Trial Outcomes & Findings for The OBSTACLE Hypoglycemia Study (MK-0000-158) (NCT NCT00907881)

NCT ID: NCT00907881

Last Updated: 2015-04-21

Results Overview

Coefficient of correlation was measured using a linear regression analysis for the association between two variables, HbA1c values at Week 12 and hypoglycemia scores. A negative correlation coefficient indicates that as one value increases the other value decreases, and vice versa.

Recruitment status

COMPLETED

Target enrollment

1069 participants

Primary outcome timeframe

Week 12

Results posted on

2015-04-21

Participant Flow

Participant milestones

Participant milestones
Measure
All Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Overall Study
STARTED
1069
Overall Study
COMPLETED
984
Overall Study
NOT COMPLETED
85

Reasons for withdrawal

Reasons for withdrawal
Measure
All Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Overall Study
Lost to Follow-up
59
Overall Study
Noncompliance
5
Overall Study
Withdrawal by Subject
5
Overall Study
Protocol Violation
1
Overall Study
Missing discontinuation information
15

Baseline Characteristics

The OBSTACLE Hypoglycemia Study (MK-0000-158)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=1069 Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Age, Continuous
52.21 years
STANDARD_DEVIATION 10.70 • n=5 Participants
Sex/Gender, Customized
Female
472 participants
n=5 Participants
Sex/Gender, Customized
Male
589 participants
n=5 Participants
Sex/Gender, Customized
Missing
8 participants
n=5 Participants
Region of Enrollment
India
1069 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 12

Population: Evaluable population defined as all enrolled participants who completed the study and had the values for HbA1c at Week 12 and Stanford Hypoglycemia Score without any major protocol deviation.

Coefficient of correlation was measured using a linear regression analysis for the association between two variables, HbA1c values at Week 12 and hypoglycemia scores. A negative correlation coefficient indicates that as one value increases the other value decreases, and vice versa.

Outcome measures

Outcome measures
Measure
All Participants
n=950 Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores
-0.1215 Correlation coefficient
95% Confidence Interval 1.90 • Interval -0.1836 to -0.0583

SECONDARY outcome

Timeframe: Week 12

Population: Evaluable population defined as all enrolled participants who completed the study and had the values for HbA1c at Week 12 and Stanford Hypoglycemia Score without any major protocol deviation.

Sub-group analyses of mean hypoglycemia symptom score. Participants were grouped based on gender, age, hypoglycemia severity, body mass index, duration of diabetes, and number of oral hypoglycemic agents. Hypoglycemia symptom score (measured by Stanford Hypoglycemia Questionnaire) is a score on a scale with a possible range of 0 (best) to 7 (worst). The questionnaire was administered by the physician at Week 12.

Outcome measures

Outcome measures
Measure
All Participants
n=950 Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Age 35-44 years, n=171
0.87 Score on a scale
Standard Deviation 1.36
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Duration of T2DM <5 years, n=640
0.88 Score on a scale
Standard Deviation 1.36
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Duration of T2DM 5-10 years, n=239
1.15 Score on a scale
Standard Deviation 1.52
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
2 background oral hypoglycemic agents, n=69
1.30 Score on a scale
Standard Deviation 1.61
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
3 background oral hypoglycemic agents, n=7
0.00 Score on a scale
Standard Deviation 0.00
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Male, n=526
0.87 Score on a scale
Standard Deviation 1.37
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Female, n=417
1.12 Score on a scale
Standard Deviation 1.46
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Age 18-34 years, n=45
0.91 Score on a scale
Standard Deviation 1.62
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Age 45-64 years, n=595
0.96 Score on a scale
Standard Deviation 1.39
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Age 65 years and older, n=138
1.18 Score on a scale
Standard Deviation 1.49
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Mild hypoglycemia, n=286
1.59 Score on a scale
Standard Deviation 1.38
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Moderate hypoglycemia, n=168
2.36 Score on a scale
Standard Deviation 1.49
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Severe hypoglycemia, n=15
2.53 Score on a scale
Standard Deviation 1.68
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Body mass index <25 kg/m^2, n=370
1.01 Score on a scale
Standard Deviation 1.44
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Body mass index 25-30 kg/m^2, n=394
0.95 Score on a scale
Standard Deviation 1.42
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Body mass index >30 kg/m^2, n=183
0.96 Score on a scale
Standard Deviation 1.37
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
Duration of T2DM >10 years, n=49
1.29 Score on a scale
Standard Deviation 1.46
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
No background oral hypoglycemic agents, n=20
0.60 Score on a scale
Standard Deviation 0.99
Hypoglycemia Symptom Score by Sub-group (Demographic/Disease Parameters)
1 background oral hypoglycemic agent, n=854
0.97 Score on a scale
Standard Deviation 1.41

SECONDARY outcome

Timeframe: Week 12

Sub-group analyses based on Karl pearson coefficient of correlation for HbA1c values at Week 12 and hypoglycemia score. Participants were grouped based on gender, age, body mass index, and duration of diabetes. A negative correlation coefficient indicates that as one value increases the other value decreases, and vice versa.

Outcome measures

Outcome measures
Measure
All Participants
n=950 Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Male, n=526
-0.1654 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Body mass index <25 kg/m^2, n=370
-0.0100 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Body mass index 25-30 kg/m^2, n=394
-0.2188 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Body mass index >30 kg/m^2, n=183
-0.1688 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Duration of diabetes <5 years, n=640
-0.1201 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Duration of diabetes 5-10 years, n=239
-0.1503 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Female, n=417
-0.0756 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Age 18-34 years, n=45
-0.1636 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Age 35-44 years, n=171
-0.1034 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Age 45-64 years, n=595
-0.1222 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Age 65 years and older, n=138
-0.0984 Correlation coefficient
Correlation Between HbA1c Values at Week 12 and Hypoglycemia Scores by Sub-group (Demographic/Disease Parameters)
Duration of diabetes >10 years, n=49
-0.1316 Correlation coefficient

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: All enrolled participants with available data at both Baseline and Week 12.

Coefficient of correlation as measured using linear regression analysis for association between two variables, HbA1c values at baseline and hypoglycemia scores. A positive correlation coefficient indicates that as one value increases the other value increases, or as as one value decreases the other value decreases.

Outcome measures

Outcome measures
Measure
All Participants
n=899 Participants
Participants with type 2 diabetes mellitus (T2DM) who had sulfonylurea treatment added to an on-going regime of oral hypoglycemic agent(s).
Correlation Between HbA1c Values at Baseline and Hypoglycemia Scores at Week 12
0.0026 Correlation coefficient

Adverse Events

All Participants

Serious events: 0 serious events
Other events: 492 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
All Participants
n=1069 participants at risk
Metabolism and nutrition disorders
Hypoglycemia
46.0%
492/1069 • Number of events 2968
No adverse events were recorded separately other than hypoglycemia.

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 The study 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 study sponsor as confidential must be deleted prior to submission.
  • Publication restrictions are in place

Restriction type: OTHER