Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Trial abstract · §3

AMPLITUDE-O — results

Primary endpoint, absolute and relative effect where derivable, and harms as reported.

Document identifier
CEI-TR-0094/3
Series
Trial abstract
Version
2.4
Published
21 Jan 2023
Last reviewed
21 Feb 2024
Next review
21 Feb 2026
Identifier
10.71829/cei.trial.94
Certainty
Moderate
Cycle
2023 Q1
Phase
Phase 3
Status
Reported

§3Results

§3.1Primary endpoint

Table 3. Primary endpoint as reported.

EndpointResult as reportedCertainty
Time to first major adverse cardiovascular event in type 2 diabetes with cardiovascular or kidney diseaseHazard ratio 0.73 (95 % CI 0.58 to 0.92), with a composite kidney outcome also reducedModerate
Reproduced from the published report. Where the report states a confidence interval the Institute reproduces it; where it does not, none is constructed.

§3.2Endpoint hierarchy

Cumulative incidence of the primary endpointCumulative event incidence in each randomised arm over the follow-up period.0246805101520Months since randomisationCumulative incidence (%)ExenatideComparator
Figure 1. Illustrative. Cumulative incidence of the primary composite, reconstructed by the Institute from the reported hazard ratio and a comparator event rate typical of the enrolled risk profile. The curves are not digitised from the published figure. They are published to convey the shape of event accrual and the point at which the arms separate, and no incidence should be read off them.

Table 4. Relative and absolute effect. The Institute reports both, because a relative measure without a baseline risk cannot be acted on and systematically overstates benefit in lower-risk populations.

MeasureValueNote
Hazard ratio as reported0.73Reproduced from the published report.
Comparator event rate, %6.5Illustrative. A rate typical of the enrolled risk profile, used to convert the relative measure. Not a published figure.
Absolute risk difference, pp1.76Illustrative. Computed from the two rows above.
Number needed to treat57Illustrative. For the stated duration, at the comparator rate assumed above. Rises sharply as baseline risk falls.
Three of the four rows are Institute constructions and are marked. Only the hazard ratio is a published figure.

§3.3Harms as reported

Table 5. Adverse events for Exenatide from the safety tables the Institute holds for this compound. Where a row names a different trial as its source, the figure is from that trial and not from this one.

EventActive, %Comparator, %Source trial
Nausea44.018.0AMIGO pooled (immediate release)
Vomiting13.04.0AMIGO pooled
Diarrhoea13.06.0AMIGO pooled
Injection-site noduleA characteristic finding with the microsphere extended-release product, reported in up to 17 % and generally resolving over weeks to months
Acute pancreatitis0.20.1EXSCEL
Antibody formationHigher than for human-sequence analogues, reflecting the non-human origin; high-titre antibodies attenuate efficacy in a minority
Discontinuation for adverse events8.03.0AMIGO pooled
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