Sitagliptin and the Risk for Hypoglycaemia in Type 2 Diabetes Patients

NCT ID: NCT03359590

Last Updated: 2021-02-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-21

Study Completion Date

2019-07-17

Brief Summary

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Sitagliptin, through its effects on sensitizing alpha-cell sensitivity to glucose, can initiate counter-regulatory glucagon responses at higher glycemic thresholds, thus reducing the number of clinically apparent hypoglycemic episodes, and/or ameliorating the severity of hypoglycemic episodes in the case that they should occur. The endpoints have defined such that consequences of this hypothesis can be measured.

Detailed Description

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Conditions

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Pharmacological Action

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

This is a postmarketing phase 2 trial. The trial is designed as single centre, randomised, double blind, two-way treatment, placebo controlled crossover trial in subjects with type 2 diabetes mellitus treated to fasting plasma glucose targets with insulin glargine and metformin.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
This is a double-blind randomised trial. Except for the unblinded persons involved in the preparation of the IMP (these persons are not involved in any other trial activities), everyone involved in the trial will be blinded until completion of the trial and the final data review.

Study Groups

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Sitagliptin arm

Sitagliptin 100 mg

Group Type EXPERIMENTAL

Sitagliptin 100 mg

Intervention Type DRUG

The treatment consists of sitagliptin tablets (100 mg/day) for up to 24 weeks.

Placebo arm

Placebo comparator

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

The treatment consists of placebo tablets for up to 24 weeks.

Interventions

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Sitagliptin 100 mg

The treatment consists of sitagliptin tablets (100 mg/day) for up to 24 weeks.

Intervention Type DRUG

Placebo

The treatment consists of placebo tablets for up to 24 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female subject with diabetes mellitus type 2.
* Age between 18 and 64 years, both inclusive.
* HbA1c \<= 8.5%.
* Stable treatment with insulin glargine (any dose) and metformin (\>= 1500 mg/day or at highest tolerated dose) for at least 3 months prior to inclusion into the trial with or without additional oral glucose-lowering agents (except thiazolidinediones).
* Considered generally healthy (apart from diabetes mellitus type 2 and associated conditions such as hypertension, hyperlipidaemia and hyperuricaemia) upon completion of medical history, physical examination, vital signs, ECG and analysis of laboratory safety variables, as judged by the Investigator.

Exclusion Criteria

* Known or suspected hypersensitivity to sitagliptin or related products.
* More than one episode of severe hypoglycaemia with seizure, coma or requiring medical assistance of another person during the past 6 months or hypoglycaemic unawareness as judged by the Investigator.
* Current or previous treatment (less than 3 months prior to screening) with insulin products other than insulin glargine and/or with Glucagon-like peptide (GLP) 1 receptor agonists and/or with thiazolidinediones.
* Unwillingness to wash-off any oral glucose-lowering agents other than metformin.
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Profil Institut für Stoffwechselforschung GmbH

INDUSTRY

Sponsor Role lead

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christoph Kapitza, MD

Role: PRINCIPAL_INVESTIGATOR

Profil GmbH

Locations

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Profil Institut für Stoffwechselforschung GmbH

Neuss, , Germany

Site Status

Countries

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Germany

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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DPP4-Hypo

Identifier Type: -

Identifier Source: org_study_id

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