Type II Diabetes MellitusPhase 2NCT00481663
A Study of Different Doses of Sitagliptin (MK-0431) in Participants With Type 2 Diabetes Mellitus (MK-0431-014)
A Phase 2 study testing Sitagliptin, Metformin and Rescue in people with Type II Diabetes Mellitus, run by Merck Sharp & Dohme LLC.
Trial summary
A study of different doses of MK-0431 in participants with type 2 diabetes mellitus. There have been 3 extensions to the base study (Extension 1: up to Week 52, Extension 2: up to Week 106, and Extension 3: up to Week 158). Read more about this study
- Who is it for?
- Ages 21 to 70 years
- Conditions the study is for
- Type II Diabetes Mellitus
- What is being tested?
- Sitagliptin, Metformin and Rescue
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 555 participants
- Where
- No sites listed yet
- Study dates
- 19 Aug 2003to 14 May 2006
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men and non-pregnant women
- Fasting plasma glucose >= 130 mg/dL
- HbA1c >=6.5% and >10.0%
Who cannot join
- You have a history of type I diabetes
- You are on a weight loss program with ongoing weight loss or taking weight loss medication
- You have had surgery within 30 days
- You hvae hepatitis B or C.
About this study
Official title: A Multicenter, Double-Blind, Randomized, Placebo-Controlled Dose-Ranging Finding Study of Once-Daily Dosing of Sitaglipin (MK-0431) in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control
A study of different doses of MK-0431 in participants with type 2 diabetes mellitus. There have been 3 extensions to the base study (Extension 1: up to Week 52, Extension 2: up to Week 106, and Extension 3: up to Week 158). The primary hypothesis for the study is that In participants with type 2 diabetes who have inadequate glycemic control, after 12 weeks of treatment, a dose-response will be seen across once-daily doses of MK-0431 in lowering hemoglobin A1C (HbA1c).
- Conditions
- Type II Diabetes Mellitus
- Being tested
- Sitagliptin, Placebo to sitagliptin, Metformin, Rescue
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SitagliptinDrug
Placebo to sitagliptinDrug
MetforminDrug
RescueDrug
Patients whose FPG >240 mg/dL from Week 16 or HbA1C >8.5% from Week 25 up to (not including) Week 52 could receive rescue antihyperglycemic therapy with pioglitazone, and remain in the extension study (Extension 1). Participants were eligible for rescue with pioglitazone 30 mg (or rosiglitazone in countries where pioglitazone was not licensed) if they met the following criteria: from Week 16 and during the second extension: FPG consistently >240 mg/dL (repeated and confirmed within 3 to 7 days); from Week 52 up to (not including) Week 70: HbA1C >8%; from Week 70 up to (not including) Visit 21/Week 106: HbA1C >7.5% (Extension 2). Participants placed on rescue therapy with pioglitazone (rosiglitazone where pioglitazone is not available) in the first or second extensions were not eligible for enrollment in the third extension. Rescue therapy was not available in the third extension.
| Study group | Role | What they receive |
|---|---|---|
| Sitagliptin 25 mg once daily | Experimental | Sitaglipin (MK-0431), 25 mg, once daily for 12 weeks, orally. Due to interim analysis of this study and another Phase IIB study, participants in this arm were switched into the 100-mg once daily arm during either the first or initiation of the second extensions study periods. Receives: Drug: Sitagliptin; Drug: Rescue |
| Sitagliptin 50 mg once daily | Experimental | Sitagliptin, 50 mg, once daily for 12 weeks, orally. Due to interim analysis of this study and another Phase IIB study, participants in this arm were switched into the 100-mg once daily arm during either the first or initiation of the second extensions study periods. Receives: Drug: Sitagliptin; Drug: Rescue |
| Sitaglipin 100 mg once daily | Experimental | Sitagliptin, 100 mg, once daily for 158 weeks, orally Receives: Drug: Sitagliptin; Drug: Rescue |
| Sitagliptin 50 mg twice daily | Experimental | Sitagliptin 50 mg, twice daily for 12 weeks, orally. Due to interim analysis of this study and another Phase IIB study, participants in this arm were switched into the 100-mg once daily arm during either the first or initiation of the second extensions study periods. Receives: Drug: Sitagliptin; Drug: Rescue |
| Placebo to Sitagliptin → Metformin | Placebo comparator | Placebo to Sitagliptin, once daily, orally for 12 weeks. Participants randomized to the placebo treatment group during the base study were reallocated to treatment with metformin 850 mg twice daily (b.i.d., initiated with 850 mg q.d. for 4 weeks then force titrated to 850 mg b.i.d.) during either the first or initiation of the second extensions study periods. Receives: Drug: Placebo to sitagliptin; Drug: Metformin; Drug: Rescue |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in HbA1C at Week 12
Measured: Baseline and Week 12
Number of Participants Who Experienced One or More Adverse Events (AE) up to Week 14
Measured: Up to Week 14
Number of Participants Who Experienced One or More AE up to Week 54
Measured: Up to Week 54
Number of Participants Who Experienced One or More AE up to Week 108
Measured: Up to Week 108
Number of Participants Who Experienced One or More AE up to Week 160
Measured: Up to Week 160
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 12
Measured: Up to Week 12
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 52
Measured: Up to Week 52
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 106
Measured: Up to Week 106
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 158
Measured: Up to Week 158
Secondary outcomes (14)
Change from Baseline in HbA1C at Week 52
Measured: Baseline and Week 52
Change from Baseline in HbA1C at Week 106
Measured: Baseline and Week 106
Change from Baseline in HbA1C at Week 158
Measured: Baseline and Week 158
Change from Baseline in Fasting Plasma Glucose (FPG) at Week 12
Measured: Baseline and Week 12
Change from Baseline in FPG at Week 52
Measured: Baseline and Week 52
Change from Baseline in FPG at Week 106
Measured: Baseline and Week 106
Change from Baseline in FPG at Week 158
Measured: Baseline and Week 158
Change from Baseline in Body Weight at Week 12
Measured: Baseline and Week 12
Change from Baseline in Body Weight at Week 52
Measured: Baseline and Week 52
Change from Baseline in Body Weight at Week 106
Measured: Baseline and Week 106
Change from Baseline in Body Weight at Week 158
Measured: Baseline and Week 158
Change From Baseline in Serum Fructosamine at Week 12
Measured: Baseline and Week 12
Change From Baseline in Daily Seven-Point Fingerstick Glucose Average at Week 12
Measured: Baseline and Week 12
Change From Baseline in Daily Seven-Point Fingerstick Glucose Average at Week 52
Measured: Baseline and Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jun 2007 (estimated)
- Study start19 Aug 2003
- Primary completion21 Jul 2004
- Study completion14 May 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Type II Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 555 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00481663
- Sponsor's protocol ID
- 0431-014
- Other IDs
- 2007_570
- Status last verified
- Mar 2017
- First submitted
- 1 Jun 2007
- Last updated
- 4 Apr 2017
- Results posted
- No
- Data monitoring committee
- No
Publications
Hanefeld M, Herman GA, Wu M, Mickel C, Sanchez M, Stein PP; Sitagliptin Study 014 Investigators. Once-daily sitagliptin, a dipeptidyl peptidase-4 inhibitor, for the treatment of patients with type 2 diabetes. Curr Med Res Opin. 2007 Jun;23(6):1329-39. doi: 10.1185/030079907X188152. Epub 2007 Apr 30.
PubMed 17559733
Study at a glance
From the registry record, last updated by the sponsor on 4 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Double-Blind, Randomized, Placebo-Controlled Dose-Ranging Finding Study of Once-Daily Dosing of Sitaglipin (MK-0431) in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control
- ClinicalTrials.gov ID
- NCT00481663
- Acronym / sponsor ID
- 0431-014
- Conditions
- Type II Diabetes Mellitus
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 555 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 19 Aug 2003 (actual)
- Primary completion
- 21 Jul 2004 (actual)
- Study completion
- 14 May 2006 (actual)
- First posted
- 4 Jun 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A study of different doses of MK-0431 in participants with type 2 diabetes mellitus. There have been 3 extensions to the base study (Extension 1: up to Week 52, Extension 2: up to Week 106, and Extension 3: up to Week 158). The primary hypothesis for the study is that In participants with type 2 diabetes who have inadequate glycemic control, after 12 weeks of treatment, a dose-response will be seen across once-daily doses of MK-0431 in lowering hemoglobin A1C (HbA1c).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Sitagliptin 25 mg once daily | Experimental | Drug: Sitagliptin, Drug: RescueSitaglipin (MK-0431), 25 mg, once daily for 12 weeks, orally. Due to interim analysis of this study and another Phase IIB study, participants in this arm were switched into the 100-mg once daily arm during either the first or initiation of the second extensions study periods. |
| Sitagliptin 50 mg once daily | Experimental | Drug: Sitagliptin, Drug: RescueSitagliptin, 50 mg, once daily for 12 weeks, orally. Due to interim analysis of this study and another Phase IIB study, participants in this arm were switched into the 100-mg once daily arm during either the first or initiation of the second extensions study periods. |
| Sitaglipin 100 mg once daily | Experimental | Drug: Sitagliptin, Drug: RescueSitagliptin, 100 mg, once daily for 158 weeks, orally |
| Sitagliptin 50 mg twice daily | Experimental | Drug: Sitagliptin, Drug: RescueSitagliptin 50 mg, twice daily for 12 weeks, orally. Due to interim analysis of this study and another Phase IIB study, participants in this arm were switched into the 100-mg once daily arm during either the first or initiation of the second extensions study periods. |
| Placebo to Sitagliptin → Metformin | Placebo comparator | Drug: Placebo to sitagliptin, Drug: Metformin, Drug: RescuePlacebo to Sitagliptin, once daily, orally for 12 weeks. Participants randomized to the placebo treatment group during the base study were reallocated to treatment with metformin 850 mg twice daily (b.i.d., initiated with 850 mg q.d. for 4 weeks then force titrated to 850 mg b.i.d.) during either the first or initiation of the second extensions study periods. |
Who may qualify
- Ages
- 21 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Men and non-pregnant women
- Fasting plasma glucose >= 130 mg/dL
- HbA1c >=6.5% and >10.0%
Key exclusion criteria (4 listed)
- You have a history of type I diabetes
- You are on a weight loss program with ongoing weight loss or taking weight loss medication
- You have had surgery within 30 days
- You hvae hepatitis B or C.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sitagliptin | Drug | Sitaglipin 100 mg once daily, Sitagliptin 25 mg once daily, Sitagliptin 50 mg once daily, Sitagliptin 50 mg twice daily |
| Placebo to sitagliptin | Drug | Placebo to Sitagliptin → Metformin |
| Metformin | Drug | Placebo to Sitagliptin → Metformin |
| RescuePatients whose FPG >240 mg/dL from Week 16 or HbA1C >8.5% from Week 25 up to (not including) Week 52 could receive rescue antihyperglycemic therapy with pioglitazone, and remain in the extension study (Extension 1). Participants were eligible for rescue with pioglitazone 30 mg (or rosiglitazone in countries where pioglitazone was not licensed) if they met the following criteria: from Week 16 and during the second extension: FPG consistently >240 mg/dL (repeated and confirmed within 3 to 7 days); from Week 52 up to (not including) Week 70: HbA1C >8%; from Week 70 up to (not including) Visit 21/Week 106: HbA1C >7.5% (Extension 2). Participants placed on rescue therapy with pioglitazone (rosiglitazone where pioglitazone is not available) in the first or second extensions were not eligible for enrollment in the third extension. Rescue therapy was not available in the third extension. | Drug | Placebo to Sitagliptin → Metformin, Sitaglipin 100 mg once daily, Sitagliptin 25 mg once daily, Sitagliptin 50 mg once daily, Sitagliptin 50 mg twice daily |
Primary outcome
Change from Baseline in HbA1C at Week 12
Time frame: Baseline and Week 12
Number of Participants Who Experienced One or More Adverse Events (AE) up to Week 14
Time frame: Up to Week 14
Number of Participants Who Experienced One or More AE up to Week 54
Time frame: Up to Week 54
Number of Participants Who Experienced One or More AE up to Week 108
Time frame: Up to Week 108
Number of Participants Who Experienced One or More AE up to Week 160
Time frame: Up to Week 160
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 12
Time frame: Up to Week 12
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 52
Time frame: Up to Week 52
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 106
Time frame: Up to Week 106
Number of participants Who Discontinued Study Treatment Due to An AE up to Week 158
Time frame: Up to Week 158
14 secondary outcomes
Change from Baseline in HbA1C at Week 52
Time frame: Baseline and Week 52
Change from Baseline in HbA1C at Week 106
Time frame: Baseline and Week 106
Change from Baseline in HbA1C at Week 158
Time frame: Baseline and Week 158
Change from Baseline in Fasting Plasma Glucose (FPG) at Week 12
Time frame: Baseline and Week 12
Change from Baseline in FPG at Week 52
Time frame: Baseline and Week 52
Change from Baseline in FPG at Week 106
Time frame: Baseline and Week 106
Change from Baseline in FPG at Week 158
Time frame: Baseline and Week 158
Change from Baseline in Body Weight at Week 12
Time frame: Baseline and Week 12
Change from Baseline in Body Weight at Week 52
Time frame: Baseline and Week 52
Change from Baseline in Body Weight at Week 106
Time frame: Baseline and Week 106
Change from Baseline in Body Weight at Week 158
Time frame: Baseline and Week 158
Change From Baseline in Serum Fructosamine at Week 12
Time frame: Baseline and Week 12
Change From Baseline in Daily Seven-Point Fingerstick Glucose Average at Week 12
Time frame: Baseline and Week 12
Change From Baseline in Daily Seven-Point Fingerstick Glucose Average at Week 52
Time frame: Baseline and Week 52
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Apr 2017.
- Background: PubMed 17559733Hanefeld M, Herman GA, Wu M, Mickel C, Sanchez M, Stein PP; Sitagliptin Study 014 Investigators. Once-daily sitagliptin, a dipeptidyl peptidase-4 inhibitor, for the treatment of patients with type 2 diabetes. Curr Med Res Opin. 2007 Jun;23(6):1329-39. doi: 10.1185/030079907X188152. Epub 2007 Apr 30.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Merck Sharp & Dohme LLC
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Sitagliptin, Metformin and Rescue in people with Type II Diabetes Mellitus, run by Merck Sharp & Dohme LLC.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline in HbA1C at Week 12 (time frame: Baseline and Week 12). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00481663, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2017; AzTrials last refreshed its copy on 6 Nov 2026.