandial glucose•Documented hypoglycemia
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. must have undergone RYGB and subsequently developed post-prandial hypoglycemia (defined as at least 3 episodes over a six-month period with documented capillary blood sugars [<60 mg/dL with hypoglycemic symptoms). Subjects may also have had a formal mixed meal tolerance test with post meal blood sugar <60 mg/dL.
2. Subjects who otherwise meet the study criteria above with hypoglycemia symptoms but who do not have documented hypoglycemia by plasma measurement may undergo a screening visit to document the requisite levels for consideration into the study.
Exclusion criteria
1. Chronic or acute diseases of the liver.
2. Chronic or acute diseases of the pancreas (including type 1 diabetes or pancreatitis or a history of pancreatitis). Subjects may have a diagnosis of type 2 diabetes but must no longer require diabetes medication.
3. Chronic or acute diseases of the kidneys.
4. Known malignancies and must not have a family history of medullary thyroid cancer.
5. History of pre-RYGB hypoglycemia symptoms or low documented plasma glucose preoperatively.
6. Pregnant or plans to become pregnant throughout study duration
7. Breastfeeding
8. Medication exclusions in addition to the current use of diabetes medications. Subjects will be excluded if they have previously taken GLP-1 agonists.
Endpoints (5)
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 endpointsGlucose area under the curve (AUC) following treatment for each 4-hour test period
Time frame:During the 4-hour test period
Postprandial glucose
descriptive, improvement
Minimum post-prandial blood sugar level (mg/dL)
Time frame:post meal test
Postprandial glucose
descriptive, improvement
Change in post-prandial blood glucose from 0min to 120min
Time frame:0min to 120min
Postprandial glucose
percent change from baseline, improvement
Change in post-prandial Insulin levels (mcg/mL)
Time frame:0min to 120min
percent change from baseline, improvement
Safety / tolerability / PK
1 endpointPresence of hypoglycemia
Time frame:15, 30, 45, 60, 90, 120, 180 and 240 minutes
Documented hypoglycemia
threshold achievement, event
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.