Trial Outcomes & Findings for A Study to Assess the Pharmacokinetics, Safety and Tolerability of Sitagliptin in Adolescents (0431-081) (NCT NCT00730275)

NCT ID: NCT00730275

Last Updated: 2017-05-12

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

35 participants

Primary outcome timeframe

Pre-study through 10 to 14 days following administration of study drug

Results posted on

2017-05-12

Participant Flow

Participant milestones

Participant milestones
Measure
Sitagliptin 50 mg
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Overall Study
STARTED
9
9
8
9
Overall Study
COMPLETED
9
9
8
8
Overall Study
NOT COMPLETED
0
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Sitagliptin 50 mg
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Overall Study
Withdrawal by Subject
0
0
0
1

Baseline Characteristics

A Study to Assess the Pharmacokinetics, Safety and Tolerability of Sitagliptin in Adolescents (0431-081)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
n=9 Participants
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Total
n=35 Participants
Total of all reporting groups
Age, Continuous
13.9 years
STANDARD_DEVIATION 2.52 • n=5 Participants
14.3 years
STANDARD_DEVIATION 1.41 • n=7 Participants
14.8 years
STANDARD_DEVIATION 1.75 • n=5 Participants
14.1 years
STANDARD_DEVIATION 2.26 • n=4 Participants
14.3 years
STANDARD_DEVIATION 1.98 • n=21 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
8 Participants
n=4 Participants
24 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
1 Participants
n=4 Participants
11 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Pre-study through 10 to 14 days following administration of study drug

Population: All enrolled participants.

Outcome measures

Outcome measures
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
n=9 Participants
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Number of Participants Who Experienced at Least One Adverse Event
3 participants
1 participants
1 participants
2 participants

PRIMARY outcome

Timeframe: Pre-dose through 72 hours post-dose

Population: All participants who received a single dose of sitagliptin 50 mg, 100 mg, or 200 mg.

Serum samples were used to determine the AUC from time 0 to infinity for sitagliptin. The placebo group is not included in the table below; this outcome measure only evaluated the sitagliptin groups.

Outcome measures

Outcome measures
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Area Under the Concentration-time Curve (AUC) From Time 0 to Infinity Following a Single Dose of Sitagliptin
3438 nM*hour
Interval 2881.0 to 4103.0
5869 nM*hour
Interval 4918.0 to 7003.0
12965 nM*hour
Interval 10749.0 to 15638.0

SECONDARY outcome

Timeframe: Pre-dose through 72 hours post-dose

Population: All participants who received a single dose of sitagliptin 50 mg, 100 mg, or 200 mg.

Serum samples were used to determine the Cmax for sitagliptin. The placebo group is not included in the table below; this outcome measure only evaluated the sitagliptin groups.

Outcome measures

Outcome measures
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Maximum Concentration (Cmax) Following a Single Dose of Sitagliptin
366 nM
Interval 288.0 to 464.0
666 nM
Interval 526.0 to 845.0
1876 nM
Interval 1458.0 to 2413.0

SECONDARY outcome

Timeframe: Pre-dose through 72 hours post-dose

Population: All participants who received a single dose of sitagliptin 50 mg, 100 mg, or 200 mg.

Serum samples were used to determine the Tmax for sitagliptin. The placebo group is not included in the table below; this outcome measure only evaluated the sitagliptin groups.

Outcome measures

Outcome measures
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Time of Occurence of Maximum Concentration (Tmax) Following a Single Dose of Sitagliptin
3.0 hours
Interval 1.5 to 5.0
3.0 hours
Interval 2.0 to 4.5
2.5 hours
Interval 1.0 to 3.1

SECONDARY outcome

Timeframe: Pre-dose through 72 hours post-dose

Population: All participants who received a single dose of sitagliptin 50 mg, 100 mg, or 200 mg.

Serum samples were used to determine the apparent t1/2 for sitagliptin. The placebo group is not included in the table below; this outcome measure only evaluated the sitagliptin groups.

Outcome measures

Outcome measures
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Apparent Terminal Half-life (Apparent t1/2) Following a Single Dose of Sitagliptin
12.1 hours
Standard Deviation 1.7
11.2 hours
Standard Deviation 2.1
11.7 hours
Standard Deviation 1.8

SECONDARY outcome

Timeframe: Pre-dose through 24 hours post-dose

Population: All participants who received a single dose of sitagliptin or placebo.

Plasma DPP-4 activity was analyzed using the 24-hour weighted average inhibition (WAI) and percent inhibition at 24 hours post-dose. WAI was defined as the AUC of inhibition divided by the length of the post-dose time interval. Positive values of WAI represent a decrease in DPP-4 activity.

Outcome measures

Outcome measures
Measure
Sitagliptin 50 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 Participants
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 Participants
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
n=8 Participants
Participants who received a single oral dose of a matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Plasma Dipeptidyl Peptidase-4 (DPP-4) Activity Following a Single Dose of Sitagliptin or Placebo
24-hour WAI of DPP-4 activity
73.98 Percent inhibition
Interval 70.59 to 76.99
80.53 Percent inhibition
Interval 77.98 to 82.78
87.96 Percent inhibition
Interval 86.29 to 89.43
6.76 Percent inhibition
Interval -6.21 to 18.14
Plasma Dipeptidyl Peptidase-4 (DPP-4) Activity Following a Single Dose of Sitagliptin or Placebo
DDP-4 activity at 24 hours post-dose
53.98 Percent inhibition
Interval 46.74 to 60.24
62.78 Percent inhibition
Interval 56.92 to 67.84
75.76 Percent inhibition
Interval 71.7 to 79.24
3.57 Percent inhibition
Interval -12.6 to 17.43

Adverse Events

Sitagliptin 50 mg

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Sitagliptin 100 mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Sitagliptin 200 mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sitagliptin 50 mg
n=9 participants at risk
Participants who received a single oral dose of sitagliptin 50 mg.
Sitagliptin 100 mg
n=9 participants at risk
Participants who received a single oral dose of sitagliptin 100 mg.
Sitagliptin 200 mg
n=8 participants at risk
Participants who received a single oral dose of sitagliptin 200 mg.
Placebo
n=9 participants at risk
Participants who received a single oral dose of matching placebo to sitagliptin 50 mg, 100 mg, or 200 mg.
Blood and lymphatic system disorders
Anaemia
0.00%
0/9
0.00%
0/9
0.00%
0/8
11.1%
1/9
Gastrointestinal disorders
Abdominal pain
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
Gastrointestinal disorders
Abdominal pain upper
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
Gastrointestinal disorders
Diarrhoea
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
Gastrointestinal disorders
Vomiting
0.00%
0/9
0.00%
0/9
12.5%
1/8
0.00%
0/9
General disorders
Infusion site pain
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
General disorders
Infusion site swelling
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
General disorders
Pyrexia
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
Metabolism and nutrition disorders
Hypoglycaemia
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
Nervous system disorders
Headache
0.00%
0/9
0.00%
0/9
0.00%
0/8
11.1%
1/9
Reproductive system and breast disorders
Dysmenorrhoea
11.1%
1/9
0.00%
0/9
0.00%
0/8
0.00%
0/9
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/9
0.00%
0/9
0.00%
0/8
11.1%
1/9
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/9
0.00%
0/9
0.00%
0/8
11.1%
1/9
Vascular disorders
Phlebitis
0.00%
0/9
11.1%
1/9
0.00%
0/8
0.00%
0/9

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharpe & Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor must have the opportunity to review all proposed abstracts, manuscripts, or presentations regarding this study 60 days prior to submission for publication/presentation. Any information identified by the sponsor as confidential must be deleted prior to submission.
  • Publication restrictions are in place

Restriction type: OTHER