This research is randomized, controlled trial. 36 Chinese subjects with Type 2 Diabetes Mellitus will take part in the trial. Subjects will randomly enter into one of three groups, administration daily twice, the period of is 84 days treatment. Subjects should be in hospital for pharmacokinetic studies in 1 d\~ 8d, 30 d (if necessary)and 84 d, during 9 d \~ 83 d outpatient follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
This protein of 39 amino acids has been isolated from the venom of the lizard Heloderma suspectum (Gila monster) (Eng et al, 1992). A mammalian homolog does not seem to exist (Pohl and Wank, 1998). Exendin-4 shares 53 % identity at the amino acid level with that of the mammalian hormone GLP-1 \[glucagon-like peptide-1\] (Chen and Drucker, 1997). Exendin-4 is encoded within a prohormone that is distinct from the prohormone encoding glucagon. Using transgenic mice expressing exendin-4, Adatia et al (2002) have shown that mammalian cells process the lizard prohormone in endocrine and nonendocrine cell types in vitro and in murine tissues in vivo.
Peking University First Hospital
Beijing, Beijing Municipality, China
RECRUITINGTo compare treatment arms in terms of change from baseline to endpoint in HbA1c
To observe and compare the differences in pharmacokinetic parameters with the reatment of rE-4, adding metformin to rE-4 and exenatide, To compare treatment arms in terms of change from baseline to endpoint in HbA1c
Time frame: 12 Weeks
To compare treatment arms in terms of change from baseline to endpoint in GA
Time frame: 12 Weeks
To compare treatment arms in terms of change from baseline to endpoint in fasting serum glucose
Time frame: 12 Weeks
To compare treatment arms in terms of change from baseline to endpoint in postprandial blood glucose 2-hour
Time frame: 12 weeks
To compare treatment arms in terms of change from baseline to endpoint in body weight
Time frame: 12 weeks
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