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CompletedNCT00086515Updated May 5, 2017Results posted

Metformin Add-on Study in Patients With Type 2 Diabetes Mellitus (0431-020)(COMPLETED)

A Phase 3 interventional study of Sitagliptin (MK0431) and Placebo/Glipizide 5 mg in Diabetes Mellitus, Type II, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years to 78 Years. Per ClinicalTrials.gov, last updated 2017-05-05.

Sponsored by Merck Sharp & Dohme LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
701
Allocation
Randomized
Ages
18 Years to 78 Years
Sex
All
01

Study summary

The purpose of this study is to determine the safety and efficacy of an investigational drug in patients with type 2 diabetes mellitus.

02

Conditions studied

  • Diabetes Mellitus, Type II

Keywords

  • Type 2 Diabetes Mellitus
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 701 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 78 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Patients with type 2 diabetes mellitus
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
701 participants (actual)

Study arms

  • Experimental
    Sitagliptin 100 mg

    The Sitagliptin 100 mg group includes patients who were administered once-daily treatment with oral tablets of sitagliptin 100 mg during Phase A (Weeks 0-24) of the treatment period. During Phase B (Weeks 24-104) of the treatment period these patients received once-daily coadministered treatment with oral tablets of sitagliptin 100 mg and glipizide-matched placebo.

    Drug: Sitagliptin (MK0431) · Drug: Metformin · Drug: Pioglitazone

  • Placebo comparator
    Placebo / Glipizide 5 mg

    The Placebo/Glipizide 5 mg group includes patients who were administered once-daily treatment with oral tablets of sitagliptin-matched placebo during Phase A (Weeks 0-24) of the treatment period. During Phase B (Weeks 24-104) of the treatment period these patients received once-daily coadministered treatment with oral tablets of sitagliptin-matched placebo 100 mg and glipizide 5 mg which was allowed to be uptitrated, in a blinded fashion, to a maximum dose of 15 mg/day.

    Drug: Placebo/Glipizide 5 mg · Drug: Metformin · Drug: Pioglitazone

Interventions

  • DrugSitagliptin (MK0431)

    Sitagliptin 100 mg once daily, from Visit 4 through Final Visit, week 104

    Also known as: MK0431, sitagliptin phosphate, Januvia

  • DrugPlacebo/Glipizide 5 mg

    Placebo (to match Sitagliptin 100 mg) from Visit 4 through Visit 8; Glipizide 5 mg from Visit 8, week 24 to Final Visit (Week 104)

  • DrugMetformin

    Metformin 1500 mg, once daily, from Visit 2 to Final Visit (Week 104)

  • DrugPioglitazone

    Pioglitazone 15 mg once daily, for patients not meeting specific glycemic goals during the placebo-controlled treatment period \[Phase A\], from Visit 5 (Week 6) to Visit 8 (Week 24)

    Also known as: ACTOS

06

What researchers measure

Primary outcomes

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

    A1C is measured as a percent. Thus, this change from baseline reflects the Week 24 A1C percent minus the Week 0 A1C percent.

    Time frame: Baseline and Week 24

Secondary outcomes

  1. Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24

    Change from baseline at Week 24 is defined as FPG at Week 24 minus FPG at Week 0.

    Time frame: Baseline and Week 24

  2. Change From Baseline in 2-hour Post-meal Glucose (PMG) at Week 24

    Change from baseline at Week 24 is defined as PMG at Week 24 minus PMG at Week 0.

    Time frame: Baseline and Week 24

07

Results

Posted Dec 17, 2010

Participant flow

Primary therapy Period: 13-Jul-2004 through 02-Feb-2007 (for the 2-year Phase A and B periods); 100 study centers worldwide. (46 sites in the United States, 25 sites in 11 countries in Europe, and 29 sites in 13 countries in the rest of the world).

Phase A (Weeks 0-24)
Participant flow — Phase A (Weeks 0-24)
MilestoneSitagliptin 100 mgPlacebo / Glipizide 5 mg
Started464237
Completed415192
Not completed4945
Withdrew: Adverse event179
Withdrew: Lack of efficacy713
Withdrew: Lost to follow-up45
Withdrew: Protocol violation31
Withdrew: Withdrawal by subject1010
Withdrew: Patient moved23
Withdrew: Protocol-spec lab discon criteria43
Withdrew: Poor compliance10
Withdrew: Patient needed prohibited treatment01
Withdrew: Personal circumstance10
Phase A to Phase B Transition Period
Participant flow — Phase A to Phase B Transition Period
MilestoneSitagliptin 100 mgPlacebo / Glipizide 5 mg
Started415192
Completed391164
Not completed2428
Withdrew: Adverse event21
Withdrew: Lack of efficacy22
Withdrew: Withdrawal by subject10
Withdrew: Protocol violation01
Withdrew: Patient received phase a rescue therapy1623
Withdrew: Protocol-spec lab discon criteria11
Withdrew: Poor compliance10
Withdrew: Patient needed prohibited treatment10
Phase B (Weeks 24-104)
Participant flow — Phase B (Weeks 24-104)
MilestoneSitagliptin 100 mgPlacebo / Glipizide 5 mg
Started391164
Completed201109
Not completed19055
Withdrew: Adverse event1610
Withdrew: Lack of efficacy9419
Withdrew: Lost to follow-up134
Withdrew: Physician decision30
Withdrew: Protocol violation10
Withdrew: Withdrawal by subject155
Withdrew: Patient moved22
Withdrew: Protocol-specific discontinuation53
Withdrew: Protocol-specific lab discon criteria3610
Withdrew: Patient died31
Withdrew: Patient needed prohibited treatment01
Withdrew: Personal circumstance10
Withdrew: Discontinued in error10

Outcome measures

PrimaryChange From Baseline in Hemoglobin A1C (A1C) at Week 24

A1C is measured as a percent. Thus, this change from baseline reflects the Week 24 A1C percent minus the Week 0 A1C percent.

Time frame:
Baseline and Week 24
Reported as:
Least squares mean · Percent
Change From Baseline in Hemoglobin A1C (A1C) at Week 24
PercentSitagliptin 100 mgPlacebo / Glipizide 5 mg
Change From Baseline in Hemoglobin A1C (A1C) at Week 24-0.67 (-0.77 to -0.57)-0.02 (-0.15 to 0.10)
Statistical analysis
  • Sitagliptin 100 mg vs Placebo / Glipizide 5 mg · ANCOVA · p = <0.001 · Mean difference (final values): -0.65 · 95% CI -0.77 to -0.53Model terms: treatment, prior AHA status (not on AHA, on monotherapy oral AHA, or on metformin-based oral combination AHA), and baseline A1C
SecondaryChange From Baseline in Fasting Plasma Glucose (FPG) at Week 24

Change from baseline at Week 24 is defined as FPG at Week 24 minus FPG at Week 0.

Time frame:
Baseline and Week 24
Reported as:
Least squares mean · mg/dL
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
mg/dLSitagliptin 100 mgPlacebo / Glipizide 5 mg
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24-16.9 (-21.5 to -12.3)8.5 (2.9 to 14.1)
Statistical analysis
  • Sitagliptin 100 mg vs Placebo / Glipizide 5 mg · ANCOVA · p = <0.001 · Mean difference (final values): -25.4 · 95% CI -31.0 to -19.8Model terms: treatment, prior AHA status (not on AHA, on monotherapy oral AHA, or on metformin-based oral combination AHA), and baseline FPG
SecondaryChange From Baseline in 2-hour Post-meal Glucose (PMG) at Week 24

Change from baseline at Week 24 is defined as PMG at Week 24 minus PMG at Week 0.

Time frame:
Baseline and Week 24
Reported as:
Least squares mean · mg/dL
Change From Baseline in 2-hour Post-meal Glucose (PMG) at Week 24
mg/dLSitagliptin 100 mgPlacebo / Glipizide 5 mg
Change From Baseline in 2-hour Post-meal Glucose (PMG) at Week 24-62.0 (-70.2 to -53.8)-11.4 (-21.7 to -1.0)
Statistical analysis
  • Sitagliptin 100 mg vs Placebo / Glipizide 5 mg · ANCOVA · p = <0.001 · Mean difference (final values): -50.6 · 95% CI -60.5 to -40.8Model terms: treatment, prior AHA status (not on AHA, on monotherapy oral AHA, or on metformin-based oral combination AHA), and baseline 2-hour PMG

Adverse events

Collected over Weeks 0-104. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sitagliptin 100 mg—54/464 (11.6%)210/464 (45.3%)
Placebo / Glipizide 5 mg—21/237 (8.9%)124/237 (52.3%)
Most frequent serious events
Showing 10 of 89
Most frequent serious events
EventSitagliptin 100 mgPlacebo / Glipizide 5 mg
Non-Cardiac Chest PainGeneral disorders1/4643/237
Abdominal PainGastrointestinal disorders2/4640/237
DeathGeneral disorders2/4640/237
GastroenteritisInfections and infestations2/4640/237
PolytraumatismInjury, poisoning and procedural complications2/4640/237
OsteoarthritisMusculoskeletal and connective tissue disorders2/4640/237
Acute Myocardial InfarctionCardiac disorders1/4641/237
Atrial FibrillationCardiac disorders0/4641/237
Coronary Artery DiseaseCardiac disorders1/4641/237
Myocardial InfarctionCardiac disorders0/4641/237
Most frequent other events
Showing 10 of 11
Most frequent other events
EventSitagliptin 100 mgPlacebo / Glipizide 5 mg
HypoglycaemiaMetabolism and nutrition disorders17/46441/237
Upper Respiratory Tract InfectionInfections and infestations49/46429/237
NasopharyngitisInfections and infestations41/46416/237
InfluenzaInfections and infestations37/46420/237
Back PainMusculoskeletal and connective tissue disorders33/46420/237
HypertensionVascular disorders29/46418/237
DiarrhoeaGastrointestinal disorders28/46411/237
Blood Glucose IncreasedInvestigations8/46414/237
BronchitisInfections and infestations26/46412/237
Urinary Tract InfectionInfections and infestations22/46413/237

Baseline characteristics

Age, Continuous
Age, Continuous(years)Sitagliptin 100 mgPlacebo / Glipizide 5 mgTotal
Mean54.4 ± 10.454.7 ± 9.754.5 ± 10.2
Sex: Female, Male
Sex: Female, Male(Participants)Sitagliptin 100 mgPlacebo / Glipizide 5 mgTotal
Female20596301
Male259141400
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Sitagliptin 100 mgPlacebo / Glipizide 5 mgTotal
White293159452
Black311445
Hispanic7228100
Asian492675
Other191029
Fasting Plasma Glucose (FPG)
Fasting Plasma Glucose (FPG)(mg/dL)Sitagliptin 100 mgPlacebo / Glipizide 5 mgTotal
Mean170.2 ± 40.2174.1 ± 42.0171.5 ± 41.3
Hemoglobin A1C (A1C)
Hemoglobin A1C (A1C)(Percent)Sitagliptin 100 mgPlacebo / Glipizide 5 mgTotal
Mean8.0 ± 0.88.0 ± 0.88.0 ± 0.8
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Charbonnel B, Karasik A, Liu J, Wu M, Meininger G; Sitagliptin Study 020 Group. Efficacy and safety of the dipeptidyl peptidase-4 inhibitor sitagliptin added to ongoing metformin therapy in patients with type 2 diabetes inadequately controlled with metformin alone. Diabetes Care. 2006 Dec;29(12):2638-43. doi: 10.2337/dc06-0706. PubMed 17130197 ↗
  • Xu L, Man CD, Charbonnel B, Meninger G, Davies MJ, Williams-Herman D, Cobelli C, Stein PP. Effect of sitagliptin, a dipeptidyl peptidase-4 inhibitor, on beta-cell function in patients with type 2 diabetes: a model-based approach. Diabetes Obes Metab. 2008 Dec;10(12):1212-20. doi: 10.1111/j.1463-1326.2008.00887.x. Epub 2008 May 12. PubMed 18476982 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00086515
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jul 5, 2004
Start date
Jun 30, 2004
Primary completion
Jul 20, 2005
Completion
Feb 2, 2007
Results posted
Dec 17, 2010
Last update
May 5, 2017

Study contacts

Medical Monitor
study director · Merck Sharp & Dohme LLC
View the source record on ClinicalTrials.gov ↗

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