Treatment of Diabetes After Gastric Bypass With Sitagliptin

NCT ID: NCT01512797

Last Updated: 2019-01-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2016-08-31

Brief Summary

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The purpose of this study is to assess whether Januvia (sitagliptin phosphate 100mg) is safe and effective for the treatment of Type 2 Diabetes in patients who have had Gastric Bypass.

Detailed Description

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Januvia (sitagliptin phosphate 100mg) is an FDA approved medication for the treatment of Type 2 Diabetes. Sitagliptin works by inhibiting the Dipeptidyl peptidase-4 enzyme, resulting in increased active glucagon-like peptide-1 (GLP-1) levels. GLP-1 is an incretin which increases post-prandial insulin secretion. Because Gastric Bypass has also been shown to increase GLP-1 levels, this study seeks to determine the additional effect of DDP-4 inhibition on glucose control in patients who have elevated incretin levels post Gastric Bypass. The study will also assess if Januvia (Sitagliptin phosphate) is safe and well tolerated in patients after Gastric Bypass.

Recruitment and data collection for this study was started at St. Luke's Hospital in New York, NY and later moved to Columbia University Medical Center in New York, NY.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sitagliptin phosphate

100 mg/day sitagliptin phosphate (Januvia) PO once a day for 4-5 weeks

Group Type ACTIVE_COMPARATOR

Sitagliptin phosphate

Intervention Type DRUG

100 mg/day orally

Placebo

1 Placebo pill / day PO once a day for 4-5 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

1 Placebo Pill per day

Interventions

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Sitagliptin phosphate

100 mg/day orally

Intervention Type DRUG

Placebo

1 Placebo Pill per day

Intervention Type OTHER

Other Intervention Names

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Januvia

Eligibility Criteria

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Inclusion Criteria

* Must be a resident of the NYC metropolitan area or be able to come for emergency unscheduled and regular weekly meetings in Manhattan.
* HbA1c ≥ 6.5% and ≤ 8.5 % or a fasting glucose ≥ 126 mg/dL or a random glucose ≥ 200 mg/dL at least 12 months after GBP surgery confirmed by central laboratory.
* Subject is capable and willing to give informed consent.
* Subject is otherwise in good general health, based on medical history and physical examination.
* Subject is a non smoker for at least 6 months prior to study start
* Female subjects of child bearing potential must use oral, injected or implanted hormonal methods of contraception from at least the commencement of their last normal period prior to the first administration of the challenge agent. Subjects using hormonal contraception should use a barrier method in addition from the first administration of challenge agent until their next normal period following the end of the study.

Exclusion Criteria

* History of type 1 diabetes
* Female subject is pregnant or breastfeeding.
* Recent (\< 30 days) or simultaneous participation in another clinical trial.
* Any situation that can compromise the study, including serious illness or a predictable lack of cooperation from the subject.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Blandine Laferrere

OTHER

Sponsor Role lead

Responsible Party

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Blandine Laferrere

Associate Professor of Medicine, Columbia University

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Blandine Laferrere, MD

Role: PRINCIPAL_INVESTIGATOR

New York Obesity Nutrition Research Center

Locations

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New York Obesity Nutrition Research Center, Columbia University

New York, New York, United States

Site Status

Countries

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United States

Related Links

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http://www.nyorc.org/

New York Obesity Nutrition Research Center

Other Identifiers

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0000048421

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

AAAO1107

Identifier Type: -

Identifier Source: org_study_id

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