Sitagliptin in Combination With Metformin and Sulfonylurea

NCT ID: NCT00686634

Last Updated: 2014-11-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2010-03-31

Brief Summary

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This study will compare the effect of a new oral agent for type 2 diabetes, sitagliptin, in comparison to thiazolidinediones as the third-line oral agent, in patients with type 2 diabetes mellitus.

Detailed Description

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The aim of this protocol is to determine the non-inferiority of the effectiveness of sitagliptin compared to a control group of patients treated with thiazolidinediones as add-on therapy, in low-income ethnic minority type 2 diabetic patients who are failing to maintain adequate control with maximal doses of metformin and a sulfonylurea agent.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Sitagliptin 100 mg once daily

Group Type EXPERIMENTAL

Sitagliptin

Intervention Type DRUG

Sitagliptin 100 mg by mouth once daily

Interventions

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Sitagliptin

Sitagliptin 100 mg by mouth once daily

Intervention Type DRUG

Other Intervention Names

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Trade name: Januvia

Eligibility Criteria

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Inclusion Criteria

* Male or female, age 18-75
* Type 2 diabetes
* At least 3 months of treatment with maximum tolerated doses of metformin and a sulfonylurea agent, and inadequate glycemic control (Hemoglobin A1c (HbA1c) \>7.0%)
* Able to comply with all scheduled visits and requirements of the protocol

Exclusion Criteria

* Any contraindications to the use of metformin or a sulfonylurea agent
* Extreme hyperglycemia or symptoms of polyuria or polydipsia
* Current or previous chronic use of insulin (other than for treatment of gestational diabetes)
* History of confirmed (or clinical suspicion of) type 1 diabetes mellitus
* Episodes of symptomatic hypoglycemia averaging greater than once per day
* Estimated glomerular filtration rate (eGFR) \< 60 mL/min
* Subjects with active hemolytic anemias or hemoglobin variants that render the measurement of HbA1c unreliable
* History of any clinically significant hepatic, cardiovascular (including the use of digoxin), or other major systemic disease that may make the use of sitagliptin unsafe, or otherwise make the interpretation of the data difficult.
* Female subjects of childbearing potential who are sexually active and not using a reliable form of contraception
* Current pregnancy or lactation.
* Subjects who will likely require or initiate therapy with drugs that may interfere with glucose metabolism during the course of the study.
* Subjects who are in another investigational study or have received another investigational medication within 30 days of study entry
* Subjects who are unable or unwilling to give informed consent, comply with all components of the study protocol, attend all scheduled follow-up visits, or present other barriers that would make the implementation of the protocol unusually difficult.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for Research Resources (NCRR)

NIH

Sponsor Role collaborator

Charles Drew University of Medicine and Science

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stanley Hsia, MD

Role: PRINCIPAL_INVESTIGATOR

Charles Drew University of Medicine and Science

Locations

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Charles Drew University of Medicine and Science

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Hsia SH, Navar MD, Duran P, Shaheen M, Davidson MB. Sitagliptin compared with thiazolidinediones as a third-line oral antihyperglycemic agent in type 2 diabetes mellitus. Endocr Pract. 2011 Sep-Oct;17(5):691-8. doi: 10.4158/EP10405.OR.

Reference Type DERIVED
PMID: 21550951 (View on PubMed)

Other Identifiers

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U54RR014616

Identifier Type: NIH

Identifier Source: secondary_id

View Link

07-06-002

Identifier Type: -

Identifier Source: org_study_id