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sitagliptin

Phase 3

Diabetes Mellitus, Non-Insulin-Dependent | Small molecule | Metabolic |Merck & Company, Inc.|Last Updated: May 30, 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_CONTROLLEDBiomarker
Total Trials5
Total Enrollment2,112
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00837577MK0431/ONO-5435 Phase III Clinical Trial -Add-on to Voglibose Study for Patients With Type 2 Diabetes Mellitus (MK0431-104)PHASE3 COMPLETED 133Feb 5, 2009Aug 11, 2010May 15, 2017 -
NCT00545584Addition Of Januvia (Sitagliptin) Improves Glycemic Control In Patients Inadequately Controlled By Metformin (MK0431-078)PHASE3 COMPLETED 1,512Apr 1, 2007Nov 19, 2009May 12, 2017 -
NCT00875394Study to Assess the Efficacy and Safety of Sitagliptin Added to the Regimen of Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin (0431-189)PHASE3 COMPLETED 68Feb 1, 2007Jun 27, 2008May 30, 2017 -
NCT00411554A Study of Sitagliptin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Diet/Exercise Therapy (0431-054)(COMPLETED)PHASE3 COMPLETED 319Jan 1, 2007Aug 1, 2007Feb 5, 2016 -
NCT00758069Clinical Study on Sitagliptin for Assessment of Glucose-lowering Effects (0431-045)PHASE2 COMPLETED 80Jul 3, 2005Feb 13, 2006May 5, 2017 -
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Study Endpoints
Primary Endpoints
Change From Baseline in Hemoglobin A1c (HbA1c) at Week 12
Baseline and Week 12

Change from baseline measurement, where the baseline measurement was obtained at randomization (Week 0) before receiving study medication. This study used Japan Diabetes Society (JDS)-certified HbA1c values, the standard at the time when the study was conducted (HbA1c \[National Glycohemoglobin Standardization Program; NGSP\] = HbA1c (JDS-HbA1c \[%\]) + 0.4%).

Hemoglobin A1c Measurement
Baseline and Week 24

Hemoglobin A1c (HbA1c) is a measure of glycated hemoglobin in the blood. HbA1c greater than 6.5% was considered inadequately controlled.

Change From Baseline in Glycosylated Hemoglobin A1C (A1C) at Week 24
Baseline and 24 weeks

Week 24 A1C minus baseline (Week 0) A1C. The unit for A1C is "percent". Thus, this measure represents a difference of percent values.

Change From Baseline in HbA1c at Week 12
Baseline and Week 12

HbA1c is measured as a percent. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the Week 0 HbA1c percent.

Change From Baseline in 24-hour Weighted Mean Plasma Glucose
Baseline and Week 4

Change from baseline at Week 4 is defined as 24-hour weighted mean glucose (24hr-WMG) at Week 4 minus 24hr-WMG at Week 0.

Secondary Endpoints
Change From Baseline in 2-hour Postprandial Glucose at Week 12
Baseline and Week 12
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12
Baseline and Week 12
Fasting Plasma Glucose (FPG) Measurement
Baseline and Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sitagliptin/SitagliptinEXPERIMENTAL -
Placebo/SitagliptinEXPERIMENTAL -
Sitagliptin with Standard of CareEXPERIMENTALSubjects received sitagliptin 100 mg once daily for 26 Weeks, and: No specific intervention (standard recommendation) on physical exercise and diet.
Sitagliptin with Diet AdviceEXPERIMENTALSubjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet which includes advice on diet with a leaflet and a diary
Sitagliptin with Diet and Physical Activity AdviceEXPERIMENTALSubjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet + physical activity which includes advice on diet and physical activity with leaflets and diaries PLUS advice on physical activity with the utilization of a pedometer: subjects were asked to walk 10,000 steps per day 5 or more days per week.
1EXPERIMENTALsitagliptin + metformin
2ACTIVE_COMPARATORmetformin + any other oral antidiabetic drug
3ACTIVE_COMPARATORmetformin
Sitagliptin 50 mg QDEXPERIMENTALsitagliptin 50 mg orally once daily (QD=once daily)
Voglibose 0.2 mg TIDACTIVE_COMPARATORvoglibose 0.2 mg orally three times daily (TID= three times daily)
Interventions
NameTypeDescription
Comparator: PlaceboDRUGPlacebo to sitagliptin once daily for 12 weeks (double-blind period)
SitagliptinDRUGSitagliptin/Sitagliptin arm only: Sitagliptin 50 mg once daily orally before breakfast for 12 weeks (double-blind period). Both arms: Sitagliptin 50 mg once daily orally before breakfast for 40 weeks (open-label period). The dose of sitagliptin was increased up to 100 mg for participants who had an inadequate response to sitagliptin 50mg after treatment Week 20.
VogliboseDRUGAll participants received a stable dose of voglibose, in accordance with the package insert, throughout the study.
sitagliptin phosphateDRUGsitagliptin 100 mg once daily. Duration of treatment: 26 Weeks
Comparator: DietBEHAVIORALDiet
Comparator: Physical ActivityBEHAVIORALPhysical Activity
Comparator: metforminDRUGmetformin 850 mg Twice a day (BID) for 24 weeks
Comparator: Antidiabetic Standard of CareDRUGPatient can take any oral antidiabetic drug (other than metformin)
Comparator: vogliboseDRUGvoglibose 0.2 mg orally three times daily TID. Duration of Treatment: 12 Weeks
Comparator: SitagliptinDRUG50 mg twice daily (BID), taken orally for 4 weeks
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Eligibility Criteria
Age Range20 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Japanese Patients With Type 2 Diabetes Mellitus, Who Have Inadequate Glycemic Control On Diet/Exercise Therapy And Voglibose Monotherapy Exclusion Criteria: * Patients Have A History Of Type 1 Diabetes Mellitus

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