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Last Updated: January 2, 2025

CLINICAL TRIALS PROFILE FOR EXENATIDE SYNTHETIC


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All Clinical Trials for exenatide synthetic

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00082407 ↗ Exenatide Compared With Twice-Daily Biphasic Insulin Aspart in Patients With Type 2 Diabetes Using Sulfonylurea and Metformin Completed Eli Lilly and Company Phase 3 2003-11-01 This is a Phase 3, multicenter, open-label, comparator-controlled trial comparing the effect of exenatide twice daily to twice daily biphasic insulin aspart on glycemic control, as measured by hemoglobin A1c (HbA1c).
NCT00082407 ↗ Exenatide Compared With Twice-Daily Biphasic Insulin Aspart in Patients With Type 2 Diabetes Using Sulfonylurea and Metformin Completed AstraZeneca Phase 3 2003-11-01 This is a Phase 3, multicenter, open-label, comparator-controlled trial comparing the effect of exenatide twice daily to twice daily biphasic insulin aspart on glycemic control, as measured by hemoglobin A1c (HbA1c).
NCT01046721 ↗ Study Looking at Cardiovascular Effects of Exenatide, Its Blood Pressure Lowering Effect and Its Mechanisms Completed University of Nottingham N/A 2009-09-01 Exenatide is a new drug which lowers blood sugar (glucose) levels for people with type 2 diabetes. It has significant advantages over other treatments such as insulin as it causes weight loss in a group of people that is generally overweight. Data from studies involving exenatide have shown that it also has an effect on blood pressure. The mechanism for the blood pressure lowering effect is not known and has not been investigated previously. Exenatide may have an effect on blood vessels throughout the body and gut to reduce blood pressure. 12 healthy men (18-45yr) will be studied on 2 occasions. Limb blood flow, skin blood flow, gut blood flow, blood pressure, and heart rate will be measured half hourly for 4 hours. Blood samples (3ml) for insulin and glucose determination will be taken via a cannula and 3-way tap at the same time points. A dose of either 5μg exenatide or saline will be injected under the skin of the abdomen and a breakfast will be provided during the study. A urine collection will be made over the duration of the study.
NCT01056549 ↗ Exenatide (Byetta ®) Regulation of Intestinal and Hepatic Lipoprotein Particle Production in Humans Completed Eli Lilly and Company N/A 2010-01-01 Exenatide acutely inhibits intestinal lipoprotein particle production. We are unable to speculate whether exenatide affects hepatic lipoprotein production in humans since there is currently no evidence from animal models or in vitro studies that have demonstrated an effect
NCT01056549 ↗ Exenatide (Byetta ®) Regulation of Intestinal and Hepatic Lipoprotein Particle Production in Humans Completed University Health Network, Toronto N/A 2010-01-01 Exenatide acutely inhibits intestinal lipoprotein particle production. We are unable to speculate whether exenatide affects hepatic lipoprotein production in humans since there is currently no evidence from animal models or in vitro studies that have demonstrated an effect
NCT01444898 ↗ Effects of Exenatide on Overweight Adolescents With Prader-Willi Syndrome Completed Children's Hospital Los Angeles N/A 2012-03-01 Prader-Willi Syndrome (PWS) is one of the most common genetic causes of obesity. Obesity is a major source of morbidity and mortality in this population. It can lead to sleep apnea, cor pulmonale, diabetes mellitus, and atherosclerosis. PWS has distinct characteristics that set it apart from other forms of obesity including insatiable appetite and food-seeking behavior which can be disruptive to home and school activities, and can cause severe social and psychological turmoil within families. PWS is also associated with unique hormonal abnormalities, most notably hyperghrelinemia. Ghrelin is a gut hormone produced in the stomach that stimulates food intake during a fast. It is hypothesized that the extremely high ghrelin levels in patients with PWS may cause or contribute to their insatiable appetite. Exenatide, a medication used in the treatment of type 2 diabetes mellitus in adults, appears to suppress ghrelin levels and cause weight loss. It was designed to mimic glucagon-like peptide 1 (GLP-1), an incretin hormone that stimulates insulin secretion and delays gastric emptying, among other effects. In the present study, the investigators will investigate the effects of a 6 month trial of exenatide in overweight adolescents with PWS. The investigators will quantify the changes in weight and body composition, as well as subjective measures of appetite, and concentrations of appetite-associated hormones. The investigators hypothesize that exenatide will improve weight, body composition, appetite, and plasma ghrelin levels during the treatment period.
NCT01776788 ↗ Effect of Short-Term Intensive Insulin Sequential Exenatide Therapy in Newly Diagnosed Type 2 Diabetic Patients Completed The First Affiliated Hospital of Xiamen University Phase 4 2012-08-01 The randomized, controlled trial is to investigate and evaluate the effects of short-term continuous subcutaneous insulin infusion (CSII) sequential exenatide therapy on β-cell function, long-term glycemic control and glycemic remission rate in newly diagnosed type 2 diabetic patients.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for exenatide synthetic

Condition Name

Condition Name for exenatide synthetic
Intervention Trials
Diabetes Mellitus, Type 2 2
Type 2 Diabetes 1
Acute Ischemic Stroke 1
Hyperlipidemia 1
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Condition MeSH

Condition MeSH for exenatide synthetic
Intervention Trials
Diabetes Mellitus, Type 2 2
Diabetes Mellitus 2
Ischemia 1
Cerebral Infarction 1
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Clinical Trial Locations for exenatide synthetic

Trials by Country

Trials by Country for exenatide synthetic
Location Trials
Australia 5
United Kingdom 2
United States 1
New Zealand 1
Croatia 1
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Trials by US State

Trials by US State for exenatide synthetic
Location Trials
California 1
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Clinical Trial Progress for exenatide synthetic

Clinical Trial Phase

Clinical Trial Phase for exenatide synthetic
Clinical Trial Phase Trials
Phase 4 1
Phase 3 1
Phase 2 2
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Clinical Trial Status

Clinical Trial Status for exenatide synthetic
Clinical Trial Phase Trials
Completed 5
Recruiting 1
Active, not recruiting 1
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Clinical Trial Sponsors for exenatide synthetic

Sponsor Name

Sponsor Name for exenatide synthetic
Sponsor Trials
Eli Lilly and Company 2
Karolinska Institutet 1
Center for Neurology, Stockholm 1
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Sponsor Type

Sponsor Type for exenatide synthetic
Sponsor Trials
Other 9
Industry 3
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Exenatide synthetic Market Analysis and Financial Projection

Exenatide: A Comprehensive Update on Clinical Trials, Market Analysis, and Projections

Introduction to Exenatide

Exenatide, a synthetic version of the natural hormone exendin-4, is a glucagon-like peptide-1 (GLP-1) receptor agonist used in the treatment of type 2 diabetes. It is part of a new class of drugs known as incretin mimetics, which mimic the action of the human incretin hormone GLP-1 to improve blood sugar control.

Clinical Trials and Efficacy

Comparative Studies with Other GLP-1 Receptor Agonists

In a phase 3a clinical trial, once-weekly semaglutide was compared to once-weekly exenatide extended release (ER). The study involved 813 subjects with type 2 diabetes and showed that semaglutide 1.0 mg was superior to exenatide ER 2.0 mg in improving glycemic control and reducing body weight over 56 weeks[1].

Cardiovascular Safety

Clinical data analysis has indicated that exenatide does not increase the risk of cardiovascular events. A meta-analysis showed a relative risk of cardiovascular events in exenatide-treated patients compared to controls was 0.70, with a 95% confidence interval of 0.38-1.31. This finding supports the cardiovascular safety of exenatide and will be used in future regulatory submissions[3].

Pivotal Studies

Pivotal phase 3 studies involving approximately 1,000 patients unable to achieve adequate glucose control with oral therapies demonstrated that exenatide significantly lowered average glucose levels (measured by HbA1c) and resulted in weight loss. The 52-week data from open-label extension studies showed sustained reductions in HbA1c and associated weight loss[4].

Ongoing and Future Studies

Lilly and Amylin are planning to initiate a large cardiovascular outcomes trial to evaluate the effects of exenatide once weekly on major cardiovascular events compared to standard antidiabetes medications. This global study will be led by academic research centers and aims to determine if exenatide reduces cardiovascular risk in addition to lowering glucose levels[3].

Market Analysis and Projections

Market Size and Growth

The exenatide market is experiencing exponential growth, driven by increasing diabetes prevalence, technological advancements, and improved healthcare infrastructure. The market is expected to grow significantly from 2022 to 2030, with substantial growth rates attributed to factors such as rising per capita income, increasing middle-class households, and growing health awareness among consumers[2].

Market Segmentation

The global exenatide market is segmented by type, application, and geography. The market includes extended-release injectable suspension and fast-release injectable suspension, with the fast-release type contributing more to growth due to its lesser side effects and weight loss benefits. The major application segments are hospitals and drug stores, with drug stores being the primary contributors due to the consumer-friendly nature of the medication[2].

Geographic Distribution

The market is geographically segmented into North America, Europe, Asia Pacific, and the rest of the world. North America is expected to contribute the largest share due to high per capita income, while the Asia Pacific region, particularly China and India, has the highest number of diabetic patients[2].

Key Players

Major players in the exenatide market include Novo Nordisk, Sanofi, Eli Lilly, AstraZeneca, Teva Pharmaceuticals, Bachem AG, and Ranbaxy Laboratories. These companies are focusing on key development strategies, market share, and competitive landscape to maintain their market positions[2].

Side Effects and Safety Considerations

Exenatide, like other GLP-1 receptor agonists, is associated with several side effects, including nausea, dizziness, abdominal pain, and pain at the site of injection. More serious side effects may include medullary thyroid cancer, angioedema, pancreatitis, and kidney injury. However, the cardiovascular safety analysis indicates no increased risk of cardiovascular events with exenatide treatment[2][3].

Regulatory Submissions and Manufacturing

The New Drug Application (NDA) for exenatide once weekly has been supported by successful manufacturing comparability data and meta-analysis of clinical trial databases. The companies involved are working to finalize the commercial manufacturing process and have initiated new phase 3 studies to support regulatory submissions and demonstrate the superiority of exenatide once weekly over other diabetes medications[3][5].

Key Takeaways

  • Efficacy: Exenatide has been shown to significantly lower glucose levels and result in weight loss in clinical trials.
  • Cardiovascular Safety: Exenatide does not increase the risk of cardiovascular events, supporting its cardiovascular safety.
  • Market Growth: The exenatide market is expected to grow significantly due to increasing diabetes prevalence and technological advancements.
  • Geographic Distribution: North America is expected to be the largest market, while the Asia Pacific region has the highest number of diabetic patients.
  • Side Effects: Common side effects include nausea and abdominal pain, with more serious side effects such as pancreatitis and kidney injury.

FAQs

What is exenatide and how does it work?

Exenatide is a synthetic version of the natural hormone exendin-4, acting as a GLP-1 receptor agonist to improve blood sugar control by mimicking the effects of the human incretin hormone GLP-1.

What are the primary benefits of exenatide in treating type 2 diabetes?

Exenatide significantly lowers average glucose levels and results in weight loss, which is an important combination for patients with type 2 diabetes[4].

What are the common side effects of exenatide?

Common side effects include nausea, dizziness, abdominal pain, and pain at the site of injection. More serious side effects may include medullary thyroid cancer, angioedema, pancreatitis, and kidney injury[2].

Is exenatide safe in terms of cardiovascular risk?

Clinical data analysis indicates that exenatide does not increase the risk of cardiovascular events, supporting its cardiovascular safety[3].

What is the market outlook for exenatide?

The exenatide market is expected to grow significantly from 2022 to 2030, driven by increasing diabetes prevalence, technological advancements, and improved healthcare infrastructure[2].

Sources

  1. Efficacy and Safety of Once-Weekly Semaglutide Versus Exenatide Extended Release in Subjects with Type 2 Diabetes. Diabetes Care, 2017.
  2. Exenatide Market Size, Trends, Scope, Opportunities, Share. Verified Market Research.
  3. Exenatide Clinical Data Analysis Shows No Increased Risk of Cardiovascular Events. Eli Lilly and Company.
  4. Late-Breaking Presentation of Exenatide Pivotal Studies Show Significant Reductions in Blood Sugar and Weight Loss. Eli Lilly and Company.
  5. Once-Weekly Exenatide LAR Clinical Study in Type 2 Diabetes. Eli Lilly and Company.

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