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
The purpose of this study is to determine the safety and efficacy of an investigational drug in patients with type 2 diabetes mellitus.
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This study's enrollment of 701 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
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Inclusion Criteria:
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
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
Sitagliptin 100 mg once daily, from Visit 4 through Final Visit, week 104
Also known as: MK0431, sitagliptin phosphate, Januvia
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)
Metformin 1500 mg, once daily, from Visit 2 to Final Visit (Week 104)
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
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
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
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
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).
| Milestone | Sitagliptin 100 mg | Placebo / Glipizide 5 mg |
|---|---|---|
| Started | 464 | 237 |
| Completed | 415 | 192 |
| Not completed | 49 | 45 |
| Withdrew: Adverse event | 17 | 9 |
| Withdrew: Lack of efficacy | 7 | 13 |
| Withdrew: Lost to follow-up | 4 | 5 |
| Withdrew: Protocol violation | 3 | 1 |
| Withdrew: Withdrawal by subject | 10 | 10 |
| Withdrew: Patient moved | 2 | 3 |
| Withdrew: Protocol-spec lab discon criteria | 4 | 3 |
| Withdrew: Poor compliance | 1 | 0 |
| Withdrew: Patient needed prohibited treatment | 0 | 1 |
| Withdrew: Personal circumstance | 1 | 0 |
| Milestone | Sitagliptin 100 mg | Placebo / Glipizide 5 mg |
|---|---|---|
| Started | 415 | 192 |
| Completed | 391 | 164 |
| Not completed | 24 | 28 |
| Withdrew: Adverse event | 2 | 1 |
| Withdrew: Lack of efficacy | 2 | 2 |
| Withdrew: Withdrawal by subject | 1 | 0 |
| Withdrew: Protocol violation | 0 | 1 |
| Withdrew: Patient received phase a rescue therapy | 16 | 23 |
| Withdrew: Protocol-spec lab discon criteria | 1 | 1 |
| Withdrew: Poor compliance | 1 | 0 |
| Withdrew: Patient needed prohibited treatment | 1 | 0 |
| Milestone | Sitagliptin 100 mg | Placebo / Glipizide 5 mg |
|---|---|---|
| Started | 391 | 164 |
| Completed | 201 | 109 |
| Not completed | 190 | 55 |
| Withdrew: Adverse event | 16 | 10 |
| Withdrew: Lack of efficacy | 94 | 19 |
| Withdrew: Lost to follow-up | 13 | 4 |
| Withdrew: Physician decision | 3 | 0 |
| Withdrew: Protocol violation | 1 | 0 |
| Withdrew: Withdrawal by subject | 15 | 5 |
| Withdrew: Patient moved | 2 | 2 |
| Withdrew: Protocol-specific discontinuation | 5 | 3 |
| Withdrew: Protocol-specific lab discon criteria | 36 | 10 |
| Withdrew: Patient died | 3 | 1 |
| Withdrew: Patient needed prohibited treatment | 0 | 1 |
| Withdrew: Personal circumstance | 1 | 0 |
| Withdrew: Discontinued in error | 1 | 0 |
A1C is measured as a percent. Thus, this change from baseline reflects the Week 24 A1C percent minus the Week 0 A1C percent.
| Percent | Sitagliptin 100 mg | Placebo / 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) |
Change from baseline at Week 24 is defined as FPG at Week 24 minus FPG at Week 0.
| mg/dL | Sitagliptin 100 mg | Placebo / 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) |
Change from baseline at Week 24 is defined as PMG at Week 24 minus PMG at Week 0.
| mg/dL | Sitagliptin 100 mg | Placebo / 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) |
Collected over Weeks 0-104. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Sitagliptin 100 mg | — | 54/464 (11.6%) | 210/464 (45.3%) |
| Placebo / Glipizide 5 mg | — | 21/237 (8.9%) | 124/237 (52.3%) |
| Event | Sitagliptin 100 mg | Placebo / Glipizide 5 mg |
|---|---|---|
| Non-Cardiac Chest PainGeneral disorders | 1/464 | 3/237 |
| Abdominal PainGastrointestinal disorders | 2/464 | 0/237 |
| DeathGeneral disorders | 2/464 | 0/237 |
| GastroenteritisInfections and infestations | 2/464 | 0/237 |
| PolytraumatismInjury, poisoning and procedural complications | 2/464 | 0/237 |
| OsteoarthritisMusculoskeletal and connective tissue disorders | 2/464 | 0/237 |
| Acute Myocardial InfarctionCardiac disorders | 1/464 | 1/237 |
| Atrial FibrillationCardiac disorders | 0/464 | 1/237 |
| Coronary Artery DiseaseCardiac disorders | 1/464 | 1/237 |
| Myocardial InfarctionCardiac disorders | 0/464 | 1/237 |
| Event | Sitagliptin 100 mg | Placebo / Glipizide 5 mg |
|---|---|---|
| HypoglycaemiaMetabolism and nutrition disorders | 17/464 | 41/237 |
| Upper Respiratory Tract InfectionInfections and infestations | 49/464 | 29/237 |
| NasopharyngitisInfections and infestations | 41/464 | 16/237 |
| InfluenzaInfections and infestations | 37/464 | 20/237 |
| Back PainMusculoskeletal and connective tissue disorders | 33/464 | 20/237 |
| HypertensionVascular disorders | 29/464 | 18/237 |
| DiarrhoeaGastrointestinal disorders | 28/464 | 11/237 |
| Blood Glucose IncreasedInvestigations | 8/464 | 14/237 |
| BronchitisInfections and infestations | 26/464 | 12/237 |
| Urinary Tract InfectionInfections and infestations | 22/464 | 13/237 |
| Age, Continuous(years) | Sitagliptin 100 mg | Placebo / Glipizide 5 mg | Total |
|---|---|---|---|
| Mean | 54.4 ± 10.4 | 54.7 ± 9.7 | 54.5 ± 10.2 |
| Sex: Female, Male(Participants) | Sitagliptin 100 mg | Placebo / Glipizide 5 mg | Total |
|---|---|---|---|
| Female | 205 | 96 | 301 |
| Male | 259 | 141 | 400 |
| Race/Ethnicity, Customized(participants) | Sitagliptin 100 mg | Placebo / Glipizide 5 mg | Total |
|---|---|---|---|
| White | 293 | 159 | 452 |
| Black | 31 | 14 | 45 |
| Hispanic | 72 | 28 | 100 |
| Asian | 49 | 26 | 75 |
| Other | 19 | 10 | 29 |
| Fasting Plasma Glucose (FPG)(mg/dL) | Sitagliptin 100 mg | Placebo / Glipizide 5 mg | Total |
|---|---|---|---|
| Mean | 170.2 ± 40.2 | 174.1 ± 42.0 | 171.5 ± 41.3 |
| Hemoglobin A1C (A1C)(Percent) | Sitagliptin 100 mg | Placebo / Glipizide 5 mg | Total |
|---|---|---|---|
| Mean | 8.0 ± 0.8 | 8.0 ± 0.8 | 8.0 ± 0.8 |
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This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.
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Merck Sharp & Dohme LLC