A Study to Assess the Safety and Tolerability of Sitagliptin/Simvastatin Fixed-dose Combination (FDC) in Participants With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin Monotherapy (MK-0431D-312)

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to examine the safety and tolerability of sitagliptin 100 mg/simvastatin 40 mg FDC (MK-0431D) in Vietnamese participants with type 2 diabetes mellitus with inadequate glycemic control on metformin.
ConditionType 2 Diabetes Mellitus
InterventionDrug: Sitagliptin 100/simvastatin 40 FDC
Drug: Metformin
PhasePhase 3
SponsorMerck Sharp & Dohme Corp.
Responsible PartyMerck Sharp & Dohme Corp.
ClinicalTrials.gov IdentifierNCT01702298
First ReceivedOctober 4, 2012
Last UpdatedJuly 10, 2013
Last verifiedJuly 2013

Tracking Information[ + expand ][ + ]

First Received DateOctober 4, 2012
Last Updated DateJuly 10, 2013
Start DateDecember 2012
Estimated Primary Completion DateMay 2013
Current Primary Outcome Measures
  • Change from baseline in fasting plasma glucose (FPG) [Time Frame: Baseline and Week 6] [Designated as safety issue: No]
  • Number of participants who experienced at least one adverse event [Time Frame: Up to 8 weeks (including 14 days after final dose of study drug)] [Designated as safety issue: Yes]
  • Number of participants who discontinued study drug due to an adverse event [Time Frame: Up to 6 weeks] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • Change from baseline in low-density lipoprotein cholesterol (LDL-C) [Time Frame: Baseline and Week 6] [Designated as safety issue: No]
  • Change from baseline in total cholesterol (TC) [Time Frame: Baseline and Week 6] [Designated as safety issue: No]
  • Change from baseline in non-high density lipoprotein cholesterol (non-HDL-C) [Time Frame: Baseline and Week 6] [Designated as safety issue: No]
  • Change from baseline in triglycerides (TG) [Time Frame: Baseline and Week 6] [Designated as safety issue: No]
  • Change from baseline in high-density lipoprotein cholesterol (HDL-C) [Time Frame: Baseline and Week 6] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleA Study to Assess the Safety and Tolerability of Sitagliptin/Simvastatin Fixed-dose Combination (FDC) in Participants With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin Monotherapy (MK-0431D-312)
Official TitleAn Open-label Study to Assess the Safety and Tolerability of MK-0431D for the Treatment of Patients With Type 2 Diabetes Mellitus (T2DM) With Inadequate Glycemic Control on Metformin Monotherapy
Brief Summary
The purpose of this study is to examine the safety and tolerability of sitagliptin 100
mg/simvastatin 40 mg FDC (MK-0431D) in Vietnamese participants with type 2 diabetes mellitus
with inadequate glycemic control on metformin.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionType 2 Diabetes Mellitus
InterventionDrug: Sitagliptin 100/simvastatin 40 FDC
Sitagliptin 100 mg/simvastatin 40 mg FDC tablet administered once daily in the evening for 6 weeks
Other Names:
MK-0431DDrug: Metformin
Participants will continue pre-study dose of metformin tablet(s) >=1000 per day
Other Names:
  • Fortamet®
  • Glucophage®
  • Glucophage® XR
  • Glumetza®
  • Riomet®
  • Metgluco®
  • Glycoran®
Study Arm (s)Experimental: Sitagliptin 100/simvastatin 40 FDC
Simvastatin 100 mg/simvastatin 40 mg FDC once daily in the evening for 6 weeks. Participants will continue pre-study dose of metformin >=1000 mg per day.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment42
Estimated Completion DateMay 2013
Estimated Primary Completion DateMay 2013
Eligibility Criteria
Inclusion Criteria:

- Has type 2 diabetes mellitus

- Male, or female who is not of reproductive potential or if of reproductive potential
agrees to abstain or use (or have their partner use) two acceptable methods of birth
control during the study and for 14 days after the last dose of study drug

- Currently on metformin monotherapy (>=1000 mg per day) for at least 4 weeks prior to
study participation

- Not on statin therapy or other lipid-lowering agent for at least 6 weeks prior to
study participation

Exclusion Criteria:

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

- History of 2 or more episodes of hypoglycemia resulting in seizure, coma or loss of
consciousness over the past 3 months

- On a thiazolidinedione (TZD) within the past 12 weeks

- Has been treated with a statin or other lipid-lowering agent within 6 weeks prior to
study participation

- Is on or likely to require treatment with a prohibited medication (itraconazole,
ketoconazole, posaconazole, erythromycin, clarithromycin, telithromycin, HIV protease
inhibitors, nefazodone, gemfibrozil, cyclosporine, danazol, amiodarone, verapamil,
diltiazem, amlodipine, ranolazine, niacin)

- Intends to consume >1.2 liters of grapefruit juice per day during the study

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

- Is on a weight loss program and not in the maintenance phase or has started a weight
loss medication or has undergone bariatric surgery within 12 months prior to study
participation

- Has undergone a surgical procedure within 4 weeks of study participation or has
planned major surgery during the study

- History of myopathy or rhabdomyolysis with any statin

- History of myocardial infarction, unstable or stable angina, angioplasty, bypass
surgery, myocardial ischemia, peripheral artery disease, abdominal aortic aneurysm,
transient ischemic attacks, stroke of carotid origin or >50% obstruction of a carotid
artery

- Diagnosis of congestive heart failure with New York Heart Association (NYHA) Class
III or IV cardiac status

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

- Chronic progressive neuromuscular disorder

- Human immunodeficiency virus (HIV)

- Hematological disorder (such as aplastic anemia, myeloproliferative or
myelodysplastic syndromes, thrombocytopenia)

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

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

- Positive urine pregnancy test

- Pregnant or breastfeeding, or is expecting to conceive or donate eggs during the
study, including 14 days following the last dose of study drug

- User of recreational or illicit drugs or has had a recent history of drug abuse

- Routinely consumes >2 alcoholic drinks per day or >14 alcoholic drinks per week, or
engages in binge drinking
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT01702298
Other Study ID Numbers0431D-312
Has Data Monitoring CommitteeYes
Information Provided ByMerck Sharp & Dohme Corp.
Study SponsorMerck Sharp & Dohme Corp.
CollaboratorsNot Provided
Investigators Not Provided
Verification DateJuly 2013