Current partner codePEPTIDESDE
NCT00229658·Not applicable·OBSERVATIONAL

An Observational Study Evaluating SYMLIN® (Pramlintide Acetate) Injection Use in Insulin Using Patients With Type 2 and Type 1 Diabetes

Status

Completed

Phase

Not applicable

Enrollment

1,297

Locations

107

Results

Posted

Publications

1

Study summary

What the protocol is testing.

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

Treatment arms and agents.

DRUG

pramlintide acetate

Subcutaneous injection prior to each major meal

Timeline

From registration to results.

  1. First posted

    Sep 30, 2005

  2. Study start

    Sep 2005

  3. Primary completion

    May 2008

  4. Study completion

    May 2008

  5. Results posted

    Jun 24, 2009

  6. Registry updated

    Mar 25, 2015

Outcomes

What the study measures.

Primary 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.

Secondary outcomes

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

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

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

107 registered sites.

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

Related trials

More studies on Pramlintide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.