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CompletedNCT01936025DXM2Updated Nov 7, 2017

A Study to Investigate the Glucose Lowering Effects of Dextromethorphan Alone or in Combination With Sitagliptin in Subjects With Type 2 Diabetes Mellitus (T2DM) After an Oral Glucose Tolerance Test

A Phase 2 interventional study of Dextromethorphan and Sitagliptin in Type 2 Diabetes Mellitus, sponsored by Profil Institut für Stoffwechselforschung GmbH. Completed at 1 site in Germany. Open to male participants aged 45 Years to 70 Years. Per ClinicalTrials.gov, last updated 2017-11-07.

Sponsored by Profil Institut für Stoffwechselforschung GmbH · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
45 Years to 70 Years
Sex
Male
01

Study summary

The study has a randomized, double-blind, placebo-controlled, double dummy and eight-way cross-over design. Males with T2DM on a stable metformin monotherapy will be screened for participation in the study. Eligible subjects will be randomized to receive DXM 30 mg, DXM 60 mg, DXM 90 mg alone or in combination with sitagliptin 100 mg, sitagliptin 100 mg alone, or placebo (for DXM and sitagliptin) on in total eight treatment days. An OGTT will be started 1 hour after study drug administration and blood glucose will be measured over the next 4 hours. There will be a 3 to 14-day washout period between doses.

Read the detailed description

This study is performed to determine the optimal dose of DXM that, compared to placebo, decreases glucose excursions following an OGTT. Doses of 30 mg, 60 mg and 90 mg DXM were chosen. Since DXM 60 mg was effective in the previous study in increasing insulin secretion, this dose will be kept. A lower dose (30 mg) will be given to see whether effects on insulin secretion are present also at lower doses and then translate into a BG lowering action. A higher dose (90 mg) will be added to see whether this way an effect on glucose excursion reduction occurs following an OGTT, (like previously demonstrated with 270 mg DXM) that can be related to an increase of insulin secretion.

02

Conditions studied

  • Type 2 Diabetes Mellitus

Keywords

  • 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 34 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Profil Institut für Stoffwechselforschung GmbH is the lead sponsor of 24 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 70 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Signed and dated written informed consent obtained before any study-related activities
  2. Male subjects with a diagnosis of type 2 diabetes mellitus according to ADA criteria at least 4 months prior to screening
  3. Medical history without major pathology (with the exception of type 2 diabetes)
  4. On a stable regimen of metformin monotherapy for at least 3 months
  5. Aged between 45 and 70 years of age, both inclusive
  6. Body mass index (BMI) between 25 and 35kg/m2, both inclusive

Exclusion criteria

Exclusion Criteria:

  1. Subjects with type 1 diabetes, MODY or secondary forms of diabetes such as due to pancreatitis
  2. History of pancreatitis
  3. Current or previous treatment with insulin therapy
  4. Treatment with any hypoglycemic medication other than metformin within the three months prior to screening
  5. Mean QTc> 450 msec
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
34 participants (actual)

Study arms

  • Active comparator
    Sitagliptin

    Placebo dextromethorphan + sitagliptin 100 mg

    Drug: Sitagliptin

  • Experimental
    Dextromethorphan 30 mg + sitagliptin

    Dextromethorphan 30 mg + sitagliptin 100 mg

    Drug: Dextromethorphan · Drug: Sitagliptin

  • Experimental
    Dextromethorphan 60 mg + sitagliptin

    Dextromethorphan 60 mg + sitagliptin 100 mg

    Drug: Dextromethorphan · Drug: Sitagliptin

  • Experimental
    Dextromethorphan 90 mg + sitagliptin

    Dextromethorphan 90 mg + sitagliptin 100 mg

    Drug: Dextromethorphan · Drug: Sitagliptin

  • Experimental
    Dextromethorphan 30 mg + placebo

    Dextromethorphan 30 mg + placebo (sitagliptin)

    Drug: Dextromethorphan

  • Experimental
    Dextromethorphan 60 mg + placebo

    Dextromethorphan 60 mg + placebo (sitagliptin)

    Drug: Dextromethorphan

  • Experimental
    Dextromethorphan 90 mg + placebo

    Dextromethorphan 90 mg + placebo (sitagliptin)

    Drug: Dextromethorphan

  • Placebo comparator
    Placebo

    Placebo (dextromethorphan)+ placebo (sitagliptin)

    Drug: Placebo

Interventions

  • DrugDextromethorphan
  • DrugSitagliptin
  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. lowest dose of DXM

    To find the lowest dose of DXM that, compared to placebo, exerts BG lowering effects related to an OGTT

    Time frame: up to 4 hours after study drug administration

Secondary outcomes

  1. additive BG lowering effects

    To demonstrate whether the administration of DXM on top of sitagliptin exerts additive BG lowering effects related to an OGTT as compared to sitagliptin alone and DXM alone

    Time frame: up to 4 hours after study drug administration

07

Study locations

1 site
  • Profil Institut für Stoffwechselforschung GmbH
    Neuss, 41460, Germany
08

References and documents

Publications

  • Marquard J, Stirban A, Schliess F, Sievers F, Welters A, Otter S, Fischer A, Wnendt S, Meissner T, Heise T, Lammert E. Effects of dextromethorphan as add-on to sitagliptin on blood glucose and serum insulin concentrations in individuals with type 2 diabetes mellitus: a randomized, placebo-controlled, double-blinded, multiple crossover, single-dose clinical trial. Diabetes Obes Metab. 2016 Jan;18(1):100-3. doi: 10.1111/dom.12576. Epub 2015 Oct 26. PubMed 26362564 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01936025
Lead sponsor
Profil Institut für Stoffwechselforschung GmbH
Responsible party
Sponsor
First posted
Sep 5, 2013
Start date
Oct 2013
Primary completion
Apr 2014
Completion
Apr 2014
Last update
Nov 7, 2017

Study contacts

Alin Stirban, MD
principal investigator · Profil Institut für Stoffwechselforschung GmbH

Oversight

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

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This study is completed, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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