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    Clinical Trial Results:
    Effect of glucagon-like peptide 1 (GLP-1) based diabetes medication on blood flow velocity in persons without cerebrovascular disease.

    Summary
    EudraCT number
    2016-001221-14
    Trial protocol
    DK  
    Global end of trial date
    02 Feb 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Nov 2020
    First version publication date
    21 Nov 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    E.G.R.A.B.I.N.S1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02838589
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Herlev Gentofte Hospital
    Sponsor organisation address
    Borgmester Ib Juuls Vej 1, Herlev, Denmark, 2730
    Public contact
    Christina Rostrup Kruuse, Herlev Gentofte Hospital, 45 38681233 , christina.rostrup.kruuse@regionh.dk
    Scientific contact
    Christina Rostrup Kruuse, Herlev Gentofte Hospital, 45 38681233 , christina.rostrup.kruuse@regionh.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    07 Apr 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    02 Feb 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    02 Feb 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    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 blood flow velocity in humans without cerebrovascular disease.
    Protection of trial subjects
    During the trial days, trial participants were monitored thoroughly with heart rate and blood pressure. They were asked how they felt every hour during the trial days and if they experienced any side effects. After the trial days, they were asked to complete a side effect form and then hand it in to the investigator. They were also given the phone number to the Department of Neurology, Herlev Gentofte Hospital (sponsor) which they could call to if they experienced any side effects or had any other trouble. If the participants experienced pain or distress during the trial days, we talked about it and tried to accomodate their wishes to see if we could minimize pain.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    24 Aug 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 36
    Worldwide total number of subjects
    36
    EEA total number of subjects
    36
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    25
    From 65 to 84 years
    11
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants were recruited from "http://www.forsoegsperson.dk", "www.sundhed.dk", and through advertisement. Participants were recruited year 2016 and 2017.

    Pre-assignment
    Screening details
    Screening was done by a medical doctor and a medical student.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst
    Blinding implementation details
    Exenatide was given sub-cutaneus by standard medication-pen. Placebo was given sub-cutaneus by a small syringe with a matching needle. Medication/placebo were given by a study nurse who was not blinded. The study nurse was not implemented in other parts of the trial. The participants were blindfolded when medication and placebo were delivered. Hence, investigator, subjects, data analyst and monitor were blinded.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Exenatide
    Arm description
    Parallel-arm trial. Exenatide (5 ug) was given as a single dose.
    Arm type
    Experimental

    Investigational medicinal product name
    Exenatide
    Investigational medicinal product code
    Other name
    Byetta
    Pharmaceutical forms
    Suspension for injection in pre-filled pen
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Dosage: 5 micrograms (ug) Administration details: Sub-cutaneus injection by pen

    Arm title
    Placebo
    Arm description
    Placebo (isotonic salt-water) was given sub-cutaneus by a small syrringe.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Dosage: 0,05 ml Administration detail: Sub-cutaneus injection

    Number of subjects in period 1
    Exenatide Placebo
    Started
    21
    15
    Completed
    15
    15
    Not completed
    6
    0
         Medication failure
    6
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    36 36
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    25 25
        From 65-84 years
    11 11
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    62.3 ± 7.7 -
    Gender categorical
    Units: Subjects
        Female
    18 18
        Male
    18 18

    End points

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    End points reporting groups
    Reporting group title
    Exenatide
    Reporting group description
    Parallel-arm trial. Exenatide (5 ug) was given as a single dose.

    Reporting group title
    Placebo
    Reporting group description
    Placebo (isotonic salt-water) was given sub-cutaneus by a small syrringe.

    Subject analysis set title
    Exenatide - baseline
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Exenatide group at baseline

    Subject analysis set title
    Exenatide - 180 minutes
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Exenatide group at 180 minutes.

    Subject analysis set title
    Placebo - baseline
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Placebo group at baseline.

    Subject analysis set title
    Placebo - 180 minutes
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Placebo group at 180 minutes.

    Primary: Transcranial Doppler

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    End point title
    Transcranial Doppler
    End point description
    Changes in mean blood flow velocity in the middle cerebral artery 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.
    End point type
    Primary
    End point timeframe
    We performed TCD measurements at baseline and 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: cm/sec
        arithmetic mean (standard deviation)
    68.5 ± 11.5
    68.7 ± 12.1
    61.8 ± 9.1
    65.8 ± 12.9
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood pressure - diastolic

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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.
    End point type
    Secondary
    End point timeframe
    We performed blood pressure measurements at baseline and 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: mmHg
        arithmetic mean (standard deviation)
    77.9 ± 11.3
    80.3 ± 12.2
    77.5 ± 6.1
    80.7 ± 8.9
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood pressure - systolic

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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.
    End point type
    Secondary
    End point timeframe
    We performed blood pressure measurements at baseline and 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: mmHg
        arithmetic mean (standard deviation)
    133.9 ± 19.4
    137.5 ± 20.1
    129.2 ± 10.2
    135.4 ± 14.2
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: EndoPat - Regional hyperaemia index (RHI)

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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.
    End point type
    Secondary
    End point timeframe
    We performed EndoPAT measurements at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: no unit
        arithmetic mean (standard deviation)
    2.0 ± 0.5
    2.2 ± 0.5
    2.0 ± 0.3
    2.3 ± 0.4
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: EndoPat - augmentation index standardized to a heart rate of 75 (AI@75)

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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.
    End point type
    Secondary
    End point timeframe
    We performed EndoPAT measurements at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: no unit
        arithmetic mean (standard deviation)
    11.3 ± 14.1
    12.8 ± 15.2
    1.9 ± 12.6
    4.5 ± 13.6
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Ankle brachial index

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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.
    End point type
    Secondary
    End point timeframe
    We performed ankle brachial index measurements at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: mmHg
        arithmetic mean (standard deviation)
    1.1 ± 0.1
    1.1 ± 0.1
    1.2 ± 0.1
    1.2 ± 0.1
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - 180 minutes v Placebo - baseline v Exenatide - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood glucose

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    End point title
    Blood glucose
    End point description
    Changes in blood 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.
    End point type
    Secondary
    End point timeframe
    Blood glucose were collected at baseline180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: mmol/l
        arithmetic mean (standard deviation)
    5.5 ± 0.5
    4.9 ± 0.3
    5.4 ± 0.5
    5.22 ± 0.4
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Placebo - baseline v Exenatide - 180 minutes v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood insulin

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    End point title
    Blood insulin
    End point description
    Changes in blood insulin 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.
    End point type
    Secondary
    End point timeframe
    We performed blood insulin measurements at baseline and 180 minutes postmedication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pmol/l
        arithmetic mean (standard deviation)
    42.5 ± 47.3
    41.2 ± 31.0
    32.8 ± 19.6
    34.5 ± 18.0
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Placebo - baseline v Exenatide - 180 minutes v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood c-peptide

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    End point title
    Blood 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.
    End point type
    Secondary
    End point timeframe
    We performed blood c-peptide measurments at baseline.
    End point values
    Exenatide - baseline Placebo - baseline
    Number of subjects analysed
    15
    15
    Units: pmol/l
        arithmetic mean (standard deviation)
    459.2 ± 238.2
    404.0 ± 159.1
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Placebo - baseline
    Number of subjects included in analysis
    30
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - E-selectin

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    End point title
    Blood sample - E-selectin
    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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    4429.7 ± 1859.4
    4047.7 ± 2477.5
    4208.9 ± 2555.4
    4348.4 ± 2915.7
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - TNF-alpha

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    End point title
    Blood sample - TNF-alpha
    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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    1.8 ± 0.8
    1.9 ± 0.7
    1.6 ± 0.4
    1.4 ± 0.4
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - IL-6

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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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    0.8 ± 0.5
    1.8 ± 0.9
    0.8 ± 0.4
    1.8 ± 1.1
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - IL-1beta

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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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    0.07 ± 0.2
    0.03 ± 0.1
    0.01 ± 0.03
    0.01 ± 0.03
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - VCAM1

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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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    1079734.5 ± 316840.2
    1088737.9 ± 333159.7
    1171249.3 ± 574173.7
    1006405.1 ± 371746.1
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - ICAM-1

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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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    730279.6 ± 143120.0
    747610.5 ± 152708.8
    694218.7 ± 328253.2
    698376.5 ± 306442.4
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Blood sample - VEGF

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    End point title
    Blood sample - VEGF
    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.
    End point type
    Secondary
    End point timeframe
    Blood samples were collected at baseline and after 180 minutes post-medication.
    End point values
    Exenatide - baseline Exenatide - 180 minutes Placebo - baseline Placebo - 180 minutes
    Number of subjects analysed
    15
    15
    15
    15
    Units: pg/ml
        arithmetic mean (standard deviation)
    22.2 ± 11.9
    29.3 ± 18.6
    21.7 ± 12.3
    25.0 ± 16.5
    Statistical analysis title
    T-test
    Statistical analysis description
    We performed a paired sample T-test.
    Comparison groups
    Exenatide - baseline v Exenatide - 180 minutes v Placebo - baseline v Placebo - 180 minutes
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.05
    Method
    t-test, 2-sided
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    During the whole trial period.
    Adverse event reporting additional description
    Questionaire given to subjects. Subjects were asked to note all adverse events for 24 hours after medication administration.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    Events not coded
    Dictionary version
    N/A
    Reporting groups
    Reporting group title
    Exenatide
    Reporting group description
    Exenatide (5 ug), single dose.

    Reporting group title
    Placebo
    Reporting group description
    Placebo, single dose.

    Reporting group title
    Exenatide - medication failure
    Reporting group description
    Patients who were supposed to recieve exenatide, but medication were given incorrectly which resulted in that no medication or a low dose were given instead.

    Serious adverse events
    Exenatide Placebo Exenatide - medication failure
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 15 (0.00%)
    0 / 15 (0.00%)
    0 / 6 (0.00%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 0.05%
    Non-serious adverse events
    Exenatide Placebo Exenatide - medication failure
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    12 / 15 (80.00%)
    7 / 15 (46.67%)
    2 / 6 (33.33%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    8 / 15 (53.33%)
    5 / 15 (33.33%)
    1 / 6 (16.67%)
         occurrences all number
    8
    5
    1
    Dizziness
         subjects affected / exposed
    1 / 15 (6.67%)
    2 / 15 (13.33%)
    0 / 6 (0.00%)
         occurrences all number
    1
    2
    0
    General disorders and administration site conditions
    Temperature perception increased
         subjects affected / exposed
    1 / 15 (6.67%)
    0 / 15 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    Light-headedness
         subjects affected / exposed
    0 / 15 (0.00%)
    0 / 15 (0.00%)
    1 / 6 (16.67%)
         occurrences all number
    0
    0
    1
    Uneasy
         subjects affected / exposed
    1 / 15 (6.67%)
    0 / 15 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    3 / 15 (20.00%)
    3 / 15 (20.00%)
    2 / 6 (33.33%)
         occurrences all number
    3
    3
    2
    Abdominal pain
         subjects affected / exposed
    3 / 15 (20.00%)
    0 / 15 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    3
    0
    0
    Flatulence
         subjects affected / exposed
    2 / 15 (13.33%)
    0 / 15 (0.00%)
    0 / 6 (0.00%)
         occurrences all number
    2
    0
    0
    Psychiatric disorders
    Fatigue
         subjects affected / exposed
    3 / 15 (20.00%)
    2 / 15 (13.33%)
    1 / 6 (16.67%)
         occurrences all number
    3
    2
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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