DRUG
pramlintide acetate
Subcutaneous injection prior to each major meal
Status
Completed
Phase
Not applicable
Enrollment
1,297
Locations
107
Results
Posted
Publications
1
Study summary
This is an open label, observational study designed to collect data that characterize the use of SYMLIN following the introduction of the medication into the marketplace. Health care providers and subjects selected for study participation are intended to be representative of those providers prescribing, and subjects receiving, SYMLIN therapy.
Interventions
DRUG
Subcutaneous injection prior to each major meal
Timeline
First posted
Sep 30, 2005
Study start
Sep 2005
Primary completion
May 2008
Study completion
May 2008
Results posted
Jun 24, 2009
Registry updated
Mar 25, 2015
Outcomes
Incidence of Patient-Ascertained Severe Hypoglycemia (PASH) During the Adjustment Period
Time frame · 0-3 months
PASH is defined as episodes of hypoglycemia requiring the assistance of another individual (including aid in ingestion of oral carbohydrate); and/or requiring the administration of glucagon injection, intravenous glucose, or other medical intervention. The adjustment period represents the initial 0-3 months of pramlintide treatment
Annual Event Rate of Patient-Ascertained Severe Hypoglycemia (PASH) During the Adjustment Period
Time frame · 0-3 months
The annual event rate was calculated as the total number of events during the time period divided by the total years of exposure to pramlintide for all patients during the time period. The adjustment period represents the initial 0-3 months of pramlintide treatment. PASH is defined as episodes of hypoglycemia requiring the assistance of another individual (including aid in ingestion of oral carbohydrate); and/or requiring the administration of glucagon injection, intravenous glucose, or other medical intervention.
The Incidence of Patient-Ascertained Severe Hypoglycemia (PASH) During the Steady State Period
Time frame · >3-6 months
The steady state period represents the \>3-6 months of pramlintide treatment following the adjustment period. PASH is defined as episodes of hypoglycemia requiring the assistance of another individual (including aid in ingestion of oral carbohydrate); and/or requiring the administration of glucagon injection, intravenous glucose, or other medical intervention.
The Annual Event Rate of Patient-Ascertained Severe Hypoglycemia (PASH) During the Steady State Period
Time frame · >3-6 months
The annual event rate was calculated as the total number of events during the time period divided by the total years of exposure to pramlintide for all patients during the time period. The steady state period represents the \>3-6 months of pramlintide treatment following the adjustment period. PASH is defined as episodes of hypoglycemia requiring the assistance of another individual (including aid in ingestion of oral carbohydrate); and/or requiring the administration of glucagon injection, intravenous glucose, or other medical intervention.
Incidence of Medically Assisted Severe Hypoglycemia (MASH) During the Adjustment Period
Time frame · 0-3 months
MASH is defined as episodes of severe hypoglycemia requiring IM glucagon, IV glucose, hospitalization, paramedic assistance, emergency room visit, and/or is assessed as a serious adverse event (SAE) by the investigator. MASH is a subset of PASH. The adjustment period represents the initial 0-3 months of pramlintide treatment
The Annual Event Rate of Medically Assisted Severe Hypoglycemia (MASH) During the Adjustment Period
Time frame · 0-3 months
The annual event rate was calculated as the total number of events during the time period divided by the total years of exposure to pramlintide for all patients during the time period. The adjustment period represents the initial 0-3 months of pramlintide treatment. MASH is defined as episodes of severe hypoglycemia requiring IM glucagon, IV glucose, hospitalization, paramedic assistance, emergency room visit, and/or is assessed as a serious adverse event (SAE) by the investigator. MASH is a subset of PASH.
Incidence of Medically Assisted Severe Hypoglycemia (MASH) During the Steady State Period
Time frame · >3-6 months
The steady state period represents the \>3-6 months of pramlintide treatment following the adjustment period. MASH is defined as episodes of severe hypoglycemia requiring IM glucagon, IV glucose, hospitalization, paramedic assistance, emergency room visit, and/or is assessed as a serious adverse event (SAE) by the investigator. MASH is a subset of PASH.
Annual Event Rate of Medically Assisted Severe Hypoglycemia (MASH) During the Steady State Period
Time frame · >3-6 months
The annual event rate was calculated as the total number of events during the time period divided by the total years of exposure to pramlintide for all patients during the time period. The steady state period represents the \>3-6 months of pramlintide treatment following the adjustment period. MASH is defined as episodes of severe hypoglycemia requiring IM glucagon, IV glucose, hospitalization, paramedic assistance, emergency room visit, and/or is assessed as a serious adverse event (SAE) by the investigator. MASH is a subset of PASH.
Change in HbA1c From Baseline at Month 3
Time frame · 3 months
Change in HbA1c from baseline at month 3. The HbA1c test measures the percent of glycosylated hemoglobin in the blood.
Change in HbA1c From Baseline at Month 6
Time frame · 6 months
Change in HbA1c from baseline at month 6. The HbA1c test measures the percent of glycosylated hemoglobin in the blood.
Change in Body Weight From Baseline at Month 3
Time frame · 3 months
Mean change in body weight from baseline at month 3
Change in Body Weight From Baseline at Month 6
Time frame · 6 months
Mean change in body weight from baseline at month 6
Eligibility
Inclusion Criteria: * The following inclusion criteria are consistent with information in the SYMLIN package insert and apply to insulin using patients with type 2 or type 1 diabetes who: * Have failed to achieve the desired or optimal level of glycemic control despite utilizing appropriate, individualized insulin regimens * Have A1C \<=9.0% within 3 months of study enrollment * Are receiving ongoing diabetes care under the guidance of a Health Care Provider (HCP) trained in the use of SYMLIN Exclusion Criteria: * The following exclusion criteria are consistent with the SYMLIN package insert and specifically exclude patients who: * Are poorly compliant with their current insulin regimen, as defined by their HCP * Are poorly compliant with prescribed blood glucose self monitoring, as defined by their HCP * Have experienced recurrent patient-ascertained severe hypoglycemia requiring assistance during the past 6 months * Have hypoglycemia unawareness * Have a confirmed diagnosis of gastroparesis * Require the use of drugs that stimulate gastrointestinal motility * Are female and pregnant or lactating and for whom the HCP determines the potential benefit does not justify the potential risk to the fetus or infant * Have been treated with SYMLIN within 3 months prior to study start
Study locations
United States. Showing up to 24 locations stored in the fast local snapshot.
Research Site
Birmingham, Alabama, United States
Research Site
Montgomery, Alabama, United States
Research Site
Tucson, Arizona, United States
Research Site
Anaheim, California, United States
Research Site
Encinitas, California, United States
Research Site
Escondido, California, United States
Research Site
Fresno, California, United States
Research Site
Lafayette, California, United States
Research Site
Moreno Valley, California, United States
Research Site
Sacramento, California, United States
Research Site
Salinas, California, United States
Research Site
Santa Barbara, California, United States
Research Site
Torrance, California, United States
Research Site
Vacaville, California, United States
Research Site
Arvada, Colorado, United States
Research Site
Aurora, Colorado, United States
Research Site
Norwalk, Connecticut, United States
Research Site
Wilmington, Delaware, United States
Research Site
Hialeah, Florida, United States
Research Site
Jacksonville, Florida, United States
Research Site
Maitland, Florida, United States
Research Site
Melbourne, Florida, United States
Research Site
Miami, Florida, United States
Research Site
Plantation, Florida, United States
Publications
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