Last Updated: August 9, 2026

CLINICAL TRIALS PROFILE FOR BYDUREON


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505(b)(2) Clinical Trials for BYDUREON

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT04520490 ↗ Brain Activation and Satiety in Children 2 Recruiting University of Washington Phase 3 2021-01-28 Childhood obesity and related long-term effects are serious public health problems, but not all children with obesity do well in treatment. This study will test a new combination of family-based behavioral treatment (FBT) with a drug intervention using a glucagon-like peptide-1 receptor agonist (GLP-1RA) exenatide once weekly extended-release (ExQW, Bydureon®) in order to improve obesity intervention outcomes in 10-12-year-old children.
New Combination NCT04520490 ↗ Brain Activation and Satiety in Children 2 Recruiting Seattle Children's Hospital Phase 3 2021-01-28 Childhood obesity and related long-term effects are serious public health problems, but not all children with obesity do well in treatment. This study will test a new combination of family-based behavioral treatment (FBT) with a drug intervention using a glucagon-like peptide-1 receptor agonist (GLP-1RA) exenatide once weekly extended-release (ExQW, Bydureon®) in order to improve obesity intervention outcomes in 10-12-year-old children.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for BYDUREON

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00103935 ↗ Study Examining Exenatide Long-Acting Release in Subjects With Type 2 Diabetes Completed Eli Lilly and Company Phase 2 2005-02-01 Exenatide LAR is a long-acting release formulation of exenatide, which is a twice-daily dosage form currently under investigation as a potential treatment for people with type 2 diabetes mellitus. This study will assess the safety, tolerability, and pharmacokinetics of Exenatide LAR administered weekly by subcutaneous injection in people with type 2 diabetes mellitus.
NCT00103935 ↗ Study Examining Exenatide Long-Acting Release in Subjects With Type 2 Diabetes Completed AstraZeneca Phase 2 2005-02-01 Exenatide LAR is a long-acting release formulation of exenatide, which is a twice-daily dosage form currently under investigation as a potential treatment for people with type 2 diabetes mellitus. This study will assess the safety, tolerability, and pharmacokinetics of Exenatide LAR administered weekly by subcutaneous injection in people with type 2 diabetes mellitus.
NCT00308139 ↗ Effects of Exenatide Long-Acting Release on Glucose Control and Safety in Subjects With Type 2 Diabetes Mellitus(DURATION - 1) Completed AstraZeneca Phase 3 2006-04-01 A Randomized, Open-Label, Multicenter, Comparator-Controlled Study to Examine the Effects of Exenatide Long-Acting Release (LAR) on Glucose Control (HbA1c) and Safety in Subjects with Type 2 Diabetes Mellitus Managed with Diet Modification and Exercise and/or Oral Antidiabetic Medications.
NCT00877890 ↗ A Study to Evaluate the Glycemic Effects, Safety, and Tolerability of Exenatide Once Weekly in Subjects With Type 2 Diabetes Mellitus (DURATION-5) Completed Eli Lilly and Company Phase 3 2009-03-01 This study will compare the effects of commercially manufactured exenatide once weekly and exenatide BID in subjects whose type 2 diabetes is managed with diet and exercise alone or with oral antidiabetic medications. The study will examine glycemic control (as measured by HbA1C), safety, and tolerability.
NCT00877890 ↗ A Study to Evaluate the Glycemic Effects, Safety, and Tolerability of Exenatide Once Weekly in Subjects With Type 2 Diabetes Mellitus (DURATION-5) Completed AstraZeneca Phase 3 2009-03-01 This study will compare the effects of commercially manufactured exenatide once weekly and exenatide BID in subjects whose type 2 diabetes is managed with diet and exercise alone or with oral antidiabetic medications. The study will examine glycemic control (as measured by HbA1C), safety, and tolerability.
NCT01089569 ↗ Continuous Glucose Monitoring Evaluation of Exenatide Twice Daily Versus Insulin Glargine Completed International Diabetes Center at Park Nicollet N/A 2010-04-01 The primary purpose of this study is to compare the effect on 24-hour blood glucose patterns, HbA1c, and weight management when adding insulin glargine, or exenatide, or a combination of insulin glargine and exenatide to metformin.
NCT01089569 ↗ Continuous Glucose Monitoring Evaluation of Exenatide Twice Daily Versus Insulin Glargine Completed Sanofi N/A 2010-04-01 The primary purpose of this study is to compare the effect on 24-hour blood glucose patterns, HbA1c, and weight management when adding insulin glargine, or exenatide, or a combination of insulin glargine and exenatide to metformin.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for BYDUREON

Condition Name

Condition Name for BYDUREON
Intervention Trials
Type 2 Diabetes 8
Type 2 Diabetes Mellitus 6
Obesity 4
Diabetes Mellitus, Type 2 4
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Condition MeSH

Condition MeSH for BYDUREON
Intervention Trials
Diabetes Mellitus, Type 2 18
Diabetes Mellitus 14
Obesity 5
Schizophrenia 2
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Clinical Trial Locations for BYDUREON

Trials by Country

Trials by Country for BYDUREON
Location Trials
United States 137
Denmark 2
Sweden 2
Italy 2
Canada 2
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Trials by US State

Trials by US State for BYDUREON
Location Trials
Texas 13
Florida 8
California 8
New York 7
Washington 7
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Clinical Trial Progress for BYDUREON

Clinical Trial Phase

Clinical Trial Phase for BYDUREON
Clinical Trial Phase Trials
PHASE1 1
Phase 4 13
Phase 3 10
[disabled in preview] 13
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Clinical Trial Status

Clinical Trial Status for BYDUREON
Clinical Trial Phase Trials
Completed 23
Recruiting 7
Unknown status 4
[disabled in preview] 6
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Clinical Trial Sponsors for BYDUREON

Sponsor Name

Sponsor Name for BYDUREON
Sponsor Trials
AstraZeneca 9
The University of Texas Health Science Center, Houston 4
Vanderbilt University 2
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Sponsor Type

Sponsor Type for BYDUREON
Sponsor Trials
Other 41
Industry 15
NIH 2
[disabled in preview] 2
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Last updated: July 28, 2026

BYDUREON (exenatide extended-release) clinical trials update, market analysis, and exclusivity timeline

BYDUREON (exenatide extended-release; ALKERMES AMARIN/other branded supply history) is an established GLP-1 receptor agonist with a mature safety database and limited remaining novel clinical development. Commercial momentum is driven by remaining demand in refill and formularies rather than new label expansion. Patent and exclusivity cover a narrow set of branded formulations and manufacturing/process variants; generic entry risk depends on Orange Book coverage by dosage form (injectable microspheres) and on whether any unexpired method-of-use or extended-release-specific patents remain listed for the currently marketed product.

What is the latest clinical trials update for BYDUREON (exenatide ER)?

Are there active or recently completed BYDUREON phase 3 or phase 2 trials?

No current, clearly attributable late-stage (phase 2/3) BYDUREON-specific programs with public enrollment status and results were available in the provided context to support a definitive “latest” update.

What types of studies still appear in the BYDUREON evidence base?

The BYDUREON literature and trial patterns historically align to:

  • Postmarketing safety and tolerability studies
  • Comparative studies versus short-acting exenatide (exenatide immediate-release) and versus other GLP-1 RAs
  • Real-world evidence (claims and registry analyses) on glycemic outcomes and adherence
  • Device or formulation performance work tied to long-acting microsphere injectables

Has BYDUREON gained label changes based on new endpoints?

BYDUREON is a mature product with limited incremental label evolution relative to newer GLP-1s. Without current, product-specific trial identifiers in the provided context, no verified, date-stamped label-change claims can be made.


How big is the BYDUREON market today, and what is the demand profile by indication?

Which indications drive BYDUREON use?

BYDUREON is used in type 2 diabetes mellitus management, generally positioned for patients requiring improved glycemic control and for those needing weekly dosing adherence. In market dynamics, demand is most sensitive to:

  • Payer formulary placement versus newer weekly GLP-1 RAs and dual incretin therapies
  • Step edits and prior authorization criteria
  • Switching from daily agents and from earlier generation injectables

What is BYDUREON’s competitive set?

BYDUREON faces head-to-head and formulary competition from:

  • Weekly GLP-1 RAs (class competitors)
  • Newer incretin-based therapies with stronger efficacy and/or tolerability profiles
  • Lower-cost generic/LOE alternatives if available in the same payer tiers

What is the likely market share trajectory?

Given the age of the therapy class and the continuing launch cycle of next-generation GLP-1 and dual incretin products, BYDUREON’s trajectory typically follows a “legacy GLP-1” pattern:

  • Gradual share erosion where formulary preference shifts to higher-efficacy agents
  • Persistence in pockets where weekly dosing and established coverage support continued prescribing
  • Demand volatility tied to regional wholesaler inventory and contracting

When does BYDUREON lose exclusivity, and what patents matter for generic entry?

What patents protect BYDUREON exenatide extended-release?

A complete, accurate patent estate and Orange Book map for BYDUREON cannot be produced from the provided context alone. Without Orange Book listing details, patent numbers, expiration dates, and claim scopes for the specific currently marketed NDC(s), a precise exclusivity and “what can be designed around” assessment cannot be stated.

When do BYDUREON exclusivity and key patents expire?

No verified, product-specific expiration dates can be provided from the provided context.

Is there Orange Book status for BYDUREON that affects market timing?

Orange Book status depends on the exact NDC(s) and listed patents (composition, formulation, method-of-use, and/or manufacturing). That information is not present in the provided context, so no definitive Orange Book-driven timing can be issued.


How many BYDUREON patent listings cover formulation, microspheres, and manufacturing methods?

Which claim types typically show up for exenatide ER injectable products?

For long-acting injectable microsphere GLP-1 RAs, patent estates often include:

  • Composition patents (drug-polymer matrices, excipient systems)
  • Formulation patents (particle size distribution ranges, suspension stability)
  • Manufacturing/process patents (microsphere preparation, drying/curing steps, sterilization)
  • Method-of-use patents (diabetes treatment, titration or combination regimens)

What does that mean for generic risk?

Generic entry for extended-release injectables is usually constrained more by:

  • Release profile and particle characteristics
  • Manufacturing reproducibility and impurity profiles than by simple API equivalence.

A quantitative count of BYDUREON-specific listings and their jurisdictional coverage cannot be provided from the provided context.


What patent litigation and settlement agreements affect BYDUREON generic or biosimilar competition?

Has BYDUREON faced Paragraph IV challenges?

Paragraph IV challenge history requires NDC-level Orange Book and court docket evidence. That data is not present in the provided context, so no verified litigation timeline can be produced.

What settlement dynamics typically determine branded-to-generic timing?

When litigation occurs for injectable extended-release products, settlements often hinge on:

  • Design-around of extended-release-specific formulation and process claims
  • NDC-specific launch carve-outs
  • Trigger dates tied to patent expiry or agreed market entry windows

No BYDUREON-specific settlement terms can be stated without docket and agreement citations from the provided context.


What is the FDA regulatory status of BYDUREON, and what does that imply for competition?

Is BYDUREON still approved under current FDA labeling?

BYDUREON is historically an FDA-approved product for type 2 diabetes management, but current approval status and labeling revision history at the NDC level cannot be confirmed from the provided context.

Does BYDUREON face new regulatory pathways risk (citations, 505(b)(2), ANDA)?

Regulatory competition for legacy GLP-1 injectables usually includes:

  • ANDAs for generic formulations and/or device-integrated products
  • 505(b)(2) for formulation or delivery changes
  • Switching dynamics driven by new regulatory labeling updates across the class

Without the NDC-specific product regulatory dossier details in the provided context, no exact competitive regulatory pathways can be mapped.


How does BYDUREON compare with other exenatide products (BYETTA, etc.) in efficacy and market positioning?

Key efficacy differentiators vs immediate-release exenatide

Across the class, the core positioning of exenatide ER versus immediate-release exenatide is adherence:

  • Weekly dosing improves persistence in real-world usage
  • Clinical endpoints (HbA1c reduction) show diminishing differentiation as newer agents outperform over time

Market implication

BYDUREON’s differentiation is dosing convenience more than breakthrough efficacy in the current market. That typically increases vulnerability to newer weekly agents with higher efficacy and broader outcomes (weight and cardiovascular risk where applicable).

No head-to-head comparative dataset can be asserted from the provided context.


BYDUREON market forecast: revenue trajectory, usage drivers, and launch risk scenarios

Base-case forecast (legacy GLP-1 trajectory)

A typical base case for an older weekly GLP-1 injectable with strong class competition:

  • Net sales decline driven by formulary shifts to newer GLP-1 and dual incretin therapies
  • Residual demand persists in patients stabilized on BYDUREON and in payers retaining legacy options
  • Price pressure increases as generic or competing branded options gain share

Bear case (accelerated displacement)

  • Faster formulary preference shifts to newer agents
  • Higher rates of prescriber switching triggered by contracting and rebate changes
  • Accelerated inventory rationalization in distribution networks

Bull case (continued niche retention)

  • Strong payer retention and stable contracting
  • Patient adherence and tolerability lead to fewer switches than expected
  • Lower-than-anticipated competitive availability of substitutes in specific formularies

A quantified numeric forecast cannot be produced from the provided context.


What investment, licensing, or litigation strategy follows from the BYDUREON competitive landscape?

Where value concentrates

For legacy products, the actionable opportunities are usually:

  • Licensing device or formulation know-how for extended-release injectables
  • Monetizing manufacturing/process improvements where generic viability is constrained
  • Acquiring remaining share through payer-specific contracting rather than expecting label expansion

Where downside concentrates

  • Reduced R&D ROI due to class maturity and crowded late-stage pipelines
  • Patent-coverage ambiguity at NDC level creating timing uncertainty for generic entry

No BYDUREON-specific actionable licensing or litigation identifiers can be supplied without Orange Book and docket records in the provided context.


Key Takeaways

  • BYDUREON is a mature weekly GLP-1 RA; clinical development momentum is likely limited, with ongoing evidence largely driven by postmarketing and comparative/real-world studies.
  • Market demand is concentrated in type 2 diabetes management and shaped primarily by payer formulary placement versus newer incretin therapies.
  • Definitive exclusivity timelines, patent counts, Paragraph IV risk, and settlement-driven launch windows cannot be stated without the NDC-level Orange Book listing and litigation docket evidence, which is not included in the provided context.
  • Forecasting is best framed as legacy-asset decline with niche retention; quantitative revenue projections require market and pricing data not provided here.

FAQs

  1. What is BYDUREON’s current FDA label status for type 2 diabetes?
  2. How do exenatide extended-release (BYDUREON) and immediate-release exenatide (BYETTA) differ in dosing, tolerability, and real-world persistence?
  3. Which NDCs for BYDUREON determine Orange Book patent coverage and generic entry timing?
  4. What patent claim types (formulation, manufacturing, method-of-use) typically block ANDA entry for long-acting microsphere injectables like BYDUREON?
  5. How do payer step edits and prior authorization criteria influence BYDUREON switching versus newer weekly GLP-1s?

References (APA)

No sources were provided in the prompt, and no validated BYDUREON-specific Orange Book, FDA labeling, or clinical trial registry data is included in the provided context to cite.

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