Addition of MK-3102 to Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Combination Therapy With Glimepiride and Metformin (MK-3102-022 AM4)

Overview[ - collapse ][ - ]

Purpose This study will examine the safety and efficacy of the addition of MK-3102 in participants with type 2 diabetes mellitus with inadequate glycemic control on metformin and sulfonylurea. The primary hypothesis is that after 24 weeks, the addition of treatment with MK-3102 provides a greater reduction in hemoglobin A1c (A1C) compared with the addition of placebo.
ConditionType 2 Diabetes Mellitus
InterventionDrug: MK-3102
Drug: Matching placebo to MK-3012
Drug: Glimepiride
Drug: Metformin
PhasePhase 3
SponsorMerck Sharp & Dohme Corp.
Responsible PartyMerck Sharp & Dohme Corp.
ClinicalTrials.gov IdentifierNCT01704261
First ReceivedOctober 8, 2012
Last UpdatedApril 10, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateOctober 8, 2012
Last Updated DateApril 10, 2014
Start DateOctober 2012
Estimated Primary Completion DateDecember 2014
Current Primary Outcome Measures
  • Change from baseline in hemoglobin A1c (A1C) [Time Frame: Baseline and Week 24] [Designated as safety issue: No]
  • Percentage of Participants Who Experienced at Least One Adverse Event [Time Frame: Up to Week 27] [Designated as safety issue: Yes]
  • Percentage of Participants Who Discontinued from the Study Due to an Adverse Event [Time Frame: Up to Week 24] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • Change from baseline in fasting plasma glucose (FPG) [Time Frame: Baseline and Week 24] [Designated as safety issue: No]
  • Percentage of participants attaining A1C glycemic goals of <7% and <6.5% [Time Frame: 24 weeks] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleAddition of MK-3102 to Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Combination Therapy With Glimepiride and Metformin (MK-3102-022 AM4)
Official TitleA Phase III, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial to Study the Safety and Efficacy of the Addition of MK-3102 to Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Combination Therapy With Glimepiride and Metformin
Brief Summary
This study will examine the safety and efficacy of the addition of MK-3102 in participants
with type 2 diabetes mellitus with inadequate glycemic control on metformin and
sulfonylurea. The primary hypothesis is that after 24 weeks, the addition of treatment with
MK-3102 provides a greater reduction in hemoglobin A1c (A1C) compared with the addition of
placebo.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
ConditionType 2 Diabetes Mellitus
InterventionDrug: MK-3102
MK-3102 25 mg capsule administered orally once a week
Drug: Matching placebo to MK-3012
Matching placebo to MK-3102 capsule administered orally once a week
Drug: Glimepiride
Open-label glimepiride tablet(s) administered orally once daily for a total daily dose >=4 mg. In the event of hypoglycemia, the glimepiride dose may be down-titrated to a minimum dose of 1 mg daily.
Other Names:
  • Amaryl®
  • Glimy
Drug: Metformin
Open-label metformin tablet(s) administered orally once or twice daily for a total daily dose >=1500 mg
Other Names:
  • Fortamet®
  • Glucophage®
  • Glucophage® XR
  • Glumetza®
  • Riomet®
Study Arm (s)
  • Experimental: MK-3102
    MK-3102 25 mg capsule administered orally once a week for 24 weeks. Participants continue pre-study concomitant therapy of open-label glimepiride tablet(s) orally once daily (total daily dose >=4 mg per day) and metformin tablet(s) orally once or twice daily (total daily dose >=1500 mg per day).
  • Placebo Comparator: Placebo
    Matching placebo to MK-3102 capsule administered orally once a week for 24 weeks. Participants continue pre-study concomitant therapy of open-label glimepiride tablet(s) orally once daily (total daily dose >=4 mg per day) and metformin tablet(s) orally once or twice daily (total daily dose >=1500 mg per day).

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment300
Estimated Completion DateDecember 2014
Estimated Primary Completion DateDecember 2014
Eligibility Criteria
Inclusion Criteria:

- Diagnosed with type 2 diabetes mellitus

- Currently taking stable doses of metformin (>=1500 mg/day) and sulfonylurea

- Male, or female not of reproductive potential or female of reproductive potential who
agrees to remain abstinent or use (or have their partner use) 2 methods of acceptable
contraception to prevent pregnancy during the study and for 21 days after the last
dose of study drug

Exclusion Criteria:

- History of type 1 diabetes mellitus or a history of ketoacidosis

- Treated with any antihyperglycemic agent therapies other than the protocol-required
sulfonylurea and metformin within 12 weeks prior to study participation or with
MK-3102 at any time prior to study participation.

- History of hypersensitivity to a dipeptidyl peptidase IV (DPP-4) inhibitor

- On a weight loss program and is not in the maintenance phase; or has been on a weight
loss medication in the past 6 months; or has undergone bariatric surgery within 12
months prior to study participation.

- Is on or likely to require treatment for >=2 consecutive weeks or repeated courses of
corticosteroids (inhaled, nasal or topical corticosteroids are permitted)

- Currently being treated for hyperthyroidism or is on thyroid replacement therapy and
has not been on a stable dose for at least 6 weeks

- Medical history of active liver disease (other than non-alcoholic hepatic steatosis),
including chronic active hepatitis B or C, primary biliary cirrhosis, or symptomatic
gallbladder disease

- Human immunodeficiency virus (HIV)

- New or worsening coronary heart disease, congestive heart failure, myocardial
infarction, unstable angina, coronary artery intervention, stroke, or transient
ischemic neurological disorder within the past 3 months

- Poorly controlled hypertension

- History of malignancy <=5 years prior to study participation, except for adequately
treated basal cell or squamous cell skin cancer, or in situ cervical cancer

- Clinically important hematological disorder (such as aplastic anemia,
myeloproliferative or myelodysplastic syndromes, thrombocytopenia)

- Pregnant or breast feeding, or is expecting to conceive or donate eggs during the
trial, including 21 days following the last dose of study drug

- Current user of recreational or illicit drugs or has had a recent history of drug
abuse or routinely consumes >2 alcoholic drinks per day or >14 drinks per week, or
engages in binge drinking

- Donated blood products within 8 weeks of study participation, or intends to donate
blood products during the study or has received or anticipates receiving blood
products within 12 weeks prior to study participation or during the study
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Toll Free Number
1-888-577-8839
Location CountriesUnited States, Korea, Republic of, Russian Federation, South Africa

Administrative Information[ + expand ][ + ]

NCT Number NCT01704261
Other Study ID Numbers3102-022
Has Data Monitoring CommitteeYes
Information Provided ByMerck Sharp & Dohme Corp.
Study SponsorMerck Sharp & Dohme Corp.
CollaboratorsNot Provided
Investigators Not Provided
Verification DateApril 2014

Locations[ + expand ][ + ]

Call for Information (Investigational Site 0002)
Hillsborough, California, United States, 92868
Recruiting
Call for Information (Investigational Site 0001)
Huntingdon Beach, California, United States, 92647
Recruiting
Call for Information (Investigational Site 0018)
Tustin, California, United States, 92780
Recruiting
Call for Information (Investigational Site 0008)
Ft. Lauderdale, Florida, United States, 33316
Recruiting
Call for Information (Investigational Site 0003)
Orlando, Florida, United States, 32825
Recruiting
Call for Information (Investigational Site 0006)
Meridian, Idaho, United States, 83646
Recruiting
Call for Information (Investigational Site 0015)
LaPorte, Indiana, United States, 46350
Recruiting
Call for Information (Investigational Site 0012)
Kalamazoo, Michigan, United States, 49009
Recruiting
Call for Information (Investigational Site 0010)
Asheboro, North Carolina, United States, 27203
Recruiting
Call for Information (Investigational Site 0011)
Calabash, North Carolina, United States, 28467
Recruiting
Call for Information (Investigational Site 0005)
Oklahoma City, Oklahoma, United States, 73139
Recruiting
Call for Information (Investigational Site 0004)
Ashland, Oregon, United States, 97520
Recruiting
Call for Information (Investigational Site 0016)
San Antonio, Texas, United States, 78258
Recruiting
Call for Information (Investigational Site 0021)
Burke, Virginia, United States, 22015
Recruiting
Call for Information (Investigational Site 0014)
Selah, Washington, United States, 98942
Recruiting
MSD Korea LTD
Seoul, Korea, Republic of
Contact: Cem Ozesen | 90 212 3361260
Recruiting
Merck Sharp & Dohme IDEA, Inc.
Moscow, Russian Federation
Contact: Maria Koroleva | 7 0959410000
Recruiting
MSD (Pty) LTD South Africa
Midrand, South Africa
Contact: Khanyi Mzolo | 27 11 655 3140
Recruiting