CClinicalTrials.gg
CompletedNCT01065766Updated Mar 6, 2015Results posted

Sitagliptin/Metformin (JANUMET) Re-examination Study (0431A-182)

An observational study in Type 2 Diabetes Mellitus, sponsored by Merck Sharp & Dohme LLC. Completed. Per ClinicalTrials.gov, last updated 2015-03-06.

Sponsored by Merck Sharp & Dohme LLC · Observational

Study type
Observational
Time perspective
Prospective
Enrollment
4,065
Sex
All
01

Study summary

This survey is conducted for preparing application materials for re-examination under the Pharmaceutical Affairs Laws and its Enforcement Regulation, its aim is to reconfirm the clinical usefulness of sitagliptin/metformin (JANUMET) through collecting the safety and efficacy information according to the Re-examination Regulation for New Drugs.

02

Conditions studied

  • Type 2 Diabetes Mellitus

Keywords

  • Diabetes Mellitus
  • Non-Insulin-Dependent
03

In context

Diabetes Mellitus

10,923 studies on the registry are indexed under Diabetes Mellitus; 1,318 are open to participants now.

This study's enrollment of 4,065 is above the median of 233 across 2,218 observational 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
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Korean participants with type 2 diabetes mellitus treated with sitagliptin/metformin in usual practice

Inclusion criteria

  • Has type 2 diabetes mellitus
  • Is treated with sitagliptin/metformin within local label for the first time

Exclusion criteria

Exclusion Criteria:

  • Has a contraindication to sitagliptin/metformin according to the local label
  • Is treated with sitagliptin/metformin before contract and out of enrollment period
05

Study design

Time perspective
Prospective
Enrollment
4,065 participants (actual)
Patient registry
No

Groups and cohorts

  • All participants

    Korean participants with type 2 diabetes mellitus treated with sitagliptin/metformin

    Drug: Sitagliptin/metformin

Interventions

  • DrugSitagliptin/metformin

    Sitagliptin/metformin 50/500 mg, 50/850 mg, or 50/1000 mg tablet administered twice daily with meals.

    Also known as: JANUMET

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Any Adverse Experience

    An adverse event (AE) is any unfavorable and unintended change in the structure, function or chemistry of the body temporally associated with study drug administration whether or not considered related to the use of the product.

    Time frame: Up to 26 weeks

  2. Change From Baseline to Treatment in Hemoglobin HbA1c (A1C) at Week 12

    HbA1C is found when high blood levels of glucose combines with hemoglobin to form glycated hemoglobin. The average amount of glucose in blood over a prolonged periods of time can be determined by measuring a hemoglobin A1c level which is reported as a percentage (%). The change from baseline reflects the Week 12 A1C minus Week 0 A1C.

    Time frame: Baseline and Week 12

  3. Change From Baseline to Treatment in Fasting Plasma Glucose (FPG) at Week 12

    Blood glucose was measured on a fasting basis (collected after an 8- to 10-hour fast). FPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 12 FPG minus Week 0 FPG.

    Time frame: Baseline and Week 12

  4. Change From Baseline in 2-hour Post Prandial Glucose (2hr-PPG) at Week 12

    Blood glucose was measured 2 hours after a meal (2hr-PPG). 2hr-PPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 12 2hr-PPG minus Week 0 2hr-PPG.

    Time frame: Baseline and Week 12

  5. Percentage of Participants With an Overall Efficacy Evaluation by the Investigator of Improved, Stable, or Worse at Week 12

    Overall efficacy analysis was conducted on participants who have used study drug for more than 12 weeks and whose improvement of the disease has been assessed by Principal investigator. The investigator's global assessment of disease improvement was classified as either: "Improved", "Stable" and "Worse" in a Medical History/Physical Examination form.

    Time frame: At Week 12

  6. Change From Baseline to Treatment in HbA1c at Week 24

    HbA1C is blood marker used to report average blood glucose levels over a prolonged periods of time and is reported as a percentage (%). Therefore, this change from baseline reflects the Week 24 A1C minus Week 0 A1C.

    Time frame: Baseline and Week 24

  7. Change From Baseline to Treatment in FPG at Week 24

    Blood glucose was measured on a fasting basis (collected after an 8- to 10-hour fast). FPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 24 FPG minus Week 0 FPG.

    Time frame: Baseline and Week 24

  8. Change From Baseline in 2hr-PPG at Week 24

    Blood glucose was measured 2 hours after a meal (2hr-PPG). 2hr-PPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 24 2hr-PPG minus Week 0 2hr-PPG.

    Time frame: Baseline and Week 24

  9. Percentage of Participants With an Overall Efficacy Evaluation by the Investigator of Improved, Stable, or Worse at Week 24

    Overall efficacy analysis was conducted on participants who have used study drug for more than 24 weeks and whose improvement of the disease has been assessed by Principal investigator. The investigator's global assessment of disease improvement was classified as either: "Improved", "Stable" and "Worse" in a Medical History/Physical Examination form.

    Time frame: At Week 24

07

Results

Posted Apr 17, 2014

Participant flow

In this post-marketing surveillance study of sitagliptin/metformin (JANUMET®), participants in South Korea treated for \>= 24 weeks were evaluated for long-term safety and efficacy. During the re-examination study period (December 4, 2005 to September 20, 2013), case report forms (CRFs) were collected from 4,065 participants.

Participant flow — Overall Study
MilestoneAll Participants Included in the Safety Evaluation
Started4065
Completed4033
Not completed32
Withdrew: Assessed before the contracted date1
Withdrew: Contraindication to administration6
Withdrew: Violated dosage/administration25

Outcome measures

PrimaryPercentage of Participants With Any Adverse Experience

An adverse event (AE) is any unfavorable and unintended change in the structure, function or chemistry of the body temporally associated with study drug administration whether or not considered related to the use of the product.

Time frame:
Up to 26 weeks
Reported as:
Number · Percentage of participants
Percentage of Participants With Any Adverse Experience
Percentage of participantsAll Participants Included in the Safety Evaluation
Percentage of Participants With Any Adverse Experience3.74
PrimaryChange From Baseline to Treatment in Hemoglobin HbA1c (A1C) at Week 12

HbA1C is found when high blood levels of glucose combines with hemoglobin to form glycated hemoglobin. The average amount of glucose in blood over a prolonged periods of time can be determined by measuring a hemoglobin A1c level which is reported as a percentage (%). The change from baseline reflects the Week 12 A1C minus Week 0 A1C.

Time frame:
Baseline and Week 12
Reported as:
Mean · Percentage of glycosylated hemoglobin
Change From Baseline to Treatment in Hemoglobin HbA1c (A1C) at Week 12
Percentage of glycosylated hemoglobinAll Participants Included in the Safety Evaluation
Change From Baseline to Treatment in Hemoglobin HbA1c (A1C) at Week 12-0.93 ± 1.23
PrimaryChange From Baseline to Treatment in Fasting Plasma Glucose (FPG) at Week 12

Blood glucose was measured on a fasting basis (collected after an 8- to 10-hour fast). FPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 12 FPG minus Week 0 FPG.

Time frame:
Baseline and Week 12
Reported as:
Mean · mg/dL
Change From Baseline to Treatment in Fasting Plasma Glucose (FPG) at Week 12
mg/dLAll Participants Included in the Safety Evaluation
Change From Baseline to Treatment in Fasting Plasma Glucose (FPG) at Week 12-28.21 ± 42.21
PrimaryChange From Baseline in 2-hour Post Prandial Glucose (2hr-PPG) at Week 12

Blood glucose was measured 2 hours after a meal (2hr-PPG). 2hr-PPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 12 2hr-PPG minus Week 0 2hr-PPG.

Time frame:
Baseline and Week 12
Reported as:
Mean · mg/dL
Change From Baseline in 2-hour Post Prandial Glucose (2hr-PPG) at Week 12
mg/dLAll Participants Included in the Safety Evaluation
Change From Baseline in 2-hour Post Prandial Glucose (2hr-PPG) at Week 12-58.02 ± 72.96
PrimaryPercentage of Participants With an Overall Efficacy Evaluation by the Investigator of Improved, Stable, or Worse at Week 12

Overall efficacy analysis was conducted on participants who have used study drug for more than 12 weeks and whose improvement of the disease has been assessed by Principal investigator. The investigator's global assessment of disease improvement was classified as either: "Improved", "Stable" and "Worse" in a Medical History/Physical Examination form.

Time frame:
At Week 12
Reported as:
Number · Percentage of participants
Percentage of Participants With an Overall Efficacy Evaluation by the Investigator of Improved, Stable, or Worse at Week 12
Percentage of participantsAll Participants Included in the Safety Evaluation
Improved78.68
Stable16.38
Worse4.94
PrimaryChange From Baseline to Treatment in HbA1c at Week 24

HbA1C is blood marker used to report average blood glucose levels over a prolonged periods of time and is reported as a percentage (%). Therefore, this change from baseline reflects the Week 24 A1C minus Week 0 A1C.

Time frame:
Baseline and Week 24
Reported as:
Mean · Percentage of glycosylated hemoglobin
Change From Baseline to Treatment in HbA1c at Week 24
Percentage of glycosylated hemoglobinAll Participants Included in the Safety Evaluation
Change From Baseline to Treatment in HbA1c at Week 24-1.08 ± 1.42
PrimaryChange From Baseline to Treatment in FPG at Week 24

Blood glucose was measured on a fasting basis (collected after an 8- to 10-hour fast). FPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 24 FPG minus Week 0 FPG.

Time frame:
Baseline and Week 24
Reported as:
Mean · mg/dL
Change From Baseline to Treatment in FPG at Week 24
mg/dLAll Participants Included in the Safety Evaluation
Change From Baseline to Treatment in FPG at Week 24-32.40 ± 44.75
PrimaryChange From Baseline in 2hr-PPG at Week 24

Blood glucose was measured 2 hours after a meal (2hr-PPG). 2hr-PPG is expressed as mg/dL. Therefore, this change from baseline reflects the Week 24 2hr-PPG minus Week 0 2hr-PPG.

Time frame:
Baseline and Week 24
Reported as:
Mean · mg/dL
Change From Baseline in 2hr-PPG at Week 24
mg/dLAll Participants Included in the Safety Evaluation
Change From Baseline in 2hr-PPG at Week 24-62.13 ± 75.67
PrimaryPercentage of Participants With an Overall Efficacy Evaluation by the Investigator of Improved, Stable, or Worse at Week 24

Overall efficacy analysis was conducted on participants who have used study drug for more than 24 weeks and whose improvement of the disease has been assessed by Principal investigator. The investigator's global assessment of disease improvement was classified as either: "Improved", "Stable" and "Worse" in a Medical History/Physical Examination form.

Time frame:
At Week 24
Reported as:
Number · Percentage of participants
Percentage of Participants With an Overall Efficacy Evaluation by the Investigator of Improved, Stable, or Worse at Week 24
Percentage of participantsAll Participants Included in the Safety Evaluation
Improved76.38
Stable15.88
Worse7.75

Adverse events

Collected over Up to 26 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Participants Included in the Safety Evaluation—17/4,033 (0.4%)0/4,033 (0%)
Most frequent serious events
Showing 10 of 20
Most frequent serious events
EventAll Participants Included in the Safety Evaluation
ANGINA UNSTABLECardiac disorders2/4033
DYSPNOEARespiratory, thoracic and mediastinal disorders2/4033
ACUTE MYOCARDIAL INFARCTIONCardiac disorders1/4033
ATRIAL FLUTTERCardiac disorders1/4033
CORONARY ARTERY OCCLUSIONCardiac disorders1/4033
ABDOMINAL PAINGastrointestinal disorders1/4033
INGUINAL HERNIAGastrointestinal disorders1/4033
OESOPHAGEAL VARICES HAEMORRHAGEGastrointestinal disorders1/4033
VOMITINGGastrointestinal disorders1/4033
CHEST PAINGeneral disorders1/4033

Baseline characteristics

Baseline characteristics were only reported for the Safety Population (4033) who qualified for the study and not for the 4065 participants from whom CRFs were collected.

Age, Continuous
Age, Continuous(Years)All Participants Included in the Safety Evaluation
Mean58.22 ± 11.55
Sex: Female, Male
Sex: Female, Male(Participants)All Participants Included in the Safety Evaluation
Female1913
Male2120
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01065766
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Feb 9, 2010
Start date
Mar 2009
Primary completion
May 2013
Completion
May 2013
Results posted
Apr 17, 2014
Last update
Mar 6, 2015

Study contacts

Medical Monitor
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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