Table 1.
Clinical trials of pramlintide
| Author (year) | N | Design | Duration(weeks) | With meal doses added to insulin | Change from baseline in: | 
|||
|---|---|---|---|---|---|---|---|---|
| 1 h PPG (mmol/L) vs placebo | 2 h PPG (mmol/L) vs placebo | A1C (%) | Weight (kg) | |||||
| Type 1 studies | ||||||||
| (Nyholm et al 1999) | 14 | DB, CO | 4 | 30 μg qid | −7a | −4a | ||
| (Weyer et al 2003) | 19 | R, SB, CO | 4 | 60 μg | ||||
| +regular insulin | −6a | −3.75a | ||||||
| +lispro | −5a | −4.75a | ||||||
| (Levetan et al 2003) | 18 | 4 | 30 μg qid | −4.4a | −3.6a | |||
| (Fineman et al 1999) | 586 | DB, | 26 | placebo | +0.1 | +0.3 | ||
| MC | 60 μg tid | −0.2b | −1.6 | |||||
| 90 μg bid | −0.1 | −0.7 | ||||||
| 90 μg tid | −0.1 | −1.6 | ||||||
| (Whitehouse et al 2002) | 480 | R, DB, MC | 52 | placebo | −0.16 | +1a | ||
| 30–60 μg qid | −0.42b | −0.5a | ||||||
| (Ratner et al 2004) | 538 | R, DB, MC | 52 | placebo | −0.04 | +0.8 | ||
| 60 μg tid | −0.29b | −0.5b | ||||||
| 60 μg qid | −0.34b | −0.5b | ||||||
| (Edelman et al 2006) | 296 | R, DB | 29 | Placebo | −0.5 | 1.2 | ||
| 30–60 μg tid | −0.5 | −1.3 | ||||||
| Type 2 studies | ||||||||
| (Thompson et al 1998) | 203 | R, DB, MC | 4 | placebo | −0.27 | −0.04 | ||
| 30 μg qid | −0.53b | −0.36 | ||||||
| 60 μg tid | −0.58b | −0.89b | ||||||
| 60 μg qid | −0.51b | −0.72b | ||||||
| (Maggs et al 2004) | 19 | R, SB, CO | single dose | 120 μg | −4.75a | −3.4a | ||
| (Gottlieb 1999) | 499 | DB, MC | 26 | placebo | −0.1 | +0.1 | ||
| 90 μg bid | −0.3 | −0.8 | ||||||
| 90 μg tid | −0.4 | −1.3 | ||||||
| 120 μg bid | −0.4b | −1.4 | ||||||
| (Ratner et al 2002) | 538 | R, DB, MC | 52 | placebo | −0.2a | 1.0a | ||
| 30 μg tid | −0.3a | −0.3a | ||||||
| 75 μg tid | −0.5a | −0.4ab | ||||||
| 150 μg tid | −0.6b | −1.2ab | ||||||
| (Hollander et al 2003b) | 498c | R, DB, MC | 52 | placebo | −0.22a | +0.5a | ||
| 90 μg bid | −0.35 | −0.5 | ||||||
| 120 μg bid | −0.62b | −1.4b | ||||||
| (Riddle et al 2007) | 212 | DB, PC | 16 | placebo | −1.9 | −0.36 | 0.7 | |
| 60–12 μg bid-tid | −3.1 | −0.70a | −1.6 | |||||
These data were extrapolated from graphs as the absolute values were not listed in the text of the published study.
p < 0.05.
The study initially included a 60 mcg tid group (N = 158), but this group was not included in the analysis so the original N = 656.
Abbreviations: R, randomized; DB, double blind; MC, multi-center; PPG, postprandial glucose; SB, single blind; CO, crossover.