| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT01034111 | A Local Experiential Study With Sitagliptin (an Antihyperglycemic Drug) in 30 Patients With Type 2 Diabetes Mellitus (0431-178) | PHASE3 | COMPLETED | 30 | — | — | Mar 1, 2010 | Oct 4, 2010 | May 30, 2017 | - | — |
| NCT00411411 | Long Term Effects of DPP-IV Inhibitor Treatment in Patients With Type 2 Diabetes | PHASE3 | COMPLETED | 49 | — | — | Feb 1, 2007 | Mar 1, 2009 | Aug 13, 2014 | 1 | Denmark |
| NCT00305604 | Study of Sitagliptin in Older Type 2 Diabetics (0431-047)(COMPLETED) | PHASE3 | COMPLETED | 206 | — | — | Mar 8, 2006 | Mar 12, 2008 | May 11, 2017 | - | — |
| NCT01093794 | Bioequivalence Study of Sitagliptin/Metformin Combination Tablet (MK0431A-122) | PHASE1 | COMPLETED | 28 | — | — | Apr 1, 2010 | Jun 1, 2010 | Jul 28, 2015 | - | — |
| NCT00730275 | A Study to Assess the Pharmacokinetics, Safety and Tolerability of Sitagliptin in Adolescents (0431-081) | PHASE1 | COMPLETED | 35 | — | — | Jul 18, 2008 | Feb 14, 2011 | May 12, 2017 | - | — |
| NCT00541229 | Sitagliptin Dose Comparison Study in Patients With Type 2 Diabetes (MK-0431-077)(COMPLETED) | PHASE1 | COMPLETED | 103 | — | — | Aug 24, 2007 | Jul 1, 2008 | May 12, 2017 | - | — |
| NCT00975052 | A Study of the Effects of Sitagliptin (MK0431) and Metformin on Incretin Hormone Concentrations (0431-050)(COMPLETED) | PHASE1 | COMPLETED | 16 | — | — | Jan 1, 2006 | Mar 1, 2006 | Aug 19, 2015 | - | — |
Safety \& tolerability were measured in terms of the # of participants with \>=1 adverse event (AE), \>=1 drug-related AE, \>=1 serious AE (SAE), or discontinued treatment due to an AE. SAEs included events occurring after initiation of glycemic rescue therapy. AE is defined as any unfavorable/unintended change in structure, function, or chemistry of the body temporally associated with the use of SPONSOR's product. SAE is defined as any AE that results in death, is life-threatening, an overdose, causes or prolongs in-patient hospitalization, or considered medically significant by the investigator.
Patients will be followed for 12 weeks with three meal test examinations; before treatment, after 1 week of treatment and after 12 weeks of treatment. Primary outcome is AUC GLP-1 (pM x 120 as stated).
Restoration of the insulinotropic effect of GIP measured as the relative increase in GIP induced amplification of the late phase insulin secretion (AUC) response to glucose. Patients will be followed for 12 weeks with examinations after 1 and after 12 weeks of treatment.
Change from baseline at Week 24 is defined as Week 24 minus Week 0.
AUC (0-t) is the area under the curve for the plot showing plasma concentration against time from time zero to the time of the last quantifiable concentration for sitagliptin 50 mg, metformin 500 mg and metformin 850 mg.
Cmax is the peak serum concentration of a therapeutic drug after administration; and is used to determine the rate and extent of drug absorption. Cmax is reported for sitagliptin 50 mg, metformin 500 mg and metformin 850 mg.
Serum samples were used to determine the AUC from time 0 to infinity for sitagliptin. The placebo group is not included in the table below; this outcome measure only evaluated the sitagliptin groups.
The 24-hour WMG was calculated as the area under the 24-hour glucose curve (AUC(0-24 hr)) divided by 24 using linear trapezoidal method.
| Arm | Type | Description |
|---|---|---|
| Sitagliptin | EXPERIMENTAL | Sitagliptin as add-on therapy to a stable dose of metformin |
| Placebo | PLACEBO_COMPARATOR | Placebo treatment, administered as tablets. |
| Januvia | EXPERIMENTAL | Active treatment |
| 1 | ACTIVE_COMPARATOR | sitagliptin |
| 2 | PLACEBO_COMPARATOR | Placebo |
| 1. Sit + Met500 / SitMet500 FDC / SitMet850 FDC / Sit + Met850 | EXPERIMENTAL | Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * Co-administration of 50 mg sitagliptin and 500 mg metformin * sitagliptin/metformin 50 mg/500 mg FDC tablet * sitagliptin/metformin 50 mg/850 mg FDC tablet * Co-administration of 50 mg sitagliptin and 850 mg metformin |
| 2. SitMet500 FDC / Sit + Met850 / Sit + Met500 / SitMet850 FDC | EXPERIMENTAL | Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * sitagliptin/metformin 50 mg/500 mg FDC tablet * Co-administration of 50 mg sitagliptin and 850 mg metformin * Co-administration of 50 mg sitagliptin and 500mg metformin * sitagliptin/metformin 50 mg/850 mg FDC tablet |
| 3. Sit + Met850 / SitMet850 FDC / SitMet500 FDC / Sit + Met500 | EXPERIMENTAL | Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * Co-administration of 50 mg sitagliptin and 850 mg metformin * sitagliptin/metformin 50 mg/850 mg FDC tablet * sitagliptin/metformin 50 mg/500 mg FDC tablet * Co-administration of 50 mg sitagliptin and 500mg metformin |
| 4. SitMet850 FDC / Sit + Met500 / Sit + Met850 / SitMet500 FDC | EXPERIMENTAL | Participants were administered treatment in the following sequence with a minimum 7 day washout period between treatments: * sitagliptin/metformin 50 mg/850 mg FDC tablet * Co-administration of 50 mg sitagliptin and 500 mg metformin * Co-administration of 50 mg sitagliptin and 850 mg metformin * sitagliptin/metformin 50 mg/500 mg FDC tablet |
| Sitagliptin 50 mg | EXPERIMENTAL | Participants were randomized to sitagliptin 50 mg |
| Sitagliptin 100 mg | EXPERIMENTAL | Participants were randomized to sitagliptin 100 mg |
| Sitagliptin 200 mg | EXPERIMENTAL | Participants were randomized to a single dose of sitagliptin 200 mg |
| Placebo to sitagliptin | PLACEBO_COMPARATOR | Participants were randomized to matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg |
| 3 | PLACEBO_COMPARATOR | Placebo |
| A | ACTIVE_COMPARATOR | Sitagliptin alone |
| B | ACTIVE_COMPARATOR | Metformin alone |
| C | EXPERIMENTAL | Sitagliptin and metformin concomitantly |
| D | PLACEBO_COMPARATOR | Placebo |
| Name | Type | Description |
|---|---|---|
| Sitagliptin phosphate | DRUG | Sitagliptin 100 mg tablet by mouth once daily for 4 weeks. |
| Metformin | DRUG | Stable dose of metformin tablet(s) by mouth (at least 1000 mg/day) for 4 weeks. |
| Januvia | DRUG | 200 mg t.i.d |
| Placebo | DRUG | Placebo |
| Comparator: Placebo | DRUG | sitagliptin matching placebo for up to a 24-wk treatment period. |
| Co-administration of 50 mg sitagliptin and 500 mg metformin | DRUG | Co-administration of 50 mg sitagliptin and 500 mg China-sourced metformin as individual tablets with 240 ml water on Day 1 of the relevant treatment period (Sit + Met500) after fasting for at least 10 hours. |
| sitagliptin/metformin 50 mg/500 mg tablet | DRUG | Single dose administration of the final marketing image (FMI) sitagliptin/metformin 50 mg/500 mg fixed-dose combination (FDC) tablet with 240 ml water on Day 1 of the relevant treatment period (SitMet850 FDC) after fasting for at least 10 hours. |
| Co-administration of 50 mg sitagliptin and 850 mg metformin | DRUG | Co-administration of 50 mg sitagliptin and 850 mg China sourced metformin as individual tablets with 240 ml water on Day 1 of the relevant treatment period (Sit + Met850) after fasting for at least 10 hours. |
| sitagliptin/metformin 50 mg/850 mg tablet | DRUG | Single dose administration of the FMI sitagliptin/metformin 50 mg/850 mg FDC tablet with 240 ml water on Day 1 of the relevant treatment period (SitMet850 FDC) after fasting for at least 10 hours. |
| Comparator: matching placebo | DRUG | Participants will fast 8 hours prior to dosing. All doses will be given with 240 ml of water. Participants received either a single oral dose of matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg. |
| Comparator: metformin | DRUG | 500 mg twice daily on Day 1 and 1000 mg once daily on Day 2 in one of four treatment periods. |
| Comparator: sitagliptin and metformin | DRUG | 100 mg sitagliptin once daily and 500 mg metformin twice daily on Day 1 and 100 mg sitagliptin once daily and 1000 mg metformin once daily on Day 2 in one of four treatment periods. |
Inclusion Criteria: * Participants with T2DM failing metformin monotherapy * Between the ages of 18 and 79 Exclusion Criteria: * Participants has a history of type 1 Diabetes Mellitus or ketoacidosis