A Study of the Efficacy and Safety of Ertugliflozin Monotherapy in the Treatment of Participants With Type 2 Diabetes Mellitus and Inadequate Glycemic Control Despite Diet and Exercise (MK-8835-003)

Overview[ - collapse ][ - ]

Purpose This trial will evaluate the efficacy and safety of ertugliflozin monotherapy in the treatment of subjects with type 2 diabetes mellitus (T2DM) and inadequate glycemic control on diet and exercise. This trial consists of a run-in period of 3 to 11 weeks, a 26-week placebo-controlled treatment period (Phase A), and a 26-week active treatment period (Phase B). The primary hypothesis of the trial is that at Week 26, the mean reduction from baseline in hemoglobin A1c (HbA1c) for 15 mg ertugliflozin is greater than that for placebo.
ConditionType 2 Diabetes Mellitus
InterventionDrug: Ertugliflozin (5 mg)
Drug: Ertugliflozin (10 mg)
Drug: Placebo to Ertuglifozin
Drug: Metformin
Drug: Placebo to Metformin
PhasePhase 3
SponsorMerck Sharp & Dohme Corp.
Responsible PartyMerck Sharp & Dohme Corp.
ClinicalTrials.gov IdentifierNCT01958671
First ReceivedOctober 7, 2013
Last UpdatedApril 24, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateOctober 7, 2013
Last Updated DateApril 24, 2014
Start DateOctober 2013
Estimated Primary Completion DateMarch 2016
Current Primary Outcome Measures
  • Change from Baseline In Hemoglobin A1c (HbA1c) at Week 26 [Time Frame: Baseline and Week 26] [Designated as safety issue: No]
  • Number of Participants Experiencing An Adverse Event (AE) [Time Frame: Up to Week 52] [Designated as safety issue: Yes]
  • Number of Participants Discontinuing Study Treatment Due to an AE [Time Frame: Up to Week 52] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • Change from Baseline in Fasting Plasma Glucose (FPG) at Week 26 [Time Frame: Baseline and Week 26] [Designated as safety issue: No]
  • Change from Baseline in Body Weight at Week 26 [Time Frame: Baseline and Week 26] [Designated as safety issue: No]
  • Number of Participants with a HbA1c <7% (53 mmol/mol) at Week 26 [Time Frame: Week 26] [Designated as safety issue: No]
  • Change from Baseline in 2-hour Post-prandial Plasma Glucose at Week 26 [Time Frame: Baseline and Week 26] [Designated as safety issue: No]
  • Change from Baseline in Systolic Blood Pressure at Week 26 [Time Frame: Baseline and Week 26] [Designated as safety issue: No]
  • Change from Baseline in Diastolic Blood Pressure at Week 26 [Time Frame: Baseline and Week 26] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleA Study of the Efficacy and Safety of Ertugliflozin Monotherapy in the Treatment of Participants With Type 2 Diabetes Mellitus and Inadequate Glycemic Control Despite Diet and Exercise (MK-8835-003)
Official TitleA Phase 3, Randomized, Double-blind, Placebo-controlled, 26-week Multicenter Study With a 26-Week Extension to Evaluate the Efficacy and Safety of Ertugliflozin Monotherapy in the Treatment of Subjects With Type 2 Diabetes Mellitus and Inadequate Glycemic Control Despite Diet and Exercise
Brief Summary
This trial will evaluate the efficacy and safety of ertugliflozin monotherapy in the
treatment of subjects with type 2 diabetes mellitus (T2DM) and inadequate glycemic control
on diet and exercise. This trial consists of a run-in period of 3 to 11 weeks, a 26-week
placebo-controlled treatment period (Phase A), and a 26-week active treatment period (Phase
B). The primary hypothesis of the trial is that at Week 26, the mean reduction from
baseline in hemoglobin A1c (HbA1c) for 15 mg ertugliflozin is greater than that for 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), Primary Purpose: Treatment
ConditionType 2 Diabetes Mellitus
InterventionDrug: Ertugliflozin (5 mg)
One tablet taken orally the same time in the morning from Day 1 through Week 52 (Phase A and Phase B).
Other Names:
  • MK-8835
  • PF-04971729
Drug: Ertugliflozin (10 mg)
One tablet taken orally the same time in the morning from Day 1 through Week 52 (Phase A and Phase B).
Other Names:
  • MK-8835
  • PF-04971729
Drug: Placebo to Ertuglifozin
One placebo tablet matching the ertugliflozin 5 mg tablet and/or 1 placebo tablet matching the ertugliflozin 10 mg tablet per day taken orally the same time in the morning from Day 1 through Week 52 (Phase A and Phase B).
Drug: Metformin
500 mg (1 tablet) in the morning and 500 mg (1 tablet) in the evening for 2 weeks, 1000 mg (2 tablets 500 mg) in the morning and 500 mg (1 tablet) in the evening ) for 2 weeks and 1000 mg (2 tablets 500 mg ) in the morning and 1000 mg (2 tablets 500 mg) in the evening thereafter.
Drug: Placebo to Metformin
Placebo matching metformin.
Other Names:
Glucophage XR, Carbophage SR, Riomet, Fortamet, Glumetza, Obimet, Gluformin, Dianben, Diabex, Diaformin, Siofor and Metfogamma.
Study Arm (s)
  • Experimental: Ertugliflozin (5 mg)
    Once daily for a 26-week placebo-controlled treatment period of Phase A and for a 26-week active-controlled treatment period (Phase B). In Phase B, participants not rescued with open label metformin in Phase A, will also receive placebo to metformin. Participants rescued with metformin in Phase A will enter into Phase B and continue to receive open-label metformin in addition to their original randomized treatment.
  • Experimental: Ertugliflozin (15 mg)
    Once daily for a 26-week placebo-controlled treatment period of Phase A and for a 26-week active-controlled treatment period (Phase B). In Phase B, participants not rescued with open label metformin in Phase A, will also receive placebo to metformin. Participants rescued with metformin in Phase A will enter into Phase B and continue to receive open-label metformin in addition to their original randomized treatment.
  • Placebo Comparator: Placebo
    Once daily for a 26-week placebo-controlled treatment period of Phase A. In Phase B, participants not rescued with open-labeled metformin in Phase A will also receive blinded metformin in addition to placebo. Participants rescued with metformin in Phase A will enter into Phase B and continue to receive open-label metformin in addition to their original randomized treatment.

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment450
Estimated Completion DateMarch 2016
Estimated Primary Completion DateAugust 2015
Eligibility Criteria
Inclusion Criteria:

- Diagnosis of T2DM in accordance to American Diabetes Association guidelines

- Participants with no prior allowable oral anti-hyperglycemic agents (AHA) for at
least 8 weeks prior to study participation or participants on a single allowable oral
AHA at the start of study participation

- Particpants on a single allowable AHA must be willing to discontinue this medication
at the Screening Visit (S2) and remain off this medication for the duration of the
trial. Allowable oral AHAs for discontinuation are metformin, sulfonylureas,
dipeptidyl peptidase-4 (DPP-4) inhibitors, glinides or alpha-glucosidase inhibitors.

Exclusion Criteria:

- History of myocardial infarction, unstable angina, arterial revascularization,
stroke, transient ischemic attack, or New York Heart Association (NYHA) functional
class III-IV heart failure within 3 months of study participation

- A clinically significant electrocardiogram abnormality

- A history of malignancy ≤5 years prior to study participation, except for adequately
treated basal or squamous cell skin cancer or in situ cervical cancer

- A known hypersensitivity or intolerance to any sodium-glucose co-transporter 2
(SGLT2) inhibitor or metformin

- On a blood pressure or lipid altering medication that have not been on a stable dose
for at least 4 weeks prior to study participation

- A surgical procedure within 4 weeks prior to study participation or planned major
surgery during the trial

- Donation of blood or blood products within 6 weeks of study participation or plans to
donate blood or blood products at any time during the trial

- Pregnant or breast-feeding, or is expecting to conceive during the trial, including
14 days following the last dose of study drug
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Toll Free Number
1-888-577-8839
Location CountriesUnited States, Canada

Administrative Information[ + expand ][ + ]

NCT Number NCT01958671
Other Study ID Numbers8835-003
Has Data Monitoring CommitteeYes
Information Provided ByMerck Sharp & Dohme Corp.
Study SponsorMerck Sharp & Dohme Corp.
CollaboratorsPfizer
Investigators Not Provided
Verification DateApril 2014

Locations[ + expand ][ + ]

Call for Information (Investigational Site 1086)
Phoenix, Arizona, United States, 85018
Recruiting
Call for Information (Investigational Site 1082)
Los Angeles, California, United States, 90022
Recruiting
Call for Information (Investigational Site 1043)
Hallandale Beach, Florida, United States, 33009
Recruiting
Call for Information (Investigational Site 1087)
Margate, Florida, United States, 33063
Recruiting
Call for Information (Investigational Site 1090)
Miami, Florida, United States, 33015
Recruiting
Call for Information (Investigational Site 1079)
Orlando, Florida, United States, 32804
Recruiting
Call for Information (Investigational Site 1042)
Ormond Beach, Florida, United States, 32174
Recruiting
Call for Information (Investigational Site 1041)
Lenoir, North Carolina, United States, 28645
Recruiting
Call for Information (Investigational Site 1035)
Marion, Ohio, United States, 43302
Recruiting
Call for Information (Investigational Site 1091)
Oklahoma City, Oklahoma, United States, 73104
Recruiting
Call for Information (Investigational Site 1096)
Kingsport, Tennessee, United States, 37660
Recruiting
Call for Information (Investigational Site 1089)
Houston, Texas, United States, 77004
Recruiting
Call for Information (Investigational Site 1085)
Houston, Texas, United States, 77036
Recruiting
Call for Information (Investigational Site 1078)
Schertz, Texas, United States, 78154
Recruiting
Call for Information (Investigational Site 1083)
Henrico, Virginia, United States, 23233
Recruiting
Call for Information (Investigational Site 1037)
Walla Walla, Washington, United States, 99362
Recruiting
Merck Canada
Kirkland, Quebec, Canada, H9H 3L1
Contact: Medical Information Centre / Centre de l'information medicale de Merck Canada | 514-428-8600 / 1-800-567-2594
Recruiting