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Type 2 Diabetes MellitusPhase 3NCT01076075

A Study to Evaluate the Safety and Efficacy of Sitagliptin 100 mg in Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control (MK-0431-229)

A Phase 3 study testing Sitagliptin phosphate, Comparator: pioglitazone and Glimepiride or gliclazide in people with Type 2 Diabetes Mellitus, run by Merck Sharp & Dohme LLC.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate whether the addition of Sitagliptin treatment provides a greater decrease in A1C levels compared to placebo in participants with inadequate glycemic control on sulfonylurea and metformin combination therapy. Read more about this study

Who is it for?
Ages 18 to 78 years
Conditions the study is for
Type 2 Diabetes Mellitus
What is being tested?
Sitagliptin phosphate, Comparator: pioglitazone and Glimepiride or gliclazide
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
427 participants
Where
No sites listed yet
Study dates
3 Jun 2010to 19 Jan 2012
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 78 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Type 2 diabetes mellitus
  • Hemoglobin A1C of ≥7.5% and ≤10.5%
  • Currently taking a stable dose of metformin (at least 1500 mg/day) and either glimepiride (at least 2 mg/day) or gliclazide (at least 50% of maximum registered dose) for at least 10 weeks prior to study start
  • Male, or a female who is highly unlikely to conceive

Who cannot join

  • Type 1 diabetes mellitus or ketoacidosis
  • Taking a dipeptidyl peptidase-4 (DPP-4) inhibitor (such as sitagliptin) or a glucagon-like peptide-1 (GLP-1) mimetic (such as exenatide or liraglutide) or required insulin therapy within 12 weeks prior to study start
  • On a weight loss program not in the maintenance phase or on a weight loss medication
  • History of liver disease, heart failure, heart disease, stroke, high blood pressure, blood disorders, or cancer
  • HIV positive
  • Pregnant

About this study

Official title: A Phase III, Randomized, Clinical Trial to Evaluate the Safety and Efficacy of the Addition of Sitagliptin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on a Sulfonylurea in Combination With Metformin

This study will evaluate whether the addition of Sitagliptin treatment provides a greater decrease in A1C levels compared to placebo in participants with inadequate glycemic control on sulfonylurea and metformin combination therapy.

Being tested
Sitagliptin phosphate, Comparator: placebo to pioglitazone, Comparator: placebo to Sitagliptin, Comparator: pioglitazone, Glimepiride or gliclazide
Keywords
Type 2 Diabetes Mellitus
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.

  • Sitagliptin phosphateDrug

    Also called Januvia

    Phase A (Weeks 0-24): Sitagliptin 100 mg once a day for 24 weeks; Phase B (Weeks 24-54): Sitagliptin 100 mg once a day for 30 weeks

  • Comparator: placebo to pioglitazoneDrug

    Phase B (Weeks 24-54): placebo to pioglitazone 30 mg once a day for 30 weeks

  • Comparator: placebo to SitagliptinDrug

    Phase A (Weeks 0-24): placebo to Sitagliptin 100 mg once a day for 24 weeks; Phase B (Weeks 24-54): placebo to Sitagliptin once a day for 30 weeks

  • Comparator: pioglitazoneDrug

    Also called Actos;

    Phase B (Weeks 24-54): pioglitazone 30 mg once a day for 30 weeks

  • Glimepiride or gliclazideDrug

    Phase A (Weeks 0-24): stable dose, as prescribed by investigator, of glimepiride or gliclazide; Phase B (Weeks 24-54): stable dose, as prescribed by investigator, of glimepiride or gliclazide

  • MetforminDrug

    Phase A (Weeks 0-24): stable dose, as prescribed

    by investigator, of metformin; Phase B (Weeks 24-

    54): stable dose, as prescribed by investigator, of

    metformin

  • Pioglitazone rescue therapyDrug

    Also called Actos

    Phase A (Weeks 0-24): participants not meeting specific glycemic goals will receive pioglitazone (open label) at a dose determined by the investigator. These participants will not initiate Phase B (Weeks 24-54) double blind pioglitazone.

Study groups in NCT01076075
Study groupRoleWhat they receive
placebo/pioglitazoneActive comparatorPhase A (Weeks 0-24): placebo to Sitagliptin 100 mg; Phase B (Weeks 24-54): placebo to Sitagliptin 100 mg + pioglitazone 30 mg
Receives: Drug: Comparator: placebo to Sitagliptin; Drug: Comparator: pioglitazone; Drug: Glimepiride or gliclazide; Drug: Metformin; Drug: Pioglitazone rescue therapy
SitagliptinExperimentalPhase A (Weeks 0-24): Sitagliptin 100 mg; Phase B (Weeks 24-54): Sitagliptin 100 mg + placebo to pioglitazone
Receives: Drug: Sitagliptin phosphate; Drug: Comparator: placebo to pioglitazone; Drug: Glimepiride or gliclazide; Drug: Metformin; Drug: Pioglitazone rescue therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Hemoglobin A1C (%) at Week 24

    Change from baseline reflects the Week 24 value minus the baseline value. A1C represents the percentage of glycosylated hemoglobin.

    Measured: Baseline and Week 24

  2. Number of Participants With One or More Adverse Events (AEs) - Week 0 to Week 54

    Measured: Week 0 to Week 54

  3. Number of Participants Discontinuing Study Drug Due to An Adverse Event

    Measured: Week 0 to Week 54

Secondary outcomes (2)
  1. Change From Baseline in 2-hour Post-Meal Glucose at Week 24

    Change from baseline reflects the Week 24 value minus the baseline value. Two-hour post-meal glucose was measured following a standard meal.

    Measured: Baseline and Week 24

  2. Change From Baseline in Fasting Plasma Glucose at Week 24

    Change from baseline reflects the Week 24 value minus the baseline value.

    Measured: Baseline to Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2010 (estimated)
  2. Study start3 Jun 2010
  3. Primary completion11 Jul 2011
  4. Study completion19 Jan 2012

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
427 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01076075
Sponsor's protocol ID
0431-229
Other IDs
2010_513, MK-0431-229
Status last verified
May 2017
First submitted
24 Feb 2010
Last updated
5 Jun 2017
Data monitoring committee
No
Individual data sharing
Yes: http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final\_Updated%20July\_9\_2014.pdf http://engagezone.msd.com/ds\_documentation.php

Publications

  • Moses RG, Round E, Shentu Y, Golm GT, O'neill EA, Gantz I, Engel SS, Kaufman KD, Goldstein BJ. A randomized clinical trial evaluating the safety and efficacy of sitagliptin added to the combination of sulfonylurea and metformin in patients with type 2 diabetes mellitus and inadequate glycemic control. J Diabetes. 2016 Sep;8(5):701-11. doi: 10.1111/1753-0407.12351. Epub 2016 Feb 3.

    PubMed 26625270

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Sitagliptin phosphate, Comparator: pioglitazone and Glimepiride or gliclazide in people with Type 2 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 4 inclusion and 6 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 5 Jun 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 Hemoglobin A1C (%) at Week 24 (time frame: Baseline and Week 24). The study lists 3 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 NCT01076075, 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 5 Jun 2017.

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