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| ID | Type | Description | Link |
|---|---|---|---|
| 2007_023 |
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To compare the efficacy of three strategies of lifestyle changes associated with Januvia (sitagliptin) 100 mg/day in patients with Type 2 Diabetes Mellitus (T2DM) inadequately controlled by metformin (hemoglobin A1c [HbA1c] 6.5-9%). A difference between the three strategies of lifestyle changes was expected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sitagliptin with Standard of Care | Experimental | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: No specific intervention (standard recommendation) on physical exercise and diet. |
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| Sitagliptin with Diet Advice | Experimental | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet which includes advice on diet with a leaflet and a diary |
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| Sitagliptin with Diet and Physical Activity Advice | Experimental | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet + physical activity which includes advice on diet and physical activity with leaflets and diaries PLUS advice on physical activity with the utilization of a pedometer: subjects were asked to walk 10,000 steps per day 5 or more days per week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sitagliptin phosphate | Drug | sitagliptin 100 mg once daily. Duration of treatment: 26 Weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| Hemoglobin A1c Measurement | Hemoglobin A1c (HbA1c) is a measure of glycated hemoglobin in the blood. HbA1c greater than 6.5% was considered inadequately controlled. | Baseline and Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting Plasma Glucose (FPG) Measurement | Generally FPG values of ~5.0-7.2 mmol/L would be considered goal (American Diabetes Association). | Baseline and Week 24 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Merck Sharp & Dohme LLC | Study Director |
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1512 subjects were selected/screened, 380 subjects failed screening, leaving 1132 subjects who were randomized.
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| ID | Title | Description |
|---|---|---|
| FG000 | Sitagliptin With Standard of Care | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: No specific intervention (standard recommendation) on physical exercise and diet. |
| FG001 | Sitagliptin With Diet Advice |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Comparator: Diet | Behavioral | Diet |
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| Comparator: Physical Activity | Behavioral | Physical Activity |
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Subjects received sitagliptin 100 mg once daily for 26 Weeks,
and:
Intervention on diet which includes advice on diet with a leaflet and a diary
| FG002 | Sitagliptin With Diet and Physical Activity Advice | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet + physical activity which includes advice on diet and physical activity with leaflets and diaries PLUS advice on physical activity with the utilization of a pedometer: subjects were asked to walk 10,000 steps per day 5 or more days per week. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Sitagliptin With Standard of Care | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: No specific intervention (standard recommendation) on physical exercise and diet. |
| BG001 | Sitagliptin With Diet Advice | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet which includes advice on diet with a leaflet and a diary |
| BG002 | Sitagliptin With Diet and Physical Activity Advice | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet + physical activity which includes advice on diet and physical activity with leaflets and diaries PLUS advice on physical activity with the utilization of a pedometer: subjects were asked to walk 10,000 steps per day 5 or more days per week. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | The Full Analysis Set (FAS) population included all selected patients with at least one measured HbA1c value after Visit 2 and having received at least one dose of sitagliptin. | Mean | Standard Deviation | years |
| ||||||||||||||
| Sex: Female, Male | The Full Analysis Set (FAS) population included all selected patients with at least one measured HbA1c value after Visit 2 and having received at least one dose of sitagliptin. | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Hemoglobin A1c Measurement | Hemoglobin A1c (HbA1c) is a measure of glycated hemoglobin in the blood. HbA1c greater than 6.5% was considered inadequately controlled. | The Full Analysis Set (FAS) population included all selected patients with at least one measured HbA1c value after Visit 2 and having received at least one dose of sitagliptin. In the Standard of Care group, only 360 subjects had HbA1c Baseline evaluations. | Posted | Mean | Standard Deviation | percent HbA1c | Baseline and Week 24 |
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| Secondary | Fasting Plasma Glucose (FPG) Measurement | Generally FPG values of ~5.0-7.2 mmol/L would be considered goal (American Diabetes Association). | FAS population. Furthermore, only 350, 252, and 350 subjects had FPG evaluations in the Diet advice, Diet & physical activity advice, and Standard groups, respectively, at Baseline; and 303, 224, and 310 subjects had FPG evaluations in the Diet advice, Diet & physical activity advice, and Standard groups, respectively, at Week 24. | Posted | Mean | Standard Deviation | mmol/L glucose | Baseline and Week 24 |
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This safety data includes AEs and SAEs that occurred during treatment (Visit 2 to Visit 4).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Sitagliptin With Standard of Care | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: No specific intervention (standard recommendation) on physical exercise and diet. | 8 | 412 | 0 | 412 | ||
| EG001 | Sitagliptin With Diet Advice | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet which includes advice on diet with a leaflet and a diary | 18 | 414 | 0 | 414 | ||
| EG002 | Sitagliptin With Diet and Physical Activity Advice | Subjects received sitagliptin 100 mg once daily for 26 Weeks, and: Intervention on diet + physical activity which includes advice on diet and physical activity with leaflets and diaries PLUS advice on physical activity with the utilization of a pedometer: subjects were asked to walk 10,000 steps per day 5 or more days per week. | 7 | 305 | 0 | 305 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| IDIOPATHIC THROMBOCYTOPENIC PURPURA | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
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| ACUTE CORONARY SYNDROME | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
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| ADAMS-STOKES SYNDROME | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
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| ANGINA UNSTABLE | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
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| MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
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| MACULAR OPACITY | Eye disorders | MedDRA 12.0 | Systematic Assessment |
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| INGUINAL HERNIA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
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| CARDIAC DEATH | General disorders | MedDRA 12.0 | Systematic Assessment |
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| SUDDEN DEATH | General disorders | MedDRA 12.0 | Systematic Assessment |
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| CHOLECYSTITIS | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
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| ABDOMINAL WALL ABSCESS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
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| EAR INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
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| LARYNGITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
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| PNEUMONIA | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
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| DRUG EXPOSURE DURING PREGNANCY | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
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| FRACTURE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
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| LIMB TRAUMATIC AMPUTATION | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
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| LUMBAR VERTEBRAL FRACTURE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
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| TENDON RUPTURE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
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| DIABETES MELLITUS | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
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| OSTEOARTHRITIS | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
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| BREAST CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
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| FIBROMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
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| LUNG NEOPLASM MALIGNANT | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
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| PROSTATE CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 12.0 | Systematic Assessment |
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| CERVICAL ROOT PAIN | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
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| ENCEPHALITIS | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
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| SCIATICA | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
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| SYNCOPE | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
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| DEPRESSION | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
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| SUICIDE ATTEMPT | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
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| RENAL NECROSIS | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
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| GENITAL PROLAPSE | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
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| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
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| RASH | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
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Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp | 1-800-672-6372 | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D000068900 | Sitagliptin Phosphate |
| ID | Term |
|---|---|
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011719 | Pyrazines |
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| Male |
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