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Sitagliptin q.d.+ Pioglitazone q.d.

Phase 3

Type 2 Diabetes Mellitus | 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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment837
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT0102839130-Week Extension to an Initial Combination Study (24 Weeks in Duration) of Sitagliptin With Pioglitazone (0431-064)PHASE3 COMPLETED 317Sep 1, 2007Jan 1, 2009May 12, 2017 -
NCT00397631Initial Combination With Pioglitazone Study (0431-064)PHASE3 COMPLETED 520Dec 19, 2006Jun 28, 2008May 12, 2017 -
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Study Endpoints
Primary Endpoints
Change From Baseline (i.e., Week 0 of the 24-week Base Study) in Hemoglobin A1c (HbA1c) at Week 54
Baseline and 54 Weeks

HbA1c is measured as percent. Thus this change from baseline reflects the Week 54 HbA1c percent minus the Week 0 HbA1c percent.

Change From Baseline in HbA1c (Hemoglobin A1C) at Week 24
Baseline and 24 weeks

HbA1c is measured as a percent. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the Week 0 HbA1c percent.

Secondary Endpoints
Change From Baseline (i.e., Week 0 of the 24-week Base Study) in Fasting Plasma Glucose (FPG) at Week 54
Baseline and Week 54
Change From Baseline in FPG (Fasting Plasma Glucose) at Week 24
Baseline and Week 24
Change From Baseline in 2-hour PPG (Post-prandial Glucose) at Week 24
Baseline and Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sitagliptin + PioglitazoneEXPERIMENTAL -
Pioglitazone + PlaceboACTIVE_COMPARATOR -
1EXPERIMENTALsitagliptin 100 mg q.d./pioglitazone 30 mg q.d.
2ACTIVE_COMPARATORsitagliptin 100 mg placebo q.d./pioglitazone 30 mg q.d.
Interventions
NameTypeDescription
Sitagliptin 100 mg q.d.+ Pioglitazone 45 mg q.d.DRUGPatients will receive combination therapy with blinded sitagliptin 100 mg q.d. (q.d. = once daily) and open-label pioglitazone 45 mg q.d. during the up to 30 week extension study. Sitagliptin 100 mg q.d. and pioglitazone 45 mg q.d. will be administered as oral tablets.
Pioglitazone 45 mg q.d. + Sitagliptin 100 mg placebo q.d.DRUGPatients will receive placebo to match sitagliptin 100 mg q.d. (blinded) and open-label pioglitazone 45 mg q.d. during the up to 30 week extension study. The placebo to match sitagliptin 100 mg q.d. (blinded) and open-label pioglitazone 45 mg q.d. will be administered as oral tablets.
MetforminDRUGPatients not meeting specific glycemic goals during the 30-week extension study will receive open-label metformin at a dose determined by the investigator.
sitagliptin 100 mg q.d./pioglitazone 30 mg q.dDRUGPatients will receive initial combination therapy with blinded sitagliptin 100 mg q.d. and open- label pioglitazone 30 mg q.d. for up to 24 Weeks. Sitagliptin 100 mg q.d. and pioglitazone 30 mg q.d. will be administered as oral tablets.
Comparator: placebo to match sitagliptin 100 mg q.d./pioglitazone 30 mg q.d.DRUGPatients will receive placebo to match sitagliptin 100 mg q.d. (blinded) and open label pioglitazone 30 mg q.d. for up to 24 Weeks. Placebo to match sitagliptin 100 mg q.d.(blinded) and open-label pioglitazone 30 mg q.d. will be administered as oral tablets.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patients must complete the double-blind base study (MK-0431-064-00)(NCT00397631) and have at least 75% compliance with study medication during the base study treatment period. * Women of childbearing potential must continue to comply with the protocol-specified contraceptive m...

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