A Study to Test the Effectiveness and Safety of MK0893 in Combination With Other Drugs Used to Treat Type 2 Diabetes (0893-015)(COMPLETED)

Overview[ - collapse ][ - ]

Purpose This study will test the effectiveness and safety of treatment with MK-0893 in combination with other drugs commonly used to treat type 2 diabetes for a duration up to 13 weeks.
ConditionDiabetes Mellitus, Type 2
InterventionDrug: MK-0893
Drug: Sitagliptin
Drug: Metformin
Drug: Placebo for MK-0893
Drug: Placebo for Sitagliptin
Drug: Placebo for Metformin
PhasePhase 2
SponsorMerck Sharp & Dohme Corp.
Responsible PartyMerck Sharp & Dohme Corp.
ClinicalTrials.gov IdentifierNCT00631488
First ReceivedFebruary 21, 2008
Last UpdatedJanuary 14, 2012
Last verifiedJanuary 2012

Tracking Information[ + expand ][ + ]

First Received DateFebruary 21, 2008
Last Updated DateJanuary 14, 2012
Start DateFebruary 2008
Estimated Primary Completion DateJanuary 2009
Current Primary Outcome MeasuresChange From Baseline (BL) to Week 4 in 24-hour Weighted Mean Glucose (WMG) Levels [Time Frame: BL, 4 weeks (end of double-blind treatment period)] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Change From BL to Week 4 in Fasting Plasma Glucose (FPG) [Time Frame: BL, 4 weeks (end of double-blind treatment period)] [Designated as safety issue: No]
  • Change From BL to Week 4 in 2-hr Glucose Area Under The Curve (AUC) [Time Frame: BL, 4 weeks (end of double-blind treatment period)] [Designated as safety issue: No]
  • Change From BL to Week 4 in the 2-Hour Total GLP-1 Total AUC [Time Frame: BL, 4 weeks (end of double-blind treatment period)] [Designated as safety issue: No]Glucagon-Like Peptide-1 (GLP-1) is an incretin hormone that acts as a potent insulin secretegogue in response to nutrient ingestion and stimulates glucose disposition. The total AUC of Total GLP-1 levels was calculated from blood sample data measured after the morning meal.
  • Change From BL to Week 4 in the 2-Hour Active GLP-1 Total AUC [Time Frame: BL, 4 weeks (end of double-blind treatment period)] [Designated as safety issue: No]GLP-1 is cleaved from proglucagon to form the active peptide GLP-1. The active form promotes suppression of glucagon secretion. The total AUC of Active GLP-1 levels was calculated from blood sample data measured after the morning meal.

Descriptive Information[ + expand ][ + ]

Brief TitleA Study to Test the Effectiveness and Safety of MK0893 in Combination With Other Drugs Used to Treat Type 2 Diabetes (0893-015)(COMPLETED)
Official TitleA Phase IIa, Multicenter, Double-Blind, Randomized, Active Comparator-Controlled Clinical Trial to Study the Efficacy and Safety of MK0893 in Combination With Sitagliptin or in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control
Brief Summary
This study will test the effectiveness and safety of treatment with MK-0893 in combination
with other drugs commonly used to treat type 2 diabetes for a duration up to 13 weeks.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 2
InterventionDrug: MK-0893
Initial loading dose of 200 mg MK-0893 at randomization, followed by MK-0893 administered orally as 40 mg tablets daily throughout the double-blind treatment period (4 weeks).
Drug: Sitagliptin
Sitagliptin Phosphate administered orally as 100 mg tablets daily before the morning meal throughout the double-blind treatment period (4 weeks).
Other Names:
  • Sitagliptin
  • JANUVIA™
  • MK0431
Drug: Metformin
Metformin taken orally (500 mg tablets) over an initial 2-week titration period starting at 500 mg administered twice daily before the morning and evening meals, increasing to 1500 mg daily, and ending with 1000 mg twice daily. Metformin then administered throughout the double-blind treatment period (4 weeks).
Other Names:
  • Metformin
  • GLUCOPHAGE®
Drug: Placebo for MK-0893
Matching placebo for MK-0893 was orally administered for the loading dose (200 mg) and for the following daily treatment (40 mg) over the 4 week double blind treatment period.
Drug: Placebo for Sitagliptin
Matching placebo for Sitagliptin (100 mg) administered orally as 100 mg tablets daily before the morning meal throughout the double-blind treatment period (4 weeks).
Drug: Placebo for Metformin
Metformin-matched placebo taken orally (500 mg tablets) over an initial 2-week titration period starting at 500 mg administered twice daily before the morning and evening meals, increasing to 1500 mg daily, and ending with 1000 mg twice daily. Metformin-matched placebo then administered throughout the double-blind treatment period (4 weeks).
Study Arm (s)
  • Experimental: MK-0893 + Sitagliptin
  • Experimental: MK-0893 + Metformin
  • Active Comparator: Sitagliptin + Metformin

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment146
Estimated Completion DateJanuary 2009
Estimated Primary Completion DateJanuary 2009
Eligibility Criteria
Inclusion Criteria:

- Participants who have Type 2 Diabetes Mellitus, with suboptimal glucose control,
while either not on AHA (antihyperglycemic agent) therapy or on monotherapy or on
low-dose combination therapy

Exclusion Criteria:

- Participants have a history of Type 1 Diabetes Mellitus

- Participants taking insulin or thiazolidinediones (TZDs: peroxisome
proliferator-activated receptor [PPAR]-gamma agonists)

- Participants who have a contraindication to metformin or sitagliptin
GenderBoth
Ages21 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT00631488
Other Study ID NumbersMK-0893-015
Has Data Monitoring CommitteeNot Provided
Information Provided ByMerck Sharp & Dohme Corp.
Study SponsorMerck Sharp & Dohme Corp.
CollaboratorsNot Provided
Investigators Study Director: Medical Monitor Merck Sharp & Dohme Corp.
Verification DateJanuary 2012