A Phase 1 interventional study of Co-administration of 50 mg sitagliptin and 500 mg metformin and sitagliptin/metformin 50 mg/500 mg tablet in Type 2 Diabetes, sponsored by Merck Sharp & Dohme LLC. Completed. Open to male participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-07-28.
Sponsored by Merck Sharp & Dohme LLC · Phase 1, Interventional, and Treatment
This study will test the hypothesis that the Final Market Image (FMI) sitagliptin/metformin 50 mg/500 mg and 50 mg/850 mg (Fixed Dose Combination) FDC tablet and co-administration of corresponding doses of sitagliptin and China-sourced metformin as individual tablets will be bioequivalent based on assessment of the AUC(0-t) and Cmax, for both sitagliptin and metformin.
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This study's enrollment of 28 is below the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.
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Exclusion Criteria:
Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * Co-administration of 50 mg sitagliptin and 500 mg metformin * sitagliptin/metformin 50 mg/500 mg FDC tablet * sitagliptin/metformin 50 mg/850 mg FDC tablet * Co-administration of 50 mg sitagliptin and 850 mg metformin
Drug: Co-administration of 50 mg sitagliptin and 500 mg metformin · Drug: sitagliptin/metformin 50 mg/500 mg tablet · Drug: Co-administration of 50 mg sitagliptin and 850 mg metformin · Drug: sitagliptin/metformin 50 mg/850 mg tablet
Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * sitagliptin/metformin 50 mg/500 mg FDC tablet * Co-administration of 50 mg sitagliptin and 850 mg metformin * Co-administration of 50 mg sitagliptin and 500mg metformin * sitagliptin/metformin 50 mg/850 mg FDC tablet
Drug: Co-administration of 50 mg sitagliptin and 500 mg metformin · Drug: sitagliptin/metformin 50 mg/500 mg tablet · Drug: Co-administration of 50 mg sitagliptin and 850 mg metformin · Drug: sitagliptin/metformin 50 mg/850 mg tablet
Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * Co-administration of 50 mg sitagliptin and 850 mg metformin * sitagliptin/metformin 50 mg/850 mg FDC tablet * sitagliptin/metformin 50 mg/500 mg FDC tablet * Co-administration of 50 mg sitagliptin and 500mg metformin
Drug: Co-administration of 50 mg sitagliptin and 500 mg metformin · Drug: sitagliptin/metformin 50 mg/500 mg tablet · Drug: Co-administration of 50 mg sitagliptin and 850 mg metformin · Drug: sitagliptin/metformin 50 mg/850 mg tablet
Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * sitagliptin/metformin 50 mg/850 mg FDC tablet * Co-administration of 50 mg sitagliptin and 500 mg metformin * Co-administration of 50 mg sitagliptin and 850 mg metformin * sitagliptin/metformin 50 mg/500 mg FDC tablet
Drug: Co-administration of 50 mg sitagliptin and 500 mg metformin · Drug: sitagliptin/metformin 50 mg/500 mg tablet · Drug: Co-administration of 50 mg sitagliptin and 850 mg metformin · Drug: sitagliptin/metformin 50 mg/850 mg tablet
Co-administration of 50 mg sitagliptin and 500 mg China-sourced metformin as individual tablets with 240 ml water on Day 1 of the relevant treatment period (Sit + Met500) after fasting for at least 10 hours.
Single dose administration of the final marketing image (FMI) sitagliptin/metformin 50 mg/500 mg fixed-dose combination (FDC) tablet with 240 ml water on Day 1 of the relevant treatment period (SitMet850 FDC) after fasting for at least 10 hours.
Co-administration of 50 mg sitagliptin and 850 mg China sourced metformin as individual tablets with 240 ml water on Day 1 of the relevant treatment period (Sit + Met850) after fasting for at least 10 hours.
Single dose administration of the FMI sitagliptin/metformin 50 mg/850 mg FDC tablet with 240 ml water on Day 1 of the relevant treatment period (SitMet850 FDC) after fasting for at least 10 hours.
Area Under the Curve (AUC(0-t)) for Sitagliptin
AUC (0-t) is the area under the curve for the plot showing plasma concentration against time from time zero to the time of the last quantifiable concentration for sitagliptin 50 mg, metformin 500 mg and metformin 850 mg.
Time frame: baseline through 72 hours postdose
Cmax for Sitagliptin and Metformin
Cmax is the peak serum concentration of a therapeutic drug after administration; and is used to determine the rate and extent of drug absorption. Cmax is reported for sitagliptin 50 mg, metformin 500 mg and metformin 850 mg.
Time frame: baseline through 72 hours postdose
28 participants were randomized in four treatment sequences. Participants had a 7 day minimum washout period between treatments.
| Milestone | 1. Sit + Met500 / SitMet500 FDC / SitMet850 FDC / Sit + Met850 | 2. SitMet500 FDC / Sit + Met850 / Sit + Met500 / SitMet850 FDC | 3. Sit + Met850 / SitMet850 FDC / SitMet500 FDC / Sit + Met500 | 4. SitMet850 FDC / Sit + Met500 / Sit + Met850 / SitMet500 FDC |
|---|---|---|---|---|
| Started | 7 | 7 | 7 | 7 |
| Completed | 7 | 7 | 7 | 7 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | 1. Sit + Met500 / SitMet500 FDC / SitMet850 FDC / Sit + Met850 | 2. SitMet500 FDC / Sit + Met850 / Sit + Met500 / SitMet850 FDC | 3. Sit + Met850 / SitMet850 FDC / SitMet500 FDC / Sit + Met500 | 4. SitMet850 FDC / Sit + Met500 / Sit + Met850 / SitMet500 FDC |
|---|---|---|---|---|
| Started | 7 | 7 | 6 | 7 |
| Completed | 7 | 7 | 6 | 7 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | 1. Sit + Met500 / SitMet500 FDC / SitMet850 FDC / Sit + Met850 | 2. SitMet500 FDC / Sit + Met850 / Sit + Met500 / SitMet850 FDC | 3. Sit + Met850 / SitMet850 FDC / SitMet500 FDC / Sit + Met500 | 4. SitMet850 FDC / Sit + Met500 / Sit + Met850 / SitMet500 FDC |
|---|---|---|---|---|
| Started | 7 | 7 | 6 | 7 |
| Completed | 7 | 7 | 6 | 7 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | 1. Sit + Met500 / SitMet500 FDC / SitMet850 FDC / Sit + Met850 | 2. SitMet500 FDC / Sit + Met850 / Sit + Met500 / SitMet850 FDC | 3. Sit + Met850 / SitMet850 FDC / SitMet500 FDC / Sit + Met500 | 4. SitMet850 FDC / Sit + Met500 / Sit + Met850 / SitMet500 FDC |
|---|---|---|---|---|
| Started | 7 | 7 | 6 | 7 |
| Completed | 7 | 7 | 6 | 7 |
| Not completed | 0 | 0 | 0 | 0 |
AUC (0-t) is the area under the curve for the plot showing plasma concentration against time from time zero to the time of the last quantifiable concentration for sitagliptin 50 mg, metformin 500 mg and metformin 850 mg.
| hr*ng/mL | Sit 50 mg + Met 500 mg | SitMet 50mg/500mg FDC | Sit 50 mg + Met 850 mg | SitMet 50mg/850mg FDC |
|---|---|---|---|---|
| sitagliptin 50 mg | 1570 ± 217.40 | 1590 ± 186.58 | 1520 ± 228.83 | 1600 ± 195.05 |
| metformin 500 mg | 8350 ± 1881.70 | 8750 ± 1920.45 | NA ± NA | NA ± NA |
| metformin 850 mg | NA ± NA | NA ± NA | 11800 ± 2849.36 | 13100 ± 2987.28 |
Cmax is the peak serum concentration of a therapeutic drug after administration; and is used to determine the rate and extent of drug absorption. Cmax is reported for sitagliptin 50 mg, metformin 500 mg and metformin 850 mg.
| ng/mL | Sit 50 mg + Met 500 mg | SitMet 50mg/500mg FDC | Sit 50 mg + Met 850 mg | SitMet 50mg/850mg FDC |
|---|---|---|---|---|
| sitagliptin 50 mg | 189 ± 37.76 | 182 ± 38.71 | 187 ± 40.31 | 194 ± 32.67 |
| Metformin 500 mg | 1210 ± 323.83 | 1310 ± 383.57 | NA ± NA | NA ± NA |
| Metformin 850 mg | NA ± NA | NA ± NA | 1790 ± 488.51 | 1970 ± 482.69 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Sit 50 mg + Met 500 mg | — | 0/28 (0%) | 4/28 (14.3%) |
| Sit/Met 50 mg/500 mg FDC | — | 0/28 (0%) | 3/28 (10.7%) |
| Sit 50 mg + Met 850 mg | — | 0/28 (0%) | 4/28 (14.3%) |
| Sit/Met 50 mg/850 mg FDC | — | 0/28 (0%) | 2/28 (7.1%) |
| Event | Sit 50 mg + Met 500 mg | Sit/Met 50 mg/500 mg FDC | Sit 50 mg + Met 850 mg | Sit/Met 50 mg/850 mg FDC |
|---|---|---|---|---|
| DiarrheaGastrointestinal disorders | 2/28 | 1/28 | 1/28 | 0/28 |
| FlatulenceGastrointestinal disorders | 0/28 | 0/28 | 2/28 | 0/28 |
| HeadacheNervous system disorders | 1/28 | 0/28 | 0/28 | 0/28 |
| Abdominal painGastrointestinal disorders | 1/28 | 1/28 | 1/28 | 1/28 |
| FeverGeneral disorders | 1/28 | 0/28 | 0/28 | 0/28 |
| VertigoEar and labyrinth disorders | 1/28 | 0/28 | 0/28 | 0/28 |
| NauseaGastrointestinal disorders | 1/28 | 1/28 | 0/28 | 0/28 |
| Chest painGeneral disorders | 0/28 | 0/28 | 1/28 | 0/28 |
| RashSkin and subcutaneous tissue disorders | 0/28 | 0/28 | 1/28 | 0/28 |
| LeucocytosisBlood and lymphatic system disorders | 0/28 | 0/28 | 0/28 | 1/28 |
| Age, Continuous(years) | All Participants |
|---|---|
| Mean | 28.6 ± 5.61 |
| Sex: Female, Male(Participants) | All Participants |
|---|---|
| Female | 0 |
| Male | 28 |
| Region of Enrollment(participants) | All Participants |
|---|---|
| China | 28 |
| Body Mass Index (BMI)(kg/m^2) | All Participants |
|---|---|
| Mean | 22 ± 1.22 |
No study locations are listed for this record.
This study is completed, as verified in Jul 2015. You cannot join it, but the record below documents what was studied.
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Merck Sharp & Dohme LLC