Trial Outcomes & Findings for Monotherapy Study in Patients With Type 2 Diabetes Mellitus (0431-021) (NCT NCT00087516)

NCT ID: NCT00087516

Last Updated: 2015-07-03

Results Overview

A1C is measured as a percent. Thus, this change from baseline reflects the Week 24 A1C percent minus the Week 0 A1C percent.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

741 participants

Primary outcome timeframe

Weeks 0-24

Results posted on

2015-07-03

Participant Flow

First Patient In: 08-Jul-2004; Last Patient Last Visit: 07-Feb-2007; One hundred eleven medical clinics worldwide (56 in the United States and Puerto Rico, 16 in 6 countries in Europe and 39 in 11 countries in the rest of the world).

Patients 18-75 years not on an antihyperglycemic agent (AHA) or on oral single AHA or low-dose combination therapy were eligible to participate. Following a screening diet/exercise period of variable duration, patients with hemoglobin A1c (A1C) 7-10% were eligible to enter a 2-week placebo run-in/wash-off period prior to randomization.

Participant milestones

Participant milestones
Measure
Sitagliptin 100 mg/100 mg
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg/200 mg
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo/Sitagliptin 100 mg
The Placebo/Sitagliptin 100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Overall Study
STARTED
238
250
130
123
Overall Study
COMPLETED
77
81
33
38
Overall Study
NOT COMPLETED
161
169
97
85

Reasons for withdrawal

Reasons for withdrawal
Measure
Sitagliptin 100 mg/100 mg
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg/200 mg
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo/Sitagliptin 100 mg
The Placebo/Sitagliptin 100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Overall Study
Adverse Event
10
10
3
6
Overall Study
Lack of Efficacy
82
80
39
29
Overall Study
Lost to Follow-up
8
6
5
5
Overall Study
Protocol Violation
4
8
3
6
Overall Study
Withdrawal by Subject
16
27
11
12
Overall Study
Site terminated
0
2
1
0
Overall Study
Protocol specified discontinuation
35
33
33
26
Overall Study
Patient moved
3
2
1
0
Overall Study
Patient was non-compliant
3
1
0
0
Overall Study
Recommendation of Primary Care Physician
0
0
0
1
Overall Study
Other
0
0
1
0

Baseline Characteristics

Monotherapy Study in Patients With Type 2 Diabetes Mellitus (0431-021)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sitagliptin 100 mg
n=238 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=250 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=253 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Total
n=741 Participants
Total of all reporting groups
Age, Continuous
53.4 years
STANDARD_DEVIATION 9.5 • n=5 Participants
54.9 years
STANDARD_DEVIATION 10.1 • n=7 Participants
54.3 years
STANDARD_DEVIATION 10.1 • n=5 Participants
54.2 years
STANDARD_DEVIATION 9.9 • n=4 Participants
Sex: Female, Male
Female
102 Participants
n=5 Participants
133 Participants
n=7 Participants
123 Participants
n=5 Participants
358 Participants
n=4 Participants
Sex: Female, Male
Male
136 Participants
n=5 Participants
117 Participants
n=7 Participants
130 Participants
n=5 Participants
383 Participants
n=4 Participants
Race/Ethnicity, Customized
White
122 participants
n=5 Participants
132 participants
n=7 Participants
127 participants
n=5 Participants
381 participants
n=4 Participants
Race/Ethnicity, Customized
Black
10 participants
n=5 Participants
12 participants
n=7 Participants
16 participants
n=5 Participants
38 participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic
58 participants
n=5 Participants
53 participants
n=7 Participants
64 participants
n=5 Participants
175 participants
n=4 Participants
Race/Ethnicity, Customized
Asian
32 participants
n=5 Participants
37 participants
n=7 Participants
34 participants
n=5 Participants
103 participants
n=4 Participants
Race/Ethnicity, Customized
Other
16 participants
n=5 Participants
16 participants
n=7 Participants
12 participants
n=5 Participants
44 participants
n=4 Participants
Fasting Plasma Glucose (FPG)
170.7 mg/dL
STANDARD_DEVIATION 43.0 • n=5 Participants
174.2 mg/dL
STANDARD_DEVIATION 46.2 • n=7 Participants
176.1 mg/dL
STANDARD_DEVIATION 41.8 • n=5 Participants
173.7 mg/dL
STANDARD_DEVIATION 43.7 • n=4 Participants
Hemoglobin A1c (A1C)
8.0 Percent
STANDARD_DEVIATION 0.9 • n=5 Participants
8.1 Percent
STANDARD_DEVIATION 0.9 • n=7 Participants
8.0 Percent
STANDARD_DEVIATION 0.8 • n=5 Participants
8.0 Percent
STANDARD_DEVIATION 0.9 • n=4 Participants

PRIMARY outcome

Timeframe: Weeks 0-24

Population: The all-patients-treated population included all patients with at least one dose of double-blind study therapy, and with a baseline value and ≥1 post-baseline value for this outcome. Data following glycemic rescue were treated as missing. Missing data were handled using the last observation carrying forward method.

A1C is measured as a percent. Thus, this change from baseline reflects the Week 24 A1C percent minus the Week 0 A1C percent.

Outcome measures

Outcome measures
Measure
Sitagliptin 100 mg
n=229 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=238 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=244 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Change From Baseline in A1C at Week 24
-0.61 Percent
Interval -0.74 to -0.49
-0.76 Percent
Interval -0.88 to -0.64
0.18 Percent
Interval 0.06 to 0.3

SECONDARY outcome

Timeframe: Weeks 0-24

Population: The all-patients-treated population included all patients with at least one dose of double-blind study therapy, and with a baseline value and ≥1 post-baseline value for this outcome. Data following glycemic rescue were treated as missing. Missing data were handled using the last observation carrying forward method.

Change from baseline at Week 24 is defined as Week 24 FPG minus Week 0 FPG.

Outcome measures

Outcome measures
Measure
Sitagliptin 100 mg
n=234 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=244 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=247 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Change From Baseline in FPG at Week 24
-12.4 mg/dL
Interval -17.4 to -7.4
-16.6 mg/dL
Interval -21.5 to -11.7
4.7 mg/dL
Interval -0.2 to 9.6

SECONDARY outcome

Timeframe: Weeks 0-24

Population: The all-patients-treated population included all patients with at least one dose of double-blind study therapy, and with a baseline value and ≥1 post-baseline value for this outcome. Data following glycemic rescue were treated as missing. Missing data were handled using the last observation carrying forward method.

Change from baseline at Week 24 is defined as Week 24 2-hr PMG minus Week 0 2-hr PMG.

Outcome measures

Outcome measures
Measure
Sitagliptin 100 mg
n=201 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=205 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=204 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Change From Baseline in 2-hour Post-meal Glucose (2-hr PMG) at Week 24
-48.9 mg/dL
Interval -57.9 to -40.0
-56.3 mg/dL
Interval -65.2 to -47.5
-2.2 mg/dL
Interval -11.1 to 6.7

SECONDARY outcome

Timeframe: Weeks 0-104

Population: The all-patients-treated population for Week 104 included all patients with at least one dose of double-blind study therapy after Week 24, and with a baseline value and ≥1 post-baseline value for this outcome. Data following glycemic rescue were treated as missing. Missing data were handled using the last observation carrying forward method.

A1C is measured as a percent. Thus, this change from baseline reflects the Week 104 A1C percent minus the Week 0 A1C percent.

Outcome measures

Outcome measures
Measure
Sitagliptin 100 mg
n=188 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=195 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=81 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
n=83 Participants
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Change From Baseline in A1C at Week 104
-0.27 Percent
Interval -0.41 to -0.13
-0.40 Percent
Interval -0.53 to -0.26
-0.32 Percent
Interval -0.53 to -0.11
-0.34 Percent
Interval -0.55 to -0.13

SECONDARY outcome

Timeframe: Weeks 0-104

Population: The all-patients-treated population for Week 104, included all patients with at least one dose of double-blind study therapy after Week 24, and with a baseline value and ≥1 post-baseline value for this outcome. Data following glycemic rescue were treated as missing. Missing data were handled using the last observation carrying forward method.

Change from baseline at Week 104 is defined as Week 104 FPG minus Week 0 FPG.

Outcome measures

Outcome measures
Measure
Sitagliptin 100 mg
n=190 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=194 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=81 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
n=83 Participants
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Change From Baseline in FPG at Week 104
-1.8 mg/dL
Interval -7.3 to 3.7
-5.7 mg/dL
Interval -11.1 to -0.2
-4.1 mg/dL
Interval -12.5 to 4.3
-4.1 mg/dL
Interval -12.4 to 4.2

SECONDARY outcome

Timeframe: Weeks 0-104

Population: The all-patients-treated population for Week 104, included all patients with at least one dose of double-blind study therapy after Week 24, and with a baseline value and ≥1 post-baseline value for this outcome. Data following glycemic rescue were treated as missing. Missing data were handled using the last observation carrying forward method.

Change from baseline at Week 104 is defined as Week 104 2-hr PMG minus Week 0 2-hr PMG.

Outcome measures

Outcome measures
Measure
Sitagliptin 100 mg
n=165 Participants
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg
n=168 Participants
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo
n=68 Participants
The Placebo group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 or 200 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
n=63 Participants
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Change From Baseline in 2-hr PMG at Week 104
-30.5 mg/dL
Interval -40.1 to -21.0
-41.5 mg/dL
Interval -51.0 to -32.1
-38.3 mg/dL
Interval -53.2 to -23.4
-35.5 mg/dL
Interval -50.9 to -20.1

Adverse Events

Sitagliptin 100 mg/100 mg

Serious events: 24 serious events
Other events: 127 other events
Deaths: 0 deaths

Sitagliptin 200 mg/200 mg

Serious events: 25 serious events
Other events: 137 other events
Deaths: 0 deaths

Placebo/Sitagliptin 100 mg

Serious events: 10 serious events
Other events: 70 other events
Deaths: 0 deaths

Placebo/Sitagliptin 200 mg

Serious events: 13 serious events
Other events: 65 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sitagliptin 100 mg/100 mg
n=238 participants at risk
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg/200 mg
n=250 participants at risk
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo/Sitagliptin 100 mg
n=130 participants at risk
The Placebo/Sitagliptin 100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
n=123 participants at risk
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Injury, poisoning and procedural complications
Skin Laceration
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Investigations
Hepatic Enzyme Increased
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Cardiac disorders
Angina Pectoris
0.84%
2/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Cardiac disorders
Angina Unstable
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Cardiac disorders
Atrial Fibrillation
0.42%
1/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Cardiac disorders
Coronary Artery Disease
0.42%
1/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Cardiac disorders
Myocardial Infarction
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
2.4%
3/123 • Weeks 0-104
Cardiac disorders
Myocardial Ischaemia
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Eye disorders
Borderline Glaucoma
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Eye disorders
Cataract
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Gastrointestinal disorders
Abdominal Strangulated Hernia
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Gastrointestinal disorders
Diarrhoea
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Gastrointestinal disorders
Gastritis
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Hepatobiliary disorders
Cholecystitis
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Hepatobiliary disorders
Cholecystitis Acute
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Hepatobiliary disorders
Cholelithiasis
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Hepatobiliary disorders
Gallbladder Necrosis
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Immune system disorders
Sarcoidosis
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
1.6%
2/123 • Weeks 0-104
Infections and infestations
Abscess Of Salivary Gland
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Appendicitis
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Infections and infestations
Bronchitis Acute
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Cellulitis
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Lobar Pneumonia
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Pneumonia
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Pneumonia Legionella
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Staphylococcal Abscess
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Staphylococcal Infection
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Infections and infestations
Urethritis
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Anaesthetic Complication
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Ankle Fracture
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Foreign Body Trauma
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Lung Injury
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Overdose
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Radial Nerve Injury
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Injury, poisoning and procedural complications
Road Traffic Accident
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Investigations
Lipase Increased
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Musculoskeletal and connective tissue disorders
Cervical Spinal Stenosis
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Musculoskeletal and connective tissue disorders
Intervertebral Disc Protrusion
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adrenal Neoplasm
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal Cell Carcinoma
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
1.6%
2/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign Renal Neoplasm
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
0.42%
1/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon Cancer
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic Neoplasm Malignant
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Adenocarcinoma Stage IV
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Mesothelioma
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate Cancer
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal Cancer
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal Cancer Metastatic
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal Cell Carcinoma Stage Unspecified
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Nervous system disorders
Headache
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Nervous system disorders
Lacunar Infarction
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.77%
1/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Nervous system disorders
Transient Ischaemic Attack
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Psychiatric disorders
Suicidal Behavior
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Psychiatric disorders
Suicidal Ideation
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Renal and urinary disorders
Nephrolithiasis
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Reproductive system and breast disorders
Vaginal Cyst
0.00%
0/238 • Weeks 0-104
0.40%
1/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Respiratory, thoracic and mediastinal disorders
Asthma
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
0.00%
0/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.81%
1/123 • Weeks 0-104
Vascular disorders
Deep Vein Thrombosis
0.42%
1/238 • Weeks 0-104
0.00%
0/250 • Weeks 0-104
0.00%
0/130 • Weeks 0-104
0.00%
0/123 • Weeks 0-104

Other adverse events

Other adverse events
Measure
Sitagliptin 100 mg/100 mg
n=238 participants at risk
The Sitagliptin 100 mg/100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 100 mg q.d. (once daily) for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Sitagliptin 200 mg/200 mg
n=250 participants at risk
The Sitagliptin 200 mg/200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin 200 mg q.d. for up to 104 weeks (including the 24-week Phase A study period and 80-week Phase B study period).
Placebo/Sitagliptin 100 mg
n=130 participants at risk
The Placebo/Sitagliptin 100 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 100 mg q.d. during the 80-week Phase B study period.
Placebo/Sitagliptin 200 mg
n=123 participants at risk
The Placebo/Sitagliptin 200 mg group includes data from patients randomized to receive treatment with oral tablets of sitagliptin-matching placebo tablets once daily during the 24-week Phase A study period followed by oral tablets of sitagliptin 200 mg q.d. during the 80-week Phase B study period.
Gastrointestinal disorders
Constipation
5.9%
14/238 • Weeks 0-104
4.4%
11/250 • Weeks 0-104
3.8%
5/130 • Weeks 0-104
4.1%
5/123 • Weeks 0-104
Gastrointestinal disorders
Diarrhoea
7.1%
17/238 • Weeks 0-104
6.8%
17/250 • Weeks 0-104
2.3%
3/130 • Weeks 0-104
5.7%
7/123 • Weeks 0-104
Gastrointestinal disorders
Nausea
2.9%
7/238 • Weeks 0-104
5.2%
13/250 • Weeks 0-104
2.3%
3/130 • Weeks 0-104
1.6%
2/123 • Weeks 0-104
Infections and infestations
Influenza
5.5%
13/238 • Weeks 0-104
8.8%
22/250 • Weeks 0-104
6.2%
8/130 • Weeks 0-104
8.9%
11/123 • Weeks 0-104
Infections and infestations
Nasopharyngitis
8.8%
21/238 • Weeks 0-104
7.6%
19/250 • Weeks 0-104
9.2%
12/130 • Weeks 0-104
8.9%
11/123 • Weeks 0-104
Infections and infestations
Sinusitis
2.9%
7/238 • Weeks 0-104
6.4%
16/250 • Weeks 0-104
3.8%
5/130 • Weeks 0-104
2.4%
3/123 • Weeks 0-104
Infections and infestations
Upper Respiratory Tract Infection
15.1%
36/238 • Weeks 0-104
16.4%
41/250 • Weeks 0-104
13.1%
17/130 • Weeks 0-104
11.4%
14/123 • Weeks 0-104
Infections and infestations
Urinary Tract Infection
5.9%
14/238 • Weeks 0-104
7.2%
18/250 • Weeks 0-104
3.8%
5/130 • Weeks 0-104
4.1%
5/123 • Weeks 0-104
Investigations
Blood Glucose Increased
6.3%
15/238 • Weeks 0-104
5.6%
14/250 • Weeks 0-104
7.7%
10/130 • Weeks 0-104
8.9%
11/123 • Weeks 0-104
Musculoskeletal and connective tissue disorders
Arthralgia
1.7%
4/238 • Weeks 0-104
5.6%
14/250 • Weeks 0-104
4.6%
6/130 • Weeks 0-104
9.8%
12/123 • Weeks 0-104
Musculoskeletal and connective tissue disorders
Back Pain
6.3%
15/238 • Weeks 0-104
6.4%
16/250 • Weeks 0-104
8.5%
11/130 • Weeks 0-104
4.9%
6/123 • Weeks 0-104
Nervous system disorders
Dizziness
10.5%
25/238 • Weeks 0-104
12.4%
31/250 • Weeks 0-104
11.5%
15/130 • Weeks 0-104
8.1%
10/123 • Weeks 0-104
Nervous system disorders
Headache
8.0%
19/238 • Weeks 0-104
6.8%
17/250 • Weeks 0-104
6.2%
8/130 • Weeks 0-104
6.5%
8/123 • Weeks 0-104
Vascular disorders
Hypertension
4.2%
10/238 • Weeks 0-104
6.0%
15/250 • Weeks 0-104
5.4%
7/130 • Weeks 0-104
2.4%
3/123 • Weeks 0-104

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER