Efficacy and tolerability of the new autoinjected suspension of exenatide once weekly versus exenatide twice daily in patients with type 2 diabetes

Jul 8, 2017Diabetes, obesity & metabolism

How well and how safely a new once-weekly self-injected exenatide works compared to twice-daily exenatide in type 2 diabetes

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Abstract

In a study of 375 patients with type 2 diabetes, exenatide QWS-AI reduced HbA1c by -1.4% compared to -1.0% with exenatide BID.

  • Exenatide QWS-AI resulted in a statistically significant greater reduction in HbA1c than exenatide BID (least-squares mean difference, -0.37%; P = .0072).
  • A higher percentage of patients achieved HbA1c levels below 7.0% with exenatide QWS-AI (49.3%) compared to exenatide BID (43.2%), although this difference was not statistically significant (P = .225).
  • Both treatment groups experienced weight loss, but the difference in weight reduction between the groups was not significant (P = .37).
  • Gastrointestinal adverse events occurred in 22.7% of patients using exenatide QWS-AI, compared to 35.6% in the exenatide BID group.
  • Fewer patients in the exenatide QWS-AI group withdrew from the study due to adverse events compared to the exenatide BID group.
  • Minor hypoglycaemia was more common among patients using sulfonylureas in conjunction with either treatment.

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Key numbers

-1.4%
HbA1c Reduction
Change in HbA1c after 28 weeks for exenatide QWS-AI
22.7%
Gastrointestinal Adverse Events
Proportion of patients with gastrointestinal AEs for exenatide QWS-AI
49.3%
HbA1c <7.0%
Proportion of patients achieving HbA1c <7.0% with exenatide QWS-AI

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