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sitagliptin metformin

Phase 3

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Merck & Company, Inc.|Trials Updated: Nov 13, 2019

sitagliptin metformin target and mechanism

Molecular targetDPP4
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials4
Total Enrollment1,835

FDA Designations

No designations recorded

sitagliptin metformin clinical trials

sitagliptin metformin · 4 trials · 2 indications

Phase 3 2Phase 1 2
NCT00532935MK0431A vs. Pioglitazone in Patients With Type 2 Diabetes Mellitus (0431A-066)Type 2 Diabetes Mellitus
COMPLETED517 Analytics
NCT00482729MK0431A Comparative Study in Patients With Type 2 Diabetes (0431A-079)(COMPLETED)Type 2 Diabetes Mellitus
COMPLETED1,246 Analytics
PHASE3COMPLETED
MK0431A vs. Pioglitazone in Patients With Type 2 Diabetes Mellitus (0431A-066)
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
MK0431A Comparative Study in Patients With Type 2 Diabetes (0431A-079)(COMPLETED)
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in A1C at Week 32
Baseline and Week 32

A1C is measured as a percent. Thus this change from baseline reflects the Week 32 A1C percent minus the baseline A1C percent

Change From Baseline in Hemoglobin A1c (A1C) at Week 18
Baseline and Week 18

A1C is measured as percent. Thus, this change from baseline reflects the Week 18 A1C percent minus the Week 0 A1C percent.

The area under the plasma concentration-time curve (AUC) after administration of sitagliptin/metformin (50/500; 50/850; 50/1000 mg/mg) FDC tablet and co-administration of corresponding doses of sitagliptin and metformin as individual tablets.
Up to 72 hours postdose
The area under the plasma concentration vs. time curve (AUC) after administration of sitagliptin/metformin (50/500 and 50/1000 mg/mg) FDC tablet and co-administration of corresponding doses of sitagliptin and metformin as individual tablets
72 hours post dose

Secondary Endpoints

Change From Baseline in Fasting Plasma Glucose (FPG) at Week 1
Baseline and Week 1
Change From Baseline in 2-hour Post-Meal Glucose (PMG) at Week 32
Baseline and Week 32
Change From Baseline in FPG at Week 32
Baseline and Week 32
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALSitagliptin phosphate (+) metformin hydrochloride
2ACTIVE_COMPARATORpioglitazone
Treatment AACTIVE_COMPARATOR50 mg sitagliptin and 500 mg metformin as individual tablets
Treatment BEXPERIMENTALsitagliptin/metformin 50 mg/500 mg tablet
Treatment CACTIVE_COMPARATOR50 mg sitagliptin and 1000 mg metformin as individual tablets
Treatment DEXPERIMENTALsitagliptin/metformin 50 mg/1000 mg tablet
Treatment EACTIVE_COMPARATOR50 mg sitagliptin and 850 mg metformin as individual tablets
Treatment FEXPERIMENTALsitagliptin/metformin 50 mg/850 mg tablet

Interventions

NameTypeDescription
sitagliptin phosphate (+) metformin hydrochlorideDRUGsitagliptin phosphate (+) metformin hydrochloride 50/500 mg tablet bid, titrating up to sitagliptin phosphate (+) metformin hydrochloride 50/1000 mg tablet for an \~32 wk treatment period
Comparator: pioglitazoneDRUGpioglitazone 30 mg tablet qd, titrating up to 45 mg qd for an \~32-wk treatment period.
metforminDRUGmetformin 500 mg tablet bid, titrating up to 1000 mg tablets bid for a 44-wk treatment period
Comparator: metformin 500mgDRUGA single dose of metformin 500 mg tablet
Comparator: sitagliptinDRUGA single dose of 50 mg sitagliptin tablet
Comparator: FMI sitagliptin / metformin 50 mg/500 mg FDC tabletDRUGA single dose of FMI sitagliptin/metformin 50 mg/500 mg FDC tablet
Comparator: FMI sitagliptin/metformin 50 mg/1000 mg FDC tabletDRUGA single dose of FMI sitagliptin/metformin 50 mg/1000 mg FDC tablet
Comparator: FMI sitagliptin/metformin 50 mg/850 mg FDC tabletDRUGA single dose of FMI sitagliptin/metformin 50 mg/850 mg FDC tablet
Comparator: metformin 1000 mgDRUGA single dose of metformin 1000 mg tablet
Comparator: metformin 850 mgDRUGA single dose of metformin 850 mg tablet
Comparator: metformin 500 mgDRUGA single dose of metformin 500 mg tablets
Comparator: FMI sitagliptin/metformin 50 mg/500 mg FDC tabletDRUGA single dose of FMI sitagliptin/metformin 50 mg/500 mg FDC tablet
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Eligibility Criteria

Age Range18 Years to 78 Years
SexALL
Healthy VolunteersNo

General Inclusion Criteria: * Patient has type 2 diabetes mellitus * Patient is inadequately controlled and not on treatment with insulin or oral antihyperglycemic therapy General Exclusion Criteria: * Patient has a history of type 1 diabetes mellitus or history of ketoacidosis * Patient was on a...

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Frequently asked questions about sitagliptin metformin

What is sitagliptin metformin used for?

Sitagliptin metformin is a combination therapy for type 2 diabetes and type 2 diabetes mellitus. It combines sitagliptin, a DPP4 inhibitor, with metformin. The combination is designed to improve blood sugar control in adults with type 2 diabetes. It is developed by Merck & Company, Inc.

What does sitagliptin metformin target?

Sitagliptin metformin targets DPP4 (dipeptidyl peptidase-4). Sitagliptin is a DPP4 inhibitor, which works by blocking the DPP4 enzyme to increase incretin levels and help regulate blood glucose. Metformin is a biguanide that reduces hepatic glucose production and improves insulin sensitivity.

Who makes sitagliptin metformin?

Sitagliptin metformin is developed by Merck & Company, Inc., which trades under the ticker symbol MRK. Merck is the company responsible for the development and manufacturing of this combination therapy.

What phase is sitagliptin metformin in?

Sitagliptin metformin is in Phase 1 clinical development. The available trials include Phase 1 studies focused on bioequivalence, as well as completed Phase 3 studies in patients with type 2 diabetes mellitus. It is an investigational combination and has not been approved by the FDA.

What clinical trials is sitagliptin metformin in?

Sitagliptin metformin has been studied in several clinical trials, including NCT00961857 and NCT00961480, which are Phase 1 bioequivalence studies. Phase 3 trials include NCT00532935 and NCT00482729, which evaluated the combination in patients with type 2 diabetes mellitus. All listed trials are completed.