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. 2010 Nov;8(6):542–549. doi: 10.1370/afm.1174

Table 2.

Characteristics of Placebo-Controlled Trials of Pramlintide

Study Sample at Baseline (Mean)
Author, Year, Quality N Duration, wk Age, y
Male, %
White, %
Duration of Diabetes, y HbA1C, % Weight, kg Total Daily Insulin Dose Units Pramlintide Dose and Titration Schedule
Type 1 diabetes
Whitehouse et al, 2002,10 Fair-poor 480 52 40.3
55.0
94.0
16.8 8.8
75.3
NR 30 μg tid-qid before meals + flexible-dose insulin. If HbA1c level decreased by <1%, patients were re-randomized to 30 μg or 60 μg. If change in HbA1C level was ≥1%, patients continued with 30 μg
Edelman et al, 2006,5 Fair 296 29 41.0
45.1
88.7
20.0 8.2
80.0
MDI: 65.1
CSII: 47.8
15 μg and titrated to 60 μg tid-qid before meals + flexible-dose insulin. Patients unable to tolerate maintenance dose had dose lowered to 30 μg or 15 μg. A 30%-50% reduction in prandial insulin was allowed
Ratner et al, 2004,7 Fair-poor 651 52 40.5
50.0
90.5
18.7 9.0
77.1
NR 60 μg tid-qid or 90 μg tid before meals + fixed-dose insulin. If nausea occurred within 2 wk of study, dose could be lowered by up to 50% for up to 2 wk
Type 2 diabetes
Riddle et al, 20079 Fair 212 16 55.0
48.8
72.5
12.2 8.5
103.0
51.0 60 μg and titrated to 120 μg bid-tid before meals + flexible-dose glargine ± metformin, sulfonylurea, and/or thiazolidinedione
Ratner et al, 20028 Fair-poor 538 52 56.5
59.0
78.5
12.3 9.2
NR
57.9 30 μg, 75 μg, or 150 μg tid before meals + fixed-dose insulin and/or metformin, sulfonylurea
Hollander et al, 20036 Fair 656 52 56.7
50.0
75.0
12.2 9.2
96.9
NR 60 μg tid, 90 μg bid, or 120 μg bid before meals + fixed-dose insulin and/or metformin, sulfonylurea. 60-μg dose study arm was excluded from efficacy analyses

bid = 2 times daily; CSII = continuous subcutaneous insulin infusion; HbA1c = glycated hemoglobin; MDI = multiple daily injections; NR = not reported; qid = 4 times daily; tid = 3 times daily.