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glucagon-like peptide 1

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth

Description

Glucagon-Like Peptide 1: A peptide of 36 or 37 amino acids that is derived from PROGLUCAGON and mainly produced by the INTESTINAL L CELLS. GLP-1(1-37 or 1-36) is further N-terminally truncated resulting in GLP-1(7-37) or GLP-1-(7-36) which can be amidated. These GLP-1 peptides are known to enhance glucose-dependent INSULIN release, suppress GLUCAGON release and gastric emptying, lower BLOOD GLUCOSE, and reduce food intake. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID44290899
CHEMBL ID428139
MeSH IDM0160181
PubMed CID16135499
MeSH IDM0160181

Synonyms (19)

Synonym
gtpl3544
glp-1-(7-37)
glucagon-like peptide 1-(7-37)
CHEMBL428139 ,
bdbm50121518
[125i]-glucagon-like peptide-1(7-37)
gtpl3784
[125i]glp-1-(7-37) (human)
[125i]glp-1(7-37)
[125i]-glp-1(7-37)
insulinotropin (human);peptide glp-1 (human glucose-lowering peptide-1)
glp-1 7-37
glucagon-like peptide 1
proglucagon (78-107)amide
89750-14-1
proglucagon (72-108)
glucagon-like peptide-1
glucagon-like-peptide-1
DTXSID701343589

Research Excerpts

Toxicity

Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) in the safe and effective primary care management of individuals with T2D and macrovascular disease.

ExcerptReferenceRelevance
" In subjects treated with NN2211 rather than placebo, there was a higher incidence of adverse events, most notably dizziness and adverse events related to the gastrointestinal system."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
"This study shows NN2211 has a pharmacokinetic profile supporting a daily dose in human beings, but also that subjects treated with NN2211 rather than placebo, had a higher incidence of adverse events, most notably dizziness and adverse events related to the gastrointestinal system."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
" Whereas no serious adverse events were observed, there was a higher incidence of adverse events after active treatment compared with placebo treatment (notably headache, dizziness, nausea, and vomiting)."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
" Careful postmarketing surveillance for adverse effects, especially among the DPP4 inhibitors, and continued evaluation in longer-term studies and in clinical practice are required to determine the role of this new class among current pharmacotherapies for type 2 diabetes."( Efficacy and safety of incretin therapy in type 2 diabetes: systematic review and meta-analysis.
Amori, RE; Lau, J; Pittas, AG, 2007
)
0.34
" This article reviews the profile of adverse effects for these agents in relation to their current (exenatide) and anticipated (liraglutide) role in the management of Type 2 diabetes."( Safety and adverse effects associated with GLP-1 analogues.
Bain, SC; Stephens, JW, 2007
)
0.34
" Compared with placebo, sitagliptin had a neutral effect on body weight and did not significantly increase the risk of hypoglycemia or gastrointestinal adverse events."( Efficacy and safety of sitagliptin added to ongoing metformin therapy in patients with type 2 diabetes.
Alba, M; Amatruda, JM; Chen, Y; Hussain, S; Kaufman, KD; Langdon, RB; Raz, I; Stein, PP; Wu, M, 2008
)
0.35
" The frequency and severity of the most common adverse events, headache and nausea, were comparable with placebo controls."( Pharmacodynamics, pharmacokinetics, safety, and tolerability of albiglutide, a long-acting glucagon-like peptide-1 mimetic, in patients with type 2 diabetes.
Bush, MA; De Boever, EH; Dobbins, RL; Hodge, RJ; Holland, MC; Matthews, JE; Stewart, MW; Walker, SE, 2008
)
0.35
" The incidence and severity of adverse events (AEs) was similar between placebo and albiglutide groups."( Safety, tolerability, pharmacodynamics and pharmacokinetics of albiglutide, a long-acting glucagon-like peptide-1 mimetic, in healthy subjects.
Bush, MA; De Boever, EH; Dobbins, RL; Gutierrez, M; Hodge, RJ; Holland, MC; Matthews, JE; Stewart, MW; Walker, SE, 2009
)
0.35
" Gastrointestinal adverse events were more common with liraglutide, but most occurred early and were transient."( Efficacy and safety of the human glucagon-like peptide-1 analog liraglutide in combination with metformin and thiazolidinedione in patients with type 2 diabetes (LEAD-4 Met+TZD).
Blonde, L; Buse, JB; Gerich, J; Hale, PM; Lewin, A; Raskin, P; Schwartz, S; Zdravkovic, M; Zinman, B, 2009
)
0.35
"Safety parameters, including adverse events, clinical laboratory tests, vital signs, and 12-lead electrocardiogram; plasma concentrations of albiglutide; and pharmacodynamic parameters, including change from baseline and weighted mean AUC(0-4) in plasma glucose, glucagon, insulin, and C-peptide levels."( Safety, tolerability, pharmacokinetics and pharmacodynamics of albiglutide, a long-acting GLP-1-receptor agonist, in Japanese subjects with type 2 diabetes mellitus.
Bush, MA; Kurita, T; Miyahara, H; Nakajima, H; Seino, Y; Stewart, MW; Yang, F, 2009
)
0.35
" Incidence of adverse events was low and comparable to sc placebo in all albiglutide treatment arms except 100 mg sc monthly, where gastrointestinal (GI) adverse events were most common."( Safety, tolerability, pharmacokinetics and pharmacodynamics of albiglutide, a long-acting GLP-1-receptor agonist, in Japanese subjects with type 2 diabetes mellitus.
Bush, MA; Kurita, T; Miyahara, H; Nakajima, H; Seino, Y; Stewart, MW; Yang, F, 2009
)
0.35
" The majority of adverse effects were gastrointestinal, the most frequent of which was nausea."( The safety and efficacy of liraglutide with or without oral antidiabetic drug therapy in type 2 diabetes: an overview of the LEAD 1-5 studies.
Blonde, L; Russell-Jones, D, 2009
)
0.35
" Nausea was the most common adverse event observed with liraglutide treatment, reported by 5% to 29% of patients; however, nausea was generally mild and transient."( A review of efficacy and safety data regarding the use of liraglutide, a once-daily human glucagon-like peptide 1 analogue, in the treatment of type 2 diabetes mellitus.
Montanya, E; Sesti, G, 2009
)
0.35
" Subjects were monitored for adverse events (AEs) throughout the study and 4-week follow-up."( Safety and tolerability of high doses of taspoglutide, a once-weekly human GLP-1 analogue, in diabetic patients treated with metformin: a randomized double-blind placebo-controlled study.
Asnaghi, V; Balena, R; Boldrin, M; Kapitza, C; Nauck, M; Ratner, R, 2010
)
0.36
"Established therapies for type-2 diabetes effectively reduce blood glucose, but are often associated with adverse effects that pose risks to patient's health or diminish adherence to treatment."( The safety and tolerability of GLP-1 receptor agonists in the treatment of type-2 diabetes.
Russell-Jones, D, 2010
)
0.36
" Here we show effective and safe gene-based delivery of GLP-1 using chitosan/plasmid-DNA therapeutic nanocomplexes (TNCs) in Zucker diabetic fatty (ZDF) animal model of T2D."( Effective and safe gene-based delivery of GLP-1 using chitosan/plasmid-DNA therapeutic nanocomplexes in an animal model of type 2 diabetes.
Alameh, M; Buschmann, MD; Jean, M; Merzouki, A, 2011
)
0.37
" Exenatide once-weekly was generally well tolerated and adverse events were predominantly mild or moderate in intensity."( DURATION-2: efficacy and safety of switching from maximum daily sitagliptin or pioglitazone to once-weekly exenatide.
Bergenstal, R; Malloy, J; Malone, J; Taylor, K; Walsh, B; Wysham, C; Yan, P, 2011
)
0.37
"Therapeutic proteins/peptides can produce immunogenic responses that may increase the risk of adverse events or reduce efficacy."( Liraglutide treatment is associated with a low frequency and magnitude of antibody formation with no apparent impact on glycemic response or increased frequency of adverse events: results from the Liraglutide Effect and Action in Diabetes (LEAD) trials.
Brett, JH; Buse, JB; Garber, A; Holst, J; Nauck, M; Rosenstock, J; Schmidt, WE; Videbæk, N, 2011
)
0.37
"Although several classes of pharmacotherapy are available for type 2 diabetes, glycaemic control is often hampered by medication-related adverse effects and contraindications such as renal impairment."( The safety and tolerability of GLP-1 receptor agonists in the treatment of type 2 diabetes: a review.
Aroda, VR; Ratner, R, 2011
)
0.37
" Patient-level results from all completed phase 2 and 3 studies from the liraglutide clinical development programme were pooled to determine rates of major adverse cardiovascular events (MACE): cardiovascular death, myocardial infarction, stroke."( Cardiovascular safety of liraglutide assessed in a patient-level pooled analysis of phase 2: 3 liraglutide clinical development studies.
Buse, JB; House, JA; Jensen, TM; Kennedy, KF; Lindsey, JB; Marso, SP; Martinez Ravn, G; Stolker, JM, 2011
)
0.37
" Liraglutide treatment vs placebo was safe and well tolerated in patients with mild RI, as there were no significant differences in rates of renal injury, minor hypoglycemia, or nausea."( Mild renal impairment and the efficacy and safety of liraglutide.
Brett, J; Davidson, JA; Falahati, A; Scott, D,
)
0.13
" They provide lesser effect on PPG, similar reduction in body weight, and result in a potentially favorable adverse event profile compared with exenatide twice daily."( Efficacy and safety of long-acting glucagon-like peptide-1 receptor agonists compared with exenatide twice daily and sitagliptin in type 2 diabetes mellitus: a systematic review and meta-analysis.
Hurren, KM; Pinelli, NR, 2011
)
0.37
" Most common adverse events were gastrointestinal disturbance such as nausea, vomit, diarrhea, and constipation."( The efficacy and safety of liraglutide.
Jeong, KH; Yoo, BK, 2011
)
0.37
" GLP-1 agonists have been well tolerated, with the most common adverse effects being gastrointestinal related, which occurred early in therapy but typically resolved after 4-8 weeks."( Clinical efficacy and safety of once-weekly glucagon-like peptide-1 agonists in development for treatment of type 2 diabetes mellitus in adults.
Brackett, A; Harris, K; Tzefos, M, 2012
)
0.38
" The most common adverse events overall were nausea (38."( Exenatide twice daily: analysis of effectiveness and safety data stratified by age, sex, race, duration of diabetes, and body mass index.
Anderson, PW; Blickensderfer, A; Brunell, SC; Li, Y; Pencek, R, 2012
)
0.38
" Gastrointestinal events were the most common adverse events."( Exenatide twice daily: analysis of effectiveness and safety data stratified by age, sex, race, duration of diabetes, and body mass index.
Anderson, PW; Blickensderfer, A; Brunell, SC; Li, Y; Pencek, R, 2012
)
0.38
" This meta-analysis was aimed at evaluating the risk of those serious adverse events associated with GLP-1 agonists in patients with type 2 diabetes."( A meta-analysis of serious adverse events reported with exenatide and liraglutide: acute pancreatitis and cancer.
Alves, C; Batel-Marques, F; Macedo, AF, 2012
)
0.38
" These rare and long-term adverse events deserve properly monitoring in future studies evaluating GLP-1 agonists."( A meta-analysis of serious adverse events reported with exenatide and liraglutide: acute pancreatitis and cancer.
Alves, C; Batel-Marques, F; Macedo, AF, 2012
)
0.38
" Glycosylated hemoglobin (HbA1c) values, blood glucose, total daily insulin dose, body weight, waist circumference, and the number of hypoglycemic events and adverse events were evaluated."( Efficacy and safety comparison between liraglutide as add-on therapy to insulin and insulin dose-increase in Chinese subjects with poorly controlled type 2 diabetes and abdominal obesity.
Chen, R; Li, CJ; Li, J; Lv, CF; Lv, L; Yu, DM; Yu, P; Zhang, QM, 2012
)
0.38
" Gastrointestinal disorders were the most common adverse events in the liraglutide added treatment, but were transient."( Efficacy and safety comparison between liraglutide as add-on therapy to insulin and insulin dose-increase in Chinese subjects with poorly controlled type 2 diabetes and abdominal obesity.
Chen, R; Li, CJ; Li, J; Lv, CF; Lv, L; Yu, DM; Yu, P; Zhang, QM, 2012
)
0.38
" There was no increased risk of adverse effects with this dose of gemigliptin compared with sitagliptin 100 mg qd."( Efficacy and safety of the dipeptidyl peptidase-4 inhibitor gemigliptin compared with sitagliptin added to ongoing metformin therapy in patients with type 2 diabetes inadequately controlled with metformin alone.
Chung, CH; Jang, HC; Kim, JA; Kim, SW; Lee, WY; Min, KW; Nam-Goong, IS; Rhee, EJ; Shivane, VK; Sosale, AR, 2013
)
0.39
" Most treatment-emergent adverse events were mild, and all resolved by study end."( Effects of multiple doses of albiglutide on the pharmacokinetics, pharmacodynamics, and safety of digoxin, warfarin, or a low-dose oral contraceptive.
Bush, M; Lewis, E; Scott, R; Watanalumlerd, P; Zhi, H, 2012
)
0.38
" In the meantime, much interest has recently been focused on the potential cardiovascular and oncological adverse effects of these new therapies."( Thyroid safety in patients treated with liraglutide.
Gallo, M, 2013
)
0.39
" Adverse events (AEs) were reported in 63."( Long-term safety and efficacy of empagliflozin, sitagliptin, and metformin: an active-controlled, parallel-group, randomized, 78-week open-label extension study in patients with type 2 diabetes.
Berk, A; Broedl, UC; Ferrannini, E; Hach, T; Hantel, S; Pinnetti, S; Woerle, HJ, 2013
)
0.39
" There are limited available oral drugs to treat hyperglycaemia in this population owing to reduced renal function, potential interactions with immunosuppressive drugs and adverse effects such as hypoglycaemic events that may increase the cardiovascular risk."( Short-term efficacy and safety of sitagliptin treatment in long-term stable renal recipients with new-onset diabetes after transplantation.
Åsberg, A; Hartmann, A; Jenssen, T; Strøm Halden, TA; Vik, K, 2014
)
0.4
" No serious adverse events were observed."( Short-term efficacy and safety of sitagliptin treatment in long-term stable renal recipients with new-onset diabetes after transplantation.
Åsberg, A; Hartmann, A; Jenssen, T; Strøm Halden, TA; Vik, K, 2014
)
0.4
" The short-term treatment was well tolerated, and sitagliptin seems safe in this population."( Short-term efficacy and safety of sitagliptin treatment in long-term stable renal recipients with new-onset diabetes after transplantation.
Åsberg, A; Hartmann, A; Jenssen, T; Strøm Halden, TA; Vik, K, 2014
)
0.4
" Alogliptin appears to be weight neutral and is relatively well tolerated with few adverse effects."( Alogliptin: safety, efficacy, and clinical implications.
Cole, SW; Marino, AB, 2015
)
0.42
"Alogliptin alone or in combination with other antidiabetic agents has shown a significant reduction in HbA1c while remaining safe and tolerable."( Alogliptin: safety, efficacy, and clinical implications.
Cole, SW; Marino, AB, 2015
)
0.42
" Lastly, no visible adverse events were observed in cytotoxicity treatments on SH-SY5Y."( Pharmacokinetics, pharmacodynamics, and cytotoxicity of recombinant orally-administrated long-lasting GLP-1 and its therapeutic effect on db/db mice.
Abbas, SA; Chen, W; Hu, X; Li, C; Li, M; Ma, B; Ma, Z; Qu, S; Zhang, Y; Zhao, X, 2014
)
0.4
" Glycosylated hemoglobin (HbA1c) values, fasting and postprandial blood glucose (FBG and P2BG), body weight, body mass index (BMI), episodes of hypoglycemia and adverse events were evaluated."( Efficacy and safety comparison of add-on therapy with liraglutide, saxagliptin and vildagliptin, all in combination with current conventional oral hypoglycemic agents therapy in poorly controlled Chinese type 2 diabetes.
Ding, M; Li, CJ; Liu, XJ; Yu, DM; Yu, P; Yu, Q; Zhang, QM, 2014
)
0.4
" Rates of serious adverse events in the albiglutide group were similar to comparison groups."( HARMONY 3: 104-week randomized, double-blind, placebo- and active-controlled trial assessing the efficacy and safety of albiglutide compared with placebo, sitagliptin, and glimepiride in patients with type 2 diabetes taking metformin.
Ahrén, B; Cirkel, DT; Feinglos, MN; Johnson, SL; Perry, C; Stewart, M; Yang, F, 2014
)
0.4
" No serious adverse events (AEs), including severe hypoglycemia, occurred."( Liraglutide's safety, tolerability, pharmacokinetics, and pharmacodynamics in pediatric type 2 diabetes: a randomized, double-blind, placebo-controlled trial.
Arslanian, S; Battelino, T; Chatterjee, DJ; Hale, PM; Jacobsen, LV; Klein, DJ, 2014
)
0.4
" Results of safety assessments were similar between groups, and most adverse events (AEs) were mild or moderate."( Efficacy and safety of the once-weekly GLP-1 receptor agonist albiglutide versus sitagliptin in patients with type 2 diabetes and renal impairment: a randomized phase III study.
Carr, MC; Handelsman, Y; Jones-Leone, A; Leiter, LA; Scott, R; Stewart, M; Yang, F, 2014
)
0.4
" The recent results from the HARMONY 3 and HARMONY 6 trials suggest that albiglutide is a safe and effective treatment option for patients with type 2 diabetes mellitus."( Diabetes: safety and efficacy of albiglutide-results from two trials.
Derosa, G; Maffioli, P, 2014
)
0.4
" However, in the existing studies PHEN/TPM ER had a superior weight loss profile to lorcaserin but the incidence of adverse effects was lower with lorcaserin."( Tolerability and safety of the new anti-obesity medications.
Aldhoon-Hainerová, I; Hainer, V, 2014
)
0.4
"To show that albiglutide, a glucagon-like peptide-1 receptor agonist, is an effective and generally safe treatment to improve glycaemic control in patients with type 2 diabetes mellitus whose hyperglycaemia is inadequately controlled with pioglitazone (with or without metformin)."( Efficacy and safety of once-weekly glucagon-like peptide 1 receptor agonist albiglutide (HARMONY 1 trial): 52-week primary endpoint results from a randomized, double-blind, placebo-controlled trial in patients with type 2 diabetes mellitus not controlled
Bode, BW; Cirkel, DT; Perkins, CM; Perry, CR; Reinhardt, RR; Reusch, J; Stewart, MW; Ye, J, 2014
)
0.4
" With few exceptions, the results of safety assessments were similar between the groups, and most adverse events (AEs) were mild or moderate."( Efficacy and safety of once-weekly glucagon-like peptide 1 receptor agonist albiglutide (HARMONY 1 trial): 52-week primary endpoint results from a randomized, double-blind, placebo-controlled trial in patients with type 2 diabetes mellitus not controlled
Bode, BW; Cirkel, DT; Perkins, CM; Perry, CR; Reinhardt, RR; Reusch, J; Stewart, MW; Ye, J, 2014
)
0.4
" IDegLira was generally well tolerated; fewer participants in the IDegLira group than in the liraglutide group reported gastrointestinal adverse events (nausea 8·8 vs 19·7%), although the insulin degludec group had the fewest participants with gastrointestinal adverse events (nausea 3·6%)."( Efficacy and safety of a fixed-ratio combination of insulin degludec and liraglutide (IDegLira) compared with its components given alone: results of a phase 3, open-label, randomised, 26-week, treat-to-target trial in insulin-naive patients with type 2 di
Bode, B; Buse, JB; Damgaard, LH; Gough, SC; Linjawi, S; Poulsen, P; Rodbard, HW; Woo, V, 2014
)
0.4
" Gastrointestinal (GI) adverse events (AEs) are the most frequently reported treatment-related AEs for GLP-1 RAs."( Gastrointestinal adverse events of glucagon-like peptide-1 receptor agonists in patients with type 2 diabetes: a systematic review and network meta-analysis.
Chai, S; Ji, L; Quan, X; Shi, L; Sun, F; Wang, J; Wu, S; Yang, Z; Yu, K; Zhang, Y, 2015
)
0.42
"Available evidence about safety, tolerability and potential adverse events relative to GLP-1Rx agonists presently used."( Potential side effects to GLP-1 agonists: understanding their safety and tolerability.
Consoli, A; Formoso, G, 2015
)
0.42
" Adverse events (AE) noted during course of therapy were recorded."( Efficacy and safety of liraglutide therapy in 195 Indian patients with type 2 diabetes in real world setting.
Gopalakrishnan, G; Jothydev, S; Kesavadev, J; Shankar, A,
)
0.13
"28%) subjects reported adverse events (AE), the most common AEs being vomiting, tiredness, loose motion and nausea."( Efficacy and safety of liraglutide therapy in 195 Indian patients with type 2 diabetes in real world setting.
Gopalakrishnan, G; Jothydev, S; Kesavadev, J; Shankar, A,
)
0.13
" Thus, if following the appropriate guidelines according to package labels, the practitioner can feel safe in prescribing these medications."( Safety and tolerability of medications approved for chronic weight management.
Fujioka, K, 2015
)
0.42
" However, they are also associated with certain adverse effects."( Adverse Effects Associated With Newer Diabetes Therapies.
Adesoye, AA; Akiyode, OF, 2017
)
0.46
" (5) No significant differences were observed in hypoglycemic episodes and adverse events between two groups."( [The efficacy and safety of human glucagon-like peptide-1 analogue liraglutide in newly diagnosed type 2 diabetes with glycosylated hemoglobin A1c > 9].
Chen, C; Chen, P; Huang, Q; Shao, Z; Wang, S; Xu, X; Yan, L, 2015
)
0.42
" The primary endpoint was a composite of first occurrence of major adverse cardiovascular events (ie, cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) or hospital admission for unstable angina."( Cardiovascular safety of albiglutide in the Harmony programme: a meta-analysis.
Ambery, PD; Donaldson, J; Fisher, M; McMurray, JJ; Petrie, MC; Ye, J, 2015
)
0.42
" Major adverse cardiovascular event alone was also not significantly different (52 events vs 53; HR, 0·99; 95% CI, 0·65-1·49)."( Cardiovascular safety of albiglutide in the Harmony programme: a meta-analysis.
Ambery, PD; Donaldson, J; Fisher, M; McMurray, JJ; Petrie, MC; Ye, J, 2015
)
0.42
" Because the upper bound of the 95% CI for major adverse cardiovascular event plus hospital admission for unstable angina was greater than 1·3, a dedicated study with a cardiovascular endpoint is underway to confirm the safety of albiglutide."( Cardiovascular safety of albiglutide in the Harmony programme: a meta-analysis.
Ambery, PD; Donaldson, J; Fisher, M; McMurray, JJ; Petrie, MC; Ye, J, 2015
)
0.42
" The main adverse effects of treatment included gastrointestinal and injection site reactions."( Efficacy and safety of once-weekly glucagon-like peptide 1 receptor agonists for the management of type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.
Athanasiadou, E; Bekiari, E; Boura, P; Karagiannis, T; Liakos, A; Mainou, M; Matthews, DR; Paschos, P; Rika, M; Tsapas, A; Vasilakou, D, 2015
)
0.42
"Additional safe and effective therapies for type 2 diabetes are needed, especially ones that do not cause weight gain and have a low risk of hypoglycaemia."( Efficacy and safety of once-weekly GLP-1 receptor agonist albiglutide (HARMONY 2): 52 week primary endpoint results from a randomised, placebo-controlled trial in patients with type 2 diabetes mellitus inadequately controlled with diet and exercise.
Jones-Leone, A; Nauck, MA; Perkins, C; Perry, C; Reinhardt, RR; Rendell, M; Stewart, MW; Yang, F, 2016
)
0.43
" Other commonly reported adverse events included nausea, diarrhoea, vomiting and hypoglycaemia; the incidences of these were generally similar across treatment groups."( Efficacy and safety of once-weekly GLP-1 receptor agonist albiglutide (HARMONY 2): 52 week primary endpoint results from a randomised, placebo-controlled trial in patients with type 2 diabetes mellitus inadequately controlled with diet and exercise.
Jones-Leone, A; Nauck, MA; Perkins, C; Perry, C; Reinhardt, RR; Rendell, M; Stewart, MW; Yang, F, 2016
)
0.43
"Albiglutide is safe and effective as monotherapy and significantly lowered HbA1c levels over 52 weeks, did not cause weight gain, and had good gastrointestinal tolerability and a low rate of hypoglycaemia compared with placebo."( Efficacy and safety of once-weekly GLP-1 receptor agonist albiglutide (HARMONY 2): 52 week primary endpoint results from a randomised, placebo-controlled trial in patients with type 2 diabetes mellitus inadequately controlled with diet and exercise.
Jones-Leone, A; Nauck, MA; Perkins, C; Perry, C; Reinhardt, RR; Rendell, M; Stewart, MW; Yang, F, 2016
)
0.43
"Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are increasingly being used for the treatment of type 2 diabetes mellitus, but consideration of benefits and potential adverse events is required."( Glucagon-Like Peptide-1 Receptor Agonists for Type 2 Diabetes: A Clinical Update of Safety and Efficacy.
Drab, SR, 2016
)
0.43
"Gastrointestinal (GI) adverse events (AEs) are the most frequently reported treatment-related AEs associated with glucagon-like peptide-1 receptor agonists (GLP-1RAs) in the treatment of type 2 diabetes mellitus."( Gastrointestinal safety across the albiglutide development programme.
Leiter, LA; Mallory, JM; Reinhardt, RR; Wilson, TH, 2016
)
0.43
" This class of drugs may be a valuable medication in the treatment of HIV-associated metabolic adverse effects and extend the life expectancy of patients infected with HIV."( Glucagon like peptide-1 receptor agonists may ameliorate the metabolic adverse effect associated with antiretroviral therapy.
Culha, MG; Inkaya, AC; Serefoglu, EC; Unal, S; Yildirim, E, 2016
)
0.43
"The RCTs in the present analysis show that all GLP-1RAs improve glycaemic control, reduce body weight and increase the risk of adverse gastrointestinal symptoms compared with placebo."( Efficacy and safety of glucagon-like peptide-1 receptor agonists in type 2 diabetes: A systematic review and mixed-treatment comparison analysis.
Davies, MJ; Htike, ZZ; Khunti, K; Papamargaritis, D; Webb, DR; Zaccardi, F, 2017
)
0.46
"Studies of 32months (HARMONY 7), 1year (HARMONY 6), and 3years (HARMONY 1-5), reported similar rates of adverse events (AEs) (84."( Albiglutide for the treatment of type 2 diabetes mellitus: An integrated safety analysis of the HARMONY phase 3 trials.
Ahrén, B; Carr, MC; Johnson, S; Mallory, J; Murphy, K; Perkins, C; Rendell, M; Wilson, T, 2017
)
0.46
" It has been studied and appears safe at all stages of renal failure."( The safety of albiglutide for the treatment of type 2 diabetes.
Rendell, MS, 2017
)
0.46
" Adverse events (AEs), vital signs, ECGs and routine laboratory variables were intensively monitored."( Pharmacodynamics, pharmacokinetics and safety of multiple ascending doses of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 in people with type 2 diabetes mellitus.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
" Adverse events (AEs) were monitored and drug concentrations, fasting glycaemic variables, vital signs, ECG, antibody formation and routine laboratory variables were assessed."( Pharmacodynamics, pharmacokinetics, safety and tolerability of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 after single subcutaneous administration in healthy subjects.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
" Adverse events were in line with those observed for other GLP-1 receptor agonists and no safety concerns were identified."( Pharmacokinetics, Safety and Tolerability of Oral Semaglutide in Subjects with Renal Impairment.
Anderson, TW; Granhall, C; Søndergaard, FL; Thomsen, M, 2018
)
0.48
"Lipotoxicity cardiomyopathy is the result of excessive accumulation and oxidation of toxic lipids in the heart."( Glucagon-like peptide-1 ameliorates cardiac lipotoxicity in diabetic cardiomyopathy via the PPARα pathway.
Liu, L; Wang, DW; Wang, K; Wang, P; Wang, W; Wen, Z; Wu, L, 2018
)
0.48
" However, there are key differences within this class of drugs in macrovascular, microvascular, gastrointestinal and injection-site reaction adverse events, and these should be considered when healthcare providers are prescribing therapy."( Safety of Once-weekly Glucagon-like Peptide-1 Receptor Agonists in Patients with Type 2 Diabetes.
Frias, JP, 2018
)
0.48
" Treatment-emergent adverse events (TEAEs) occurred more frequently with MEDI0382 vs."( MEDI0382, a GLP-1/glucagon receptor dual agonist, meets safety and tolerability endpoints in a single-dose, healthy-subject, randomized, Phase 1 study.
Ambery, PD; Hirshberg, B; Jermutus, L; Klammt, S; Petrone, M; Posch, MG; Pu, W; Rondinone, C, 2018
)
0.48
" In the present study, we investigate the toxic effect of high glucose and FFA levels on rat pancreatic RINm5F β-cells and demonstrate that the GLP-1 analogue liraglutide restores the expression of PDX1 by inactivating Mst1, thus ameliorating β-cell impairments."( Liraglutide protects against glucolipotoxicity-induced RIN-m5F β-cell apoptosis through restoration of PDX1 expression.
Bai, YC; Chang, YZ; Chen, WJ; Huang, CN; Kornelius, E; Li, HH; Lin, CL; Liu, S; Peng, CH; Yang, YS, 2019
)
0.51
" Following determination of the significant toxic doses of glucose and fructose, the cells were treated with various doses of exenatide (10-250 nM) in the presence or absence of glucose and fructose."( The investigation of protective effects of glucagon-like peptide-1 (GLP-1) analogue exenatide against glucose and fructose-induced neurotoxicity.
Khalilnezhad, A; Taskiran, D, 2019
)
0.51
"Oral semaglutide was safe and well-tolerated in both trials."( Safety and Pharmacokinetics of Single and Multiple Ascending Doses of the Novel Oral Human GLP-1 Analogue, Oral Semaglutide, in Healthy Subjects and Subjects with Type 2 Diabetes.
Blicher, TM; Bækdal, TA; Donsmark, M; Golor, G; Granhall, C; Søndergaard, FL; Thomsen, M, 2019
)
0.51
" This treatment strategy is an effective and safe alternative to a basal-bolus insulin regimen."( A randomized trial comparing the efficacy and safety of treating patients with type 2 diabetes and highly elevated HbA1c levels with basal-bolus insulin or a glucagon-like peptide-1 receptor agonist plus basal insulin: The SIMPLE study.
Abreu, M; Adams-Huet, B; Dimachkie, P; Elhassan, A; Gunasekaran, U; Li, X; Lingvay, I; Meneghini, LF; Papacostea, O; Peicher, K; Pop, LM; Siddiqui, MS; Tumyan, A, 2019
)
0.51
" All long-acting GLP-1RAs have, at minimum, been shown to be safe and not increase cardiovascular (CV) risk and most (liraglutide, semaglutide injectable, dulaglutide, albiglutide) have been shown in CV outcomes trials (CVOTs) to significantly reduce the risk of major cardiac adverse events."( Long-acting GLP-1RAs: An overview of efficacy, safety, and their role in type 2 diabetes management.
Butts, A; Chun, JH, 2020
)
0.56
" All long-acting GLP-1RAs have, at minimum, been shown to be safe and not increase cardiovascular (CV) risk and most (liraglutide, semaglutide injectable, dulaglutide, albiglutide) have been shown in CV outcomes trials (CVOTs) to significantly reduce the risk of major cardiac adverse events."( Long-acting GLP-1RAs: An overview of efficacy, safety, and their role in type 2 diabetes management.
Butts, A; Chun, JH, 2020
)
0.56
" The secondary aim was to compare reported adverse drug reactions (ADRs) with information described in the Summary of Product Characteristics (SPC) and to generate knowledge about characteristics, like time to onset and outcome of ADRs."( Insight in the safety profile of antidiabetic agents glucagon-like peptide-1 agonists and dipeptidyl peptidase-4 inhibitors in daily practice from the patient perspective.
Härmark, L; Hendriks, J; Rolfes, L; van der Horst, P; van Gorp, AM; Vorstenbosch, S, 2020
)
0.56
" The case showed that liraglutide may be effective and safe used in patients with severe COVID-19 combined with type 2 diabetes, but more clinical trials are needed."( Are glucagon-like peptide 1 analogues effective and safe in severe COVID-19 patients with type 2 diabetes?-a case report.
Chen, G; Chen, L; Chen, S; Lin, W; Wen, J; Xie, B, 2021
)
0.62
" Primary outcomes were major adverse cardiovascular events (MACE) (i."( Comparative Effectiveness and Safety of Sodium-Glucose Cotransporter 2 Inhibitors Versus Glucagon-Like Peptide 1 Receptor Agonists in Older Adults.
Bessette, LG; Dave, C; Glynn, RJ; Kim, DH; Kim, SC; Munshi, MN; Patorno, E; Pawar, A; Schneeweiss, S; Wexler, DJ, 2021
)
0.62
" Higher doses increased the adverse events risk."( Safety, tolerability, pharmacodynamics, and pharmacokinetics of CJC-1134-PC in healthy Chinese subjects and type-2 diabetic subjects.
Ding, Y; Li, C; Liu, X; Wu, M; Xie, Q; Yang, L; Yao, Z; Zhang, H; Zhu, X, 2021
)
0.62
" Cell viability experiments with neutral red and resazurin revealed that STb was toxic in all but the GLUTag cells."( A Protective Role for Glucagon-like Peptide-2 in Heat-stable Enterotoxin b (STb)-Induced L-Cell Toxicity.
Butt, S; Gagnon, J; Saleh, M, 2022
)
0.72
" Consistent with the GLP-1 RA class, gastrointestinal adverse events were most commonly reported; these were generally transient and mild/moderate in severity."( Efficacy and Safety of Once-Weekly Efpeglenatide Monotherapy Versus Placebo in Type 2 Diabetes: The AMPLITUDE-M Randomized Controlled Trial.
Baek, S; Choi, J; Frias, JP; Muehlen-Bartmer, I; Niemoeller, E; Popescu, L; Rosenstock, J, 2022
)
0.72
"GLP-1 receptor agonists (GLP-1 RA) and SGLT-2 inhibitors (SGLT-2i) have shown to reduce the risk of major adverse cardiovascular events (MACE), death and worsening nephropathy when added to standard of care."( Effectiveness and safety of GLP-1 receptor agonists versus SGLT-2 inhibitors in type 2 diabetes: an Italian cohort study.
Baviera, M; Caruso, I; Colacioppo, P; Foresta, A; Fortino, I; Genovese, S; Giorgino, F; Macaluso, G; Roncaglioni, MC; Tettamanti, M, 2022
)
0.72
" Serious adverse events were also evaluated."( Effectiveness and safety of GLP-1 receptor agonists versus SGLT-2 inhibitors in type 2 diabetes: an Italian cohort study.
Baviera, M; Caruso, I; Colacioppo, P; Foresta, A; Fortino, I; Genovese, S; Giorgino, F; Macaluso, G; Roncaglioni, MC; Tettamanti, M, 2022
)
0.72
" The incidence of serious adverse events was low in both cohorts (< 1%)."( Effectiveness and safety of GLP-1 receptor agonists versus SGLT-2 inhibitors in type 2 diabetes: an Italian cohort study.
Baviera, M; Caruso, I; Colacioppo, P; Foresta, A; Fortino, I; Genovese, S; Giorgino, F; Macaluso, G; Roncaglioni, MC; Tettamanti, M, 2022
)
0.72
"GLP-1RA showed to be equally safe and more effective than SGLT-2i in reducing the risk of MACE-3, MACE-4 and MI."( Effectiveness and safety of GLP-1 receptor agonists versus SGLT-2 inhibitors in type 2 diabetes: an Italian cohort study.
Baviera, M; Caruso, I; Colacioppo, P; Foresta, A; Fortino, I; Genovese, S; Giorgino, F; Macaluso, G; Roncaglioni, MC; Tettamanti, M, 2022
)
0.72
" Novak, CRNP; and Lawrence Blonde, MD, MACE, FACP, discuss the mechanisms of action and clinical trial data for use of glucagon-like peptide 1 receptor agonists (GLP-1 RAs) in the safe and effective primary care management of individuals with T2D and macrovascular disease."( Safe and Appropriate Use of GLP-1 RAs in Treating Adult Patients With Type 2 Diabetes and Macrovascular Disease.
Blonde, L; LaSalle, J; Novak, LM, 2022
)
0.72
"Gastrointestinal discomfort is the most common adverse event in metformin treatment for type 2 diabetes."( Gut microbiota is correlated with gastrointestinal adverse events of metformin in patients with type 2 diabetes.
Bao, Z; Huang, Y; Ji, X; Jiang, C; Lou, X; Sun, J; Tao, X, 2022
)
0.72
" The patients were divided into two groups according to whether gastrointestinal adverse events occurred (group B) or did not occur (group A) after treatment."( Gut microbiota is correlated with gastrointestinal adverse events of metformin in patients with type 2 diabetes.
Bao, Z; Huang, Y; Ji, X; Jiang, C; Lou, X; Sun, J; Tao, X, 2022
)
0.72
"Our data suggest that metformin promotes the secretion of intestinal hormones such as GLP-1 by increasing the abundance of SCFA-producing bacteria, which not only plays an anti-diabetic role, but also may causes gastrointestinal adverse events."( Gut microbiota is correlated with gastrointestinal adverse events of metformin in patients with type 2 diabetes.
Bao, Z; Huang, Y; Ji, X; Jiang, C; Lou, X; Sun, J; Tao, X, 2022
)
0.72
" However, real-world data concerning the difference in gastrointestinal adverse events (AEs) among different GLP-1 RAs are still lacking."( Association between different GLP-1 receptor agonists and gastrointestinal adverse reactions: A real-world disproportionality study based on FDA adverse event reporting system database.
Chen, C; Chen, J; Chen, L; Liu, L; Wang, L, 2022
)
0.72
"Disproportionality analysis was used to evaluate the association between GLP-1 RAs and gastrointestinal adverse events."( Association between different GLP-1 receptor agonists and gastrointestinal adverse reactions: A real-world disproportionality study based on FDA adverse event reporting system database.
Chen, C; Chen, J; Chen, L; Liu, L; Wang, L, 2022
)
0.72
"A total of 21,281 reports of gastrointestinal toxicity were analyzed out of 81,752 adverse event reports, and the median age of the included patients was 62 (interquartile range [IQR] 54-70) years old."( Association between different GLP-1 receptor agonists and gastrointestinal adverse reactions: A real-world disproportionality study based on FDA adverse event reporting system database.
Chen, C; Chen, J; Chen, L; Liu, L; Wang, L, 2022
)
0.72
" As compared with the placebo, GLP-1 RAs did not improve major adverse cardiovascular events (MACE) which include cardiovascular (CV) mortality and heart failure (HF) hospitalizations, our primary outcome."( The Safety and Efficacy of GLP-1 Receptor Agonists in Heart Failure Patients: A Systematic Review and Meta-Analysis.
Ahmed, M; Akram, M; Ansari, SA; Faryad, M; Fatima, Z; Mahboob, A; Mengal, A; Merza, N; Rashid, AM, 2023
)
0.91
"The study aimed to determine whether GLP-1RAs are associated with increased detection of pancreatic carcinoma based on the FDA Adverse Events Reporting System and clarify its potential mechanisms through keyword co-occurrence analysis from literature database."( Glucagon-like peptide 1 receptor agonists and the potential risk of pancreatic carcinoma: a pharmacovigilance study using the FDA Adverse Event Reporting System and literature visualization analysis.
Cao, M; Pan, C; Tian, Y; Wang, L; Zhao, Z; Zhu, B, 2023
)
0.91
" The adverse events profile was consistent with other glucagon-like peptide-1 receptor agonists (GLP-1 RAs); gastrointestinal adverse events were most frequent in all three studies."( Efficacy and safety of once-weekly efpeglenatide in people with suboptimally controlled type 2 diabetes: The AMPLITUDE-D, AMPLITUDE-L and AMPLITUDE-S randomized controlled trials.
Aroda, VR; Baek, S; Choi, J; Denkel, K; Espinasse, M; Frias, JP; Guo, H; Ji, L; Lingvay, I; Nguyên-Pascal, ML; Niemoeller, E, 2023
)
0.91
" It is necessary to pay attention to its specific adverse events (hypoglycemia and discontinuation) at high doses (10mg or higher)."( A systematic review of the safety of tirzepatide-a new dual GLP1 and GIP agonist - is its safety profile acceptable?
Meng, Z; Wang, Y; Wen, H; Xiong, C; Yang, M; Zhou, S, 2023
)
0.91
"To discuss current literature and provide practical recommendations for the safe and effective use of glucagon-like peptide 1 receptor agonists (GLP-1 RA) in people with inflammatory bowel disease (IBD) and type 2 diabetes (T2D) and/or obesity."( GLP-1 Receptor Agonists in Obese Patients with Inflammatory Bowel Disease: from Molecular Mechanisms to Clinical Considerations and Practical Recommendations for Safe and Effective Use.
Arvanitakis, K; Doumas, M; Germanidis, G; Giouleme, O; Kotsa, K; Koufakis, T; Maltese, G; Mustafa, O; Popovic, D, 2023
)
0.91
" In terms of safety, the incidence of any adverse events and adverse events leading to study drug discontinuation was higher in the tirzepatide group, but the incidence of serious adverse events and hypoglycaemia was lower."( Weight loss efficiency and safety of tirzepatide: A Systematic review.
Chen, J; Jie, X; Li, Y; Lin, F; Ling, B; Lv, G; Shang, H; Yu, B; Zhao, X, 2023
)
0.91
" The most commonly reported adverse events were nausea, diarrhea, and vomiting."( Efficacy and Safety of Oral Small Molecule Glucagon-Like Peptide 1 Receptor Agonist Danuglipron for Glycemic Control Among Patients With Type 2 Diabetes: A Randomized Clinical Trial.
Birnbaum, MJ; Brown, LS; Frias, JP; Gorman, DN; Saxena, AR; Tsamandouras, N; Vasas, S, 2023
)
0.91
" Participant safety was assessed through monitoring of biochemical parameters, including kidney and liver function, physical examination, and assessment for adverse events."( Safety and Efficacy of Liraglutide, 3.0 mg, Once Daily vs Placebo in Patients With Poor Weight Loss Following Metabolic Surgery: The BARI-OPTIMISE Randomized Clinical Trial.
Adamo, M; Adeleke, MO; Batterham, RL; Brown, A; Carnemolla, A; Devalia, K; Elkalaawy, M; Fakih, N; Firman, C; Jassil, FC; Jenkinson, A; Magee, CG; Makahamadze, C; Makaronidis, J; Marvasti, P; Mok, J; Omar, RZ; Pucci, A, 2023
)
0.91
"Multicentre, randomized, clinical trials that included over 100 participants comparing antidiabetic agents with a placebo or a different antidiabetic agent and reporting major adverse cardiovascular events (MACEs), or primarily reporting heart failure, were searched in the PubMed, Embase and Cochrane databases."( Cardiovascular efficacy and safety of antidiabetic agents: A network meta-analysis of randomized controlled trials.
Frias, JP; Lim, S; Sohn, M, 2023
)
0.91
" Adverse events leading to drug discontinuation were higher with GLP-1 RAs and thiazolidinediones than placebo."( Cardiovascular efficacy and safety of antidiabetic agents: A network meta-analysis of randomized controlled trials.
Frias, JP; Lim, S; Sohn, M, 2023
)
0.91
" No adverse pregnancy or neonatal outcomes were reported."( Glucagon-like peptide-1 receptor agonists and safety in the preconception period.
Mahalingaiah, S; Minis, E; Stanford, FC, 2023
)
0.91
" Studies focused on pregnancy and neonatal outcomes would provide additional information regarding a safe washout period."( Glucagon-like peptide-1 receptor agonists and safety in the preconception period.
Mahalingaiah, S; Minis, E; Stanford, FC, 2023
)
0.91
"Tirzepatide (TZP) is a novel drug for type 2 diabetes mellitus (T2DM), but the gastrointestinal (GI) adverse events (AEs) is a limiting factor in clinical application."( Gastrointestinal adverse events of tirzepatide in the treatment of type 2 diabetes mellitus: A meta-analysis and trials sequential analysis.
Hu, G; Liu, Z; Tong, K; Yang, X; Yin, S; Yu, Y; Zhang, F, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
"The pharmacokinetic properties of glucagon-like peptide-1(7-36)amide (GLP-1(7-37) were compared."( Glucagon-like peptide-1(7-37) has a larger volume of distribution than glucagon-like peptide-1(7-36)amide in dogs and is degraded more quickly in vitro by dog plasma.
Carr, RD; Christensen, JV; Deacon, CF; Holst, JJ; Kirk, O; Pridal, L,
)
0.13
" However, the pharmacokinetic profile of native GLP-1 with a rapid elimination has limited its therapeutic potential."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
" administration the half-life of NN2211 was found to be 12."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
"This study shows NN2211 has a pharmacokinetic profile supporting a daily dose in human beings, but also that subjects treated with NN2211 rather than placebo, had a higher incidence of adverse events, most notably dizziness and adverse events related to the gastrointestinal system."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
"This study provides evidence that NN2211 has a pharmacokinetic profile consistent with once-daily dosing in humans."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
"In the present work, the pharmacodynamic glucose and insulin response was modeled by fitting glucose and insulin data simultaneously with a nonlinear model incorporating known carbohydrate regulation mechanisms."( Pharmacodynamics of NN2211, a novel long acting GLP-1 derivative.
Agersø, H; Vicini, P, 2003
)
0.32
" However, the development of a GLP-1-based pharmaceutical agent has a severe limitation due to its very short half-life in plasma, being primarily degraded by dipeptidyl peptidase IV (DPP-IV) enzyme."( Synthesis, characterization, and pharmacokinetic studies of PEGylated glucagon-like peptide-1.
Byun, Y; Chae, SY; Lee, KC; Lee, S; Lee, SH; Na, DH; Youn, YS,
)
0.13
"Sitagliptin was well absorbed (approximately 80% excreted unchanged in the urine) with an apparent terminal half-life ranging from 8 to 14 hours."( Pharmacokinetics and pharmacodynamics of sitagliptin, an inhibitor of dipeptidyl peptidase IV, in healthy subjects: results from two randomized, double-blind, placebo-controlled studies with single oral doses.
Bergman, A; Davies, MJ; De Smet, M; Gottesdiener, KM; Herman, GA; Hilliard, D; Musson, D; Ramael, S; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Van Dyck, K; Wagner, JA; Wang, AQ; Winchell, G; Yi, B; Zeng, W, 2005
)
0.33
" Sitagliptin possesses pharmacokinetic and pharmacodynamic characteristics that support a once-daily dosing regimen."( Pharmacokinetics and pharmacodynamics of sitagliptin, an inhibitor of dipeptidyl peptidase IV, in healthy subjects: results from two randomized, double-blind, placebo-controlled studies with single oral doses.
Bergman, A; Davies, MJ; De Smet, M; Gottesdiener, KM; Herman, GA; Hilliard, D; Musson, D; Ramael, S; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Van Dyck, K; Wagner, JA; Wang, AQ; Winchell, G; Yi, B; Zeng, W, 2005
)
0.33
"The aim of this study was to assess the pharmacokinetic and pharmacodynamic (PK/PD) properties and tolerability of multiple oral once-daily or twice-daily doses of sitagliptin."( Pharmacokinetic and pharmacodynamic properties of multiple oral doses of sitagliptin, a dipeptidyl peptidase-IV inhibitor: a double-blind, randomized, placebo-controlled study in healthy male volunteers.
Bergman, AJ; Chen, L; Davies, MJ; De Smet, M; Herman, GA; Hilliard, D; Laethem, M; Ramael, S; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Wagner, JA; Wang, AQ; Winchell, G; Yi, B; Zeng, W; Zhou, Y, 2006
)
0.33
" The area under the liraglutide plasma concentration curve from time 0 to last quantifiable concentration adjusted for body weight (significant covariate; P = ."( An open-label, parallel group study investigating the effects of age and gender on the pharmacokinetics of the once-daily glucagon-like peptide-1 analogue liraglutide.
Damholt, B; Ekblom, M; Golor, G; Pedersen, P; Wierich, W; Zdravkovic, M, 2006
)
0.33
" This multicenter, randomized, double-blind, placebo-controlled study examined the pharmacokinetic and pharmacodynamic effects of sitagliptin in obese subjects."( Pharmacokinetics and pharmacodynamic effects of the oral DPP-4 inhibitor sitagliptin in middle-aged obese subjects.
Bergman, A; Blum, R; Chen, L; Dilzer, S; Herman, GA; Hilliard, D; Lasseter, K; Liu, F; Meehan, AG; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Wagner, JA; Wang, AQ; Zeng, W, 2006
)
0.33
"As part of the clinical development of sitagliptin, a dipeptidyl peptidase-4 inhibitor, for the treatment of type 2 diabetes, the potential for pharmacokinetic interactions with other antihyperglycemic agents used in managing patients with type 2 diabetes are being carefully evaluated."( Tolerability and pharmacokinetics of metformin and the dipeptidyl peptidase-4 inhibitor sitagliptin when co-administered in patients with type 2 diabetes.
Bergman, A; Herman, GA; Kipnes, M; Yi, B, 2006
)
0.33
" Following dosing on Day 7 of each treatment period, these pharmacokinetic parameters were determined for plasma sitagliptin and metformin: area under the plasma concentrations-time curve over the dosing interval (AUC(0-12h)), maximum observed plasma concentrations (C(max)), and time of occurrence of maximum observed plasma concentrations (T(max))."( Tolerability and pharmacokinetics of metformin and the dipeptidyl peptidase-4 inhibitor sitagliptin when co-administered in patients with type 2 diabetes.
Bergman, A; Herman, GA; Kipnes, M; Yi, B, 2006
)
0.33
"To assess the pharmacokinetic and pharmacodynamic characteristics and tolerability of vildagliptin at doses of 10 mg, 25 mg and 100 mg twice daily following oral administration in patients with type 2 diabetes."( Pharmacokinetics and pharmacodynamics of vildagliptin in patients with type 2 diabetes mellitus.
Campestrini, J; Deacon, CF; He, YL; Holst, JJ; Ligueros-Saylan, M; Nielsen, JC; Riviere, GJ; Schwartz, S; Serra, D; Wang, Y, 2007
)
0.34
" Blood and urine were collected over 72 hours after dosing for pharmacokinetic analysis and determination of plasma DPP-4 inhibition and active glucagon-like peptide -1(GLP-1) concentrations."( Pharmacokinetics, pharmacodynamics, and tolerability of single increasing doses of the dipeptidyl peptidase-4 inhibitor alogliptin in healthy male subjects.
Christopher, R; Covington, P; Davenport, M; Fleck, P; Karim, A; Mekki, QA; Wann, ER, 2008
)
0.35
" Liraglutide showed dose-dependent increases in the pharmacokinetic parameters of AUC0-24 h, C(max) and C(trough), while t(max), t(1/2) and V(d/F) were constant."( Tolerability, pharmacokinetics and pharmacodynamics of the once-daily human GLP-1 analog liraglutide in Japanese healthy subjects: a randomized, double-blind, placebo-controlled dose-escalation study.
Irie, S; Jacobsen, LV; Kageyama, S; Matsumura, Y; Zdravkovic, M, 2008
)
0.35
" Despite clear pharmacodynamic effects in this euglycemic cohort, a low risk for hypoglycemia was suggested together with good gastrointestinal tolerability."( Tolerability, pharmacokinetics and pharmacodynamics of the once-daily human GLP-1 analog liraglutide in Japanese healthy subjects: a randomized, double-blind, placebo-controlled dose-escalation study.
Irie, S; Jacobsen, LV; Kageyama, S; Matsumura, Y; Zdravkovic, M, 2008
)
0.35
" These analogs had higher metabolic stabilities in rat plasma, liver and kidney homogenates, and extended pharmacokinetic profiles with the greater circulating half-lives (26."( Pharmacokinetic and pharmacodynamic evaluation of site-specific PEGylated glucagon-like peptide-1 analogs as flexible postprandial-glucose controllers.
Chae, SY; Chun, YG; Jin, CH; Lee, ES; Lee, KC; Lee, S; Youn, YS, 2009
)
0.35
"Conjugation to albumin led to a major prolongation of the half-life of GLP-1."( Pharmacokinetics and tolerability of a novel long-acting glucagon-like peptide-1 analog, CJC-1131, in healthy and diabetic subjects.
Castaigne, JP; Dreyfus, JF; Kruizinga, HH; Nemansky, M; Tiessen, RG; van Vliet, AA, 2008
)
0.35
" Albiglutide's long half-life may allow for once-weekly or less frequent dosing."( Pharmacodynamics, pharmacokinetics, safety, and tolerability of albiglutide, a long-acting glucagon-like peptide-1 mimetic, in patients with type 2 diabetes.
Bush, MA; De Boever, EH; Dobbins, RL; Hodge, RJ; Holland, MC; Matthews, JE; Stewart, MW; Walker, SE, 2008
)
0.35
"The aim of this study was to investigate the pharmacokinetic (PK), pharmacodynamic (PD), and tolerability profiles of a single dose of LC15-0444 in healthy male subjects."( Pharmacokinetics, pharmacodynamics, and tolerability of the dipeptidyl peptidase IV inhibitor LC15-0444 in healthy Korean men: a dose-block-randomized, double-blind, placebo-controlled, ascending single-dose, Phase I study.
Cho, JY; Choi, YJ; Hong, JH; Hwang, DM; Jang, IJ; Kim, JA; Kim, JR; Kim, KP; Kwon, OH; Lim, KS; Shin, HS; Shin, KH; Shin, SG; Yu, KS, 2008
)
0.35
"Albiglutide had a terminal elimination half-life (T(1/2)) of 6-8 days and time to maximum observed plasma drug concentration (T(max)) of 3-4 days."( Safety, tolerability, pharmacodynamics and pharmacokinetics of albiglutide, a long-acting glucagon-like peptide-1 mimetic, in healthy subjects.
Bush, MA; De Boever, EH; Dobbins, RL; Gutierrez, M; Hodge, RJ; Holland, MC; Matthews, JE; Stewart, MW; Walker, SE, 2009
)
0.35
"Albiglutide has a half-life that favours once weekly or less frequent dosing with an acceptable safety/tolerability profile in non-diabetic subjects."( Safety, tolerability, pharmacodynamics and pharmacokinetics of albiglutide, a long-acting glucagon-like peptide-1 mimetic, in healthy subjects.
Bush, MA; De Boever, EH; Dobbins, RL; Gutierrez, M; Hodge, RJ; Holland, MC; Matthews, JE; Stewart, MW; Walker, SE, 2009
)
0.35
"Safety parameters, including adverse events, clinical laboratory tests, vital signs, and 12-lead electrocardiogram; plasma concentrations of albiglutide; and pharmacodynamic parameters, including change from baseline and weighted mean AUC(0-4) in plasma glucose, glucagon, insulin, and C-peptide levels."( Safety, tolerability, pharmacokinetics and pharmacodynamics of albiglutide, a long-acting GLP-1-receptor agonist, in Japanese subjects with type 2 diabetes mellitus.
Bush, MA; Kurita, T; Miyahara, H; Nakajima, H; Seino, Y; Stewart, MW; Yang, F, 2009
)
0.35
"The study objectives were to evaluate the pharmacokinetic and pharmacodynamic properties, as well as safety and tolerability, of single doses of taspoglutide, a human glucagon-like peptide-1 (GLP-1) analogue."( Pharmacokinetic and pharmacodynamic properties of taspoglutide, a once-weekly, human GLP-1 analogue, after single-dose administration in patients with Type 2 diabetes.
Balena, R; Birman, P; Heise, T; Jallet, K; Kapitza, C; Ramis, J, 2009
)
0.35
" The pharmacokinetic and pharmacodynamic properties of liraglutide and mechanisms behind its protracted action, which in turn enables enhanced glycemic control, are reviewed."( Pharmacokinetics and pharmacodynamics of liraglutide, a long-acting, potent glucagon-like peptide-1 analog.
Meece, J, 2009
)
0.35
"75 mg subcutaneously, and completed serial blood sampling for plasma liraglutide measurements for pharmacokinetic estimation."( Effect of renal impairment on the pharmacokinetics of the GLP-1 analogue liraglutide.
Hindsberger, C; Jacobsen, LV; Robson, R; Zdravkovic, M, 2009
)
0.35
" The aim of this work is to estimate the population pharmacokinetics of liraglutide and make a comparison to the pharmacokinetic profile of exenatide."( Population pharmacokinetics of liraglutide, a once-daily human glucagon-like peptide-1 analog, in healthy volunteers and subjects with type 2 diabetes, and comparison to twice-daily exenatide.
Ingwersen, SH; Jacobsen, LV; Jonker, DM; Watson, E, 2010
)
0.36
" These molecules, called CovX-Bodies, maintain both the pharmacologic properties of a given peptide and the pharmacokinetic properties of a monoclonal antibody."( Combined use of immunoassay and two-dimensional liquid chromatography mass spectrometry for the detection and identification of metabolites from biotherapeutic pharmacokinetic samples.
Del Rosario, J; Kinhikar, AG; Levin, N; Murphy, RE; Preston, R; Shields, MJ; Ward, GH, 2010
)
0.36
"Vildagliptin demonstrated similar pharmacokinetic and pharmacodynamic effects in Japanese patients to those observed previously in non-Japanese patients with Type 2 diabetes."( Pharmacokinetics and pharmacodynamics of vildagliptin in Japanese patients with type 2 diabetes.
He, YL; Ito, H; Sekiguchi, K; Terao, S; Yamaguchi, M, 2010
)
0.36
"To compare the pharmacokinetic (PK) [area under the curve (AUC₀(-)₂₄ (h), C(max))] and pharmacodynamic (PD) (AUC(GIR) ₀(-)₂₄ (h), GIR(max)) properties of single-dose insulin detemir in the presence or absence of steady-state liraglutide (1."( Co-administration of liraglutide with insulin detemir demonstrates additive pharmacodynamic effects with no pharmacokinetic interaction.
Chang, D; Chatterjee, DJ; Guthrie, H; Hompesch, M; Morrow, L, 2011
)
0.37
" The pharmacokinetic and safety effects of single-dose subcutaneous administration of exenatide ER (2."( Pharmacokinetics and pharmacodynamics of exenatide extended-release after single and multiple dosing.
Aisporna, M; Cirincione, B; Diamant, M; Fineman, M; Flanagan, S; Kothare, P; Li, WI; MacConell, L; Mace, KF; Shen, LZ; Taylor, K; Walsh, B, 2011
)
0.37
" However, the half-life of GLP-1 is short in vivo due to degradation by dipeptidyl peptidase-IV (DPP-IV) and renal clearance."( A novel GLP-1 analog exhibits potent utility in the treatment of type 2 diabetes with an extended half-life and efficient glucose clearance in vivo.
Gong, M; Li, Y; Tang, L; Xu, W; Zhang, J, 2011
)
0.37
" The terminal elimination half-life was ~13 h when administered as an oral suspension formulation."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of JNJ-38431055, a novel GPR119 receptor agonist and potential antidiabetes agent, in healthy male subjects.
Gambale, JJ; Katz, LB; Polidori, DC; Rothenberg, PL; Sarich, TC; Stein, PP; Vaccaro, N; Vanapalli, SR; Vets, E; Xi, L, 2011
)
0.37
" Safety, pharmacokinetics and pharmacodynamic variables were evaluated."( Safety, pharmacokinetics and pharmacodynamics of multiple-ascending doses of the novel glucokinase activator AZD1656 in patients with type 2 diabetes mellitus.
Ericsson, H; Hompesch, M; Knutsson, M; Leonsson-Zachrisson, M; Morrow, LA; Norjavaara, E; Wollbratt, M, 2012
)
0.38
" An active metabolite was formed which had a longer half-life than AZD1656, but showed ∼15% of the area under the plasma concentration versus time curve from 0 to 24 h compared with that of AZD1656."( Safety, pharmacokinetics and pharmacodynamics of multiple-ascending doses of the novel glucokinase activator AZD1656 in patients with type 2 diabetes mellitus.
Ericsson, H; Hompesch, M; Knutsson, M; Leonsson-Zachrisson, M; Morrow, LA; Norjavaara, E; Wollbratt, M, 2012
)
0.38
" Serial blood samples were collected up to 120 hours after drug administration for pharmacokinetic analysis and the assessment of DPP IV activity, and blood samples were collected up to 2 hours after each meal until the next morning of drug administration to evaluate active GLP-1, glucose, and insulin levels."( Evaluation of the pharmacokinetics, food effect, pharmacodynamics, and tolerability of DA-1229, a dipeptidyl peptidase IV inhibitor, in healthy volunteers: first-in-human study.
Cho, JY; Jang, IJ; Kim, TE; Lim, KS; Park, MK; Shin, SG; Yoon, SH; Yu, KS, 2012
)
0.38
" The GLP-1-RA are administered subcutaneously and differ substantially in pharmacokinetic profiles."( GLP-1 agonists for type 2 diabetes: pharmacokinetic and toxicological considerations.
Christensen, M; Jespersen, MJ; Knop, FK, 2013
)
0.39
" The difference in chemical structure have strong implications for key pharmacokinetic parameters such as absorption and clearance, and eventually the safety and efficacy of the individual GLP-1-RA."( GLP-1 agonists for type 2 diabetes: pharmacokinetic and toxicological considerations.
Christensen, M; Jespersen, MJ; Knop, FK, 2013
)
0.39
" Three open-label phase 1 studies were conducted in healthy human participants to investigate potential pharmacokinetic (PK) and/or pharmacodynamic (PD) interactions between albiglutide and medications that may be used concomitantly."( Effects of multiple doses of albiglutide on the pharmacokinetics, pharmacodynamics, and safety of digoxin, warfarin, or a low-dose oral contraceptive.
Bush, M; Lewis, E; Scott, R; Watanalumlerd, P; Zhi, H, 2012
)
0.38
"To assess the extent of pharmacokinetic and pharmacodynamic interaction between vildagliptin, a potent and selective inhibitor of dipeptidyl peptidase IV (DPP-4) enzyme, and voglibose, an α-glucosidase inhibitor widely prescribed in Japan, when coadministered in Japanese patients with Type 2 diabetes."( Pharmacokinetic and pharmacodynamic interaction of vildagliptin and voglibose in Japanese patients with Type 2 diabetes.
Furihata, K; He, YL; Kulmatycki, K; Mita, S; Saji, T; Sekiguchi, K; Yamaguchi, M, 2013
)
0.39
" Co-administration led to significantly better pharmacodynamic response compared with each treatment alone, including higher active GLP-1 and lower glucose levels."( Pharmacokinetic and pharmacodynamic interaction of vildagliptin and voglibose in Japanese patients with Type 2 diabetes.
Furihata, K; He, YL; Kulmatycki, K; Mita, S; Saji, T; Sekiguchi, K; Yamaguchi, M, 2013
)
0.39
" In the present work, in vitro metabolism and pharmacokinetic properties of GLP-1(9-36)amide have been characterized in dogs, since this preclinical species has been used as an animal model to demonstrate the in vivo vasodilatory and cardioprotective effects of GLP-1(9-36)amide."( Pharmacokinetics and metabolism studies on the glucagon-like peptide-1 (GLP-1)-derived metabolite GLP-1(9-36)amide in male Beagle dogs.
Eng, H; Kalgutkar, AS; Landis, MS; McDonald, TS; Sharma, R; Stevens, BD, 2014
)
0.4
" This study evaluated possible pharmacodynamic and pharmacokinetic interactions between gemigliptin and metformin and investigated their tolerability."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
" Blood samples were drawn over 24 h on the seventh day of each period for pharmacokinetic and pharmacodynamic evaluations, including plasma DPP-4 activity and total/active glucagon-like peptide-1 (GLP-1) levels."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
"Coadministration of gemigliptin and metformin showed beneficial anti-diabetic effects without pharmacokinetic drug-drug interactions."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
" The results showed that the half-life of rolGLP-1 in db/db mice was 68."( Pharmacokinetics, pharmacodynamics, and cytotoxicity of recombinant orally-administrated long-lasting GLP-1 and its therapeutic effect on db/db mice.
Abbas, SA; Chen, W; Hu, X; Li, C; Li, M; Ma, B; Ma, Z; Qu, S; Zhang, Y; Zhao, X, 2014
)
0.4
"Liraglutide was well tolerated in youth with T2D, with safety, tolerability, and pharmacokinetic profiles similar to profiles in adults."( Liraglutide's safety, tolerability, pharmacokinetics, and pharmacodynamics in pediatric type 2 diabetes: a randomized, double-blind, placebo-controlled trial.
Arslanian, S; Battelino, T; Chatterjee, DJ; Hale, PM; Jacobsen, LV; Klein, DJ, 2014
)
0.4
" Liraglutide is a fatty-acid derivative of GLP-1 with a protracted pharmacokinetic profile that is used in people for treatment of type II diabetes mellitus and obesity."( Pharmacokinetics and pharmacodynamics of the glucagon-like peptide-1 analog liraglutide in healthy cats.
Adin, CA; Borin-Crivellenti, S; Gilor, C; Hall, MJ; Lakritz, J; Rajala-Schultz, P; Rudinsky, AJ, 2015
)
0.42
" The pharmacokinetic properties of liraglutide enable 24-h exposure coverage, a requirement for 24-h glycaemic control with once-daily dosing."( Liraglutide in Type 2 Diabetes Mellitus: Clinical Pharmacokinetics and Pharmacodynamics.
Flint, A; Ingwersen, SH; Jacobsen, LV; Olsen, AK, 2016
)
0.43
" The aim of this study was to investigate the pharmacokinetic (PK) and pharmacodynamic (PD) effects of omarigliptin in obese participants with and without T2DM."( Pharmacokinetic and Pharmacodynamic Effects of Multiple-dose Administration of Omarigliptin, a Once-weekly Dipeptidyl Peptidase-4 Inhibitor, in Obese Participants With and Without Type 2 Diabetes Mellitus.
Addy, C; Aubrey Stoch, S; Gendrano, IN; Glasgow, XS; Gutierrez, M; Johnson-Levonas, AO; Kauh, E; Martucci, A; Matthews, CZ; Selverian, D; Tatosian, D; Wagner, JA, 2016
)
0.43
" The half-life of plasma DPP-4 inhibition with saxagliptin 5 mg is ~27 h, which supports a once-daily dosing regimen."( Clinical Pharmacokinetics and Pharmacodynamics of Saxagliptin, a Dipeptidyl Peptidase-4 Inhibitor.
Boulton, DW, 2017
)
0.46
"In order to better understand the therapeutic mechanism of dual-function peptide 5rolGLP-HV in treatment of treat diabetes and its complication of thrombosis, the pharmacological effects and pharmacokinetic properties of 5rolGLP-HV were conducted in this study."( Pharmacological Effects and Pharmacokinetic Properties of a Dual-Function Peptide 5rolGLP-HV.
Duan, H; Jiang, P; Li, M; Li, X; Ma, X; Ni, Z; Tu, P; Wang, B; Wang, H; Zhao, Q; Zhu, J, 2017
)
0.46
" To determine the rate of DPP-4 inhibition induced by these inhibitors, pharmacokinetic and pharmacodynamic parameters were used to theoretically examine the relationship between the rate of DPP-4 inhibition and clinical efficacy following the administration of four different DPP-4 inhibitors (sitagliptin, vildagliptin, alogliptin, linagliptin) by focusing on the increase in the level of glucagon-like peptide-1 (GLP-1) induced by their administration."( Evaluation of drug efficacy of DPP-4 inhibitors based on theoretical analysis with pharmacokinetics and pharmacodynamics.
Kimura, K; Takayanagi, R; Uchida, T; Yamada, Y, 2017
)
0.46
" The aim of this article is to outline the pharmacokinetic and pharmacodynamic properties of albiglutide including the clinical efficacy and safety data underlying the approval of albiglutide for the treatment of type 2 diabetes mellitus in both Europe and USA."( Clinical Pharmacokinetics and Pharmacodynamics of Albiglutide.
Brønden, A; Christensen, MB; Knop, FK, 2017
)
0.46
" Pharmacokinetic steady-state was achieved within 1 week."( Pharmacodynamics, pharmacokinetics and safety of multiple ascending doses of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 in people with type 2 diabetes mellitus.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
" Pharmacokinetic data supported once-daily dosing and pharmacodynamic effect displayed dose-dependent reductions in fasting and postprandial plasma glucose, without increasing the risk of hypoglycaemia."( Pharmacodynamics, pharmacokinetics and safety of multiple ascending doses of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 in people with type 2 diabetes mellitus.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
" Evidence of glycaemic effect and pharmacokinetic profiles consistent with once-daily dosing render this drug candidate suitable to be further tested in multiple-dose clinical trials in patients with type 2 diabetes."( Pharmacodynamics, pharmacokinetics, safety and tolerability of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 after single subcutaneous administration in healthy subjects.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
"A short-acting (GUB09-123) and a half-life extended (GUB09-145) GLP-1/GLP-2 co-agonist were generated using solid-phase peptide synthesis and tested for effects on food intake, body weight, glucose homeostasis, and gut proliferation in lean mice and in diabetic db/db mice."( Novel GLP-1/GLP-2 co-agonists display marked effects on gut volume and improves glycemic control in mice.
Fosgerau, K; Hansen, G; Jelsing, J; Jeppesen, PB; Mannerstedt, K; Pedersen, PJ; Pedersen, SL; Vrang, N; Wismann, P, 2018
)
0.48
" In contrast to GUB09-123, sub-chronic administration of a half-life extended GUB09-145 to lean mice caused marked dose-dependent effects on body weight while maintaining its potent intestinotrophic effect."( Novel GLP-1/GLP-2 co-agonists display marked effects on gut volume and improves glycemic control in mice.
Fosgerau, K; Hansen, G; Jelsing, J; Jeppesen, PB; Mannerstedt, K; Pedersen, PJ; Pedersen, SL; Vrang, N; Wismann, P, 2018
)
0.48
" Effects on body weight and gastric emptying are also observed depending on the pharmacokinetic properties of the molecule."( Novel GLP-1/GLP-2 co-agonists display marked effects on gut volume and improves glycemic control in mice.
Fosgerau, K; Hansen, G; Jelsing, J; Jeppesen, PB; Mannerstedt, K; Pedersen, PJ; Pedersen, SL; Vrang, N; Wismann, P, 2018
)
0.48
" Similarly, there was no apparent effect of renal impairment on the semaglutide half-life (geometric mean range 152-165 h)."( Pharmacokinetics, Safety and Tolerability of Oral Semaglutide in Subjects with Renal Impairment.
Anderson, TW; Granhall, C; Søndergaard, FL; Thomsen, M, 2018
)
0.48
" Molecular structure and pharmacokinetic properties vary among GLP-1 RAs, with some more closely related than others to native glucagon-like peptide-1 (GLP-1)."( The Pharmacokinetic Properties of Glucagon-like Peptide-1 Receptor Agonists and Their Mode and Mechanism of Action in Patients with Type 2 Diabetes.
Anderson, J, 2018
)
0.48
" The half-life of semaglutide was approximately 1 week in all groups."( Safety and Pharmacokinetics of Single and Multiple Ascending Doses of the Novel Oral Human GLP-1 Analogue, Oral Semaglutide, in Healthy Subjects and Subjects with Type 2 Diabetes.
Blicher, TM; Bækdal, TA; Donsmark, M; Golor, G; Granhall, C; Søndergaard, FL; Thomsen, M, 2019
)
0.51
" The pharmacokinetic results supported that oral semaglutide is suitable for once-daily dosing."( Safety and Pharmacokinetics of Single and Multiple Ascending Doses of the Novel Oral Human GLP-1 Analogue, Oral Semaglutide, in Healthy Subjects and Subjects with Type 2 Diabetes.
Blicher, TM; Bækdal, TA; Donsmark, M; Golor, G; Granhall, C; Søndergaard, FL; Thomsen, M, 2019
)
0.51
" For the pharmacodynamic evaluation, oral glucose tolerance tests (OGTTs) were conducted predose and on day 5 after the target dose, during which plasma glucose, insulin, C-peptide, and glucagon concentrations were analyzed."( Pharmacokinetics, pharmacodynamics, and tolerability of JY09 in healthy Chinese subjects: A titrating, dose-escalating study.
Bai, Y; Cao, B; Geng, Y; Jiang, J; Li, J; Lin, H; Weng, Z; Yang, G; Yang, Y; Zhang, C; Zhao, Y, 2020
)
0.56
"JY09 has a long half-life of ~ 9."( Pharmacokinetics, pharmacodynamics, and tolerability of JY09 in healthy Chinese subjects: A titrating, dose-escalating study.
Bai, Y; Cao, B; Geng, Y; Jiang, J; Li, J; Lin, H; Weng, Z; Yang, G; Yang, Y; Zhang, C; Zhao, Y, 2020
)
0.56
" GIP half-life following intravenous injection amounted to 93 ± 2 s, which was extended to 5 ± 0."( Pharmacokinetics of exogenous GIP(1-42) in C57Bl/6 mice; Extremely rapid degradation but marked variation between available assays.
Boer, GA; Hartmann, B; Holst, JJ, 2021
)
0.62
" Blood samples were collected and analysed for pharmacokinetic and pharmacodynamic properties."( A double-blind, randomized, placebo and positive-controlled study in healthy volunteers to evaluate pharmacokinetic and pharmacodynamic properties of multiple oral doses of cetagliptin.
Chen, J; Ding, J; Lu, J; Shao, F; Tang, D; Tian, X; Wang, L; Wang, T; Xie, D; Xie, L; Yu, Q; Zhou, C; Zhou, S, 2022
)
0.72
" The objective of the current analysis was to evaluate the effects on the gastric emptying rate caused by semaglutide on pharmacokinetic model parameters of paracetamol and atorvastatin in healthy subjects."( Population pharmacokinetic of paracetamol and atorvastatin with co-administration of semaglutide.
Kristensen, K; Langeskov, EK, 2022
)
0.72
"This pilot study provides validation for the value of a frequently sampled intravenous glucose tolerance test (including minimal model analysis) to provide primary data for our ongoing pharmacogenomic study of pharmacodynamic effects of semaglutide (NCT05071898)."( Acute pharmacodynamic responses to exenatide: Drug-induced increases in insulin secretion and glucose effectiveness.
Beitelshees, AL; Fan, H; Mitchell, BD; Montasser, ME; Muniyappa, R; Shuldiner, AR; Streeten, EA; Taylor, SI; Whitlatch, HB; Yazdi, ZS; Yuen, AH, 2023
)
0.91

Compound-Compound Interactions

ExcerptReferenceRelevance
" Under these circumstances sub-chronic administration of exendin-4 alone or particularly when combined with N-AcGIP significantly (P<0."( Antidiabetic effects of sub-chronic activation of the GIP receptor alone and in combination with background exendin-4 therapy in high fat fed mice.
Flatt, PR; Frizzell, N; Hunter, K; Irwin, N, 2009
)
0.35
"8 mg) or liraglutide placebo in combination with metformin (1 g twice daily) and rosiglitazone (4 mg twice daily)."( Efficacy and safety of the human glucagon-like peptide-1 analog liraglutide in combination with metformin and thiazolidinedione in patients with type 2 diabetes (LEAD-4 Met+TZD).
Blonde, L; Buse, JB; Gerich, J; Hale, PM; Lewin, A; Raskin, P; Schwartz, S; Zdravkovic, M; Zinman, B, 2009
)
0.35
"Liraglutide combined with metformin and a thiazolidinedione is a well-tolerated combination therapy for type 2 diabetes, providing significant improvements in glycemic control."( Efficacy and safety of the human glucagon-like peptide-1 analog liraglutide in combination with metformin and thiazolidinedione in patients with type 2 diabetes (LEAD-4 Met+TZD).
Blonde, L; Buse, JB; Gerich, J; Hale, PM; Lewin, A; Raskin, P; Schwartz, S; Zdravkovic, M; Zinman, B, 2009
)
0.35
"The aim of the study was to compare the efficacy and safety of liraglutide in type 2 diabetes mellitus vs placebo and insulin glargine (A21Gly,B31Arg,B32Arg human insulin), all in combination with metformin and glimepiride."( Liraglutide vs insulin glargine and placebo in combination with metformin and sulfonylurea therapy in type 2 diabetes mellitus (LEAD-5 met+SU): a randomised controlled trial.
Antic, S; Lalic, N; Ravn, GM; Russell-Jones, D; Schmitz, O; Sethi, BK; Simó, R; Vaag, A; Zdravkovic, M, 2009
)
0.35
"8 mg once daily (n = 232), liraglutide placebo (n = 115) and open-label insulin glargine (n = 234), all in combination with metformin (1 g twice daily) and glimepiride (4 mg once daily)."( Liraglutide vs insulin glargine and placebo in combination with metformin and sulfonylurea therapy in type 2 diabetes mellitus (LEAD-5 met+SU): a randomised controlled trial.
Antic, S; Lalic, N; Ravn, GM; Russell-Jones, D; Schmitz, O; Sethi, BK; Simó, R; Vaag, A; Zdravkovic, M, 2009
)
0.35
"When combined with lifestyle modification, exenatide treatment led to significant weight loss, improved glycemic control, and decreased blood pressure compared with lifestyle modification alone in overweight or obese participants with type 2 diabetes on metformin and/or sulfonylurea treatment."( Effects of exenatide combined with lifestyle modification in patients with type 2 diabetes.
Apovian, CM; Bergenstal, RM; Cuddihy, RM; Glass, LC; Lenox, S; Lewis, MS; Qu, Y, 2010
)
0.36
"To assess and compare the efficacy and safety of liraglutide with those of glimepiride, both in combination with metformin for the treatment of type 2 diabetes in Asian population from China, South Korea and India."( Liraglutide provides similar glycaemic control as glimepiride (both in combination with metformin) and reduces body weight and systolic blood pressure in Asian population with type 2 diabetes from China, South Korea and India: a 16-week, randomized, doubl
Bech, OM; Bhattacharyya, A; Chen, L; Ji, Q; Kim, KW; Kumar, A; Liu, X; Ma, J; Tandon, N; Yang, W; Yoon, KH; Zychma, M, 2011
)
0.37
"8 mg once daily or glimepiride 4 mg once daily all in combination with metformin: 1 : 1 : 1 : 1)."( Liraglutide provides similar glycaemic control as glimepiride (both in combination with metformin) and reduces body weight and systolic blood pressure in Asian population with type 2 diabetes from China, South Korea and India: a 16-week, randomized, doubl
Bech, OM; Bhattacharyya, A; Chen, L; Ji, Q; Kim, KW; Kumar, A; Liu, X; Ma, J; Tandon, N; Yang, W; Yoon, KH; Zychma, M, 2011
)
0.37
" Herein, the results of clinical trials assessing the efficacy, safety and tolerability of liraglutide when used in combination with either one or two oral antidiabetic therapies are summarised, then contrasted with the effects of exenatide and dipeptidyl peptidase (DPP-4) inhibitors."( Liraglutide in oral antidiabetic drug combination therapy.
Garber, AJ, 2012
)
0.38
" The aim of this study was to verify metabolic effects of liraglutide in combination with other antidiabetic drugs."( Efficacy and tolerability of liraglutide in combination with other antidiabetic drugs in type 2 diabetes.
Zenari, L, 2011
)
0.37
"0 pmol/kg/min (pkm) and placebo, given by continuous subcutaneous infusion over 3 months in combination with metformin and sulphonylurea (SU), to lower haemoglobin A1c (HbA1c), fasting plasma glucose and weight in 95 type 2 diabetes patients with inadequate glycaemic control."( Dose response of continuous subcutaneous infusion of recombinant glucagon-like peptide-1 in combination with metformin and sulphonylurea over 12 weeks in patients with type 2 diabetes mellitus.
Ehlers, MR; Holst, JJ; Torekov, SS, 2014
)
0.4
"Administration of rGLP-1 by CSCI over a 12-week period in combination with metformin and an SU had a dose dependent effect in lowering HbA1c and fasting plasma glucose."( Dose response of continuous subcutaneous infusion of recombinant glucagon-like peptide-1 in combination with metformin and sulphonylurea over 12 weeks in patients with type 2 diabetes mellitus.
Ehlers, MR; Holst, JJ; Torekov, SS, 2014
)
0.4
" GLP-1 RA are effective in combination with insulin, and even slightly superior or at least equal to short-acting insulin in T2D; however, since they work in the incretin system, they may not be effective in long-standing disease."( A new angle for glp-1 receptor agonist: the medical economics argument. Editorial on: Huetson P, Palmer JL, Levorsen A, et al. Cost-effectiveness of the once-daily glp-1 receptor agonist lixisenatide compared to bolus insulin both in combination with basa
Florez, HJ; Valencia, WM, 2015
)
0.42
" Compound 4d, a novel TGR5 agonist, in combination with Sitagliptin, a DPP-4 inhibitor, has demonstrated an adequate GLP-1 secretion and glucose lowering effect in animal models, suggesting a potential clinical option in treatment of type-2 diabetes."( Evaluation of novel TGR5 agonist in combination with Sitagliptin for possible treatment of type 2 diabetes.
Agarwal, S; Bhayani, H; Deshmukh, P; Giri, P; Giri, S; Jain, M; Kulkarni, N; Kumar, J; Sasane, S; Soman, S, 2018
)
0.48
" Here, we investigated behavioral and neurochemical effects of liraglutide (LIRA), a GLP-1 receptor agonist, alone or combined with LEV in mice subjected to PTZ-induced kindling."( Prevention of pentylenetetrazole-induced kindling and behavioral comorbidities in mice by levetiracetam combined with the GLP-1 agonist liraglutide: Involvement of brain antioxidant and BDNF upregulating properties.
Chaves Filho, AJM; de Carvalho, MAJ; de França Fonteles, MM; de Lima, KA; de Souza, AG; de Souza, DAA; Florenço Sousa, FC; Lopes, IS; Macedo, D; Mendes Vasconcelos, SM; Souza Oliveira, JV, 2019
)
0.51
"Five clinical pharmacology studies evaluated the potential drug-drug interaction between multiple subcutaneous taspoglutide doses and a single dose of lisinopril, warfarin, and simvastatin and multiple doses of digoxin and an oral contraceptive containing ethinylestradiol and levonorgestrel."( Assessment of Drug-Drug Interactions between Taspoglutide, a Glucagon-Like Peptide-1 Agonist, and Drugs Commonly Used in Type 2 Diabetes Mellitus: Results of Five Phase I Trials.
Bogman, K; Brumm, J; Giraudon, M; Hofmann, C; Mangold, B; Niggli, M; Sauter, A; Schmitt, C; Sturm, S; Sturm-Pellanda, C, 2019
)
0.51
" A mouse model of diet-induced obesity (DIO) was used to investigate the potential metabolic benefits of chronic dosing of each antagonist, alone or in combination with liraglutide."( Chronic peptide-based GIP receptor inhibition exhibits modest glucose metabolic changes in mice when administered either alone or combined with GLP-1 agonism.
Bewick, GA; Ghosh, SS; Grønlund, RV; Maggs, D; Parkes, DG; Pedersen, PJ; Rajagopalan, H; Tsakmaki, A; West, JA, 2021
)
0.62
"Guidelines do not offer recommendations regarding the use of GLP-1 RAs in combination with MDII regimens."( Evaluation of GLP-1 Receptor Agonists in Combination With Multiple Daily Insulin Injections for Type 2 Diabetes.
Phillips, BB; Sassenrath, K; Stone, RH, 2022
)
0.72
"While some studies did demonstrate an improvement in A1c and reduction in insulin doses without increased hypoglycemia, larger randomized controlled trials are needed to adequately assess the benefit and safety of GLP-1 RAs in combination with MDII."( Evaluation of GLP-1 Receptor Agonists in Combination With Multiple Daily Insulin Injections for Type 2 Diabetes.
Phillips, BB; Sassenrath, K; Stone, RH, 2022
)
0.72
"To engineer and screen a novel GLP-1/anti-apolipoprotein B (apoB) bifunctional fusion protein with therapeutic potential on alleviating diabetes and diabetic complication in combination with low-intensity ultrasound."( Novel GLP-1/anti-apolipoprotein B bifunctional fusion protein alleviates diabetes and diabetic complications in combination with low-intensity ultrasound.
Bai, L; Li, X; Liu, H; Shi, Y; Wang, Y; Zhang, Y, 2021
)
0.62
"A novel long-lasting bifunctional fusion molecule, aBG-8, was designed with the enormous potential on alleviating diabetes and diabetic complications in combination with low-intensity ultrasound."( Novel GLP-1/anti-apolipoprotein B bifunctional fusion protein alleviates diabetes and diabetic complications in combination with low-intensity ultrasound.
Bai, L; Li, X; Liu, H; Shi, Y; Wang, Y; Zhang, Y, 2021
)
0.62
" Currently, evidence regarding pharmacological interventions for diabetes combined with AMI and I/R injury is lacking."( Research progress on the effects of novel hypoglycemic drugs in diabetes combined with myocardial ischemia/reperfusion injury.
Yang, T; Zhang, D, 2023
)
0.91

Bioavailability

ExcerptReferenceRelevance
" administration, the maximum plasma concentration was reached after 15 +/- 5 and 19 +/- 4 min and the absolute bioavailability was 48 +/- 7 and 49 +/- 13% for GLP-1(7-36)amide and GLP-1(7-37), respectively."( Glucagon-like peptide-1(7-37) has a larger volume of distribution than glucagon-like peptide-1(7-36)amide in dogs and is degraded more quickly in vitro by dog plasma.
Carr, RD; Christensen, JV; Deacon, CF; Holst, JJ; Kirk, O; Pridal, L,
)
0.13
"l-1, consistent with a relative bioavailability of 7% versus intravenous injection and 47% versus subcutaneous injection."( Potential therapeutic levels of glucagon-like peptide I achieved in humans by a buccal tablet.
Ahrén, B; Gutniak, MK; Heiber, SJ; Holst, JJ; Juneskans, OT; Larsson, H, 1996
)
0.29
" Being a peptide GLP-1 requires parenteral administration, but because of rapid enzymatic degradation its bioavailability is low."( GLP-1 in NIDDM.
Holst, JJ, 1996
)
0.29
" The mean placebo-adjusted area under the curve was 5,334 min pmol/l, consistent with a relative bioavailability of 6% vs."( GLP-1 tablet in type 2 diabetes in fasting and postprandial conditions.
Ahrén, B; Gutniak, MK; Holst, JJ; Juneskans, O; Larsson, H; Sanders, SW, 1997
)
0.3
"To utilize an acylated peptide as a model system to investigate the relationships among solution peptide conformation, non-covalent self-association, subcutaneous absorption and bioavailability under pharmaceutically relevant solution formulation conditions."( Effects of non-covalent self-association on the subcutaneous absorption of a therapeutic peptide.
Brader, ML; Clodfelter, DK; Destrampe, KA; Havel, HA; Myers, SR; Pekar, AH; Rebhun, DM, 1998
)
0.3
" Hydrophobic aggregation mediated by seemingly innocuous solution formulation conditions can have a dramatic effect on the subcutaneous bioavailability and pharmacokinetics of a therapeutic peptide and in the extreme, can totally preclude its absorption."( Effects of non-covalent self-association on the subcutaneous absorption of a therapeutic peptide.
Brader, ML; Clodfelter, DK; Destrampe, KA; Havel, HA; Myers, SR; Pekar, AH; Rebhun, DM, 1998
)
0.3
" (2R)-4-Oxo-4-[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]pyrazin-7(8H)-yl]-1-(2,4,5-trifluorophenyl)butan-2-amine (1) is a potent, orally active DPP-IV inhibitor (IC(50) = 18 nM) with excellent selectivity over other proline-selective peptidases, oral bioavailability in preclinical species, and in vivo efficacy in animal models."( (2R)-4-oxo-4-[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]pyrazin-7(8H)-yl]-1-(2,4,5-trifluorophenyl)butan-2-amine: a potent, orally active dipeptidyl peptidase IV inhibitor for the treatment of type 2 diabetes.
Beconi, M; Eiermann, GJ; Fisher, MH; He, H; Hickey, GJ; Kim, D; Kowalchick, JE; Leiting, B; Lyons, K; Marsilio, F; McCann, ME; Patel, RA; Patel, SB; Petrov, A; Roy, RS; Scapin, G; Thornberry, NA; Wang, L; Weber, AE; Wu, JK; Wyvratt, MJ; Zhang, BB; Zhu, L, 2005
)
0.33
"Sitagliptin was well absorbed (approximately 80% excreted unchanged in the urine) with an apparent terminal half-life ranging from 8 to 14 hours."( Pharmacokinetics and pharmacodynamics of sitagliptin, an inhibitor of dipeptidyl peptidase IV, in healthy subjects: results from two randomized, double-blind, placebo-controlled studies with single oral doses.
Bergman, A; Davies, MJ; De Smet, M; Gottesdiener, KM; Herman, GA; Hilliard, D; Musson, D; Ramael, S; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Van Dyck, K; Wagner, JA; Wang, AQ; Winchell, G; Yi, B; Zeng, W, 2005
)
0.33
" Absolute oral bioavailability of alogliptin in rats, dogs, and monkeys was 45%, 86%, and 72% to 88%, respectively."( Pharmacokinetic, pharmacodynamic, and efficacy profiles of alogliptin, a novel inhibitor of dipeptidyl peptidase-4, in rats, dogs, and monkeys.
Asakawa, T; Christopher, RJ; Kassel, DB; Lee, B; Shi, L; Takeuchi, K, 2008
)
0.35
" All three meals contained [(13)C]glucose (3 mg/kg body wt) to assess the bioavailability of ingested glucose."( Reducing dietary fat from a meal increases the bioavailability of exogenous carbohydrate without altering plasma glucose concentration.
Horowitz, JF; Knuth, ND; Shrivastava, CR, 2009
)
0.35
" ASP8497 exhibited good oral bioavailability with potent inhibition of plasma DPP-IV activity."( Evaluation of the antidiabetic effects of dipeptidyl peptidase-IV inhibitor ASP8497 in streptozotocin-nicotinamide-induced mildly diabetic mice.
Hayakawa, M; Matsuyama-Yokono, A; Nakano, R; Shibasaki, M; Someya, Y; Tahara, A, 2009
)
0.35
" The absolute bioavailability (BA (%)) values depend on the physichochemical characters of drugs, stereoisomer character of penetratin, and site of administration."( Efficiency of cell-penetrating peptides on the nasal and intestinal absorption of therapeutic peptides and proteins.
Eda, Y; Ikeno, Y; Kamei, N; Khafagy, el-S; Morishita, M; Takayama, K, 2009
)
0.35
" No clinically relevant reduction in bioavailability of ethinyl estradiol/levonorgestrel occurred."( Treatment with liraglutide--a once-daily GLP-1 analog--does not reduce the bioavailability of ethinyl estradiol/levonorgestrel taken as an oral combination contraceptive drug.
Hindsberger, C; Jacobsen, LV; Vouis, J; Zdravkovic, M, 2011
)
0.37
" The absorption rate of acetaminophen added to the liquid meal was measured."( Changes in glucose homeostasis after Roux-en-Y gastric bypass surgery for obesity at day three, two months, and one year after surgery: role of gut peptides.
Falkén, Y; Hellström, PM; Holst, JJ; Näslund, E, 2011
)
0.37
" The absorption rate of acetaminophen was twice as fast after GBP compared with before surgery and did not change over time."( Changes in glucose homeostasis after Roux-en-Y gastric bypass surgery for obesity at day three, two months, and one year after surgery: role of gut peptides.
Falkén, Y; Hellström, PM; Holst, JJ; Näslund, E, 2011
)
0.37
" We used a formulation that increases oral bioavailability to assess the mechanisms involved in the glucoregulatory action of RSV in high-fat diet (HFD)-fed diabetic wild type mice."( Resveratrol increases glucose induced GLP-1 secretion in mice: a mechanism which contributes to the glycemic control.
Barra, Y; Barthélemy, S; Burcelin, R; Champion, S; Dao, TM; Drucker, DJ; Klopp, P; Pechere, L; Sérée, E; Serino, M; Vachoux, C; Waget, A, 2011
)
0.37
" The individual estimates of absorption rate constants were used in the model for GLP-1 secretion."( Mechanism-based population modelling for assessment of L-cell function based on total GLP-1 response following an oral glucose tolerance test.
Gao, W; Hansen, T; Holst, JJ; Ingwersen, SH; Jusko, WJ; Madsen, H; Møller, JB; Overgaard, RV; Pedersen, O, 2011
)
0.37
" However, native GLP-1 pharmacokinetics reveals low bioavailability due to degradation by the ubiquitous dipeptydil peptidase IV (DPP-IV) endoprotease."( Chitosan-based therapeutic nanoparticles for combination gene therapy and gene silencing of in vitro cell lines relevant to type 2 diabetes.
Alameh, M; Buschmann, MD; Darras, V; De Jesus, D; Jean, M; Lavertu, M; Merzouki, A; Nelea, M; Thibault, M, 2012
)
0.38
" Poorly absorbed sweet tastants (TIM), which probably expose a greater length of gut to nutrients, result in delayed GLP-1 secretion but not in delayed GIP release."( Effects of different sweet preloads on incretin hormone secretion, gastric emptying, and postprandial glycemia in healthy humans.
Bellon, M; Bound, MJ; Checklin, HL; Horowitz, M; Jones, KL; Little, TJ; Rayner, CK; Wu, T; Young, RL; Zhao, BR, 2012
)
0.38
" Although the oral bioavailability of such compounds still poses great challenges, the progress made so far encourages us to identify a truly 'druggable' small molecule agonist for GLP-1R."( A continued saga of Boc5, the first non-peptidic glucagon-like peptide-1 receptor agonist with in vivo activities.
Chen, XY; Gao, WW; Ge, GB; Guan, N; He, M; Li, C; Liao, JY; Liu, Q; Ma, DW; Wang, MW; Wu, XY; Yang, L; Zhong, DF, 2012
)
0.38
"In recent years, new and effective therapeutic agents for blood glucose control have been added to standard diabetes therapies: dipeptidyl peptidase-4 (DPP-4) inhibitors, which prolong the bioavailability of the endogenously secreted incretin hormone glucagon-like peptide-1 (GLP-1)."( The dipeptidyl peptidase-4 inhibitor linagliptin attenuates inflammation and accelerates epithelialization in wounds of diabetic ob/ob mice.
Engelmann-Pilger, K; Frank, S; Klein, T; Linke, A; Mark, M; Pfeilschifter, J; Schürmann, C; Steinmetz, C, 2012
)
0.38
" We have recently described a series of 6-amino-1H-indan-1-ones as potent, selective, and orally bioavailable GPR119 agonists with an amino group that plays important roles not only in their drug-like properties, such as high aqueous solubility, but also in their potent agonistic activity."( Synthesis and biological evaluation of a 6-aminofuro[3,2-c]pyridin-3(2H)-one series of GPR 119 agonists.
Harada, S; Inoue, M; Kataoka, D; Kogami, M; Kuno, Y; Makino, M; Miyazawa, T; Ohsawa, Y; Okamoto, R; Sakairi, M; Takahashi, N; Torii, M; Watanabe, N, 2012
)
0.38
" A longer half-life was observed after oral administration of SPN-GLP-1, and its relative bioavailability was 35."( A silica-based pH-sensitive nanomatrix system improves the oral absorption and efficacy of incretin hormone glucagon-like peptide-1.
Dai, W; Hovgaard, L; Li, S; Li, Y; Qu, W; Wang, J; Zhang, Q; Zhang, X, 2012
)
0.38
" bioavailability yet retaining its potency."( Systemic bile acid sensing by G protein-coupled bile acid receptor 1 (GPBAR1) promotes PYY and GLP-1 release.
Alvarez Sanchez, R; Beauchamp, J; Conde-Knape, K; Dehmlow, H; Iglesias, A; Mattei, P; Raab, S; Sewing, S; Sprecher, U; Ullmer, C, 2013
)
0.39
" In contrast to the orally bioavailable agonist RO5527239, we show that tauro-RO5527239 triggers PYY release only when applied intravenously."( Systemic bile acid sensing by G protein-coupled bile acid receptor 1 (GPBAR1) promotes PYY and GLP-1 release.
Alvarez Sanchez, R; Beauchamp, J; Conde-Knape, K; Dehmlow, H; Iglesias, A; Mattei, P; Raab, S; Sewing, S; Sprecher, U; Ullmer, C, 2013
)
0.39
" Bioavailability of preproglucagon (PPG) mRNA and GLP-1 peptide is reduced by exogenous or endogenous glucocorticoid secretion, perhaps as a mechanism to reduce GLP-1-mediated stress excitation."( Role of central glucagon-like peptide-1 in stress regulation.
Ghosal, S; Herman, JP; Myers, B, 2013
)
0.39
" It acts mainly as catabolic enzyme for a number of circulating proteins involved in common pathological conditions such as diabetes and cardiovascular disease and may represent a target to modulate bioavailability of crucial substrates."( CD26: a multi-purpose pharmacological target.
Carmine, C; Manfredi, T; Mario, R; Vincenzo, F, 2014
)
0.4
" Orally bioavailable orthosteric small-molecule agonists are unlikely to be developed, whereas positive allosteric modulators (PAMs) may offer an improved therapeutic profile."( A Duplexed High-Throughput Screen to Identify Allosteric Modulators of the Glucagon-Like Peptide 1 and Glucagon Receptors.
Days, EL; Lindsley, CW; Mi, D; Morris, LC; Niswender, KD; Turney, M; Weaver, CD, 2014
)
0.4
" The subcutaneous bioavailability of GLP-1(9-36)amide in dogs was 57%."( Pharmacokinetics and metabolism studies on the glucagon-like peptide-1 (GLP-1)-derived metabolite GLP-1(9-36)amide in male Beagle dogs.
Eng, H; Kalgutkar, AS; Landis, MS; McDonald, TS; Sharma, R; Stevens, BD, 2014
)
0.4
"Berberine is known to improve glucose and lipid metabolism disorders, but it poorly absorbed into the blood stream from the gut."( Berberine moderates glucose metabolism through the GnRH-GLP-1 and MAPK pathways in the intestine.
Li, M; Li, W; Ping, F; Wang, Z; Xiao, X; Yu, M; Zhang, H; Zhang, Q; Zheng, J, 2014
)
0.4
" However, the underlying mechanism was not well-elucidated due to the low bioavailability of ginsenosides."( Association of GLP-1 secretion with anti-hyperlipidemic effect of ginsenosides in high-fat diet fed rats.
Guo, HF; Hu, MY; Li, F; Li, J; Li, Y; Liu, C; Liu, L; Liu, XD; Xu, P; Zhang, J; Zhang, M, 2014
)
0.4
" ZYDPLA1 showed low clearance, large volume of distribution, and a long half-life with excellent oral bioavailability in all species."( Pharmacological characterization of ZYDPLA1, a novel long-acting dipeptidyl peptidase-4 inhibitor.
Bahekar, RH; Desai, RC; Jadav, P; Jain, MR; Joharapurkar, AA; Kshirsagar, SG; Patel, H; Patel, KN; Patel, PR; Patel, VJ; Ramanathan, VK, 2015
)
0.42
" It achieves this through a number of mechanisms, including stimulating insulin release by pancreatic β-cells in a glucose-dependent manner; inhibition of glucagon release by pancreatic α-cells (also in a glucose-dependent manner); induction of central appetite suppression and by delaying gastric empting thereby inducing satiety and also reducing the rate of absorption of nutrients."( Glucagon-like peptide 1 and the cardiovascular system.
Fava, S, 2014
)
0.4
" Compared with the sham-operated rats, RYGB improved nitric oxide (NO) bioavailability resulting from higher endothelial Akt/NO synthase activation, reduced c-Jun amino terminal kinase phosphorylation, and decreased oxidative stress."( Rapid and body weight-independent improvement of endothelial and high-density lipoprotein function after Roux-en-Y gastric bypass: role of glucagon-like peptide-1.
Bueter, M; Buhmann, H; Colin, S; Corteville, C; Dörig, C; Doytcheva, P; Hasballa, R; Landmesser, U; Lüscher, TF; Lutz, TA; Manz, J; Matter, CM; Osto, E; Pattou, F; Rohrer, L; Spliethoff, K; Staels, B; Stivala, S; Tailleux, A; Tona, F; Vanhoutte, PM; Vetter, D; Wolfrum, C, 2015
)
0.42
" Through this approach peptides are expected to increase their bioavailability and efficiency in vivo both by their specific release at the intestinal level and also by the reduced enzymatic activity."( Microfluidic Assembly of a Multifunctional Tailorable Composite System Designed for Site Specific Combined Oral Delivery of Peptide Drugs.
Araújo, F; Granja, PL; Herranz-Blanco, B; Hirvonen, JT; Liu, D; Mäkilä, EM; Salonen, JJ; Santos, HA; Sarmento, B; Shahbazi, MA; Shrestha, N, 2015
)
0.42
"Taking metformin with a meal has been shown to decrease bioavailability of metformin."( Postprandial hyperglycemia was ameliorated by taking metformin 30 min before a meal than taking metformin with a meal; a randomized, open-label, crossover pilot study.
Asano, M; Fukuda, T; Fukuda, Y; Fukui, M; Hamaguchi, M; Hasegawa, G; Hashimoto, Y; Kimura, T; Kitagawa, N; Majima, S; Mistuhashi, K; Nakamura, N; Oda, Y; Okada, H; Senmaru, T; Tanaka, M; Tanaka, Y; Yamada, S; Yamazaki, M, 2016
)
0.43
" The present article reviews the bioavailability of milk protein-derived peptides in human studies to date, and examines the evidence on milk proteins and glycaemic management, including potential mechanisms of action."( Bioavailability of milk protein-derived bioactive peptides: a glycaemic management perspective.
Brennan, L; Drummond, E; Horner, K, 2016
)
0.43
" Study 1 compared the bioavailability and effects on circulating glucose and gut hormones (glucagon-like peptide-1, peptide YY) of Metformin DR dosed twice-daily to twice-daily immediate-release metformin (Metformin IR)."( Once-daily delayed-release metformin lowers plasma glucose and enhances fasting and postprandial GLP-1 and PYY: results from two randomised trials.
Baron, A; Burns, C; Buse, JB; DeFronzo, RA; Fineman, M; Kim, T; Skare, S, 2016
)
0.43
" In the evaluable population, Metformin DR administered once-daily in the morning had 28% (90% CI -16%, -39%) lower bioavailability (least squares mean ratio of metformin AUC0-24) compared with either once-daily in the evening or twice-daily, although the glucose-lowering effects were maintained."( Once-daily delayed-release metformin lowers plasma glucose and enhances fasting and postprandial GLP-1 and PYY: results from two randomised trials.
Baron, A; Burns, C; Buse, JB; DeFronzo, RA; Fineman, M; Kim, T; Skare, S, 2016
)
0.43
" Peptidic analogs of GLP-1 have been successfully developed with enhanced bioavailability and pharmacological activity."( Glucagon-Like Peptide-1 and Its Class B G Protein-Coupled Receptors: A Long March to Therapeutic Successes.
Ahn, JM; Brown, AJ; Deng, J; Donnelly, D; Fletcher, MM; Graaf, Cd; Lau, J; Liao, J; Miller, LJ; Sexton, PM; Wang, MW; Wootten, D; Yang, D; Zhou, C, 2016
)
0.43
" In addition, the rate of absorption and the intestinal regions exposed to sugars may affect the time course of appearance of glucose in the blood."( Intestinal Adaptations after Bariatric Surgery: Consequences on Glucose Homeostasis.
Bado, A; Cavin, JB; Le Gall, M, 2017
)
0.46
" This review focuses on currently developed strategies to improve oral bioavailability of these peptide based drugs; evaluating their advantages and limitations in addition to discussing future perspectives on oral peptides delivery."( Novel strategies in the oral delivery of antidiabetic peptide drugs - Insulin, GLP 1 and its analogs.
Csóka, I; Ismail, R, 2017
)
0.46
" Refinement of the risk-versus-benefit profile of GLP-1-based therapies for the treatment of diabetes and obesity has stimulated development of orally bioavailable agonists, allosteric modulators, and unimolecular multi-agonists, all targeting the GLP-1R."( Mechanisms of Action and Therapeutic Application of Glucagon-like Peptide-1.
Drucker, DJ, 2018
)
0.48
" In mice, GLP-1 fused to short-chain glycosphingolipids was rapidly and systemically absorbed after gastric gavage to affect glucose tolerance with serum bioavailability comparable to intraperitoneal injection of GLP-1 alone."( Mucosal absorption of therapeutic peptides by harnessing the endogenous sorting of glycosphingolipids.
Chinnapen, DJ; Garcia-Castillo, MD; Gonzalez, RJ; Kahn, CR; Lau, J; Lencer, WI; Mrsny, RJ; Pacheco, M; Pentelute, BL; Softic, S; Te Welscher, YM; von Andrian, UH, 2018
)
0.48
" However, their low bioavailability and short half-lives limit their massive potential as therapeutics."( Hollow Microparticles as a Superior Delivery System over Solid Microparticles for the Encapsulation of Peptides.
Dickescheid, A; Gautam, A; Kharel, S; Loo, SCJ, 2018
)
0.48
" (2019) reported that gut intraepithelial T cells regulate GLP-1 bioavailability by capturing it on GLP-1 receptors and impacting L-cell numbers."( Gut T Cells Feast on GLP-1 to Modulate Cardiometabolic Disease.
Tsai, S; Winer, DA; Winer, S, 2019
)
0.51
" It also seems that GLP-1 RAs and DPP-4 inhibitors can reverse polycystic ovary morphology in preclinical models and decrease serum concentrations of androgens and their bioavailability in women with PCOS."( The role of glucagon-like peptide-1 in reproduction: from physiology to therapeutic perspective.
DeVries, JH; Fliers, E; Janez, A; Jensterle, M; Siegelaar, SE; Vrtacnik-Bokal, E, 2019
)
0.51
" This strategy increases the endogenous secretion of GLP-1 and the oral bioavailability of the GLP-1 analogue exenatide (4% bioavailability with our nanosystem)."( Novel strategy for oral peptide delivery in incretin-based diabetes treatment.
Beloqui, A; Cani, PD; Préat, V; Suriano, F; Van Hul, M; Xu, Y, 2020
)
0.56
"We developed a novel nanosystem compatible with human use that synergizes its own biological effect with the effects of increasing the bioavailability of a GLP-1 analogue."( Novel strategy for oral peptide delivery in incretin-based diabetes treatment.
Beloqui, A; Cani, PD; Préat, V; Suriano, F; Van Hul, M; Xu, Y, 2020
)
0.56
" Dipeptidyl peptidase-4 (DPP-4) inhibitors increase the bioavailability of both GLP-1 and GIP but the dogma continues to be that it is the increase in GLP-1 that contributes to the improved glucose homeostasis."( The role of GIP and pancreatic GLP-1 in the glucoregulatory effect of DPP-4 inhibition in mice.
Augustin, R; D'Alessio, DD; Haller, A; Hutch, CR; Klein, T; Leix, K; Roelofs, K; Sandoval, DA; Seeley, RJ; Sorrell, J, 2019
)
0.51
" Here, we further investigate the effects of MGAT2 inhibition on (a) fat-induced gut peptide release and fat intake in normal mice and (b) metabolic disorders in high-fat diet (HFD)-fed ob/ob mice, a model of severe obesity and type 2 diabetes mellitus, using an orally bioavailable MGAT2 inhibitor Compound B (CpdB)."( Inhibition of MGAT2 modulates fat-induced gut peptide release and fat intake in normal mice and ameliorates obesity and diabetes in ob/ob mice fed on a high-fat diet.
Adachi, R; Kitazaki, T; Maki, T; Mochida, T; Nakakariya, M; Sato, K; Take, K; Takekawa, S, 2020
)
0.56
"In rats, the absolute bioavailability of orally administered OHP2 was 20-fold greater than that of orally administered exendin-4."( An orally available hypoglycaemic peptide taken up by caveolae transcytosis displays improved hypoglycaemic effects and body weight control in db/db mice.
Gao, X; Ge, Y; Li, Y; Lu, W; Qian, P; Sai, W; Tian, H; Wang, Y; Yao, W, 2020
)
0.56
" The present study tested the hypothesis that the bioavailability of intact glucagon-like peptide-1 (GLP-1) is affected in HF, possibly contributing to disturbed glucose homeostasis."( Postprandial increase in glucagon-like peptide-1 is blunted in severe heart failure.
Antonio, EL; Arruda-Junior, DF; Crajoinas, RO; Dariolli, R; Dos Santos, L; Girardi, AC; Gowdak, LHW; Jensen, L; Krieger, JE; Martins, FL; Pereira, AC; Salles, TA; Tucci, PJF, 2020
)
0.56
" This is an important feature of the pharmacology of this drug class that needs to be considered alongside selectivity, bioavailability and pharmacokinetics for rational optimization of new therapeutics."( Evaluation of biased agonism mediated by dual agonists of the GLP-1 and glucagon receptors.
Chang, R; Dai, A; Darbalaei, S; Sexton, PM; Wang, MW; Wootten, D; Yang, D; Yuliantie, E; Zhao, P, 2020
)
0.56
"This study examined the effects of a combination of soybean fiber and α-glycosyl-isoquercitrin (AGIQ) on improving quercetin bioavailability and glucose metabolism in rats fed an obesogenic diet."( Combination of α-Glycosyl-Isoquercitrin and Soybean Fiber Promotes Quercetin Bioavailability and Glucagon-like Peptide-1 Secretion and Improves Glucose Homeostasis in Rats Fed a High-Fat High-Sucrose Diet.
Hara, H; Hira, T; Trakooncharoenvit, A, 2021
)
0.62
" The oral bioavailability of SHR-2042 was studied in rats and monkeys."( Design and Development of a New Glucagon-Like Peptide-1 Receptor Agonist to Obtain High Oral Bioavailability.
An, D; Cao, X; Chen, H; Kong, X; Liu, J; Lu, Y; Shi, S; Sun, L; Zhang, Q; Zhang, X, 2022
)
0.72
"We believe that the design and development of oral SHR-2042 will provide a new way to design more and more GLP-1RAs with high oral bioavailability in the future."( Design and Development of a New Glucagon-Like Peptide-1 Receptor Agonist to Obtain High Oral Bioavailability.
An, D; Cao, X; Chen, H; Kong, X; Liu, J; Lu, Y; Shi, S; Sun, L; Zhang, Q; Zhang, X, 2022
)
0.72
" Like other long-acting GLP-1 analogues, semaglutide reduces gastric emptying and, potentially, alters the rate of absorption of orally co-administered drugs."( Population pharmacokinetic of paracetamol and atorvastatin with co-administration of semaglutide.
Kristensen, K; Langeskov, EK, 2022
)
0.72
" Relative bioavailability of the peptide was determined in minipigs via intraduodenal administration (ID) of enteric capsules."( Identification of a Multi-Component Formulation for Intestinal Delivery of a GLP-1/Glucagon Co-agonist Peptide.
-Mannan, AD; Aburub, A; ElSayed, MEH; Estwick, S; Patel, PJ; Sperry, A; Tran, H, 2022
)
0.72
"76% bioavailability in minipigs relative to subcutaneous via ID administration using enteric capsules."( Identification of a Multi-Component Formulation for Intestinal Delivery of a GLP-1/Glucagon Co-agonist Peptide.
-Mannan, AD; Aburub, A; ElSayed, MEH; Estwick, S; Patel, PJ; Sperry, A; Tran, H, 2022
)
0.72
" The subcutaneous bioavailability of semaglutide was 76."( Novel LC-MS/MS analysis of the GLP-1 analog semaglutide with its application to pharmacokinetics and brain distribution studies in rats.
An, Y; Choi, M; Kim, T; Kim, TH; Lee, TS; Oh, HS; Park, EJ; Shin, BS; Shin, S, 2023
)
0.91

Dosage Studied

ExcerptRelevanceReference
" dosing to mini-pigs."( Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide.
Bloch, P; Gram, DX; Knudsen, LB; Knudsen, SM; Kofoed, J; Kruse, T; Lau, J; Madsen, K; McGuire, J; Nielsen, FS; Pettersson, I; Reedtz-Runge, S; Schäffer, L; Spetzler, J; Steensgaard, DB; Strauss, HM; Thygesen, P, 2015
)
0.42
" GLP-1-related peptides were administered in a dosage of 400 pmol within 10 min into the pancreatic artery during glucose or arginine infusion and the changes in plasma insulin and glucagon in the pancreatic vein were studied."( The structure-function relationship of GLP-1 related peptides in the endocrine function of the canine pancreas.
Kawai, K; Koizumi, F; Ohashi, S; Ohneda, A; Ohneda, K; Ohneda, M; Suzuki, S, 1991
)
0.28
" At reduced dosage (0."( Glucagon-like peptide I reduces postprandial glycemic excursions in IDDM.
Behme, MT; Dupre, J; Hramiak, IM; McDonald, TJ; McFarlane, P; Williamson, MP; Zabel, P, 1995
)
0.29
" The binding of 125I-GLP-1(7-36)amide and the intensity of the cross-linked band were similarly inhibited in a dose-response manner by increasing concentrations of unlabeled GLP-1(7-36)amide."( Structural characterization by affinity cross-linking of glucagon-like peptide-1(7-36)amide receptor in rat brain.
Blázquez, E; Calvo, JC; Mora, F; Yusta, B, 1995
)
0.29
" Analysis of glucose-insulin dose-response curves revealed a marked improvement of glucose sensitivity of the NOD endocrine pancreas in the presence of GLP-1 (half-maximal insulin output without GLP-1 15."( Glucagon-like-peptide-1 (7-36) amide improves glucose sensitivity in beta-cells of NOD mice.
Federlin, K; Göke, B; Linn, T; Schneider, K, 1996
)
0.29
" Preexposure of the cells to GLP-1 induced a decrease in GLP-1-mediated cAMP production, as assessed by a 3- to 5-fold rightward shift of the dose-response curve and an approximately 20 percent decrease in the maximal production of cAMP."( Desensitization and phosphorylation of the glucagon-like peptide-1 (GLP-1) receptor by GLP-1 and 4-phorbol 12-myristate 13-acetate.
Dolci, W; Thorens, B; Widmann, C, 1996
)
0.29
" In the genetically obese Zucker rat, chronic dosing with GLP-1 (30 microg icv) once a day for 6 days caused significant reductions in food consumption each day and a reduction in body weight."( Effect of chronic central administration of glucagon-like peptide-1 (7-36) amide on food consumption and body weight in normal and obese rats.
Compton, DS; Davis, HR; France, CF; Graziano, MP; Hoos, LM; Mullins, DE; Pines, JM; Strader, CD; Sybertz, EJ; Van Heek, M, 1998
)
0.3
" We demonstrate here a gene dosage effect for the incretin action of GLP-1, as heterozygous GLP-1R +/- mice exhibit an abnormal glycemic response to oral glucose challenge in association with reduced circulating levels of glucose-stimulated insulin."( Identification of glucagon-like peptide 1 (GLP-1) actions essential for glucose homeostasis in mice with disruption of GLP-1 receptor signaling.
Brubaker, PL; Cook, SM; Drucker, DJ; Marshall, BA; Scrocchi, LA, 1998
)
0.3
" We concluded that low dosage GLP-1 improves the ability of the beta-cell to secrete insulin in both IGT and NIDDM subjects, but that the ability to sense and respond to subtle changes in plasma glucose is improved in IGT subjects, with only a variable response in NIDDM subjects."( Glucagon-like peptide 1 improves the ability of the beta-cell to sense and respond to glucose in subjects with impaired glucose tolerance.
Arnold, R; Byrne, MM; Gliem, K; Göke, B; Katschinski, M; Polonsky, KS; Wank, U, 1998
)
0.3
" We performed a dose-response study [ingestion of increasing amounts of glucose and complex carbohydrates (boiled rice and wheat bread), and the nonabsorbable disaccharide lactulose] in SB patients with an intact colon."( Importance of colonic bacterial fermentation in short bowel patients: small intestinal malabsorption of easily digestible carbohydrate.
Gudmand-Høyer, E; Holst, JJ; Jørgensen, S; Olesen, M, 1999
)
0.3
" Time course dose-response studies indicate that the p38 MAPK induced inhibitory response may involve expression of immediate early genes (IEGs); maximum repression of rINS1 activity occurred after 4 h of treatment, comparable with regulatory responses by IEGs."( Insulinotropic hormone glucagon-like peptide 1 (GLP-1) activation of insulin gene promoter inhibited by p38 mitogen-activated protein kinase.
Habener, JF; Kemp, DM, 2001
)
0.31
" A high-dose graded glucose infusion protocol was used to explore the dose-response relationship between glucose and insulin secretion."( GLP-1-induced alterations in the glucose-stimulated insulin secretory dose-response curve.
Arnold, R; Brandt, A; Byrne, MM; Göke, B; Katschinski, M; Polonsky, KS, 2001
)
0.31
" Subchronic multiple dosing of NN2211 (200 microg/kg) twice daily for 10 days to normal and MSG-treated rats caused profound inhibition of food intake."( Systemic administration of the long-acting GLP-1 derivative NN2211 induces lasting and reversible weight loss in both normal and obese rats.
Fledelius, C; Knudsen, LB; Larsen, PJ; Tang-Christensen, M, 2001
)
0.31
" Dosing with NN2211 was performed on day 1, and days 5-11."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
" After subcutaneous dosing with NN2211, 48-h pharmacokinetic, and 24-h glucose, insulin and glucagon profiles were assessed."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
"This study provides evidence that NN2211 has a pharmacokinetic profile consistent with once-daily dosing in humans."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
" However, the dose-response relationship between GLP-1 and basal and glucose-stimulated prehepatic insulin secretion rate (ISR) is currently not known."( The influence of GLP-1 on glucose-stimulated insulin secretion: effects on beta-cell sensitivity in type 2 and nondiabetic subjects.
Holst, JJ; Kjems, LL; Madsbad, S; Vølund, A, 2003
)
0.32
" A dose-response study of GLP-1 with glucose-stimulated islets showed that GLP-1 could overcome and completely restore the impaired insulin release in TPN islets, bringing about a marked increase in islet cAMP accumulation concomitant with heavy suppression of both glucose-stimulated increase in islet cGMP content and the activities of constitutive NOS (cNOS) and iNOS."( Total parenteral nutrition-stimulated activity of inducible nitric oxide synthase in rat pancreatic islets is suppressed by glucagon-like peptide-1.
Ekelund, M; Lundquist, I; Salehi, A, 2003
)
0.32
" 9 h after NN2211 dosing; the insulin response would then be expected to be improved (higher) in the subjects dosed with NN2211."( Pharmacodynamics of NN2211, a novel long acting GLP-1 derivative.
Agersø, H; Vicini, P, 2003
)
0.32
" GLP-1 increased the dose-response relationship between glucose concentration and insulin secretion (70 +/- 26 with GLP-1 versus 38 +/- 16 pmol insulin."( Characterization of GLP-1 effects on beta-cell function after meal ingestion in humans.
Ahrén, B; Holst, JJ; Mari, A, 2003
)
0.32
"Administration of GLP-1 along with ingestion of a meal augments insulin secretion in humans by a dose-dependent potentiation of the dose-response relationship between plasma glucose and insulin secretion."( Characterization of GLP-1 effects on beta-cell function after meal ingestion in humans.
Ahrén, B; Holst, JJ; Mari, A, 2003
)
0.32
" HbA(1c) decreased in all but the lowest liraglutide dosage group."( Improved glycemic control with no weight increase in patients with type 2 diabetes after once-daily treatment with the long-acting glucagon-like peptide 1 analog liraglutide (NN2211): a 12-week, double-blind, randomized, controlled trial.
Jakobsen, G; Madsbad, S; Matthews, DR; Ranstam, J; Schmitz, O, 2004
)
0.32
" It was found that GLP-1 relaxed femoral artery rings in a dose-response manner."( Glucagon-like peptide-1 relaxes rat conduit arteries via an endothelium-independent mechanism.
Gonon, AT; Nyström, T; Pernow, J; Sjöholm, A, 2005
)
0.33
" Dose-response curve revealed that the half-maximal effective dose (ED(50)) of VAPG was about 55 nm (25 nm for native GLP-1)."( Synthesis, bioactivity and specificity of glucagon-like peptide-1 (7-37)/polymer conjugate to isolated rat islets.
Bae, YH; Kim, S; Wan Kim, S, 2005
)
0.33
" This multicentre, double-blind, parallel-group, double-dummy study explored the dose-response relationship of liraglutide effects on bodyweight and glycaemic control in subjects with Type 2 diabetes."( Effects of liraglutide (NN2211), a long-acting GLP-1 analogue, on glycaemic control and bodyweight in subjects with Type 2 diabetes.
An, B; Feinglos, MN; Pi-Sunyer, FX; Saad, MF; Santiago, O, 2005
)
0.33
" This study examined acute (single dose) and chronic (once-a-day dosing for 21 days) effects of the DPP-4 inhibitor vildagliptin (0."( Acute and chronic effects of the incretin enhancer vildagliptin in insulin-resistant rats.
Balkan, B; Bolognese, L; Burkey, BF; Hughes, TE; Li, X; Mone, M; Russell, M; Wang, PR, 2005
)
0.33
" These have different properties, in terms of their duration of action and anticipated dosing frequency, but data from protracted dosing studies is presently not available to allow comparison of their clinical efficacy."( Dipeptidyl peptidase IV inhibitors: a promising new therapeutic approach for the management of type 2 diabetes.
Deacon, CF; Holst, JJ, 2006
)
0.33
" Sitagliptin possesses pharmacokinetic and pharmacodynamic characteristics that support a once-daily dosing regimen."( Pharmacokinetics and pharmacodynamics of sitagliptin, an inhibitor of dipeptidyl peptidase IV, in healthy subjects: results from two randomized, double-blind, placebo-controlled studies with single oral doses.
Bergman, A; Davies, MJ; De Smet, M; Gottesdiener, KM; Herman, GA; Hilliard, D; Musson, D; Ramael, S; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Van Dyck, K; Wagner, JA; Wang, AQ; Winchell, G; Yi, B; Zeng, W, 2005
)
0.33
" Multiple dosing of sitagliptin exhibited a PK/PD profile consistent with that of a QD regimen and was well tolerated."( Pharmacokinetic and pharmacodynamic properties of multiple oral doses of sitagliptin, a dipeptidyl peptidase-IV inhibitor: a double-blind, randomized, placebo-controlled study in healthy male volunteers.
Bergman, AJ; Chen, L; Davies, MJ; De Smet, M; Herman, GA; Hilliard, D; Laethem, M; Ramael, S; Snyder, K; Stevens, C; Tanaka, W; Tanen, M; Wagner, JA; Wang, AQ; Winchell, G; Yi, B; Zeng, W; Zhou, Y, 2006
)
0.33
" The recommended dosage is 5 mug to 10 mug twice daily subcutaneously before breakfast and dinner."( Exenatide: a novel incretin mimetic agent for treating type 2 diabetes mellitus.
Lam, S; See, S,
)
0.13
"This article reviews available information on the clinical pharmacology, comparative efficacy, tolerability, drug interactions, contraindications and precautions, dosage and administration, availability and storage, and cost of exenatide."( Exenatide: an incretin mimetic for the treatment of type 2 diabetes mellitus.
Baker, DE; Iltz, JL; Keith Campbell, R; Setter, SM, 2006
)
0.33
" Following dosing on Day 7 of each treatment period, these pharmacokinetic parameters were determined for plasma sitagliptin and metformin: area under the plasma concentrations-time curve over the dosing interval (AUC(0-12h)), maximum observed plasma concentrations (C(max)), and time of occurrence of maximum observed plasma concentrations (T(max))."( Tolerability and pharmacokinetics of metformin and the dipeptidyl peptidase-4 inhibitor sitagliptin when co-administered in patients with type 2 diabetes.
Bergman, A; Herman, GA; Kipnes, M; Yi, B, 2006
)
0.33
"This randomized, open-label, placebo-controlled, 7-period crossover study assessed dose-response relationships following single oral doses (10-400 mg) of vildagliptin in 16 patients with type 2 diabetes mellitus."( Pharmacodynamics of vildagliptin in patients with type 2 diabetes during OGTT.
Bullock, JM; Deacon, CF; Dunning, BE; Foley, JE; He, YL; Holst, JJ; Ligueros-Saylan, M; Wang, Y, 2007
)
0.34
" Blood and urine were collected over 72 hours after dosing for pharmacokinetic analysis and determination of plasma DPP-4 inhibition and active glucagon-like peptide -1(GLP-1) concentrations."( Pharmacokinetics, pharmacodynamics, and tolerability of single increasing doses of the dipeptidyl peptidase-4 inhibitor alogliptin in healthy male subjects.
Christopher, R; Covington, P; Davenport, M; Fleck, P; Karim, A; Mekki, QA; Wann, ER, 2008
)
0.35
" Across alogliptin doses, mean peak DPP-4 inhibition ranged from 93% to 99%, and mean inhibition at 24 hours after dosing ranged from 74% to 97%."( Pharmacokinetics, pharmacodynamics, and tolerability of single increasing doses of the dipeptidyl peptidase-4 inhibitor alogliptin in healthy male subjects.
Christopher, R; Covington, P; Davenport, M; Fleck, P; Karim, A; Mekki, QA; Wann, ER, 2008
)
0.35
"To evaluate dose-response efficacy and safety of once-daily human GLP-1 analog liraglutide in Japanese subjects with type 2 diabetes."( Dose-dependent improvement in glycemia with once-daily liraglutide without hypoglycemia or weight gain: A double-blind, randomized, controlled trial in Japanese patients with type 2 diabetes.
Kaku, K; Rasmussen, MF; Seino, Y; Zdravkovic, M, 2008
)
0.35
" Liraglutide also reduced, with significant dose-response (each p<0."( Dose-dependent improvement in glycemia with once-daily liraglutide without hypoglycemia or weight gain: A double-blind, randomized, controlled trial in Japanese patients with type 2 diabetes.
Kaku, K; Rasmussen, MF; Seino, Y; Zdravkovic, M, 2008
)
0.35
" In summary, these data suggest that alogliptin is a potent and highly selective DPP-4 inhibitor with demonstrated efficacy in Zucker fa/fa rats and potential for once-daily dosing in humans."( Pharmacokinetic, pharmacodynamic, and efficacy profiles of alogliptin, a novel inhibitor of dipeptidyl peptidase-4, in rats, dogs, and monkeys.
Asakawa, T; Christopher, RJ; Kassel, DB; Lee, B; Shi, L; Takeuchi, K, 2008
)
0.35
" Additionally, these treatment modalities are often limited by inconvenient dosage regimens and safety and tolerability issues, the latter including hypoglycemia, bodyweight gain, edema, and gastrointestinal intolerance."( Long-acting GLP-1 analogs for the treatment of type 2 diabetes mellitus.
Knop, FK; Vilsbøll, T, 2008
)
0.35
" The effect of 1 to 2 months of chronic dosing of BI 1356 in two different animal models was investigated."( Chronic treatment with the dipeptidyl peptidase-4 inhibitor BI 1356 [(R)-8-(3-amino-piperidin-1-yl)-7-but-2-ynyl-3-methyl-1-(4-methyl-quinazolin-2-ylmethyl)-3,7-dihydro-purine-2,6-dione] increases basal glucagon-like peptide-1 and improves glycemic contro
Mark, M; Tadayyon, M; Thomas, L, 2009
)
0.35
" In addition, doses >or=200 mg of LC15-0444 inhibited plasma DPP IV activity by >80% over a 24-hour dosing interval, and a 600-mg dose increased active glucagon-like peptide-1 levels after a standardized meal."( Pharmacokinetics, pharmacodynamics, and tolerability of the dipeptidyl peptidase IV inhibitor LC15-0444 in healthy Korean men: a dose-block-randomized, double-blind, placebo-controlled, ascending single-dose, Phase I study.
Cho, JY; Choi, YJ; Hong, JH; Hwang, DM; Jang, IJ; Kim, JA; Kim, JR; Kim, KP; Kwon, OH; Lim, KS; Shin, HS; Shin, KH; Shin, SG; Yu, KS, 2008
)
0.35
"In dose-response (0."( Dairy protein and leucine alter GLP-1 release and mRNA of genes involved in intestinal lipid metabolism in vitro.
Chen, Q; Reimer, RA, 2009
)
0.35
"Albiglutide has a half-life that favours once weekly or less frequent dosing with an acceptable safety/tolerability profile in non-diabetic subjects."( Safety, tolerability, pharmacodynamics and pharmacokinetics of albiglutide, a long-acting glucagon-like peptide-1 mimetic, in healthy subjects.
Bush, MA; De Boever, EH; Dobbins, RL; Gutierrez, M; Hodge, RJ; Holland, MC; Matthews, JE; Stewart, MW; Walker, SE, 2009
)
0.35
" Subsequently, the effects of a 1-week chronic daily dosing of DPP-IV inhibitors and sulfonylureas were investigated."( Antidiabetic effects of dipeptidyl peptidase-IV inhibitors and sulfonylureas in streptozotocin-nicotinamide-induced mildly diabetic mice.
Hayakawa, M; Matsuyama-Yokono, A; Nakano, R; Shibasaki, M; Shiraki, K; Someya, Y; Tahara, A, 2009
)
0.35
" Furthermore, current treatment modalities are often limited by inconvenient dosing regimens, safety and tolerability issues, the latter including hypoglycemia, body weight gain, edema and gastrointestinal side effects."( Incretin-based therapy of type 2 diabetes mellitus.
Holst, JJ; Knop, FK; Vilsbøll, T, 2009
)
0.35
" The aims of this study were (i) to design a controlled release (CR) mucoadhesive (in the intestine) formulation of miglitol which would inhibit the alpha-glucosidase enzyme for a longer duration of time (in comparison to the non-controlled release (IR) formulation) thus reducing the dosing frequency, and also controlling the postprandial glucose levels more effectively over a longer period of time; (ii) to assess the effect of different formulation parameters on the release of miglitol in vitro from the CR pellets; (iii) to evaluate the mucoadhesion of pellets in the intestine ex vivo; (iv) to study the effect of formulation parameters on plasma GLP-1 levels; and (v) to find out the effect of formulations on postprandial glucose levels."( Design and evaluation of oral bioadhesive controlled release formulations of miglitol, intended for prolonged inhibition of intestinal alpha-glucosidases and enhancement of plasma glucagon like peptide-1 levels.
Babu, RK; Deshpande, MC; Trivedi, RK; Venkateswarlu, V, 2009
)
0.35
"To evaluate the efficacy, safety, and tolerability of incremental doses of albiglutide, a long-acting glucagon-like peptide-1 receptor agonist, administered with three dosing schedules in patients with type 2 diabetes inadequately controlled with diet and exercise or metformin monotherapy."( Potential of albiglutide, a long-acting GLP-1 receptor agonist, in type 2 diabetes: a randomized controlled trial exploring weekly, biweekly, and monthly dosing.
Bush, M; Reusch, J; Rosenstock, J; Stewart, M; Yang, F, 2009
)
0.35
" The metabolic effects of these two peptides with respect to weight loss, caloric reduction, glucose control, and lipid lowering, were compared upon chronic dosing in diet-induced obese (DIO) mice."( Glucagon-like peptide 1/glucagon receptor dual agonism reverses obesity in mice.
Adams, JR; Bianchi, E; Capito', E; Carrington, PE; Chicchi, GG; Du, X; Eiermann, G; Jiang, G; Lassman, ME; Liu, F; Marsh, DJ; Miller, C; Pessi, A; Petrov, A; Pocai, A; Santoprete, A; SinhaRoy, R; Sountis, MM; Thornberry, N; Tota, LM; Wright, M; Zhang, X; Zhou, G; Zhu, L, 2009
)
0.35
"Maximum circulating GLP-1 concentrations were achieved at approximately 10 min after dosing with detectable levels at 40 min."( Evaluation of novel particles as an inhalation system for GLP-1.
Carrera, K; Cope, S; Daniels, S; Grant, M; Greene, S; Leone-Bay, A; Reyes, S; Richardson, P; Smithson, A; Stowell, G; Villanueva, S, 2009
)
0.35
" Electrocardiograms were recorded periodically over 24 hours at the end of placebo and highest dosing periods."( Absence of QTc prolongation in a thorough QT study with subcutaneous liraglutide, a once-daily human GLP-1 analog for treatment of type 2 diabetes.
Chatterjee, DJ; Khutoryansky, N; Litwin, JS; Sprenger, CR; Zdravkovic, M, 2009
)
0.35
" Furthermore, current treatment modalities are often limited by inconvenient dosing regimens and safety and tolerability issues, the latter including hypoglycaemia, body weight gain, oedema and gastrointestinal side effects."( The spectrum of antidiabetic actions of GLP-1 in patients with diabetes.
Holst, JJ; Knop, FK; Vilsbøll, T, 2009
)
0.35
" Advances in GLP-1 receptor agonist therapy include development of agents with longer durations of activity allowing for more convenient dosing of therapies for patients with type 2 diabetes, which should lead to better patient compliance, adherence, and overall clinical outcomes."( Beyond glycemic control: treating the entire type 2 diabetes disorder.
Brunton, S, 2009
)
0.35
" We investigated the dose-response relationship for GLP-1-induced glucagon suppression in patients with type 2 diabetes (T2DM) and healthy controls."( Preserved inhibitory potency of GLP-1 on glucagon secretion in type 2 diabetes mellitus.
Asmar, M; Deacon, CF; Hare, KJ; Holst, JJ; Knop, FK; Madsbad, S; Vilsbøll, T, 2009
)
0.35
" * Whether dosing of the once-daily human glucagon-like peptide-1 analogue liraglutide should be modified in patients with renal impairment has not previously been studied."( Effect of renal impairment on the pharmacokinetics of the GLP-1 analogue liraglutide.
Hindsberger, C; Jacobsen, LV; Robson, R; Zdravkovic, M, 2009
)
0.35
" It was concluded that pharmacokinetic profiles estimated by modeling showed that liraglutide has pharmacokinetic properties consistent with once-daily dosing in humans and provides better pharmacokinetic coverage in comparison with twice-daily exenatide."( Population pharmacokinetics of liraglutide, a once-daily human glucagon-like peptide-1 analog, in healthy volunteers and subjects with type 2 diabetes, and comparison to twice-daily exenatide.
Ingwersen, SH; Jacobsen, LV; Jonker, DM; Watson, E, 2010
)
0.36
" The presence of impaired kidney function with reduced glomerular filtration rate should influence choices, dosing, and monitoring of hypoglycemic agents, as some agents require a dosing adjustment in patients with kidney disease and some are entirely contraindicated."( Selection and dosing of medications for management of diabetes in patients with advanced kidney disease.
Berns, JS; Reilly, JB,
)
0.13
"To date, results of clinical trials suggest that albiglutide may provide a more attractive dosing profile compared with the currently available GLP-1 analogs."( Albiglutide: a new GLP-1 analog for the treatment of type 2 diabetes.
Miller, SA; St Onge, EL, 2010
)
0.36
" After the dosing period, HbA1c was measured and pancreatic damage was evaluated by biological and histological analyses."( Chronic administration of DSP-7238, a novel, potent, specific and substrate-selective DPP IV inhibitor, improves glycaemic control and beta-cell damage in diabetic mice.
Furuta, Y; Hochigai, H; Horiguchi, M; Kimura, H; Masui, Y; Nakagawa, T; Nakahira, H; Ono-Kishino, M; Otani, M; Sakai, M; Sato, Y; Sugaru, E; Taiji, M; Takubo, K; Tsuchida, A, 2010
)
0.36
"The pharmacology, pharmacokinetics, efficacy, safety, dosage and administration, adverse effects, and place in therapy of liraglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, are reviewed."( Liraglutide: a once-daily human glucagon-like peptide-1 analogue for type 2 diabetes mellitus.
Joffe, D, 2010
)
0.36
"To use time trade-off (TTO) to compare patient preferences for profiles of two glucagon-like peptide (GLP-1) products for the treatment of type 2 diabetes (liraglutide and exenatide) that vary on four key attributes - efficacy (as measured by hemoglobin A(1C)), incidence of nausea, incidence of hypoglycemia, and dosing frequency (QD vs."( A comparison of preferences for two GLP-1 products--liraglutide and exenatide--for the treatment of type 2 diabetes.
Conner, C; Hammer, M; McDonald, S; Polster, M; Zanutto, E, 2010
)
0.36
" Estimated preference scores from the conjoint analysis revealed that efficacy measured by hemoglobin A(1C) is the most important attribute, followed by nausea, hypoglycemia, and dosing schedule."( A comparison of preferences for two GLP-1 products--liraglutide and exenatide--for the treatment of type 2 diabetes.
Conner, C; Hammer, M; McDonald, S; Polster, M; Zanutto, E, 2010
)
0.36
" Furthermore, current treatment modalities are often limited by inconvenient dosing regimens, safety, and tolerability issues, the latter including hypoglycemia, body weight gain, edema, and gastrointestinal side effects."( Incretin-based therapy and type 2 diabetes.
Hare, KJ; Knop, FK, 2010
)
0.36
" To date, GLP-1 analogs are only available as injectable dosage forms, and its oral delivery is expected to provide physiological portal/peripheral concentration ratios while fostering patient compliance and adherence."( Novel glucagon-like peptide-1 analog delivered orally reduces postprandial glucose excursions in porcine and canine models.
Arbit, E; Eldor, R; Greenberg-Shushlav, Y; Kidron, M, 2010
)
0.36
" Further development of this drug class in an oral dosage form is expected to enhance diabetes control and patient compliance."( Novel glucagon-like peptide-1 analog delivered orally reduces postprandial glucose excursions in porcine and canine models.
Arbit, E; Eldor, R; Greenberg-Shushlav, Y; Kidron, M, 2010
)
0.36
" Weekly dosing resulted in steady-state plasma exenatide concentrations after 6-7 weeks."( Pharmacokinetics and pharmacodynamics of exenatide extended-release after single and multiple dosing.
Aisporna, M; Cirincione, B; Diamant, M; Fineman, M; Flanagan, S; Kothare, P; Li, WI; MacConell, L; Mace, KF; Shen, LZ; Taylor, K; Walsh, B, 2011
)
0.37
" Blood samples for ethinyl estradiol/levonorgestrel measurements were drawn until 74 hours post dosing of the contraceptive during liraglutide and placebo treatments."( Treatment with liraglutide--a once-daily GLP-1 analog--does not reduce the bioavailability of ethinyl estradiol/levonorgestrel taken as an oral combination contraceptive drug.
Hindsberger, C; Jacobsen, LV; Vouis, J; Zdravkovic, M, 2011
)
0.37
" These effects were seen after the first dose and were sustained through the weekly dosing cycle."( A 5-week study of the pharmacokinetics and pharmacodynamics of LY2189265, a novel, long-acting glucagon-like peptide-1 analogue, in patients with type 2 diabetes.
Barrington, P; Chien, JY; Cui, S; Ellis, B; Hardy, TA; Schneck, K; Showalter, HD; Tibaldi, F, 2011
)
0.37
" In this study, a hierarchical population modeling approach is used, together with a previously reported model relating glucose to insulin appearance, to determine quantitative in vivo dose-response relationships between GLP-1 dose level and both first- and second-phase insulin release."( Effects of increasing doses of glucagon-like peptide-1 on insulin-releasing phases during intravenous glucose administration in mice.
Ahrén, B; Chan, HM; D'Argenio, DZ; Jain, R; Pacini, G, 2011
)
0.37
"0%), even at maximal dosage levels of one or two oral agents, and are at increased risk for diabetes-related complications."( Cost-effectiveness of liraglutide versus rosiglitazone, both in combination with glimepiride in treatment of type 2 diabetes in the US.
Conner, C; Hammer, M; Lee, WC, 2011
)
0.37
"To evaluate the dose-response relationship of the recombinant glucagon-like peptide-1 (7-36) amide (rGLP-1) administered by continuous subcutaneous infusion (CSCI) in subjects with type 2 diabetes, with respect to reductions in fasting, postprandial and 11-h serum glucose profiles."( Dose response of subcutaneous GLP-1 infusion in patients with type 2 diabetes.
Ehlers, MR; Harley, RE; Holst, JJ; Kipnes, MS; Torekov, SS, 2011
)
0.37
" Longer-acting GLP-1 agonists are dosed less frequently, appear to be associated with less nausea, and may be associated with better rates of adherence than shorter-acting agents."( Optimizing outcomes for GLP-1 agonists.
Freeman, JS, 2011
)
0.37
" However, limited data with the intended once-daily 20 μg subcutaneous dosing necessitate further evaluation of lixisenatide as add-on to various antidiabetic treatments."( Lixisenatide for type 2 diabetes mellitus.
Christensen, M; Holst, JJ; Knop, FK; Vilsbøll, T, 2011
)
0.37
" To address the need to directly compare the food intake- and body weight-suppressive effects of these two GLP-1R ligands, acute and chronic dosing experiments were performed."( Comparative effects of the long-acting GLP-1 receptor ligands, liraglutide and exendin-4, on food intake and body weight suppression in rats.
Alhadeff, AL; Grill, HJ; Hayes, MR; Kanoski, SE, 2011
)
0.37
"The objective was to investigate the dose-response effects of l-arabinose on intestinal sucrase activity in vitro and glucose tolerance, appetite, and energy intake in humans."( The effects of L-arabinose on intestinal sucrase activity: dose-response studies in vitro and in humans.
Andersen, JR; Bukhave, K; Hels, O; Holst, JJ; Krog-Mikkelsen, I; Tetens, I, 2011
)
0.37
" Patients with normal renal function demonstrated decreases in body weight and systolic blood pressure with either dosage of liraglutide, whereas patients in either RI group also demonstrated a decrease in body weight and systolic blood pressure, but these differences were not significant compared with differences observed in the placebo group."( Mild renal impairment and the efficacy and safety of liraglutide.
Brett, J; Davidson, JA; Falahati, A; Scott, D,
)
0.13
" Extended dosing periods have demonstrated the durability of response of liraglutide with respect to glycemic control, lack of weight gain, and blood pressure benefits."( Liraglutide for the treatment of type 2 diabetes: a clinical update.
Peters, KR,
)
0.13
" Although promising, these agents are associated with limitations, including hypoglycaemia with insulin, gastrointestinal adverse events with GLP-1 receptor agonists and frequent dosing with both classes."( Using albumin to improve the therapeutic properties of diabetes treatments.
Ahrén, B; Burke, B, 2012
)
0.38
"Liraglutide has been shown to improve glucose control and weight loss compared to other pharmacologic treatments with diabetes and may offer improved control with a decrease in daily dosing compared to exenatide."( Place in therapy for liraglutide and saxagliptin for type 2 diabetes.
Brock, M; McFarland, MS; Ryals, C, 2011
)
0.37
" The pharmacokinetic parameters of liraglutide are unaffected by age, sex, race, or ethnicity, and no special recommendations for altered dosing of liraglutide need apply to populations with hepatic or renal impairment."( Liraglutide: clinical pharmacology and considerations for therapy.
Sisson, EM, 2011
)
0.37
" Finally, the action of GLP-1 on β-cell mass expansion is abolished in both transgenic mice and cultured β-cells with increased dosage of SirT1."( Glucagon-like peptide 1 inhibits the sirtuin deacetylase SirT1 to stimulate pancreatic β-cell mass expansion.
Bastien-Dionne, PO; Buteau, J; Gu, W; Kon, N; Valenti, L, 2011
)
0.37
" GLP-1R agonists-which can be dosed to pharmacologic levels-act directly upon the GLP-1R."( The pharmacologic basis for clinical differences among GLP-1 receptor agonists and DPP-4 inhibitors.
Morales, J, 2011
)
0.37
" However, short-term treatment (14 weeks) with liraglutide increased b-cell maximal response capacity in a dose-response fashion."( [Protective effects of glucagon-like peptide-1 on beta-cells: preclinical and clinical data].
Consoli, A; Di Biagio, R, 2011
)
0.37
" This article provides insights into the use of pharmacometric analyses for regulatory review with a focus on the dosing recommendations."( Dosing rationale for liraglutide in type 2 diabetes mellitus: a pharmacometric assessment.
Ingwersen, SH; Jacobsen, LV; Jonker, DM; Khurana, M; Le Thi, TD; Madabushi, R; Tornøe, CW; Watson, E, 2012
)
0.38
" After the acute test, rats were dosed bi-daily for 14 days in which period food intake and body weight was monitored."( Liraglutide: short-lived effect on gastric emptying -- long lasting effects on body weight.
Hansen, G; Jelsing, J; Knudsen, LB; Raun, K; Tang-Christensen, M; Vrang, N, 2012
)
0.38
"While both compounds exerted robust acute reductions in GE, the effect was markedly diminished following 14 days of dosing with liraglutide."( Liraglutide: short-lived effect on gastric emptying -- long lasting effects on body weight.
Hansen, G; Jelsing, J; Knudsen, LB; Raun, K; Tang-Christensen, M; Vrang, N, 2012
)
0.38
" These agents allow for less-frequent dosing schedules, improved glycemic control throughout the day, and improved treatment satisfaction compared to some available agents."( Clinical efficacy and safety of once-weekly glucagon-like peptide-1 agonists in development for treatment of type 2 diabetes mellitus in adults.
Brackett, A; Harris, K; Tzefos, M, 2012
)
0.38
"Once-weekly GLP-1 agonists provide similar glycemic control with weight reduction, as well as overall higher treatment satisfaction for patients because of their ease of use and need for less-frequent dosing compared to some available agents."( Clinical efficacy and safety of once-weekly glucagon-like peptide-1 agonists in development for treatment of type 2 diabetes mellitus in adults.
Brackett, A; Harris, K; Tzefos, M, 2012
)
0.38
" Liraglutide dosing to mice was not found to activate RET."( GLP-1 receptor agonists and the thyroid: C-cell effects in mice are mediated via the GLP-1 receptor and not associated with RET activation.
Andersen, L; Andersen, S; Barlas, A; de Boer, AS; Fagin, JA; Gotfredsen, C; Knauf, JA; Knudsen, LB; Madsen, LW; Manova, K; Moelck, AM; Nyborg, NC; Pilling, A; Sjögren, I; Vundavalli, S, 2012
)
0.38
" Neither pancreatitis nor preneoplastic proliferative lesions was found in monkeys dosed for 87 weeks, with plasma liraglutide exposure 60-fold higher than that observed in humans at the maximal clinical dose."( The human GLP-1 analog liraglutide and the pancreas: evidence for the absence of structural pancreatic changes in three species.
Knudsen, LB; Madsen, LW; Mølck, AM; Nyborg, NC, 2012
)
0.38
" Multiple dosing of JNJ-38431055 increased post-meal total glucagon-like peptide 1 and gastric insulinotropic peptide concentrations compared to baseline."( Effects of JNJ-38431055, a novel GPR119 receptor agonist, in randomized, double-blind, placebo-controlled studies in subjects with type 2 diabetes.
Gambale, JJ; Katz, LB; Rothenberg, PL; Sarich, TC; Stein, PP; Vaccaro, N; Vanapalli, SR; Xi, L, 2012
)
0.38
" Clinicians should be aware of this possible complication and closely follow liraglutide's dosage titration recommendations in the package insert."( Liraglutide-induced acute kidney injury.
Boone, K; Kaakeh, Y; Kanjee, S; Sutton, J, 2012
)
0.38
" To improve gastrointestinal tolerability, an incremental dosing approach is used with liraglutide and exenatide twice daily."( Non-glycaemic effects mediated via GLP-1 receptor agonists and the potential for exploiting these for therapeutic benefit: focus on liraglutide.
Garber, AJ; Vilsbøll, T, 2012
)
0.38
" The present model can be used to predict the effects of other dosage regimens of vildagliptin on DPP-4 inhibition, active GLP-1, glucose and insulin concentrations, or can be modified and applied to other incretin-related anti-diabetes therapies."( Mechanism-based population modelling of the effects of vildagliptin on GLP-1, glucose and insulin in patients with type 2 diabetes.
He, YL; Jusko, WJ; Landersdorfer, CB, 2012
)
0.38
" In a single-center, randomized, parallel-group, double-blind, placebo-controlled, dose-response study, we evaluated safety, pharmacodynamics, and pharmacokinetics in female patients with IBS-C."( Effect of a glucagon-like peptide 1 analog, ROSE-010, on GI motor functions in female patients with constipation-predominant irritable bowel syndrome.
Boldingh, A; Burton, D; Camilleri, M; Iturrino, J; Kenny, E; Månsson, M; McKinzie, S; Rao, AS; Vazquez-Roque, M; Wong, BS; Zinsmeister, AR, 2012
)
0.38
" Male and female ZDF rats were dosed for 13 wk with liraglutide (0."( The effects of 13 wk of liraglutide treatment on endocrine and exocrine pancreas in male and female ZDF rats: a quantitative and qualitative analysis revealing no evidence of drug-induced pancreatitis.
Jelsing, J; Jensen, AE; Knudsen, LB; Simonsen, L; Søeborg, H; Thorup, I; Vrang, N, 2012
)
0.38
" The future may hold interesting developments in terms of reduced dosing frequency, oral formulations and alternative therapeutic uses."( A comparison of currently available GLP-1 receptor agonists for the treatment of type 2 diabetes.
Montanya, E, 2012
)
0.38
"7 years) were studied on two occasions following 2 days dosing with sitagliptin (100 mg/day) or placebo."( The effects of sitagliptin on gastric emptying in healthy humans - a randomised, controlled study.
Deacon, CF; Horowitz, M; Jones, KL; Nauck, M; Rayner, CK; Stevens, JE, 2012
)
0.38
" Based on the present results, more extensive experimental studies in vivo, comparing dose-response characteristics and efficacy of curaglutide and exendin-4 appear warranted."( Postconditioning with curaglutide, a novel GLP-1 analog, protects against heart ischemia-reperfusion injury in an isolated rat heart.
Döhler, KD; Engstrøm, T; Salling, HK; Treiman, M, 2012
)
0.38
"This 12-week, double-blind, placebo-controlled, dose-response trial randomized 167 patients who were anti-hyperglycaemic medication-naïve or had discontinued metformin monotherapy [mean baseline HbA(1c) 59 ± 8 to 61 ± 8 mmol/mol (7."( Monotherapy with the once-weekly GLP-1 analogue dulaglutide for 12 weeks in patients with Type 2 diabetes: dose-dependent effects on glycaemic control in a randomized, double-blind, placebo-controlled study.
Botros, FT; Bsharat, R; Chang, A; Garcia Soria, G; Grunberger, G; Milicevic, Z, 2012
)
0.38
"00 hours and then dosed with maltodextrin at 12."( Dietary fibre fermentability but not viscosity elicited the 'second-meal effect' in healthy adult dogs.
Beloshapka, AN; Deng, P; Swanson, KS; Vester Boler, BM, 2013
)
0.39
" While the hypophagic effects of exogenous CCK are attenuated in food-deprived rats, CCK dose-response relationships for NTS and hypothalamic activation in fed and fasted rats are unknown."( Overnight food deprivation markedly attenuates hindbrain noradrenergic, glucagon-like peptide-1, and hypothalamic neural responses to exogenous cholecystokinin in male rats.
Maniscalco, JW; Rinaman, L, 2013
)
0.39
" A sulfonylurea, pioglitazone, or exenatide can be added to maximally dosed metformin if additional glycemic control is necessary."( Diabetes update: new drugs to manage type 2 diabetes.
Erlich, DR; Shaughnessy, A; Slawson, DC, 2013
)
0.39
" Exposure of MIN6 and GLUTag cells to MW1219 enhanced glucose-stimulated insulin secretion and GLP-1 release; once-daily oral dosing of MW1219 for 6 weeks in diabetic db/db mice reduced hemoglobin A1c (HbA1c) and improved plasma glucose, insulin and GLP-1 levels; it also increased glucose tolerance."( High-throughput screening for GPR119 modulators identifies a novel compound with anti-diabetic efficacy in db/db mice.
Boutin, J; Feng, Y; He, M; Li, T; Nosjean, O; Renard, P; Wang, J; Wang, MW; Yang, D; Zhang, M; Zhao, J, 2013
)
0.39
" Comparisons performed among the dosing schedules indicated that dosing immediately before breakfast maximized the PD effects of LX4211 on both SGLT1 and SGLT2 inhibition."( Effects of LX4211, a dual sodium-dependent glucose cotransporters 1 and 2 inhibitor, on postprandial glucose, insulin, glucagon-like peptide 1, and peptide tyrosine tyrosine in a dose-timing study in healthy subjects.
Banks, P; Boehm, KA; Frazier, K; Freiman, J; Ogbaa, I; Powell, D; Ruff, D; Sands, A; Turnage, A; Zambrowicz, B, 2013
)
0.39
"This clinical study indicates that dosing of LX4211 immediately before breakfast maximized the PD effects of both SGLT1 and SGLT 2 inhibition and provided a convenient dosing schedule for future trials."( Effects of LX4211, a dual sodium-dependent glucose cotransporters 1 and 2 inhibitor, on postprandial glucose, insulin, glucagon-like peptide 1, and peptide tyrosine tyrosine in a dose-timing study in healthy subjects.
Banks, P; Boehm, KA; Frazier, K; Freiman, J; Ogbaa, I; Powell, D; Ruff, D; Sands, A; Turnage, A; Zambrowicz, B, 2013
)
0.39
" However, extensive toxicology assessments in a substantial number of animals dosed up to 2 years at high multiples of human exposure do not support these concerns."( Occurrence of spontaneous pancreatic lesions in normal and diabetic rats: a potential confounding factor in the nonclinical assessment of GLP-1-based therapies.
Bonner-Weir, S; Chadwick, KD; Fletcher, AM; Graziano, MJ; Janovitz, E; Mangipudy, RS; Parrula, MC; Reilly, TP; Roy, D, 2014
)
0.4
" Thus, we aimed to evaluate the dose-response relationship of recombinant glucagon-like peptide-1 (7-36) amide (rGLP-1) administered by continuous subcutaneous infusion (CSCI) in subjects with type 2 diabetes."( Dose response of continuous subcutaneous infusion of recombinant glucagon-like peptide-1 in combination with metformin and sulphonylurea over 12 weeks in patients with type 2 diabetes mellitus.
Ehlers, MR; Holst, JJ; Torekov, SS, 2014
)
0.4
" Furthermore, during light-phase restricted feeding, repeated dosing of exendin-4 at the beginning of the dark phase profoundly influenced both the food intake and daily rhythms of clock gene expression in peripheral tissues."( Indirect effects of glucagon-like peptide-1 receptor agonist exendin-4 on the peripheral circadian clocks in mice.
Ando, H; Fujimura, A; Ushijima, K, 2013
)
0.39
"Alternative dosing strategies for liraglutide in patients with type 2 diabetes mellitus are described."( Alternative dosing strategies for liraglutide in patients with type 2 diabetes mellitus.
Cole, SW; Marino, AB; Nuzum, DS, 2014
)
0.4
" Due to dose-related adverse effects, it is reasonable to assume that smaller or slower dosage adjustments may improve tolerability and increase the likelihood that the patient will be able to continue therapy long term."( Alternative dosing strategies for liraglutide in patients with type 2 diabetes mellitus.
Cole, SW; Marino, AB; Nuzum, DS, 2014
)
0.4
"Alternative dosing strategies that allow for slower dosage adjustments or smaller dosages may offer improved tolerability and increase the likelihood that patients will be able to continue long-term therapy with liraglutide."( Alternative dosing strategies for liraglutide in patients with type 2 diabetes mellitus.
Cole, SW; Marino, AB; Nuzum, DS, 2014
)
0.4
" Novo Nordisk has conducted extensive toxicology studies, including data on pancreas weight and histology, in Cynomolgus monkeys dosed with two different human glucagon-like peptide-1 (GLP-1) receptor agonists."( The human GLP-1 analogs liraglutide and semaglutide: absence of histopathological effects on the pancreas in nonhuman primates.
Gotfredsen, CF; Knudsen, LB; Larsen, MO; Mølck, AM; Nyborg, NC; Salanti, Z; Thorup, I, 2014
)
0.4
" Twenty-seven subjects received gemigliptin (50 mg once daily), metformin (1,000 mg twice a day), or both drugs for 7 days per dosing period."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
" Sitagliptin increased active GLP-1, but caused a profound suppression of total PYY, GLP-1, and GIP when dosed alone or with GSK263."( Gut hormone pharmacology of a novel GPR119 agonist (GSK1292263), metformin, and sitagliptin in type 2 diabetes mellitus: results from two randomized studies.
Apseloff, G; Atiee, G; Bush, MA; Collins, DA; Corsino, L; Feldman, PL; Gillmor, D; McMullen, SL; Morrow, L; Nunez, DJ, 2014
)
0.4
"A dose-response strategy may not only allow investigation of the impact of foods and nutrients on human health but may also reveal differences in the response of individuals to food ingestion based on their metabolic health status."( A dose-response strategy reveals differences between normal-weight and obese men in their metabolic and inflammatory responses to a high-fat meal.
Buri, C; Chollet, M; Egger, L; Gijs, MA; Kopf-Bolanz, KA; Laederach, K; McTernan, PG; Piya, MK; Portmann, R; Pralong, F; Schwander, F; Vergères, G; Vionnet, N, 2014
)
0.4
"05) in blood glucose levels during 2-11 h post dosing and a significant increase in insulin AUC0-11h (2."( Oral delivery of glucagon like peptide-1 by a recombinant Lactococcus lactis.
Agarwal, P; Billack, B; Khatri, P; Low, WK; Shao, J, 2014
)
0.4
" Advantages include once-weekly dosing and fewer gastrointestinal side effects compared with liraglutide, but it is less effective at reducing A1C and weight compared to liraglutide."( Albiglutide: a new GLP-1 receptor agonist for the treatment of type 2 diabetes.
Nuffer, W; Trujillo, JM, 2014
)
0.4
" (Tanzeum™) and European Union (Eperzan®) for the treatment of patients with type 2 diabetes with a dosage of 30 mg once weekly, which may be increased to 50 mg if the glycemic response is inadequate."( Albiglutide for the treatment of type 2 diabetes.
Gastaldelli, A; Muscogiuri, G, 2014
)
0.4
" It is an attractive option because it is dosed once-weekly, provides A1C lowering similar to liraglutide, weight reduction similar to exenatide, and has an adverse effect profile similar to exenatide and liraglutide."( Dulaglutide: the newest GLP-1 receptor agonist for the management of type 2 diabetes.
Thompson, AM; Trujillo, JM, 2015
)
0.42
" With a half-life of approximately 12 h, once daily dosing might be feasible; however, significant effects on appetite and weight loss may necessitate dosage or dosing frequency reductions."( Pharmacokinetics and pharmacodynamics of the glucagon-like peptide-1 analog liraglutide in healthy cats.
Adin, CA; Borin-Crivellenti, S; Gilor, C; Hall, MJ; Lakritz, J; Rajala-Schultz, P; Rudinsky, AJ, 2015
)
0.42
" Postmeal dosing had little impact, yet premeal dosing delayed and reduced 3-OMG absorption, with an AUC0-10 of 231±31 vs."( Selective sodium-dependent glucose transporter 1 inhibitors block glucose absorption and impair glucose-dependent insulinotropic peptide release.
Andrews, SM; Breed, SL; Chen, L; Dobbins, RL; Greenway, FL; Liu, Y; Smith, CD; Wald, JA; Walker, A, 2015
)
0.42
" We found that exendin-4 exerts its effect on failing human islet grafts in a bell-shaped dose-response curve."( The effects of exendin-4 treatment on graft failure: an animal study using a novel re-vascularized minimal human islet transplant model.
Abadpour, S; Foss, A; Gorman, T; Hoeyem, M; Johansson, L; Korsgren, O; Sahraoui, A; Scholz, H; Skrtic, S; Smith, DM; Winzell, MS, 2015
)
0.42
" The recent approval of insulin degludec/liraglutide administered in a fixed ratio combination is unique not simply for the additive benefits of the two agents, but because it now permits adjustable dosing of liraglutide together with insulin, providing better glucose control than with either agent alone at lower dose levels."( First fixed-ratio combination of insulin degludec and liraglutide for the treatment of type 2 diabetes.
Rendell, M, 2015
)
0.42
" Further long-term studies, preferably in patients with more impaired microvascular function and using a higher dosage of GLP-1 analogues, are needed to confirm these findings."( Effect of the glucagon-like peptide-1 analogue liraglutide on coronary microvascular function in patients with type 2 diabetes - a randomized, single-blinded, cross-over pilot study.
Faber, R; Michelsen, MM; Mygind, ND; Pena, A; Prescott, E; Zander, M, 2015
)
0.42
"These data show that d-Ala(8) GLP-1(Lys(37) ) pentasaccharide exerts significant antidiabetic actions and has a projected pharmacokinetic/pharmacodynamic profile that merits further evaluation in humans for a possible once-weekly dosing regimen."( Pharmacological characterization and antidiabetic activity of a long-acting glucagon-like peptide-1 analogue conjugated to an antithrombin III-binding pentasaccharide.
Bos, ES; de Kort, M; Dokter, WH; Flatt, PR; Irwin, N; Miltenburg, AM; Moffett, RC; Patterson, S, 2015
)
0.42
"The pharmacology, pharmacokinetics, efficacy, safety, dosage and administration, and place in therapy of the glucagon-like peptide-1 (GLP-1) receptor agonist albiglutide are reviewed."( Albiglutide: A once-weekly glucagon-like peptide-1 receptor agonist for type 2 diabetes mellitus.
Davis, PN; Ndefo, UA; Oliver, A; Payton, E, 2015
)
0.42
"GLP-1 at this dosage improves peripheric pulmonary vessel morphology in intra-acinar vessels with no effect on airway morphometry but with significant maternal and fetal side effects."( The Effect of Transplacental Administration of Glucagon-Like Peptide-1 on Fetal Lung Development in the Rabbit Model of Congenital Diaphragmatic Hernia.
Deprest, JA; Eastwood, MP; Jimenez, J; Kampmeijer, A; Toelen, J; Vanbree, R; Verbist, G; Zia, S, 2016
)
0.43
" We show that transient exposure to high glucose activates a multicomponent feedback loop that causes a stable left shift of the glucose concentration-reactive oxygen species (ROS) dose-response curve."( GLP-1 Cleavage Product Reverses Persistent ROS Generation After Transient Hyperglycemia by Disrupting an ROS-Generating Feedback Loop.
Brownlee, M; Carratú, A; D'Apolito, M; Divakaruni, AS; Du, X; Gerfen, GJ; Giacco, F; Giardino, I; Marin, O; Murphy, AN; Rasola, A; Shah, MS, 2015
)
0.42
" dosing to mini-pigs."( Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide.
Bloch, P; Gram, DX; Knudsen, LB; Knudsen, SM; Kofoed, J; Kruse, T; Lau, J; Madsen, K; McGuire, J; Nielsen, FS; Pettersson, I; Reedtz-Runge, S; Schäffer, L; Spetzler, J; Steensgaard, DB; Strauss, HM; Thygesen, P, 2015
)
0.42
"We conducted a systematic review and meta-analysis of randomized controlled trials comparing any GLP-1 RA licensed for once-weekly dosing (albiglutide, dulaglutide or exenatide extended release) with placebo or other antidiabetic agents."( Efficacy and safety of once-weekly glucagon-like peptide 1 receptor agonists for the management of type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.
Athanasiadou, E; Bekiari, E; Boura, P; Karagiannis, T; Liakos, A; Mainou, M; Matthews, DR; Paschos, P; Rika, M; Tsapas, A; Vasilakou, D, 2015
)
0.42
"Given their dosing scheme and overall efficacy and safety profile, once-weekly GLP-1 RAs are a convenient therapeutic option for use as add-on to metformin."( Efficacy and safety of once-weekly glucagon-like peptide 1 receptor agonists for the management of type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.
Athanasiadou, E; Bekiari, E; Boura, P; Karagiannis, T; Liakos, A; Mainou, M; Matthews, DR; Paschos, P; Rika, M; Tsapas, A; Vasilakou, D, 2015
)
0.42
"Single oral dosing of encapsulated glutamine did not provoke consistent increases in GLP-1 and insulin secretion and was not associated with beneficial metabolic effects in healthy volunteers or patients with type 2 diabetes."( The effect of encapsulated glutamine on gut peptide secretion in human volunteers.
Gribble, F; Lewis, HB; Meek, CL; Park, A; Reimann, F; Vergese, B, 2016
)
0.43
" The αAnalogue (100 nmol/kg) induced elevated energy expenditure and reduced food intake after single dosing in normal rats."( Long acting analogue of the calcitonin gene-related peptide induces positive metabolic effects and secretion of the glucagon-like peptide-1.
Clausen, TR; Hansen, TK; Hartmann, B; Kodra, JT; Lau, JF; Nilsson, C; Raun, K; Rosenquist, C; Sams, A, 2016
)
0.43
" The median dosing period was 320 days."( Effectiveness of Ipragliflozin, a Sodium-Glucose Co-transporter 2 Inhibitor, as a Second-line Treatment for Non-Alcoholic Fatty Liver Disease Patients with Type 2 Diabetes Mellitus Who Do Not Respond to Incretin-Based Therapies Including Glucagon-like Pep
Isogawa, A; Ohki, T; Tagawa, K; Toda, N, 2016
)
0.43
" Within dosage groups, total GLP-1 concentrations were similar, but intact GLP-1 concentrations were much lower when infused via the mesenteric artery because of extensive degradation of GLP-1 in the splanchnic bed."( The insulinotropic effect of exogenous glucagon-like peptide-1 is not affected by acute vagotomy in anaesthetized pigs.
Christensen, LW; Deacon, CF; Hansen, M; Hartmann, B; Hjøllund, KR; Holst, JJ; Larsen, SA; Plamboeck, A; Veedfald, S, 2016
)
0.43
" The dose-response study of the effect of PTU and Z7 on GLP-1 release using wild-type and TAS2R38 knockout HuTu-80 cells showed that the receptor TAS2R38 plays a major role in GLP-1 release due to these molecules."( A bitter pill for type 2 diabetes? The activation of bitter taste receptor TAS2R38 can stimulate GLP-1 release from enteroendocrine L-cells.
Abrol, R; Cai, J; Goddard, WA; Hui, H; Knudsen, B; Levin, N; Morvaridi, S; Pandol, SJ; Pham, H; Tan, J; Wu, V; Zhang, S, 2016
)
0.43
" Study 1 compared the bioavailability and effects on circulating glucose and gut hormones (glucagon-like peptide-1, peptide YY) of Metformin DR dosed twice-daily to twice-daily immediate-release metformin (Metformin IR)."( Once-daily delayed-release metformin lowers plasma glucose and enhances fasting and postprandial GLP-1 and PYY: results from two randomised trials.
Baron, A; Burns, C; Buse, JB; DeFronzo, RA; Fineman, M; Kim, T; Skare, S, 2016
)
0.43
" The half-life of plasma DPP-4 inhibition with saxagliptin 5 mg is ~27 h, which supports a once-daily dosing regimen."( Clinical Pharmacokinetics and Pharmacodynamics of Saxagliptin, a Dipeptidyl Peptidase-4 Inhibitor.
Boulton, DW, 2017
)
0.46
" 26a displayed a robust and long-lasting hypoglycemic effect in ob/ob mice (once a day dosing (QD) and 18-day treatment) owing to sustained stimulation of GLP-1 secretion, which suggested that robust hypoglycemic effect could be achieved with activation of TGR5 in intestine alone."( Intestinally-targeted TGR5 agonists equipped with quaternary ammonium have an improved hypoglycemic effect and reduced gallbladder filling effect.
Cao, H; Chen, ZX; Feng, Y; Leng, Y; Ning, MM; Shen, JH; Wang, K; Ye, YL; Zou, QA, 2016
)
0.43
"Short-term intake of a high-fat diet aggravates postprandial glucose metabolism; however, the dose-response relationship has not been investigated."( Short-term high-fat diet alters postprandial glucose metabolism and circulating vascular cell adhesion molecule-1 in healthy males.
Endo, N; Kawano, H; Konishi, M; Numao, S; Sakamoto, S; Takahashi, M; Yamada, Y, 2016
)
0.43
"Exercise-induced changes in appetite-regulating hormones may be intensity-dependent, however a clear dose-response relationship has not been established."( Total PYY and GLP-1 responses to submaximal continuous and supramaximal sprint interval cycling in men.
Copeland, JL; Hallworth, JR; Hazell, TJ; Islam, H, 2017
)
0.46
" To conclude, GSPE inhibits food intake through GLP-1 signaling, but it needs to be dosed under optimal conditions to exert this effect."( Defining Conditions for Optimal Inhibition of Food Intake in Rats by a Grape-Seed Derived Proanthocyanidin Extract.
Ardévol, A; Blay, M; Casanova-Martí, À; Pinent, M; Serrano, J; Terra, X, 2016
)
0.43
" On the basis of the relationship shown, changes in clinical efficacy in association with dose change were examined in order to discuss clinical dosage from the standpoint of proper usage."( Evaluation of drug efficacy of DPP-4 inhibitors based on theoretical analysis with pharmacokinetics and pharmacodynamics.
Kimura, K; Takayanagi, R; Uchida, T; Yamada, Y, 2017
)
0.46
" Dosage form development should focus on overcoming the limitations facing oral peptides delivery as degradation by proteolytic enzymes and poor absorption in the gastrointestinal tract (GIT)."( Novel strategies in the oral delivery of antidiabetic peptide drugs - Insulin, GLP 1 and its analogs.
Csóka, I; Ismail, R, 2017
)
0.46
" In healthy mice and rats treated with LX2761, blood glucose excursions were lower and plasma total glucagon-like peptide-1 (GLP-1) levels higher after an oral glucose challenge; these decreased glucose excursions persisted even when the glucose challenge occurred 15 hours after LX2761 dosing in ad lib-fed mice."( LX2761, a Sodium/Glucose Cotransporter 1 Inhibitor Restricted to the Intestine, Improves Glycemic Control in Mice.
Carson, KG; DaCosta, CM; Ding, ZM; Doree, DD; Goodwin, NC; Gopinathan, S; Greer, J; Harris, AL; Harrison, BA; Jeter-Jones, S; Mseeh, F; Powell, DR; Rawlins, DB; Smith, MG; Strobel, ED; Thompson, A; Wilson, A; Xiong, W; Zambrowicz, B, 2017
)
0.46
"The method was established for the quantitation of endogenous glucagon (LLOQ: 15 pg/ml) and dosed GLP-1 (LLOQ: 25 pg/ml) in human plasma, and is the first such method avoiding immunoenrichment."( Development of a UHPLC-MS/MS (SRM) method for the quantitation of endogenous glucagon and dosed GLP-1 from human plasma.
Bloom, S; Cegla, J; Creaser, CS; Howard, JW; Jones, B; Kay, RG; Tan, T, 2017
)
0.46
"The LC-MS/MS method offers a viable alternative to immunoassays for quantitation of endogenous glucagon, dosed glucagon and/or dosed GLP-1."( Development of a UHPLC-MS/MS (SRM) method for the quantitation of endogenous glucagon and dosed GLP-1 from human plasma.
Bloom, S; Cegla, J; Creaser, CS; Howard, JW; Jones, B; Kay, RG; Tan, T, 2017
)
0.46
"0 nmol/kg), which ranged from subthreshold to maximal doses to stimulate first-phase insulin secretion as evident from initial dose-response studies."( Glucagon-like peptide-1 and glucose-dependent insulinotropic peptide: effects alone and in combination on insulin secretion and glucose disappearance in mice.
Ahrén, B; Pacini, G, 2017
)
0.46
" In in vivo pharmacokinetic study, the half-life of BPI-3016 was more than 95h after single dosing in diabetic cynomolgus monkeys."( BPI-3016, a novel long-acting hGLP-1 analogue for the treatment of Type 2 diabetes mellitus.
Chen, H; Ding, L; He, E; Long, W; Lu, S; Ma, C; Tan, F; Wang, Y; Yan, D, 2017
)
0.46
" Pharmacokinetic data supported once-daily dosing and pharmacodynamic effect displayed dose-dependent reductions in fasting and postprandial plasma glucose, without increasing the risk of hypoglycaemia."( Pharmacodynamics, pharmacokinetics and safety of multiple ascending doses of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 in people with type 2 diabetes mellitus.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
" Evidence of glycaemic effect and pharmacokinetic profiles consistent with once-daily dosing render this drug candidate suitable to be further tested in multiple-dose clinical trials in patients with type 2 diabetes."( Pharmacodynamics, pharmacokinetics, safety and tolerability of the novel dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 agonist RG7697 after single subcutaneous administration in healthy subjects.
DiMarchi, R; Jadidi, S; Portron, A; Sarkar, N; Schmitt, C, 2017
)
0.46
" The effects of exenatide were examined on the following prespecified covariates within the first 6 hours from study drug initiation: lactate level, blood glucose level, heart rate, mean arterial pressure, and combined dosage of norepinephrine and dopamine."( The Glucagon-Like Peptide-1 Analog Exenatide Increases Blood Glucose Clearance, Lactate Clearance, and Heart Rate in Comatose Patients After Out-of-Hospital Cardiac Arrest.
Engstrøm, T; Frydland, M; Hassager, C; Høfsten, DE; Kjaergaard, J; Køber, L; Lindholm, MG; Møller, JE; Schmidt, H; Thomsen, JH; Wiberg, S; Winther-Jensen, M, 2018
)
0.48
" Using a randomised, controlled, dose-response crossover trial in 20 young, healthy, Chinese men, volunteers were served white rice with 3 doses of curry made with mixed spices and vegetables."( Polyphenol-rich curry made with mixed spices and vegetables increases postprandial plasma GLP-1 concentration in a dose-dependent manner.
Chia, SC; Haldar, S; Henry, CJ, 2018
)
0.48
"Pharmacogenetics is a promising area of medical research, providing methods to identify the appropriate pharmaceutical agent and dosing for each unique patient."( Pharmacogenetics of Glucagon-like Peptide-1 Agonists for the Treatment of Type 2 Diabetes Mellitus.
Goulis, DG; Karras, SN; Kotsa, K; Koufakis, T; Kyriazou, A; Rapti, E, 2017
)
0.46
" Semaglutide plasma concentrations were measured during dosing and for up to 21 days after the last dose."( Pharmacokinetics, Safety and Tolerability of Oral Semaglutide in Subjects with Renal Impairment.
Anderson, TW; Granhall, C; Søndergaard, FL; Thomsen, M, 2018
)
0.48
" The favorable safety profiles of OW GLP-1 RAs, added to their efficacy and the favorable weekly dosing regimen, make these agents appropriate options for patients with T2D."( Safety of Once-weekly Glucagon-like Peptide-1 Receptor Agonists in Patients with Type 2 Diabetes.
Frias, JP, 2018
)
0.48
"In this single-dose, Phase 1 study in healthy subjects, the safety and pharmacokinetic profiles of MEDI0382 support once-daily dosing and further clinical development of MEDI0382."( MEDI0382, a GLP-1/glucagon receptor dual agonist, meets safety and tolerability endpoints in a single-dose, healthy-subject, randomized, Phase 1 study.
Ambery, PD; Hirshberg, B; Jermutus, L; Klammt, S; Petrone, M; Posch, MG; Pu, W; Rondinone, C, 2018
)
0.48
" Diet-induced obese mice (DIO) were dosed orally with KDT501 and acute effects on glucose homeostasis determined."( Intestinal bitter taste receptor activation alters hormone secretion and imparts metabolic benefits.
Albert, V; Behrens, M; Bland, JS; Fang, M; Galmozzi, A; Godio, C; Grayson, N; Kim, SM; Kim, W; Kok, BP; Littlejohn, NK; Meyerhof, W; Saez, E; Siuzdak, G; Srinivasan, S, 2018
)
0.48
" RDX8940-induced increases in plasma active GLP-1 (aGLP-1) levels were enhanced by repeated dosing and by coadministration of DPP4 inhibitors."( Intestinal TGR5 agonism improves hepatic steatosis and insulin sensitivity in Western diet-fed mice.
Bell, N; Blanco, E; Caldwell, JS; Carreras, CW; Chen, T; Dragoli, D; Finn, PD; Hsu, IH; Jacobs, JW; Jain, R; Jiang, Z; King, AJ; Kohler, J; Koo-McCoy, S; Kozuka, K; Le, C; Leadbetter, M; Lewis, JG; Okamoto, K; Rodriguez, D; Shaw, K; Siegel, M; Vanegas, S; Wan, S, 2019
)
0.51
" Semaglutide was initiated at 3 mg/d and escalated every 4 weeks, first to 7 mg/d then to 14 mg/d, until the randomized dosage was achieved."( Effect of Additional Oral Semaglutide vs Sitagliptin on Glycated Hemoglobin in Adults With Type 2 Diabetes Uncontrolled With Metformin Alone or With Sulfonylurea: The PIONEER 3 Randomized Clinical Trial.
Allison, D; Birkenfeld, AL; Blicher, TM; Davies, M; Deenadayalan, S; Jacobsen, JB; Rosenstock, J; Serusclat, P; Violante, R; Watada, H, 2019
)
0.51
"It appears that bochnaloside at oral dosage greater than 150 mg/kg/day exerts antidiabetic effects in vivo through modulating the action of GLP-1."( Effects of boschnaloside from Boschniakia rossica on dysglycemia and islet dysfunction in severely diabetic mice through modulating the action of glucagon-like peptide-1.
Chen, CT; Huang, C; Lee, LC; Lin, LC; Liu, HK; Shiao, YJ; Song, JS, 2019
)
0.51
"In patients with HbA1c ≥10% treatment with GLP1RA plus basal insulin, compared with basal-bolus insulin, resulted in better glycaemic control and body weight, lower insulin dosage and hypoglycaemia, and improved quality of life."( A randomized trial comparing the efficacy and safety of treating patients with type 2 diabetes and highly elevated HbA1c levels with basal-bolus insulin or a glucagon-like peptide-1 receptor agonist plus basal insulin: The SIMPLE study.
Abreu, M; Adams-Huet, B; Dimachkie, P; Elhassan, A; Gunasekaran, U; Li, X; Lingvay, I; Meneghini, LF; Papacostea, O; Peicher, K; Pop, LM; Siddiqui, MS; Tumyan, A, 2019
)
0.51
" T-3601386, but not a partial agonist fasiglifam, increased intracellular Ca2+ levels in CHO cells with low FFAR1 expression, and single dosing of T-3601386 in diet-induced obese (DIO) rats elevated plasma incretin levels, suggesting full agonistic properties of T-3601386 against GPR40."( GPR40 full agonism exerts feeding suppression and weight loss through afferent vagal nerve.
Abe, SI; Ito, R; Maruyama, M; Miyamoto, Y; Miyashita, H; Moritoh, Y; Nishigaki, N; Ogino, H; Takeuchi, K; Tsujihata, Y; Ueno, H, 2019
)
0.51
" In a dose-response comparison, DA-CH5 was more effective than the GLP-1 receptor agonist exendin-4."( The Novel Dual GLP-1/GIP Receptor Agonist DA-CH5 Is Superior to Single GLP-1 Receptor Agonists in the MPTP Model of Parkinson's Disease.
Hölscher, C; Li, L; Li, Y; Melchiorsen, JU; Rosenkilde, M; Zhang, L, 2020
)
0.56
" These methods are also used for routine quality control analysis of teneligliptin in pharmaceutical dosage forms."( Review on Chemistry, Analysis and Pharmacology of Teneligliptin: A Novel DPP-4 Inhibitor.
Hatware, K; Patil, K; Sharma, R; Sharma, S, 2020
)
0.56
"6 g/kg dosage obviously up-regulated 5-HT and DA levels in hippocampus."( Effects of Zuojin pill on depressive behavior and gastrointestinal function in rats with chronic unpredictable mild stress: Role of the brain-gut axis.
Duan, XH; Huang, YZ; Liu, WL; Su, KH; Wang, T; Yan, YF; Yang, L, 2020
)
0.56
"A 2-week parallel randomized clinical trial with an additional visit conducted 1 week after dosing termination."( Sucralose Consumption over 2 Weeks in Healthy Subjects Does Not Modify Fasting Plasma Concentrations of Appetite-Regulating Hormones: A Randomized Clinical Trial.
Aguilar-Salinas, CA; Almeda-Valdes, P; Brito-Córdova, GX; Gómez-Díaz, RA; Gómez-Pérez, FJ; Guillén-Pineda, LE; López-Carrasco, MG; Romo-Romo, A, 2020
)
0.56
" A dose-response study in the APP/PS1 mouse model of AD showed both a dose-dependent drug effect on the inflammation response and the reduction of amyloid plaques in the brain."( The Dual GLP-1/GIP Receptor Agonist DA4-JC Shows Superior Protective Properties Compared to the GLP-1 Analogue Liraglutide in the APP/PS1 Mouse Model of Alzheimer's Disease.
Gengler, S; Goulding, EM; Hölscher, C; Maskery, M; Melchiorsen, JU; Rosenkilde, MM,
)
0.13
" Samples from eight individuals with type 2 diabetes and eight age-, gender-, and body mass index (BMI)-matched controls, all of whom underwent three differently dosed OGTTs (25 g, 75 g, and 125 g), and three matched IIGIs were utilised (NCT00529048)."( Circulating Levels of the Soluble Receptor for AGE (sRAGE) during Escalating Oral Glucose Dosages and Corresponding Isoglycaemic i.v. Glucose Infusions in Individuals with and without Type 2 Diabetes.
Bagger, JI; Borg, DJ; Forbes, JM; Fotheringham, AK; Holst, JJ; Knop, FK; McCarthy, DA; Vilsbøll, T, 2020
)
0.56
" During a 4-week intervention period, treatment of supaglutide of weekly dosing dose-dependently decreased fasting and random blood glucose levels."( Novel GLP-1 analog supaglutide improves glucose homeostasis in diabetic monkeys.
Cui, Q; Huang, X; Jiang, Y; Li, J; Liang, Y; Liao, Y; Ma, A; Shao, A; Tao, W; Wang, Q; Wang, Z; Wu, M; Yang, Z; Zeng, W; Zhang, L; Zhao, Y; Zhou, Q, 2021
)
0.62
" A once-per-day dosing regimen may be recommended as clinically efficacious."( Safety, Pharmacokinetics, and Pharmacodynamics of a Dipeptidyl Peptidase-4 Inhibitor: A Randomized, Double-Blinded, Placebo-Controlled Daily Administration of Fotagliptin Benzoate for 14 Days for Type 2 Diabetes Mellitus.
Ding, YH; Li, QQ; Li, XJ; Li, Y; Sun, HG; Wu, M; Zhang, H; Zhu, XX, 2021
)
0.62
"The consumption of pea protein reduced postprandial glycaemia and stimulated insulin release in healthy adults with a dose-response effect, supporting its role in regulating glycaemic and insulinaemic responses."( Co-ingestion of NUTRALYS
Achebe, I; Ahlström, E; Guérin-Deremaux, L; Lefranc-Millot, C; Lightowler, H; Maher, T; Sampson, A; Thondre, PS, 2021
)
0.62
" However, medications in this class differ considerably in their dosing frequency, which may impact adherence."( Medication adherence to injectable glucagon-like peptide-1 (GLP-1) receptor agonists dosed once weekly vs once daily in patients with type 2 diabetes: A meta-analysis.
Brock, MD; Cannon, JM; Muraoka, AK; Weeda, ER, 2021
)
0.62
" Studies of adults with T2D were included if they compared adherence (as measured by proportion of days covered [PDC]) to injectable GLP-1RAs dosed once weekly vs once daily."( Medication adherence to injectable glucagon-like peptide-1 (GLP-1) receptor agonists dosed once weekly vs once daily in patients with type 2 diabetes: A meta-analysis.
Brock, MD; Cannon, JM; Muraoka, AK; Weeda, ER, 2021
)
0.62
"Once weekly dosing of injectable GLP-1RAs was associated with better adherence vs once daily dosing among patients with T2D."( Medication adherence to injectable glucagon-like peptide-1 (GLP-1) receptor agonists dosed once weekly vs once daily in patients with type 2 diabetes: A meta-analysis.
Brock, MD; Cannon, JM; Muraoka, AK; Weeda, ER, 2021
)
0.62
" We examined the dose-response relationship for GLP-1 on glucose-induced glucagon suppression in healthy individuals and patients with type 2 and type 1 diabetes."( Glucagonostatic Potency of GLP-1 in Patients With Type 2 Diabetes, Patients With Type 1 Diabetes, and Healthy Control Subjects.
Bagger, JI; Grøndahl, MFG; Holst, JJ; Knop, FK; Lund, A; Vilsbøll, T, 2021
)
0.62
" A mouse model of diet-induced obesity (DIO) was used to investigate the potential metabolic benefits of chronic dosing of each antagonist, alone or in combination with liraglutide."( Chronic peptide-based GIP receptor inhibition exhibits modest glucose metabolic changes in mice when administered either alone or combined with GLP-1 agonism.
Bewick, GA; Ghosh, SS; Grønlund, RV; Maggs, D; Parkes, DG; Pedersen, PJ; Rajagopalan, H; Tsakmaki, A; West, JA, 2021
)
0.62
" Three approaches may be considered to potentiate weight loss: an increase of the drug dosage because of the demonstration of a dose-response, an add-on therapy with a sodium-glucose cotransporter type 2 inhibitor as this agent exerts a complementary action through urinary calorie loss (glucosuria) or a combination of the effects of two incretin hormones (GLP-1 and GIP), as the potent dual agonist tirzepatide currently in development."( [Potentiation of weight reduction with GLP-1 receptor agonists].
Paquot, N; Scheen, AJ, 2021
)
0.62
"Semaglutide, a glucagon like peptide-1 (GLP-1) receptor agonist, is available as monotherapy in both subcutaneous as well as oral dosage form (first approved oral GLP-1 receptor agonist)."( Semaglutide, a glucagon like peptide-1 receptor agonist with cardiovascular benefits for management of type 2 diabetes.
Karuppasamy, M; Mahapatra, MK; Sahoo, BM, 2022
)
0.72
" Pharmacokinetic analysis showed that stable steady-state concentrations could be achieved with once-daily dosing owing to the long half-life of oral semaglutide."( A new era for oral peptides: SNAC and the development of oral semaglutide for the treatment of type 2 diabetes.
Aroda, VR; Blonde, L; Pratley, RE, 2022
)
0.72
" Since the efficacy in relation to reduction of HbA1c and body weight as well as tolerability and dosing frequency vary between agents, the GLP-1 RAs cannot be considered equal."( Cardiovascular effects of incretins: focus on glucagon-like peptide-1 receptor agonists.
Holst, JJ; Madsbad, S, 2023
)
0.91
" In vivo pharmacological studies were performed using acute and subchronic dosing regimens to demonstrate target engagement for the GCGR and GLP-1R, and weight lowering efficacy."( BI 456906: Discovery and preclinical pharmacology of a novel GCGR/GLP-1R dual agonist with robust anti-obesity efficacy.
Augustin, R; Baader-Pagler, T; Bajrami, B; Drucker, DJ; Haebel, P; Hamprecht, D; Klein, H; Neubauer, H; Reindl, W; Rist, W; Santhanam, R; Simon, E; Thomas, L; Uphues, I; Zimmermann, T, 2022
)
0.72
"BI 456906 is a potent, acylated peptide containing a C18 fatty acid as a half-life extending principle to support once-weekly dosing in humans."( BI 456906: Discovery and preclinical pharmacology of a novel GCGR/GLP-1R dual agonist with robust anti-obesity efficacy.
Augustin, R; Baader-Pagler, T; Bajrami, B; Drucker, DJ; Haebel, P; Hamprecht, D; Klein, H; Neubauer, H; Reindl, W; Rist, W; Santhanam, R; Simon, E; Thomas, L; Uphues, I; Zimmermann, T, 2022
)
0.72
" Furthermore, DLG3312@NPs extended the efficacy of DLG3312, leading to a decrease in the dosing schedule that from once a day to once every other day."( Sustained release of GLP-1 analog from γ-PGA-PAE copolymers for management of type 2 diabetes.
Chen, T; Chen, Y; Gao, J; Huang, J; Jin, M; Pan, Y; Tan, S; Wu, Y; Yang, F; Yang, T; Zhang, L, 2023
)
0.91
" This trial compared the recommended dosing schedule with alternative schedules."( Effect of Various Dosing Schedules on the Pharmacokinetics of Oral Semaglutide: A Randomised Trial in Healthy Subjects.
Boschini, C; Bækdal, TA; Forte, P; Jensen, TB; van Hout, M, 2023
)
0.91
" Subjects (n = 156) were randomised to five dosing schedules: 2-, 4-, or 6-h pre-dose fast followed by a 30-min post-dose fast (treatment arms: 2 h-30 min, 4-30 min, 6 h-30 min); 2-h pre-dose fast followed by an overnight post-dose fast (treatment arm: 2 h-night); or overnight pre-dose fast followed by a 30-min post-dose fast (reference arm: night-30 min)."( Effect of Various Dosing Schedules on the Pharmacokinetics of Oral Semaglutide: A Randomised Trial in Healthy Subjects.
Boschini, C; Bækdal, TA; Forte, P; Jensen, TB; van Hout, M, 2023
)
0.91
"This trial supports dosing oral semaglutide in accordance with prescribing information, which requires dosing in the fasting state."( Effect of Various Dosing Schedules on the Pharmacokinetics of Oral Semaglutide: A Randomised Trial in Healthy Subjects.
Boschini, C; Bækdal, TA; Forte, P; Jensen, TB; van Hout, M, 2023
)
0.91
" This study investigates whether different dosing schedules for oral semaglutide could potentially offer more flexibility to patients in the timing of their oral semaglutide dosing."( Effect of Various Dosing Schedules on the Pharmacokinetics of Oral Semaglutide: A Randomised Trial in Healthy Subjects.
Boschini, C; Bækdal, TA; Forte, P; Jensen, TB; van Hout, M, 2023
)
0.91
"Exercise in young adults (18-25 yr) suppresses appetite in a dose-response relationship with exercise intensity."( Intense interval exercise induces lactate accumulation and a greater suppression of acylated ghrelin compared with submaximal exercise in middle-aged adults.
Bornath, DPD; Hazell, TJ; Jarosz, C; Kenno, KA; McCarthy, SF; Medeiros, PJ; Tucker, JAL, 2023
)
0.91
" In the identified studies, multiple dosing regimens were utilised for semaglutide."( Weight loss with subcutaneous semaglutide versus other glucagon-like peptide 1 receptor agonists in type 2 diabetes: a systematic review.
Bacchi, S; Boyd, M; Bristow, TC; Chang, S; Gupta, A; Heilbronn, L; Heng, J; Horowtiz, M; Kovoor, J; Maddern, G; Murray, T; Ngoi, B; Ovenden, C; Rayner, C; Stretton, B; Talley, NJ; Thompson, CH, 2023
)
0.91
") semaglutide dosing patterns in people with type 2 diabetes mellitus (T2DM) in the UK and Germany as well as oral semaglutide in the UK."( Dosing Patterns of Dulaglutide and Semaglutide in Patients with Type 2 Diabetes in the United Kingdom and Germany: A Retrospective Cohort Study.
Barrett, A; Coles, B; Debackere, N; Keapoletswe, K; Ribeiro, A; Zingel, R, 2023
)
0.91
"5-mg dosage formulation was the most common for both cohort 1 (65."( Dosing Patterns of Dulaglutide and Semaglutide in Patients with Type 2 Diabetes in the United Kingdom and Germany: A Retrospective Cohort Study.
Barrett, A; Coles, B; Debackere, N; Keapoletswe, K; Ribeiro, A; Zingel, R, 2023
)
0.91
" Its dose-response relationships with respect to side effects, safety, and efficacy for the treatment of obesity are not known."( Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial.
Coskun, T; Du, Y; Frías, JP; Gurbuz, S; Hartman, ML; Haupt, A; Jastreboff, AM; Kaplan, LM; Milicevic, Z; Wu, Q, 2023
)
0.91
"Based on population PK, exposure levels over time consistently explained the weight-loss trajectories across trials and dosing regimens."( A model-based approach to predict individual weight loss with semaglutide in people with overweight or obesity.
Horn, DB; Larsen, MS; Overgaard, RV; Rubino, D; Strathe, A; Sørrig, R; Tran, MTD; Wharton, S, 2023
)
0.91
"This open-label, single-center pilot study suggests that GLP-1-RAs are an effective and safe treatment option for achieving significant weight loss with a favorable effect on headache, leading to reduced acetazolamide dosage in pwIIH."( Treatment with GLP-1 receptor agonists is associated with significant weight loss and favorable headache outcomes in idiopathic intracranial hypertension.
Bsteh, G; Harreiter, J; Itariu, B; Krajnc, N; Macher, S; Marik, W; Michl, M; Novak, K; Pemp, B; Wöber, C, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Pathways (2)

PathwayProteinsCompounds
Bile Acid Direct Signalling Pathway (2)32
Pancreas Function - Beta Cell1910

Protein Targets (4)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Glucagon-like peptide 1 receptorHomo sapiens (human)IC50 (µMol)0.00010.00010.00310.0140AID1247343; AID1247344
Glucagon-like peptide 1 receptorHomo sapiens (human)IC50 (µMol)0.00510.00010.00310.0140AID1053246; AID1874888; AID241907; AID242388; AID345043
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Glucagon-like peptide 1 receptorHomo sapiens (human)EC50 (µMol)0.00000.00000.04170.7943AID1247346; AID1500821; AID328850; AID73181
Glucagon-like peptide 1 receptorHomo sapiens (human)Kd0.00050.00053.13536.2700AID328863
Glucagon-like peptide 1 receptorMus musculus (house mouse)EC50 (µMol)0.00000.00000.00000.0000AID1483062
Glucagon-like peptide 1 receptorHomo sapiens (human)EC50 (µMol)0.05930.00000.04170.7943AID1053245; AID1066039; AID1450908; AID1483054; AID1573521; AID1573523; AID1573525; AID1874754; AID1874889; AID1874890; AID1874891; AID1874892; AID1890030; AID240065; AID240152; AID345045
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (24)

Processvia Protein(s)Taxonomy
cell surface receptor signaling pathwayGlucagon-like peptide 1 receptorHomo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwayGlucagon-like peptide 1 receptorHomo sapiens (human)
activation of adenylate cyclase activityGlucagon-like peptide 1 receptorHomo sapiens (human)
positive regulation of cytosolic calcium ion concentrationGlucagon-like peptide 1 receptorHomo sapiens (human)
learning or memoryGlucagon-like peptide 1 receptorHomo sapiens (human)
regulation of heart contractionGlucagon-like peptide 1 receptorHomo sapiens (human)
cAMP-mediated signalingGlucagon-like peptide 1 receptorHomo sapiens (human)
post-translational protein targeting to membrane, translocationGlucagon-like peptide 1 receptorHomo sapiens (human)
negative regulation of blood pressureGlucagon-like peptide 1 receptorHomo sapiens (human)
hormone secretionGlucagon-like peptide 1 receptorHomo sapiens (human)
cellular response to glucagon stimulusGlucagon-like peptide 1 receptorHomo sapiens (human)
response to psychosocial stressGlucagon-like peptide 1 receptorHomo sapiens (human)
positive regulation of blood pressureGlucagon-like peptide 1 receptorHomo sapiens (human)
cell surface receptor signaling pathwayGlucagon-like peptide 1 receptorHomo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwayGlucagon-like peptide 1 receptorHomo sapiens (human)
activation of adenylate cyclase activityGlucagon-like peptide 1 receptorHomo sapiens (human)
positive regulation of cytosolic calcium ion concentrationGlucagon-like peptide 1 receptorHomo sapiens (human)
learning or memoryGlucagon-like peptide 1 receptorHomo sapiens (human)
regulation of heart contractionGlucagon-like peptide 1 receptorHomo sapiens (human)
cAMP-mediated signalingGlucagon-like peptide 1 receptorHomo sapiens (human)
post-translational protein targeting to membrane, translocationGlucagon-like peptide 1 receptorHomo sapiens (human)
negative regulation of blood pressureGlucagon-like peptide 1 receptorHomo sapiens (human)
hormone secretionGlucagon-like peptide 1 receptorHomo sapiens (human)
cellular response to glucagon stimulusGlucagon-like peptide 1 receptorHomo sapiens (human)
response to psychosocial stressGlucagon-like peptide 1 receptorHomo sapiens (human)
positive regulation of blood pressureGlucagon-like peptide 1 receptorHomo sapiens (human)
cellular response to starvationGlucagon receptorHomo sapiens (human)
positive regulation of gene expressionGlucagon receptorHomo sapiens (human)
generation of precursor metabolites and energyGlucagon receptorHomo sapiens (human)
exocytosisGlucagon receptorHomo sapiens (human)
cell surface receptor signaling pathwayGlucagon receptorHomo sapiens (human)
adenylate cyclase-modulating G protein-coupled receptor signaling pathwayGlucagon receptorHomo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwayGlucagon receptorHomo sapiens (human)
response to nutrientGlucagon receptorHomo sapiens (human)
regulation of blood pressureGlucagon receptorHomo sapiens (human)
hormone-mediated signaling pathwayGlucagon receptorHomo sapiens (human)
glucose homeostasisGlucagon receptorHomo sapiens (human)
response to starvationGlucagon receptorHomo sapiens (human)
regulation of glycogen metabolic processGlucagon receptorHomo sapiens (human)
cellular response to glucagon stimulusGlucagon receptorHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (6)

Processvia Protein(s)Taxonomy
transmembrane signaling receptor activityGlucagon-like peptide 1 receptorHomo sapiens (human)
protein bindingGlucagon-like peptide 1 receptorHomo sapiens (human)
glucagon-like peptide 1 receptor activityGlucagon-like peptide 1 receptorHomo sapiens (human)
peptide hormone bindingGlucagon-like peptide 1 receptorHomo sapiens (human)
glucagon receptor activityGlucagon-like peptide 1 receptorHomo sapiens (human)
transmembrane signaling receptor activityGlucagon-like peptide 1 receptorHomo sapiens (human)
protein bindingGlucagon-like peptide 1 receptorHomo sapiens (human)
glucagon-like peptide 1 receptor activityGlucagon-like peptide 1 receptorHomo sapiens (human)
peptide hormone bindingGlucagon-like peptide 1 receptorHomo sapiens (human)
glucagon receptor activityGlucagon-like peptide 1 receptorHomo sapiens (human)
glucagon receptor activityGlucagon receptorHomo sapiens (human)
guanyl-nucleotide exchange factor activityGlucagon receptorHomo sapiens (human)
peptide hormone bindingGlucagon receptorHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (3)

Processvia Protein(s)Taxonomy
plasma membraneGlucagon-like peptide 1 receptorHomo sapiens (human)
membraneGlucagon-like peptide 1 receptorHomo sapiens (human)
plasma membraneGlucagon-like peptide 1 receptorHomo sapiens (human)
plasma membraneGlucagon-like peptide 1 receptorHomo sapiens (human)
membraneGlucagon-like peptide 1 receptorHomo sapiens (human)
plasma membraneGlucagon-like peptide 1 receptorHomo sapiens (human)
endosomeGlucagon receptorHomo sapiens (human)
plasma membraneGlucagon receptorHomo sapiens (human)
membraneGlucagon receptorHomo sapiens (human)
plasma membraneGlucagon receptorHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (104)

Assay IDTitleYearJournalArticle
AID1247346Agonist activity at human GLP1 receptor expressed in BHK cells after 3 hrs by CRE firefly luciferase reporter gene assay in absence of human serum albumin2015Journal of medicinal chemistry, Sep-24, Volume: 58, Issue:18
Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide.
AID1418845Drug metabolism in minipig plasma assessed as DDP-4-meditaed GLP1(9 to 37 residues) formation by measuring half life at 1 uM by LC-MS analysis2018Journal of medicinal chemistry, 12-13, Volume: 61, Issue:23
Design of Y
AID328859Induction of 10 mM glucose-induced insulin release in CD1 GLP1 receptor knockout mouse pancreatic islets at 1000 nM2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID1500823Selectivity ratio of EC50 for full length human GLP1R expressed in HEK293 cells to EC50 for human GCGR expressed in HEK293 cells2017European journal of medicinal chemistry, Sep-29, Volume: 138A novel glucagon-like peptide-1/glucagon receptor dual agonist exhibits weight-lowering and diabetes-protective effects.
AID328861Induction of 3 mM glucose-induced insulin release in CD1 wild type mouse pancreatic islets at 1000 nM2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID1500828Anorectic activity in overnight fasted ICR mouse assessed as reduction in cumulative food intake at 1000 nmol/kg, ip measured up to 24 hrs post dose2017European journal of medicinal chemistry, Sep-29, Volume: 138A novel glucagon-like peptide-1/glucagon receptor dual agonist exhibits weight-lowering and diabetes-protective effects.
AID328858Induction of 10 mM glucose-induced insulin release in CD1 GLP1 receptor knockout mouse pancreatic islets at 100 nM2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID328850Agonist activity at human GLP1 receptor expressed in BHK cells assessed as cAMP accumulation2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID1500822Agonist activity at human GCGR expressed in HEK293 cells assessed as increase in cAMP accumulation after 20 mins by HTRF assay2017European journal of medicinal chemistry, Sep-29, Volume: 138A novel glucagon-like peptide-1/glucagon receptor dual agonist exhibits weight-lowering and diabetes-protective effects.
AID328856Induction of 10 mM glucose-induced insulin release in CD1 wild type mouse pancreatic islets at 100 nM2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID1247344Displacement of [125I]-GLP1 from human GLP1 receptor expressed in BHK cells after 2 hrs in presence of 2% human serum albumin2015Journal of medicinal chemistry, Sep-24, Volume: 58, Issue:18
Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide.
AID23627Plasma half life was determined in pigs2000Journal of medicinal chemistry, May-04, Volume: 43, Issue:9
Potent derivatives of glucagon-like peptide-1 with pharmacokinetic properties suitable for once daily administration.
AID73181Potency measured using recombinant human GLP-1 receptor expressed in Baby Hamster Kidney (BHK)cells2000Journal of medicinal chemistry, May-04, Volume: 43, Issue:9
Potent derivatives of glucagon-like peptide-1 with pharmacokinetic properties suitable for once daily administration.
AID1062175Induction of 8 mM glucose-induced insulin secretion in Han Wistar rat pancreatic islets after 2 hrs by HTRF assay2013ACS medicinal chemistry letters, Dec-12, Volume: 4, Issue:12
Stapled Vasoactive Intestinal Peptide (VIP) Derivatives Improve VPAC2 Agonism and Glucose-Dependent Insulin Secretion.
AID328863Binding affinity to human GLP1 receptor expressed in BHK cells2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID328855Antagonist activity at human glucagon receptor assessed as forskolin-induced cAMP production2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID1247343Displacement of [125I]-GLP1 from human GLP1 receptor expressed in BHK cells after 2 hrs in absence of human serum albumin2015Journal of medicinal chemistry, Sep-24, Volume: 58, Issue:18
Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide.
AID328860Induction of 3 mM glucose-induced insulin release in CD1 wild type mouse pancreatic islets at 100 nM2007Proceedings of the National Academy of Sciences of the United States of America, Jan-16, Volume: 104, Issue:3
Small-molecule agonists for the glucagon-like peptide 1 receptor.
AID1247345Ratio of IC50 for human GLP1 receptor expressed in BHK cells in presence of 2% human serum albumin to IC50 for human GLP1 receptor expressed in BHK cells in absence of human serum albumin2015Journal of medicinal chemistry, Sep-24, Volume: 58, Issue:18
Discovery of the Once-Weekly Glucagon-Like Peptide-1 (GLP-1) Analogue Semaglutide.
AID1870342Hypoglycemic activity in sixteen hrs fasted wild type C57BL/6 mouse assessed as increase in insulin concentration at 500 microg/kg, ip followed by oral glucose at 2 g/Kg and measured upto 150 mins by OGTT2022ACS medicinal chemistry letters, Jul-14, Volume: 13, Issue:7
S-Protected Cysteine Sulfoxide-Enabled Tryptophan-Selective Modification with Application to Peptide Lipidation.
AID1500821Agonist activity at full length human GLP1R expressed in HEK293 cells assessed as increase in cAMP accumulation after 20 mins by HTRF assay2017European journal of medicinal chemistry, Sep-29, Volume: 138A novel glucagon-like peptide-1/glucagon receptor dual agonist exhibits weight-lowering and diabetes-protective effects.
AID1870343Hypoglycemic activity in sixteen hrs fasted wild type C57BL/6 mouse assessed as reduction in glucose concentration at 500 microg/kg, ip followed by oral glucose at 2 g/Kg and measured upto 150 mins by OGTT2022ACS medicinal chemistry letters, Jul-14, Volume: 13, Issue:7
S-Protected Cysteine Sulfoxide-Enabled Tryptophan-Selective Modification with Application to Peptide Lipidation.
AID1500819Body weight lowering effect in ICR mouse assessed as cumulative changes in body weight at 1000 nmol/kg, ip administered every other day for 2 weeks2017European journal of medicinal chemistry, Sep-29, Volume: 138A novel glucagon-like peptide-1/glucagon receptor dual agonist exhibits weight-lowering and diabetes-protective effects.
AID1345996Human GLP-1 receptor (Glucagon receptor family)1993Endocrinology, Oct, Volume: 133, Issue:4
Cloning and functional expression of the human glucagon-like peptide-1 (GLP-1) receptor.
AID366080Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered 90 mins before 18 mmol/kg, ip glucose injection after 45 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID1874920Agonist activity at human GLP-1R expressed in CHO cells assessed as effect on beta-arrestin-2 signaling by measuring EC50 in presence of BETP2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874909Induction of plasma insulin level in C57BL/6J mouse assessed as increase in insulin level at 0.1 mg/kg, ip administered as single dose measured at 10 mins in presence of glucose2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1066039Activation of human GLP-1 receptor overexpressed in HEK293 cells assessed as cAMP accumulation after 20 mins by HTRF assay2013Journal of medicinal chemistry, Dec-27, Volume: 56, Issue:24
Design, synthesis, and biological activity of novel dicoumarol glucagon-like peptide 1 conjugates.
AID1053249Stability of the compound assessed as porcine DPP4-mediated compound degradation at 0.1 mM measured over 30 mins by reverse-phase HPLC/MS analysis2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1874890Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as stimulation intracellular calcium mobilization measured after 180 secs by Fluo-3-AM dye based fluorescence assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID365821Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered simultaneously with glucose at 18 mmol/kg, ip after 15 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID366081Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered 90 mins before 18 mmol/kg, ip glucose injection after 60 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID1874911Binding affinity to human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 incubated for 1 hr in presence of BETP by time-resolved fluorescence assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1573525Agonist activity at Rluc8 fused human GLP1 receptor expressed in HEK293 cells assessed co-expressing GFP-tagged beta-arrestin2 assessed as increase in beta-arrestin2 recruitment after 20 to 40 mins by BRET assay2018Journal of medicinal chemistry, 11-21, Volume: 61, Issue:22
Biased Ligands of G Protein-Coupled Receptors (GPCRs): Structure-Functional Selectivity Relationships (SFSRs) and Therapeutic Potential.
AID1874914Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as reduction in cAMP accumulation incubated for 2 hrs under dark condition in presence of BETP by LANCE cAMP assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874905Upregulation of PGAM2 mRNA expression in n rat INS1 cells at 100 nM incubated for 18 hrs in presence of glucose by RT-qPCR analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID365824Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered simultaneously with glucose at 18 mmol/kg, ip after 60 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID1890030Agonist activity at human GLP-1R expressed in HEK293 cells assessed as cAMP release incubated for 20 min by HTRF analysis2022European journal of medicinal chemistry, Apr-05, Volume: 233Peptide-based long-acting co-agonists of GLP-1 and cholecystokinin 1 receptors as novel anti-diabesity agents.
AID1573523Agonist activity at Rluc8 fused human GLP1 receptor expressed in HEK293 cells assessed co-expressing GFP-tagged beta-arrestin1 assessed as increase in beta-arrestin1 recruitment after 20 to 40 mins by BRET assay2018Journal of medicinal chemistry, 11-21, Volume: 61, Issue:22
Biased Ligands of G Protein-Coupled Receptors (GPCRs): Structure-Functional Selectivity Relationships (SFSRs) and Therapeutic Potential.
AID365825Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered 90 mins before 18 mmol/kg, ip glucose injection after 15 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID609336Binding affinity to human Dipeptidyl peptidase-42011Bioorganic & medicinal chemistry, Aug-01, Volume: 19, Issue:15
Discovery of potent, selective, and orally bioavailable quinoline-based dipeptidyl peptidase IV inhibitors targeting Lys554.
AID1874916Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as stimulation intracellular calcium mobilization measured after 180 secs in presence of BETP by Fluo-3-AM dye based fluorescence assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1573521Agonist activity at human GLP1 receptor expressed in HEK293 cells assessed as increase in cAMP accumulation after 24 hrs by luciferase reporter gene assay2018Journal of medicinal chemistry, 11-21, Volume: 61, Issue:22
Biased Ligands of G Protein-Coupled Receptors (GPCRs): Structure-Functional Selectivity Relationships (SFSRs) and Therapeutic Potential.
AID345045Agonist activity at human GLP1R expressed in CHO cells assessed as stimulation of cAMP production2008Journal of medicinal chemistry, Nov-27, Volume: 51, Issue:22
Influence of selective fluorination on the biological activity and proteolytic stability of glucagon-like peptide-1.
AID1874899Effect on human GLP-1R receptor internalization expressed in CHO cells measured after 60 mins by ELISA analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874906Induction of glucose-stimulated insulin secretion in rat INS1 cells measured after 1 to 16 hrs by HTRF assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1276176Induction of insulin release in rat BRIN-BD11 cells at 1 uM after 20 mins measured per 10'6 cells in presence of 5.6 mM glucose by radioimmunoassay (Rvb = 1.05 +/- 0.03 ng)2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Conformational Analysis of the Host-Defense Peptides Pseudhymenochirin-1Pb and -2Pa and Design of Analogues with Insulin-Releasing Activities and Reduced Toxicities.
AID1874908Reduction in blood glucose level in intraperitoneal glucose injected C57BL/6J mouse by measuring glucose area under curve at 0.1 mg/kg, ip administered as single dose measured in 90 mins by glucose tolerance test2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID240438Concentration required for maximum elevation of cAMP of human GLP1 receptor expressing in CHO cells2004Bioorganic & medicinal chemistry letters, Sep-06, Volume: 14, Issue:17
Identification of CJC-1131-albumin bioconjugate as a stable and bioactive GLP-1(7-36) analog.
AID365820Degradation activity of DPP4 assessed as metabolic stability after 4 hrs by HPLC2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID1874900Induction of rat INS1 cell proliferation at 10 uM incubated for 5 days in presence of glucose by CFSE staining based flow cytometric analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1053254Metabolic stability in human plasma assessed as half life of DPP4-mediated compound degradation2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1890031Agonist activity at human CCK1R expressed in HEK293 cells assessed as ERK1/2 phosphorylation incubated for 5 mins by AlphaScreen assay2022European journal of medicinal chemistry, Apr-05, Volume: 233Peptide-based long-acting co-agonists of GLP-1 and cholecystokinin 1 receptors as novel anti-diabesity agents.
AID1483062Agonist activity at mouse GLP-1 receptor expressed in HEK293 cells assessed as cAMP accumulation after 30 mins by HTRF assay2017Journal of medicinal chemistry, 05-25, Volume: 60, Issue:10
Design of Novel Exendin-Based Dual Glucagon-like Peptide 1 (GLP-1)/Glucagon Receptor Agonists.
AID1874892Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as increase in beta arrestin-2 recruitment incubated for 1 hr by chemiluminescence based pathHunter assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1053214Stability of the compound assessed as porcine pancreatic trypsin-mediated compound degradation at 0.1 mM after 10 secs by reverse-phase HPLC/MS analysis2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID365822Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered simultaneously with glucose at 18 mmol/kg, ip after 30 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID242388Inhibitory concentration against human GLP1 receptor expressed in CHO cell membrane homogenates with 1%DMSO2004Bioorganic & medicinal chemistry letters, Sep-06, Volume: 14, Issue:17
Identification of CJC-1131-albumin bioconjugate as a stable and bioactive GLP-1(7-36) analog.
AID1388452Stability in plasma (unknown origin) assessed as DPP4-mediated drug degradation by measuring half life2018Bioorganic & medicinal chemistry, 06-01, Volume: 26, Issue:10
Peptide therapeutics from venom: Current status and potential.
AID1874910Binding affinity to human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 incubated for 1 hr in presence of N-(tert-butyl)-6,7-dichloro-3-(methylsulfonyl)quinoxalin-2-amine by time-resolved fluorescence assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID365823Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered simultaneously with glucose at 18 mmol/kg, ip after 45 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID1874917Agonist activity at human GLP-1R assessed as increase in ERK1/2 phosphorylation at Thr202/Tyr204 residues incubated for 20 mins in presence of N-(tert-butyl)-6,7-dichloro-3-(methylsulfonyl)quinoxalin-2-amine by AlphaLISA assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1573526Agonist activity at Rluc8 fused human GLP1 receptor expressed in HEK293 cells assessed co-expressing GFP-tagged beta-arrestin2 assessed as increase in beta-arrestin2 recruitment after 20 to 40 mins by BRET assay relative to control2018Journal of medicinal chemistry, 11-21, Volume: 61, Issue:22
Biased Ligands of G Protein-Coupled Receptors (GPCRs): Structure-Functional Selectivity Relationships (SFSRs) and Therapeutic Potential.
AID1053241Antidiabetic activity in db/db mouse assessed as reduction of blood glucose level at 0.2 mg/kg, ip measured at 240 mins relative to vehicle-treated control2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1053243Antidiabetic activity in db/db mouse assessed as reduction of blood glucose level at 0.2 mg/kg, ip after 90 mins relative to vehicle-treated control2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1874898Drug uptake in human GLP-1R expressed in CHO cells coexpressing GFP assessed as drug internalization at 100 nM incubated for 30 mins by inverted microscopic analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID241907Inhibitory concentration required against human GLP1 receptor expressed in CHO cell membrane homogenates2004Bioorganic & medicinal chemistry letters, Sep-06, Volume: 14, Issue:17
Identification of CJC-1131-albumin bioconjugate as a stable and bioactive GLP-1(7-36) analog.
AID240152Effective concentration against human GLP1 receptor expressed in CHO cells with 1%DMSO2004Bioorganic & medicinal chemistry letters, Sep-06, Volume: 14, Issue:17
Identification of CJC-1131-albumin bioconjugate as a stable and bioactive GLP-1(7-36) analog.
AID1874921Agonist activity at human GLP-1R expressed in CHO cells assessed as effect on beta-arrestin-2 signaling by measuring Emax in presence of N-(tert-butyl)-6,7-dichloro-3-(methylsulfonyl)quinoxalin-2-amine2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874915Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as stimulation intracellular calcium mobilization measured after 180 secs in presence of N-(tert-butyl)-6,7-dichloro-3-(methylsulfonyl)quinoxalin-2-amine by Fluo2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1053248Stability of the compound assessed as half life of recombinant human DPP4-mediated compound degradation at 0.1 mM by reverse-phase HPLC/MS analysis2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1874913Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as reduction in cAMP accumulation incubated for 2 hrs under dark condition in presence of N-(tert-butyl)-6,7-dichloro-3-(methylsulfonyl)quinoxalin-2-amine by LAN2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874926Induction of rat Pancreatic beta cell proliferation incubated for 7 days relative to control2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874888Binding affinity to human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 incubated for 1 hr by time-resolved fluorescence assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874902Reduction in palmitate-induced apoptosis in rat INS1 cells assessed as increase in cell viability at 100 nM incubated for 48 hrs by MTT assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1483055Agonist activity at human glucagon receptor expressed in HEK293 cells assessed as cAMP accumulation after 30 mins by HTRF assay2017Journal of medicinal chemistry, 05-25, Volume: 60, Issue:10
Design of Novel Exendin-Based Dual Glucagon-like Peptide 1 (GLP-1)/Glucagon Receptor Agonists.
AID366079Decrease in blood glucose level in Kunming mouse at 25 nmol/kg, ip administered 90 mins before 18 mmol/kg, ip glucose injection after 30 mins2008Bioorganic & medicinal chemistry, Aug-15, Volume: 16, Issue:16
Microwave-assisted solid phase synthesis, PEGylation, and biological activity studies of glucagon-like peptide-1(7-36) amide.
AID1053240Antidiabetic activity in db/db mouse assessed as reduction of blood glucose AUC (0 to 480 mins) at 0.2 mg/kg, ip2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1874903Upregulation of GPI mRNA expression in n rat INS1 cells at 100 nM incubated for 18 hrs in presence of glucose by RT-qPCR analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID345048Stability in human2008Journal of medicinal chemistry, Nov-27, Volume: 51, Issue:22
Influence of selective fluorination on the biological activity and proteolytic stability of glucagon-like peptide-1.
AID1450908Agonist activity at human GLP1 receptor expressed in HEK293 cells harboring mCerulean and mCitrine fused Epac protein assessed as increase in cAMP level up to 30 mins by fluorescence assay2017Journal of medicinal chemistry, 09-14, Volume: 60, Issue:17
Peptide Half-Life Extension: Divalent, Small-Molecule Albumin Interactions Direct the Systemic Properties of Glucagon-Like Peptide 1 (GLP-1) Analogues.
AID1874889Agonist activity at human GLP-1R expressed in CHO cells coexpressing beta-arrestin-2 assessed as reduction in cAMP accumulation incubated for 2 hrs under dark condition by LANCE cAMP assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1890032Agonist activity at human CCK2R expressed in HEK293 cells assessed as ERK1/2 phosphorylation incubated for 5 mins by AlphaScreen assay2022European journal of medicinal chemistry, Apr-05, Volume: 233Peptide-based long-acting co-agonists of GLP-1 and cholecystokinin 1 receptors as novel anti-diabesity agents.
AID1053245Agonist activity at human GLP-1R expressed in African green monkey COS7 cells assessed as stimulation of cAMP production2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1874907Reduction in blood glucose level in intraperitoneal glucose injected C57BL/6J mouse at 0.1 mg/kg, ip administered as single dose measured 20 to 60 mins by glucose tolerance test2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID240455Concentration required in presence of 1% DMSO for maximum cAMP elevation in CHO cells expressing human GLP1 receptor2004Bioorganic & medicinal chemistry letters, Sep-06, Volume: 14, Issue:17
Identification of CJC-1131-albumin bioconjugate as a stable and bioactive GLP-1(7-36) analog.
AID345043Displacement of [125I]exendin(9-39) from human GLP1R expressed in CHO cells2008Journal of medicinal chemistry, Nov-27, Volume: 51, Issue:22
Influence of selective fluorination on the biological activity and proteolytic stability of glucagon-like peptide-1.
AID1053212Stability of the compound assessed as porcine pancreatic chymotrypsin-mediated compound degradation at 0.1 mM after 10 secs by reverse-phase HPLC/MS analysis2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1483063Agonist activity at mouse glucagon receptor expressed in HEK293 cells assessed as cAMP accumulation after 30 mins by HTRF assay2017Journal of medicinal chemistry, 05-25, Volume: 60, Issue:10
Design of Novel Exendin-Based Dual Glucagon-like Peptide 1 (GLP-1)/Glucagon Receptor Agonists.
AID1573522Agonist activity at human GLP1 receptor expressed in HEK293 cells assessed as increase in cAMP accumulation after 24 hrs by luciferase reporter gene assay relative to control2018Journal of medicinal chemistry, 11-21, Volume: 61, Issue:22
Biased Ligands of G Protein-Coupled Receptors (GPCRs): Structure-Functional Selectivity Relationships (SFSRs) and Therapeutic Potential.
AID1874901Induction of rat INS1 cell proliferation at 10 uM incubated for 7 days in presence of glucose by CFSE staining based flow cytometric analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874918Agonist activity at human GLP-1R assessed as increase in ERK1/2 phosphorylation at Thr202/Tyr204 residues incubated for 20 mins in presence of BETP by AlphaLISA assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874754Agonist activity at human GLP1R expressed in frozen cells assessed as increase in cAMP production measured after 1 hr by HitHunter luminescence assay2022ACS medicinal chemistry letters, Aug-11, Volume: 13, Issue:8
Discovery of MK-1462: GLP-1 and Glucagon Receptor Dual Agonist for the Treatment of Obesity and Diabetes.
AID1874922Agonist activity at human GLP-1R expressed in CHO cells assessed as effect on beta-arrestin-2 signaling by measuring Emax in presence of BETP2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1483054Agonist activity at human GLP-1 receptor expressed in HEK293 cells assessed as cAMP accumulation after 30 mins by HTRF assay2017Journal of medicinal chemistry, 05-25, Volume: 60, Issue:10
Design of Novel Exendin-Based Dual Glucagon-like Peptide 1 (GLP-1)/Glucagon Receptor Agonists.
AID1874919Agonist activity at human GLP-1R expressed in CHO cells assessed as effect on beta-arrestin-2 signaling by measuring EC50 in presence of N-(tert-butyl)-6,7-dichloro-3-(methylsulfonyl)quinoxalin-2-amine2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID1874757Agonist activity at rhesus monkey GLP1R2022ACS medicinal chemistry letters, Aug-11, Volume: 13, Issue:8
Discovery of MK-1462: GLP-1 and Glucagon Receptor Dual Agonist for the Treatment of Obesity and Diabetes.
AID1329273Induction of increase in glucose-induced insulin secretion in rat BRIN-BD11 cells assessed as insulin release per million cells at 1 uM after 20 mins by radioimmunoassay (Rvb = 1 +/- 0.03 ng)2016Journal of natural products, 09-23, Volume: 79, Issue:9
Purification, Conformational Analysis, and Properties of a Family of Tigerinin Peptides from Skin Secretions of the Crowned Bullfrog Hoplobatrachus occipitalis.
AID1573524Agonist activity at Rluc8 fused human GLP1 receptor expressed in HEK293 cells assessed co-expressing GFP-tagged beta-arrestin1 assessed as increase in beta-arrestin1 recruitment after 20 to 40 mins by BRET assay relative to control2018Journal of medicinal chemistry, 11-21, Volume: 61, Issue:22
Biased Ligands of G Protein-Coupled Receptors (GPCRs): Structure-Functional Selectivity Relationships (SFSRs) and Therapeutic Potential.
AID1874904Upregulation of PFKP mRNA expression in n rat INS1 cells at 100 nM incubated for 18 hrs in presence of glucose by RT-qPCR analysis2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
AID240065Effective concentration against human GLP1 receptor expressed in CHO cells2004Bioorganic & medicinal chemistry letters, Sep-06, Volume: 14, Issue:17
Identification of CJC-1131-albumin bioconjugate as a stable and bioactive GLP-1(7-36) analog.
AID1053246Displacement of [125I]-exendin (9 to 39) from human GLP-1R expressed in African green monkey COS7 cells by liquid scintillation counting analysis2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1053244Antidiabetic activity in db/db mouse assessed as reduction of blood glucose level at 0.2 mg/kg, ip after 30 mins relative to vehicle-treated control2013Journal of medicinal chemistry, Nov-14, Volume: 56, Issue:21
A general method for making peptide therapeutics resistant to serine protease degradation: application to dipeptidyl peptidase IV substrates.
AID1874891Agonist activity at human GLP-1R assessed as increase in ERK1/2 phosphorylation at Thr202/Tyr204 residues incubated for 20 mins by AlphaLISA assay2022Journal of medicinal chemistry, 09-08, Volume: 65, Issue:17
Modifying a Hydroxyl Patch in Glucagon-like Peptide 1 Produces Biased Agonists with Unique Signaling Profiles.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (9,235)

TimeframeStudies, This Drug (%)All Drugs %
pre-199059 (0.64)18.7374
1990's655 (7.09)18.2507
2000's1733 (18.77)29.6817
2010's5013 (54.28)24.3611
2020's1775 (19.22)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials0 (0.00%)5.53%
Trials1,208 (12.74%)5.53%
Reviews0 (0.00%)6.00%
Reviews2,057 (21.69%)6.00%
Case Studies0 (0.00%)4.05%
Case Studies105 (1.11%)4.05%
Observational0 (0.00%)0.25%
Observational57 (0.60%)0.25%
Other8 (100.00%)84.16%
Other6,057 (63.87%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (151)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Acute Regulation of Intestinal and Hepatic Lipoprotein Production by Glucagon [NCT01155206]Phase 49 participants (Actual)Interventional2009-06-30Completed
[NCT01232244]15 participants (Actual)Observational2010-10-31Completed
Glucagon-like Peptide 2 - a Glucose Dependent Glucagonotropic Hormone? [NCT03954873]10 participants (Actual)Interventional2019-01-31Completed
The Bionic Pancreas Feasibility Trial Testing the Bionic Pancreas With ZP4207 [NCT02971228]Phase 213 participants (Actual)Interventional2016-11-30Completed
Investigation of GLP-2 Mechanism of Action (KS-2) [NCT03573934]10 participants (Actual)Interventional2017-09-15Completed
A Randomized Open-label Crossover Study to Compare the Safety and Efficacy of ZP-Glucagon to Injectable Glucagon in the Treatment of Insulin-induced Hypoglycemia in Subjects With Type-1 Diabetes [NCT02459938]Phase 116 participants (Actual)Interventional2015-01-31Completed
Effect of Glucagon-like Peptide 2 on Postprandial Gallbladder Motility in Healthy Subjects [NCT03682172]Early Phase 115 participants (Actual)Interventional2018-05-01Active, not recruiting
A Randomised, Double-blind, Three-period Crossover Trial to Investigate the Safety and the Pharmacokinetic, Pharmacodynamic Characteristics of Two BioChaperone® Glucagon Formulations Compared to Marketed GlucaGen® in Subjects With Type 1 Diabetes [NCT03176524]Phase 127 participants (Actual)Interventional2017-06-06Completed
A Phase 3 Study of Nasal Glucagon (LY900018) Compared to Intramuscular Glucagon for Treatment of Insulin-induced Hypoglycemia in Japanese Patients With Diabetes Mellitus [NCT03421379]Phase 375 participants (Actual)Interventional2018-02-21Completed
Closed-Loop Glucagon Pump for Treatment of Post-Bariatric Hypoglycemia [NCT03255629]Phase 1/Phase 218 participants (Actual)Interventional2017-09-19Completed
Investigation of GLP-2 Mechanism of Action [NCT03574064]10 participants (Actual)Interventional2018-06-01Completed
A Phase 2, Interventional, Randomized, Double-Blind, Placebo-Controlled Pilot Study of Glucagon RTU in Subjects Who Experience Hyperinsulinemic Hypoglycemia After Bariatric Surgery [NCT03770637]Phase 214 participants (Actual)Interventional2019-05-10Completed
Effects of GIP and GLP-1 on Gastric Emptying, Appetite and Insulin-glucose Homeostasis [NCT01079624]Phase 115 participants (Actual)Interventional2006-08-31Completed
G-Pen™ (Glucagon Injection) Compared to Lilly Glucagon (Glucagon for Injection [RDNA Origin]) for Induced Hypoglycemia Rescue in Adults With T1D: a Phase 3 B Multi-Centered, Randomized, Controlled, Single Blind, 2-Way Crossover Study to Evaluate Efficacy [NCT03439072]Phase 381 participants (Actual)Interventional2018-01-23Completed
Biometabolic Impact of Continuation of GLP-1 Agonists Following Bariatric [NCT06132477]150 participants (Anticipated)Observational [Patient Registry]2023-11-30Not yet recruiting
A Multicenter, Randomized, Double Blind (Double Dummy), Active Controlled Study to Compare the Safety, Tolerability and Effect on Glycemic Control of Taspoglutide Versus Pioglitazone in Type 2 Diabetes Patients Inadequately Controlled on Therapy With Sulf [NCT00909597]Phase 3756 participants (Actual)Interventional2009-05-31Completed
Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus [NCT03249506]25,358 participants (Actual)Observational2016-05-12Completed
A Double-blind, Placebo-controlled Titration Study to Investigate the Tolerability, Safety and Pharmacodynamic Profile of a GLP-1 Analogue in Patients With Type 2 Diabetes Mellitus Treated With a Stable Dose of Metformin. [NCT00460941]Phase 2133 participants (Actual)Interventional2007-04-30Completed
Obesity Treatment to Improve Diabetes [NCT05390307]60 participants (Anticipated)Interventional2023-04-01Recruiting
The Use of Mini-dose Glucagon to Prevent Exercise-induced Hypoglycemia in Type 1 Diabetes [NCT02660242]Phase 216 participants (Actual)Interventional2016-01-31Completed
A Multicenter, Randomized, Double-dummy, Placebo and Active-controlled Study to Assess the Safety, Tolerability and Effect of Taspoglutide on Glycemic Control Compared to Sitagliptin and Placebo in Patients With Type II Diabetes Mellitus Inadequately Cont [NCT00754988]Phase 3666 participants (Actual)Interventional2008-10-31Completed
A Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Safety, Tolerability and Effect of Taspoglutide Compared to Placebo, in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Diet and Exercise [NCT00744926]Phase 3373 participants (Actual)Interventional2008-08-31Completed
Importance of Endogenous Glucagon-like Peptide-1 and Glucose-dependent Insulinotropic Polypeptide for Postprandial Glucose Metabolism After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Surgery [NCT03950245]36 participants (Actual)Interventional2019-07-01Completed
A Pilot Study on the Effect of Glucagon and Glucagon-like Peptide-1 Co-agonism on Cardiac Function and Metabolism in Overweight Participants With Type 2 Diabetes (COCONUT) [NCT04307797]Phase 416 participants (Anticipated)Interventional2022-01-18Recruiting
A Study to Investigate the Protective Effects of Glucagon-like Peptide-1 (GLP-1) in Patients Undergoing Elective Angioplasty and Stenting (GOLD-PCI) [NCT02127996]Phase 2193 participants (Actual)Interventional2015-03-31Active, not recruiting
The Effect of GIP and GLP-1 on Insulin and Glucagon Secretion in Patients With HNF1A-diabetes Treated With or Without Sulphonylurea [NCT03081676]20 participants (Actual)Interventional2017-03-08Completed
Study GLP111892: Albiglutide Versus Placebo as Add-on to Intensified Basal-Bolus Insulin Therapy in Subjects With Type 2 Diabetes Mellitus [NCT02229240]Phase 30 participants (Actual)Interventional2015-08-31Withdrawn(stopped due to Study was cancelled prior to enrolling any patients)
Bioequivalence of a Test Formulation of Glucagon for SC Injection Compared to Glucagon for Injection (Bedford Laboratories) Under Fasted Conditions [NCT02086227]Phase 132 participants (Actual)Interventional2013-05-31Completed
Hypoglycemia Associated Autonomic Dysfunction [NCT01858896]Early Phase 128 participants (Anticipated)Interventional2013-07-31Active, not recruiting
Development and Evaluation of a Glucagon Sensitivity Test in Individuals With and Without Hepatic Steatosis [NCT04907721]65 participants (Actual)Interventional2021-05-27Completed
Comparison of Canagliflozin vs. Alternative Antihyperglycemic Treatments on Risk of Heart Failure Hospitalization and Amputation for Patients With Type 2 Diabetes Mellitus and the Subpopulation With Established Cardiovascular Disease [NCT03492580]714,582 participants (Actual)Observational2018-02-22Completed
G-Pen (Glucagon Injection) Compared to GlucaGen® Hypokit® (Glucagon) for Induced Hypoglycemia Rescue in Adults With T1D: A Phase 3 Multi-center, Randomized, Controlled, Single Blind, 2-way Crossover Study to Evaluate Efficacy and Safety [NCT03738865]Phase 3132 participants (Actual)Interventional2018-09-27Completed
Comparison of Glucagon Administered by Either the Nasal (LY900018) or Intra-muscular (GlucaGen®) Routes in Adult Patients With Type 1 Diabetes Mellitus During Controlled Insulin-Induced Hypoglycemia [NCT03339453]Phase 170 participants (Actual)Interventional2017-11-10Completed
A Once-weekly, Repeated Dose, Placebo Controlled, Double Blind, Randomised Cross-over Trial Investigating Safety, Efficacy and Pharmacodynamics of FE 203799 in Patients With Short Bowel Syndrome With Intestinal Failure Requiring Parenteral Support Followe [NCT03415594]Phase 1/Phase 28 participants (Actual)Interventional2018-05-08Completed
The Effect of Native GLP-1 on Glucose Metabolism in the CNS During Hyperglycemia in Healthy Young Men Assessed by PET [NCT01185119]Phase 2/Phase 310 participants (Actual)Interventional2010-06-30Completed
Influence of Dairy Protein Breakfast on Overall Daily Glycemia, Weight Loss HbA1c and Clock Genes mRNA Expression, in Type 2 Diabetes [NCT03772067]60 participants (Anticipated)Interventional2018-12-28Not yet recruiting
The Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose Infusion [NCT01300260]Phase 132 participants (Actual)Interventional2011-02-28Completed
The Diagnostic Accuracy of the Glucagon Stimulation Test for Evaluation of Adult Growth Hormone Deficiency and the Hypothalamic-Pituitary-Adrenal Axis [NCT01282164]43 participants (Actual)Interventional2011-01-31Completed
Effect of Physiologic Hyperglucogonemia on Adipocyte Metabolism [NCT04300049]Early Phase 110 participants (Actual)Interventional2018-02-05Active, not recruiting
Effect of ROSE-010 on Gastrointestinal Motor Functions in Female Patients With Constipation Predominant Irritable Bowel Syndrome (C-IBS) [NCT01056107]Phase 1/Phase 252 participants (Actual)Interventional2010-01-31Completed
The Effect of Glucagon-like Peptide 1 (GLP-1) Receptor Agonist on Cerebral Blood Flow Velocity in Stroke Patients [NCT02829502]Phase 230 participants (Anticipated)Interventional2016-08-31Recruiting
Randomized, Active Controlled, Open Label Study to Compare Taspoglutide vs Exenatide as add-on Treatment to Metformin and/or Thiazolidinediones in Patients With Type 2 Diabetes Mellitus [NCT00717457]Phase 31,189 participants (Actual)Interventional2008-07-31Completed
A Multicenter, Randomized, Open-label, Active-controlled Study to Compare the Safety, Tolerability and Effect on Glycemic Control of Taspoglutide Versus Insulin Glargine in Insulin-naïve Type 2 Diabetic Patients Inadequately Controlled With Metformin and [NCT00755287]Phase 31,072 participants (Actual)Interventional2008-11-30Completed
A Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Safety, Tolerability and Effect of Taspoglutide on Glycemic Control Compared to Placebo in Patients With Type II Diabetes Mellitus Inadequately Controlled With Metformin Plus [NCT00744367]Phase 3326 participants (Actual)Interventional2008-10-31Completed
Mini-Dose Glucagon for Adults With Type 1 Diabetes: A Study to Assess the Efficacy and Safety of Mini-dose Glucagon for Treatment of Non-severe Hypoglycemia in Adults With Type 1 Diabetes [NCT02411578]Phase 226 participants (Actual)Interventional2015-09-30Completed
Role of Hyperinsulinemia in NAFLD: Dexamethasone-Pancreatic Clamp Pilot & Feasibility Study [NCT06126354]Phase 116 participants (Anticipated)Interventional2023-12-01Not yet recruiting
The Effect of Glucagon-Like Peptide-1 (GLP-1) on Pulmonary Vascular Resistance (PVR) in Patients With Heart Failure [NCT02129179]Phase 110 participants (Actual)Interventional2014-06-30Completed
The Differential Effects of Diabetes Therapy on Inflammation [NCT02150707]17 participants (Actual)Observational2014-05-31Completed
High Risk Population of Cardiovascular Disease in Hubei Province (Coronary Heart Disease With Diabetes) Screening and Intervention Program [NCT05782881]16,000 participants (Anticipated)Interventional2023-01-15Recruiting
Effects of Glucagon Like Peptide-1 on No-reflow in Patients With ST-segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT02507128]190 participants (Anticipated)Interventional2015-07-31Recruiting
A Randomized, Participant-blinded Five-arm Crossover Study With Blinded Outcome Assessment Investigating Glucagon's Cardiovascular Effects With and Without Beta-blocker-induced Cardioinhibition. [NCT03533179]Phase 410 participants (Actual)Interventional2018-06-01Completed
A Randomized, Double-blind, Placebo Controlled, Parallel Group Study to Investigate the Effect of Taspoglutide on Gastric Emptying Measured by a Paracetamol Test After Single Dose and After Multiple Doses in Patients With Type 2 Diabetes [NCT00809705]Phase 360 participants (Actual)Interventional2008-12-31Completed
Hormonal and Neural Control of Insulin Secretion Following Gastric Bypass Surgery [NCT00992901]Early Phase 1160 participants (Anticipated)Interventional2009-10-31Recruiting
GLP-1 Inhibits Prandial Antro-duodeno-jejunal Motility in Humans: Native GLP-1 Compared With Analogue ROSE-010 in Vitro [NCT02731664]Phase 112 participants (Actual)Interventional2012-09-30Completed
Four Weeks of Near Normalisation of Blood Glucose Improves the Insulin Response to GLP-1 and GIP in Patients With Type 2 Diabetes [NCT00612950]8 participants (Actual)Interventional2006-10-31Completed
Effect of Combination of the Gut Hormones Neurotensin and GLP-1 on Physiological Regulation of Appetite and Food Intake [NCT04186026]35 participants (Anticipated)Interventional2019-10-01Recruiting
A Randomized, Double-blind, Single-dose, Crossover Study to Compare Two Albiglutide Drug Products for Bioequivalence in Healthy Adult Subjects [NCT02660736]Phase 159 participants (Actual)Interventional2016-02-29Completed
The Role of GIP, GLP-1 and GLP-2 in Type 2 Diabetic Hyperglucagonemia [NCT00716170]10 participants (Actual)Observational2008-07-31Completed
Efficacy of a Continuous GLP-1 Infusion in Comparison to a Structured Insulin Infusion Protocol to Reach Normoglycemia in Non-Fasted Type 2 Diabetic Patients [NCT00859079]Phase 48 participants (Actual)Interventional2006-06-30Completed
A Multi-center, Randomized, Open-label, Active-controlled Study to Compare the Safety, Tolerability and Effect on Glycemic Control of Taspoglutide Versus Insulin Glargine in Insulin-naive Type 2 Diabetic Patients Inadequately Controlled With Metformin and [NCT01051011]Phase 3370 participants (Actual)Interventional2010-01-31Terminated(stopped due to high discontinuation rates mainly due to GI tolerability and implementation of risk mitigation plan to address hypersensitivity reactions)
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Determine the Efficacy and Safety of Two Dose Levels of Albiglutide Compared With Placebo in Subjects With Type 2 Diabetes Mellitus [NCT00849017]Phase 3309 participants (Actual)Interventional2009-01-31Completed
The Efficacy of GLP - 1 (7-36) Amide for Glycemic Control in Critically Ill Surgical Patients [NCT00798590]Phase 219 participants (Actual)Interventional2008-12-31Terminated(stopped due to PI left JHU)
Effect of GLP-1 on Insulin Biosynthesis and Turnover Rates [NCT00609154]Phase 1/Phase 216 participants (Anticipated)Interventional2007-11-30Completed
Second-line Therapies for Patients With Type 2 Diabetes and Moderate Cardiovascular Disease Risk [NCT05214573]500,000 participants (Anticipated)Observational2021-12-01Active, not recruiting
Endothelial and Metabolic Effects of GLP-1 in Coronary Circulation in Patients With Type 2 Diabetes Mellitus [NCT00923962]35 participants (Actual)Interventional2009-06-30Completed
Comparison of Type 2 Diabetes Pharmacotherapy Regimens Using Targeted Learning [NCT05073692]270,000 participants (Anticipated)Observational2021-07-01Recruiting
A Dose Finding Study of GSK716155 Versus Placebo in the Treatment of Type 2 Diabetes Mellitus [NCT01098461]Phase 2215 participants (Actual)Interventional2010-04-30Completed
A Randomized, Double-blind Trial of Single Doses of ZP4207 Administered s.c. to Hypoglycemic Type 1 Diabetic Patients to Describe the Pharmacokinetics and Pharmacodynamics of ZP4207 as Compared to Marketed Glucagon [NCT02660008]Phase 281 participants (Actual)Interventional2016-01-31Completed
A Randomized, Double-Blind, Placebo and Active-Controlled, Parallel-Group, Multicenter Study to Determine the Efficacy and Safety of Albiglutide When Used in Combination With Metformin Compared With Metformin Plus Sitagliptin, Metformin Plus Glimepiride, [NCT00838903]Phase 31,049 participants (Actual)Interventional2009-02-28Completed
The Effect of Surgically Induced Weight Loss on Endocrine Function, Cardiovascular Function and Body Composition [NCT00686972]Phase 251 participants (Actual)Interventional2007-05-31Terminated(stopped due to PI left JHU)
A Randomized Controlled, Open-label, Multi-center Study With 16-week Beinaglutide or Dulaglutide Assessing Effects on Glucose Control and Weight Loss in Type 2 Diabetes With Overweight or Obesity. [NCT05005741]Phase 4120 participants (Anticipated)Interventional2021-05-01Recruiting
GIP/GLP-1 Co-Activity in Subjects With Obesity: Lowering of Food Intake [NCT02598791]18 participants (Actual)Interventional2015-10-01Completed
A Double-blind, Crossover, Randomized, Placebo-controlled Study to Investigate the Effect of Two Different Doses of Taspoglutide IRF Administered as Continuous Subcutaneous Infusion on First- and Second-phase Insulin Secretion in Type 2 Diabetic Patients [NCT00811460]Phase 118 participants (Actual)Interventional2008-11-30Completed
GLP-1 Restores Altered Insulin and Glucagon Secretion in Post-transplantation Diabetes Mellitus [NCT02591849]24 participants (Actual)Interventional2014-10-31Completed
Effects of Hyperglycemia on Myocardial Perfusion in Humans With and Without Type 2 Diabetes: Modulation by Glucagon-Like-Peptide-1 [NCT01021865]33 participants (Actual)Observational2010-02-28Completed
Effects of KATP Channel Blockers on GLP-1 and Its Analogues' Mediated Microvascular Function [NCT01934816]2 participants (Actual)Interventional2013-06-30Terminated(stopped due to Technical Issues with intervention)
Regulation of Intestinal and Hepatic Lipoprotein Production by Glucagon Like [NCT01958775]Phase 312 participants (Actual)Interventional2012-03-31Completed
Investigating the Incretin Effect in Cystic Fibrosis [NCT01975259]50 participants (Actual)Observational2013-12-31Completed
GLP-1's Influence on Intestinal Blood Flow [NCT01988545]8 participants (Anticipated)Interventional2013-11-30Recruiting
Department of Pharmacy, the Affiliated Hospital of Xuzhou Medical University [NCT05037045]150 participants (Anticipated)Interventional2019-01-10Recruiting
The Impact of Subcutaneous Glucagon Before, During and After Exercise a Study in Patients With Type 1 Diabetes Mellitus [NCT02882737]14 participants (Actual)Interventional2016-09-30Completed
Comparative Cardiovascular and Renal Effectiveness and Safety of Empagliflozin and Other SGLT2i in Patients With Type 2 Diabetes (T2D) With and Without Baseline Kidney Disease in the United States [NCT05465317]30,400 participants (Actual)Observational2022-08-08Completed
[NCT01689051]20 participants (Actual)Interventional2012-03-31Completed
A Multidose Study in Subjects With Type 2 Diabetes Mellitus to Assess the Pharmacokinetics and Pharmacodynamics of Albiglutide [NCT01357889]Phase 2283 participants (Actual)Interventional2011-07-31Completed
A Single-blind, Randomized, Placebo Controlled, Ascending Single Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK1362885 in Healthy Normal Subjects. [NCT00823940]Phase 142 participants (Actual)Interventional2009-01-13Completed
A Randomized, Double-blind, Glucagon and Placebo-controlled Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of Single Escalating Doses of SAR438544 Administered by Subcutaneous Route in Healthy Subjects and Patients With Type 1diabetes M [NCT02625636]Phase 120 participants (Actual)Interventional2015-12-31Completed
Near Normalisation of Blood Glucose Improves the Potentiating Effect of GLP-1 on Glucose Induced Insulin Secretion in Patients With Type 2 Diabetes [NCT00612625]9 participants (Actual)Interventional2004-02-29Completed
A Randomized, Double-blind, Placebo and Active-Controlled, Parallel-group, Multicenter Study to Determine the Efficacy and Safety of Albiglutide Administered in Combination With Metformin and Glimepiride Compared With Metformin Plus Glimepiride and Placeb [NCT00839527]Phase 3685 participants (Actual)Interventional2009-02-28Completed
Effect of GLP - 1 (7-36 Amide) on Myocardial Function Following Coronary Artery Bypass Surgery [NCT00966654]Phase 212 participants (Actual)Interventional2008-09-30Terminated(stopped due to PI left JHU)
Effect of Liraglutide on Neural Responses to High Fructose Corn Syrup in Individuals With Obesity. [NCT03500484]Phase 214 participants (Actual)Interventional2018-06-06Completed
The Effect of Glucagon-like Peptide 1 (GLP-1) Receptor Agonist on Cerebral Blood Flow Velocity in Non-Stroke Volunteers (EGRABINS1) [NCT02838589]Phase 230 participants (Actual)Interventional2016-08-31Completed
Effect of GLP-1 on Glucose Metabolism in Healthy Subjects and Patients With T2DM. Part 1: A Pilot Study to Assess the Efficacy of Exendin(9-39)Amide as a GLP-1 Receptor Antagonist in Healthy Subjects [NCT00393445]Phase 16 participants (Actual)Interventional2006-11-30Completed
FINErenone druG Utilization Study and Assessment of Temporal Changes Following Availability of Different Treatment Options in Patients With Chronic Kidney Disease and Type 2 Diabetes [NCT05526157]50,000 participants (Anticipated)Observational2022-10-01Active, not recruiting
Subcutaneous Dasiglucagon Use During Exercise In People With Type 1 Diabetes: Effects On Plasma Glucose And Exercise Metabolism [NCT04192019]Early Phase 10 participants (Actual)Interventional2023-04-30Withdrawn(stopped due to Prioritization of other projects)
Cardiovascular Outcomes, and Mortality in Danish Patients With Type 2 Diabetes Who Initiate Empagliflozin Versus Glucagon-Like Peptide-1 Receptor Agonists (GLP1-RA): A Danish Nationwide Comparative Effectiveness Study [EMPLACEtm] [NCT03993132]57,000 participants (Actual)Observational2018-10-01Completed
Randomised, Sequential, Cross-over Trial Assessing PK and PD Responses After Micro-doses of ZP4207 Administered s.c. to Patients With T1D Under eu- and Hypoglycemic Conditions and With Reference to Freshly Reconstituted Lyophilized Glucagon [NCT02916251]Phase 238 participants (Actual)Interventional2016-12-01Completed
Comparison of Dapagliflozin (DAPA) and Once-weekly Exenatide (EQW), Co-administered or Alone, DAPA/ Glucophage (DAPA/MET ER) and Phentermine/Topiramate (PHEN/TPM) ER on Metabolic Profiles and Body Composition in Obese PCOS Women [NCT02635386]Phase 3119 participants (Actual)Interventional2016-03-22Completed
A Phase 2 Proof-of-Concept Study of CSI-Glucagon™ (Continuous Subcutaneous Glucagon Infusion) to Prevent Hypoglycemia With Lower Intravenous Glucose Infusion Rates in Children up to One Year of Age With Congenital Hyperinsulinism [NCT02937558]Phase 25 participants (Actual)Interventional2016-10-31Completed
The Effect of GLP-1 on Glucose Uptake in the Brain and Heart in Healthy Subjects During Hypoglycemia Assessed by Positron Emission Tomography [NCT00418288]10 participants (Actual)Interventional2007-01-31Completed
A Phase 2, Open-label, Randomised, Dose-Finding Study of XW003, Once-Weekly Human Glucagon-Like Peptide 1 Analogue, Compared With Once-Daily Liraglutide 3 mg in Adult Participants With Obesity [NCT05111912]Phase 2206 participants (Actual)Interventional2021-11-30Completed
Acute Effects of GLP-1 on Renal Hemodynamics: Simultaneous Perfusion and Oxygenation Measurements in Cortex and Medulla Using Magnetic Resonance Imaging [NCT04337268]10 participants (Actual)Interventional2019-04-01Completed
Virtual Clinical Study Exploring Remote Collection of Glycaemic and Behaviometric Data Among Patients With Type 2 Diabetes Mellitus on Different Treatment Regimens [NCT04809311]500 participants (Anticipated)Observational2023-11-13Not yet recruiting
Effectiveness and Persistence of Therapy With GLP-1 Receptor Agonists in Clinical Practice. A Multicenter Retrospective Study [NCT03959865]6,000 participants (Anticipated)Observational2018-12-19Active, not recruiting
A Double Blind, Placebo-controlled, Dose-ranging Study to Investigate the Effect on Glycemic Control, Safety, Pharmacokinetics and Pharmacodynamics of GLP-1 in Patients With Type 2 Diabetes Mellitus Treated With a Stable Dose of Metformin. [NCT00423501]Phase 2306 participants (Actual)Interventional2007-02-28Completed
Pharmacogenetics of Ace Inhibitor-Associated Angioedema:Aim 1 [NCT01413542]44 participants (Actual)Interventional2011-11-30Completed
Glucagon, Ghrelin and Growth Hormone as Counterregulatory Hormones [NCT01795235]6 participants (Anticipated)Interventional2012-12-31Recruiting
The Microvascular Function of GLP-1 and Its Analogues in Humans, in Vivo: the Role of DPP-IV Inhibition [NCT01677104]63 participants (Anticipated)Interventional2012-08-31Completed
A Comparison of the Haemodynamic and Metabolic Effects of Intravenous Glucagon-like Peptide-1, Glucagon and Glucagon-like Peptide-1:Glucagon Co-agonism in Healthy Male Participants [NCT03835013]20 participants (Anticipated)Interventional2019-02-11Recruiting
A Phase 2 Proof-of-Concept Study of Sensor-Guided, Clinician-Administered Delivery of G-Pump™ (Glucagon Infusion) From an OmniPod® to Prevent Post-Prandial Hypoglycemia in Post-Bariatric Surgery Patients [NCT02733588]Phase 28 participants (Actual)Interventional2016-03-31Completed
The Effect of GLP-1 on Glucose Uptake in the CNS and Heart in Healthy Subjects During Normoglycaemia Assessed by Positron Emission Tomografi [NCT00256256]10 participants (Actual)Interventional2005-11-30Completed
The Effect of 48 Hours of GLP-1 Infusion During Long-Time Fasting on Glycaemia and Counterregulatory Hormones [NCT00285896]8 participants (Actual)Interventional2005-12-31Completed
[NCT01507597]30 participants (Actual)Interventional2011-12-31Completed
The iLet Introduction Study: A Feasibility Study of the iLet, a Fully Integrated Bihormonal Bionic Pancreas [NCT02701257]20 participants (Actual)Interventional2016-03-31Terminated(stopped due to The study was terminated prior to completing the planned cohorts and analysis because of problems with the infusion set resulting in inadequate insulin delivery)
Phase II Study to Investigate the Safety and Efficacy of 2 Dose Levels of a Novel Glucagon Formulation Compared to Commercially Available Glucagon in Type 1 Diabetic Patients Following Insulin-induced Hypoglycemia [NCT01556594]Phase 218 participants (Actual)Interventional2012-03-31Completed
Investigating Brown Adipose Tissue Activation in Humans [NCT01935791]11 participants (Actual)Interventional2013-07-31Completed
Modulation of Human Myocardial Metabolism by GLP-1 Dose Response [NCT01607450]Phase 2/Phase 333 participants (Actual)Interventional2010-05-31Completed
Assessment of Intranasal Glucagon in Children and Adolescents With Type 1 Diabetes [NCT01997411]Phase 2/Phase 348 participants (Actual)Interventional2013-11-30Completed
Equivalence of A Stable Liquid Glucagon Formulation With Freshly Reconstituted Lyophilized Glucagon [NCT02018627]Phase 2/Phase 320 participants (Actual)Interventional2014-04-30Completed
Evaluation of the Clinical and Economic Outcomes Associated With Exenatide Versus Basal Insulin in People With Type 2 Diabetes [NCT02987348]18,000 participants (Actual)Observational2015-06-30Completed
Fixed Rate Continuous Subcutaneous Glucagon Infusion (CSGI) vs Placebo in Type 1 Diabetes Mellitus Patients With Recurrent Severe Hypoglycemia: Effects on Counter-Regulatory Responses to Insulin-Induced Hypoglycemia [NCT03490942]Phase 249 participants (Actual)Interventional2018-03-15Terminated(stopped due to Primary endpoint was not met)
A Simulation Study Comparing Successful Administration, Time to Administer, and User Experience of Ready-to-Use Nasal Glucagon With Reconstitutable Injectable Glucagon [NCT03765502]Phase 199 participants (Actual)Interventional2018-11-19Completed
Gut Peptides and Bone Remodeling in Individuals With Spinal Cord Injury [NCT05181150]20 participants (Anticipated)Interventional2021-11-16Recruiting
Effect of Prolonged (72 Hour) Glucagon Administration on Energy Expenditure in Healthy Obese Subjects [NCT03139305]Phase 130 participants (Anticipated)Interventional2017-10-24Active, not recruiting
G-Pen™ (Glucagon Injection) for Induced Hypoglycemia Rescue in Adult Patients With T1D [NCT02423980]Phase 27 participants (Actual)Interventional2015-04-30Completed
A Repeat-dose Study in Subjects With Type 2 Diabetes Mellitus to Assess the Efficacy, Safety, Tolerability and Pharmacodynamics, of Albiglutide Liquid Drug Product [NCT02683746]Phase 3308 participants (Actual)Interventional2016-03-16Completed
An Exploratory Randomized, 2-Part, Single-blind, 2-Period Crossover Study Comparing the Effect of Albiglutide With Exenatide on Regional Brain Activity Related to Nausea in Healthy Volunteers [NCT02802514]Phase 45 participants (Actual)Interventional2016-09-20Terminated
Phase 1-2 Trial of Glucagon-like Peptide 2 (GLP-2) in Infants and Children With Intestinal Failure [NCT01573286]Phase 1/Phase 213 participants (Actual)Interventional2012-01-31Terminated(stopped due to GLP-2 Drug product stability concerns)
Prognostic Value of Plasma Glucagon-like Peptide-1 Levels in Acute Myocardial Infarction [NCT03129594]709 participants (Actual)Observational2013-02-28Completed
CORDIALLY® - CEE: Characteristics of Patients With Type 2 Diabetes Treated With Modern Antidiabetic Drugs. A Real World Data Collection of Patient Baseline Characteristics, Treatment Patterns and Comorbidities in Central Eastern European (CEE) Countries [NCT03807440]4,083 participants (Actual)Observational2019-08-26Completed
A Long Term, Randomised, Double Blind, Placebo-controlled Study to Determine the Effect of Albiglutide, When Added to Standard Blood Glucose Lowering Therapies, on Major Cardiovascular Events in Patients With Type 2 Diabetes Mellitus [NCT02465515]Phase 49,463 participants (Actual)Interventional2015-07-01Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multicenter Monotherapy Study to Determine the Efficacy and Safety of 2 Dose Levels of Albiglutide in Subjects With Type 2 Diabetes Mellitus [NCT01733758]Phase 3494 participants (Actual)Interventional2013-02-28Completed
A Single Site, Randomized, Four-Way, Four-Period PK/PD Crossover Phase 1 Clinical Study in 16 Fasted Healthy Adult Volunteers Receiving 3 Dose Levels of Intranasally Administered Glucagon and One Dose Level of Glucagon Administered by Subcutaneous Injecti [NCT02778113]Phase 116 participants (Actual)Interventional2011-10-31Completed
A Phase 3 Study to Evaluate the Glucose Response of G-Pen (Glucagon Injection) in Pediatric Patients With Type 1 Diabetes [NCT03091673]Phase 331 participants (Actual)Interventional2017-03-27Completed
G-Pen (Glucagon Injection) Compared to Lilly Glucagon (Glucagon for Injection [RDNA Origin]) for Induced Hypoglycemia Rescue in Adult Patients With T1DM: A Phase 3, Multi-center, Randomized, Blinded, 2-Way Crossover Study to Evaluate Efficacy and Safety [NCT02656069]Phase 380 participants (Actual)Interventional2017-03-15Completed
Closed-Loop Glucagon Administration For The Automated Treatment Of Post-Bariatric Hypoglycemia [NCT02966275]10 participants (Actual)Interventional2016-09-30Completed
A Multiple Center, Open Label, Prospective, Observational Study to Evaluate the Effectiveness and Ease-of-Use of AMG504-1 Administered in the Home or Work Environments for Treating Episodes of Hypoglycemia in Patients With Type 1 Diabetes [NCT02171130]Phase 3129 participants (Actual)Interventional2014-05-31Completed
Glucose-Dependent Insulinotropic Polypeptide - Effects on Markers of Bone Turnover in Patients With Type 1 Diabetes [NCT03195257]10 participants (Actual)Interventional2012-11-17Completed
A Single Center, Randomized, Parallel Safety Study To Evaluate The Immunogenicity Of A Novel Glucagon Formulation Compared To Commercially Available Glucagon Administered By Intramuscular Injection In Adults With Type 1 OR Type 2 Diabetes [NCT01959334]Phase 375 participants (Actual)Interventional2013-09-30Completed
Pilot Study in Testing State of the Art Remote Glucose Monitoring at Diabetes Camp [NCT01680653]57 participants (Actual)Interventional2012-05-31Completed
A Randomized, Phase 2a, Blinded, 3-Way Crossover Dose-Ranging Study With G-Pen Mini™ (Glucagon Injection) to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Patients With Type 1 Diabetes Mellitus (T1DM) [NCT02081014]Phase 213 participants (Actual)Interventional2014-03-31Completed
Incretin Regulation of Insulin Secretion in Monogenic Diabetes [NCT01795144]Phase 110 participants (Actual)Interventional2014-01-31Completed
Effects of Exenatide on Motor Function and the Brain [NCT03456687]Phase 15 participants (Actual)Interventional2018-06-05Completed
A Phase 1, Randomised, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of XW003 Injection in Healthy Adult Participants [NCT04389775]Phase 164 participants (Actual)Interventional2020-03-29Completed
Reducing Hypoglycemic, Pro-coagulant and Pro-atherothrombotic Responses and Preventing Hypoglycemia Associated Autonomic Failure in Type 1 DM. The Effects of Glucagon-like Peptide-1 [NCT04355832]Early Phase 140 participants (Anticipated)Interventional2020-06-24Recruiting
Efficacy and Safety of Nasal Glucagon for Treatment of Insulin Induced Hypoglycemia in Adults With Diabetes [NCT01994746]Phase 377 participants (Actual)Interventional2013-11-30Completed
Investigation of GLP-2 Mechanism of Action (GA-8) [NCT03159741]8 participants (Actual)Interventional2017-05-16Completed
Phase 2 Randomized Placebo-Controlled Double-Blind Parallel Study to Evaluate Glucagon RTU (Glucagon Injection) Compared to Standard of Care for Prevention of Exercise-Induced Hypoglycemia During Regular Aerobic Exercise in Adults With T1D [NCT03841526]Phase 248 participants (Actual)Interventional2019-08-22Completed
Phase 3 Study of the Effect of Glucagon-like-peptide 1 (GLP-1) Receptor Agonism on Renal Outcomes in Humans With Diabetic Kidney Disease [NCT01847313]Phase 320 participants (Actual)Interventional2013-04-30Completed
Pilot Study of the Effect of Weight Loss by Pharmacotherapy on Chronic Pro-tumor Inflammatory Cells [NCT05756764]24 participants (Anticipated)Observational2023-05-23Recruiting
Pharmacokinetics and Pharmacodynamics of BIOD-961 vs. Glucagon for Injection (Eli Lilly) and GlucaGen® (Novo Nordisk) Administered by Subcutaneous and Intramuscular Injection in Normal, Healthy Volunteers [NCT02403648]Phase 115 participants (Actual)Interventional2014-11-30Completed
A Multiple Center, Open Label, Prospective Study to Evaluate the Effectiveness and Ease-Of-Use of AMG504-1 Administered in the Home or School Environments for Treating Hypoglycemia in Children and Adolescents With T1D [NCT02402933]Phase 326 participants (Actual)Interventional2015-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00838903 (9) [back to overview]Time to Hyperglycemia Rescue
NCT00838903 (9) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156
NCT00838903 (9) [back to overview]Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 104
NCT00838903 (9) [back to overview]Change From Baseline in Body Weight at Week 104
NCT00838903 (9) [back to overview]Change From Baseline in Body Weight at Week 156
NCT00838903 (9) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 104
NCT00838903 (9) [back to overview]Change From Baseline in FPG at Week 156
NCT00838903 (9) [back to overview]Change From Baseline in HbA1c at Week 156
NCT00838903 (9) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 104
NCT00839527 (9) [back to overview]Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52
NCT00839527 (9) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52
NCT00839527 (9) [back to overview]Change From Baseline in Body Weight at Week 52
NCT00839527 (9) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156
NCT00839527 (9) [back to overview]Change From Baseline in HbA1c at Week 104 and Week 156
NCT00839527 (9) [back to overview]Change From Baseline in FPG at Week 104 and Week 156
NCT00839527 (9) [back to overview]Change From Baseline in Body Weight at Week 104 and Week 156
NCT00839527 (9) [back to overview]Time to Hyperglycemia Rescue
NCT00839527 (9) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52
NCT00849017 (13) [back to overview]Change From Baseline in Body Weight at Week 52
NCT00849017 (13) [back to overview]Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52
NCT00849017 (13) [back to overview]Change From Baseline in HbA1c at Weeks 104 and 156
NCT00849017 (13) [back to overview]Albiglutide Plasma Concentration at Weeks 8 and 24
NCT00849017 (13) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52
NCT00849017 (13) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52
NCT00849017 (13) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156
NCT00849017 (13) [back to overview]Change From Baseline in Postprandial Blood Glucose Profile Parameters-4 Hour Insulin AUC and 4 Hour Proinsulin AUC
NCT00849017 (13) [back to overview]Time to Hyperglycemia Rescue
NCT00849017 (13) [back to overview]Change From Baseline in Postprandial Blood Glucose Profile Parameter-4 Hour C-peptide AUC
NCT00849017 (13) [back to overview]Change From Baseline in Postprandial Blood Glucose Profile Parameter- 4 Hour Blood Glucose AUC
NCT00849017 (13) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 156
NCT00849017 (13) [back to overview]Change From Baseline in Body Weight at Week 156
NCT01056107 (10) [back to overview]Colonic Geometric Center at 4 h Measured by Scintigraphy
NCT01056107 (10) [back to overview]Colonic Transit, Colonic Geometric Center at 24 Hours
NCT01056107 (10) [back to overview]Colonic Transit, Colonic Geometric Center at 48 h Measured by Scintigraphy, as Compared to Placebo.
NCT01056107 (10) [back to overview]Half Time (t1/2) of Gastric Emptying of Solids Measured by Scintigraphy (Gastric Transit)
NCT01056107 (10) [back to overview]Stool Consistency Post Treatment
NCT01056107 (10) [back to overview]Stool Frequency
NCT01056107 (10) [back to overview]Gastric Residual at 2 and 4 Hours Measured by Scintigraphy
NCT01056107 (10) [back to overview]Colonic Filling at 6 h Measured by Scintigraphy
NCT01056107 (10) [back to overview]Ascending Colon Emptying Half-time (AC t1/2) Measured by Scintigraphy
NCT01056107 (10) [back to overview]Change Between Postprandial and Fasting Whole Gastric Volume by Technetium-99m (99mTc)-SPECT Imaging (Gastric Accommodation)
NCT01098461 (9) [back to overview]Mean Clearance of Albiglutide
NCT01098461 (9) [back to overview]Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 16
NCT01098461 (9) [back to overview]Change From Baseline in Body Weight at Week 4, 8, 12, and 16
NCT01098461 (9) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 4, 8, 12, and 16
NCT01098461 (9) [back to overview]Change From Baseline in HbA1c at Weeks 4, 8, 12, and 16
NCT01098461 (9) [back to overview]Mean Half-maximal Effective Concentration (EC50) of Albiglutide for HbA1c and FPG
NCT01098461 (9) [back to overview]Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5% and <7% at Weeks 4, 8, 12, and 16
NCT01098461 (9) [back to overview]Mean Volume of Distribution of Albiglutide
NCT01098461 (9) [back to overview]Mean Absorption Rate of Albiglutide
NCT01282164 (7) [back to overview]Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak Cortisol Level During Adrenocorticotropin Hormone (ACTH) Stimulation Test
NCT01282164 (7) [back to overview]Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak Cortisol Level in Healthy Volunteers.
NCT01282164 (7) [back to overview]Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak Growth Hormone (GH) Level in Healthy Volunteers
NCT01300260 (6) [back to overview]Insulin Maximum Concentration (Cmax)
NCT01300260 (6) [back to overview]Insulin Area Under the Curve (AUC) - Second Phase Response
NCT01300260 (6) [back to overview]Area Under the Insulin Concentration-time Curve (AUC)
NCT01300260 (6) [back to overview]Maximum Insulin Concentration (Cmax) - First Phase Response
NCT01300260 (6) [back to overview]Maximum Insulin Concentration (Cmax) - Second Phase Response
NCT01300260 (6) [back to overview]Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response
NCT01357889 (18) [back to overview]Tmax and Tlag of Albiglutide in the BE Phase
NCT01357889 (18) [back to overview]Number of Participants With the Indicated Change From the Screening Assessment in Physical Examination at Week 17
NCT01357889 (18) [back to overview]t1/2 of Albiglutide in the BE Phase
NCT01357889 (18) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Albiglutide in the BE Phase
NCT01357889 (18) [back to overview]Cmax of Albiglutide in the BE Phase
NCT01357889 (18) [back to overview]Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 17
NCT01357889 (18) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 17
NCT01357889 (18) [back to overview]Trough (Pre-dose) Plasma Concentrations of Albiglutide in the Mutiple-dose Phase (MDP)
NCT01357889 (18) [back to overview]Area Under the Plasma Concentration Versus Time Curve (AUC) From Time Zero to Infinity (0-inf) of Albiglutide in the Bioequivalence (BE) Phase
NCT01357889 (18) [back to overview]Apparent Volume of Distribution in the Terminal Phase of Albiglutide in BE Phase
NCT01357889 (18) [back to overview]Apparent Clearance of Albiglutide in the BE Phase
NCT01357889 (18) [back to overview]Number of Participants With a Change From Baseline of Clinical Concern in Hematology Values by Any On-therapy Visit
NCT01357889 (18) [back to overview]AUC (0-last) and AUC (0-inf) of Albiglutide in the BE Phase
NCT01357889 (18) [back to overview]Number of Participants With a Change From Baseline of Clinical Concern in Vital Signs by Any On-therapy Visit
NCT01357889 (18) [back to overview]Number of Participants With Anti-albiglutide Antibody Formation at Baseline and Weeks 5, 9, 13, 17, and 25 in the Multiple-dose Phase
NCT01357889 (18) [back to overview]Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE)
NCT01357889 (18) [back to overview]Number of Participants With Indicated Adverse Events of Special Interest
NCT01357889 (18) [back to overview]Number of Participants With a Change From Baseline of Clinical Concern in Electrocardiogram (ECG) Values by Any On-therapy Visit
NCT01413542 (5) [back to overview]The Effect of Enalaprilat (ACE Inhibition), Sitagliptin (DPP4 Inhibition), or the Combination on the Vasodilator Response (Forearm Blood Flow) to Substance P (SP) and Bradykinin (Group 1) or Glucagon Like Peptide-1 and Brain Naturetic Peptide (Group 2).
NCT01413542 (5) [back to overview]Assess Effect of ACE and/or DPP4 Inhibition on Heart Rate Response to Substance P (SP)
NCT01413542 (5) [back to overview]Assess Tissue Type Plasminogen Activator (tPA) Release
NCT01413542 (5) [back to overview]Effect of Treatment (ACE or DPP4 Inhibition, or Combined) on Norepinephrine (NE) Release (Arterial Venous Gradient) in Response to Substance P (SP)
NCT01413542 (5) [back to overview]Effect of Treatment (DPP4 Inhibition vs. Placebo) on Venous GLP-1 Levels in Response to Arterial GLP-1 Infusion
NCT01556594 (7) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT01556594 (7) [back to overview]Maximum Concentration (Cmax) of Baseline-Adjusted Glucose
NCT01556594 (7) [back to overview]Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT01556594 (7) [back to overview]Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT01556594 (7) [back to overview]Percentage of Responders
NCT01556594 (7) [back to overview]Area Under the Curve (AUC0-last) of Baseline Adjusted Glucagon
NCT01556594 (7) [back to overview]Number of Participants With at Least One Adverse Event
NCT01607450 (5) [back to overview]Myocardial Total Oxidation Rate
NCT01607450 (5) [back to overview]Myocardial Blood Flow
NCT01607450 (5) [back to overview]GLP-1 Concentrations
NCT01607450 (5) [back to overview]Cardiac Index
NCT01607450 (5) [back to overview]Myocardial Glucose Uptake.
NCT01680653 (3) [back to overview]Duration of Glucose Readings <70 mg/dl
NCT01680653 (3) [back to overview]Duration of Nocturnal Hypoglycemia
NCT01680653 (3) [back to overview]Prolonged Episodes of Hypoglycemic Events
NCT01733758 (11) [back to overview]Change From Baseline in Body Weight at Week 52
NCT01733758 (11) [back to overview]Percentage of Participants Achieving Clinically Meaningful Levels of HbA1c (i.e., the Percentage of Participants Achieving Treatment Goal of <6.5% and <7.0%) at Week 24
NCT01733758 (11) [back to overview]Time to Study Withdrawal for Any Reason
NCT01733758 (11) [back to overview]Mean HbA1c at Baseline, Week 24, and Change From Baseline at Week 24
NCT01733758 (11) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
NCT01733758 (11) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52
NCT01733758 (11) [back to overview]Time to Study Withdrawal Due to Hyperglycemia
NCT01733758 (11) [back to overview]Change From Baseline in Body Weight at Week 24
NCT01733758 (11) [back to overview]Percentage of Participants Achieving Clinically Meaningful Levels of HbA1c (i.e., the Percentage of Participants Achieving Treatment Goal of <6.5% and <7.0%) at Week 52
NCT01733758 (11) [back to overview]Change From Baseline in HbA1c at Week 52
NCT01733758 (11) [back to overview]Model-adjusted Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
NCT01847313 (4) [back to overview]Urinary Albumin Excretion Rate
NCT01847313 (4) [back to overview]sCD163:Creatinine Ratio in Urine
NCT01847313 (4) [back to overview]sCD163 in Serum
NCT01847313 (4) [back to overview]MCP-1:Creatinine Ratio in Urine
NCT01935791 (2) [back to overview]Increase in Energy Expenditure Following Glucagon or Saline Infusion
NCT01935791 (2) [back to overview]Brown Adipose Tissue Activation Following Glucagon or Saline Infusion
NCT01959334 (3) [back to overview]Percentage of Participants With Neutralizing Antibodies
NCT01959334 (3) [back to overview]Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)
NCT01959334 (3) [back to overview]Number of Participants With At Least One Adverse Event
NCT01994746 (10) [back to overview]Time From Glucagon Administration to Blood Glucose >/=70 mg/dL or an Increase ≥20 mg/dL in Blood Glucose From Nadir
NCT01994746 (10) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucose
NCT01994746 (10) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT01994746 (10) [back to overview]Nasal and Non-nasal Effects/Symptoms
NCT01994746 (10) [back to overview]Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes
NCT01994746 (10) [back to overview]Area Under the Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Baseline-Adjusted Glucagon
NCT01994746 (10) [back to overview]Recovery From Symptoms of Hypoglycemia
NCT01994746 (10) [back to overview]Time to Maximum Change From Baseline Concentration (Tmax) of Glucose
NCT01994746 (10) [back to overview]Increase in Plasma Glucose Level to >=70mg/dL or an Increase of >=20mg/dL From Glucose Nadir
NCT01994746 (10) [back to overview]Time to Maximum Change From Baseline Concentration (Tmax) of Glucagon
NCT01997411 (10) [back to overview]Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes
NCT01997411 (10) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT01997411 (10) [back to overview]Maximum Concentration (Cmax) of Baseline-Adjusted Glucose
NCT01997411 (10) [back to overview]Number of Participants Achieving at Least a 25 mg/dL Rise in Blood Glucose Above Nadir Level Within 30 Minutes
NCT01997411 (10) [back to overview]Percentage of Participants With >= 25 mg/dL Rise in Plasma Glucose Within 30 Minutes
NCT01997411 (10) [back to overview]Time to Achieving ≥25 mg/dL Rise in Plasma Glucose Above Nadir Level Within 30 Minutes
NCT01997411 (10) [back to overview]Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT01997411 (10) [back to overview]Nasal and Non-nasal Effects/Symptoms
NCT01997411 (10) [back to overview]Area Under the Curve (AUC0-1.5) of Baseline Adjusted Glucagon
NCT01997411 (10) [back to overview]Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT02018627 (9) [back to overview]Injection Pain
NCT02018627 (9) [back to overview]GIRmin
NCT02018627 (9) [back to overview]Dermal Response (Draize Scale Grade for Edema Formation)
NCT02018627 (9) [back to overview]AOCGIR
NCT02018627 (9) [back to overview]Dermal Response (Draize Scale for Erythema and Eschar Formation)
NCT02018627 (9) [back to overview]Tmax
NCT02018627 (9) [back to overview]Maximal Nausea
NCT02018627 (9) [back to overview]Injection Site Erythema
NCT02018627 (9) [back to overview]t½Max
NCT02081014 (13) [back to overview]Glucose AUC (Post-insulin)
NCT02081014 (13) [back to overview]Glucose Cmax (Post-insulin)
NCT02081014 (13) [back to overview]Glucose Tmax (Fasting)
NCT02081014 (13) [back to overview]Glucose Tmax (Post-insulin)
NCT02081014 (13) [back to overview]Serious Adverse Events
NCT02081014 (13) [back to overview]Glucose Cmax (Fasting)
NCT02081014 (13) [back to overview]Glucagon AUC (Post-insulin)
NCT02081014 (13) [back to overview]Glucagon Area Under the Curve (AUC) (Fasting)
NCT02081014 (13) [back to overview]Glucagon Cmax (Fasting)
NCT02081014 (13) [back to overview]Glucagon Cmax (Post-insulin)
NCT02081014 (13) [back to overview]Glucagon Tmax (Fasting)
NCT02081014 (13) [back to overview]Glucagon Tmax (Post-insulin)
NCT02081014 (13) [back to overview]Glucose AUC (Fasting)
NCT02171130 (5) [back to overview]Blood Glucose Levels Over Time
NCT02171130 (5) [back to overview]Percentage of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration
NCT02171130 (5) [back to overview]Percentage of Participants With Adverse Events (AEs) Reported Through the Nasal Score Questionnaire
NCT02171130 (5) [back to overview]Assessment of Ease-of-use of Dry-Mist Nasal Glucagon as Determined by Completion of Questionnaires by the Caregiver
NCT02171130 (5) [back to overview]Number of Participants With Treatment-Emergent Glucagon Anti-Drug Antibodies (ADA)
NCT02402933 (4) [back to overview]Percentage of Participants With Adverse Events Through the Nasal Score Questionnaire
NCT02402933 (4) [back to overview]Number of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration
NCT02402933 (4) [back to overview]Assessment of Ease-of-use of Dry-Mist Nasal Glucagon by Completion of Questionnaire by the Caregiver
NCT02402933 (4) [back to overview]Change in Blood Glucose Level Over Time
NCT02411578 (18) [back to overview]Clinical Grading - Initial and 15-min Treatment Correct
NCT02411578 (18) [back to overview]Clinical Grading - Initial Treatment Correct
NCT02411578 (18) [back to overview]CGM Time in Range, Event Level
NCT02411578 (18) [back to overview]CGM Coefficient of Variation
NCT02411578 (18) [back to overview]CGM Time in Range, Event Level
NCT02411578 (18) [back to overview]CGM Maximum Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Maximum Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Mean Glucose
NCT02411578 (18) [back to overview]CGM Mean Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Mean Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Time Below 70
NCT02411578 (18) [back to overview]CGM Minimum Glucose, Event Level
NCT02411578 (18) [back to overview]Number of Hypoglycemic Events ≥50 mg/dl 15 Minutes AND ≥ 70 mg/dl 30 Minutes After Initial Treatment
NCT02411578 (18) [back to overview]Continuous Glucose Monitor (CGM) Minimum Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Time Below 70 mg/dL
NCT02411578 (18) [back to overview]Clinical Grading - Limited to Events in Primary Analysis
NCT02411578 (18) [back to overview]CGM Time Below 70 mg/dL, Event Level
NCT02411578 (18) [back to overview]CGM Time in Range
NCT02423980 (3) [back to overview]Number of Subjects With Plasma Glucose > 70 mg/dL at 30 Minutes Post-treatment
NCT02423980 (3) [back to overview]Time to Resolution of Induced Hypoglycemia Symptoms
NCT02423980 (3) [back to overview]Time to Plasma Glucose > 70 mg/dL
NCT02465515 (21) [back to overview]Change From Baseline in EuroQol- 5 Dimension (EQ-5D) Visual Analogue Scale (VAS) Score
NCT02465515 (21) [back to overview]Change From Baseline in Treatment Related Impact Measures-Diabetes (TRIM-D) Total Score
NCT02465515 (21) [back to overview]Percentage of Participants Achieving Composite Metabolic Endpoint
NCT02465515 (21) [back to overview]Change From Baseline in Body Weight
NCT02465515 (21) [back to overview]Change From Baseline in Blood Pressure
NCT02465515 (21) [back to overview]Time to Initiation of Prandial Insulin in Those Participants on Basal Insulin at Study Start
NCT02465515 (21) [back to overview]Time to Initiation of Insulin of More Than 3 Months Duration for Those Participants Not Treated With Insulin at Study Start
NCT02465515 (21) [back to overview]Number of Participants With AEs of Special Interest
NCT02465515 (21) [back to overview]Time to First Occurrence of MACE or Urgent Revascularization for Unstable Angina
NCT02465515 (21) [back to overview]Time to First Occurrence of Adjudicated Stroke
NCT02465515 (21) [back to overview]Time to First Occurrence of Adjudicated MI
NCT02465515 (21) [back to overview]Time to First Occurrence of Adjudicated CV Death or Hospitalization for Heart Failure (HF)
NCT02465515 (21) [back to overview]Change in Estimated Glomerular Filtration Rate (eGFR) Calculated Using Modification of Diet in Renal Disease (MDRD) Formula
NCT02465515 (21) [back to overview]Time to First Occurrence of Major Adverse Cardiovascular Events (MACE) During Cardiovascular (CV) Follow-up Time Period
NCT02465515 (21) [back to overview]Change From Baseline in Heart Rate
NCT02465515 (21) [back to overview]Change From Baseline in HbA1c
NCT02465515 (21) [back to overview]Number of Participants With Non-fatal Serious Adverse Events (SAEs)
NCT02465515 (21) [back to overview]Time to Adjudicated CV Death
NCT02465515 (21) [back to overview]Time to First Occurrence of a Clinically Important Microvascular Event
NCT02465515 (21) [back to overview]Time to Death
NCT02465515 (21) [back to overview]Number of Participants With Adverse Events (AEs) Leading to Discontinuation of Investigational Product (AELD)
NCT02635386 (23) [back to overview]Trunk/Leg Fat Ratio by DEXA
NCT02635386 (23) [back to overview]Waist-to-Height Ratio (WHtR)
NCT02635386 (23) [back to overview]Waist-to-Hip Ratio (WHR)
NCT02635386 (23) [back to overview]Change in Percent Body Weight
NCT02635386 (23) [back to overview]Absolute Body Weight
NCT02635386 (23) [back to overview]Android-Gynoid Ratio (AGR) as Determined by DEXA
NCT02635386 (23) [back to overview]Body Mass Index (BMI)
NCT02635386 (23) [back to overview]Central Adiposity (Waist Circumference)
NCT02635386 (23) [back to overview]Corrected First Phase Insulin Secretion (IGI/HOMA-IR)
NCT02635386 (23) [back to overview]Dehydroepiandrosterone Sulfate (DHEA-S) Levels
NCT02635386 (23) [back to overview]Diastolic Blood Pressure (DBP)
NCT02635386 (23) [back to overview]Fasting Blood Glucose
NCT02635386 (23) [back to overview]Fasting Insulin Sensitivity (HOMA-IR)
NCT02635386 (23) [back to overview]Free Androgen Index (FAI)
NCT02635386 (23) [back to overview]Matsuda Sensitivity Index Derived From the OGTT(SI OGTT)
NCT02635386 (23) [back to overview]OGTT Mean Blood Glucose (MBG)
NCT02635386 (23) [back to overview]Oral Disposition (Insulin Sensitivity-insulin Secretion) Index
NCT02635386 (23) [back to overview]Systolic Blood Pressure (SBP)
NCT02635386 (23) [back to overview]Total Body Fat (%) by DEXA
NCT02635386 (23) [back to overview]Total Cholesterol Levels
NCT02635386 (23) [back to overview]Total Fat Mass (kg) Evaluated by DEXA
NCT02635386 (23) [back to overview]Total Testosterone Concentrations
NCT02635386 (23) [back to overview]Triglyceride (TRG) Levels
NCT02656069 (10) [back to overview]Global Assessment of Hypoglycemia
NCT02656069 (10) [back to overview]Plasma Glucose Maximum Concentration (Cmax)
NCT02656069 (10) [back to overview]Plasma Glucose Time to Concentration > 70 mg/dL
NCT02656069 (10) [back to overview]Plasma Glucose Time to Maximum Concentration (Tmax)
NCT02656069 (10) [back to overview]Time to Resolution of Hypoglycemia Symptoms
NCT02656069 (10) [back to overview]Plasma Glucose Area Under the Curve (AUC)
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Per Protocol Population
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Intent-to-Treat Population
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Glucose or Symptomatic Response Definition
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Alternate Glucose Response Definition
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time > 250 mg/dL
NCT02660242 (12) [back to overview]Number of Participants With Hypoglycemia (<70 mg/dL) During Exercise and Early Recovery
NCT02660242 (12) [back to overview]Number of Participants With Hyperglycemia (≥250 mg/dL) During Exercise and Early Recovery
NCT02660242 (12) [back to overview]Continuous Glucose Monitor (CGM) Metrics During Late Recovery - Nadir Glucose
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time in Range (70-180 mg/dL)
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time > 180 mg/dL
NCT02660242 (12) [back to overview]Glycemic Response During Exercise and Early Recovery
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Coefficient of Variation
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Mean Glucose
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time < 70 mg/dL
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Peak Glucose
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time < 54 mg/dL
NCT02683746 (12) [back to overview]Number of Participants With Injection Site Reactions (ISR)
NCT02683746 (12) [back to overview]Number of Participants With Positive Result for Anti-albiglutide Antibody
NCT02683746 (12) [back to overview]Change From Baseline in FPG Over Time
NCT02683746 (12) [back to overview]Change From Baseline in HbA1c Over Time
NCT02683746 (12) [back to overview]Number of Participants With Hematology Parameters of PCC
NCT02683746 (12) [back to overview]Number of Participants With Clinical Chemistry Parameters of Potential Clinical Concern (PCC)
NCT02683746 (12) [back to overview]Number of Participants With Electrocardiogram (ECG) Parameters of PCC
NCT02683746 (12) [back to overview]Number of Participants With Vital Signs of PCC
NCT02683746 (12) [back to overview]Number of Participants With On-therapy Adverse Events (AEs) and Serious AEs (SAEs)
NCT02683746 (12) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
NCT02683746 (12) [back to overview]Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26
NCT02683746 (12) [back to overview]Trough Plasma Concentration of Albiglutide Over Time
NCT02701257 (25) [back to overview]Number of Subjects With Mean CGM Glucose < 154 mg/dl
NCT02701257 (25) [back to overview]Number of Severe Hypoglycemic Events (Subject Unable to Self-treat, Requiring the Assistance of Another Person)
NCT02701257 (25) [back to overview]Number of Episodes of Symptomatic Hypoglycemia.
NCT02701257 (25) [back to overview]Insulin Total Delivery Per kg of Body Mass.
NCT02701257 (25) [back to overview]Difference in the PG Prior to the Meal and Peak Post-prandial Glucose
NCT02701257 (25) [back to overview]Difference in Mean Nausea From VAS During the Study
NCT02701257 (25) [back to overview]Difference in Local Erythema and Edema According to the Draize Scale
NCT02701257 (25) [back to overview]Difference Between the Fasted PG Value and the PG Value at 90 Minutes
NCT02701257 (25) [back to overview]CGM Reliability Index, Calculated as Percent of Possible Values Actually Recorded by CGM.
NCT02701257 (25) [back to overview]Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured (Dose Calculated, Dose Issued to Pumps).
NCT02701257 (25) [back to overview]Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time CGM Data (New CGM Glucose Reading Captured, Dose Calculated, Dose Issued to Pumps
NCT02701257 (25) [back to overview]Average Percent Insulin Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent Glucagon Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That a Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Glucagon Doses).
NCT02701257 (25) [back to overview]Average Insulin Infusion Site Pain From VAS
NCT02701257 (25) [back to overview]Average Continuous Glucose Monitor (CGM) Glucose
NCT02701257 (25) [back to overview]Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Aggregate of Both Insulin and Glucagon Doses)
NCT02701257 (25) [back to overview]Glucagon Total Delivery Per kg of Body Mass.
NCT02701257 (25) [back to overview]Percentage of Time in Each of the Following Ranges: < 50 mg/dl, < 60 mg/dl, <70 mg/dl, 70-120 mg/dl, 70-180 mg/dl, >180 mg/dl, >250 mg/dl
NCT02701257 (25) [back to overview]Total Grams of Carbohydrate Taken for Hypoglycemia.
NCT02701257 (25) [back to overview]PG AUC in the 3.5 Hours Following the Meal
NCT02701257 (25) [back to overview]Number of Unscheduled Infusion Set Replacements.
NCT02701257 (25) [back to overview]Number of Unscheduled CGM Sensor Changes.
NCT02733588 (4) [back to overview]Detection/Notification of Hypoglycemia
NCT02733588 (4) [back to overview]Glucose Time in Range
NCT02733588 (4) [back to overview]Number of Subjects With Severe Hypoglycemia
NCT02733588 (4) [back to overview]Number of Subjects With Rebound Hyperglycemia
NCT02778113 (8) [back to overview]PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT02778113 (8) [back to overview]PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax)
NCT02778113 (8) [back to overview]Number of Participants With One or More Serious Adverse Event(s) (SAEs)
NCT02778113 (8) [back to overview]PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT02778113 (8) [back to overview]PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT02778113 (8) [back to overview]Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC₀-₄) of Glucose
NCT02778113 (8) [back to overview]Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T (AUC[0-tlast]) of Baseline Adjusted Glucagon
NCT02778113 (8) [back to overview]PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Baseline Adjusted Glucagon
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal SBP and DBP for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal SBP and DBP for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal SBP and DBP for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Non-serious Adverse Events (AE) With Incidence > = 2 % and Serious AEs (SAE)
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Urinalysis
NCT02802514 (29) [back to overview]Gastrointestinal (GI) Visual Analogue Scale (VAS) for Assessment of Nausea for Session 1
NCT02802514 (29) [back to overview]Gastrointestinal (GI) Visual Analogue Scale (VAS) for Assessment of Nausea for Session 1
NCT02802514 (29) [back to overview]GI VAS for Assessment of Nausea for Session 2
NCT02802514 (29) [back to overview]GI VAS for Assessment of Nausea for Session 2
NCT02802514 (29) [back to overview]Motion Sickness Assessment Questionnaire (MSAQ) for Assessment of Nausea for Session 1
NCT02802514 (29) [back to overview]Motion Sickness Assessment Questionnaire (MSAQ) for Assessment of Nausea for Session 1
NCT02802514 (29) [back to overview]MSAQ for Assessment of Nausea for Session 2
NCT02802514 (29) [back to overview]MSAQ for Assessment of Nausea for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Heart Rate for Session 1
NCT02802514 (29) [back to overview]Number of Participants With Abnormal SBP and DBP for Session 2
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Clinical Chemistry Parameters
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Glycemic Parameters
NCT02802514 (29) [back to overview]Number of Participants With Abnormal Hematology Parameters
NCT02937558 (4) [back to overview]Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Open-Label)
NCT02937558 (4) [back to overview]Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Double-Blind)
NCT02937558 (4) [back to overview]Percent Change in Glucose Infusion Rate (Open-Label)
NCT02937558 (4) [back to overview]Percent Change in GIR (Double-Blind)
NCT02966275 (16) [back to overview]Severity of Nausea on Daily E-mail Survey
NCT02966275 (16) [back to overview]Total Number of Grams of Carbohydrate Taken for Hypoglycemia Per Day
NCT02966275 (16) [back to overview]Total Glucagon Dosing (mcg/kg/24 Hours)
NCT02966275 (16) [back to overview]Area Over the Curve and <60 mg/dl (CGM) Measured in mg/dl *Min
NCT02966275 (16) [back to overview]Fraction of Time Spent Within the Glucose Range >250 mg/dl
NCT02966275 (16) [back to overview]Mean Absolute Relative Deviation (MARD) of CGM vs. All StatStrip Xpress BG Measurements
NCT02966275 (16) [back to overview]Mean Continuous Glucose Monitor (CGM) Glucose
NCT02966275 (16) [back to overview]Number of Carbohydrate Interventions for Hypoglycemia Per Day
NCT02966275 (16) [back to overview]Number of Days With Nausea
NCT02966275 (16) [back to overview]Number of Symptomatic Hypoglycemia Events Per Day
NCT02966275 (16) [back to overview]Percentage of Days When Participants Correctly Guessed Intervention (Glucagon vs Placebo) Out of a Total of 14 Days.
NCT02966275 (16) [back to overview]Percentage of Time Spent Within the Glucose Range >180 mg/dl
NCT02966275 (16) [back to overview]Percentage of Time Spent Within the Glucose Range 70-120 mg/dl
NCT02966275 (16) [back to overview]Percentage of Time Spent Within the Glucose Range 70-180 mg/dl
NCT02966275 (16) [back to overview]Percentage of Time With CGM Glucose Less Than 60 mg/dl During Daytime ( 7:00 AM-11:00 PM)
NCT02966275 (16) [back to overview]Percentage of Time With CGM Glucose Less Than 60 mg/dl Overnight (11:00 PM - 7:00 AM)
NCT02971228 (12) [back to overview]Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time Continuous Glucose Monitoring (CGM) Data
NCT02971228 (12) [back to overview]Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured
NCT02971228 (12) [back to overview]CGM Mean Absolute Relative Difference Versus Time-stamped Blood Glucose (BG) Values From Meter Download
NCT02971228 (12) [back to overview]Nausea Measured on a Visual Analog Scale (VAS)
NCT02971228 (12) [back to overview]CGM Reliability Index, Calculated as Percentage of Possible Values Actually Recorded by CGM
NCT02971228 (12) [back to overview]Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02971228 (12) [back to overview]Pain Measured on a Visual Analog Scale (VAS)
NCT02971228 (12) [back to overview]Safety and Tolerability as Measured by Adverse Events, Local Tolerability of Infusion Site Reactions, and Clinical Laboratory Parameters
NCT02971228 (12) [back to overview]Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02971228 (12) [back to overview]Glycemic Regulation
NCT02971228 (12) [back to overview]Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Calibration Issues
NCT02971228 (12) [back to overview]Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Connectivity Issues
NCT03091673 (5) [back to overview]Change in Plasma Glucose
NCT03091673 (5) [back to overview]Plasma Glucagon Area Under the Curve
NCT03091673 (5) [back to overview]Plasma Glucagon Cmax
NCT03091673 (5) [back to overview]Time for Plasma Glucose to Increase by ≥25 mg/dL
NCT03091673 (5) [back to overview]Plasma Glucagon Tmax
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <55 mg/dL
NCT03255629 (22) [back to overview]Time to Nadir Sensor Glucose After Mixed Meal (Min)
NCT03255629 (22) [back to overview]Time to Nadir Plasma Glucose After Mixed Meal (Min)
NCT03255629 (22) [back to overview]Time to Delivery (Min)
NCT03255629 (22) [back to overview]Time to Alarm During Mixed Meal Testing (Minutes)
NCT03255629 (22) [back to overview]Sensor Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Sensor Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Percent Time Plasma Glucose in Range After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response
NCT03255629 (22) [back to overview]Pain Score at Time of Second Dose Delivery of Study Drug, Versus Pain Score at Time of Second Dose Delivery of Placebo (Comparing Second Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).
NCT03255629 (22) [back to overview]Pain Score at Time of First Dose Delivery of Study Drug, Versus Pain Score at Time of First Dose Delivery of Placebo (Comparing First Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).
NCT03255629 (22) [back to overview]Number of Participants With Rebound Hyperglycemia (Defined as Glucose Levels Above 180 mg/dl).
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <65 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <60 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <55 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <65 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <60 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Hypoglycemia Rescue Administered
NCT03255629 (22) [back to overview]Meal Provoked Nadir Sensor Glucose
NCT03255629 (22) [back to overview]Meal Provoked Nadir Plasma Glucose
NCT03255629 (22) [back to overview]Capillary Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Capillary Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Percent Time Sensor Glucose in Range After Drug Delivery After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response
NCT03339453 (6) [back to overview]Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax)
NCT03339453 (6) [back to overview]Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Tlast (AUC[0-tlast]) of Baseline Adjusted Glucagon
NCT03339453 (6) [back to overview]PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT03339453 (6) [back to overview]PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT03339453 (6) [back to overview]PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT03339453 (6) [back to overview]Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia
NCT03421379 (6) [back to overview]Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax) of Glucagon Nasal Powder and Glucagon Hydrochloride Intramuscular (IM)
NCT03421379 (6) [back to overview]PK: Change From Baseline in Tmax of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03421379 (6) [back to overview]PD: Time to Maximal Concentration (Tmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03421379 (6) [back to overview]Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia
NCT03421379 (6) [back to overview]Pharmacokinetics (PK): Change From Baseline in Area Under the Concentration Versus Time Curve From Zero to Time t (AUC [0-tLast]) of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03421379 (6) [back to overview]PK: Change From Baseline in Maximal Concentration (Cmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03439072 (14) [back to overview]Time to Resolution of the Feeling of Hypoglycemia
NCT03439072 (14) [back to overview]Time to Resolution of Neuroglycopenic Symptoms
NCT03439072 (14) [back to overview]Time to Resolution of Autonomic Symptoms
NCT03439072 (14) [back to overview]Time for Positive Glucose Response
NCT03439072 (14) [back to overview]Time for Positive Glucose Increase
NCT03439072 (14) [back to overview]Number of Subjects With Relief of Neuroglycopenic Symptoms
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Relief of Neuroglycopenic Symptoms
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Positive Glucose Increase
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Glucose Response
NCT03439072 (14) [back to overview]Glucose Tmax
NCT03439072 (14) [back to overview]Glucose Cmax
NCT03439072 (14) [back to overview]Glucose AUC
NCT03439072 (14) [back to overview]Glucagon Preparation and Administration Time
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Glucose Increase
NCT03490942 (1) [back to overview]Plasma Epinephrine
NCT03738865 (5) [back to overview]Severe Hypoglycemia Rescue
NCT03738865 (5) [back to overview]Administration Time
NCT03738865 (5) [back to overview]Hypoglycemia Resolution
NCT03738865 (5) [back to overview]Plasma Glucose Response 1
NCT03738865 (5) [back to overview]Plasma Glucose Response 2
NCT03765502 (7) [back to overview]Average Time for Trained Users to Successfully Administer One Device Over the Other
NCT03765502 (7) [back to overview]Percentage of Participants (Trained and Untrained Users) That Prefer One Device Over the Other
NCT03765502 (7) [back to overview]Percentage of Participants Trained and Untrained Users That Find One Device Easy to Use Over the Other
NCT03765502 (7) [back to overview]Percentage of Participants (PWD) That Prefer One Device Over the Other
NCT03765502 (7) [back to overview]Percentage of Untrained Users That Perform a Successful Administration for Each Device
NCT03765502 (7) [back to overview]Percentage of Trained Users That Performed a Successful Administration for Each Device
NCT03765502 (7) [back to overview]Average Time for Untrained Users to Successfully Administer One Device Over the Other
NCT03807440 (29) [back to overview]Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Number of Patients With Documentation of Estimated Glomerular Filtration Rate (eGFR) / Urine Albumin Creatinine Ratio (UACR) Status
NCT03807440 (29) [back to overview]Number of Patients With Chronic Kidney Disease (CKD) by Physician's Assessment
NCT03807440 (29) [back to overview]Number of Patients With Chronic Kidney Disease (CKD) by Estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) Status
NCT03807440 (29) [back to overview]Number of Patients With Chronic Kidney Disease (CKD) by eGFR and UACR Status According to Prescribing Specialist
NCT03807440 (29) [back to overview]Number of Patients With Any Type of Cardiovascular Disease (CVD)
NCT03807440 (29) [back to overview]Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Number of Patients in Each Category of the Different Types of Cardiovascular Disease
NCT03807440 (29) [back to overview]Number of Patients in Each Category of Different Types of Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication Initiated at Study Index Date 1
NCT03807440 (29) [back to overview]Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant T2D Medications at Study Index Date 1 According to Prescribing Specialist
NCT03807440 (29) [back to overview]Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant Cardiovascular Disease (CVD) and/or Chronic Kidney Disease (CKD) Medication at Study Index Date 1 According to Prescribing Specialist
NCT03807440 (29) [back to overview]Number of Patients for Each Type of Physician Specialties Involved in Decision for T2D Therapy Discontinuation According to Prescribing Specialist
NCT03807440 (29) [back to overview]Time to Discontinuation of Type 2 Diabetes (T2D) Treatment According to Study Medication
NCT03807440 (29) [back to overview]Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03841526 (17) [back to overview]Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline
NCT03841526 (17) [back to overview]CRC Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise Exercise.
NCT03841526 (17) [back to overview]Outpatient Phase: HFS-II Overall Score Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Insulin Use Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Insulin Use Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Insulin Use Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Interstitial Glucose Levels Below Target Range
NCT03841526 (17) [back to overview]CRC Phase: Mean Number of Hypoglycemic Events Exercise.
NCT03841526 (17) [back to overview]CRC Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions
NCT03841526 (17) [back to overview]Outpatient Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise.
NCT03841526 (17) [back to overview]Outpatient Phase: Mean Number of Hypoglycemic Events
NCT03841526 (17) [back to overview]Outpatient Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions
NCT03841526 (17) [back to overview]CRC Phase: Interstitial Glucose Below Target Range
NCT03841526 (17) [back to overview]Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: HFS-II Overall Score Change From Baseline

Time to Hyperglycemia Rescue

Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue.The conditions for hyperglycemic rescue were as follows: FPG >=280 milligrams/deciliter (mg/dL) between >=Week 2 and =250 mg/dL between >=Week 4 and =8.5% and a <=0.5% reduction from Baseline between >=Week 12 and =8.5% between >=Week 24 and =8.0% between >= Week 48 and NCT00838903)
Timeframe: From the start of study medication until the end of the treatment (up to Week 156)

InterventionWeeks (Median)
Placebo Plus Metformin67.71
Sitagliptin 100 mg Plus MetforminNA
Glimepiride 2 mg Plus MetforminNA
Albiglutide 30 mg Plus MetforminNA

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156

The number of participants who achieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 156) were assessed. (NCT00838903)
Timeframe: Week 156

,,,
InterventionParticipants (Number)
HbA1c <6.5%HbA1c <7.0%HbA1c <7.5%
Albiglutide 30 mg Plus Metformin316990
Glimepiride 2 mg Plus Metformin154469
Placebo Plus Metformin4713
Sitagliptin 100 mg Plus Metformin234469

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Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 104

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 104 minus the value at BL. Based on analysis of covariance (ANCOVA): change = treatment + BL HbA1c + prior myocardial infarction history + age category + region. Difference of least squares means (albiglutide - placebo, albiglutide - sitagliptin, albiglutide - glimepiride) is from the ANCOVA model. The last observation carried forward (LOCF) method was used to impute missing post-Baseline HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. (NCT00838903)
Timeframe: Baseline and Week 104

InterventionPercentage of HbA1c in the blood (Least Squares Mean)
Placebo Plus Metformin0.27
Sitagliptin 100 mg Plus Metformin-0.28
Glimepiride 2 mg Plus Metformin-0.36
Albiglutide 30 mg Plus Metformin-0.63

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Change From Baseline in Body Weight at Week 104

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region. (NCT00838903)
Timeframe: Baseline and Week 104

InterventionKilograms (Least Squares Mean)
Placebo Plus Metformin-1.00
Sitagliptin 100 mg Plus Metformin-0.86
Glimepiride 2 mg Plus Metformin1.17
Albiglutide 30 mg Plus Metformin-1.21

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Change From Baseline in Body Weight at Week 156

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00838903)
Timeframe: Baseline and Week 156

InterventionKilograms (Mean)
Placebo Plus Metformin-3.61
Sitagliptin 100 mg Plus Metformin-2.05
Glimepiride 2 mg Plus Metformin0.98
Albiglutide 30 mg Plus Metformin-2.31

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 104

The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + prior myocardial infarction history + age category + region. (NCT00838903)
Timeframe: Baseline and Week 104

InterventionMillimoles per liter (mmol/L) (Least Squares Mean)
Placebo Plus Metformin0.55
Sitagliptin 100 mg Plus Metformin-0.12
Glimepiride 2 mg Plus Metformin-0.41
Albiglutide 30 mg Plus Metformin-0.98

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Change From Baseline in FPG at Week 156

The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00838903)
Timeframe: Baseline and Week 156

InterventionMillimoles per liter (mmol/L) (Mean)
Placebo Plus Metformin-0.11
Sitagliptin 100 mg Plus Metformin-0.50
Glimepiride 2 mg Plus Metformin-0.71
Albiglutide 30 mg Plus Metformin-1.30

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Change From Baseline in HbA1c at Week 156

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed . (NCT00838903)
Timeframe: Baseline and Week 156

InterventionPercentage of HbA1c in the blood (Mean)
Placebo Plus Metformin-0.46
Sitagliptin 100 mg Plus Metformin-0.56
Glimepiride 2 mg Plus Metformin-0.59
Albiglutide 30 mg Plus Metformin-0.88

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 104

The number of participants who achieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 52) were assessed. (NCT00838903)
Timeframe: Week 104

,,,
InterventionParticipants (Number)
HbA1c <6.5%HbA1c <7.0%HbA1c <7.5%
Albiglutide 30 mg Plus Metformin50113172
Glimepiride 2 mg Plus Metformin4094147
Placebo Plus Metformin71527
Sitagliptin 100 mg Plus Metformin4594132

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Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 52 minus the value at BL. Based on analysis of covariance (ANCOVA): change = treatment + BL HbA1c + prior myocardial infarction history + age category + region. The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. Nine par. with post-BL values obtained >14 days after the last dose or after hyperglycemic rescue were included in the analysis population but were not analyzed for this endpoint. (NCT00839527)
Timeframe: Baseline and Week 52

InterventionPercentage of HbA1c in the blood (Least Squares Mean)
Placebo + Metformin + Glimepiride0.33
Pioglitazone + Metformin + Glimepiride-0.80
Albiglutide + Metformin + Glimepiride-0.55

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52

The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 52) was assessed. Values were carried forward for participants who were rescued or discontinued from active treatment before Week 52. (NCT00839527)
Timeframe: Week 52

,,
InterventionParticipants (Number)
HbA1c <6.5%HbA1c <7.0%HbA1c <7.5%
Albiglutide + Metformin + Glimepiride2779126
Pioglitazone + Metformin + Glimepiride3794150
Placebo + Metformin + Glimepiride41019

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Change From Baseline in Body Weight at Week 52

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region. (NCT00839527)
Timeframe: Baseline and Week 52

InterventionKilograms (Least Squares Mean)
Placebo + Metformin + Glimepiride-0.40
Pioglitazone + Metformin + Glimepiride4.43
Albiglutide + Metformin + Glimepiride-0.42

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156

The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 156) was assessed. (NCT00839527)
Timeframe: Week 156

,,
InterventionParticipants (Number)
HbA1c <6.5%HbA1c <7.0%HbA1c <7.5%
Albiglutide + Metformin + Glimepiride162645
Pioglitazone + Metformin + Glimepiride234468
Placebo + Metformin + Glimepiride135

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Change From Baseline in HbA1c at Week 104 and Week 156

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00839527)
Timeframe: Baseline, Week 104, and Week 156

,,
InterventionPercentage of HbA1c in the blood (Mean)
Week 104, n=12, 130, 104Week 156, n=9, 89, 71
Albiglutide + Metformin + Glimepiride-0.76-0.46
Pioglitazone + Metformin + Glimepiride-1.09-0.97
Placebo + Metformin + Glimepiride-0.32-0.10

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Change From Baseline in FPG at Week 104 and Week 156

The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00839527)
Timeframe: Baseline, Week 104, and Week 156

,,
InterventionMillimoles per liter (mmol/L) (Mean)
Week 104, n=12, 128, 103Week 156, n=9, 88, 71
Albiglutide + Metformin + Glimepiride-0.99-0.88
Pioglitazone + Metformin + Glimepiride-1.98-1.94
Placebo + Metformin + Glimepiride0.43-0.50

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Change From Baseline in Body Weight at Week 104 and Week 156

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00839527)
Timeframe: Baseline, Week 104, and Week 156

,,
InterventionKilograms (Mean)
Week 104, n=12, 130, 104Week 156, n=9, 90, 71
Albiglutide + Metformin + Glimepiride-0.90-1.53
Pioglitazone + Metformin + Glimepiride6.286.52
Placebo + Metformin + Glimepiride-2.16-4.47

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Time to Hyperglycemia Rescue

Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: FPG >=280 milligrams/deciliter (mg/dL) between >=Week 2 and =250 mg/dL between >=Week 4 and =8.5% and a <=0.5% reduction from Baseline between >=Week 12 and =8.5% between >=Week 24 and =8.0% between >= Week 48 and NCT00839527)
Timeframe: From the start of study medication until the end of the treatment (up to Week 156)

InterventionWeeks (Median)
Placebo + Metformin + Glimepiride49.57
Pioglitazone + Metformin + GlimepirideNA
Albiglutide + Metformin + Glimepiride137.71

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52

The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + prior myocardial infarction history + age category + region. (NCT00839527)
Timeframe: Baseline and Week 52

InterventionMillimoles per liter (mmol/L) (Least Squares Mean)
Placebo + Metformin + Glimepiride0.64
Pioglitazone + Metformin + Glimepiride-1.74
Albiglutide + Metformin + Glimepiride-0.69

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Change From Baseline in Body Weight at Week 52

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + prior myocardial infarction history + age category + region + current antidiabetic therapy. (NCT00849017)
Timeframe: Baseline and Week 52

InterventionKilograms (Least Squares Mean)
Placebo-0.66
Albiglutide 30 mg-0.39
Albiglutide 50 mg-0.86

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Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52

Glycated hemoglobin (HbA1c) is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 52 minus the value at BL. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (<65 years versus ≥65 years) as factors and Baseline HbA1c as a continuous covariate. The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. (NCT00849017)
Timeframe: Baseline and Week 52

InterventionPercentage of HbA1c in the blood (Least Squares Mean)
Placebo0.15
Albiglutide 30 mg-0.70
Albiglutide 50 mg-0.89

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Change From Baseline in HbA1c at Weeks 104 and 156

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00849017)
Timeframe: Baseline and Weeks 104 and 156

,,
InterventionPercentage of HbA1c in the blood (Mean)
Week 104, n=21, 39, 42Week 156, n=14, 30, 32
Albiglutide 30 mg-0.93-0.96
Albiglutide 50 mg-1.18-1.07
Placebo-0.40-0.61

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Albiglutide Plasma Concentration at Weeks 8 and 24

Albiglutide plasma concentration data was analyzed at Week 8 pre-dose, Week 8 post dose, Week 24 pre-dose and Week 24 post-dose. All participants who received albiglutide were initiated on a 30mg weekly dosing regimen; however, beginning at Week 12, participants in the albiglutide 50 mg treatment group were uptitrated to receive albiglutide 50 mg for the remainder of the study. (NCT00849017)
Timeframe: Weeks 8 and 24

,
Interventionnanograms/milliliter (ng/mL) (Mean)
Week 8 Pre-dose, n=85, 85Week 8 Post-dose, n=87, 80Week 24 Pre-dose, n=79, 74Week 24 Post-dose, n=81, 72
Albiglutide 30 mg1582190019122289
Albiglutide 50 mg1433175930603484

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52

The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline weight + prior myocardial infarction history + age category + region + current antidiabetic therapy. (NCT00849017)
Timeframe: Baseline and Week 52

InterventionMillimoles per liter (mmol/L) (Least Squares Mean)
Placebo1.00
Albiglutide 30 mg-0.88
Albiglutide 50 mg-1.38

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52

The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 52) were assessed. (NCT00849017)
Timeframe: Week 52

,,
InterventionParticipants (Number)
Week 52, HbA1c <6.5%Week 52, HbA1c <7.0%Week 52, HbA1c <7.5%
Albiglutide 30 mg254959
Albiglutide 50 mg243962
Placebo102134

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156

The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 156) were assessed. (NCT00849017)
Timeframe: Week 156

,,
InterventionParticipants (Number)
Week 156, HbA1c <6.5%Week 156, HbA1c <7.0%Week 156, HbA1c <7.5%
Albiglutide 30 mg101824
Albiglutide 50 mg111929
Placebo6813

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Change From Baseline in Postprandial Blood Glucose Profile Parameters-4 Hour Insulin AUC and 4 Hour Proinsulin AUC

Changes from Baseline at Week 52 in postprandial parameters after a mixed-meal (MM) tolerance test were analyzed. Post prandial blood glucose parameters analyzed were: 4-hour insulin AUC (4 hr Ins AUC), and 4-hour proinsulin AUC (4 hr pro-Ins AUC). The AUC was determined using the trapezoidal method using measurements until 4 hours following the meal. The standardized AUC is the total AUC divided by elapsed time. Those parameters were analyzed analogous to the primary endpoint using an ANCOVA model with treatment group as a factor, and corresponding Baseline postprandial profile as a continuous covariate. This analysis used observed values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00849017)
Timeframe: Baseline and Week 52

,,
Interventionpicomoles/Liter (pmol/L) (Least Squares Mean)
4hr Ins AUC4hr Pro-Ins AUC
Albiglutide 30 mg2.91.9
Albiglutide 50 mg39.9-10.7
Placebo49.21.0

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Time to Hyperglycemia Rescue

Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: FPG >=280 milligrams/deciliter (mg/dL) between >=Week 2 and =250 mg/dL between >=Week 4 and =8.5% and a <=0.5% reduction from Baseline between >=Week 12 and =8.5% between >=Week 24 and =8.0% between >= Week 48 and NCT00849017)
Timeframe: From the start of study medication until the end of the treatment (up to Week 156)

InterventionWeeks (Median)
Placebo49.71
Albiglutide 30 mg118.43
Albiglutide 50 mgNA

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Change From Baseline in Postprandial Blood Glucose Profile Parameter-4 Hour C-peptide AUC

Changes from Baseline at Week 52 in postprandial parameters after a mixed-meal (MM) tolerance test were analyzed. Post prandial blood glucose parameter analyzed was 4 hour c-peptide AUC. The AUC was determined using the trapezoidal method using measurements until 4 hours following the meal. The standardized AUC is the total AUC divided by elapsed time. Those parameters were analyzed analogous to the primary endpoint using an ANCOVA model with treatment group as a factor, and corresponding Baseline postprandial profile as a continuous covariate. This analysis used observed values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00849017)
Timeframe: Baseline and Week 52

InterventionNanomoles/Liter (nmol/L) (Least Squares Mean)
Placebo0.05
Albiglutide 30 mg Weekly0.03
Albiglutide 50 mg Weekly0.08

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Change From Baseline in Postprandial Blood Glucose Profile Parameter- 4 Hour Blood Glucose AUC

Changes from Baseline at Week 52 in postprandial parameters after a mixed-meal (MM) tolerance test were analyzed. Post prandial blood glucose parameter analyzed was: 4 hour blood glucose area under urve AUC The AUC was determined using the trapezoidal method using measurements until 4 hours following the meal. The standardized AUC is the total AUC divided by elapsed time. Those parameters were analyzed analogous to the primary endpoint using an ANCOVA model with treatment group as a factor, and corresponding Baseline postprandial profile as a continuous covariate. This analysis used observed values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00849017)
Timeframe: Baseline and Week 52

InterventionNanomoles/Liter (nmol/L) (Least Squares Mean)
Placebo-0.51
Albiglutide 30 mg-1.74
Albiglutide 50 mg-2.05

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 156

The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline FPG minus the Baseline FPG. (NCT00849017)
Timeframe: Baseline and Week 156

InterventionMillimoles per liter (mmol/L) (Mean)
Placebo-0.23
Albiglutide 30 mg-1.31
Albiglutide 50 mg-1.83

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Change From Baseline in Body Weight at Week 156

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. (NCT00849017)
Timeframe: Baseline and Week 156

InterventionKilograms (Mean)
Placebo-2.91
Albiglutide 30 mg-1.32
Albiglutide 50 mg-2.24

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Colonic Geometric Center at 4 h Measured by Scintigraphy

"The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (Note: when there is no radio isotope in the colon (e.g., at 4 hours) the geometric center values are recorded as zero, thus the mean values can be less than one.)" (NCT01056107)
Timeframe: 4 hours (Visit 2 = Day 0)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg0.70
ROSE-010 100 Mcg0.47
ROSE-010 300 Mcg0.57
Placebo0.53

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Colonic Transit, Colonic Geometric Center at 24 Hours

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01056107)
Timeframe: 24 hours (Visit 3 = Day 1)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg2.39
ROSE-010 100 Mcg2.37
ROSE-010 300 Mcg2.02
Placebo1.76

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Colonic Transit, Colonic Geometric Center at 48 h Measured by Scintigraphy, as Compared to Placebo.

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01056107)
Timeframe: 48 hours (Visit 4 = Day 2)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg3.69
ROSE-010 100 Mcg3.79
ROSE-010 300 Mcg3.36
Placebo2.67

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Half Time (t1/2) of Gastric Emptying of Solids Measured by Scintigraphy (Gastric Transit)

Half time (t1/2) of gastric emptying (GE) of solids is the time for half of the ingested solids or liquids to leave the stomach. The scintigraphy for GE t1/2 was done on Visit 2 (Day 0 of the study), the first day of scintigraphy. (NCT01056107)
Timeframe: approximately 2 hours after radiolabeled meal is ingested (Visit 2 = Day 0)

Interventionminutes (Mean)
ROSE-010 30 Mcg151.8
ROSE-010 100 Mcg172.6
ROSE-010 300 Mcg210.7
Placebo136.9

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Stool Consistency Post Treatment

"The subjects rated their stool consistency using the 7-point Bristol Stool Scale. The Bristol Stool Scale is a medical aid designed to classify the form of human feces into seven categories or types. Types 1 and 2 indicate constipation with 3 and 4 being the ideal stools especially the latter, as they are the easiest to defecate, and 5-7 tending towards diarrhea. The Bristol stool form was part of the bowel pattern diary, which was dispensed at the screening visit, and the completed bowel pattern diary was collected at the completion of the study." (NCT01056107)
Timeframe: 34 days (Visit 6)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg2.93
ROSE-010 100 Mcg2.96
ROSE-010 300 Mcg2.93
Placebo3.05

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Stool Frequency

Stool frequency was self reported in a Bowel Pattern Diary. The bowel pattern diary was dispensed at the screening visit, and the completed bowel pattern diary was collected at the completion of the study. (NCT01056107)
Timeframe: screening visit (Visit 1), 34 days (Visit 6)

InterventionStools/day (Mean)
ROSE-010 30 Mcg0.75
ROSE-010 100 Mcg1.13
ROSE-010 300 Mcg0.88
Placebo0.70

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Gastric Residual at 2 and 4 Hours Measured by Scintigraphy

The gastric residual will be calculated as the proportion of isotope remaining in the stomach (at 2 and 4 hours). (NCT01056107)
Timeframe: 2 hours, 4 hours (Visit 2 = Day 0)

,,,
Interventionproportion of isotope in the stomach (Mean)
Gastric residual at 2 hoursGastric residual at 4 hours
Placebo0.590.12
ROSE-010 100 Mcg0.760.16
ROSE-010 30 Mcg0.660.14
ROSE-010 300 Mcg0.860.30

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Colonic Filling at 6 h Measured by Scintigraphy

Percent of the radio-labeled meal that reached the colon at 6 hours, indirectly reflecting small bowel transit time. (NCT01056107)
Timeframe: 6 hours (Visit 2 = Day 0)

Interventionpercentage of meal (Mean)
ROSE-010 30 Mcg47.6
ROSE-010 100 Mcg54.4
ROSE-010 300 Mcg48.0
Placebo53.5

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Ascending Colon Emptying Half-time (AC t1/2) Measured by Scintigraphy

Ascending colon emptying half-time will be estimated by power exponential analysis of the proportionate emptying over time of counts from the colon. The primary data for this analysis will be the proportion of decay and depth-corrected counts in the ascending colon on the hourly scans on the first day of transit measurement and the 48 hour data. (NCT01056107)
Timeframe: 48 hours (Visit 4 = Day 2)

Interventionhours (Mean)
ROSE-010 30 Mcg14.5
ROSE-010 100 Mcg14.8
ROSE-010 300 Mcg17.1
Placebo19.3

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Change Between Postprandial and Fasting Whole Gastric Volume by Technetium-99m (99mTc)-SPECT Imaging (Gastric Accommodation)

"A noninvasive SPECT method was used to measure gastric volume during fasting and 32 min after a liquid nutritional supplement meal. Subjects reported to the clinic after an overnight fast. 99mTC was giving by an intravenous injection in the forearm. The first fasting scan was obtained, and the study medication was given s.c. After 10 min, a 2nd fasting post medication scan was obtained, and the meal consumed; then two serial postprandial scans were obtained. Each scan required 9-12 min. Tomographic images of the gastric wall were obtained throughout the long axis of the stomach using a dual-head gamma camera that rotates around the body. This allows assessment of the radiolabeled circumference of the gastric wall, rather than the intragastric content. For this outcome measure, the scans for the fasting volume and 2 postprandial volumes were used. The 2 postprandial (PP) volumes were averaged. Change was calculated as (PP - Fasting = gastric accommodation)." (NCT01056107)
Timeframe: approximately 1 hour after 99mTC injection, approximately 30 min after liquid meal (Visit 5 = approximately 2-10 days after Visit 4)

InterventionmL (Mean)
ROSE-010 30 Mcg532.2
ROSE-010 100 Mcg575.6
ROSE-010 300 Mcg515.2
Placebo532.8

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Mean Clearance of Albiglutide

Clearance is defined as the volume of plasma cleared of albiglutide per unit time. Samples were collected prior to the administration of study medication on dosing days (Weeks 0, 1, 4, 5, 8, 12, and 13) and on the day of the clinic visit at Weeks 16, 20, and 24. At Weeks 0, 1, 4, 8, and 12, pharmacokinetic (PK) samples were collected immediately prior to dosing if a dose was scheduled for that week. At Weeks 16, 20, and 24, PK samples were collected at any time during the visit. The Week 5 post-dose PK sampling was performed any time between Weeks 4 and 6, within 2 to 5 days after administration of a dose; Week 13 post-dose PK sampling was performed any time between Weeks 12 and 14, within 2 to 5 days after administration of a dose of study medication. Modeled population PK data are presented; data were analyzed using a non-linear mixed effect modeling approach. A one-compartment PK model with first-order absorption and elimination processes was selected to describe GSK716155 PK. (NCT01098461)
Timeframe: Weeks 0, 1, 4, 5, 8, 12, 13, 16, 20, and 24

Interventionmilliliters per hour (Mean)
Albiglutide 15/30 mg Weekly or 30 mg Every Other Week47.8

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Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 16

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the value at Week 16 minus the value at Baseline. Based on Analysis of Covariance (ANCOVA): Change = treatment + Baseline HbA1c + prior therapy. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. (NCT01098461)
Timeframe: Baseline and Week 16

InterventionPercentage of HbA1c in the blood (Least Squares Mean)
Placebo0.28
Albiglutide 15 mg Weekly-0.61
Albiglutide 30 mg Weekly-1.27
Albiglutide 30 mg Every Other Week-0.82

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Change From Baseline in Body Weight at Week 4, 8, 12, and 16

The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. (NCT01098461)
Timeframe: Baseline; Week 4, Week 8, Week 12, and Week 16

,,,
InterventionKilograms (Mean)
Week 4Week 8Week 12Week 16
Albiglutide 15 mg Weekly-0.36-0.060.090.43
Albiglutide 30 mg Every Other Week-0.02-0.25-0.22-0.08
Albiglutide 30 mg Weekly-0.25-0.46-0.20-0.20
Placebo-0.16-0.29-0.43-0.65

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Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 4, 8, 12, and 16

The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01098461)
Timeframe: Baseline; Week 4, Week 8, Week 12, and Week 16

,,,
InterventionMillimoles per liter (mmol/L) (Mean)
Week 4Week 8Week 12Week 16
Albiglutide 15 mg Weekly-1.54-1.54-1.25-0.77
Albiglutide 30 mg Every Other Week-1.32-1.19-1.06-0.78
Albiglutide 30 mg Weekly-2.27-2.27-1.92-1.92
Placebo0.300.410.380.50

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Change From Baseline in HbA1c at Weeks 4, 8, 12, and 16

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the value at Week 16 minus the value at Baseline. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. (NCT01098461)
Timeframe: Baseline; Week 4, Week 8, Week 12, and Week 16

,,,
InterventionPercentage of HbA1c in the blood (Mean)
Week 4Week 8Week 12Week 16
Albiglutide 15 mg Weekly-0.33-0.59-0.71-0.63
Albiglutide 30 mg Every Other Week-0.36-0.74-0.84-0.84
Albiglutide 30 mg Weekly-0.61-1.07-1.26-1.29
Placebo0.030.200.240.27

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Mean Half-maximal Effective Concentration (EC50) of Albiglutide for HbA1c and FPG

EC50 is defined as the concentration of albiglutide that give a half-maximal HbA1c and FPG response. Samples were collected prior to the administration of study medication on dosing days (Weeks 0, 1, 4, 5, 8, 12, and 13) and on the day of the clinic visit at Weeks 16, 20, and 24. At Weeks 0, 1, 4, 8, and 12, PK samples were collected immediately prior to dosing if a dose was scheduled for that week. At Weeks 16, 20, and 24, PK samples were collected at any time during the visit. The Week 5 post-dose PK sampling was performed any time between Weeks 4 and 6, within 2 to 5 days after administration of a dose; Week 13 post-dose PK sampling was performed any time between Weeks 12 and 14, within 2 to 5 days after administration of a dose of study medication. EC50 estimates used PK data as well as HbA1c and FPG efficacy data. EC50 was estimated from an inhibitory Emax (maximal possible effect of albiglutide) model. (NCT01098461)
Timeframe: Weeks 0, 1, 4, 5, 8, 12, 13, 16, 20, and 24

Interventionnanograms per milliliter (Mean)
HbA1cFPG
Albiglutide 15/30 mg Weekly or 30 mg Every Other Week33603850

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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5% and <7% at Weeks 4, 8, 12, and 16

The number of participants who achieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5% and <7%) were assessed. (NCT01098461)
Timeframe: Week 4, Week 8, Week 12, and Week 16

,,,
InterventionParticipants (Number)
HbA1c <6.5%, Week 4HbA1c <6.5%, Week 8HbA1c <6.5%, Week 12HbA1c <6.5%, Week 16HbA1c <7%, Week 4HbA1c <7%, Week 8HbA1c <7%, Week 12HbA1c <7%, Week 16
Albiglutide 15 mg Weekly1565712129
Albiglutide 30 mg Every Other Week15889181921
Albiglutide 30 mg Weekly215191819273234
Placebo00002433

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Mean Volume of Distribution of Albiglutide

Volume of distribution is defined as the apparent volume in which albiglutide is distributed. Samples were collected prior to the administration of study medication on dosing days (Weeks 0, 1, 4, 5, 8, 12, and 13) and on the day of the clinic visit at Weeks 16, 20, and 24. At Weeks 0, 1, 4, 8, and 12, PK samples were collected immediately prior to dosing if a dose was scheduled for that week. At Weeks 16, 20, and 24, PK samples were collected at any time during the visit. The Week 5 post-dose PK sampling was performed any time between Weeks 4 and 6, within 2 to 5 days after administration of a dose; Week 13 post-dose PK sampling was performed any time between Weeks 12 and 14, within 2 to 5 days after administration of a dose of study medication. Modeled population PK data are presented; data were analyzed using a non-linear mixed effect modeling approach. A one-compartment PK model with first-order absorption and elimination processes was selected to describe GSK716155 PK. (NCT01098461)
Timeframe: Weeks 0, 1, 4, 5, 8, 12, 13, 16, 20, and 24

InterventionLiters (Mean)
Albiglutide 15/30 mg Weekly or 30 mg Every Other Week9.34

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Mean Absorption Rate of Albiglutide

Absorption rate is defined as the rate at which albiglutide enters the blood circulation. Samples were collected prior to the administration of study medication on dosing days (Weeks 0, 1, 4, 5, 8, 12, and 13) and on the day of the clinic visit at Weeks 16, 20, and 24. At Weeks 0, 1, 4, 8, and 12, PK samples were collected immediately prior to dosing if a dose was scheduled for that week. At Weeks 16, 20, and 24, PK samples were collected at any time during the visit. The Week 5 post-dose PK sampling was performed any time between Weeks 4 and 6, within 2 to 5 days after administration of a dose; Week 13 post-dose PK sampling was performed any time between Weeks 12 and 14, within 2 to 5 days after administration of a dose of study medication. Modeled population PK data are presented; data were analyzed using a non-linear mixed effect modeling approach. A one-compartment PK model with first-order absorption and elimination processes was selected to describe GSK716155 PK. (NCT01098461)
Timeframe: Weeks 0, 1, 4, 5, 8, 12, 13, 16, 20, and 24

Interventionhour^-1 (Mean)
Albiglutide 15/30 mg Weekly or 30 mg Every Other Week0.0154

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Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).

The peak cortisol level during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease and three or more pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Patients With 3 or More PHD- Insulin Tolerance Test6.3
Patients With 3 or More PHD- Fixed Dose GST2.3
Patients With 3 or More PHD- Weight Based GST2.5

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Peak Cortisol Level During Adrenocorticotropin Hormone (ACTH) Stimulation Test

The peak cortisol level during ACTH stimulation test in 3 patients with adult onset hypothalamic-pituitary disease who were older than 65 years of age and could not under go insulin tolerance test (ITT). (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Patients Older Than 6510

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Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).

The peak cortisol level during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease and 1-2 pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Patients With 1-2 PHD- Insulin Tolerance Test22.2
Patients With 1-2 PHD- Fixed Dose GST19.5
Patients With 1-2 PHD- Weight Based GST22.7

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Peak Cortisol Level in Healthy Volunteers.

The peak cortisol levels during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in healthy volunteers. (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Control Group- ITT22.1
Control Group- Fixed-dose GST18.0
Control Group- Weight-based GST22.7

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Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).

The peak growth hormone (GH) during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease and 1-2 pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionng/mL (Median)
Patients With 1-2 PHD- Insulin Tolerance Test0.9
Patients With 1-2 PHD- Fixed Dose GST0.6
Patients With 1-2 PHD- Weight Based GST0.7

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Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).

The peak growth hormone (GH) during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease with three or more pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionng/mL (Median)
Patients With 3 or More PHD- Insulin Tolerance Test0.1
Patients With 3 or More PHD- Fixed Dose GST0.1
Patients With 3 or More PHD- Weight Based GST0.1

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Peak Growth Hormone (GH) Level in Healthy Volunteers

The peak growth hormone (GH) during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in healthy volunteers (NCT01282164)
Timeframe: one year

Interventionng/mL (Median)
Control Group- ITT14.0
Control Group- Fixed-dose GST4.5
Control Group- Weight-based GST5.8

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Insulin Maximum Concentration (Cmax)

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. Maximum plasma insulin concentration from -2 to 20 minutes following the glucagon bolus (INSCmaxG) is presented. (NCT01300260)
Timeframe: After glucagon bolus on Day 3 postdose

Interventionpicomole per liter (pmol/L) (Geometric Mean)
Healthy Participants: Placebo996
Healthy Participants: LY21892651215
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo1088
Participants With Type 2 Diabetes Mellitus (T2DM): LY21892651514

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Insulin Area Under the Curve (AUC) - Second Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 10 to 180 minutes (INSAUC[10-180]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 10-180 minutes after dextrose bolus on Day 3 post dose

Interventionpicomole times hour per liter (pmol*h/L) (Geometric Mean)
Healthy Participants: Placebo68.8
Healthy Participants: LY2189265141
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo147
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265357

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Area Under the Insulin Concentration-time Curve (AUC)

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. Area under the plasma insulin concentration-time curve from -2 to 20 minutes following the glucagon bolus (INSAUCG) is presented. (NCT01300260)
Timeframe: After glucagon bolus on Day 3 postdose

Interventionpicomole times hour per liter (pmol*h/L) (Geometric Mean)
Healthy Participants: Placebo239
Healthy Participants: LY2189265341
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo236
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265414

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Maximum Insulin Concentration (Cmax) - First Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 0 to 10 minutes (INSCmax[0-10]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 0-10 minutes after dextrose bolus on Day 3 postdose

Interventionpicomole per liter (pmol/L) (Geometric Mean)
Healthy Participants: Placebo233
Healthy Participants: LY2189265689
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo74.3
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265401

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Maximum Insulin Concentration (Cmax) - Second Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 10 to 180 minutes (INSCmax[10-180]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 10-180 minutes after dextrose bolus on Day 3 postdose

Interventionpicomole per liter (pmol/L)] (Geometric Mean)
Healthy Participants: Placebo89.2
Healthy Participants: LY2189265370
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo95.9
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265363

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Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 0 to 10 minutes (INSAUC[0-10]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 0-10 minutes after dextrose bolus on Day 3 postdose

Interventionpicomole times hour per liter (pmol*h/L) (Geometric Mean)
Healthy Participants: Placebo22.9
Healthy Participants: LY218926570.7
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo5.06
Participants With Type 2 Diabetes Mellitus (T2DM): LY218926540.1

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Tmax and Tlag of Albiglutide in the BE Phase

Time of the maximum observed plasma concentration (tmax) and the observed time prior to the first quantifiable plasma concentration (tlag) of albiglutide in the BE Phase were measured. Blood samples for PK analysis were collected prior to dosing at Baseline and 24 hr, 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

,
InterventionHours (Median)
tmax, n=85, 80tlag, n=84, 80
Albiglutide Process 295.500.00
Albiglutide Process 396.080.00

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Number of Participants With the Indicated Change From the Screening Assessment in Physical Examination at Week 17

A complete physical examination was performed at Screening and at Week 17 and included evaluation of the following organ or body systems: skin (including injection site); head; eyes; ears, sose, and throat (ENT); thyroid; respiratory system; cardiovascular system; abdomen (liver, spleen); lymph nodes; central nervous system (CNT); and extremities. The assessment was categorized as improved, no change, worsened, and not done. (NCT01357889)
Timeframe: Screening and Week 17

,
InterventionParticipants (Number)
Skin, ImprovedSkin, No ChangeSkin, WorsenedSkin, Not doneHead, Eyes, ENT, ImprovedHead, Eyes, ENT, No ChangeHead, Eyes, ENT, WorsenedHead, Eyes, ENT, Not doneCardiovascular system, ImprovedCardiovascular system, No ChangeCardiovascular system, WorsenedCardiovascular system, Not doneRespiratory system, ImprovedRespiratory system, No ChangeRespiratory system, WorsenedRespiratory system, Not doneAbdomen (Liver and Spleen), ImprovedAbdomen (Liver and Spleen), No ChangeAbdomen (Liver and Spleen), WorsenedAbdomen (Liver and Spleen), Not doneLymph Nodes, ImprovedLymph Nodes, No ChangeLymph Nodes, WorsenedLymph Nodes, Not doneCNS, ImprovedCNS, No ChangeCNS, WorsenedCNS, Not doneExtremities, ImprovedExtremities, No ChangeExtremities, WorsenedExtremities, Not doneThyroid, ImprovedThyroid, No ChangeThyroid, WorsenedThyroid, Not done
Albiglutide Process 2211260311520111900012000012000012000111810411420012000
Albiglutide Process 3311741012221012401112301012131012302212201111842012302

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t1/2 of Albiglutide in the BE Phase

The terminal elimination half-life (t1/2) of albiglutide in the BE Phase was measured. Blood samples for PK analysis were collected prior to dosing at Baseline and 24 hr, 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

InterventionHours (Geometric Mean)
Albiglutide Process 2106.42
Albiglutide Process 3113.83

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Maximum Observed Plasma Concentration (Cmax) of Albiglutide in the BE Phase

To assess the bioequivalence of the two formulations of study drug, an analysis of variance (ANOVA) model with treatment as a fixed effect was applied to the natural-log-transformed parameter Cmax estimated from the BE phase. The Process 2 treatment group (albiglutide derived from process 2) was the reference group and was compared with the Process 3 treatment group (albiglutide derived from process 3) as the test group (i.e., treatment comparisons based on the ratio of Process 3:Process 2). Blood samples for pharmacokinetic analysis were collected prior to dosing at Baseline and 24 hours (hr), 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

Interventionnanograms per milliliter (ng/mL) (Geometric Mean)
Albiglutide Process 21881.053
Albiglutide Process 31743.053

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Cmax of Albiglutide in the BE Phase

Cmax of albiglutide in the BE Phase was measured. Blood samples for PK analysis were collected prior to dosing at Baseline and 24 hr, 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

Interventionng/mL (Geometric Mean)
Albiglutide Process 21881.05
Albiglutide Process 31743.05

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Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 17

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. This analysis used the last observation carried forward (LOCF) method for missing post-Baseline HbA1c values. HbA1c values obtained after hyperglycemic rescue were treated as missing and replaced with pre-rescue values. Baseline is defined as the last available assessment on or prior to the day on which the first dose of study drug was received. Based on analysis of covariance (ANCOVA): Change = treatment + Baseline HbA1c + age category + weight category + background antidiabetic therapy category. (NCT01357889)
Timeframe: Baseline and Week 17

InterventionPercentage of HbA1c in blood (Least Squares Mean)
Albiglutide Process 2-0.75
Albiglutide Process 3-0.84

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 17

This analysis used the LOCF method for missing post-Baseline FPG values. FPG values obtained after hyperglycemic rescue were treated as missing and replaced with pre-rescue values. Baseline is defined as the last available assessment on or prior to the day on which the first dose of study drug was received. Based on ANCOVA: Change = treatment + Baseline FPG + age category + weight category + background antidiabetic therapy category. (NCT01357889)
Timeframe: Baseline and Week 17

Interventionmillimoles per liter (Least Squares Mean)
Albiglutide Process 2-1.11
Albiglutide Process 3-1.21

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Trough (Pre-dose) Plasma Concentrations of Albiglutide in the Mutiple-dose Phase (MDP)

The trough concentration of albiglutide at Week 5, Week 9, Week 13, Week 17 (EOT), and Week 25 (Follow-up) following multiple-dose administration was estimated. The time and date of sample collection pre-dose was to be recorded. (NCT01357889)
Timeframe: Immediately pre-dose at Week 5, Week 9, Week 13, Week 17 (End of Treatment [EOT]), and Week 25 (Follow-up)

,
Interventionng/mL (Mean)
Week 5, n=131, 135Week 9, n=127, 130Week 13, n=126, 127Week 17 (EOT), n=123, 125Week 25 (follow-up), n=121, 123
Albiglutide Process 210.552420.952352.942360.1928.20
Albiglutide Process 38.702519.622356.272436.6314.45

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Area Under the Plasma Concentration Versus Time Curve (AUC) From Time Zero to Infinity (0-inf) of Albiglutide in the Bioequivalence (BE) Phase

To assess the bioequivalence of the two formulations of albiglutide, an analysis of variance (ANOVA) model with treatment as a fixed effect was applied to the natural-log-transformed parameter AUC(0-inf) estimated from the BE Phase. AUC is a measure of how much albiglutide is in the blood at certain time points. The Process 2 treatment group (albiglutide derived from process 2) was the reference group and was compared with the Process 3 treatment group (albiglutide derived from process 3) as the test group (i.e., treatment comparisons based on the ratio of Process 3:Process 2). Blood samples for pharmacokinetic analysis were collected prior to dosing at Baseline and 24 hours (hr), 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hours (hr), 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

Interventionnanograms*hour/milliliter (Geometric Mean)
Albiglutide Process 2496190.200
Albiglutide Process 3464985.355

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Apparent Volume of Distribution in the Terminal Phase of Albiglutide in BE Phase

The apparent volume of distribution in the terminal phase (V/F) of albiglutide in the BE Phase was measured. Blood samples for PK analysis were collected prior to dosing at Baseline and 24 hr, 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

InterventionLiters (Geometric Mean)
Albiglutide Process 29.283
Albiglutide Process 310.595

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Apparent Clearance of Albiglutide in the BE Phase

The apparent clearance (CL/F) of albiglutide in the BE Phase was measured. Blood samples for PK analysis were collected prior to dosing at Baseline and 24 hr, 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

InterventionLiters per hour (Geometric Mean)
Albiglutide Process 20.06046
Albiglutide Process 30.06452

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Number of Participants With a Change From Baseline of Clinical Concern in Hematology Values by Any On-therapy Visit

Criteria for values of potential concern were determined by the medical monitors. For hematocrit, a >0.1 decrease from Baseline was considered to be of clinical concern. For hemoglobin, a >25 grams per liter (g/L) decrease from Baseline was considered to be of clinical concern. (NCT01357889)
Timeframe: Week 1 through Week 25

,
InterventionParticipants (Number)
Hematocrit >0.1 decreaseHemoglobin >25 g/L
Albiglutide Process 211
Albiglutide Process 301

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AUC (0-last) and AUC (0-inf) of Albiglutide in the BE Phase

The area under the concentration-time (AUC) curve from time zero to the last quantifiable concentration (0-last) and AUC (0-inf) of albiglutide in the BE Phase were measured. AUC is a measure of how much albiglutide is in the blood at certain time points. Blood samples for PK analysis were collected prior to dosing at Baseline and 24 hr, 48 hr, 96 hr, 120 hr, 216 hr, 312 hr, 480 hr, and 672 hr after administration of the Baseline study medication. (NCT01357889)
Timeframe: Pre-dose at Baseline; 24 hr, 48 hr, 96 hr, 216 hr, 312 hr, 480 hr, and 672 hr post-dose

,
Interventionnanograms*hour/milliliter (Geometric Mean)
AUC (0-last), n=84, 80AUC (0-inf), n=75, 74
Albiglutide Process 2447294.0496190.2
Albiglutide Process 3426263.5464985.4

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Number of Participants With a Change From Baseline of Clinical Concern in Vital Signs by Any On-therapy Visit

Vital signs measured included systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate. Criteria for values of potential concern were determined by the medical monitors. For SBP, a decrease or increase >30 millimeters of mercury (mmHg) from Baseline was considered to be of clinical concern. For DBP, a decrease or increase >20 mmHg from Baseline was considered to be of clinical concern. For heart rate, a decrease or increase >30 beats per minute (bpm) was considered to be of clinical concern. (NCT01357889)
Timeframe: Week 1 through Week 25

,
InterventionParticipants (Number)
SBP, decrease >30 mmHgSBP, increase >30 mmHgDBP, decrease >20 mmHgDBP, increase >20 mmHgHeart rate, decrease >30 bpmHeart rate, increase >30 bpm
Albiglutide Process 2181019715
Albiglutide Process 3161016844

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Number of Participants With Anti-albiglutide Antibody Formation at Baseline and Weeks 5, 9, 13, 17, and 25 in the Multiple-dose Phase

The presence of anti-albiglutide antibodies after repeat-dose administration was assessed using a qualified enzyme-linked immunosorbent assay. The assay involved screening, confirmation, and titration steps (tiered-testing approach). The number of participants who tested positive for anti-albiglutide antibodies are presented by visit. (NCT01357889)
Timeframe: Baseline, Week 5, Week 9, Week 13, Week 17, and Week 25 (Follow-up)

,
InterventionParticipants (Number)
Baseline, n=139, 140Week 5, n=131, 132Week 9, n=124, 120Week 13, n=119, 122Week 17, n=119, 127Week 25, n=116, 118
Albiglutide Process 2110100
Albiglutide Process 3000352

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Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE)

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is an event of possible drug-induced liver injury. Refer to the general Adverse AE/SAE module for a complete list of AEs and SAEs. Hypoglycemic events are excluded from this table, except for serious adverse events. (NCT01357889)
Timeframe: From the time the participant consented to participate in the study through Visit 28 (Week 25) or the final follow-up visit, for participants who discontinued active participation in the study

,
InterventionParticipants (Number)
Any AEAny SAE
Albiglutide Process 21065
Albiglutide Process 3911

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Number of Participants With Indicated Adverse Events of Special Interest

Adverse events of special interest included cardiovascular events, hypoglycemic events, pancreatitis events, thyroid events, gastrointestinal (GI) events, diabetic retinopathy events, systemic allergic reactions (SAR), injection site reactions (ISR), and liver events (AEs from investigations and hepatobiliary disorders were considered). (NCT01357889)
Timeframe: From the time the participant consented to participate in the study through Visit 28 (Week 25) or the final follow-up visit, for participants who discontinue active participation in the study

,
InterventionParticipants (Number)
Any cardiovascular AEAny hypoglycemic AEAny thyroid AEAny GI AEAny SAR AEAny ISR AEAny hepatobiliary AEAny investigationsAny pancreatitis AEAny diabetic retinopathy AE
Albiglutide Process 215112361132500
Albiglutide Process 3971320721000

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Number of Participants With a Change From Baseline of Clinical Concern in Electrocardiogram (ECG) Values by Any On-therapy Visit

ECG parameters include heart rate, QRS interval, QTinterval, QT interval - Bazett correction (QTcB), QT interval - Fridericia correction (QTcF), RR interval, and PR interval. Criteria for values of potential concern were determined by the medical monitors. For the QRS interval, an increase of >25% when Baseline QRS >100 milliseconds (msec) and an increase of >50% when Baseline QRS <=100 msec was considered to be of clinical concern. For QTcF, a >=60 msec change from Baseline was considered to be of clinical concern. For the PR interval, an increase of >25% when Baseline PR >200 msec and an increase of >50% when Baseline PR <=200 msec was considered to be of clinical concern. (NCT01357889)
Timeframe: Week 1 through Week 25

,
InterventionParticipants (Number)
QRS, Increase of > 25% or >50%, n=139, 137QTcF, >=60 msec, n=139, 137PR, Increase of > 25% or >50%, n=137, 135
Albiglutide Process 2100
Albiglutide Process 3000

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The Effect of Enalaprilat (ACE Inhibition), Sitagliptin (DPP4 Inhibition), or the Combination on the Vasodilator Response (Forearm Blood Flow) to Substance P (SP) and Bradykinin (Group 1) or Glucagon Like Peptide-1 and Brain Naturetic Peptide (Group 2).

Forearm blood flow (FBF) was measured by strain gauge plethysmography at the completion of each dose of intra-arterial peptide. A dose response curve was therefore constructed for each vasoactive peptide substrate. The effect of sitagliptin (DPP4 inhibition) vs. placebo and enalaprilat (ACE inhibition) vs. vehicle on the forearm blood flow response to each peptide could then be determined. (NCT01413542)
Timeframe: 60 minutes post-placebo or sitagliptin (DPP4 inhibition) and over last 2 minutes of each 5 min infusion per peptide dose (30 min washout between peptides); sequence repeated with enalaprilat (ACE inhibition) or vehicle

,
Interventionestimate of difference(ml/min/100ml FBF) (Mean)
Effect ACE inhibition on FBF response to Peptide 1Effect DPP4 inhibition on FBF Response to Peptide1Effect ACE/DPP4 inhibit on FBF response Peptide 1Effect DPP4/ACEinhib vs. ACEinhib (FBF to Pep1)Effect DPP4/ACEinhib vs. DPP4inhib (FBF to Pep1)Effect ACE inhibition on FBF response to Peptide 2Effect DPP4 inhibition on FBF response to Peptide2Effect ACE/DPP4 inhibition on Peptide 2 FBFEffect DPP4/ACEinhib vs. ACEinhib (FBF to Pep2)Effect DPP4/ACEinhib vs. DPP4inhib (FBF to Pep2)
Group 16.50.25.9-0.65.70.80.10.6-0.30.4
Group 2NA-5.0NANANANA-3.2NANANA

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Assess Effect of ACE and/or DPP4 Inhibition on Heart Rate Response to Substance P (SP)

(NCT01413542)
Timeframe: Heart rate was measured every 5 minutes throughout the study day (and thus during each dose of peptide infusion)

Interventionbeats per minute (Mean)
Change in Pulse after SP during PlaceboChange in Pulse after SP w/ACE inhibitionChange in Pulse after SP w/DPP4inhibitionPulse change after SP w/ACE+DPP4inhibition
Group 1-1.82.550.454.55

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Assess Tissue Type Plasminogen Activator (tPA) Release

Following measurement of FBF, samples will be obtained to determine the effect of ACE inhibition and/or DPP4 inhibition on tPA release in response to bradykinin and substance P (SP) (group 1) (NCT01413542)
Timeframe: Blood for analysis of tPA release was obtained 60 minutes after sitagliptin (DPP4 inhibition) vs. placebo and after each assessment of FBF (see primary outcome measure)

,
Interventionestimate of difference (ng/min/100mL) (Number)
Effect ACE inhibition on bradykinin tPA releaseEffect of DPP4 inhibition on bradykinintPA releaseEffect of ACE/DPP4 inhibitio on bradykinin tPAeffect ace/dpp4 vs. aceinhibi on bradykinin tpaeffect ace/dpp4 vs. dpp4inhib on bradykinin tpaEffect of ACE inhibition on SP tPA releaseEffect of DPP4 inhibition on SP tPAEffect of ACE+DPP4 inhibition on SP tPAeffect ace/dpp4 vs. aceinhibi on SP tpaeffect ace/dpp4 vs. dpp4inhibi on SP tpa
Group 1 (Females)145.512.9132.1-13.4119.343.9-29.03.8-40.132.8
Group 1 (Males)118.61.690.9-27.889.3-15.3-25.80.816.126.6

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Effect of Treatment (ACE or DPP4 Inhibition, or Combined) on Norepinephrine (NE) Release (Arterial Venous Gradient) in Response to Substance P (SP)

(NCT01413542)
Timeframe: Blood for analysis of norepinephrine (NE) release was obtained 60 minutes after sitagliptin (DPP4 inhibition) vs. placebo and after each assessment of FBF (see primary outcome measure)

Interventionpg/mL (Mean)
Change NE AV Gradient with SP after placeboChange NE AV Gradient with SP after ACEinhibitionChange NE AV Gradient with SP after DPP4inhibitionChange NE AV with SP after ACE+DPPinhibition
Group 1-43.18-52.18-37.2723.45

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Effect of Treatment (DPP4 Inhibition vs. Placebo) on Venous GLP-1 Levels in Response to Arterial GLP-1 Infusion

(NCT01413542)
Timeframe: Blood for analysis of GLP-1 levels was obtained one hour after sitagliptin (DPP4 inhibition) vs. placebo administration and after each dose of GLP-1

Interventionpmol/L (Mean)
Venous GLP-1 levels 1 hour after placeboVenous GLP-1 Levels after Max Dose GLP-1 (Placebo)Venous GLP-1 levels 1 hour after DPP4 inhibitionVenous GLP-1 levels Max Dose GLP-1 (DPP4inhibiton)
Group 25.1315.445.3930.63

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Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionpicograms per millilitre (pg/mL) (Mean)
SC Glucagon3930
NG 1 mg504
NG 2 mg2370
NG 3 mg1360

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Maximum Concentration (Cmax) of Baseline-Adjusted Glucose

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionmillimole per liter (mmol/L) (Mean)
SC Glucagon5.68
NG 1 mg2.41
NG 2 mg3.46
NG 3 mg3.11

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Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionhours (hr) (Median)
SC Glucagon1.5
NG 1 mg0.67
NG 2 mg1.0
NG 3 mg1.0

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Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionhours (hr) (Median)
SC Glucagon0.33
NG 1 mg0.25
NG 2 mg0.33
NG 3 mg0.29

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Percentage of Responders

Participants with a blood glucose increment of ≥1.5 millimole per liter [mmol/L) within 15 of nadir (5 minutes post dose) and for at least 10 minutes following nadir. (NCT01556594)
Timeframe: Pre-dose; 30 minutes following glucagon administration

Interventionpercentage of participants (Number)
SC Glucagon83.3
NG 1 mg25
NG 2 mg50
NG 3 mg75

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Area Under the Curve (AUC0-last) of Baseline Adjusted Glucagon

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionhour*picogram per millilitre (hr*pg/mL) (Mean)
SC Glucagon2390
NG 1 mg95.2
NG 2 mg886
NG 3 mg720

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Number of Participants With at Least One Adverse Event

Safety and tolerability evaluated through the assessment of adverse events. An AE was defined as any untoward medical occurrence in a clinical investigation subject administered the investigational product and which did not necessarily have a causal relationship with this treatment. A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section. (NCT01556594)
Timeframe: Within 3 hours post glucagon administration

InterventionParticipants (Count of Participants)
SC Glucagon16
NG 1 mg9
NG 2 mg15
NG 3 mg8

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Myocardial Total Oxidation Rate

MVO2 derived from acetate kinetics (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

Interventionml/min/100g (Mean)
Lean Saline15.25
Lean GLP-1 Low Dose30.21
Type 2 DM GLP-1 Low Dose65.30
Lean GLP-1 1.5 Pmol/kg/Min18.57
Type 2DM GLP-1 1.5 Pmol/kg/Min59.85

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Myocardial Blood Flow

Myocardial perfusion derived from acetate kinetics (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

Interventionml/min/100g (Mean)
Lean Saline34.66
Lean GLP-1 Low Dose44.44
Type 2 DM GLP-1 Low Dose47.61
Lean GLP-1 1.5 Pmol/kg/Min35.30
Type 2DM GLP-1 1.5 Pmol/kg/Min51.19

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GLP-1 Concentrations

Achieved GLP-1 concentrations at the end of the 12 hour treatment exposure (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

Interventionpmol/L (Mean)
Lean Saline61.7
Lean GLP-1 1.5 Pmol/kg/Min302.1
Type 2 DM GLP-1 1.5 Pmol/kg/Min307.8

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Cardiac Index

Impedance cardiography-derived measurement of cardiac index, assessed following 12 hour exposure to treatment condition concurrent with the PET measurements. (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

InterventionL/min/m^2 (Mean)
Lean Saline3.00
Lean GLP-1 1.5 Pmol/kg/Min2.88
Type 2 DM GLP-1 1.5 Pmol/kg/Min2.90

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Myocardial Glucose Uptake.

Myocardial glucose uptake measured using 18FDG PET, quantified using a 3-compartment model with a lumped constant of 1.0. (NCT01607450)
Timeframe: After 12 hours of glucagon-like peptide 1 (GLP-1) exposure

Interventionumol/min/100g (Mean)
Lean Saline7.46
Lean GLP-1 Low Dose7.22
Type 2 DM GLP-1 Low Dose0.05
Lean GLP-1 1.5 Pmol/kg/Min20.89
Type 2DM GLP-1 1.5 Pmol/kg/Min5.57

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Duration of Glucose Readings <70 mg/dl

Number of minutes with glucose reading < 70 mg/dL. Each camper had Remote Monitoring nights and Control nights. (NCT01680653)
Timeframe: 8 Hours

Interventionminutes (Median)
Remote Monitoring30
Control (no Remote Monitoring)35

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Duration of Nocturnal Hypoglycemia

Number of minutes with glucose reading < 50 mg/dL. Each camper had Remote Monitoring nights and Control nights. (NCT01680653)
Timeframe: 8 hours

Interventionminutes (Median)
Remote Monitoring12.5
Control15

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Prolonged Episodes of Hypoglycemic Events

Prolonged hypoglycemia is defined as glucose readings of either <70 mg/dL for greater than one hour on and off the device, <70 mg/dL for greater than 2 hours on and off the device, <50 mg/dL that lasted longer than 30 minutes on and off the device and readings of <50 mg/dL for longer than an hour, again for both the control and the subjects that were remotely monitored with the device. Each camper had Remote Monitoring nights and Control nights. (NCT01680653)
Timeframe: 8 hours at night

,
Interventionevents (Number)
Events <70 mg/dL >1 hourEvents <70 mg/dL >2hrEvents <50 mg/dL >30 minsEvents <50 mg/dL >1hr
Control331296
Remote Monitoring7000

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Change From Baseline in Body Weight at Week 52

The Baseline body weight value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the body weight value at Week 52 minus the value at Baseline. (NCT01733758)
Timeframe: Baseline and Week 52

,,,
InterventionKilograms (kg) (Mean)
BaselineWeek 52Change from Baseline at Week 52
Albiglutide 30 mg Weekly70.0770.150.08
Albiglutide 50 mg Weekly71.2770.96-0.31
Open-Label Liraglutide 0.9 mg Daily72.4371.93-0.50
Placebo68.0768.00-0.07

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Percentage of Participants Achieving Clinically Meaningful Levels of HbA1c (i.e., the Percentage of Participants Achieving Treatment Goal of <6.5% and <7.0%) at Week 24

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3 month period. Clinically meaningful levels of response in HbA1c are defined as <6.5% and <7.0%. Participants who discontinued the study before Week 24 had their last post-Baseline HbA1c value carried forwrad for the summary unless the value was past 14 days after the last dose of study drug. (NCT01733758)
Timeframe: Week 24

,,,
InterventionPercentage of participants (Number)
HbA1c <6.5% at Week 24HbA1c <7.0% at Week 24
Albiglutide 30 mg Weekly3192
Albiglutide 50 mg Weekly47100
Open-Label Liraglutide 0.9 mg Daily2966
Placebo14

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Time to Study Withdrawal for Any Reason

Time to withdrawal was calculated as the number of days between the date of first dose and the date of withdrawal plus 1. Time to withdrawal was summarized by visit. (NCT01733758)
Timeframe: Baseline through Week 52

InterventionWeeks (Median)
PlaceboNA
Albiglutide 30 mg WeeklyNA
Albiglutide 50 mg WeeklyNA
Open-Label Liraglutide 0.9 mg DailyNA

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Mean HbA1c at Baseline, Week 24, and Change From Baseline at Week 24

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3 month period. The Baseline HbA1c value is defined as the last nonmissing value before the start of treatment. Change from Baseline was calculated as the value at Week 24 minus the value at Baseline. Participants who discontinued from study treatment before Week 24 had their last post-Baseline HbA1c value carried forward for the summary, unless the value was past 14 days after the last dose of study drug. The open-label liraglutide group was a reference group; descriptive statistics comparing albiglutide and liraglutide were exploratory endpoints. (NCT01733758)
Timeframe: Baseline and Week 24

,,,
InterventionPercentage of HbA1c in the blood (Mean)
BaselineWeek 24Change from Baseline
Albiglutide 30 mg Weekly8.066.98-1.08
Albiglutide 50 mg Weekly8.156.83-1.32
Open-Label Liraglutide 0.9 mg Daily8.076.87-1.19
Placebo8.168.390.24

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24

FPG is an indicator of efficacy. The Baseline FPG value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the FPG value at Week 24 minus the FPG value at Baseline. Participants who discontinued from study treatment before Week 24 had their last post-Baseline FPG observation carried forward for the summary unless the value was 14 days past the last dose of study drug. (NCT01733758)
Timeframe: Baseline and Week 24

,,,
InterventionMilligrams per deciliter (mg/dL) (Mean)
BaselineWeek 24Change from Baseline at Week 24
Albiglutide 30 mg Weekly157.1132.2-24.9
Albiglutide 50 mg Weekly158.7128.8-30.0
Open-Label Liraglutide 0.9 mg Daily157.2128.1-29.1
Placebo159.3167.07.7

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52

FPG is an indicator of efficacy. The Baseline FPG value is defined as the last non-missing value on or before the start of treatment. Change from Baseline was calculated as the FPG value at Week 52 minus the FPG value at Baseline. (NCT01733758)
Timeframe: Baseline and Week 52

,,,
InterventionMilligrams per deciliter (mg/dL) (Mean)
BaselineWeek 52Change from Baseline at Week 52
Albiglutide 30 mg Weekly154.7131.9-22.8
Albiglutide 50 mg Weekly159.8126.3-33.5
Open-Label Liraglutide 0.9 mg Daily157.4127.0-30.4
Placebo154.5131.7-22.7

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Time to Study Withdrawal Due to Hyperglycemia

Participants who experienced persistent hyperglycemia after uptitration were to be withdrawn from the study. Hyperglycemia is defined as a fasting plasma glucose (FPG) ≥280 mg/dL (≥15.5 mmol/L) from ≥Week 2 to NCT01733758)
Timeframe: Baseline through Week 52

InterventionWeeks (Median)
PlaceboNA
Albiglutide 30 mg WeeklyNA
Albiglutide 50 mg WeeklyNA
Open-Label Liraglutide 0.9 mg DailyNA

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Change From Baseline in Body Weight at Week 24

The Baseline body weight value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the body weight value at Week 24 minus the value at Baseline. Participants who discontinued from the study treatment before Week 24 had their last non-missing weight carried forward for the summary, unless the value is past 14 days after the last dose of study drug. (NCT01733758)
Timeframe: Baseline and Week 24

,,,
InterventionKilograms (kg) (Mean)
BaselineWeek 24Change from Baseline at Week 24
Albiglutide 30 mg Weekly69.4669.780.32
Albiglutide 50 mg Weekly71.5471.50-0.04
Open-Label Liraglutide 0.9 mg Daily72.6572.30-0.34
Placebo68.6568.15-0.50

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Percentage of Participants Achieving Clinically Meaningful Levels of HbA1c (i.e., the Percentage of Participants Achieving Treatment Goal of <6.5% and <7.0%) at Week 52

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3 month period. Clinically meaningful levels of response in HbA1c are defined as <6.5% and <7.0%. (NCT01733758)
Timeframe: Week 52

,,,
InterventionPercentage of participants (Number)
HbA1c <6.5% at Week 52HbA1c <7.0% at Week 52
Albiglutide 30 mg Weekly4482
Albiglutide 50 mg Weekly5385
Open-Label Liraglutide 0.9 mg Daily2757
Placebo1433

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Change From Baseline in HbA1c at Week 52

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3- month period. The Baseline HbA1c value is defined as the last non-missing value on or before the start of treatment. Change from Baseline was calculated as the value at Week 52 minus the value at Baseline. (NCT01733758)
Timeframe: Baseline and Week 52

InterventionPercentage of HbA1c in the blood (Mean)
Placebo-1.07
Albiglutide 30 mg Weekly-1.07
Albiglutide 50 mg Weekly-1.34
Open-Label Liraglutide 0.9 mg Daily-1.17

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Model-adjusted Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3 month period. The Baseline HbA1c value is defined as the last nonmissing value before the start of treatment. Change from Baseline was calculated as the value at Week 24 minus the value at Baseline. Based on analysis of covariance (ANCOVA): Change at Week 24 = treatment (placebo, albiglutide 30 mg, albiglutide 50 mg) + Baseline HbA1c + prior diabetes therapy + age category (<65 years versus ≥65 years). Participants who discontinued from study treatment before Week 24 had their last post-Baseline HbA1c carried forward for the analysis unless the value is past 14 days after the last dose of study drug. The open-label liraglutide group was a reference group and not included in the primary endpoint analysis model. Descriptive summary statistics are provided as a separate outcome measure. (NCT01733758)
Timeframe: Baseline and Week 24

InterventionPercentage of HbA1c in the blood (Least Squares Mean)
Placebo0.25
Albiglutide 30 mg Weekly-1.10
Albiglutide 50 mg Weekly-1.30

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Urinary Albumin Excretion Rate

Albuminuria as Measured by 24 Hour Albumin Excretion Rate (NCT01847313)
Timeframe: Up to 26 weeks

Interventionµg/min (Mean)
Liraglutide144.1
Control132.4

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sCD163:Creatinine Ratio in Urine

Spot urine sample for MCP-1 and creatinine (NCT01847313)
Timeframe: Up to 26 weeks

Interventionpg/mmol (Mean)
Liraglutide27.9
Control24.3

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sCD163 in Serum

Serum sample for sCD163 (NCT01847313)
Timeframe: Up to 26 weeks

Interventionng/ml (Mean)
Liraglutide82
Control84

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MCP-1:Creatinine Ratio in Urine

Spot urine sample for MCP-1 and creatinine (NCT01847313)
Timeframe: Up to 26 weeks

Interventionng/mmol (Mean)
Liraglutide27.9
Control24.3

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Increase in Energy Expenditure Following Glucagon or Saline Infusion

Period 2 Increase in energy expenditure measured using indirect calorimetry for Cold control vs Warm Control vs Warm Glucagon. (NCT01935791)
Timeframe: 2hours

Interventionincrease in energy expenditure kcal/day (Mean)
Period 2 - Cold Control193.0
Period 2 - Warm Control41.1
Period 2 -Warm Glucagon230.8

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Brown Adipose Tissue Activation Following Glucagon or Saline Infusion

Period 1 Brown Adipose Tissue (BAT) activation measured using metabolic rate of glucose (MR[gluc]) during F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET-CT) for Cold PET-CT Vehicle vs Warm PET-CT Vehicle vs warm PET-CT Glucagon. (NCT01935791)
Timeframe: 2hours

InterventionMR[gluc] umol/kg/min (Mean)
Period 1 Cold PET-CT Vehicle0.074
Period 1 Warm PET-CT Vehicle0.010
Period 1 Warm PET(CT) Glucagon0.029

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Percentage of Participants With Neutralizing Antibodies

(NCT01959334)
Timeframe: Baseline through study completion (up to 10 weeks)

Interventionpercentage of participants (Number)
Glucagon IM0
Nasal Glucagon (NG)0

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Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)

Glucagon anti-drug antibodies (ADA) were assessed at baseline through study completion. Percentage of participants (Pts) with ADA=(number of Pts with treatment-emergent ADA/number of Pts assessed)*100. Treatment-Emergent ADA includes treatment-induced ADA and treatment boosted ADA. Treatment-induced is defined as participants with 'Not Detected' ADA at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is one 2-fold dilution higher than the MRD (minimal required dilution) of the assay. For the nasal glucagon Tier 1-3 ADA screening assay, the MRD is 1:20. Treatment-boosted is defined as Patient with ADA 'Detected' at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is at least (>or=) 4-fold higher than the baseline titer. (NCT01959334)
Timeframe: Baseline through study completion (up to 10 weeks)

Interventionpercentage of participants (Number)
Glucagon IM0
Nasal Glucagon (NG)2.0

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Number of Participants With At Least One Adverse Event

"Safety parameters assessed included the occurrence of adverse events, the measurement of clinical laboratory parameters; vital signs, ECGs, physical examination, blood glucose, and examination of the injection site (following the IM administration). An AE was defined as any untoward medical occurrence in a clinical investigation subject administered the investigational product and which did not necessarily have a causal relationship with this treatment~A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT01959334)
Timeframe: First dose of study drug through the post-study completion (up to 10 weeks)

InterventionParticipants (Count of Participants)
Glucagon IM21
Nasal Glucagon (NG)49

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Time From Glucagon Administration to Blood Glucose >/=70 mg/dL or an Increase ≥20 mg/dL in Blood Glucose From Nadir

The mean time from glucagon administration to blood glucose >/=70 mg/dL or an increase ≥20 mg/dL in blood glucose from nadir. (NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, and 30 minutes following glucagon administration

Interventionminutes (Number)
Nasal Glucagon (NG)16.2
Intramuscular (IM) Glucagon12.2

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Maximum Change From Baseline Concentration (Cmax) of Glucose

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionmilligrams per deciliter (mg/dL) (Mean)
Nasal Glucagon (NG)114.80
Intramuscular (IM) Glucagon130.72

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Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionpicograms per milliliter (pg/mL) (Mean)
Nasal Glucagon (NG)3025.37
Intramuscular (IM) Glucagon3553.43

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Nasal and Non-nasal Effects/Symptoms

"Symptoms of runny nose, nasal congestion and/or itching, sneezing, watery and/or itchy eyes, redness of eyes, and itching of ears and/or throat were assessed. This was done via the Nasal Non-nasal Score Questionnaire. Each of the 9 symptoms is assigned an integer value from 0 to 3; higher values indicate more severe symptoms (a score of 0 indicates no symptoms). The reported results indicate the cohort median out of a possible maximum value of 27 (summing all 9 questions for each subject and reporting the median/IQR across participants)." (NCT01994746)
Timeframe: Pre-dose; 15, 30, 60, and 90 post glucagon administration

,
Interventionunits on a scale (Median)
Pre-dose15 minutes post glucagon administration30 minutes post glucagon administration60 minutes post glucagon administration90 minutes post glucagon administration
Intramuscular (IM) Glucagon0.000.000.000.000.00
Nasal Glucagon (NG)0.002.001.001.001.00

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Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhr*mg/dL (Mean)
Nasal Glucagon (NG)106.39
Intramuscular (IM) Glucagon124.47

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Area Under the Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Baseline-Adjusted Glucagon

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhour*picograms per milliliter (hr*pg/mL) (Mean)
Nasal Glucagon (NG)1882.48
Intramuscular (IM) Glucagon2521.87

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Recovery From Symptoms of Hypoglycemia

Recovery from hypoglycemia symptoms were assessed using the Edinburgh Hypoglycemia Scale. The Edinburgh Hypoglycemia Symptom Scale measures the intensity of 15 commonly experienced hypoglycemic symptoms on a 7-point Likert scale (1 = not present, 7 = very intense). The higher the score, the more intense the hypoglycemia symptoms. The sum of each symptom score would yield a range of 15 to 105 (i.e., 15 x 7 =105). The total score was calculated as the sum of each symptom score minus 15, and summarized at each time point by treatment group. (NCT01994746)
Timeframe: Pre-dose;15, 30, 45 and 60 minutes following administration of glucagon

,
Interventionunits on a scale (Mean)
Pre-dose15 minutes post glucagon administration30 minutes post glucagon administration45 minutes post glucagon administration60 minutes post glucagon administration
Intramuscular (IM) Glucagon7.85.33.53.03.1
Nasal Glucagon (NG)8.08.84.93.83.9

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Time to Maximum Change From Baseline Concentration (Tmax) of Glucose

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhours (Median)
Nasal Glucagon (NG)1.5
Intramuscular (IM) Glucagon1.5

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Increase in Plasma Glucose Level to >=70mg/dL or an Increase of >=20mg/dL From Glucose Nadir

Increase in blood glucose to ≥70 mg/dL or an increase of ≥20 mg/dL from glucose nadir within 30 minutes after receiving study glucagon, without receiving additional actions to increase the blood glucose level defines treatment success. Due to the residual activity of circulating insulin, glucose nadir was defined as the minimum glucose measurement at the time of, or within 10 minutes following glucagon administration. (NCT01994746)
Timeframe: Within 30 minutes after receiving glucagon at both dosing visits (glucose was measured at pre-dose; 5, 10, 15, 20, 25, and 30 minutes following glucagon administration)

Interventionpercentage of participants (Number)
Nasal Glucagon (NG)98.7
Intramuscular (IM) Glucagon100

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Time to Maximum Change From Baseline Concentration (Tmax) of Glucagon

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhours (Median)
Nasal Glucagon (NG)0.33
Intramuscular (IM) Glucagon0.25

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Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhr*mg/dL (Mean)
4 to<8 Years Old IM Glucagon Visit145.86
4 to<8 Years Old NG Visit 2.0 mg118.82
4 to<8 Years Old NG Visit 3.0 mg142.38
8 to <12 Years Old IM Glucagon Visit132.42
8 to<12 Years Old NG Visit 2.0 mg128.82
8 to<12 Years Old NG Visit 3.0 mg138.12
12 to <17 Years Old IM Glucagon Visit126.94
12 to<17 Years Old NG Visit 3.0 mg101.46

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Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionpicograms per millilitre (pg/mL) (Mean)
4 to<8 Years Old IM Glucagon Visit6290.33
4 to<8 Years Old NG Visit 2.0 mg3463.55
4 to<8 Years Old NG Visit 3.0 mg3958.58
8 to <12 Years Old IM Glucagon Visit4743.00
8 to<12 Years Old NG Visit 2.0 mg2776.27
8 to<12 Years Old NG Visit 3.0 mg5664.33
12 to <17 Years Old IM Glucagon Visit4277.25
12 to<17 Years Old NG Visit 3.0 mg3103.25

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Maximum Concentration (Cmax) of Baseline-Adjusted Glucose

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionmg/dL (Mean)
4 to<8 Years Old IM Glucagon Visit138.17
4 to<8 Years Old NG Visit 2.0 mg118.18
4 to<8 Years Old NG Visit 3.0 mg137.50
8 to <12 Years Old IM Glucagon Visit130.50
8 to<12 Years Old NG Visit 2.0 mg125.09
8 to<12 Years Old NG Visit 3.0 mg132.82
12 to <17 Years Old IM Glucagon Visit123.17
12 to<17 Years Old NG Visit 3.0 mg102.33

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Number of Participants Achieving at Least a 25 mg/dL Rise in Blood Glucose Above Nadir Level Within 30 Minutes

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, and 30 minutes following glucagon administration

InterventionParticipants (Count of Participants)
4 to<8 Years Old IM Glucagon Visit6
4 to<8 Years Old NG Visit 2.0 mg11
4 to<8 Years Old NG Visit 3.0 mg12
8 to <12 Years Old IM Glucagon Visit6
8 to<12 Years Old NG Visit 2.0 mg11
8 to<12 Years Old NG Visit 3.0 mg12
12 to <17 Years Old IM Glucagon Visit12
12 to<17 Years Old NG Visit 3.0 mg12

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Percentage of Participants With >= 25 mg/dL Rise in Plasma Glucose Within 30 Minutes

(NCT01997411)
Timeframe: Pre-dose; 5, 10,15, 20, and 30 minutes following glucagon administration

Interventionpercentage of participants (Number)
4 to<8 Years Old IM Glucagon Visit100
4 to<8 Years Old NG Visit 2.0 mg100
4 to<8 Years Old NG Visit 3.0 mg100
8 to <12 Years Old IM Glucagon Visit100
8 to<12 Years Old NG Visit 2.0 mg100
8 to<12 Years Old NG Visit 3.0 mg100
12 to <17 Years Old IM Glucagon Visit100
12 to<17 Years Old NG Visit 3.0 mg100

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Time to Achieving ≥25 mg/dL Rise in Plasma Glucose Above Nadir Level Within 30 Minutes

Time (in minutes) when all participants experienced a rise in glucose >=25mg/dL. This is an absolute number and is not a calculated statistic. There is no distribution per cohort. (NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, and 30 minutes following glucagon administration

Interventionminutes (Number)
4 to<8 Years Old IM Glucagon Visit10
4 to<8 Years Old NG Visit 2.0 mg20
4 to<8 Years Old NG Visit 3.0 mg15
8 to <12 Years Old IM Glucagon Visit20
8 to<12 Years Old NG Visit 2.0 mg20
8 to<12 Years Old NG Visit 3.0 mg15
12 to <17 Years Old IM Glucagon Visit20
12 to<17 Years Old NG Visit 3.0 mg20

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Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhours (hr) (Median)
4 to<8 Years Old IM Glucagon Visit1.00
4 to<8 Years Old NG Visit 2.0 mg0.67
4 to<8 Years Old NG Visit 3.0 mg1.00
8 to <12 Years Old IM Glucagon Visit1.50
8 to<12 Years Old NG Visit 2.0 mg1.00
8 to<12 Years Old NG Visit 3.0 mg1.00
12 to <17 Years Old IM Glucagon Visit1.00
12 to<17 Years Old NG Visit 3.0 mg1.00

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Nasal and Non-nasal Effects/Symptoms

"Symptoms of runny nose, nasal congestion and/or itching, sneezing, watery and/or itchy eyes, redness of eyes, and itching of ears and/or throat were assessed prior to administering glucagon and at 15, 30, 60 and 90 minutes following administration of glucagon. This was done via the Nasal Non-nasal Score Questionnaire. Each of the 9 symptoms is assigned an integer value from 0 to 3; higher values indicate more severe symptoms (a score of 0 indicates no symptoms). The reported results indicate the cohort median out of a possible maximum value of 27 (summing all 9 questions for each participant and reporting the median/IQR across participants)." (NCT01997411)
Timeframe: Pre-dose;15, 30, 60 and 90 minutes following glucagon administration

,,,,,,,
Interventionunits on a scale (Median)
Pre-dose15 minutes post glucagon administration30 minutes post glucagon administration60 minutes post glucagon administration90 minutes post glucagon administration
12 to <17 Years Old IM Glucagon Visit0.000.000.000.000.00
12 to<17 Years Old NG Visit 3.0 mg0.502.001.001.001.00
4 to<8 Years Old IM Glucagon Visit0.500.000.000.000.00
4 to<8 Years Old NG Visit 2.0 mg0.001.001.000.500.00
4 to<8 Years Old NG Visit 3.0 mg0.000.500.500.000.00
8 to <12 Years Old IM Glucagon Visit0.000.000.000.000.00
8 to<12 Years Old NG Visit 2.0 mg0.003.002.000.000.00
8 to<12 Years Old NG Visit 3.0 mg0.003.002.500.500.00

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Area Under the Curve (AUC0-1.5) of Baseline Adjusted Glucagon

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhour*picogram per millilitre (hr*pg/mL) (Mean)
4 to<8 Years Old IM Glucagon Visit4078.68
4 to<8 Years Old NG Visit 2.0 mg1744.36
4 to<8 Years Old NG Visit 3.0 mg2472.40
8 to <12 Years Old IM Glucagon Visit3635.77
8 to<12 Years Old NG Visit 2.0 mg1506.23
8 to<12 Years Old NG Visit 3.0 mg2939.31
12 to <17 Years Old IM Glucagon Visit3110.22
12 to<17 Years Old NG Visit 3.0 mg1999.69

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Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhours (hr) (Median)
4 to<8 Years Old IM Glucagon Visit0.29
4 to<8 Years Old NG Visit 2.0 mg0.25
4 to<8 Years Old NG Visit 3.0 mg0.29
8 to <12 Years Old IM Glucagon Visit0.29
8 to<12 Years Old NG Visit 2.0 mg0.25
8 to<12 Years Old NG Visit 3.0 mg0.25
12 to <17 Years Old IM Glucagon Visit0.29
12 to<17 Years Old NG Visit 3.0 mg0.33

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Injection Pain

"Quantitation of adverse events related to glucagon injection for Xeris vs. Lilly:~-average Injection pain on a 10 cm standard VAS: 0 = no pain, 10 = worst imaginable pain reported immediately after injection of glucagon" (NCT02018627)
Timeframe: immediately after injection

Interventioncm (Mean)
Xeris Glucagon13.8
Lilly Glucagon7.6

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GIRmin

Minimal glucose infusion rate (GIRmin) for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventiondextrose mg/kg/min (Mean)
Xeris Glucagon2.9
Lilly Glucagon2.9

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Dermal Response (Draize Scale Grade for Edema Formation)

Average grade on the edema formation portion of the Draize scale for dermal response (0 being the lowest, 4 being the highest) (NCT02018627)
Timeframe: within 1 hour of injection

Interventionscore on draize scale (Mean)
Xeris Glucagon0
Lilly Glucagon0

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AOCGIR

Area over the curve for glucose infusion rate in the hour following administration (AOCGIR) for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventionmg*min/kg (Mean)
Xeris Glucagon201.1
Lilly Glucagon132.2

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Dermal Response (Draize Scale for Erythema and Eschar Formation)

Average grade on the erythema and eschar formation portion of the Draize scale for dermal response (0 being the lowest, 4 being the highest) (NCT02018627)
Timeframe: within 1 hour of injection

Interventionscore on draize scale (Mean)
Xeris Glucagon0
Lilly Glucagon0

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Tmax

tmax for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventionminutes (Mean)
Xeris Glucagon23.8
Lilly Glucagon15.7

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Maximal Nausea

"Quantitation of adverse events related to glucagon injection for Xeris vs. Lilly:~-Maximal nausea within 1 hour of injection on a 10 cm VAS: no nausea = 0, vomiting = 10" (NCT02018627)
Timeframe: within 1 hour of injection

Interventioncm (Number)
Xeris Glucagon1.0
Lilly Glucagon2.3

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Injection Site Erythema

"Quantitation of adverse events related to glucagon injection for Xeris vs. Lilly:~-Injection site erythema or other local reaction, maximum diameter within 1 hour of injection" (NCT02018627)
Timeframe: within 1 hour of injection

Interventioncm (Mean)
Xeris Glucagon0
Lilly Glucagon0

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t½Max

Glucagon t½max for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventionminutes (Mean)
Xeris Glucagon11.3
Lilly Glucagon5.9

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Glucose AUC (Post-insulin)

Pharmacodynamic parameter: baseline adjusted area under the glucose concentration curve from 0-120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(mg/dl)*minutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug2263.2
G-Pen Mini™ (Glucagon Injection) 150 ug2408.1
G-Pen Mini™ (Glucagon Injection) 300 ug3928.5

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Glucose Cmax (Post-insulin)

Pharmacodynamic parameter: Maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionmg/dl (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug99.7
G-Pen Mini™ (Glucagon Injection) 150 ug105.7
G-Pen Mini™ (Glucagon Injection) 300 ug122.6

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Glucose Tmax (Fasting)

Pharmacodynamic parameter: Time to reach maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug81.5
G-Pen Mini™ (Glucagon Injection) 150 ug80.7
G-Pen Mini™ (Glucagon Injection) 300 ug67.8

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Glucose Tmax (Post-insulin)

Pharmacodynamic parameter: Time to reach maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug53.5
G-Pen Mini™ (Glucagon Injection) 150 ug69.5
G-Pen Mini™ (Glucagon Injection) 300 ug57.4

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Serious Adverse Events

Number of serious adverse events (SAEs) per treatment (NCT02081014)
Timeframe: From first dose until follow-up call, up to 7 weeks per subject

Interventionparticipants (Number)
G-Pen Mini™ (Glucagon Injection) 75 ug0
G-Pen Mini™ (Glucagon Injection) 150 ug0
G-Pen Mini™ (Glucagon Injection) 300 ug0

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Glucose Cmax (Fasting)

Pharmacodynamic parameter: Maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionmg/dl (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug155.1
G-Pen Mini™ (Glucagon Injection) 150 ug186.2
G-Pen Mini™ (Glucagon Injection) 300 ug213.5

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Glucagon AUC (Post-insulin)

Pharmacokinetic parameter: Area under the glucagon concentration curve from 0 to 120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(pg/ml)*hour (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug277.4
G-Pen Mini™ (Glucagon Injection) 150 ug386.8
G-Pen Mini™ (Glucagon Injection) 300 ug635.3

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Glucagon Area Under the Curve (AUC) (Fasting)

Pharmacokinetic parameter: Area under the glucagon concentration curve from 0 to 120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(pg/ml)*hour (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug265.4
G-Pen Mini™ (Glucagon Injection) 150 ug389.6
G-Pen Mini™ (Glucagon Injection) 300 ug735.3

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Glucagon Cmax (Fasting)

Pharmacokinetic parameter: Maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionpg/ml (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug233.8
G-Pen Mini™ (Glucagon Injection) 150 ug380.7
G-Pen Mini™ (Glucagon Injection) 300 ug663.6

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Glucagon Cmax (Post-insulin)

Pharmacokinetic parameter: Maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionpg/ml (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug253.4
G-Pen Mini™ (Glucagon Injection) 150 ug335.4
G-Pen Mini™ (Glucagon Injection) 300 ug561.7

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Glucagon Tmax (Fasting)

Pharmacokinetic parameter: Time to reach maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug29.2
G-Pen Mini™ (Glucagon Injection) 150 ug29.8
G-Pen Mini™ (Glucagon Injection) 300 ug36.5

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Glucagon Tmax (Post-insulin)

Pharmacokinetic parameter: Time to reach maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug24
G-Pen Mini™ (Glucagon Injection) 150 ug33.1
G-Pen Mini™ (Glucagon Injection) 300 ug34.1

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Glucose AUC (Fasting)

Pharmacodynamic parameter: baseline adjusted area under the glucagon concentration curve from 0 to 120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(mg/dl)*minutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug4872.0
G-Pen Mini™ (Glucagon Injection) 150 ug8565.2
G-Pen Mini™ (Glucagon Injection) 300 ug12420.0

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Blood Glucose Levels Over Time

The participants' blood glucose level was measured by the caregiver using a glucometer at baseline (just prior to dosing and right after the study drug administration), 15, 30 and 45 minutes after nasal glucagon administration. (NCT02171130)
Timeframe: Baseline (just prior to dosing or right after study drug administration) , 15, 30 and 45 minutes after drug administration for an episode of hypoglycemia

Interventionmilligram/deciliter (mg/dL) (Mean)
Baseline15 minutes drug administration30 minutes drug administration45 minutes drug administration
Nasal Glucagon47.984.4112.8123.1

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Percentage of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration

"Responses to questions completed by the caregiver were used to assess this outcome.~An episode of severe hypoglycemia was defined as an episode wherein the person with diabetes is clinically incapacitated to the point where the person requires third-party assistance to treat the hypoglycemia. An episode of moderate hypoglycemia episode was defined as an episode wherein the person with diabetes was showing signs of neuroglycopenia and had a glucometer reading of approximately 60 milligrams per deciliter (mg/dL) (3.3 millimoles per liter [mmol/L]) or less based on a blood sample taken at or near the time of treatment." (NCT02171130)
Timeframe: Within 30 minutes after each drug administration for an episode of hypoglycemia

Interventionpercentage of participants (Number)
Nasal Glucagon95.7

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Percentage of Participants With Adverse Events (AEs) Reported Through the Nasal Score Questionnaire

"Adverse events solicited through the Nasal Score Questionnaire included: runny nose, nasal congestion (nostrils plugged), nasal itching, sneezing, watery eyes, itchy eyes, redness of eyes, itching of ears, itching of throat, and other.~A summary of other nonserious AEs, and all Serious Adverse Events (SAEs), regardless of causality, is located in the Reported Adverse Events section." (NCT02171130)
Timeframe: Within 2 hours of full recovery from a hypoglycemic event

Interventionpercentage of participants (Number)
Nasal Glucagon82.8

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Assessment of Ease-of-use of Dry-Mist Nasal Glucagon as Determined by Completion of Questionnaires by the Caregiver

Measurement for Degree of difficulty: opening the kit, Degree of difficulty: understanding the instructions on how to use the kit, Degree of difficulty: administering the medication into the nostril, Degree of satisfaction is 1 (Very Difficult) to 7 (Very Easy). Measurement for Dry Mist Nasal Glucagon will be easy to teach other caregivers, Nasal formulation of glucagon is less intimidating for caregivers, Nasal Glucagon is easy to carry and would be willing to carry it, nasal delivery of glucagon is preferable. Level of agreement 1 (Strongly Disagree) to 7 (Strongly Agree). (NCT02171130)
Timeframe: After each drug administration for an episode of hypoglycemia

InterventionTotal Number of Events (Count of Units)
Difficulty: opening the kit (Very Difficult)Difficulty: opening the kit (Average)Difficulty: opening the kit (Relatively Easy)Difficulty: opening the kit (Easy)Difficulty: opening the kit (Very Easy)Difficulty: instructions (Very Difficult)Difficulty: instructions (Average)Difficulty: instructions (Relatively Easy)Difficulty: instructions (Easy)Difficulty: instructions (Very Easy)Difficulty: administering (Very Difficult)Difficulty: administering (Relatively Difficult)Difficulty: administering (Average)Difficulty: administering (Relatively Easy)Difficulty: administering (Easy)Difficulty: administering (Very Easy)Time to administer (<30 seconds)Time to administer (30-<60 seconds)Time to administer (1-<2 minutes)Time to administer (2-<5 minutes)Degree of satisfaction (Relatively Difficult)Degree of satisfaction (Average)Degree of satisfaction (Relatively Easy)Degree of satisfaction (Easy)Degree of satisfaction (Very Easy)Compare to Injectable (Not Applicable)Compare to Injectable (Much Easier)Compare to Injectable (Easier)Compare to Injectable (Missing)Ease to teach other (Neither Agree nor Disagree)Ease to teach other (Somewhat Agree)Ease to teach other (Mostly Agree)Ease to teach other (Strongly Agree)
Nasal Glucagon2442614324103612747816421021264094372148100108474202347127

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Number of Participants With Treatment-Emergent Glucagon Anti-Drug Antibodies (ADA)

Treatment-Emergent ADA includes treatment-induced ADA ('Not Detected' ADA at baseline and at least one post-baseline 'Detected' ADA sample with a corresponding titer of (1:20) and treatment-boosted ADA (with 'Detected' ADA at baseline and at least one post-baseline 'Detected' ADA sample with a corresponding titer that is at least 4-fold higher than the baseline titer. (NCT02171130)
Timeframe: Baseline and End of Study (6 months)

Interventionpercentage of participants (Number)
Nasal Glucagon0

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Percentage of Participants With Adverse Events Through the Nasal Score Questionnaire

"Adverse events solicited through the Nasal Score Questionnaire included: runny nose, nasal congestion (nostrils plugged), nasal itching, sneezing, watery eyes, itchy eyes, redness of eyes, itching of ears, itching of throat, and other.~A summary of other non-serious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT02402933)
Timeframe: Within 2 hours of full recovery from a hypoglycemic event

Interventionpercentage of participants (Number)
Nasal Glucagon100

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Number of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration

Responses to questions completed by the caregiver are used to assess this outcome. An episode of severe hypoglycemia is generally defined as an event associated with severe neuroglycopenia usually resulting in coma or seizure and requiring parenteral therapy (glucagon or intravenous glucose) administered by a third party. In this study moderate hypoglycemia is defined as an episode wherein the child/adolescent with diabetes has symptoms and/or signs of neuroglycopenia and has a blood glucose ≤3.9 millimoles per liter (mmol/L) (70 milligram per deciliter [mg/dL]) based on a blood sample taken at or close to the time of treatment. (NCT02402933)
Timeframe: Within 30 minutes after each drug administration for an episode of hypoglycemia

Interventionparticipants (Number)
Nasal Glucagon14

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Assessment of Ease-of-use of Dry-Mist Nasal Glucagon by Completion of Questionnaire by the Caregiver

"Assess ease-of-use of intranasal administered glucagon in the hands of caregivers of participants who may be called upon to treat episodes of hypoglycemia.~Measurement for Degree of difficulty: opening the kit, Degree of difficulty: understanding the instructions on how to use the kit, Degree of difficulty: administering the medication into the nostril, Degree of satisfaction is 1 (Very Difficult) to 7 (Very Easy). Measurement for Dry Mist Nasal Glucagon will be easy to teach other caregivers, Nasal formulation of glucagon is less intimidating for caregivers, Dry Mist Nasal Glucagon is easy to carry and would be willing to carry it, Intranasal delivery of glucagon is preferable: level of agreement 1 (Strongly Disagree) to 7 (Strongly Agree)." (NCT02402933)
Timeframe: After each drug administration for an episode of hypoglycemia

InterventionHypoglycemic Events (Count of Units)
Difficulty: opening the kit (Easy)Difficulty: opening the kit (Very Easy)Difficulty: instructions (Average)Difficulty: instructions (Relatively Easy)Difficulty: instructions (Easy)Difficulty: instructions (Very Easy)Difficulty: administering (Average)Difficulty: administering (Easy)Difficulty: administering (Very Easy)Time to administer (<30 seconds)Time to administer (30-<60 seconds)Time to administer (1-<2 minutes)Degree of satisfaction (Average)Degree of satisfaction (Relatively Easy)Degree of satisfaction (Easy)Degree of satisfaction (Very Easy)Compare to Injectable (Not Applicable)Compare to Injectable (Much Easier)Compare to Injectable (Easier)Compare to Injectable (About the Same)Ease to teach other (Easy)Ease to teach other (Very Easy)
Nasal Glucagon627416222112020942182225224429

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Change in Blood Glucose Level Over Time

Glucometer-based measurements of blood glucose after the studied drug administration. The participants' change in blood glucose level from baseline (just prior to dosing or right after the study drug administration) was measured by the caregiver using a glucometer at 15, 30 and 45 minutes after NG administration. The change in glucose was calculated from each time point (15, 30 and 45 minutes) minus the baseline. (NCT02402933)
Timeframe: Baseline (just prior to dosing or right after study drug administration), 15, 30 and 45 minutes after drug administration for an episode of hypoglycemia

Interventionmilligram/deciliter (mg/dL) (Mean)
15 minutes drug administration30 minutes drug administration45 minutes drug administration
Nasal Glucagon58.2106.8124.1

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Clinical Grading - Initial and 15-min Treatment Correct

2 graders, blinded to treatment arm, independently graded each hypoglycemic event as a clinical failure or success based on all available BG concentrations within 1 hour of initial treatment. All BG values, along with corresponding time elapsed since treatment, were reviewed to determine whether the response would be considered a treatment success, in a clinical setting. There were no specific cut points; rather than basing the success criteria on whether the BG was above specific cutpoints by specific times, the grader decided whether the event would be considered a success in a clinical setting (i.e. if the BG increased after treatment and reached and maintained a satisfactory level after the treatment). The graders to achieve a consensus grading adjudicated discordant gradings (6% of events). The number of events graded as a treatment success were reported out of the total number of hypoglycemic events, for each treatment arm. (NCT02411578)
Timeframe: 60 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)66
Glucose Tabs63

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Clinical Grading - Initial Treatment Correct

2 graders, blinded to treatment arm, independently graded each hypoglycemic event as a clinical failure or success based on all available BG concentrations within 1 hour of initial treatment. All BG values, along with corresponding time elapsed since treatment, were reviewed to determine whether the response would be considered a treatment success, in a clinical setting. There were no specific cut points; rather than basing the success criteria on whether the BG was above specific cutpoints by specific times, the grader decided whether the event would be considered a success in a clinical setting (i.e. if the BG increased after treatment and reached and maintained a satisfactory level after the treatment). The graders to achieve a consensus grading adjudicated discordant gradings (6% of events). The number of events graded as a treatment success were reported out of the total number of hypoglycemic events, for each treatment arm. (NCT02411578)
Timeframe: 60 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)84
Glucose Tabs88

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CGM Time in Range, Event Level

Percentage of time 70-180 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)79
Glucose Tabs79

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CGM Coefficient of Variation

Coefficient of Variation from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionpercentage coefficient of variation (Median)
G-Pen Mini™ (Glucagon Injection)35
Glucose Tabs36

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CGM Time in Range, Event Level

Percentage of time 70-180 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)62
Glucose Tabs67

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CGM Maximum Glucose, Event Level

Maximum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)122
Glucose Tabs139

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CGM Maximum Glucose, Event Level

Maximum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)102
Glucose Tabs116

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CGM Mean Glucose

Median (IQR) reported for mean glucose from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)143
Glucose Tabs149

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CGM Mean Glucose, Event Level

Median (IQR) reported for mean glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)95
Glucose Tabs108

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CGM Mean Glucose, Event Level

Median (IQR) reported for mean glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)79
Glucose Tabs87

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CGM Time Below 70

Percentage of time <70 mg/dL from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)5
Glucose Tabs4

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CGM Minimum Glucose, Event Level

Minimum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)57
Glucose Tabs56

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Number of Hypoglycemic Events ≥50 mg/dl 15 Minutes AND ≥ 70 mg/dl 30 Minutes After Initial Treatment

(NCT02411578)
Timeframe: 30 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)58
Glucose Tabs53

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Continuous Glucose Monitor (CGM) Minimum Glucose, Event Level

Minimum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)59
Glucose Tabs56

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CGM Time Below 70 mg/dL

Percentage of time <70 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)20
Glucose Tabs19

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Clinical Grading - Limited to Events in Primary Analysis

2 graders, blinded to treatment arm, independently graded each hypoglycemic event as a clinical failure or success based on all available BG concentrations within 1 hour of initial treatment. All BG values, along with corresponding time elapsed since treatment, were reviewed to determine whether the response would be considered a treatment success, in a clinical setting. There were no specific cut points; rather than basing the success criteria on whether the BG was above specific cutpoints by specific times, the grader decided whether the event would be considered a success in a clinical setting (i.e. if the BG increased after treatment and reached and maintained a satisfactory level after the treatment). The graders to achieve a consensus grading adjudicated discordant gradings (6% of events). The number of events graded as a treatment success were reported out of the total number of hypoglycemic events, for each treatment arm. (NCT02411578)
Timeframe: 60 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)57
Glucose Tabs54

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CGM Time Below 70 mg/dL, Event Level

Percentage of time <70 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)35
Glucose Tabs33

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CGM Time in Range

Percentage of time 70-180 mg/dL from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)71
Glucose Tabs71

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Number of Subjects With Plasma Glucose > 70 mg/dL at 30 Minutes Post-treatment

For 90 minutes following treatment, plasma glucose was measured every 5 minutes, with an increase in plasma glucose to >70 mg/dL within 30 minutes of treatment being considered a positive response. (NCT02423980)
Timeframe: 0-90 minutes

Interventionparticipants with positive response (Number)
Glucagon 1 mg7
Glucagon 0.5 mg6

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Time to Resolution of Induced Hypoglycemia Symptoms

Prior to and every 5 minutes after treatment, subjects were asked to rate the severity of each of 8 symptoms on a scale from 1 to 6, with 1 indicating the symptom was absent and 6 indicating the symptom was severe. The sum of the scores for the 8 individual symptoms was reported as the total hypoglycemia symptom score, which ranged from 8-48. The first time point post-treatment at which total hypoglycemia symptom score = 8 (i.e., all symptoms were absent) was considered the time to resolution. One and two subjects were unevaluable for response to the 1 mg and 0.5 mg doses of glucagon, respectively, as they reported no symptoms (i.e., total symptom score = 8) prior to treatment. (NCT02423980)
Timeframe: 0-30 minutes

Interventionminutes (Median)
Glucagon 1 mg20
Glucagon 0.5 mg27.5

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Time to Plasma Glucose > 70 mg/dL

Following treatment, plasma glucose was measured every 5 minutes. The first such measurement at which plasma glucose concentration was observed to be >70 mg/dL was reported as the time to response. (NCT02423980)
Timeframe: 0-90 minutes

Interventionminutes (Median)
Glucagon 1 mg15
Glucagon 0.5 mg15

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Change From Baseline in EuroQol- 5 Dimension (EQ-5D) Visual Analogue Scale (VAS) Score

The EQ-5D is a standardized instrument used to evaluate generic health-related quality of life, comprising 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. It provides a simple descriptive profile and a single index value for health status. The EQ-5D self-reported questionnaire includes a visual analog scale (VAS), which records the respondent's self-rated health status on a graduated (0-100) scale, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. (NCT02465515)
Timeframe: Baseline and Months 8 and 16

,
InterventionScores on a scale (Least Squares Mean)
Month 8, n=3982, 4014Month 16, n=2347, 2481
Albiglutide2.832.39
Placebo1.361.87

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Percentage of Participants Achieving Composite Metabolic Endpoint

Percentage of participants achieving composite metabolic endpoint defined as the percentage of participants achieving glycemic control (glycated hemoglobin [HbA1c] <=7% ) with no severe hypoglycemic incidents and weight gain < 5%. Final Assessment is the latest post-Baseline assessment of both HbA1c and weight. (NCT02465515)
Timeframe: Months 8, 16, 24 and final assessment (up to 2.7 years)

,
InterventionPercentage of participants (Number)
Month 8, n=4127, 4195Month 16, n=3026, 3118Month 24, n=1119, 1173Final assessment, n=4401, 4455
Albiglutide32.228.728.626.0
Placebo15.416.517.815.1

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Change From Baseline in Body Weight

Change from Baseline in body weight was analyzed using mixed model repeated measures including observed case data (does not impute any missing data). Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. (NCT02465515)
Timeframe: Baseline and Months 8 and 16

,
InterventionKilograms (Least Squares Mean)
Month 8, n=4217, 4286Month 16, n=3068, 3173
Albiglutide-1.02-1.36
Placebo-0.36-0.53

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Change From Baseline in Blood Pressure

Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were taken with the participant in a semi-recumbent or seated position after at least a 5-minute rest period. Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. (NCT02465515)
Timeframe: Baseline and Months 8,16,24 and end of study (up to 2.7 years)

,
InterventionMillimeter of mercury (Mean)
SBP, Month 8; n=4241, 4319SBP, Month 16; n=3082, 3187SBP, Month 24; n=1133, 1198SBP, End of study; n=3897, 4015DBP, Month 8; n=4241, 4319DBP, Month 16; n=3082, 3187DBP, Month 24; n=1133, 1198DBP, End of study; n=3897, 4015
Albiglutide-1.0-0.9-1.2-0.4-0.4-0.5-1.0-0.6
Placebo-0.5-0.5-0.90.0-0.5-0.9-1.1-0.7

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Time to Initiation of Prandial Insulin in Those Participants on Basal Insulin at Study Start

Time to initiation of prandial insulin in those participants on basal insulin at study start was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the on-therapy and post-therapy AE time period. The analysis was performed on Basal Insulin Population which comprised of participants in the ITT Population who were on basal insulin but not on other insulin at Baseline (i.e., will not include a participant on a mixed insulin or on a prandial-only insulin). (NCT02465515)
Timeframe: Up to 2.7 years

InterventionEvents per 100 person years (Number)
Placebo5.09
Albiglutide3.59

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Time to Initiation of Insulin of More Than 3 Months Duration for Those Participants Not Treated With Insulin at Study Start

Time to initiation of insulin of more than 3 months duration in participants not treated with insulin at study start was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the on-therapy and post-therapy AE time period. The analysis was performed on Non-Insulin Population which comprised of participants in the ITT Population who were not on insulin at Baseline. (NCT02465515)
Timeframe: Up to 2.7 years

InterventionEvents per 100 person years (Number)
Placebo8.58
Albiglutide3.56

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Number of Participants With AEs of Special Interest

The protocol defined AEs of special interest included: development of thyroid cancer; hematologic malignancy; pancreatic cancer; pancreatitis (investigator reported and pancreatitis positively adjudicated by the Pancreatic Adjudication Committee [PAC]); investigational product injection site reactions; immunological reactions; severe hypoglycemic events; hepatic events; hepatic enzyme elevations (including gamma glutamyl transferase [GGT]); serious gastrointestinal (GI) events; appendicitis; atrial fibrillation/flutter; pneumonia; worsening renal function and diabetic retinopathy. The number of participants with on-therapy AEs of special interest is reported. (NCT02465515)
Timeframe: Up to 2.7 years

,
InterventionParticipants (Count of Participants)
Thyroid cancer diagnosisHematologic malignancyPancreatic cancerInvestigational product injection site reactionHypersensitivitySevere hypoglycemic eventsHepatic eventsHepatic enzyme elevations (including GGT)Serious GI EventsAppendicitisAtrial fibrillation/atrial flutterPneumoniaRenal impairmentDiabetic retinopathyInvestigator-reported pancreatitisPancreatitis positively adjudicated by PAC
Albiglutide0968645319851923108131279781410
Placebo055294855743487813113831989137

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Time to First Occurrence of MACE or Urgent Revascularization for Unstable Angina

Time to first occurrence of CEC-adjudicated MACE (CV death, MI or stroke) or urgent revascularization for unstable angina was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02465515)
Timeframe: Median of 1.65 person years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Placebo6.45
Albiglutide5.06

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Time to First Occurrence of Adjudicated Stroke

Time to first occurrence of adjudicated stroke was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02465515)
Timeframe: Median of 1.65 person years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Placebo1.45
Albiglutide1.25

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Time to First Occurrence of Adjudicated MI

Time to first occurrence of adjudicated MI was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02465515)
Timeframe: Median of 1.65 person years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Placebo3.26
Albiglutide2.43

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Time to First Occurrence of Adjudicated CV Death or Hospitalization for Heart Failure (HF)

Time to first occurrence of adjudicated CV death or hospitalization for HF was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02465515)
Timeframe: Median of 1.65 person years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Placebo2.92
Albiglutide2.49

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Change in Estimated Glomerular Filtration Rate (eGFR) Calculated Using Modification of Diet in Renal Disease (MDRD) Formula

Blood samples were collected for the measurement of serum creatinine. Serum creatinine values were used to calculate eGFR using the MDRD formula, eGFR=175 x (serum creatinine)^-1.154 x (Age)^-0.203 x (0.742 if female) x (1.212 if African American). Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. Change from Baseline in eGFR using Baseline data from Local or Central Laboratory, and post-Baseline Central Laboratory data for the on-treatment time period is presented. (NCT02465515)
Timeframe: Baseline and Months 8 and 16

,
InterventionMilliliter/minute/1.73 meter square (Least Squares Mean)
Month 8; n=3977,4008Month 16; n=2354,2496
Albiglutide0.10-1.33
Placebo1.22-0.90

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Time to First Occurrence of Major Adverse Cardiovascular Events (MACE) During Cardiovascular (CV) Follow-up Time Period

Time to MACE defined as the time to first occurrence of Cardiovascular Endpoint Committee (CEC)-adjudicated MACE (CV death, myocardial infarction [MI] or stroke) was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. The analysis was performed on the Intent to Treat (ITT) Population which comprised of all randomized participants excluding participants who did not provide consent. (NCT02465515)
Timeframe: Median of 1.65 person years for CV follow-up time period

InterventionEvents per 100 person years (Number)
Placebo5.87
Albiglutide4.57

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Change From Baseline in Heart Rate

Heart rate was measured with the participant in a semi-recumbent or seated position after at least a 5-minute rest period. Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. (NCT02465515)
Timeframe: Baseline and Months 8, 16, 24 and end of study (up to 2.7 years)

,
InterventionBeats per minute (Mean)
Month 8; n=4239, 4312Month 16; n=3078, 3181Month 24; n=1131, 1195End of study; n=3892, 4005
Albiglutide1.61.61.71.8
Placebo0.20.30.60.8

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Change From Baseline in HbA1c

Change from Baseline in HbA1c was analyzed using mixed model repeated measures (MMRM) including observed case data (does not impute any missing data). Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. Change from Baseline in HbA1c using Baseline data from Local or Central Laboratory, and post-Baseline Central Laboratory data is presented. (NCT02465515)
Timeframe: Baseline and Months 8 and 16

,
InterventionPercentage of HbA1c (Least Squares Mean)
Month 8, n=4211, 4289Month 16, n=3066, 3163
Albiglutide-0.92-0.83
Placebo-0.28-0.31

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Number of Participants With Non-fatal Serious Adverse Events (SAEs)

SAE is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires hospitalization or prolongation of existing hospitalization; results in disability/incapacity; is a congenital anomaly/birth defect; other important medical events that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed before; is associated with liver injury and impaired liver function. Number of participants with on-therapy non-fatal SAEs are presented. Safety Population comprised of all randomized participants who received at least one dose of study treatment. (NCT02465515)
Timeframe: Up to 2.7 years

InterventionParticipants (Count of Participants)
Placebo974
Albiglutide891

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Time to Adjudicated CV Death

Time to adjudicated CV death was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. (NCT02465515)
Timeframe: Median of 1.65 person years for the CV follow-up time period

InterventionEvents per 100 person years (Number)
Placebo1.72
Albiglutide1.61

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Time to First Occurrence of a Clinically Important Microvascular Event

Clinically important microvascular events were defined as the following: need for renal transplant or dialysis, new diabetes-related blindness, and procedures (laser photocoagulation or anti-vascular endothelial growth factor treatment or vitrectomy for diabetic retinopathy/eye disease). Time to first occurrence of a clinically important microvascular event was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the on-therapy and post-therapy AE time period. (NCT02465515)
Timeframe: Up to 2.7 years

InterventionEvents per 100 person years (Number)
Placebo0.69
Albiglutide0.46

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Time to Death

Time to death was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100*number of participants who died/endpoint person-years) is presented along with 95% confidence interval. Endpoint person-years=(cumulative total time to event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the Vital Status follow-up time period. (NCT02465515)
Timeframe: Median of 1.73 years for the Vital Status follow-up time period

InterventionEvents per 100 person years (Number)
Placebo2.56
Albiglutide2.44

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Number of Participants With Adverse Events (AEs) Leading to Discontinuation of Investigational Product (AELD)

The number of participants with on-therapy AEs leading to discontinuation of investigational product is reported. (NCT02465515)
Timeframe: Up to 2.7 years

InterventionParticipants (Count of Participants)
Placebo334
Albiglutide427

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Trunk/Leg Fat Ratio by DEXA

Treatment impact on trunk/limb ratio (measure of central adiposity) by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW )1.03
Dapagliflozin (DAPA).95
EQW Plus DAPA.93
Dapagliflozin Plus Glucophage (MET ER).98
Phentermine /Topiramate (PHEN/ TPM) ER.99

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Waist-to-Height Ratio (WHtR)

Treatment impact on WHtR which is a measure of central adiposity (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW ).64
Dapagliflozin (DAPA).61
EQW Plus DAPA.65
Dapagliflozin Plus Glucophage (MET ER).61
Phentermine /Topiramate (PHEN/ TPM) ER.59

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Waist-to-Hip Ratio (WHR)

Treatment impact on central adiposity after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW ).83
Dapagliflozin (DAPA).79
EQW Plus DAPA.86
Dapagliflozin Plus Glucophage (MET ER).83
Phentermine /Topiramate (PHEN/ TPM) ER.81

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Change in Percent Body Weight

Treatment effect on change in percent body weight from baseline (NCT02635386)
Timeframe: Change from baseline (time 0) to study end (24 weeks)

Interventionpercentage change in body weight (Mean)
Exenatide Once Weekly (EQW )3.8
Dapagliflozin (DAPA)1.5
EQW Plus DAPA6.9
Dapagliflozin Plus Glucophage (MET ER)1.7
Phentermine /Topiramate (PHEN/ TPM) ER8.1

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Absolute Body Weight

Treatment effect on body weight at 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionkilogram (Mean)
Exenatide Once Weekly (EQW )100.4
Dapagliflozin (DAPA)102.6
EQW Plus DAPA99
Dapagliflozin Plus Glucophage (MET ER)101.2
Phentermine /Topiramate (PHEN/ TPM) ER97

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Android-Gynoid Ratio (AGR) as Determined by DEXA

treatment impact on measure of central adiposity as determined by android/gynoid ratio (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW )1.07
Dapagliflozin (DAPA)1.02
EQW Plus DAPA1.04
Dapagliflozin Plus Glucophage (MET ER)1.04
Phentermine /Topiramate (PHEN/ TPM) ER1.03

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Body Mass Index (BMI)

Treatment efficacy in reducing body mass at 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionkilogram/meter squared (Mean)
Exenatide Once Weekly (EQW )37.3
Dapagliflozin (DAPA)37.4
EQW Plus DAPA36.7
Dapagliflozin Plus Glucophage (MET ER)37
Phentermine /Topiramate (PHEN/ TPM) ER35.3

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Central Adiposity (Waist Circumference)

Treatment effect on loss of central adiposity after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment

Interventioncentimeters (Mean)
Exenatide Once Weekly (EQW )104
Dapagliflozin (DAPA)101
EQW Plus DAPA106
Dapagliflozin Plus Glucophage (MET ER)101.3
Phentermine /Topiramate (PHEN/ TPM) ER97

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Corrected First Phase Insulin Secretion (IGI/HOMA-IR)

Treatment effect on insulin secretion from 0 to 30 minutes after glucose load corrected for by fasting insulin sensitivity. A higher score shows improved first phase insulin secretion in response to glucose (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )1.03
Dapagliflozin (DAPA)0.6
EQW Plus DAPA0.91
Dapagliflozin Plus Glucophage (MET ER)0.7
Phentermine /Topiramate (PHEN/ TPM) ER1.1

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Dehydroepiandrosterone Sulfate (DHEA-S) Levels

Treatment effect on blood concentrations of DHEA-S (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmcg/dL (Mean)
Exenatide Once Weekly (EQW )165
Dapagliflozin (DAPA)187
EQW Plus DAPA169
Dapagliflozin Plus Glucophage (MET ER)189
Phentermine /Topiramate (PHEN/ TPM) ER201

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Diastolic Blood Pressure (DBP)

Treatment effect on DBP after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment

InterventionmmHg (Mean)
Exenatide Once Weekly (EQW )81
Dapagliflozin (DAPA)79.8
EQW Plus DAPA76
Dapagliflozin Plus Glucophage (MET ER)82
Phentermine /Topiramate (PHEN/ TPM) ER83.6

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Fasting Blood Glucose

Treatment impact on fasting concentration of glucose in the blood (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )91
Dapagliflozin (DAPA)93
EQW Plus DAPA86.5
Dapagliflozin Plus Glucophage (MET ER)89
Phentermine /Topiramate (PHEN/ TPM ER91.4

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Fasting Insulin Sensitivity (HOMA-IR)

Treatment effect on the ratio HOMA-IR which is insulin resistance measure derived from fasting blood glucose and insulin and is calculated by insulin (mU/ml)*glucose (mmol/L)/22,5. The higher thenumber the more insulin resistant. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )3.7
Dapagliflozin (DAPA)3.6
EQW Plus DAPA2.6
Dapagliflozin Plus Glucophage (MET ER)3.3
Phentermine /Topiramate (PHEN/ TPM) ER3.4

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Free Androgen Index (FAI)

Treatment effect on FAI calculated from total testosterone divided by sex hormone binding globulin (SHBG) levels. A higher score indicates a worse outcome. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )5.3
Dapagliflozin (DAPA)4.7
EQW Plus DAPA5.2
Dapagliflozin Plus Glucophage (MET ER)5.7
Phentermine /Topiramate (PHEN/ TPM) ER5

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Matsuda Sensitivity Index Derived From the OGTT(SI OGTT)

The SI IOGTT is a measure of peripheral insulin sensitivity derived from the values of Insulin (microunits per milliliter) and Glucose (milligrams per deciliter) obtained from the OGTT and the corresponding fasting values. SI (OGTT) = 10,000/ [(G fasting x I fasting) x (G OGTTmean x I OGTTmean)], where fasting glucose and insulin data are taken from time 0 of the OGTT and mean data represent the average glucose and insulin values obtained during the entire OGTT. The square root is used to correct for nonlinear distribution of insulin, and 10,000 is a scaling factor in the equation. The higher value, the more sensitive to insulin. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )3.1
Dapagliflozin (DAPA)3.6
EQW Plus DAPA3.9
Dapagliflozin Plus Glucophage (MET ER)4.8
Phentermine /Topiramate (PHEN/ TPM) ER4.7

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OGTT Mean Blood Glucose (MBG)

Treatment effect on MBG measured during the oral glucose tolerance test (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )118
Dapagliflozin (DAPA)126.4
EQW Plus DAPA112
Dapagliflozin Plus Glucophage (MET ER)119
Phentermine /Topiramate (PHEN/ TPM ER113

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Oral Disposition (Insulin Sensitivity-insulin Secretion) Index

An estimation of β-cell compensatory function, the insulin secretion-sensitivity index (IS-SI) will be derived by applying the concept of the oral disposition index to measurements obtained during the 2-h OGTT and calculated as the index of insulin secretion factored by insulin sensitivity (ΔINS/ΔPG 30 x Matsuda SIOGTT) from the OGTT. A higher score shows improved pancreatic insulin responsiveness relative to resistance. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )471
Dapagliflozin (DAPA)311
EQW Plus DAPA503
Dapagliflozin Plus Glucophage (MET ER)395
Phentermine /Topiramate (PHEN/ TPM) ER545

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Systolic Blood Pressure (SBP)

Treatment effect on SBP after 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks treatment

InterventionmmHg (Mean)
Exenatide Once Weekly (EQW )123.6
Dapagliflozin (DAPA)123
EQW Plus DAPA122
Dapagliflozin Plus Glucophage (MET ER)128
Phentermine /Topiramate (PHEN/ TPM) ER124

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Total Body Fat (%) by DEXA

Treatment impact on percent total body fat by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionpercent fat mass (Mean)
Exenatide Once Weekly (EQW )46.1
Dapagliflozin (DAPA)46.4
EQW Plus DAPA45.8
Dapagliflozin Plus Glucophage (MET ER)46.1
Phentermine /Topiramate (PHEN/ TPM) ER45.2

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Total Cholesterol Levels

Treatment effect on blood concentrations of total cholesterol (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )189
Dapagliflozin (DAPA)186
EQW Plus DAPA185
Dapagliflozin Plus Glucophage (MET ER)192
Phentermine /Topiramate (PHEN/ TPM) ER178

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Total Fat Mass (kg) Evaluated by DEXA

Treatment impact on total fat mass by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionkilogram (Mean)
Exenatide Once Weekly (EQW )47.6
Dapagliflozin (DAPA)47.8
EQW Plus DAPA45.9
Dapagliflozin Plus Glucophage (MET ER)48
Phentermine /Topiramate (PHEN/ TPM) ER44.5

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Total Testosterone Concentrations

Treatment effect on blood concentrations of total testosterone (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionng/dL (Mean)
Exenatide Once Weekly (EQW )38.8
Dapagliflozin (DAPA)35
EQW Plus DAPA42.6
Dapagliflozin Plus Glucophage (MET ER)39.5
Phentermine /Topiramate (PHEN/ TPM) ER45.5

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Triglyceride (TRG) Levels

Treatment effect on blood concentrations of triglycerides (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )130
Dapagliflozin (DAPA)132
EQW Plus DAPA112
Dapagliflozin Plus Glucophage (MET ER)105
Phentermine /Topiramate (PHEN/ TPM) ER110

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Global Assessment of Hypoglycemia

Time to resolution of the overall sensation of hypoglycemia following administration of glucagon (NCT02656069)
Timeframe: At 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85 and 90 minutes following administration of glucagon

Interventionminutes (Mean)
G-Pen16.8
Lilly Glucagon15.7

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Plasma Glucose Maximum Concentration (Cmax)

Pharmacodynamic endpoint of plasma glucose Cmax from baseline to 4 hours following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, 90, 120, 180 and 240 minutes following administration of glucagon

Interventionmg/dL (Mean)
G-Pen202.7
Lilly Glucagon193.5

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Plasma Glucose Time to Concentration > 70 mg/dL

Pharmacodynamic endpoint of time to achieve a plasma glucose concentration > 70 mg/dL following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, 90, 120, 180 and 240 minutes following administration of glucagon

Interventionminutes (Mean)
G-Pen19.9
Lilly Glucagon14.2

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Plasma Glucose Time to Maximum Concentration (Tmax)

Pharmacodynamic endpoint of plasma glucose Tmax from baseline to 4 hours following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, 90, 120, 180 and 240 minutes following administration of glucagon

Interventionminutes (Mean)
G-Pen111.3
Lilly Glucagon100.4

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Time to Resolution of Hypoglycemia Symptoms

Time to resolution of mean autonomic, mean neuroglycopenic and mean total hypoglycemia symptom scores from baseline through 90 minutes following administration of glucagon. (NCT02656069)
Timeframe: At 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85 and 90 minutes following administration of glucagon

,
Interventionminutes (Mean)
Autonomic SymptomsNeuroglycopenic SymptomsAll Symptoms
G-Pen16.016.719.8
Lilly Glucagon14.214.317.0

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Plasma Glucose Area Under the Curve (AUC)

Pharmacodynamic endpoint of plasma glucose AUC from baseline to 90 minutes following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, and 90 minutes following administration of glucagon

Interventionmg*min/dL (Mean)
G-Pen11651.4
Lilly Glucagon12260.4

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Hypoglycemia Rescue: Per Protocol Population

Number of subjects with an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen74
Lilly Glucagon78

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Hypoglycemia Rescue: Intent-to-Treat Population

Number of subjects with an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen74
Lilly Glucagon79

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Hypoglycemia Rescue: Glucose or Symptomatic Response Definition

Number of subjects with either an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL or resolution of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen78
Lilly Glucagon79

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Hypoglycemia Rescue: Alternate Glucose Response Definition

Number of subjects with either an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL or an increase in from baseline in plasma glucose concentration of at least 20 mg/dL within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon79

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CGM Metrics During Late Recovery - Time > 250 mg/dL

Comparison of percentage of time > 250 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control1
Basal Insulin Reduction4
Glucose Tabs9
G-Pen Mini™ (Glucagon Injection)5

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Number of Participants With Hypoglycemia (<70 mg/dL) During Exercise and Early Recovery

Comparison of occurrence of hypoglycemia (<70 mg/dL from blood glucose) during exercise and early recovery between each exercise strategy. (NCT02660242)
Timeframe: 0 to 75 minutes following exercise initiation

InterventionParticipants (Count of Participants)
Control6
Basal Insulin Reduction5
Glucose Tabs0
G-Pen Mini™ (Glucagon Injection)0

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Number of Participants With Hyperglycemia (≥250 mg/dL) During Exercise and Early Recovery

Comparison of occurrence of hyperglycemia (≥250 mg/dL from blood glucose) during exercise and early recovery between each exercise strategy. (NCT02660242)
Timeframe: 0 to 75 minutes following exercise initiation

InterventionParticipants (Count of Participants)
Control0
Basal Insulin Reduction0
Glucose Tabs5
G-Pen Mini™ (Glucagon Injection)1

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Continuous Glucose Monitor (CGM) Metrics During Late Recovery - Nadir Glucose

Comparison of nadir glucose from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionmg/dL (Median)
Control45
Basal Insulin Reduction44
Glucose Tabs49
G-Pen Mini™ (Glucagon Injection)51

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CGM Metrics During Late Recovery - Time in Range (70-180 mg/dL)

Comparison of percentage of time in range (70-180 mg/dL) from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control73
Basal Insulin Reduction71
Glucose Tabs69
G-Pen Mini™ (Glucagon Injection)67

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CGM Metrics During Late Recovery - Time > 180 mg/dL

Comparison of percentage of time > 180 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control16
Basal Insulin Reduction21
Glucose Tabs23
G-Pen Mini™ (Glucagon Injection)26

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Glycemic Response During Exercise and Early Recovery

Comparison of glycemic response (from blood glucose) during exercise and early recovery between each exercise strategy. (NCT02660242)
Timeframe: 0 to 75 minutes following exercise initiation (0, 5, 10, 15, 25, 35, 45, 50, 55, 60, 75 min)

,,,
Interventionmg/dL (Mean)
Plasma Glucose Concentration (End of Exercise)Plasma Glucose Concentration (End Early Recovery)
Basal Insulin Reduction8592
Control8690
G-Pen Mini™ (Glucagon Injection)161163
Glucose Tabs174222

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CGM Metrics During Late Recovery - Coefficient of Variation

Comparison of the coefficient of variation from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Median)
Control32
Basal Insulin Reduction35
Glucose Tabs36
G-Pen Mini™ (Glucagon Injection)33

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CGM Metrics During Late Recovery - Mean Glucose

Comparison of mean glucose from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionmg/dL (Median)
Control129
Basal Insulin Reduction139
Glucose Tabs130
G-Pen Mini™ (Glucagon Injection)147

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CGM Metrics During Late Recovery - Time < 70 mg/dL

Comparison of percentage of time < 70 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control10
Basal Insulin Reduction8
Glucose Tabs8
G-Pen Mini™ (Glucagon Injection)6

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CGM Metrics During Late Recovery - Peak Glucose

Comparison of peak glucose from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionmg/dL (Median)
Control241
Basal Insulin Reduction239
Glucose Tabs267
G-Pen Mini™ (Glucagon Injection)269

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CGM Metrics During Late Recovery - Time < 54 mg/dL

Comparison of percentage of time < 54 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control3
Basal Insulin Reduction3
Glucose Tabs3
G-Pen Mini™ (Glucagon Injection)2

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Number of Participants With Injection Site Reactions (ISR)

Number of participants with ISR incidences were evaluated at specific time points. Each week included those participants with the onset of an ISR during that particular week as well as those participants with ISR from previous weeks that have not resolved. (NCT02683746)
Timeframe: Up to Week 34

InterventionParticipants (Number)
Albiglutide Liquid17
Albiglutide Lyophilized18

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Number of Participants With Positive Result for Anti-albiglutide Antibody

Blood samples were obtained from participants at specific time points before administration of study treatment. The presence of anti-albiglutide antibodies was assessed using a validated enzyme linked immunosorbent assay (ELISA). The assay involves screening, confirmation, and titration steps (tiered-testing approach). Number of participants with positive anti- albiglutide antibody results at 'any visit post-Baseline' are presented. (NCT02683746)
Timeframe: Up to Week 34

InterventionParticipants (Number)
Albiglutide Liquid17
Albiglutide Lyophilized16

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Change From Baseline in FPG Over Time

Blood samples were collected from participants at specific time points to evaluate FPG to monitor for potential hyperglycemia. The last measurement collected prior to the first dose of randomized study treatment was considered as Baseline value. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The analysis was performed using a MMRM model. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02683746)
Timeframe: Baseline and up to Week 26

,
InterventionMmol/L (Least Squares Mean)
Week 1; n= 148, 144Week 2; n= 143, 145Week 3; n= 145, 140Week 4; n= 142, 145Week 5; n= 146, 143Week 6; n= 145, 145Week 7; n= 146, 144Week 8; n= 143, 141Week 9; n= 142, 141Week 10; n= 141, 142Week 11; n= 141, 139Week 12; n= 137, 137Week 13; n= 140, 136Week 16; n= 140, 140Week 20; n= 139, 134Week 26; n= 141, 136
Albiglutide Liquid-1.04-1.52-1.71-1.93-2.04-2.07-1.93-2.19-2.05-2.03-2.01-2.16-2.04-2.02-1.87-2.22
Albiglutide Lyophilized-1.29-1.77-1.70-1.91-2.23-2.22-2.20-2.38-2.08-2.17-2.12-2.19-2.09-2.09-1.90-1.88

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Change From Baseline in HbA1c Over Time

Blood samples were collected from participants at specific time points to evaluate HbA1c to monitor for potential hyperglycemia. The last measurement collected prior to the first dose of randomized study treatment was considered as Baseline value. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The analysis was performed using a MMRM model and model-adjusted least square mean (LS mean) and standard error have been presented. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02683746)
Timeframe: Baseline and up to Week 26

,
InterventionPercent of total hemoglobin (Least Squares Mean)
Week 4; n= 148, 149Week 8; 145, 147Week 12; n= 137, 145Week 16; n= 136, 144Week 20; n= 137, 142Week 26; n= 138, 141
Albiglutide Liquid-0.50-0.96-1.15-1.25-1.24-1.16
Albiglutide Lyophilized-0.54-1.02-1.23-1.27-1.26-1.17

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Number of Participants With Hematology Parameters of PCC

Hematology parameters for which PCC values were identified were hematocrit (if value >0.05 below LLN or >0.04 above ULN), Hemoglobin (Hb) (if value >20 g/L below LLN or >10 g/L above ULN), lymphocytes (if value <0.5*LLN), neutrophils (if value <1 giga unit per liter [GI/L]) and platelets (if value <80 GI/L or >500 GI/L). Number of participants with hematology parameters of PCC at 'any visit post-Baseline' are presented. (NCT02683746)
Timeframe: Up to Week 26

,
InterventionParticipants (Number)
Hematocrit; >0.05 (fraction of 1) below LLNHematocrit; >0.04 (fraction of 1) above ULNHb; >20 g/L below LLNHb; >10 g/L above ULNLymphocytes; <0.5*LLNNeutrophils; <1 GI/LPlatelets; <80 GI/LPlatelets; >500 GI/L
Albiglutide Liquid25320101
Albiglutide Lyophilized62920001

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Number of Participants With Clinical Chemistry Parameters of Potential Clinical Concern (PCC)

Chemistry parameters for which PCC values were identified were alanine aminotransferase (ALT) (if value >3 * upper limit of normal [ULN]), albumin (if value >5 gram/liter [g/L] above ULN or below lower limit of normal [LLN]), alkaline phosphatase (alk.phosph.) (if value >3*ULN), aspartate aminotransferase (AST) (if value >3*ULN), total bilirubin (if value >1.5 ULN), calcium (if value <1.8 or >3.0 millimoles per liter [mmol/L]), carbon di oxide (CO2) (if value <16 or >40 mmol/L), creatinine (if value >159 micromoles per liter [µmol/L]), direct bilirubin (if value >1.35*ULN), gamma glutamyl transferase (GGT) (if value >3*ULN), potassium (if value >0.5 mmol/L below LLN and >1.0 mmol/L above ULN), protein (if value >15 g/L above ULN or below LLN), sodium (>5 mmol/L below LLN or above ULN), urate (if value >654 µmol/L) and urea (if value >2*ULN). Number of participants with chemistry parameters of PCC at 'any visit post-Baseline' are presented. (NCT02683746)
Timeframe: Up to Week 26

,
InterventionParticipants (Number)
ALT; >3*ULNAlbumin; >5 g/L below LLNAlbumin; >5 g/L above ULNAlk.phosph.; >3*ULNAST; >3*ULNBilirubin; >1.5*ULNCalcium; <1.8 mmol/LCalcium; >3.0 mmol/LCO2; <16 mmol/LCO2; >40 mmol/LCreatinine; >159 µmol/LDirect bilirubin; >1.35ULNGGT; >3*ULNPotassium; >0.5 mmol/L below LLNPotassium; >1.0 mmol/L above ULNProtein; >15 g/L below LLNProtein; >15 g/L above ULNSodium; >5 mmol/L below LLNSodium; >5 mmol/L above ULNUrate; >654 µmol/LUrea; >2*ULN
Albiglutide Liquid000010011010100001010
Albiglutide Lyophilized100012006011411000210

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Number of Participants With Electrocardiogram (ECG) Parameters of PCC

Single measurements of 12-lead ECG were obtained in semi recumbent position using an ECG machine that automatically calculates the heart rate and measures PR and QT interval corrected for heart rate according to Fridericia's formula (QTcF). Number of participants with ECG values of PCC at 'any visit post-Baseline' are presented. ECG mean heart rate values <50 or >120, PR interval >300 milliseconds (msec), QRS interval >200 msec, QTcF interval >=500 msec were considered as PCC values. Number of participants with PCC values of ECG parameters for 'any visit post-Baseline' are presented. (NCT02683746)
Timeframe: Up to Week 26

,
InterventionParticipants (Number)
ECG mean heart rate; <50 bpmECG mean heart rate; >120 bpmPR interval; >300 msecQRS duration; >200 msecQTcF interval; >=500 msec
Albiglutide Liquid21100
Albiglutide Lyophilized20200

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Number of Participants With Vital Signs of PCC

Vital signs including systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse rate were measured in a seated position after at least 5 minutes of rest. SBP values <100 millimeters of mercury (mmHg) and >170 mmHg, DBP values <50 mmHg and >110 mmHg, pulse rate values <50 beats per minute (bpm) and >120 bpm were considered as PCC values. Number of participants with PCC values of vital signs for 'any visit post-Baseline' are presented. (NCT02683746)
Timeframe: Up to Week 34

,
InterventionParticipants (Number)
SBP: <100 mmHgSBP; >170 mmHgDBP; <50 mmHgDBP; > 110 mmHgPulse rate; < 50 bpmPulse rate; > 120 bpm
Albiglutide Liquid18110351
Albiglutide Lyophilized16130320

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Number of Participants With On-therapy Adverse Events (AEs) and Serious AEs (SAEs)

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability, is a congenital anomaly/ birth effect, other situations and is associated with liver injury or impaired liver function. (NCT02683746)
Timeframe: Up to Week 26

,
InterventionParticipnats (Number)
AEsSAEs
Albiglutide Liquid1017
Albiglutide Lyophilized949

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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26

Blood samples were collected from participants at specific time points to evaluate FPG to monitor for potential hyperglycemia. The last measurement collected prior to the first dose of randomized study treatment was considered as Baseline value. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The analysis was performed using a MMRM model. (NCT02683746)
Timeframe: Baseline and Week 26

InterventionMmol/L (Least Squares Mean)
Albiglutide Liquid-2.22
Albiglutide Lyophilized-1.88

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Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26

Blood samples will be collected from participants at specific time points to evaluate HbA1c to monitor for potential hyperglycemia. The last measurement collected prior to the first dose of randomized study treatment was considered as Baseline value. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The analysis was performed using a mixed-effect model with repeated measures (MMRM) method. The primary analysis will include all HbA1c values collected at scheduled visits from Week 4 up to Week 26. This will include values after hyperglycemia rescue and discontinuation from investigational product. Imputation under the non-inferiority null hypothesis for missing data will be incorporated. (NCT02683746)
Timeframe: Baseline and Week 26

InterventionPercentage of total hemoglobin (Least Squares Mean)
Albiglutide Liquid-1.12
Albiglutide Lyophilized-1.18

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Trough Plasma Concentration of Albiglutide Over Time

Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of albiglutide. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT02683746)
Timeframe: Pre-dose at Week 12 and Week 26

,
InterventionNanograms per milliliter (ng/mL) (Mean)
Week 12; n= 127, 130Week 26; n= 127, 127
Albiglutide Liquid3996.94196.6
Albiglutide Lyophilized3927.13929.1

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Number of Subjects With Mean CGM Glucose < 154 mg/dl

The number of subjects who achieved a mean CGM glucose < 154 mg/dl, which correlates to an estimated hemoglobin a1c of 7%, which is the ADA goal for therapy. This applies only to the iPhone vs iLet BP experiments (NCT02701257)
Timeframe: 8 hours

InterventionParticipants (Count of Participants)
iPhone Bionic Pancreas - Lilly Glucagon1
iLet Bionic Pancreas - Lilly Glucagon1

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Number of Severe Hypoglycemic Events (Subject Unable to Self-treat, Requiring the Assistance of Another Person)

The number of severe hypoglycemic events subjects experience. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionevents (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Number of Episodes of Symptomatic Hypoglycemia.

Number of time subjects experienced symptoms of hypoglycemia and reported that to study staff. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionnumber of episodes (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Insulin Total Delivery Per kg of Body Mass.

The average total insulin delivered by the bionic pancreas. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionunits/kg (Mean)
iPhone Bionic Pancreas - Lilly Glucagon0.22
iLet Bionic Pancreas - Lilly Glucagon0.23

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Difference in the PG Prior to the Meal and Peak Post-prandial Glucose

This applies only to the infusion set sub-study (NCT02701257)
Timeframe: Pre-meal PG value and peak PG value during the 3.5 hours following the meal.

Interventionmg/dl (Mean)
iLet Infusion Set176.3
Contact Detach Infusion Set73.9

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Difference in Mean Nausea From VAS During the Study

"This applies only the iPhone vs. iLet BP experiments. Subjects were given a visual analog scale measuring 100 mm and asked to draw a line to indicate their level of nausea at timepoints during the study with 100 being the worst possible nausea and 0 being no nausea." (NCT02701257)
Timeframe: 8 hours

Interventionscore on a scale (Mean)
iPhone Bionic Pancreas - Lilly Glucagon3.47
iLet Bionic Pancreas - Lilly Glucagon6.93

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Difference in Local Erythema and Edema According to the Draize Scale

This applies to the iPhone vs. iLet BP experiments and the infusion set sub-study experiments. The draize scale assess erythema, eschar and edema using a score from 0-4, with 4 meaning a worse outcome. (NCT02701257)
Timeframe: 8 hours

Interventionscore on a scale (Mean)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0
iLet Infusion Set0
Contact Detach Infusion Set0

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Difference Between the Fasted PG Value and the PG Value at 90 Minutes

This applies only to the infusion set sub-study (NCT02701257)
Timeframe: Baseline Fasted State and 90 Minutes

Interventionmg/dl (Mean)
iLet Infusion Set-3.7
Contact Detach Infusion Set-6.7

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CGM Reliability Index, Calculated as Percent of Possible Values Actually Recorded by CGM.

A measure of CGM reliability, indicating the percentage of values the CGM displayed out of the total values it should have displayed in that time. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of CGM values (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.1
iLet Bionic Pancreas - Lilly Glucagon75.1

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Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured (Dose Calculated, Dose Issued to Pumps).

"The percentage of time (measured in 5 minute steps) that the bionic pancreas is working even without a CGM reading being present, indicated by a successful dose calculation and successful issuing of a dose. This applies only to the iPhone vs iLet BP experiments." (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of 5 minutes steps (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.6
iLet Bionic Pancreas - Lilly Glucagon99.8

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Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time CGM Data (New CGM Glucose Reading Captured, Dose Calculated, Dose Issued to Pumps

"The percentage of time (measured in 5 minute steps) that the bionic pancreas is working, indicated by the presence of a CGM reading, a successful dose calculation and successful issuing of a dose. This applies only to the iPhone vs iLet BP experiments." (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of 5 minute steps (Mean)
iPhone Bionic Pancreas - Lilly Glucagon88.9
iLet Bionic Pancreas - Lilly Glucagon75.1

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Average Percent Insulin Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

The average percentage of successfully issued insulin doses that are then delivered successfully by the pump. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon98.5
iLet Bionic Pancreas - Lilly Glucagon96.1

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Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

The average percentage of successfully delivered insulin doses. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.0
iLet Bionic Pancreas - Lilly Glucagon95.8

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Average Percent Glucagon Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That a Successfully Delivered by the Pump.

The average percentage of successfully issued glucagon doses that are then delivered successfully by the pump. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon96.6
iLet Bionic Pancreas - Lilly Glucagon100.0

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Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

The average percentage of successfully delivered glucagon doses. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon96.6
iLet Bionic Pancreas - Lilly Glucagon100.0

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Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Glucagon Doses).

Average percent dose amounts calculated by the bionic pancreas control algorithm that are successfully delivered by the pump (glucagon doses) - - primary outcome for iLet BP using Lilly glucagon vs. iLet BP using Xeris Xerisol glucagon (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon96.6
iLet Bionic Pancreas - Lilly Glucagon100.0

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Average Insulin Infusion Site Pain From VAS

"This applies to the iPhone vs. iLet BP experiments and the infusion set sub-study experiments. Subjects were given a visual analog scale measuring 100 mm and asked to draw a line to indicate their level of pain at timepoints during the study with 100 being the worst possible pain and 0 being no pain." (NCT02701257)
Timeframe: 8 hours

Interventionscore on a scale (Mean)
iPhone Bionic Pancreas - Lilly Glucagon1.49
iLet Bionic Pancreas - Lilly Glucagon6.61
iLet Infusion Set0.54
Contact Detach Infusion Set2.42

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Average Continuous Glucose Monitor (CGM) Glucose

The average glucose according to continuous glucose monitor readings. This only applies to the iPhone vs. iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionmg/dl (Mean)
iPhone Bionic Pancreas - Lilly Glucagon179.2
iLet Bionic Pancreas - Lilly Glucagon251.2

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Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Aggregate of Both Insulin and Glucagon Doses)

Average percent dose amounts calculated by the bionic pancreas control algorithm that are successfully delivered by the pump (aggregate of both insulin and glucagon doses) - primary outcome for iPhone-based BP using Lilly glucagon vs. iLet BP using Lilly glucagon (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses delivered (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.6
iLet Bionic Pancreas - Lilly Glucagon95.0

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Glucagon Total Delivery Per kg of Body Mass.

The average total glucagon delivered by the bionic pancreas. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionmcg/kg (Mean)
iPhone Bionic Pancreas - Lilly Glucagon0.60
iLet Bionic Pancreas - Lilly Glucagon1.12

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Percentage of Time in Each of the Following Ranges: < 50 mg/dl, < 60 mg/dl, <70 mg/dl, 70-120 mg/dl, 70-180 mg/dl, >180 mg/dl, >250 mg/dl

Percentage of time subjects spent in each of these ranges based on continuous glucose monitor readings. This only applies to the iPhone vs iLet BP visits. (NCT02701257)
Timeframe: 8 hours

,
Interventionpercentage of time (Mean)
CGM glucose < 60CGM glucose > 180
iLet Bionic Pancreas - Lilly Glucagon0.3667.5
iPhone Bionic Pancreas - Lilly Glucagon0.039.0

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Total Grams of Carbohydrate Taken for Hypoglycemia.

The total grams of carbohydrates given to subjects for treatment of hypoglycemia. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionnumber of grams of carbohydrates (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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PG AUC in the 3.5 Hours Following the Meal

This applies only to the infusion set sub-study (NCT02701257)
Timeframe: 3.5 hours following the meal

Interventionmg*min/dl (Mean)
iLet Infusion Set15512740
Contact Detach Infusion Set8359871

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Number of Unscheduled Infusion Set Replacements.

This applies to the iPhone vs. iLet BP experiments and the infusion set sub-study experiments. (NCT02701257)
Timeframe: 8 hours

Interventionnumber of infusion set changes (Number)
iPhone Bionic Pancreas - Lilly Glucagon1
iLet Bionic Pancreas - Lilly Glucagon0
iLet Infusion Set0
Contact Detach Infusion Set0

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Number of Unscheduled CGM Sensor Changes.

This applies only to the iPhone vs. iLet BP experiments (NCT02701257)
Timeframe: 8 hours

Interventionnumber of sensor changes (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Detection/Notification of Hypoglycemia

Frequency with which the device controller software correctly identifies impending hypoglycemia (glucose < 75 mg/dl) and notifies the investigator to initiate treatment. Reported as the number of successful identifications. (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

Interventionsuccessful events (Number)
G-Pump™ (Glucagon Infusion)9

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Glucose Time in Range

Time glucose remains in goal range, 60-180 mg/dl, reported in minutes (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

InterventionMinutes (Mean)
G-Pump™ (Glucagon Infusion)113

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Number of Subjects With Severe Hypoglycemia

Frequency of severe hypoglycemia defined as glucose levels below 60 mg/dl. Reported as the number of subjects with severe hypoglycemia. (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

Interventionparticipants (Number)
G-Pump™ (Glucagon Infusion)3

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Number of Subjects With Rebound Hyperglycemia

Frequency of rebound hyperglycemia defined as glucose levels above 180 mg/dl. Reported as the number of subjects with rebound hyperglycemia. (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

InterventionParticipants (Count of Participants)
G-Pump™ (Glucagon Infusion)0

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PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionhour (h) (Median)
NG 0.5 mg0.33
NG 1 mg0.36
NG 2 mg0.50
SC Glucagon 1 mg0.37

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PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax)

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionmillimole per liter (mmol/L) (Mean)
NG 0.5 mg0.811
NG 1 mg1.92
NG 2 mg3.20
SC Glucagon 1 mg3.28

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Number of Participants With One or More Serious Adverse Event(s) (SAEs)

"Safety and tolerability evaluated through the assessment of adverse events. A SAE (serious adverse event) was defined as any untoward medical occurrence in a clinical investigation, which did not necessarily have a causal relationship with this treatment.~A summary of other non-serious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT02778113)
Timeframe: Baseline through Study Completion (Day 23)

InterventionParticipants (Count of Participants)
NG 0.5 mg0
NG 1 mg0
NG 2 mg0
SC Glucagon 1 mg0

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PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionhour (h) (Median)
NG 0.5 mg0.17
NG 1 mg0.25
NG 2 mg0.25
SC Glucagon 1 mg0.33

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PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionpicogram per milliliter (pg/mL) (Geometric Mean)
NG 0.5 mgNA
NG 1 mg217
NG 2 mg1000
SC Glucagon 1 mg3260

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Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC₀-₄) of Glucose

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionmillimole*hour per liter (mmol*h/L) (Mean)
NG 0.5 mg-0.168
NG 1 mg0.0617
NG 2 mg0.566
SC Glucagon 1 mg0.448

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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T (AUC[0-tlast]) of Baseline Adjusted Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionpicogram*hour per milliliter (pg*h/mL) (Geometric Mean)
NG 0.5 mgNA
NG 1 mg38.9
NG 2 mg293
SC Glucagon 1 mg2060

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PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Baseline Adjusted Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionpg*h/mL (Geometric Mean)
NG 1 mgNA
NG 2 mg589
SC Glucagon 1 mg2250

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Number of Participants With Abnormal Heart Rate for Session 1

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. Safety Population comprised of all participants who received at least one dose of the study treatment. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 4, -2 hr pre-MRI, high, n=1, 1, 0, 0Day 4, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 4, Post MRI 0.5 hr, high, n=1, 1, 0, 0Day 4, 0.5 hr Post MRI, low, n=1, 1, 0, 0Day 4, 1 hr Post MRI, high, n=1, 1, 0, 0Day 4, 1 hr Post MRI, low, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, high, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, high, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, low, n=1, 1, 0, 0Day 8, 1 hr Post MRI, high, n=0, 1, 0, 0Day 8, 1 hr Post MRI, low, n=0, 1, 0, 0
Exenatide 10 µg000000000000

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Number of Participants With Abnormal Heart Rate for Session 1

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. Safety Population comprised of all participants who received at least one dose of the study treatment. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 5, high, n=0, 0, 0, 2Day 5, low, n=0, 0, 0, 2
Off-therapy Visit00

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Number of Participants With Abnormal Heart Rate for Session 1

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. Safety Population comprised of all participants who received at least one dose of the study treatment. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 1, Pre MRI, high, n=0, 0, 2, 0Day 1, Pre MRI, low, n=0, 0, 2, 0Day 1, Post MRI 0.5 hr, high, n=0, 0, 2, 0Day 1, Post MRI 0.5 hr, low, n=0, 0, 2, 0
Off-therapy MRI Arm0000

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Number of Participants With Abnormal Heart Rate for Session 2

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 4, -2 hr pre-MRI, high, n=1, 1,0, 0Day 4, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 4, Post MRI 0.5 hr, high, n=1, 1, 0, 0Day 4, 0.5 hr Post MRI, low, n=1, 1, 0, 0Day 4, 1 hr Post MRI, high, n=1, 1, 0, 0Day 4, 1 hr Post MRI, low, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, high, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, high, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, low, n=1, 1, 0, 0
Albiglutide 50 mg0000000000

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Number of Participants With Abnormal Heart Rate for Session 2

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 4, -2 hr pre-MRI, high, n=1, 1,0, 0Day 4, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 4, Post MRI 0.5 hr, high, n=1, 1, 0, 0Day 4, 0.5 hr Post MRI, low, n=1, 1, 0, 0Day 4, 1 hr Post MRI, high, n=1, 1, 0, 0Day 4, 1 hr Post MRI, low, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, high, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, high, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, low, n=1, 1, 0, 0Day 8, 1 hr Post MRI, high, n=0, 1, 0, 0Day 8, 1 hr Post MRI, low, n=0, 1, 0, 0
Exenatide 10 µg000000000000

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Number of Participants With Abnormal Heart Rate for Session 2

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 5, high, n=0, 0, 0, 2Day 5, low, n=0, 0, 0, 2
Off-therapy Visit00

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Number of Participants With Abnormal Heart Rate for Session 2

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 1, Pre MRI, high, n=0, 0, 2, 0Day 1, Pre MRI, low, n=0, 0, 2, 0Day 1, Post MRI 0.5 hr, high, n=0, 0, 2, 0Day 1, Post MRI 0.5 hr, low, n=0, 0, 2, 0
Off-therapy MRI Arm0000

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Number of Participants With Abnormal SBP and DBP for Session 2

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 5, high, n=0, 0, 0, 2SBP, Day 5, low, n=0, 0, 0, 2DBP, Day 5, high, n= 0,0,0,2DBP, Day 5, low, n= 0,0,0,2
Off-therapy Visit0000

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Number of Participants With Abnormal SBP and DBP for Session 2

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 1, Pre-MRI, high, n=0, 0, 2, 0SBP, Day 1, Pre-MRI, low, n=0, 0, 2, 0SBP, Day 1, 0.5 hr post MRI, high, n=0, 0, 2, 0SBP, Day 1,0.5 hr post MRI , low, n=0, 0, 2, 0DBP, Day 1, Pre MRI, high,n= 0, 0, 2, 0DBP, Day 1, Pre MRI, low,n= 0, 0, 2, 0DBP, Day 1,0.5 hr post MRI, high,n= 0, 0, 2, 0DBP, Day 1,0.5 hr post MRI, low,n= 0, 0, 2, 0
Off-therapy MRI00000010

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Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0SBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI, low, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , low, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, high, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, low, n=1,1, 0, 0DBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0DBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, high,n= 1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, low,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI, high,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI , low,n= 1,1, 0, 0DBP, Day 8, 0.5 hr post MRI ,high, n=1,1,0, 0DBP, Day 8, 0.5 hr post MRI, low, n= 1,1, 0, 0
Albiglutide 50 mg0000000000000000

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Number of Participants With Abnormal SBP and DBP for Session 2

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0SBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI, low, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , low, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, high, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, low, n=1,1, 0, 0DBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0DBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, high,n= 1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, low,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI, high,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI , low,n= 1,1, 0, 0DBP, Day 8, 0.5 hr post MRI ,high, n=1,1,0, 0DBP, Day 8, 0.5 hr post MRI, low, n= 1,1, 0, 0
Albiglutide 50 mg0000000000000000

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Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 5, high, n=0, 0, 0, 2SBP, Day 5, low, n=0, 0, 0, 2DBP, Day 5, high, n= 0,0,0,2DBP, Day 5, low, n= 0,0,0,2
Off-therapy Visit0000

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Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 1, Pre-MRI, high, n=0, 0, 2, 0SBP, Day 1, Pre-MRI, low, n=0, 0, 2, 0SBP, Day 1, 0.5 hr post MRI, high, n=0, 0, 2, 0SBP, Day 1,0.5 hr post MRI , low, n=0, 0, 2, 0DBP, Day 1, Pre MRI, high,n= 0,0, 2, 0DBP, Day 1, Pre MRI, low,n= 0, 0, 2, 0DBP, Day 1,0.5 hr post MRI, high,n= 0, 0, 2, 0DBP, Day 1,0.5 hr post MRI, low,n= 0, 0, 2, 0
Off-therapy MRI Arm00000000

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Number of Participants With Non-serious Adverse Events (AE) With Incidence > = 2 % and Serious AEs (SAE)

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization; results in disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment were categorized as SAE. Data of participants with non-serious AEs ( with incidence >= 2%) and SAEs has been presented. Placebo was included to maintain the single blind only; similar to double dummy. (NCT02802514)
Timeframe: Up to Week 13

,,,
InterventionParticipants (Count of Participants)
Non-serious AEsSAE
Albiglutide 50 mg10
Albiglutide Matching Placebo00
Exenatide 10 µg00
Exenatide Matching Placebo00

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Number of Participants With Abnormal Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) for Session 1

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0SBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI, low, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , low, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, high, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, low, n=1,1, 0, 0SBP, Day 8,1 hr Post MRI, high, n= 0,1, 0, 0SBP, Day 8,1 hr post MRI , low, n= 0,1, 0, 0DBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0DBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, high,n= 1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, low,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI, high,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI , low,n= 1,1, 0, 0DBP, Day 8, 0.5 hr post MRI ,high, n=1,1,0, 0DBP, Day 8, 0.5 hr post MRI, low, n= 1,1, 0, 0DBP, Day 8, 1 hr post MRI, high, n=0,1, 0, 0DBP, Day 8, 1 hr post MRI, low, n=0,1, 0, 0
Exenatide 10 µg00000000000000000000

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Number of Participants With Abnormal Urinalysis

Urinalysis parameters included assessment of specific gravity, microscopic analysis, and potential of hydrogen (pH), glucose, protein, blood and ketones by dipstick method. (NCT02802514)
Timeframe: Up to Week 11

InterventionParticipants (Count of Participants)
Albiglutide 50 mg0
Exenatide 10 µg0

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Gastrointestinal (GI) Visual Analogue Scale (VAS) for Assessment of Nausea for Session 1

Participant completed VAS to record their perception of stomach fullness, hunger, nausea, bloating and abdominal pain. The VAS was represented by lines, 100 millimeter in length, anchored with words describing the most negative rating on the left and the most positive rating on the right. Scores ranged from 0 mm to 100 mm. Scores of 0 mm are worst (most negative rating on the left) and scores of 100 mm are best (most positive rating on the right). NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 (Pre-MRI and 0.5 hour post-MRI); Day 4 (Pre-MRI and 0.5 hour post-MRI); and Day 8 (Pre-MRI and 0.5 hour post-MRI)

,
InterventionScores on scale (Mean)
Hunger, Day4, pre-MRI,n=1,1,0Hunger, Day4, 0.5 hour post-MRI,n=1,1,0Hunger, Day8, pre-MRI,n=1,1,0Hunger, Day8, 0.5 hour post-MRI,n=1,1,0Stomach fullness, Day4,pre-MRI,n=1,1,0Stomach fullness, Day4, 0.5 hour post-MRI,n=1,1,0Stomach fullness, Day8, pre-MRI,n=1,1,0Stomach fullness, Day8, 0.5 hour post- MRI,n=1,1,0Nausea, Day4, pre-MRI,n=1,1,0Nausea, Day4, 0.5 hour post-MRI,n=1,1,0Nausea, Day8, pre-MRI,n=1,1,0Nausea, Day8,0.5 hour post-MRI,n=1,1,0Bloating, Day4, pre-MRI,n=1,1,0Bloating, Day4, 0.5 hour post-MRI,n=1,1,0Bloating, Day8, pre-MRI,n=1,1,0Bloating, Day8, 0.5 hour post-MRI,n=1,1,0Abdominal pain, Day4, pre-MRI,n=1,1,0Abdominal pain, Day4, 0.5 hour post-MRI,n=1,1,0Abdominal pain, Day8, pre-MRI,n=1,1,0Abdominal pain, Day8, 0.5 hour post-MRI,n=1,1,0
Exenatide 10 µg40.050.025.026.01.02.01.01.01.01.00.01.03.01.00.01.00.01.01.01.0
Albiglutide 50 mg65.066.01.031.03.06.00.00.03.024.00.00.02.04.00.00.03.05.00.00.0

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Gastrointestinal (GI) Visual Analogue Scale (VAS) for Assessment of Nausea for Session 1

Participant completed VAS to record their perception of stomach fullness, hunger, nausea, bloating and abdominal pain. The VAS was represented by lines, 100 millimeter in length, anchored with words describing the most negative rating on the left and the most positive rating on the right. Scores ranged from 0 mm to 100 mm. Scores of 0 mm are worst (most negative rating on the left) and scores of 100 mm are best (most positive rating on the right). NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 (Pre-MRI and 0.5 hour post-MRI); Day 4 (Pre-MRI and 0.5 hour post-MRI); and Day 8 (Pre-MRI and 0.5 hour post-MRI)

InterventionScores on scale (Mean)
Hunger, Day1, pre-MRI,n=0,0,2Hunger, Day1, 0.5 hour post-MRI,n=0,0,2Stomach fullness, Day1, pre-MRI,n=0,0,2Stomach fullness, Day1, 0.5 hour post-MRI,n=0,0,2Nausea, Day1, pre- MRI,n=0,0,2Nausea, Day1,0.5 hour post-MRI,n=0,0,2Bloating, Day1, pre-MRI,n=0,0,2Bloating, Day1, 0.5 hour post-MRI,n=0,0,2Abdominal pain, Day1, pre-MRI,n=0,0,2Abdominal pain, Day1,0.5 hour post-MRI,n=0,0,2
Off-therapy MRI29.055.09.00.51.019.01.51.02.01.5

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GI VAS for Assessment of Nausea for Session 2

Participant completed VAS to record their perception of stomach fullness, hunger, nausea, bloating and abdominal pain. The VAS was represented by lines, 100 millimeter in length, anchored with words describing the most negative rating on the left and the most positive rating on the right. Scores ranged from 0 mm to 100 mm. Scores of 0 mm are worst (most negative rating on the left) and scores of 100 mm are best (most positive rating on the right). NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 (Pre-MRI and 0.5 hour post-MRI); Day 4 (Pre-MRI and 0.5 hour post-MRI); and Day 8 (Pre-MRI and 0.5 hour post-MRI)

InterventionScores on scale (Mean)
Hunger, Day1, pre-MRI,n=0,0,2Hunger, Day1,0.5 hour post-MRI,n=0,0,2Stomach fullness, Day1, pre-MRI,n=0,0,2Stomach fullness, Day1, 0.5 hour post-MRI,n=0,0,2Nausea, Day1, pre-MRI,n=0,0,2Nausea, Day1, 0.5 hour post-MRI,n=0,0,2Bloating, Day1, pre-MRI,n=0, 0, 2Bloating, Day1, 0.5 hour post-MRI,n=0,0,2Abdominal pain, Day1, pre-MRI,n=0,0,2Abdominal pain, Day1, 0.5 hour post-MRI,n=0,0,2
Off-therapy MRI54.567.511.57.023.517.56.04.07.54.0

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GI VAS for Assessment of Nausea for Session 2

Participant completed VAS to record their perception of stomach fullness, hunger, nausea, bloating and abdominal pain. The VAS was represented by lines, 100 millimeter in length, anchored with words describing the most negative rating on the left and the most positive rating on the right. Scores ranged from 0 mm to 100 mm. Scores of 0 mm are worst (most negative rating on the left) and scores of 100 mm are best (most positive rating on the right). NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 (Pre-MRI and 0.5 hour post-MRI); Day 4 (Pre-MRI and 0.5 hour post-MRI); and Day 8 (Pre-MRI and 0.5 hour post-MRI)

,
InterventionScores on scale (Mean)
Hunger, Day4, pre-MRI,n=1,1,0Hunger, Day4,0.5 hour post-MRI,n=1,1,0Hunger, Day8, pre-MRI,n=1,1,0Hunger, Day8, 0.5 hour post-MRI,n=1,1,0Stomach fullness, Day4, pre-MRI,n=1,1,0Stomach fullness, Day4,0.5 hour post-MRI,n=1,1,0Stomach fullness, Day8, pre-MRI,n=1,1,0Stomach fullness, Day8,0.5 hour post-MRI,n=1,1,0Nausea, Day4, pre-MRI,n=1,1,0Nausea, Day4,0.5 hour post-MRI,n=1,1,0Nausea, Day8, pre-MRI,n=1,1,0Nausea, Day8, 0.5 hour post-MRI,n=1,1,0Bloating, Day4, pre-MRI,n=1,1,0Bloating, Day4,0.5 hour post-MRI,n=1,1,0Bloating, Day8, pre-MRI,n=1,1,0Bloating, Day8, 0.5 hour post-MRI,n=1,1,0Abdominal pain, Day4, pre-MRI,n=1,1,0Abdominal pain, Day4, 0.5 hour post-MRI,n=1,1,0Abdominal pain, Day8, pre-MRI,n=1,1,0Abdominal pain, Day8, 0.5 hour post-MRI,n=1,1,0
Albiglutide 50 mg2.057.038.053.02.01.011.03.01.00.02.02.02.01.01.02.01.01.01.02.0
Exenatide 10 µg53.066.077.073.00.00.010.013.00.00.048.038.00.00.06.06.00.00.07.06.0

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Motion Sickness Assessment Questionnaire (MSAQ) for Assessment of Nausea for Session 1

Participant completed MSAQ to quantify the severity of different dimensions of nausea induced by motion sickness. There were total 16 items: 4 related to gastro-intestinal (GI), 5 related to central (C), 3 related to peripheral (P) and 4 related to sopite-related (SR). All items were scored individually on a scale of 1-9 where 1 means 'not at all severe' and 9 means 'severe', with higher score indicates more severity. Individual 16 items with their scores are presented. NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 0.5 hour post-MRI; Day 4 0.5 hour post-MRI; and Day 8 0.5 hour post-MRI

InterventionScores on scale (Mean)
C, Felt faint like, Day1,0.5 hr,Post MRI,n=0,0,2C, Felt lightheaded, Day1,0.5 hr,Post MRI,n=0,0,2C, Felt disoriented, Day1,0.5 hr,Post MRI,n=0,0,2C, Felt dizzy, Day1,0.5 hr,Post MRI,n=0,0,2C, Felt spinning, Day1,0.5 hr,Post MRI,n=0,0,2GI, stomach sick, Day1,0.5hr,Post MRI,n=0,0,2GI, felt queasy, Day1,0.5hr,Post MRI,n=0,0,2GI, nauseated, Day1, 0.5hr,Post MRI,n=0,0,2GI, may vomit, Day1,0.5hr,Post MRI,n=0,0,2P, sweaty, Day1,0.5hr,Post MRI,n=0,0,2P, clammy/cold sweat,Day1,0.5hr,Post MRI,n=0,0,2P, hot/warm, Day1,0.5hr,Post MRI,n=0, 0, 2SR,annoyed/irritated,Day1,0.5hr,Post MRI,n=0,0,2SR, drowsy, Day1,0.5hr,Post MRI,n=0,0,2SR, tired/fatigued, Day1,0.5hr,Post MRI,n=0,0,2SR, uneasy, Day1,0.5hr,Post MRI,n=0,0,2
Off-therapy MRI4.05.54.58.05.55.06.56.56.54.54.52.55.01.01.58.0

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Motion Sickness Assessment Questionnaire (MSAQ) for Assessment of Nausea for Session 1

Participant completed MSAQ to quantify the severity of different dimensions of nausea induced by motion sickness. There were total 16 items: 4 related to gastro-intestinal (GI), 5 related to central (C), 3 related to peripheral (P) and 4 related to sopite-related (SR). All items were scored individually on a scale of 1-9 where 1 means 'not at all severe' and 9 means 'severe', with higher score indicates more severity. Individual 16 items with their scores are presented. NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 0.5 hour post-MRI; Day 4 0.5 hour post-MRI; and Day 8 0.5 hour post-MRI

,
InterventionScores on scale (Mean)
C, Felt faint like, Day4,0.5 hr,Post MRI,n=1,1,0C, Felt faint like, Day8, 0.5 hr,Post MRI,n=1,1,0C, Felt lightheaded, Day4,0.5 hr,Post MRI,n=1,1,0C, Felt lightheaded, Day8, 0.5 hr,Post MRI,n=1,1,0C, Felt disoriented, Day4, 0.5 hr,Post MRI,n=1,1,0C, Felt disoriented, Day8, 0.5 hr,Post MRI,n=1,1,0C, Felt dizzy, Day4,0.5 hr,Post MRI,n=1,1,0C, Felt dizzy, Day8,0.5 hr,Post MRI,n=1,1,0C, Felt spinning, Day4,0.5 hr,Post MRI,n=1,1,0C, Felt spinning, Day8, 0.5 hr,Post MRI,n=1,1,0GI, stomach sick, Day4,0.5hr,Post MRI,n=1,1,0GI, stomach sick, Day8,0.5hr,Post MRI,n=1,1,0GI, felt queasy, Day4,0.5hr,Post MRI,n=1,1,0GI, felt queasy, Day8,0.5hr,Post MRI,n=1,1,0GI, nauseated, Day4,0.5hr,Post MRI,n=1,1,0GI, nauseated, Day8,0.5hr,Post MRI,n=1,1,0GI, may vomit, Day4,0.5hr,Post MRI,n=1,1,0GI, may vomit, Day8,0.5hr,Post MRI,n=1,1,0P, sweaty, Day4,0.5 hr,Post MRI,n=1,1,0P, sweaty, Day8, 0.5 hr,Post MRI,n=1,1,0P,clammy/cold sweat,Day4,0.5 hr,Post MRI,n=1,1,0P, clammy/cold sweat,Day8,0.5 hr,Post MRI,n=1,1,0P, hot/warm, Day4,0.5 hr,Post MRI,n=1,1,0P, hot/warm, Day8, 0.5 hr,Post MRI,n=1,1,0SR,annoyed/irritated,Day4,0.5 hr,Post MRI,n=1,1,0SR,annoyed/irritated,Day8, 0.5 hr,Post MRI,n=1,1,0SR, drowsy, Day4, 0.5 hr,Post MRI,n=1,1,0SR, drowsy, Day8, 0.5 hr,Post MRI,n=1,1,0SR, tired/fatigued, Day4,0.5 hr,Post MRI,n=1,1,0SR, tired/fatigued, Day8,0.5 hr,Post MRI,n=1,1,0SR, uneasy, Day4, 0.5 hr,Post MRI,n=1,1,0SR, uneasy, Day8,0.5 hr,Post MRI,n=1,1,0
Albiglutide 50 mg1.02.02.01.03.01.02.01.01.01.01.01.04.01.03.01.01.01.02.02.03.02.01.01.01.01.05.01.04.01.02.01.0
Exenatide 10 µg1.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.02.02.01.02.02.01.01.0

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MSAQ for Assessment of Nausea for Session 2

Participant completed MSAQ to quantify the severity of different dimensions of nausea induced by motion sickness. There were total 16 items: 4 related to gastro-intestinal (GI), 5 related to central (C), 3 related to peripheral (P) and 4 related to sopite-related (SR). All items were scored individually on a scale of 1-9 where 1 means 'not at all severe' and 9 means 'severe', with higher score indicates more severity. Individual 16 items with their scores are presented. NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 0.5 hour post-MRI; Day 4 0.5 hour post-MRI; and Day 8 0.5 hour post-MRI

InterventionScores on scale (Mean)
C, Felt faint like, Day1,0.5 hr Post MRI ,n=0,0,2C, Felt lightheaded, Day1,0.5 hr Post MRI,n=0,0,2C, Felt disoriented, Day1,0.5 hr, Post MRI,n=0,0,2C, Felt dizzy, Day1, 0.5 hr,Post MRI,n=0,0,2C, Felt spinning, Day1,0.5 hr,Post MRI,n=0,0,2GI, stomach sick, Day1,0.5hr,Post MRI, n=0,0,2GI, felt queasy, Day1, 0.5hr post-MRI,n=0,0,2GI, nauseated, Day1,0.5hr,Post MRI,n=0,0,2GI, may vomit, Day1,0.5hr,Post MRI,n=0,0,2P, sweaty, Day1,0.5 hr,Post MRI,n=0,0,2P,clammy/cold sweat,Day1,0.5hr,post-MRI,n=0,0,2P, hot/warm, Day1,0.5 hr, Post-MRI,n=0,0,2SR,annoyed/irritated,Day1,0.5hr, Post-MRI,n=0,0,2SR, drowsy, Day1, 0.5 hr,Post-MRI,n=0,0,2SR, tired/fatigued, Day1,0.5 hr,Post MRI,n=0,0,2SR, uneasy, Day1, 0.5 hr,Post-MRI,n=0,0,2
Off-therapy MRI3.02.02.02.04.05.04.56.02.01.52.01.01.54.04.54.0

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MSAQ for Assessment of Nausea for Session 2

Participant completed MSAQ to quantify the severity of different dimensions of nausea induced by motion sickness. There were total 16 items: 4 related to gastro-intestinal (GI), 5 related to central (C), 3 related to peripheral (P) and 4 related to sopite-related (SR). All items were scored individually on a scale of 1-9 where 1 means 'not at all severe' and 9 means 'severe', with higher score indicates more severity. Individual 16 items with their scores are presented. NA indicates that data were not available as standard deviation could not be calculated due to low number of participants. (NCT02802514)
Timeframe: Day 1 0.5 hour post-MRI; Day 4 0.5 hour post-MRI; and Day 8 0.5 hour post-MRI

,
InterventionScores on scale (Mean)
C, Felt faint like, Day4,0.5 hr Post MRI ,n=1,1,0C, Felt faint like, Day8,0.5 hr,Post MRI,n=1,1,0C, Felt lightheaded, Day4, 0.5 hr Post MRI,n=1,1,0C, Felt lightheaded, Day8, 0.5 hr,Post MRI,n=1,1,0C, Felt disoriented, Day4,0.5 hr Post MRI,n=1,1,0C, Felt disoriented, Day8,0.5 hr,Post MRI,n=1,1,0C, Felt dizzy, Day4,0.5 hr,Post MRI,n=1,1,0C, Felt dizzy, Day8,0.5 hr,Post MRI,n=1,1,0C, Felt spinning, Day4,0.5 hr,Post MRI,n=1,1,0C, Felt spinning, Day8,0.5 hr,Post MRI,n=1,1,0GI, stomach sick, Day4, 0.5hr post-MRI,n=1,1,0GI, stomach sick, Day8,0.5hr,Post MRI,n=1,1,0GI, felt queasy, Day4,0.5hr,Post MRI,n=1,1,0GI, felt queasy, Day8, 0.5h,Post MRI,n=1,1,0GI, nauseated, Day4,0.5hr,Post MRI,n=1,1,0GI, nauseated, Day8,0.5hr,Post MRI, n=1,1,0GI, may vomit, Day4,0.5hr,Post MRI,n=1,1,0GI, may vomit, Day8,0.5 hr,Post MRI,n=1,1,0P, sweaty, Day4, 0.5 hr,Post MRI,n=1,1,0P, sweaty, Day8,0.5 hr,Post MRI,n=1,1,0P, clammy/cold sweat, Day4,0.5 hr,Post MRI,n=1,1,0P,clammy/cold sweat,Day8,0.5hr,Post-MRI,n=1,1,0P, hot/warm, Day4, 0.5 hr,Post-MRI,n=1,1,0P, hot/warm,Day8, 0.5 hr Post-MRI,n=1,1,0SR,annoyed/irritated,Day4,0.5hr,Post-MRI,n=1,1,0SR,annoyed/irritated,Day8,0.5hr,Post MRI,n=1,1,0SR, drowsy, Day4, 0.5 hr,Post-MRI,n=1,1,0SR, drowsy, Day8, 0.5 hr, Post-MRI,n=1,1,0SR, tired/fatigued, Day4,0.5 hr,Post MRI,n=1,1,0SR, tired/fatigued, Day8,0.5 hr,Post MRI,n=1,1,0SR, uneasy, Day4, 0.5 hr,Post MRI,n=1,1,0SR, uneasy, Day8, 0.5 hr,Post MRI,n=1,1,0
Albiglutide 50 mg1.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.01.05.01.04.03.01.01.0
Exenatide 10 µg2.01.02.02.01.01.01.01.01.01.01.01.01.02.01.03.01.01.03.01.03.01.01.01.01.01.01.05.01.03.01.01.0

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Number of Participants With Abnormal Heart Rate for Session 1

Data of participants with abnormal heart rate (measured during site visits by sphygmomanometer) were reported. Participants with low and high heart rate has been presented. Potential clinical concern value for heart rate is < 50 beats per minute to > 120 beats per minute. Safety Population comprised of all participants who received at least one dose of the study treatment. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: -2 hour pre-MRI, 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
Day 4, -2 hr pre-MRI, high, n=1, 1, 0, 0Day 4, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 4, Post MRI 0.5 hr, high, n=1, 1, 0, 0Day 4, 0.5 hr Post MRI, low, n=1, 1, 0, 0Day 4, 1 hr Post MRI, high, n=1, 1, 0, 0Day 4, 1 hr Post MRI, low, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, high, n=1, 1, 0, 0Day 8, -2 hr pre-MRI, low, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, high, n=1, 1, 0, 0Day 8, 0.5 hr Post MRI, low, n=1, 1, 0, 0
Albiglutide 50 mg0000000000

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Number of Participants With Abnormal SBP and DBP for Session 2

SBP and DBP were measured in supine position after 5 minutes rest. Data for Session 1 and 2 and for Pre and Post MRI has been presented. Potential clinical concern value for SBP is <100 millimeters of mercury (mmHg) and >170 mmHg. Potential clinical concern value for DBP is <50 mmHg and >110 mmHg. (NCT02802514)
Timeframe: Day 1: pre-MRI, 0.5 hour post-MRI; Day 4: -2 hours pre-MRI, 0.5 and 1 hour post MRI; Day 5; Day 8: 0.5 and 1 hour post-MRI

InterventionParticipants (Count of Participants)
SBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0SBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,0.5 hr post MRI, low, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , high, n=1,1, 0, 0SBP, Day 4,1 hr post MRI , low, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, high, n=1,1, 0, 0SBP, Day 8,0.5 hr Post MRI, low, n=1,1, 0, 0SBP, Day 8,1 hr Post MRI, high, n= 0,1, 0, 0SBP, Day 8,1 hr post MRI , low, n= 0,1, 0, 0DBP, Day 4,-2 hr pre-MRI, high, n=1,1, 0, 0DBP, Day 4,-2 hr pre-MRI, low, n=1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, high,n= 1,1, 0, 0DBP, Day 4,0.5 hr Post MRI, low,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI, high,n= 1,1, 0, 0DBP, Day 4,1 hr post MRI , low,n= 1,1, 0, 0DBP, Day 8, 0.5 hr post MRI ,high, n=1,1,0, 0DBP, Day 8, 0.5 hr post MRI, low, n= 1,1, 0, 0DBP, Day 8, 1 hr post MRI, high, n=0,1, 0, 0DBP, Day 8, 1 hr post MRI, low, n=0,1, 0, 0
Exenatide 10 µg00000000000000000000

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Number of Participants With Abnormal Clinical Chemistry Parameters

Clinical chemistry parameters included assessment of blood urea nitrogen (BUN), creatinine, epidermal growth factor receptor (eGRF), potassium, sodium, calcium, Aspartate transaminase (AST), Alanine transaminase (AST), Alkaline phosphatase, total and direct bilirubin, total protein and albumin. (NCT02802514)
Timeframe: Up to Week 11

InterventionParticipants (Count of Participants)
Albiglutide 50 mg0
Exenatide 10 µg0

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Number of Participants With Abnormal Glycemic Parameters

Glycemic parameters included assessment of capillary blood glucose and fasting plasma glucose. (NCT02802514)
Timeframe: Up to Week 11

InterventionParticipants (Count of Participants)
Albiglutide 50 mg0
Exenatide 10 µg0

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Number of Participants With Abnormal Hematology Parameters

Hematology parameters included assessment of platelet count, red blood cell (RBC) count, hemoglobin, hemotocrit, RBC indices including mean corpuscular volume and mean corpuscular hemoglobin (MCH), and White blood cells (WBC) count with differential count including, neutrophils, lymphocytes, monocytes, eosinophils and basophils. (NCT02802514)
Timeframe: Up to Week 11

InterventionParticipants (Count of Participants)
Albiglutide 50 mg0
Exenatide 10 µg0

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Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Open-Label)

Change from baseline in glucose infusion rate (GIR) will be determined for each subject at the end of open-label treatment. Subjects with a decrease in GIR ≥ 33% will be considered to have had a clinically meaningful treatment response. (NCT02937558)
Timeframe: Baseline to the end of open-label treatment at 72 hours

InterventionParticipants (Count of Participants)
CSI-Glucagon4
Placebo0

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Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Double-Blind)

Change from baseline in glucose infusion rate (GIR) will be determined for each subject at 24 and 48 hours from the start of blinded treatment. Subjects with a decrease in GIR ≥ 20% at 24 hours, and ≥ 33% at 48 hours will be considered to have had a clinically meaningful treatment response. (NCT02937558)
Timeframe: Baseline to end of blinded treatment at 24 or 48 hours

InterventionParticipants (Count of Participants)
CSI-Glucagon2
Placebo0

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Percent Change in Glucose Infusion Rate (Open-Label)

The groups will be compared for mean percent change in GIR from baseline to the end of the open-label study phase. (NCT02937558)
Timeframe: Baseline to end of treatment at 72 hours

Intervention% change (Mean)
CSI-Glucagon-51.2

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Percent Change in GIR (Double-Blind)

The groups will be compared for mean percent change in GIR from baseline to the end of the double-blind study phase. (NCT02937558)
Timeframe: Baseline to the end of blinded treatment at 24 or 48 hours

Intervention% change (Mean)
CSI-Glucagon-50.1
Placebo1.9

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Severity of Nausea on Daily E-mail Survey

The visual analog scale (VAS) is a psychometric response scale which can be used in questionnaires. We used a simple VAS is a straight horizontal line of fixed length measuring 0-100mm with subscale markings every 10mm. The ends are defined as the extreme limits of the parameter to be measured (nausea) orientated from the left (least severity or 0) to the right (most severity or 100mm). Subjects can mark their response anywhere from 0 to 100mm. The mean severity of nausea for the group in each arm was calculated by averaging all responses in either arm. (NCT02966275)
Timeframe: 14 days

Interventionmillimeters (Mean)
Glucagon-only Bionic Pancreas - Glucagon0.5
Glucagon-only Bionic Pancreas - Placebo0.5

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Total Number of Grams of Carbohydrate Taken for Hypoglycemia Per Day

Calculated from daily email survey (NCT02966275)
Timeframe: 14 days

Interventiongrams (Mean)
Glucagon-only Bionic Pancreas - Glucagon24.09
Glucagon-only Bionic Pancreas - Placebo22.56

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Total Glucagon Dosing (mcg/kg/24 Hours)

(NCT02966275)
Timeframe: 2 weeks

Interventionmcg/kg/day (Mean)
Glucagon-only Bionic Pancreas - Glucagon8.34
Glucagon-only Bionic Pancreas - Placebo10.1

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Area Over the Curve and <60 mg/dl (CGM) Measured in mg/dl *Min

The measure for area over the curve is used when an integrated assessment (e.g., a measurement of something over a specific amount of time) is more useful in understanding a phenomenon. To calculate this measure, a method of approximation is often used. One way would be to estimate the curve via curve-fitting techniques. For this outcome, using area over the curve and <60mg/dl provides a more robust method of calculating amount of hypoglycemia (by including more severe degrees of hypoglycemia in the product of mg/dl*min as opposed to percentage of time below 60mg/dl. (NCT02966275)
Timeframe: 14 days

Interventionmg/dl *minute (Mean)
Glucagon-only Bionic Pancreas - Glucagon1066.30
Glucagon-only Bionic Pancreas - Placebo2004.80

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Fraction of Time Spent Within the Glucose Range >250 mg/dl

(NCT02966275)
Timeframe: 2 weeks

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon0.35
Glucagon-only Bionic Pancreas - Placebo0.10

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Mean Absolute Relative Deviation (MARD) of CGM vs. All StatStrip Xpress BG Measurements

MARD is computed using the difference between the CGM readings and the values measured at the same time by the reference measurement system. The mean (or average) of all the absolute relative deviations produces the MARD. In this study, the reference measurement system was the StatStrip Xpress meter, to which the CGM values were compared. (NCT02966275)
Timeframe: 14 days

Interventionpercent difference (Mean)
All Randomized Participants14.2

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Mean Continuous Glucose Monitor (CGM) Glucose

(NCT02966275)
Timeframe: 2 weeks

Interventionmg/dl (Mean)
Glucagon-only Bionic Pancreas - Glucagon112.3
Glucagon-only Bionic Pancreas - Placebo110.2

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Number of Carbohydrate Interventions for Hypoglycemia Per Day

Number of carbohydrate interventions for hypoglycemia per day calculated from daily email survey (NCT02966275)
Timeframe: 14 days

Interventioninterventions/day (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.17
Glucagon-only Bionic Pancreas - Placebo1.32

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Number of Days With Nausea

Number of days with nausea calculated from daily survey (NCT02966275)
Timeframe: 14 days

Interventiondays (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.1
Glucagon-only Bionic Pancreas - Placebo1.1

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Number of Symptomatic Hypoglycemia Events Per Day

Number of symptomatic hypoglycemia events per day calculated from daily email survey (NCT02966275)
Timeframe: 14 days

Interventionevents per day (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.37
Glucagon-only Bionic Pancreas - Placebo1.56

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Percentage of Days When Participants Correctly Guessed Intervention (Glucagon vs Placebo) Out of a Total of 14 Days.

(NCT02966275)
Timeframe: 2 weeks

Interventionpercentage of days (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.9
Glucagon-only Bionic Pancreas - Placebo1.4

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Percentage of Time Spent Within the Glucose Range >180 mg/dl

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon4.27
Glucagon-only Bionic Pancreas - Placebo4.81

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Percentage of Time Spent Within the Glucose Range 70-120 mg/dl

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon66.53
Glucagon-only Bionic Pancreas - Placebo63.41

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Percentage of Time Spent Within the Glucose Range 70-180 mg/dl

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon92.67
Glucagon-only Bionic Pancreas - Placebo89.31

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Percentage of Time With CGM Glucose Less Than 60 mg/dl During Daytime ( 7:00 AM-11:00 PM)

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.43
Glucagon-only Bionic Pancreas - Placebo1.47

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Percentage of Time With CGM Glucose Less Than 60 mg/dl Overnight (11:00 PM - 7:00 AM)

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon0.93
Glucagon-only Bionic Pancreas - Placebo3.95

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Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time Continuous Glucose Monitoring (CGM) Data

Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis. (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of time functioning nominally (Mean)
Part 1, ZP420795.41
Part 1, Lilly Glucagon94.26

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Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured

Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis. (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of time functioning nominally (Mean)
Part 1, ZP420797.86
Part 1, Lilly Glucagon96.31

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CGM Mean Absolute Relative Difference Versus Time-stamped Blood Glucose (BG) Values From Meter Download

Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis. (NCT02971228)
Timeframe: 16 hours

Interventionmg/dL (Mean)
Part 1, ZP420712.6
Part 1, Lilly Glucagon12.7

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Nausea Measured on a Visual Analog Scale (VAS)

The VAS scale was used to measure nausea at the end of the visit (16 hours) for patients in both treatment groups. The VAS was a psychometric response scale used to measure subjective characteristics of nausea. Patients marked a location on a 0 to 10-cm line that corresponded to the amount of nausea being experienced, with low scores (cm) indicating no feelings of nausea and high scores (cm) indicating high feelings of nausea. Actual values are shown. The maximum values in both groups were recorded at hour 6, the start of the exercise period. (NCT02971228)
Timeframe: 16 hours

,
Interventioncm (Mean)
BaselineHour 1Hour 2Hour 3Hour 4Hour 5Hour 6Hour 7Visit end (16 hours)
Part 1, Lilly Glucagon0.000.000.000.040.000.090.180.000.00
Part 1, ZP42070.000.120.000.110.000.020.290.000.11

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CGM Reliability Index, Calculated as Percentage of Possible Values Actually Recorded by CGM

Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis. (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of recorded values (Mean)
Part 1, ZP420797.55
Part 1, Lilly Glucagon97.94

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Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis. (NCT02971228)
Timeframe: 16 hours

InterventionPercentage of treatment delivered (Mean)
Part 1, ZP420796.73
Part 1, Lilly Glucagon97.01

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Pain Measured on a Visual Analog Scale (VAS)

The VAS scale was used to measure pain at the end of the visit (16 hours) for patients in both treatment groups. The VAS was a psychometric response scale used to measure subjective characteristics of pain. Patients marked a location on a 0 to 10-cm line that corresponded to the amount of pain being experienced, with low scores (cm) indicating no feelings of pain and high scores (cm) indicating high feelings of pain. Actual values are shown. The maximum value in the Lilly glucagon group was recorded at hour 3. (NCT02971228)
Timeframe: 16 hours

,
Interventioncm (Mean)
BaselineHour 1Hour 2Hour 3Hour 4Hour 5Hour 6Hour 7Visit end (16 hours)
Part 1, Lilly Glucagon0.010.000.000.060.000.000.000.020.00
Part 1, ZP42070.000.000.000.000.000.000.000.000.00

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Safety and Tolerability as Measured by Adverse Events, Local Tolerability of Infusion Site Reactions, and Clinical Laboratory Parameters

"Safety and tolerability of ZP4207 in the BP using either the iPhone or the iLet platform, as measured by adverse events (AEs), local tolerability of infusion site reactions, and clinical laboratory parameters.~See adverse events section for results on AEs by system organ class and preferred term. Clinical laboratory parameters in terms of overall 'investigations' AEs and abnormal hematology parameters that did not resolve by the follow-up visit are presented below. LLN = lower limit of the normal range. Investigations and vital signs AEs by preferred term are presented in the AE section.~Participants with infusion site pain and nausea measured by visual analog scales (VAS) are presented below; mean values are presented under secondary outcomes. For the VAS, individuals marked on a 10-cm line corresponding to the amount of pain or nausea being experienced, with low scores (cm) indicating no feelings of pain or nausea and high scores (cm) indicating high feelings of pain or nausea." (NCT02971228)
Timeframe: Up to 50 days

,
InterventionParticipants (Count of Participants)
Participants with AEsParticipants with antibodiesParticipants with edema infusion site reactionsParticipants with erythema infusion site reactionsParticipants with investigations AEsParticipants with erythrocytes Participants with hematocrit Participants with hemoglobin Participants with lymphocytes Participants with infusion site pain (VAS)Participants with nausea (VAS)Participants with vascular disorders
Part 1, Lilly Glucagon1200021121221
Part 1, ZP4207800020000041

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Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis. (NCT02971228)
Timeframe: 16 hours

InterventionPercentage of treatment delivered (Mean)
Part 1, ZP420798.36
Part 1, Lilly Glucagon97.73

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Glycemic Regulation

Measure glycemic regulation, including hypoglycemia exposure (percent of time spent with continuous glucose monitor [CGM] glucose<60mg/dL) (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of time points (Mean)
Part 1, ZP420712.78
Part 1, Lilly Glucagon17.60

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Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Calibration Issues

Technical faults in terms of calibration issues were listed by patient. (NCT02971228)
Timeframe: 16 hours

InterventionParticipants (Count of Participants)
Part 1, ZP42079
Part 1, Lilly Glucagon11

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Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Connectivity Issues

Technical faults related to connectivity issues were listed (NCT02971228)
Timeframe: 16 hours

InterventionParticipants (Count of Participants)
Part 1, ZP42073
Part 1, Lilly Glucagon2

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Change in Plasma Glucose

The primary endpoint for this study is an evaluation of change in plasma glucose following treatment with G-Pen, with an emphasis on the increase from baseline to 30 minutes post-dosing. (NCT03091673)
Timeframe: 0-30 minutes

Interventionmg/dL (Mean)
Subjects 2 to <6 Years of Age81.4
Subjects 6 to <12 Years of Age84.2
Subjects 12 to <18 Years of Age54.0

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Plasma Glucagon Area Under the Curve

Plasma glucagon area under the curve (AUC) for each age cohort will be analyzed descriptively. (NCT03091673)
Timeframe: 0-90 minutes

Interventionmin*mg/dL (Mean)
Subjects 2 to <6 Years of Age14440.8
Subjects 6 to <12 Years of Age14392.3
Subjects 12 to <18 Years of Age13105.5

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Plasma Glucagon Cmax

Plasma glucagon maximum concentration for each age cohort will be analyzed descriptively. (NCT03091673)
Timeframe: 0-180 minutes

Interventionmg/dL (Mean)
Subjects 2 to <6 Years of Age202.3
Subjects 6 to <12 Years of Age216.3
Subjects 12 to <18 Years of Age199.0

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Time for Plasma Glucose to Increase by ≥25 mg/dL

Time for plasma glucose to increase by ≥25 mg/dL from baseline will be analyzed descriptively for each age cohort. (NCT03091673)
Timeframe: 0-90 minutes

Interventionminutes (Mean)
Subjects 2 to <6 Years of Age16.4
Subjects 6 to <12 Years of Age16.2
Subjects 12 to <18 Years of Age26.6

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Plasma Glucagon Tmax

Plasma glucagon time to maximum concentration for each age cohort will be analyzed descriptively. (NCT03091673)
Timeframe: 0-180 minutes

Interventionminutes (Mean)
Subjects 2 to <6 Years of Age66.6
Subjects 6 to <12 Years of Age68.5
Subjects 12 to <18 Years of Age81.2

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <55 mg/dL

Prevention of meal / provoked hypoglycemia, defined as plasma glucose levels below <55 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase5

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Time to Nadir Sensor Glucose After Mixed Meal (Min)

(NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase156
Placebo / Control Phase134

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Time to Nadir Plasma Glucose After Mixed Meal (Min)

(NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase138
Placebo / Control Phase125

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Time to Delivery (Min)

Time to delivery (min) of study drug during mixed meal testing (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase94
Placebo / Control Phase89.3

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Time to Alarm During Mixed Meal Testing (Minutes)

Time to alarm represents the time for the first alarm to occur during mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase89.9
Placebo / Control Arm87.7

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Sensor Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)

This is the sensor glucose at which time the first alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase134
Placebo / Control Phase139

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Sensor Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)

This is the sensor glucose at which time the second alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase85.7
Placebo / Control Arm70.1

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Percent Time Plasma Glucose in Range After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response

Compare outcomes for glucagon versus vehicle infusions for percent time plasma glucose in range (180-65mg/dL) after the final dose, which was either 1 or 2 doses depending on patient response (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionpercentage of time (Mean)
Study Drug (Glucagon) Phase0.852
Placebo / Control Phase0.645

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Pain Score at Time of Second Dose Delivery of Study Drug, Versus Pain Score at Time of Second Dose Delivery of Placebo (Comparing Second Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).

Pain score was assessed verbally, 1 is the least pain (none), 10 is the most severe pain. Pain score at the time of the second administration was compared for the visit where the participant received the study drug vs. the visit where the participant received the placebo. A participant could receive 2 doses of the study drug or placebo at each visit. All 12 participants completed both the study drug phase and the placebo phase. The pain scores from the second administration of study drug vs. second administration of placebo for these two visits were compared. Whether the participant was assigned to the study drug glucagon (vs. placebo) at the first or second MMTT was determined by randomization. (NCT03255629)
Timeframe: The two study visits where participants were administered either study drug or placebo took place over 2 weeks (there was a 1 to 2 week washout period between visits).

Interventionpain score (Mean)
Study Drug (Glucagon) Phase1.14
Placebo / Control Phase1.31

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Pain Score at Time of First Dose Delivery of Study Drug, Versus Pain Score at Time of First Dose Delivery of Placebo (Comparing First Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).

Pain score was assessed verbally, 1 is the least pain (none), 10 is the most severe pain. Pain score at the time of the first administration was compared for the visit where the participant received the study drug vs. the visit where the participant received the placebo. A participant could receive 2 doses of the study drug or placebo at each visit. All 12 participants completed both the study drug phase and the placebo phase. The pain scores for the first administration of study drug vs. first administration of placebo for these two visits were compared. Whether the participant was assigned to the study drug glucagon (vs. placebo) at the first or second MMTT was determined by randomization. (NCT03255629)
Timeframe: The two study visits where participants were administered either study drug or placebo took place over 2 weeks (there was a 1 to 2 week washout period between visits).

Interventionpain score (Mean)
Study Drug (Glucagon) Phase4.00
Placebo / Control Phase3.83

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Number of Participants With Rebound Hyperglycemia (Defined as Glucose Levels Above 180 mg/dl).

Compare outcomes for glucagon versus vehicle infusions for prevention of rebound hyperglycemia (defined as glucose levels above 180 mg/dl). (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge will be conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase0

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <65 mg/dL

A primary endpoint for this study is the prevention of meal provoked hypoglycemia, defined as sensor glucose levels below <65 mg/dl, comparing study drug to control. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionparticipants (Number)
Study Drug (Glucagon) Phase1
Placebo / Control Phase5

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <60 mg/dL

Prevention of meal / provoked hypoglycemia, defined as sensor glucose levels below <60 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase1
Placebo / Control Phase3

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <55 mg/dL

Prevention of meal / provoked hypoglycemia, defined as sensor glucose levels below <55 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase0

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <65 mg/dL

A primary endpoint for this study is prevention of meal provoked hypoglycemia, defined as plasma glucose levels below <65 mg/dl, comparing study drug to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase1
Placebo / Control Phase4

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <60 mg/dL

Prevention of meal / provoked hypoglycemia, defined as plasma glucose levels below <60 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase3

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Number of Participants With Hypoglycemia Rescue Administered

Protocol-specified rescue delivery of IV glucose was performed if plasma glucose <55 mg/dL and/or significant neuroglycopenia developed. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase7

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Meal Provoked Nadir Sensor Glucose

Nadir sensor glucose (mg/dl) during meal testing, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase72.7
Placebo / Control Phase65.3

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Meal Provoked Nadir Plasma Glucose

Nadir plasma glucose (mg/dl) during meal testing, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase67.4
Placebo / Control Phase58.5

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Capillary Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)

This is the capillary glucose at which time the second alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase94.2
Placebo / Control Phase91.7

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Capillary Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)

This is the capillary glucose at which time the first alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase98.1
Placebo / Control Phase109

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Percent Time Sensor Glucose in Range After Drug Delivery After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response

Compare outcomes for glucagon versus vehicle infusions for percent time sensor glucose in range (180-65mg/dL) after the final dose, which was either 1 or 2 doses depending on patient response (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionpercentage of time (Mean)
Study Drug (Glucagon) Phase0.987
Placebo / Control Phase0.815

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Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax)

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, and 90 minutes after glucagon administration

InterventionMilligrams per deciliter (mg/dL) (Geometric Mean)
Nasal Glucagon (NG)132
IM Glucagon161

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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Tlast (AUC[0-tlast]) of Baseline Adjusted Glucagon

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, and 240 minutes after glucagon administration

Interventionpicogram*hour per millilitre (pg*hr/mL) (Geometric Mean)
Nasal Glucagon (NG)2740
IM Glucagon3320

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PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, and 240 minutes after glucagon administration

Interventionpicograms per millilitre (pg/mL) (Geometric Mean)
Nasal Glucagon (NG)6130
IM Glucagon3750

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PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, and 240 minutes after glucagon administration

InterventionHour (hr) (Median)
Nasal Glucagon (NG)0.25
IM Glucagon0.25

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PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, and 90 minutes after glucagon administration

InterventionHour (hr) (Median)
Nasal Glucagon (NG)1.00
IM Glucagon1.50

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Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia

Treatment success is defined as an increase in plasma glucose to greater than or equal to (≥) 70 milligrams per deciliter (mg/dL) or an increase of ≥20 mg/dL from plasma glucose nadir, without receiving additional actions to increase the plasma glucose concentration. Nadir is defined as the minimum plasma glucose concentration at the time of or within 10 minutes following glucagon administration. (NCT03339453)
Timeframe: Pre-dose up to 30 minutes post each glucagon administration

InterventionParticipants (Count of Participants)
Nasal Glucagon (NG)66
IM Glucagon66

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Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax) of Glucagon Nasal Powder and Glucagon Hydrochloride Intramuscular (IM)

PD assessment measured the change from Baseline in maximal blood glucose (BGmax) of Glucagon Nasal Powder and Glucagon Hydrochloride intramuscular (IM). (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionmilligram/deciliter (mg/dL) (Geometric Mean)
Glucagon Nasal Powder113
Glucagon Hydrochloride Solution119

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PK: Change From Baseline in Tmax of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PK assessment measured the change from baseline in Tmax of Glucagon Nasal Powder and Glucagon Hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionhour (h) (Median)
Glucagon Nasal Powder0.25
Glucagon Hydrochloride Solution0.17

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PD: Time to Maximal Concentration (Tmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PD assessment measured the time to maximal concentration (Tmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionhour (Median)
Glucagon Nasal Powder1.00
Glucagon Hydrochloride Solution1.50

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Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia

Percentage of participants who achieved treatment success during the controlled insulin-induced hypoglycemia in participants with type 1 diabetes mellitus (T1DM) and participants with type 2 diabetes mellitus (T2DM).Treatment success is defined as an increase in plasma glucose to greater than or equal to (≥) 70 milligrams per deciliter (mg/dL) or an increase of ≥20 mg/dL from plasma glucose nadir, without receiving additional actions to increase the plasma glucose concentration. Nadir is defined as the minimum plasma glucose concentration at the time of or within 10 minutes following glucagon administration. (NCT03421379)
Timeframe: Pre-dose up to 30 minutes post each glucagon administration

Interventionpercentage of participants (Number)
Glucagon Nasal Powder100
Glucagon Hydrochloride Solution100

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Pharmacokinetics (PK): Change From Baseline in Area Under the Concentration Versus Time Curve From Zero to Time t (AUC [0-tLast]) of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PK assessment measured the change from baseline in the area under the concentration versus time curve from time zero to time t, where t is the last time point with a measurable concentration of Glucagon Nasal Powder and Glucagon Hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

InterventionPicogram*hour/milliliter (pg*h/mL) (Geometric Mean)
Glucagon Nasal Powder4830
Glucagon Hydrochloride Solution3240

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PK: Change From Baseline in Maximal Concentration (Cmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PK assessment measured the change from baseline in maximal concentration (Cmax) of glucagon nasal powder and glucagon hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionpicogram/milliliter (pg/mL) (Geometric Mean)
Glucagon Nasal Powder9520
Glucagon Hydrochloride Solution3290

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Time to Resolution of the Feeling of Hypoglycemia

"Time from administration of glucagon to resolution of the overall sensation of hypoglycemia. Subjects were asked to answer yes/no to the question, Do you feel hypoglycemic? The time point as which the subject first answered no was considered the time of resolution." (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen11.6
Lilly Glucagon13.1

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Time to Resolution of Neuroglycopenic Symptoms

Time from administration of glucagon to complete resolution of 4 neuroglycopenic symptoms of hypoglycemia. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness. (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen14.2
Lilly Glucagon12.2

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Time to Resolution of Autonomic Symptoms

Time from administration of glucagon to complete resolution of 4 autonomic symptoms of hypoglycemia. Symptoms included: sweating, tremor, palpitations and feeling of nervousness. (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen13.8
Lilly Glucagon12.0

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Time for Positive Glucose Response

Time from administration of glucagon for plasma glucose to rise from below 50.0 mg/dL to above 70.0 mg/dL (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen12.17
Lilly Glucagon8.58

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Time for Positive Glucose Increase

Time from administration of glucagon for plasma glucose to increase by ≥20 mg/dL from baseline (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen11.36
Lilly Glucagon8.02

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Number of Subjects With Relief of Neuroglycopenic Symptoms

Clearance of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after receiving glucagon. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness. (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen74
Lilly Glucagon77

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Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Relief of Neuroglycopenic Symptoms

A positive response for this endpoint is a return of plasma glucose to > 70 mg/dL or clearance of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after receiving glucagon. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness. (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Positive Glucose Increase

A positive response for this endpoint is a return of plasma glucose to > 70 mg/dL or an increase in plasma glucose by ≥20 mg/dL within 30 minutes after receiving glucagon (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Number of Subjects With a Positive Glucose Response

Increase in plasma glucose concentration from below 50.0 mg/dL to greater than 70.0 mg/dL within 30 minutes after receiving glucagon (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Glucose Tmax

Time to maximum concentration of plasma glucose. Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose. (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen125.67
Lilly Glucagon113.89

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Glucose Cmax

Maximum concentration of plasma glucose. (NCT03439072)
Timeframe: 0 to 180 minutes post dose - Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.

Interventionmg/dL (Mean)
G-Pen238.32
Lilly Glucagon228.11

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Glucose AUC

Area under the curve for plasma glucose. (NCT03439072)
Timeframe: 0 to 180 minutes post dose - Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.

Interventionmg∙min/dL (Mean)
G-Pen33686.04
Lilly Glucagon33538.60

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Glucagon Preparation and Administration Time

"Time required to prepare and inject glucagon as measured between a decision to dose and completion of the injection" (NCT03439072)
Timeframe: 0 to 5 minutes pre-dose

Interventionseconds (Mean)
G-Pen27.3
Lilly Glucagon97.2

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Number of Subjects With a Positive Glucose Increase

Increase in plasma glucose by ≥ 20.0 mg/dL within 30 minutes after receiving glucagon (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Plasma Epinephrine

Plasma epinephrine concentration after 30 minutes of induced hypoglycemia. Change from baseline to the end of treatment will be assessed. (NCT03490942)
Timeframe: 0-30 minutes

InterventionPg/mL (Mean)
CSGI High Infusion Rate100.0
CSGI Low Infusion Rate144.4
Placebo High Infusion Rate167.3

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Severe Hypoglycemia Rescue

Number of subjects with an increase in plasma glucose concentration from below 54 mg/dL (3 mmol/L) to greater than 70 mg/dL (3.89 mmol/L) or an increase in plasma glucose concentration > 20 mg/dL (> 1.11 mmol/L) within 30 minutes after administration of glucagon (NCT03738865)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen127
Novo Glucagon123

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Administration Time

Mean time (minutes) to administer study drug from a decision to dose (NCT03738865)
Timeframe: At 0-10 minutes from a decision to administer study drug

Interventionminutes (Mean)
G-Pen0.79
Novo Glucagon1.76

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Hypoglycemia Resolution

Mean time (minutes) to complete resolution of the overall sensation of hypoglycemia from a decision to dose (NCT03738865)
Timeframe: At 0-90 minutes following administration of study drug

Interventionminutes (Mean)
G-Pen15.69
Novo Glucagon15.32

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Plasma Glucose Response 1

Number of subjects with an increase in plasma glucose concentration from below 54 mg/dL (3 mmol/L) to greater than 70 mg/dL (3.89 mmol/L) within 30 minutes of a decision to dose (NCT03738865)
Timeframe: At 30 minutes following a decision to administer study drug

InterventionParticipants (Count of Participants)
G-Pen127
Novo Glucagon123

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Plasma Glucose Response 2

Number of subjects with an increase in plasma glucose concentration > 20 mg/dL (> 1.11 mmol/L) after administration of glucagon. (NCT03738865)
Timeframe: At 0-30 minutes following a decision to administer study drug

InterventionParticipants (Count of Participants)
G-Pen127
Novo Glucagon123

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Average Time for Trained Users to Successfully Administer One Device Over the Other

Average time for trained users who found both devices to successfully administer one rescue device over the other in Part A. (NCT03765502)
Timeframe: Part A: Day 8 and Days 15-17

Interventionseconds (Mean)
Nasal Glucagon (NG)47.3
Glucagon Emergency Kit (GEK)81.8

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Percentage of Participants (Trained and Untrained Users) That Prefer One Device Over the Other

Overall preference was measured via the Rescue Device Preference (RDP) questionnaire completed by Trained and Untrained participant users. Participants rated their preference for NG or GEK by choosing one of five radio buttons: Strongly prefer NG, prefer NG, no preference, prefer GEK, strongly prefer GEK. Data here represents pooling for Part A and Part B. (NCT03765502)
Timeframe: Part A: Days 8-9; Day 15-17 and Part B: Day 1; Days 8-9

,
Interventionpercentage of participants (Number)
Strongly Prefer Nasal GlucagonPrefer Nasal GlucagonNo PreferencePrefer Injectable GlucagonStrongly Prefer Injectable Glucagon
Part A (Trained)58.122.66.56.56.5
Part B (Untrained)71.022.63.20.03.2

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Percentage of Participants Trained and Untrained Users That Find One Device Easy to Use Over the Other

Ease of use was measured via the Individual Rescue Device Ease of Use (RDEU) Questionnaire by Trained and Untrained Participants. Participants answered three questions about ease of use for each device by choosing one of five radio buttons: Strongly disagree, disagree, neither disagree nor agree, agree, strongly agree. Data here represents pooling of Simulation 1 for Part A and Part B. (NCT03765502)
Timeframe: Part A: Days 15 -17 and Part B: Days 8 - 9

,
Interventionpercentage of participants (Number)
Strongly Prefer Nasal GlucagonPrefer Nasal GlucagonNo PreferencePrefer Injectable GlucagonStrongly Prefer Injectable Glucagon
Part A (Trained)48.429.09.76.53.2
Part B (Untrained)80.616.10.00.03.2

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Percentage of Participants (PWD) That Prefer One Device Over the Other

Preference was measured by the PWD overall feeling of being safer during a severe low blood sugar event using Rescue Device Preference-Associated Person (RDP-AP). Participants rated their preference for NG or GEK by choosing one of five radio buttons: Strongly prefer NG, prefer NG, no preference, prefer GEK, strongly prefer GEK. (NCT03765502)
Timeframe: Part A: Days 15 - 17

Interventionpercentage of participants (Number)
Strongly Prefer Nasal GlucagonPrefer Nasal GlucagonNo PreferencePrefer Injectable GlucagonStrongly Prefer Injectable Glucagon
Participant With Diabetes (PWD)78.112.53.10.06.3

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Percentage of Untrained Users That Perform a Successful Administration for Each Device

Percentage of untrained users who found both devices and performed a successful administration of both rescue devices for both simulations. (NCT03765502)
Timeframe: Part B: Day 1 and Days 8-9

Interventionpercentage of participants (Number)
Nasal Glucagon (NG)90.9
Glucagon Emergency Kit (GEK)0

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Percentage of Trained Users That Performed a Successful Administration for Each Device

Percentage of trained users who found both devices and performed a successful administration of both rescue devices for both simulations. (NCT03765502)
Timeframe: Part A: Days 8 - 9 and Days 15 - 17

Interventionpercentage of participants (Number)
Nasal Glucagon (NG)90.3
Glucagon Emergency Kit (GEK)15.6

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Average Time for Untrained Users to Successfully Administer One Device Over the Other

Average time for untrained users who found both devices to successfully administer one rescue device over the other in Part B. To successfully administer either NG or GEK, a participant must complete all of the critical steps for each device, and administer a complete dose. (NCT03765502)
Timeframe: Part B: Day 1 and Days 8-9

Interventionseconds (Mean)
Nasal Glucagon Device (NG)44.5
Glucagon Emergency Kit (GEK)NA

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Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"Time since diagnosis of type 2 diabetes (T2D) according to T2D medication for the patients who were initiated on T2D medication by diabetologist is reported.~Time since diagnosis of T2D (years) was calculated by subtracting the year of T2D diagnosis from the year of registration. Year of registration was defined as the year patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Diabetologist10.7
Patients Initiated on DPP4i by Diabetologist10.4
Patients Initiated on GLP-1 RA by Diabetologist10.1
Patients Initiated on Other SGLT2i by Diabetologist10.1

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Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"Time since diagnosis of type 2 diabetes (T2D) according to T2D medication for the patients who were initiated on T2D medication by cardiologist is reported.~Time since diagnosis of T2D (years) was calculated by subtracting the year of T2D diagnosis from the year of registration. Year of registration was defined as the year patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Cardiologist6.7
Patients Initiated on DPP4i by Cardiologist9.7
Patients Initiated on GLP-1 RA by Cardiologist6.0
Patients Initiated on Other SGLT2i by Cardiologist10.9

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Number of Patients With Documentation of Estimated Glomerular Filtration Rate (eGFR) / Urine Albumin Creatinine Ratio (UACR) Status

Number of patients with documentation of estimated Glomerular Filtration Rate (eGFR) / Urine Albumin Creatinine Ratio (UACR) status is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe3175

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Number of Patients With Chronic Kidney Disease (CKD) by Physician's Assessment

Number of patients with chronic kidney disease (CKD) by physician's assessment (patients for whom CKD was reported as a comorbidity) is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe586

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Number of Patients With Chronic Kidney Disease (CKD) by Estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) Status

Number of patients with Chronic Kidney Disease (CKD) by estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) status is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe886

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Number of Patients With Chronic Kidney Disease (CKD) by eGFR and UACR Status According to Prescribing Specialist

Number of patients with chronic kidney disease (CKD) by estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) status - according to prescribing specialist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
Patients Initiated on T2D Medication by Endocrinologist508
Patients Initiated on T2D Medication by Diabetologist358
Patients Initiated on T2D Medication by Cardiologist20

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Number of Patients With Any Type of Cardiovascular Disease (CVD)

Number of patients with cardiovascular disease (CVD) is reported. Patients with cardiovascular disease were considered patients for whom 'History of acute myocardial infarction', 'History of cardiology intervention', 'Ischemic heart disease', 'Congestive heart failure', 'History of stroke' or 'Peripheral arterial disease', were documented as comorbidities. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe1485

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Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

Clinical parameter relevant for Type 2 Diabetes (T2D): Percentage of glycosylated hemoglobin (HbA1c [%]) according to T2D medication for the patients who were initiated on T2D medication by endocrinologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionpercentage of glycosylated hemoglobin (Mean)
Patients Initiated on Empagliflozin by Endocrinologist8.5
Patients Initiated on DPP4i by Endocrinologist8.1
Patients Initiated on GLP-1 RA by Endocrinologist8.2
Patients Initiated on Other SGLT2i by Endocrinologist8.5

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Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

Clinical parameter relevant for type 2 diabetes (T2D): Percentage of glycosylated hemoglobin (HbA1c [%]) according to T2D medication for the patients who were initiated on T2D medication by diabetologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionpercentage of glycosylated hemoglobin (Mean)
Patients Initiated on Empagliflozin by Diabetologist8.2
Patients Initiated on DPP4i by Diabetologist7.9
Patients Initiated on GLP-1 RA by Diabetologist8.4
Patients Initiated on Other SGLT2i by Diabetologist8.6

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Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"Baseline characteristic: Body mass index (BMI) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported.~Body mass index (BMI) is weight in kilograms divided by height in meters squared (kilogram/meter^2 (kg/m^2))." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionkilogram/meter^2 (kg/m^2) (Mean)
Patients Initiated on Empagliflozin by Diabetologist33.3
Patients Initiated on DPP4i by Diabetologist31.0
Patients Initiated on GLP-1 RA by Diabetologist36.2
Patients Initiated on Other SGLT2i by Diabetologist32.8

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Number of Patients in Each Category of the Different Types of Cardiovascular Disease

"Number of patients in each category of the different types of cardiovascular disease is reported.~The following types of cardiovascular diseases are reported:~Myocardial infarction~Cardiology intervention (Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Grafting (CABG))~Ischemic heart disease~Congestive heart failure~Stroke~Peripheral arterial disease~The categories reported for each type of cardiovascular disease are:~Yes~No~Unknown" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
Myocardial infarction72022150Cardiology intervention (PCI or CABG)72022150Ischemic heart disease72022150Congestive heart failure72022150Stroke72022150Peripheral arterial disease72022150
YesNoUnknown
T2D Patients From Central Eastern Europe450
T2D Patients From Central Eastern Europe3558
T2D Patients From Central Eastern Europe47
T2D Patients From Central Eastern Europe525
T2D Patients From Central Eastern Europe3471
T2D Patients From Central Eastern Europe59
T2D Patients From Central Eastern Europe1087
T2D Patients From Central Eastern Europe2910
T2D Patients From Central Eastern Europe58
T2D Patients From Central Eastern Europe421
T2D Patients From Central Eastern Europe3511
T2D Patients From Central Eastern Europe123
T2D Patients From Central Eastern Europe248
T2D Patients From Central Eastern Europe3764
T2D Patients From Central Eastern Europe43
T2D Patients From Central Eastern Europe350
T2D Patients From Central Eastern Europe3643
T2D Patients From Central Eastern Europe62

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Number of Patients in Each Category of Different Types of Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication Initiated at Study Index Date 1

"Number of patients in each category of different types of cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication initiated at study index date 1 is reported.~The following types of cardiovascular diseases are reported:~Myocardial infarction~Cardiology intervention (Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Grafting (CABG))~Ischemic heart disease~Congestive heart failure~Stroke~Peripheral arterial disease~The categories reported for each type of cardiovascular disease are:~Yes~No~Unknown" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
Myocardial infarction72022152Myocardial infarction72022153Myocardial infarction72022154Myocardial infarction72022155Cardiology intervention (PCI or CABG)72022153Cardiology intervention (PCI or CABG)72022152Cardiology intervention (PCI or CABG)72022155Cardiology intervention (PCI or CABG)72022154Ischemic heart disease72022152Ischemic heart disease72022153Ischemic heart disease72022154Ischemic heart disease72022155Congestive heart failure72022152Congestive heart failure72022153Congestive heart failure72022154Congestive heart failure72022155Stroke72022152Stroke72022153Stroke72022154Stroke72022155Peripheral arterial disease72022152Peripheral arterial disease72022153Peripheral arterial disease72022154Peripheral arterial disease72022155
UnknownYesNo
Patients Initiated on Empagliflozin276
Patients Initiated on DPP4i91
Patients Initiated on GLP-1 RA22
Patients Initiated on Other SGLT2i61
Patients Initiated on Empagliflozin1667
Patients Initiated on DPP4i1039
Patients Initiated on GLP-1 RA334
Patients Initiated on Other SGLT2i518
Patients Initiated on DPP4i14
Patients Initiated on GLP-1 RA5
Patients Initiated on Empagliflozin328
Patients Initiated on DPP4i98
Patients Initiated on GLP-1 RA30
Patients Initiated on Other SGLT2i69
Patients Initiated on Empagliflozin1614
Patients Initiated on DPP4i1024
Patients Initiated on GLP-1 RA324
Patients Initiated on Other SGLT2i509
Patients Initiated on Empagliflozin24
Patients Initiated on DPP4i22
Patients Initiated on GLP-1 RA7
Patients Initiated on Other SGLT2i6
Patients Initiated on Empagliflozin631
Patients Initiated on DPP4i265
Patients Initiated on GLP-1 RA50
Patients Initiated on Other SGLT2i141
Patients Initiated on Empagliflozin1312
Patients Initiated on DPP4i860
Patients Initiated on GLP-1 RA305
Patients Initiated on Other SGLT2i433
Patients Initiated on Empagliflozin23
Patients Initiated on DPP4i19
Patients Initiated on GLP-1 RA6
Patients Initiated on Other SGLT2i10
Patients Initiated on Empagliflozin252
Patients Initiated on DPP4i104
Patients Initiated on GLP-1 RA14
Patients Initiated on Other SGLT2i51
Patients Initiated on Empagliflozin1664
Patients Initiated on DPP4i997
Patients Initiated on GLP-1 RA337
Patients Initiated on Other SGLT2i513
Patients Initiated on Empagliflozin50
Patients Initiated on DPP4i43
Patients Initiated on GLP-1 RA10
Patients Initiated on Other SGLT2i20
Patients Initiated on Empagliflozin128
Patients Initiated on DPP4i76
Patients Initiated on GLP-1 RA12
Patients Initiated on Other SGLT2i32
Patients Initiated on Empagliflozin1819
Patients Initiated on DPP4i1056
Patients Initiated on GLP-1 RA342
Patients Initiated on Other SGLT2i547
Patients Initiated on Empagliflozin19
Patients Initiated on DPP4i12
Patients Initiated on Other SGLT2i5
Patients Initiated on Empagliflozin171
Patients Initiated on DPP4i118
Patients Initiated on GLP-1 RA15
Patients Initiated on Other SGLT2i46
Patients Initiated on Empagliflozin1767
Patients Initiated on DPP4i1008
Patients Initiated on GLP-1 RA339
Patients Initiated on Other SGLT2i529
Patients Initiated on Empagliflozin28
Patients Initiated on DPP4i18
Patients Initiated on Other SGLT2i9

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Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"Baseline characteristic: Age according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported.~Age for each patient was calculated by subtracting the year of birth from the year of registration (i.e. Year of registration - Year of birth). Year of registration was defined as the year the patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Cardiologist64.4
Patients Initiated on DPP4i by Cardiologist70.9
Patients Initiated on GLP-1 RA by Cardiologist54.0
Patients Initiated on Other SGLT2i by Cardiologist65.0

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Baseline Characteristic: Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"Baseline characteristic: Body mass index (BMI) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported.~Body mass index (BMI) is weight in kilograms divided by height in meters squared (kilogram/meter^2 (kg/m^2))." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionkilogram/meter^2 (kg/m^2) (Mean)
Patients Initiated on Empagliflozin by Endocrinologist33.3
Patients Initiated on DPP4i by Endocrinologist31.3
Patients Initiated on GLP-1 RA by Endocrinologist36.7
Patients Initiated on Other SGLT2i by Endocrinologist34.3

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Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

Number of patients per type of medical specialty of other physicians involved in treatment decision according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,,
InterventionParticipants (Count of Participants)
EndocrinologistOther diabetologistCardiologistNephrologistGeneral practitionerOthersNone
Patients Initiated on DPP4i by Diabetologist0352561577
Patients Initiated on Empagliflozin by Diabetologist374351250953
Patients Initiated on GLP-1 RA by Diabetologist0112010257
Patients Initiated on Other SGLT2i by Diabetologist0243071300

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10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"10-year risk for fatal cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported.~10-year risk for fatal CVD was calculated according to the applying Systematic COronary Risk Evaluation (SCORE) Risk Chart (European Society of Cardiology) which takes into account patient´s age, gender, systolic blood pressure, smoking status, and total cholesterol value at index date 1. SCORE Risk Chart takes values from from 0% to 100%. SCORE Risk Chart values from 5% and upwards indicate a high 10-year risk for a fatal cardiovascular event." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionScore on a scale (Mean)
Patients Initiated on Empagliflozin by Cardiologist8.9
Patients Initiated on DPP4i by Cardiologist9.4
Patients Initiated on GLP-1 RA by Cardiologist5.0
Patients Initiated on Other SGLT2i by Cardiologist3.8

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10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"10-year risk for fatal cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported.~10-year risk for fatal CVD was calculated according to the applying Systematic COronary Risk Evaluation (SCORE) Risk Chart (European Society of Cardiology) which takes into account patient´s age, gender, systolic blood pressure, smoking status, and total cholesterol value at index date 1. SCORE Risk Chart takes values from from 0% to 100%. SCORE Risk Chart values from 5% and upwards indicate a high 10-year risk for a fatal cardiovascular event." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionScore on a scale (Mean)
Patients Initiated on Empagliflozin by Diabetologist7.0
Patients Initiated on DPP4i by Diabetologist7.0
Patients Initiated on GLP-1 RA by Diabetologist5.4
Patients Initiated on Other SGLT2i by Diabetologist6.5

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10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"10-year risk for fatal cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported.~10-year risk for fatal CVD was calculated according to the applying Systematic COronary Risk Evaluation (SCORE) Risk Chart (European Society of Cardiology) which takes into account patient´s age, gender, systolic blood pressure, smoking status, and total cholesterol value at index date 1. SCORE Risk Chart takes values from from 0% to 100%. SCORE Risk Chart values from 5% and upwards indicate a high 10-year risk for a fatal cardiovascular event." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionScore on a scale (Mean)
Patients Initiated on Empagliflozin by Endocrinologist6.4
Patients Initiated on DPP4i by Endocrinologist5.6
Patients Initiated on GLP-1 RA by Endocrinologist4.3
Patients Initiated on Other SGLT2i by Endocrinologist6.0

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Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"Baseline characteristic: Age according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported.~Age for each patient was calculated by subtracting the year of birth from the year of registration (i.e. Year of registration - Year of birth). Year of registration was defined as the year the patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Diabetologist63.0
Patients Initiated on DPP4i by Diabetologist67.2
Patients Initiated on GLP-1 RA by Diabetologist59.2
Patients Initiated on Other SGLT2i by Diabetologist62.3

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Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"Baseline characteristic: Age according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported.~Age for each patient was calculated by subtracting the year of birth from the year of registration (i.e. Year of registration - Year of birth). Year of registration was defined as the year the patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Endocrinologist61.5
Patients Initiated on DPP4i by Endocrinologist65.3
Patients Initiated on GLP-1 RA by Endocrinologist55.8
Patients Initiated on Other SGLT2i by Endocrinologist62.0

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Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

Number of patients per type of medical specialty of other physicians involved in treatment decision according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,,
InterventionParticipants (Count of Participants)
EndocrinologistDiabetologistOther cardiologistNephrologistGeneral practitionerOthersNone
Patients Initiated on DPP4i by Cardiologist01030012
Patients Initiated on Empagliflozin by Cardiologist1910410045
Patients Initiated on GLP-1 RA by Cardiologist0000001
Patients Initiated on Other SGLT2i by Cardiologist0000007

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Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

Clinical parameter relevant for type 2 diabetes (T2D): Percentage of glycosylated hemoglobin (HbA1c [%]) according to T2D medication for the patients who were initiated on T2D medication by cardiologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionpercentage of glycosylated hemoglobin (Mean)
Patients Initiated on Empagliflozin by Cardiologist7.9
Patients Initiated on DPP4i by Cardiologist8.1
Patients Initiated on GLP-1 RA by Cardiologist7.4
Patients Initiated on Other SGLT2i by Cardiologist8.5

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Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant T2D Medications at Study Index Date 1 According to Prescribing Specialist

"Number of patients initiated on a modern type 2 diabetes (T2D) medication who also received concomitant T2D medications at study index date 1 according to prescribing specialist is reported.~The concomitant T2D medications reported are:~Metformin~Sulfonylurea~Acarbose~Pioglitazone~Insulin~Others" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,
InterventionParticipants (Count of Participants)
MetforminSulfonylureaAcarbosePioglitazoneInsulinOthers
Patients Initiated on T2D Medication by Cardiologist811730177
Patients Initiated on T2D Medication by Diabetologist1794513499165891
Patients Initiated on T2D Medication by Endocrinologist13496263334259

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Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant Cardiovascular Disease (CVD) and/or Chronic Kidney Disease (CKD) Medication at Study Index Date 1 According to Prescribing Specialist

"Number of patients initiated on a modern type 2 diabetes (T2D) medication who also received concomitant cardiovascular disease (CVD) and/or chronic kidney disease (CKD) medication at study index date 1 according to prescribing specialist is reported.~The reported concomitant CVD and/or chronic CKD medications are:~Antihypertensive angiotensin-converting-enzyme inhibitors (ACEi) or angiotensin II receptor blockers (ARBs)~Statins~Low dose aspirin~Beta blockers~Diuretics~Others" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,
InterventionParticipants (Count of Participants)
Antihypertensive ACEi or ARBsStatinsLow dose aspirinBeta blockersDiureticsOthers
Patients Initiated on T2D Medication by Cardiologist878264734429
Patients Initiated on T2D Medication by Diabetologist15361327622922732455
Patients Initiated on T2D Medication by Endocrinologist1256983555580471160

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Number of Patients for Each Type of Physician Specialties Involved in Decision for T2D Therapy Discontinuation According to Prescribing Specialist

Number of patients for each type of physician specialties involved in decision for T2D therapy discontinuation according to prescribing specialist is reported. (NCT03807440)
Timeframe: At study index date 2 (= one year ± 2 months after index date 1 (study index date 1 was between September 2018 and December 2018)).

,,
InterventionParticipants (Count of Participants)
EndocrinologistDiabetologistCardiologistGeneral practitionerOtherNone
Patients Initiated on T2D Medication by Cardiologist400100
Patients Initiated on T2D Medication by Diabetologist020233185
Patients Initiated on T2D Medication by Endocrinologist2602142102

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Time to Discontinuation of Type 2 Diabetes (T2D) Treatment According to Study Medication

"Time to discontinuation of type 2 diabetes (T2D) treatment according to study medication is reported.~Time to discontinuation of T2D medication was estimated by Kaplan-Meier analysis. Patients who did not discontinue study medication at study index date 2 were censored." (NCT03807440)
Timeframe: From date of first prescription (study index date 1) to stop date of initial type 2 diabetes (T2D)) medication (documented at index date 2), up to 14 months..

Interventionmonths (Mean)
Patients Initiated on Empagliflozin19.46
Patients Initiated on DPP4i18.28
Patients Initiated on GLP-1 RA20.61
Patients Initiated on Other SGLT2i14.04

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Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"Time since diagnosis of type 2 diabetes (T2D) according to T2D medication for the patients who were initiated on T2D medication by endocrinologist is reported.~Time since diagnosis of T2D (years) was calculated by subtracting the year of T2D diagnosis from the year of registration. Year of registration was defined as the year patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Endocrinologist9.1
Patients Initiated on DPP4i by Endocrinologist9.1
Patients Initiated on GLP-1 RA by Endocrinologist9.2
Patients Initiated on Other SGLT2i by Endocrinologist9.8

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Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"Baseline characteristic: Body mass index (BMI) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported.~Body mass index (BMI) is weight in kilograms divided by height in meters squared (kilogram/meter^2 (kg/m^2))." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionkilogram/meter^2 (kg/m^2) (Mean)
Patients Initiated on Empagliflozin by Cardiologist30.8
Patients Initiated on DPP4i by Cardiologist29.9
Patients Initiated on GLP-1 RA by Cardiologist25.8
Patients Initiated on Other SGLT2i by Cardiologist30.7

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Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

Number of patients per type of medical specialty of other physicians involved in treatment decision according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,,
InterventionParticipants (Count of Participants)
Other endocrinologistDiabetologistCardiologistNephrologistGeneral practitionerOthersNone
Patients Initiated on DPP4i by Endocrinologist360258335439
Patients Initiated on Empagliflozin by Endocrinologist560818463697
Patients Initiated on GLP-1 RA by Endocrinologist10727376
Patients Initiated on Other SGLT2i by Endocrinologist110190121209

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Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline

"Change from Baseline to End of the Outpatient Phase in Score on Barriers to Physical Activity in Type 1 Diabetes (BAPAD-1) Questionnaire A total of 12 factors were scored from 1=unlikely (min.) to 7=extremely likely (max.) for their propensity to keep the subject from practicing regular physical exercise during the next 6 months. Lower scores are considered better, while higher scores are considered worse outcomes. The higher the score (1 to 7), the less likely the subject was to engage in exercise.~The mean of the scores of the 12 factors were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 7." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

Interventionscore on a scale (Mean)
Baseline BAPAD-1 (Study Visit 3)Change from Baseline at Follow-up in BAPAD-1 (Study Visit 11)Change from Baseline at Early Termination in BAPAD-1
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction2.59-0.34-1.00

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CRC Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise Exercise.

"Mean incidence rate of hypoglycemia during or after moderate to high intensity aerobic exercise at each CRC Phase visit. With crossover, each subject had 2 exercise sessions; 1 visit and exercise session with each treatment (the combined data are presented in the Overall category) and assessed at the group level.~Incidence rate is defined as the number of hypoglycemic events divided by the total number of qualified exercise sessions, assessed at group level.~Qualified exercise session is: (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) study drug administered no more than 10 min prior to exercise (5 min target), (3) conducted exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session.~Hypoglycemic event defined as any hypoglycemic event occurring within 30 (+2) min after completion of a qualified exercise session." (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); At each visit, the associated hypoglycemia events were assessed continuously throughout the 30 (+2) minute period following a qualified exercise session.

Interventionevents/session (Number)
CRC Phase: Glucagon RTU With Insulin Pump Reduction0.02
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction0.19
CRC Phase: Overall0.11

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Outpatient Phase: HFS-II Overall Score Change From Baseline

"Change from Baseline in Score on Hypoglycemia Fear Survey-II (HFS-II)~A total of 33 items were scored from 0=never (min.) to 4=almost always (max.) for how often in the past 6 months they had done the following:~Behavior (15 items): things that people with diabetes often do to avoid low blood sugar.~Worry (18 items): things that people with diabetes often worry about because of low blood sugar.~Lower scores are considered better outcomes, higher scores are considered worse outcomes.~The higher the score (0 to 4), the greater the subject's fear of hypoglycemia. The mean of the scores of the 33 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 0 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)Change from Baseline at Early Termination
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction1.50-0.03-0.60

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Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline

"Change from Baseline in Score on Hypoglycemia Confidence Scale (HCS)~The 9-item scale assessed a subject's confidence about safety regarding hypoglycemia. The questionnaire had 4 responses possible for each question, ranging from 1=not confident at all (min.) to 4=very confident (max.). Higher scores are considered better outcomes, while lower scores are considered worse outcomes. The lower the score (1 to 4), the less likely the subject was to engage in exercise.~The mean of the scores of the 9 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

,
Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction3.340.17
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction3.230.07

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Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline

"Change from Baseline in Score on Hypoglycemia Confidence Scale (HCS)~The 9-item scale assessed a subject's confidence about safety regarding hypoglycemia. The questionnaire had 4 responses possible for each question, ranging from 1=not confident at all (min.) to 4=very confident (max.). Higher scores are considered better outcomes, while lower scores are considered worse outcomes. The lower the score (1 to 4), the less likely the subject was to engage in exercise.~The mean of the scores of the 9 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)Change from Baseline at Early Termination
Glucagon RTU Without Insulin Pump Reduction3.200.200.15

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Outpatient Phase: Insulin Use Change From Baseline

Insulin use as reported by subject as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12 (NCT03841526)
Timeframe: Insulin use measured continuously from Study Baseline to End of Study and assessed during Outpatient Phase as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12

Interventionunits of insulin (Mean)
Fiasp (Insluin Aspart) - Change from Baseline at Week 4Humalog (Insulin Lispro) - Change from Baseline at Week 4Humalog (Insulin Lispro) - Change from Baseline at Week 8Humalog (Insulin Lispro) - Change from Baseline at Week 12NovoRapid (Insulin Aspart) - Change from Baseline at Week 4
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction0.106.203.20-0.85-2.85

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Outpatient Phase: Insulin Use Change From Baseline

Insulin use as reported by subject as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12 (NCT03841526)
Timeframe: Insulin use measured continuously from Study Baseline to End of Study and assessed during Outpatient Phase as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12

Interventionunits of insulin (Mean)
Fiasp (Insluin Aspart) - Change from Baseline at Week 4Fiasp (Insluin Aspart) - Change from Baseline at Week 12Humalog (Insulin Lispro) - Change from Baseline at Week 8Humalog (Insulin Lispro) - Change from Baseline at Week 12NovoRapid (Insulin Aspart) - Change from Baseline at Week 4NovoRapid (Insulin Aspart) - Change from Baseline at Week 8NovoRapid (Insulin Aspart) - Change from Baseline at Week 12
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction-2.80-7.600.900.60-2.43-0.15-0.05

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Outpatient Phase: Insulin Use Change From Baseline

Insulin use as reported by subject as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12 (NCT03841526)
Timeframe: Insulin use measured continuously from Study Baseline to End of Study and assessed during Outpatient Phase as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12

Interventionunits of insulin (Mean)
Fiasp (Insluin Aspart) - Change from Baseline at Week 4Fiasp (Insluin Aspart) - Change from Baseline at Week 8Fiasp (Insluin Aspart) - Change from Baseline at Week 12Humalog (Insulin Lispro) - Change from Baseline at Week 4Humalog (Insulin Lispro) - Change from Baseline at Week 8Humalog (Insulin Lispro) - Change from Baseline at Week 12NovoRapid (Insulin Aspart) - Change from Baseline at Week 4NovoRapid (Insulin Aspart) - Change from Baseline at Week 8NovoRapid (Insulin Aspart) - Change from Baseline at Week 12
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction2.60-2.10-1.703.057.201.05-1.57-2.85-4.20

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Outpatient Phase: Interstitial Glucose Levels Below Target Range

"Analysis of interstitial glucose (IG) was performed by treatment, during the randomized Outpatient Phase. The number of participants are categorized by the following IG levels:~Below range, as defined by IG <= 70 mg/dl (<=3.89 mmol/L); Between range, as defined by IG between 54 to 70 mg/dL (3 to 3.89 mmol/L); Below range, as defined by IG <54 mg/dL (<3 mmol/L)" (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); Assessed continuously 0-300 minutes following the start of each qualified exercise session corresponding to each of the treatments during the Outpatient Phase.

,,,
InterventionParticipants (Count of Participants)
Below range <=70 mg/dLBetween Range 54-70 mg/dLBelow range <54 mg/dL
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction141411
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction12129
Outpatient Phase: Overall404034
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction141414

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CRC Phase: Mean Number of Hypoglycemic Events Exercise.

"CRC Phase: Mean number of hypoglycemic events associated with the qualified exercise sessions at each CRC Phase visit. With crossover, each subject had 2 exercise sessions; 1 visit and exercise session with each treatment (the combined data are presented in the Overall category) assessed at group level.~A qualified exercise session is: (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) study drug administered no more than 10 min prior to exercise (5 min target), (3) conducted exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session.~A hypoglycemic event defined as any hypoglycemic event occurring within 30 (+2) min after completion of a qualified exercise session." (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); At each visit, the associated hypoglycemia events were assessed continuously throughout the 30 (+2) minute period following a qualified exercise session.

Interventionnumber of events/participant (Number)
CRC Phase: Glucagon RTU With Insulin Pump Reduction0.02
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction0.19
CRC Phase: Overall0.21

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CRC Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions

"Mean number of high intensity aerobic exercise sessions at each CRC Phase visit. With crossover, each subject was to have 2 exercise sessions; 1 visit and exercise session with each treatment (the combined data are presented in the Overall category) and assessed at the group level.~A qualified exercise session was defined as one where (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) study drug administered no more than 10 min prior to exercise (5 min target), (3) conducted exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session." (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); At each visit, the number of qualified exercise sessions that occurred.

Interventionmean number of sessions/participant (Number)
CRC Phase: Glucagon RTU With Insulin Pump Reduction1
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction1
CRC Phase: Overall1.94

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Outpatient Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise.

"Mean incidence rate of hypoglycemia during and after sessions of moderate to high intensity aerobic exercise in 12-week Outpatient Phase. Incidence rate is defined as the number of hypoglycemic events divided by the total number of qualified exercise sessions, assessed at group level.~Qualified exercise session is: (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) self-administered study drug no more than 10 min prior to exercise (5 min target), (3) conducted a protocol allowed exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session.~Exercise sessions were to occur at least 2-3 times per week. Only 1 qualified exercise session/subject/day was included in the analysis (the first if >1).~Hypoglycemic event defined as any hypoglycemic event occurring within 30 (+2) min after completion of a qualified exercise session." (NCT03841526)
Timeframe: Daily; During the 12-week Outpatient Phase qualified exercise sessions were assessed daily and associated hypoglycemia events were assessed continuously during and within the 30 (+2) minute period following a qualified exercise session.

Interventionevents/session (Number)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction0.12
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction0.39
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction0.16
Outpatient Phase: Overall0.24

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Outpatient Phase: Mean Number of Hypoglycemic Events

"Outpatient Phase: Mean number of hypoglycemic events associated with the qualified exercise sessions, assessed at group level.~A qualified exercise session was defined as one were (1) a confirmed blood glucose value of 100-180 mg/dL prior to start of exercise, (2) self-administered the study drug no more than 10 minutes prior to exercise (5 minutes was the target), (3) conducted a protocol allowed exercise for moderate to high intensity for at least 30 minutes and no longer than 75 minutes, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during the session.~A hypoglycemic event was defined as any hypoglycemic event occurring during or within 30 (+2) minutes after completion of a qualified exercise session.~Exercise sessions were expected to occur at least 2 to 3 times per week. Only 1 qualified exercise session per subject per day was included in the analysis (the first if >1)." (NCT03841526)
Timeframe: Daily; During the 12-week Outpatient Phase qualified exercise sessions were assessed daily and associated hypoglycemia events were assessed continuously throughout the 30 (+2) minute period following a qualified exercise session.

Interventionmean number of events/participant (Number)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction1.94
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction8.43
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction2.86
Outpatient Phase: Overall4.3

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Outpatient Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions

"Outpatient Phase: Mean number of qualified exercise sessions, assessed at group level.~A qualified exercise session was defined as one were (1) a confirmed blood glucose value of 100-180 mg/dL prior to start of exercise, (2) self-administered the study drug no more than 10 minutes prior to exercise (5 minutes was the target), (3) conducted a protocol allowed exercise for moderate to high intensity for at least 30 minutes and no longer than 75 minutes, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during the session.~Exercise sessions were expected to occur at least 2 to 3 times per week. Only 1 qualified exercise session per subject per day was included in the analysis (the first if >1)." (NCT03841526)
Timeframe: Daily; During the 12-week Outpatient Phase the occurrence of qualified exercise sessions were assessed daily.

Interventionmean number of sessions/participant (Number)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction15.69
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction21.64
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction17.36
Outpatient Phase: Overall18.11

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CRC Phase: Interstitial Glucose Below Target Range

"Analysis of interstitial glucose (IG) was performed by treatment, independent of the order of treatment during the randomized cross-over CRC Phase. The number of participants are categorized by the following IG levels:~Below range, as defined by IG <= 70 mg/dl (<=3.89 mmol/L); Between range, as defined by IG between 54 to 70 mg/dL (3 to 3.89 mmol/L); Below range, as defined by IG <54 mg/dL (<3 mmol/L)" (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); Assessed continuously 0-300 minutes following the start of the exercise session corresponding to each of the treatments during the corresponding in-clinic visit during the CRC Phase.

,,
InterventionParticipants (Count of Participants)
Below range (<=70 mg/dL)Between range (54-70 mg/dL)Below range (<54 mg/dL)
CRC Phase: Glucagon RTU With Insulin Pump Reduction441
CRC Phase: Overall992
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction551

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Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline

"Change from Baseline to End of the Outpatient Phase in Score on Barriers to Physical Activity in Type 1 Diabetes (BAPAD-1) Questionnaire A total of 12 factors were scored from 1=unlikely (min.) to 7=extremely likely (max.) for their propensity to keep the subject from practicing regular physical exercise during the next 6 months. Lower scores are considered better, while higher scores are considered worse outcomes. The higher the score (1 to 7), the less likely the subject was to engage in exercise.~The mean of the scores of the 12 factors were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 7." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

,
Interventionscore on a scale (Mean)
Baseline BAPAD-1 (Study Visit 3)Change from Baseline at Follow-up in BAPAD-1 (Study Visit 11)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction2.250.01
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction2.17-0.38

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Outpatient Phase: HFS-II Overall Score Change From Baseline

"Change from Baseline in Score on Hypoglycemia Fear Survey-II (HFS-II)~A total of 33 items were scored from 0=never (min.) to 4=almost always (max.) for how often in the past 6 months they had done the following:~Behavior (15 items): things that people with diabetes often do to avoid low blood sugar.~Worry (18 items): things that people with diabetes often worry about because of low blood sugar.~Lower scores are considered better outcomes, higher scores are considered worse outcomes.~The higher the score (0 to 4), the greater the subject's fear of hypoglycemia. The mean of the scores of the 33 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 0 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

,
Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction1.28-0.19
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction1.16-0.01

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