Clinical Trial Results:
Effect of glucagon-like peptide 1 (GLP-1) based diabetes medication on blood flow velocity in ischemic stroke patients
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Summary
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EudraCT number |
2016-001219-18 |
Trial protocol |
DK |
Global end of trial date |
06 May 2023
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Results information
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Results version number |
v1(current) |
This version publication date |
05 Nov 2025
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First version publication date |
05 Nov 2025
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Other versions |
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Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
E.G.R.A.B.I.S1
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT02829502 | ||
WHO universal trial number (UTN) |
- | ||
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Sponsors
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Sponsor organisation name |
Herlev Gentofte Hospital
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Sponsor organisation address |
Borgmester Ib Juuls Vej 1, Herlev, Denmark,, Herlev, Denmark, 2730
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Public contact |
Christina Rostrup Kruuse, Herlev Gentofte Hospital, 45 38681233, christina.rostrup.kruuse@regionh.dk
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Scientific contact |
Christina Rostrup Kruuse, Herlev Gentofte Hospital, 45 38681233, christina.rostrup.kruuse@regionh.dk
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
27 Feb 2025
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
06 May 2023
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Global end of trial reached? |
Yes
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Global end of trial date |
06 May 2023
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The main objective is to investigate the effect of a single dose of 5 mikrogram GLP-1 receptor agonist ( exenatide) on cerebral and peripheral arterial function in individuals with ischemic stroke.
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Protection of trial subjects |
During the trial, participants were monitored hourly for heart rate and blood pressure. They were also asked about their general well-being and the occurrence of any side effects on an hourly basis. After completing the trial days, participants filled out a side effect form, which was then submitted to the investigator. Participants who were discharged from the department were provided with the phone number of the Department of Neurology, Herlev Gentofte Hospital (the sponsor), which they could call if they experienced any side effects or encountered any other issues.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 Apr 2016
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Denmark: 27
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Worldwide total number of subjects |
27
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EEA total number of subjects |
27
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
16
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From 65 to 84 years |
11
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85 years and over |
0
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Recruitment
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Recruitment details |
Individuals with ischemic stroke were recruited from the stroke unit of the Department of Neurology, Copenhagen University Hospital – Herlev and Gentofte, Copenhagen, Denmark. Individuals were recruited between November 2016 and May 2023. | |||||||||
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Pre-assignment
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Screening details |
A medical doctor or student did the screening. Criteria: individuals aged 18 years or above, clinical and radiological confirmed ischemic stroke diagnosis. Could receive GLP-1-RA or placebo within 21 days of stroke onset. A NIHSS score between 1-20 at admission, a mRS score of 2 or lower, and capacity to provide informed consent. | |||||||||
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Period 1
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Period 1 title |
Overall trial (overall period)
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Is this the baseline period? |
Yes | |||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||
Roles blinded |
Subject, Investigator, Monitor, Data analyst | |||||||||
Blinding implementation details |
A single subcutaneous dose of 5 µg (0.05 mL) exenatide (Byetta® Pen Injector, AstraZeneca) or a subcutaneous placebo (0.9% saline water, 0.05 mL) was administered. During administration, a registered nurse, not otherwise involved in the trial, administered the medication or placebo. Individuals with ischemic stroke were blindfolded and the investigator left the room during treatment being administered.
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Exenatide | |||||||||
Arm description |
Parallel-arm trial. Exenatide (5 ug) was given as a single dose. | |||||||||
Arm type |
Experimental | |||||||||
Investigational medicinal product name |
Exenatide
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Investigational medicinal product code |
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Other name |
Byetta
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Pharmaceutical forms |
Suspension for injection in pre-filled pen
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Dosage: 5 micrograms (ug) Administration details: Sub-cutaneus injection by pen
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Arm title
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Placebo | |||||||||
Arm description |
Placebo (0.9% saline water) was given subcutaneously by a small syringe | |||||||||
Arm type |
Placebo | |||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
Saline water
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Pharmaceutical forms |
Suspension for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
0.9% saline water, 0.05 mL
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Baseline characteristics reporting groups
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Reporting group title |
Overall trial
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Exenatide
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Reporting group description |
Parallel-arm trial. Exenatide (5 ug) was given as a single dose. | ||
Reporting group title |
Placebo
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Reporting group description |
Placebo (0.9% saline water) was given subcutaneously by a small syringe | ||
Subject analysis set title |
Exenatide - baseline
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Exenatide group at baseline
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Subject analysis set title |
Exenatide - 180 minutes
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Exenatide group at 180 minutes
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Subject analysis set title |
Placebo - baseline
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Placebo group at baseline
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Subject analysis set title |
Placebo - 180 minutes
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Placebo group at 180 minutes
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End point title |
Near-infrared spectroscopy (NIRS) | ||||||||||||||||||||
End point description |
Changes in brain oxygen saturation before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Primary
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End point timeframe |
We performed NIRS measurements at baseline and 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
We performed a paired sample T-test.
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood pressure - systolic | ||||||||||||||||||||
End point description |
Changes in blood pressure before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
We performed blood pressure measurements at baseline and 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
Paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood pressure - diastolic | ||||||||||||||||||||
End point description |
Changes in blood pressure before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
We performed blood pressure measurements at baseline and 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
We performed a paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
EndoPat - Regional hyperaemia index (RHI) | ||||||||||||||||||||
End point description |
Changes in regional hyperemia index before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
We performed EndoPAT measurements at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
46
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
EndoPat - augmentation index standardized to a heart rate of 75 (AI@75) | ||||||||||||||||||||
End point description |
Changes in EndoPAT - augmentation index standardized to a heart rate of 75 before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
We performed EndoPAT measurements at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
46
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Ankle brachial index | ||||||||||||||||||||
End point description |
Changes in ankel brachial index before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
We performed ankle brachial index measurements at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
We performed a paired sample T-test.
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Plasma glucose | ||||||||||||||||||||
End point description |
Changes in plasma glucose before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
Plasma glucose were collected at baseline180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Insulin | ||||||||||||||||||||
End point description |
Changes in insulin concentraton before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at different timepoints.
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End point type |
Secondary
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End point timeframe |
We performed insulin measurements at baseline and 180 minutes postmedication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
C-peptide | ||||||||||||||||||||
End point description |
Blood c-peptide before exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at baseline.
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End point type |
Secondary
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End point timeframe |
We performed blood c-peptide measurments at baseline and 180 minutes post-medication
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Statistical analysis title |
T-test | ||||||||||||||||||||
Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood sample - TNF | ||||||||||||||||||||
End point description |
Changes in biomarker concentration before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
Blood samples were collected at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood sample - IL-6 | ||||||||||||||||||||
End point description |
Changes in biomarker concentration before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
Blood samples were collected at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood sample - IL-1beta | ||||||||||||||||||||
End point description |
Changes in biomarker concentration before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
Blood samples were collected at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood sample - VCAM1 | ||||||||||||||||||||
End point description |
Changes in biomarker concentration before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
Blood samples were collected at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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End point title |
Blood sample - ICAM-1 | ||||||||||||||||||||
End point description |
Changes in biomarker concentration before and after exenatide/placebo for each subject were calculated and then further used for statistical analysis. Here, results are shown as the mean value and standard deviation for both groups at the different timepoints.
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End point type |
Secondary
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End point timeframe |
Blood samples were collected at baseline and after 180 minutes post-medication.
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Statistical analysis title |
T-test | ||||||||||||||||||||
Statistical analysis description |
paired sample t-test
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Comparison groups |
Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
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Number of subjects included in analysis |
54
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||||||||||
P-value |
< 0.05 | ||||||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||||||
Confidence interval |
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Adverse events information
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Timeframe for reporting adverse events |
During the whole trial period.
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Adverse event reporting additional description |
Questionaire given to participants. Participants were asked to note all adverse events for 24 hours after medication administration.
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Dictionary used for adverse event reporting
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Dictionary name |
Events not coded | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
N/A
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Reporting groups
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Reporting group title |
Exenatide
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Reporting group description |
Exenatide (5 ug), single dose. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Frequency threshold for reporting non-serious adverse events: 0.05% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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| Were there any global substantial amendments to the protocol? No | ||||||||||
Interruptions (globally) |
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| Were there any global interruptions to the trial? Yes | ||||||||||
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Limitations and caveats |
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| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | ||||||||||
| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | ||||||||||