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Comparator: sitagliptin

Phase 1

Type 2 Diabetes Mellitus (T2DM) | Small molecule | Metabolic |Merck & Company, Inc.|Last Updated: May 12, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment268
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00511108Sitagliptin and Pioglitazone Mechanism of Action Study in Type 2 Diabetes Mellitus (0431-061)PHASE1 COMPLETED 211Jul 11, 2007Feb 24, 2009May 12, 2017 -
NCT00704132Sitagliptin Mechanism of Action Study in Patients With Type 2 Diabetes Mellitus (0431-059)PHASE1 COMPLETED 57Feb 14, 2007Apr 28, 2010May 12, 2017 -
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Study Endpoints
Primary Endpoints
Change From Baseline in Glucagon 3-hour Total Area Under the Curve (AUC) After 12 Weeks of Treatment
Baseline and 12 weeks

Glucagon concentration was measured at 9 points during an Meal Tolerance Test (MTT), at times -10, 0, 10, 20, 30, 60, 90, 120, and 180 minutes. Total AUC was calculated over 3 hours including all sample points starting from 0 minutes using the trapezoid method. The change from baseline reflects Week 12 total AUC minus the Week 0 total AUC.

Percent Change From Baseline in Index of Static Beta-cell Sensitivity to Glucose After 12 Weeks of Treatment
Baseline and 12 weeks

Static sensitivity is a measure of the effect of glucose on beta cell secretion and is the ratio between the insulin secretion rate and glucose concentration above the threshold level at steady state. Percent change from baseline was calculated as the difference between index of static sensitivities at Week 12 and at baseline with respect to the index of static sensitivity at baseline times 100.

Change From Baseline in Glucose 5-Hour Incremental AUC at Week 6
Baseline and Week 6

Participants underwent the 5-hour meal test prior to randomization (baseline) and was repeated at the conclusion of the 6-week double-blind study period. The change from baseline in Glucose 5-Hour Incremental AUC at Week 6 is computed as the difference between the Week 6 measurement and the baseline measurement.

Secondary Endpoints
Change From Baseline in Glucose 5-hour Total AUC After 12 Weeks of Treatment
Baseline and 12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALArm 1: drug
2ACTIVE_COMPARATORArm 2: active comparator
3EXPERIMENTALArm 3: drug + active comparator
4PLACEBO_COMPARATORArm 4: placebo comparator
sitagliptinEXPERIMENTALParticipants randomized to this arm will be administered sitagliptin 100mg daily, for six weeks.
PlaceboPLACEBO_COMPARATORParticipants randomized to this arm will be administered matching placebo, daily for six weeks.
Interventions
NameTypeDescription
Comparator: sitagliptin phosphateDRUGsitagliptin phosphate 100 mg as oral tablets. Each patient will be administered 1 tablet once daily.
Comparator: pioglitazoneDRUGpioglitazone 30 mg will be supplied as oral tablets. Each patient will be administered 1 tablet once daily.
Comparator: placebo to pioglitazoneDRUGpioglitazone 30 mg placebos will be supplied as oral tablets. Each patient will be administered 1 tablet once daily.
Comparator: placebo to sitagliptinDRUGsitagliptin phosphate 100 mg placebos will be supplied as oral tablets. Each patient will be administered 1 tablet once daily.
Comparator: placebo (unspecified)DRUGMatching placebo tablet, administered once daily before the morning meal.
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Eligibility Criteria
Age Range30 Years — 65 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient has type 2 diabetes mellitus * Male * Female that is highly unlikely to become pregnant * Patient is not on an antihyperglycemic agent (AHA) (hemoglobin A1c \[A1C\] 7-10%) or on oral single AHA or low-dose combination therapy (A1C 6.5-9.0%) Exclusion Criteria: * Pati...

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