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Phase 2 N=9 Randomized Treatment

Assess the Efficacy and Safety of Exenatide SR for the Prevention of Diabetes After Kidney Transplantation

Pre Diabetes

Enrolled (actual)
9
Serious AEs
0.0%
Results posted
Oct 2022
Primary outcome: Primary: Progression From Prediabetes to Diabetes — 0; 1 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Exenatide SR (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Mayo Clinic
Primary completion
Oct 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Progression From Prediabetes to Diabetes
1; 1
SECONDARY
Progression From Prediabetes to Diabetes
1; 1
SECONDARY
Creatinine
1.7; 1.4
SECONDARY
Hemoglobin A1c
5.6; 5.85; 5.65; 5.75
SECONDARY
Incidence of Mesangial Expansion
0; 0; 0; 0
SECONDARY
Incidence of Death
SECONDARY
Graft Loss
SECONDARY
Adverse Events for Exenatide SR Intervention
10

Summary

Researchers are trying to determine if an anti-diabetes medication, called Exenatide SR, is well tolerated in kidney transplant patients with elevated blood glucose levels, and if it's effective in preventing diabetes.

Eligibility Criteria

Inclusion criteria

  • Recipients of solitary kidney transplants (i.e. not combined liver-kidney, pancreas-kidney etc.)
  • At 4 months after transplantation: Prediabetes (fasting blood glucose 100-125 mg/dl; or 2 hr glucose 140-199 or HgbA1c 5.7-6.4%)

Exclusion criteria

  • Diabetes pre-transplantation
  • Diabetes at 4 months
  • <18 years of age
  • eGFR <30 ml/min (estimated by MDRD equation from serum creatinine)
  • Active acute cellular rejection including borderline (If treated and resolved, these patients can be included)
  • BK nephropathy active
  • History of pancreatitis, pre-existing moderate-to-severe gastroparesis, liver cirrhosis or family /personal history of multiple endocrine neoplasia 2 or medullary thyroid cancer
  • Pregnant or breastfeeding women. Female Subject must be either:
  • Of non-child bearing potential: Post-menopausal (defined as at least 1 year without any menses) prior to screening , or documented surgically sterile or status post-hysterectomy
  • Or if childbearing potential, agree not to try and become pregnant during the study for at least 90 days after the final study drug administration. And have a negative serum or urine pregnancy test. And if heterosexually active, agree to consistently use two forms of highly effective birth control.
  • Hypersensitivity to Exenatide
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03961256). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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