Status:

COMPLETED

Extended Release Exenatide Versus Placebo In Diabetic Patients With Type 4 Cardiorenal Syndrome

Lead Sponsor:

Baylor Research Institute

Conditions:

Type 2 Diabetes Mellitus

Chronic Kidney Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Among adult individuals with type 2 diabetes mellitus and at risk for heart failure with impaired relaxation of the heart mildly reduced kidney filtration function (Type 4 cardiorenal syndrome) this t...

Detailed Description

Primary Aim Among adult individuals with type 2 diabetes mellitus (T2DM) and at risk for diastolic heart failure (DHF) and mildly reduced renal filtration function (Type 4 cardiorenal syndrome), to e...

Eligibility Criteria

Inclusion

  • Age ≥ 18
  • Type 2 diabetes mellitus with hemoglobin A1C 6.6-9.9% with or without the use of insulin
  • Estimated glomerular filtration rate (eGFR) between 50 and 90 ml/min/1.73 m2

Exclusion

  • Allergy or intolerance to gadolinium
  • Implanted cardiac pacemaker, defibrillator, loop recorder, or other implanted metallic device
  • Any other metallic implanted device that is a contra-indication to MRI scanning
  • eGFR \< 50 ml/min/1.73 m2
  • eGFR \> 90 ml/min/1.73 m2
  • Patient has ever been treated with an approved or investigational GLP-1 receptor agonist e.g. BYETTA™ (exenatide), BYDUREON™ (Exenatide extended-release), VICTOZA™ (liraglutide), or taspoglutide
  • Patient is enrolled in another experimental protocol which involves the use of an investigational drug or device, or an intervention that would interfere with the conduct of the trial.
  • Disorders of iron metabolism
  • Collagen vascular diseases
  • Myocardial infarction
  • Use of DDP4 inhibitors, and PPAR gamma agonists
  • Pregnancy or planned pregnancy during the trial period
  • Hemoglobin A1C of ≥ 10.0% or \<6.6%
  • Fasting glucose ≥ 260 mg/dl
  • Clinically significant abnormal baseline laboratories
  • Morbid obesity or body girth that prohibits the ability to undergo echocardiography or MRI scanning with high-quality image results
  • Renal transplantation
  • Severe gastrointestinal, liver, or neurodegenerative disease
  • Decompensated liver cirrhosis (Child-Pugh score \>7)
  • New York Heart Association Class III or IV heart failure
  • Patients have alanine aminotransaminase (ALT) greater than 5 times the upper limit of the reference range.
  • Prior pancreatitis
  • Personal or family history of medullary thyroid adenoma or carcinoma (MTC)
  • Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
  • History of severe hypoglycemia
  • Prior bariatric surgery

Key Trial Info

Start Date :

November 1 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2019

Estimated Enrollment :

57 Patients enrolled

Trial Details

Trial ID

NCT02251431

Start Date

November 1 2015

End Date

December 1 2019

Last Update

May 17 2023

Active Locations (1)

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1

Baylor Scott and White Research Institute- Baylor Heart and Vascular Hospital

Dallas, Texas, United States, 75226