Last Updated: June 25, 2026

CLINICAL TRIALS PROFILE FOR BYDUREON BCISE


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505(b)(2) Clinical Trials for BYDUREON BCISE

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 BCISE

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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for BYDUREON BCISE

Condition Name

Condition Name for BYDUREON BCISE
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 BCISE
Intervention Trials
Diabetes Mellitus, Type 2 18
Diabetes Mellitus 14
Obesity 5
Overweight 2
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Clinical Trial Locations for BYDUREON BCISE

Trials by Country

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

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

Clinical Trial Phase

Clinical Trial Phase for BYDUREON BCISE
Clinical Trial Phase Trials
PHASE1 1
Phase 4 13
Phase 3 10
[disabled in preview] 9
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Clinical Trial Status

Clinical Trial Status for BYDUREON BCISE
Clinical Trial Phase Trials
Completed 23
Recruiting 7
Unknown status 4
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Clinical Trial Sponsors for BYDUREON BCISE

Sponsor Name

Sponsor Name for BYDUREON BCISE
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 BCISE
Sponsor Trials
Other 41
Industry 15
NIH 2
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Last updated: May 21, 2026

dureon Bcise Clinical Trials Update, Market Analysis, and Exclusivity-to-Generic Projection

Bydureon Bcise (exenatide extended-release; single-dose kit) is an established GLP-1 receptor agonist brand with mature demand and a patent-and-regulatory landscape that is largely shaped by compound and formulation protections rather than new clinical efficacy drivers. Clinical trial activity has been low in recent years relative to newer GLP-1 entrants, while market share and revenue have faced structural pressure from higher-uptake weekly GLP-1 products and from treatment pathway shifts.

The US regulatory posture is stable: Bydureon Bcise is already approved and marketed, with no current label expansion premise from late-stage new development that would materially reset exclusivity. The most actionable view for forward planning is (1) which patents still gate manufacturing and orange-book-listed method/formulation claims, (2) whether any authorized generic or ANDA-style generic pathway has a credible Paragraph IV route, and (3) how quickly payers move patients to preferred weekly GLP-1s that have stronger current utilization and contracting.

What clinical trials have been published or updated for Bydureon Bcise (exenatide ER) recently?

Answer: Recent high-impact “new trial” signals for Bydureon Bcise are limited; most publicly visible clinical evidence for exenatide ER is from earlier development and post-approval studies. The practical clinical update for decision-makers in 2024–2026 is that the drug’s competitive differentiation is no longer expanding through new outcomes programs, while clinical practice increasingly consolidates around better-tolerated and higher-efficacy weekly GLP-1s.

What are the key evidence pillars for exenatide ER in type 2 diabetes?

  • Glycemic control and weight effects typical of GLP-1 receptor agonists, including A1c reductions and weight loss versus comparators seen in earlier randomized datasets.
  • Safety profile shaped by class effects (gastrointestinal AEs) and product-specific tolerability considerations for extended-release particulate injection formats.

Which trials matter for competitive interpretation?

For market planning and litigation risk, the most relevant “clinical trial update” is not just efficacy, but whether any recent outcomes study produced label-relevant findings. For exenatide ER, the commercially relevant label posture is already established. Without a new label expansion, clinical trial updates do not drive new exclusivity reset events.

What is the current late-stage development pipeline signal?

No new late-stage Bydureon Bcise pivotal program has emerged in the public record as a near-term label reset driver. That supports a “mature product” view: pipeline impact is low; competitive dynamics dominate.

What is the Orange Book status of Bydureon Bcise, and how many patents still protect it?

Answer: Bydureon Bcise is tied to an approved drug product with Orange Book listings covering exenatide-related IP, and the practical exclusivity-to-generic timing depends on the latest listed patents’ expiration dates and any controlling exclusivity periods. A generic launch scenario hinges on whether a would-be entrant can design around formulation or method-of-use claims and still obtain a “same drug, same dosage form” pathway.

Where exclusivity typically sits for exenatide ER

For a mature GLP-1 injectables franchise, protection typically clusters around:

  • Compound and use claims for exenatide
  • Formulation and controlled-release technology for extended-release microspheres/particulate systems
  • Packaging and kit components that can create design-around constraints
  • Method-of-use claims tied to glycemic control regimen language

How to interpret remaining patent estate for exclusivity-to-launch planning

Decision-making should treat Bydureon Bcise as:

  • High probability of design-around requirements if multiple formulations or process claims remain listed
  • Medium-to-low probability that a single early patent expiry fully opens the market, given multiple listed protections can be staggered
  • Litigable risk if generic filings attempt to carve out only portion(s) of use or formulation coverage

When does Bydureon Bcise lose exclusivity, and what are the generic entry risks?

Answer: The generic entry risk profile is “staged,” because Orange Book patents usually expire at different times and not all claims can be bypassed by simple manufacturing changes. The generic risk is highest at the point when the last controlling listed patent expires or is successfully challenged, and it is moderated by settlement, stipulations, or launch carve-outs.

What are the typical generic entry gates for Bydureon Bcise?

  • Patent expiry: the last listed non-expired patent covering the approved product or controlling method/formulation claims
  • Orange Book triggers: Paragraph IV filings (if any) create litigation and potential 30-month stay or settlement entry dates
  • Design-around: even if compound claims are off, formulation and release-control claims can block an “identical” ANDA-style approach for the specific dosage form
  • Exclusivity stacking: pediatric or other exclusivity can extend an approval window even when some patents expire, depending on what is listed

What generic launch scenarios are most plausible?

For mature injectables with complex extended-release formats, plausible scenarios include:

  • Delayed entry until multiple patents clear
  • Entry with partial claim design-around that still faces bioequivalence and product sameness requirements
  • Settlement-driven “authorized” timing that replaces earlier litigation uncertainty with a scheduled launch

Which patents protect Bydureon Bcise formulations, methods of use, and manufacturing, and how strong are they?

Answer: The protecting IP set for Bydureon Bcise generally spans exenatide ER formulation and extended-release manufacturing technology, plus method-of-use and dosing regimen claims that align with labeled indication language. Strength is best evaluated by claim breadth (particularly around extended-release delivery) and by whether generic applicants have already litigated or designed around similar claims for related exenatide ER products.

Formulation and extended-release constraints that tend to matter

  • Composition and particle/microsphere specifications for extended-release delivery
  • Sterility and manufacturing process steps that define acceptable controls
  • Release-rate characterization tied to the product’s clinical performance

Method-of-use claim relevance for competition

  • If method claims remain listed and are strong, generic challengers need either paragraph IV invalidity/ non-infringement arguments or a label carve-out that preserves brand protection
  • If method claims are weak or narrow, formulation-based patents can become the gating item

What patent litigation has affected Bydureon Bcise (Paragraph IV, settlements, injunctions)?

Answer: The litigation posture for Bydureon Bcise should be evaluated through Orange Book-associated case dockets and branded-generic settlements that set launch calendars. For mature GLP-1 injectables, litigation usually reduces to patent expiry/settlement rather than indefinite injunctions.

What to look for in litigation dockets

  • Paragraph IV filings for listed patents tied to the approved product
  • 30-month stay entry into effect or shortened by settlement
  • Stipulated dismissal or consent judgments that specify launch date or carve-outs

How settlements shape market projections

Even when patents are complex, settlements commonly:

  • Convert open-ended litigation into fixed calendar launch dates
  • Allow partial earlier launch for narrow strengths or dosage presentations (if the product has multiple SKUs)

What is Bydureon Bcise FDA regulatory status, and what does it imply for near-term market dynamics?

Answer: Bydureon Bcise is already approved and marketed. With no near-term label-reset signals, the FDA status implies that near-term market dynamics are dominated by competitive contracting and prescriber switching within GLP-1 therapy, not by regulatory novelty.

Which FDA milestones typically matter for projections?

  • Initial approval date is already past, so new regulatory milestones would need label changes or new approvals to reshape exclusivity.
  • Postmarketing changes (manufacturing updates, REMS if applicable) can affect supply continuity and payer access, but not usually exclusivity.

How does Bydureon Bcise’s market performance compare with competing weekly GLP-1s?

Answer: In the current US GLP-1 landscape, Bydureon Bcise faces share pressure from newer weekly GLP-1s with stronger clinical uptake and payer preference, including products with:

  • Higher perceived efficacy-to-tolerability ratios
  • Broader outcome messaging
  • More favorable formulary placements through contracting

What drives payer and prescriber switching for GLP-1s?

  • Formulary design: preferred tier placement, prior authorization tightening, and step therapy
  • Patient access: copay structure and manufacturer assistance
  • Clinical preference: reduced injection friction, improved titration experience, and adverse-event profiles

How these factors translate into projection risk for Bydureon Bcise

  • If payers shift volume to preferred weekly GLP-1s, Bydureon Bcise demand tends to flatten or decline even before formal generic entry.
  • Any supply disruptions can temporarily worsen share loss by pushing prescribers toward alternatives.

What is the revenue and volume outlook for Bydureon Bcise through patent-exclusivity windows?

Answer: The revenue outlook is best projected as declining or plateauing with increasing competitive pressure, with an additional step-down risk at the generic- or settlement-driven entry date for the specific controlling product patents. Because late-stage clinical activity is limited, value erosion is expected to be driven by market switching rather than new clinical value creation.

Market projection framework for decision-makers

  1. Baseline: current unit demand trajectory under payer preference migration
  2. Competitive overlay: incremental share gains by preferred GLP-1 competitors
  3. Exclusivity overlay: calendar risk points tied to last controlling patent expiry and/or settlement launch
  4. Supply and contracting overlay: distribution constraints and formulary churn

What “step-change” moments typically happen?

  • Settlement or patent expiry can create a discrete volume reduction due to generic availability and price competition.
  • Payer switching to preferred brands can create earlier gradual erosion.

Key takeaways

  • Bydureon Bcise is a mature weekly exenatide ER GLP-1 with limited recent late-stage clinical “reset” signals; competitive dynamics dominate.
  • Generic entry risk is staged by Orange Book patent expiry and potential design-around constraints for extended-release formulations.
  • Market share pressure from newer weekly GLP-1s is a primary driver of near- to mid-term demand erosion, even before generic launch.
  • The most material forward planning inputs are the controlling Orange Book patents’ expiration timetable and any linked Paragraph IV litigation or settlement launch calendar.

FAQs

What generic entry risks exist for Bydureon Bcise in the US?

The principal risk is calendar-driven once controlling formulation/method patents expire or are cleared via Paragraph IV outcomes or settlement terms, with additional risk from design-around feasibility for extended-release dosage form IP.

Are there biosimilar risks for Bydureon Bcise?

No biosimilar pathway applies because exenatide is a small-molecule peptide drug, not a biologic requiring biosimilar approval.

What formulation changes could a generic or follow-on competitor make to avoid infringement?

Generic designs commonly attempt to alter microsphere composition, release profile parameters, manufacturing process controls, and packaging specifics tied to listed formulation or process claims.

How does Bydureon Bcise compare on administration and tolerability versus other weekly GLP-1s?

Compared with newer weekly GLP-1 pen devices, exenatide ER’s injection kit experience can influence prescriber selection; tolerability is class-typical for GI effects.

What matters most for payer coverage decisions for Bydureon Bcise now?

Coverage and patient access are driven by formulary tiering, prior authorization criteria, step therapy rules, and copay assistance positioning versus preferred competing weekly GLP-1 products.


References (APA)

  1. FDA. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. U.S. Food and Drug Administration. https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm
  2. FDA. Drug Approval and Databases: Drug Trials Snapshots and approval histories. U.S. Food and Drug Administration. https://www.fda.gov/drugs
  3. FDA. Labeling and prescribing information for BYDUREON BCISE (exenatide extended-release). U.S. Food and Drug Administration. https://www.accessdata.fda.gov/scripts/cder/daf/

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