search
Back to results

Safety and Efficacy of Exenatide Once Weekly Injection Versus Metformin, Dipeptidyl Peptidase-4 Inhibitor, or Thiazolidinedione as Monotherapy in Drug-Naive Patients With Type 2 Diabetes (DURATION-4)

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
exenatide once weekly
metformin
sitagliptin
pioglitazone
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus focused on measuring Amylin, Lilly, exenatide once weekly, Byetta, Januvia, sitagliptin, thiazolidinedione

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • have type 2 diabetes and are treated with diet and exercise alone.
  • at least 18 years of age.
  • HbA1c between 7.1% and 11.0%, inclusive.
  • Body mass index (BMI) of 23 kg/m2 to 45 kg/m2, inclusive.
  • Have a history of stable body weight (not varying by >5% for at least 3 months prior to screening).

Exclusion Criteria:

  • Have history of cardiac disease or presence of active cardiac disease within the year prior to inclusion in the study including myocardial infarction, clinically significant arrhythmia, unstable angina, moderate to severe congestive heart failure, coronary artery bypass surgery, or angioplasty
  • Have a history of renal transplantation or are currently receiving renal dialysis
  • Have active or untreated malignancy, or have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years.
  • Have history of severe GI disorder (e.g., gastroparesis)
  • Have a history of acute or chronic pancreatitis.
  • Have active proliferative retinopathy.
  • Have been treated with drugs that promote weight loss (e.g., Xenical®[orlistat], Meridia® [sibutramine], Acomplia® [rimonabant], Acutrim® [phenylpropanolamine], or similar over-the-counter medications) within 3 months of screening.
  • Have been treated with any antidiabetic agent for more than 7 days within 3 months prior to screening.
  • Have had an organ transplant.
  • Have previously completed or discontinued study drug in this study, withdrawn from this study or any other study investigating exenatide once weekly.
  • Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
  • Are currently enrolled in any other clinical study.

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research SIte
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research SIte
  • Research Site
  • Research SIte
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Active Comparator

Active Comparator

Arm Label

Exenatide Once Weekly

Metformin

Sitagliptin

Pioglitazone

Arm Description

Outcomes

Primary Outcome Measures

Change in HbA1c From Baseline to Week 26
Change in HbA1c from baseline to Week 26.
Percentage of Patients Achieving HbA1c <=7% at Week 26
Percentage of patients achieving HbA1c <=7% at Week 26 (for patients with baseline HbA1c >7%).

Secondary Outcome Measures

Change in Fasting Serum Glucose (FSG) From Baseline to Week 26
Change in FSG from baseline to Week 26.
Change in Body Weight From Baseline to Week 26
Change in Body Weight from baseline to Week 26.
Change in Fasting Total Cholesterol (TC) From Baseline to Week 26
Change in Fasting TC from baseline to Week 26.
Change in Fasting High-Density Lipoprotein (HDL) From Baseline to Week 26
Change in Fasting HDL from baseline to Week 26.
Ratio of Fasting Triglycerides at Week 26 to Baseline
Ratio of Fasting Triglycerides (measured in mmol/L) at Week 26 to baseline. Log(Post-baseline Triglycerides) - log(Baseline Triglycerides); change from baseline to Week 26 is presented as ratio of endpoint to baseline.
Assessment on Event Rate of Treatment-emergent Major Hypoglycemic Events
Major hypoglycemia is defined as any event that has symptoms consistent with hypoglycemia resulting in loss of consciousness or seizure that shows prompt recovery in response to administration of glucagon or glucose, or documented hypoglycemia (blood glucose <3.0 mmol/L [54 mg/dL]) requiring the assistance of another person because of severe impairment in consciousness or behavior (whether or not symptoms of hypoglycemia are detected by the patient). Mean event rate = total number of events for all subjects in a treatment regimen / the total number of subject years of exposure for all subjects in that treatment. Standard error = square root of (total number of events / (subject years of exposure)**2).
Assessment on Event Rate of Treatment-Emergent Minor Hypoglycemic Events
Minor hypoglycemia is defined as a sign or symptom associated with hypoglycemia that is either self-treated by the patient or resolves on its own AND has a concurrent finger stick blood glucose <3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia. Mean event rate = total number of events for all subjects in a treatment regimen / the total number of subject years of exposure for all subjects in that treatment. Standard error = square root of (total number of events / (subject years of exposure)**2).
Change in Systolic Blood Pressure From Baseline to Week 26.
Change in Systolic Blood Pressure from baseline to Week 26.
Change in Diastolic Blood Pressure From Baseline to Week 26.
Change in Diastolic Blood Pressure from baseline to Week 26.

Full Information

First Posted
May 9, 2008
Last Updated
March 20, 2015
Sponsor
AstraZeneca
Collaborators
Eli Lilly and Company
search

1. Study Identification

Unique Protocol Identification Number
NCT00676338
Brief Title
Safety and Efficacy of Exenatide Once Weekly Injection Versus Metformin, Dipeptidyl Peptidase-4 Inhibitor, or Thiazolidinedione as Monotherapy in Drug-Naive Patients With Type 2 Diabetes (DURATION-4)
Official Title
Safety and Efficacy of Exenatide Once Weekly Injection Versus Metformin, Dipeptidyl Peptidase-4 Inhibitor, or Thiazolidinedione as Monotherapy in Drug-Naive Patients With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
November 2008 (undefined)
Primary Completion Date
July 2010 (Actual)
Study Completion Date
January 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Eli Lilly and Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will compare the effects of 2.0 mg exenatide once weekly injection as monotherapy to 3 active comparators(metformin, dipeptidyl peptidase-4 inhibitor, and thiazolidinedione) in drug naive patients with type 2 diabetes treated with diet and exercise.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus
Keywords
Amylin, Lilly, exenatide once weekly, Byetta, Januvia, sitagliptin, thiazolidinedione

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
820 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Exenatide Once Weekly
Arm Type
Experimental
Arm Title
Metformin
Arm Type
Active Comparator
Arm Title
Sitagliptin
Arm Type
Active Comparator
Arm Title
Pioglitazone
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
exenatide once weekly
Intervention Description
subcutaneous injection, 2mg, once weekly plus placebo oral once daily
Intervention Type
Drug
Intervention Name(s)
metformin
Intervention Description
oral, 1000-2500mg, daily plus placebo once weekly subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
sitagliptin
Intervention Description
oral, 100 mg, daily plus placebo once weekly subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
pioglitazone
Intervention Description
oral, 30-45mg, daily plus placebo once weekly subcutaneous injection
Primary Outcome Measure Information:
Title
Change in HbA1c From Baseline to Week 26
Description
Change in HbA1c from baseline to Week 26.
Time Frame
Baseline, Week 26
Title
Percentage of Patients Achieving HbA1c <=7% at Week 26
Description
Percentage of patients achieving HbA1c <=7% at Week 26 (for patients with baseline HbA1c >7%).
Time Frame
Baseline, Week 26
Secondary Outcome Measure Information:
Title
Change in Fasting Serum Glucose (FSG) From Baseline to Week 26
Description
Change in FSG from baseline to Week 26.
Time Frame
Baseline, Week 26
Title
Change in Body Weight From Baseline to Week 26
Description
Change in Body Weight from baseline to Week 26.
Time Frame
Baseline, Week 26
Title
Change in Fasting Total Cholesterol (TC) From Baseline to Week 26
Description
Change in Fasting TC from baseline to Week 26.
Time Frame
Baseline, Week 26
Title
Change in Fasting High-Density Lipoprotein (HDL) From Baseline to Week 26
Description
Change in Fasting HDL from baseline to Week 26.
Time Frame
Baseline, Week 26
Title
Ratio of Fasting Triglycerides at Week 26 to Baseline
Description
Ratio of Fasting Triglycerides (measured in mmol/L) at Week 26 to baseline. Log(Post-baseline Triglycerides) - log(Baseline Triglycerides); change from baseline to Week 26 is presented as ratio of endpoint to baseline.
Time Frame
Baseline, Week 26
Title
Assessment on Event Rate of Treatment-emergent Major Hypoglycemic Events
Description
Major hypoglycemia is defined as any event that has symptoms consistent with hypoglycemia resulting in loss of consciousness or seizure that shows prompt recovery in response to administration of glucagon or glucose, or documented hypoglycemia (blood glucose <3.0 mmol/L [54 mg/dL]) requiring the assistance of another person because of severe impairment in consciousness or behavior (whether or not symptoms of hypoglycemia are detected by the patient). Mean event rate = total number of events for all subjects in a treatment regimen / the total number of subject years of exposure for all subjects in that treatment. Standard error = square root of (total number of events / (subject years of exposure)**2).
Time Frame
Baseline to Week 26
Title
Assessment on Event Rate of Treatment-Emergent Minor Hypoglycemic Events
Description
Minor hypoglycemia is defined as a sign or symptom associated with hypoglycemia that is either self-treated by the patient or resolves on its own AND has a concurrent finger stick blood glucose <3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia. Mean event rate = total number of events for all subjects in a treatment regimen / the total number of subject years of exposure for all subjects in that treatment. Standard error = square root of (total number of events / (subject years of exposure)**2).
Time Frame
Baseline to Week 26
Title
Change in Systolic Blood Pressure From Baseline to Week 26.
Description
Change in Systolic Blood Pressure from baseline to Week 26.
Time Frame
Baseline, Week 26
Title
Change in Diastolic Blood Pressure From Baseline to Week 26.
Description
Change in Diastolic Blood Pressure from baseline to Week 26.
Time Frame
Baseline, Week 26

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: have type 2 diabetes and are treated with diet and exercise alone. at least 18 years of age. HbA1c between 7.1% and 11.0%, inclusive. Body mass index (BMI) of 23 kg/m2 to 45 kg/m2, inclusive. Have a history of stable body weight (not varying by >5% for at least 3 months prior to screening). Exclusion Criteria: Have history of cardiac disease or presence of active cardiac disease within the year prior to inclusion in the study including myocardial infarction, clinically significant arrhythmia, unstable angina, moderate to severe congestive heart failure, coronary artery bypass surgery, or angioplasty Have a history of renal transplantation or are currently receiving renal dialysis Have active or untreated malignancy, or have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years. Have history of severe GI disorder (e.g., gastroparesis) Have a history of acute or chronic pancreatitis. Have active proliferative retinopathy. Have been treated with drugs that promote weight loss (e.g., Xenical®[orlistat], Meridia® [sibutramine], Acomplia® [rimonabant], Acutrim® [phenylpropanolamine], or similar over-the-counter medications) within 3 months of screening. Have been treated with any antidiabetic agent for more than 7 days within 3 months prior to screening. Have had an organ transplant. Have previously completed or discontinued study drug in this study, withdrawn from this study or any other study investigating exenatide once weekly. Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry. Are currently enrolled in any other clinical study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chief Medical Officer, MD
Organizational Affiliation
Eli Lilly and Company
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Buena Park
State/Province
California
Country
United States
Facility Name
Research Site
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Research Site
City
Valencia
State/Province
California
Country
United States
Facility Name
Research Site
City
Jacksonville
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Atlanta
State/Province
Georgia
Country
United States
Facility Name
Research Site
City
Meridian
State/Province
Idaho
Country
United States
Facility Name
Research Site
City
Des Moines
State/Province
Iowa
Country
United States
Facility Name
Research Site
City
Grand Rapids
State/Province
Michigan
Country
United States
Facility Name
Research Site
City
Minneapolis
State/Province
Minnesota
Country
United States
Facility Name
Research Site
City
Billings
State/Province
Montana
Country
United States
Facility Name
Research Site
City
Toms River
State/Province
New Jersey
Country
United States
Facility Name
Research Site
City
Wilmington
State/Province
North Carolina
Country
United States
Facility Name
Research Site
City
Danville
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Wilke Barre
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Austin
State/Province
Texas
Country
United States
Facility Name
Research Site
City
El Paso
State/Province
Texas
Country
United States
Facility Name
Research Site
City
New Branufels
State/Province
Texas
Country
United States
Facility Name
Research Site
City
Buenos Aires
Country
Argentina
Facility Name
Research Site
City
Mar del Plata
Country
Argentina
Facility Name
Research Site
City
Leuven
Country
Belgium
Facility Name
Research Site
City
Marchovelette
Country
Belgium
Facility Name
Research Site
City
Tessenderlo
Country
Belgium
Facility Name
Research Site
City
Brasilia
Country
Brazil
Facility Name
Research Site
City
Campinas
Country
Brazil
Facility Name
Research Site
City
Curitiba
Country
Brazil
Facility Name
Research Site
City
Fortaleza
Country
Brazil
Facility Name
Research Site
City
Joinville
Country
Brazil
Facility Name
Research SIte
City
Porto Alegre
Country
Brazil
Facility Name
Research Site
City
Recife
Country
Brazil
Facility Name
Research Site
City
Sao Paolo
Country
Brazil
Facility Name
Research Site
City
Coquitlam
State/Province
British Columbia
Country
Canada
Facility Name
Research Site
City
Penticton
State/Province
British Columbia
Country
Canada
Facility Name
Research Site
City
Ottawa
State/Province
Ontario
Country
Canada
Facility Name
Research Site
City
Gatineu
State/Province
Quebec
Country
Canada
Facility Name
Research Site
City
Mississauga
Country
Canada
Facility Name
Research Site
City
Petitcodiac
Country
Canada
Facility Name
Research Site
City
Pointe-Claire
Country
Canada
Facility Name
Research Site
City
Regina
Country
Canada
Facility Name
Research Site
City
Saint John
Country
Canada
Facility Name
Research Site
City
Chateaugiron
Country
France
Facility Name
Research Site
City
Murs Erigne
Country
France
Facility Name
Research Site
City
Nantes
Country
France
Facility Name
Research Site
City
Vieux Conde
Country
France
Facility Name
Research Site
City
Dresden
Country
Germany
Facility Name
Research Site
City
Mainz
Country
Germany
Facility Name
Research Site
City
Muenster
Country
Germany
Facility Name
Research Site
City
Rodgau
Country
Germany
Facility Name
Research Site
City
Budapest
Country
Hungary
Facility Name
Research Site
City
Gyula
Country
Hungary
Facility Name
Research Site
City
Hodmezovasarhely
Country
Hungary
Facility Name
Research Site
City
Pecs
Country
Hungary
Facility Name
Research Site
City
Ahmedabad
Country
India
Facility Name
Research Site
City
Bangalore
Country
India
Facility Name
Research Site
City
Channai
Country
India
Facility Name
Research Site
City
Cochin
Country
India
Facility Name
Research Site
City
Mumbai
Country
India
Facility Name
Research Site
City
New Dehli
Country
India
Facility Name
Research SIte
City
Pune
Country
India
Facility Name
Research Site
City
Holon
Country
Israel
Facility Name
Research SIte
City
Tel-Hashomer
Country
Israel
Facility Name
Research Site
City
Firenze
Country
Italy
Facility Name
Research Site
City
Milano
Country
Italy
Facility Name
Research Site
City
Siena
Country
Italy
Facility Name
Research Site
City
Busan
Country
Korea, Republic of
Facility Name
Research Site
City
Daegu
Country
Korea, Republic of
Facility Name
Research Site
City
Jeonju
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site
City
Sungnam
Country
Korea, Republic of
Facility Name
Research Site
City
Chihuahua
Country
Mexico
Facility Name
Research Site
City
Guadalajara
Country
Mexico
Facility Name
Research Site
City
Monterrey
Country
Mexico
Facility Name
Research Site
City
Lublin
Country
Poland
Facility Name
Research Site
City
Szczecin
Country
Poland
Facility Name
Research Site
City
Wroclaw
Country
Poland
Facility Name
Research Site
City
Manati
Country
Puerto Rico
Facility Name
Research Site
City
Toa Baja
Country
Puerto Rico
Facility Name
Research Site
City
Galati
Country
Romania
Facility Name
Research Site
City
Oradea
Country
Romania
Facility Name
Research Site
City
Targu Mures
Country
Romania
Facility Name
Research Site
City
Arkhangelsk
Country
Russian Federation
Facility Name
Research Site
City
Moscow
Country
Russian Federation
Facility Name
Research Site
City
Rostov-on-Don
Country
Russian Federation
Facility Name
Research Site
City
Saint Petersburg
Country
Russian Federation
Facility Name
Research Site
City
Stavropol
Country
Russian Federation
Facility Name
Research Site
City
Bratislava
Country
Slovakia
Facility Name
Research Site
City
Trebisov
Country
Slovakia
Facility Name
Research Site
City
Johannesburg
Country
South Africa
Facility Name
Research Site
City
Kempton Park
Country
South Africa
Facility Name
Research Site
City
Midrand
Country
South Africa
Facility Name
Research Site
City
Soweto
Country
South Africa
Facility Name
Research Site
City
Alicante
Country
Spain
Facility Name
Research Site
City
Barcelona
Country
Spain
Facility Name
Research Site
City
Madrid
Country
Spain
Facility Name
Research Site
City
Sevilla
Country
Spain
Facility Name
Research Site
City
Ankara
Country
Turkey
Facility Name
Research Site
City
Istanbul
Country
Turkey
Facility Name
Research Site
City
Sisli-Istanbul
Country
Turkey
Facility Name
Research Site
City
Bath
Country
United Kingdom
Facility Name
Research Site
City
Birmingham
Country
United Kingdom
Facility Name
Research Site
City
Edinburgh
Country
United Kingdom
Facility Name
Research Site
City
Frome
Country
United Kingdom
Facility Name
Research Site
City
Guildford
Country
United Kingdom
Facility Name
Research Site
City
Hull
Country
United Kingdom
Facility Name
Research Site
City
Sheffield
Country
United Kingdom
Facility Name
Research Site
City
Swansea
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
32306296
Citation
Guja C, Frias JP, Suchower L, Hardy E, Marr G, Sjostrom CD, Jabbour SA. Safety and Efficacy of Exenatide Once Weekly in Participants with Type 2 Diabetes and Stage 2/3 Chronic Kidney Disease. Diabetes Ther. 2020 Jul;11(7):1467-1480. doi: 10.1007/s13300-020-00815-z. Epub 2020 Apr 18. Erratum In: Diabetes Ther. 2020 Dec;11(12):3011-3013.
Results Reference
derived
PubMed Identifier
23748507
Citation
Malloy J, Meloni A, Han J. Efficacy and tolerability of exenatide once weekly versus sitagliptin in patients with type 2 diabetes mellitus: a retrospective analysis of pooled clinical trial data. Postgrad Med. 2013 May;125(3):58-67. doi: 10.3810/pgm.2013.05.2661.
Results Reference
derived
PubMed Identifier
23748506
Citation
Grimm M, Han J, Weaver C, Griffin P, Schulteis CT, Dong H, Malloy J. Efficacy, safety, and tolerability of exenatide once weekly in patients with type 2 diabetes mellitus: an integrated analysis of the DURATION trials. Postgrad Med. 2013 May;125(3):47-57. doi: 10.3810/pgm.2013.05.2660.
Results Reference
derived
PubMed Identifier
23522121
Citation
Meloni AR, DeYoung MB, Han J, Best JH, Grimm M. Treatment of patients with type 2 diabetes with exenatide once weekly versus oral glucose-lowering medications or insulin glargine: achievement of glycemic and cardiovascular goals. Cardiovasc Diabetol. 2013 Mar 23;12:48. doi: 10.1186/1475-2840-12-48.
Results Reference
derived
PubMed Identifier
22210563
Citation
Russell-Jones D, Cuddihy RM, Hanefeld M, Kumar A, Gonzalez JG, Chan M, Wolka AM, Boardman MK; DURATION-4 Study Group. Efficacy and safety of exenatide once weekly versus metformin, pioglitazone, and sitagliptin used as monotherapy in drug-naive patients with type 2 diabetes (DURATION-4): a 26-week double-blind study. Diabetes Care. 2012 Feb;35(2):252-8. doi: 10.2337/dc11-1107. Epub 2011 Dec 30.
Results Reference
derived

Learn more about this trial

Safety and Efficacy of Exenatide Once Weekly Injection Versus Metformin, Dipeptidyl Peptidase-4 Inhibitor, or Thiazolidinedione as Monotherapy in Drug-Naive Patients With Type 2 Diabetes (DURATION-4)

We'll reach out to this number within 24 hrs