Study Of Safety And Efficacy Of Ertugliflozin (PF-04971729, MK-8835) In Participants With Type 2 Diabetes (MK-8835-016)
15 de agosto de 2018 actualizado por: Merck Sharp & Dohme LLC
A 12-Week, Phase 2, Randomized, Double-Blinded, Placebo-Controlled, Dose-Ranging, Parallel Group Study to Evaluate the Safety, Tolerability and Efficacy Of Once Daily PF-04971729 And Sitagliptin On Glycemic Control And Body Weight In Adult Patients With Type 2 Diabetes Mellitus Inadequately Controlled On Metformin
MK-8835-016 (B1521006) is designed to evaluate the safety and efficacy of an investigational drug, ertugliflozin (MK-8835, PF-04971729) in participants with Type 2 diabetes mellitus.
Participants in the study will receive 1 of 6 treatments for 12 weeks including 1 treatment with an approved drug (sitagliptin) for the treatment of Type 2 diabetes mellitus.
Descripción general del estudio
Estado
Terminado
Condiciones
Tipo de estudio
Intervencionista
Inscripción (Actual)
375
Fase
- Fase 2
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años a 70 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Participants with type 2 diabetes on stable doses of background medicines for management of the diabetes; aged 18-70 years; body mass index between 23-45 kg/m^2
Exclusion Criteria:
- Participants with type 1 diabetes, heart attack or stroke in last 6-months, uncontrolled blood pressure, significant kidney disease
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Comparador de placebos: Placebo
Placebo for ertugliflozin (1 mg or 5 mg and 25 mg) and placebo to sitagliptin, oral, once daily for 84 days
|
Tablet(s), 1 or 2, matching placebo to 1-mg, 5-mg and/or 25-mg tablets, once daily for 84 days
Tablet, matching placebo to 100 mg, once daily for 84 days
Participants continued pre-study stable doses of metformin during the run-in and treatment periods of the study (maximum dose up to 2500 mg/day or 3000 mg/day where the maximum metformin dose per the local country product labels was 3000 mg/day).
Otros nombres:
|
|
Experimental: Ertugliflozin 1 mg
Ertugliflozin 1 mg, placebo for ertugliflozin (1 mg or 5 mg and 25 mg), and placebo to sitagliptin, oral, once daily for 84 days
|
Tablet(s), 1 or 2, matching placebo to 1-mg, 5-mg and/or 25-mg tablets, once daily for 84 days
Tablet, matching placebo to 100 mg, once daily for 84 days
Participants continued pre-study stable doses of metformin during the run-in and treatment periods of the study (maximum dose up to 2500 mg/day or 3000 mg/day where the maximum metformin dose per the local country product labels was 3000 mg/day).
Otros nombres:
Tablet, 1 mg, once daily for 84 days
|
|
Experimental: Ertugliflozin 5 mg
Ertugliflozin 5 mg, placebo for ertugliflozin (1 mg or 5 mg and 25 mg), and placebo to sitagliptin, oral, once daily for 84 days
|
Tablet(s), 1 or 2, matching placebo to 1-mg, 5-mg and/or 25-mg tablets, once daily for 84 days
Tablet, matching placebo to 100 mg, once daily for 84 days
Participants continued pre-study stable doses of metformin during the run-in and treatment periods of the study (maximum dose up to 2500 mg/day or 3000 mg/day where the maximum metformin dose per the local country product labels was 3000 mg/day).
Otros nombres:
Tablet(s), 1 or 2, 5-mg tablets once daily for 84 days
|
|
Experimental: Ertugliflozin 10 mg
Ertugliflozin 10 mg, placebo for ertugliflozin (25 mg), and placebo to sitagliptin, oral, once daily for 84 days
|
Tablet(s), 1 or 2, matching placebo to 1-mg, 5-mg and/or 25-mg tablets, once daily for 84 days
Tablet, matching placebo to 100 mg, once daily for 84 days
Participants continued pre-study stable doses of metformin during the run-in and treatment periods of the study (maximum dose up to 2500 mg/day or 3000 mg/day where the maximum metformin dose per the local country product labels was 3000 mg/day).
Otros nombres:
Tablet(s), 1 or 2, 5-mg tablets once daily for 84 days
|
|
Experimental: Ertugliflozin 25 mg
Ertugliflozin 25 mg, placebo for ertugliflozin (1 mg or 5 mg), and placebo to sitagliptin, oral, once daily for 84 days
|
Tablet(s), 1 or 2, matching placebo to 1-mg, 5-mg and/or 25-mg tablets, once daily for 84 days
Tablet, matching placebo to 100 mg, once daily for 84 days
Participants continued pre-study stable doses of metformin during the run-in and treatment periods of the study (maximum dose up to 2500 mg/day or 3000 mg/day where the maximum metformin dose per the local country product labels was 3000 mg/day).
Otros nombres:
Tablet, 25 mg, once daily for 84 days
|
|
Comparador activo: Sitagliptin 100 mg
Sitagliptin 100 mg, placebo for ertugliflozin (1 mg or 5 mg and 25 mg), oral, once daily for 84 days
|
Tablet(s), 1 or 2, matching placebo to 1-mg, 5-mg and/or 25-mg tablets, once daily for 84 days
Participants continued pre-study stable doses of metformin during the run-in and treatment periods of the study (maximum dose up to 2500 mg/day or 3000 mg/day where the maximum metformin dose per the local country product labels was 3000 mg/day).
Otros nombres:
Tablet, 100 mg, once daily for 84 days
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Baseline Hemoglobin A1c (HbA1c)
Periodo de tiempo: Baseline
|
HbA1c is measured as percent.
|
Baseline
|
|
Change From Baseline in HbA1c at Week 12
Periodo de tiempo: Baseline and Week 12
|
HbA1c is measured as percent.
The change from baseline is the Week 12 HbA1c percent minus the Week 0 HbA1c percent (last observation carried forward [LOCF]).
|
Baseline and Week 12
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change From Baseline in HbA1C at Week 2
Periodo de tiempo: Baseline and Week 2
|
HbA1c is measured as percent.
The change from baseline is the Week 2 HbA1c percent minus the Week 0 HbA1c percent (LOCF).
|
Baseline and Week 2
|
|
Change From Baseline in HbA1c at Week 4
Periodo de tiempo: Baseline and Week 4
|
HbA1c is measured as percent.
The change from baseline is the Week 4 HbA1c percent minus the Week 0 HbA1c percent (LOCF).
|
Baseline and Week 4
|
|
Change From Baseline in HbA1c at Week 8
Periodo de tiempo: Baseline and Week 8
|
HbA1c is measured as percent.
The change from baseline is the Week 8 HbA1c percent minus the Week 0 HbA1c percent (LOCF).
|
Baseline and Week 8
|
|
Baseline Body Weight
Periodo de tiempo: Baseline
|
Baseline
|
|
|
Percent Change From Baseline in Body Weight at Week 12
Periodo de tiempo: Baseline and Week 12
|
The percent change from baseline is the ([Week 12 body weight minus the Week 0 body weight] divided by the Week 0 body weight) X 100 (LOCF).
|
Baseline and Week 12
|
|
Percent Change From Baseline in Body Weight at Week 2
Periodo de tiempo: Baseline and Week 2
|
The percent change from baseline is the ([Week 2 body weight minus the Week 0 body weight] divided by the Week 0 body weight) X 100 (LOCF).
|
Baseline and Week 2
|
|
Percent Change From Baseline in Body Weight at Week 4
Periodo de tiempo: Baseline and Week 4
|
The percent change from baseline is the ([Week 4 body weight minus the Week 0 body weight] divided by the Week 0 body weight) X 100 (LOCF).
|
Baseline and Week 4
|
|
Percent Change From Baseline in Body Weight at Week 8
Periodo de tiempo: Baseline and Week 8
|
The percent change from baseline is the ([Week 8 body weight minus the Week 0 body weight] divided by the Week 0 body weight) X 100 (LOCF).
|
Baseline and Week 8
|
|
Baseline Systolic Blood Pressure
Periodo de tiempo: Baseline
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
|
Baseline
|
|
Change From Baseline in Systolic Blood Pressure at Week 12
Periodo de tiempo: Baseline and Week 12
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 12 systolic blood pressure minus the Week 0 systolic blood pressure (LOCF).
|
Baseline and Week 12
|
|
Change From Baseline in Systolic Blood Pressure at Week 2
Periodo de tiempo: Baseline and Week 2
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 2 systolic blood pressure minus the Week 0 systolic blood pressure (LOCF).
|
Baseline and Week 2
|
|
Change From Baseline in Systolic Blood Pressure at Week 4
Periodo de tiempo: Baseline and Week 4
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 4 systolic blood pressure minus the Week 0 systolic blood pressure (LOCF).
|
Baseline and Week 4
|
|
Change From Baseline in Systolic Blood Pressure at Week 8
Periodo de tiempo: Baseline and Week 8
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 8 systolic blood pressure minus the Week 0 systolic blood pressure (LOCF).
|
Baseline and Week 8
|
|
Baseline Diastolic Blood Pressure
Periodo de tiempo: Baseline
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
|
Baseline
|
|
Change From Baseline in Diastolic Blood Pressure at Week 12
Periodo de tiempo: Baseline and Week 12
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 12 diastolic blood pressure minus the Week 0 diastolic blood pressure (LOCF).
|
Baseline and Week 12
|
|
Change From Baseline in Diastolic Blood Pressure at Week 2
Periodo de tiempo: Baseline and Week 2
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 2 diastolic blood pressure minus the Week 0 diastolic blood pressure (LOCF).
|
Baseline and Week 2
|
|
Change From Baseline in Diastolic Blood Pressure at Week 4
Periodo de tiempo: Baseline and Week 4
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 4 diastolic blood pressure minus the Week 0 diastolic blood pressure (LOCF).
|
Baseline and Week 4
|
|
Change From Baseline in Diastolic Blood Pressure at Week 8
Periodo de tiempo: Baseline and Week 8
|
Sitting blood pressure was measured in triplicate and the average of the measurements taken at a single assessment time was analyzed.
The change from baseline is the Week 8 diastolic blood pressure minus the Week 0 diastolic blood pressure (LOCF).
|
Baseline and Week 8
|
|
Baseline Fasting Plasma Glucose
Periodo de tiempo: Baseline
|
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Baseline
|
|
Change From Baseline in Fasting Plasma Glucose at Week 12
Periodo de tiempo: Baseline and Week 12
|
The change from baseline is the Week 12 FPG minus the Week 0 fasting plasma glucose (LOCF).
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Baseline and Week 12
|
|
Change From Baseline in Fasting Plasma Glucose at Week 2
Periodo de tiempo: Baseline and Week 2
|
The change from baseline is the Week 2 FPG minus the Week 0 FPG (LOCF).
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Baseline and Week 2
|
|
Change From Baseline in Fasting Plasma Glucose at Week 4
Periodo de tiempo: Baseline and Week 4
|
The change from baseline is the Week 4 FPG minus the Week 0 FPG (LOCF).
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Baseline and Week 4
|
|
Change From Baseline in Fasting Plasma Glucose at Week 8
Periodo de tiempo: Baseline and Week 8
|
The change from baseline is the Week 8 FPG minus the Week 0 FPG (LOCF).
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Baseline and Week 8
|
|
Percentage of Participants Achieving HbA1c <7% at Week 12
Periodo de tiempo: Week 12
|
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Week 12
|
|
Percentage of Participants Achieving HbA1C <6.5% at Week 12
Periodo de tiempo: Week 12
|
Laboratory measurements were performed after an overnight fast ≥8 hours in duration.
|
Week 12
|
|
Number of Participants Who Experienced an Advere Event (AE)
Periodo de tiempo: Up to 98 days
|
An adverse event is defines as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage.
Below table includes all data collected since the first dose of sponsor-provided metformin.
|
Up to 98 days
|
|
Number of Participants Who Discontinued Study Medication Due to an AE
Periodo de tiempo: Up to 84 days
|
An adverse event is defines as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage.
Below table includes all data collected since the first dose of sponsor-provided metformin and excludes a temporary discontinuation of study medication.
|
Up to 84 days
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Fediuk DJ, Sahasrabudhe V, Dawra VK, Zhou S, Sweeney K. Population Pharmacokinetic Analyses of Ertugliflozin in Select Ethnic Populations. Clin Pharmacol Drug Dev. 2021 Nov;10(11):1297-1306. doi: 10.1002/cpdd.970. Epub 2021 Jul 2.
- Amin NB, Wang X, Jain SM, Lee DS, Nucci G, Rusnak JM. Dose-ranging efficacy and safety study of ertugliflozin, a sodium-glucose co-transporter 2 inhibitor, in patients with type 2 diabetes on a background of metformin. Diabetes Obes Metab. 2015 Jun;17(6):591-598. doi: 10.1111/dom.12460. Epub 2015 Mar 31.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
24 de febrero de 2010
Finalización primaria (Actual)
20 de enero de 2011
Finalización del estudio (Actual)
20 de enero de 2011
Fechas de registro del estudio
Enviado por primera vez
29 de enero de 2010
Primero enviado que cumplió con los criterios de control de calidad
29 de enero de 2010
Publicado por primera vez (Estimar)
1 de febrero de 2010
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
13 de septiembre de 2018
Última actualización enviada que cumplió con los criterios de control de calidad
15 de agosto de 2018
Última verificación
1 de agosto de 2018
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Trastornos del metabolismo de la glucosa
- Enfermedades metabólicas
- Enfermedades del sistema endocrino
- Diabetes mellitus
- Diabetes Mellitus, Tipo 2
- Agentes hipoglucemiantes
- Efectos fisiológicos de las drogas
- Mecanismos moleculares de acción farmacológica
- Inhibidores de enzimas
- Hormonas
- Hormonas, sustitutos hormonales y antagonistas hormonales
- Inhibidores de la proteasa
- Incretinas
- Inhibidores del transportador de sodio-glucosa 2
- Inhibidores de la dipeptidil-peptidasa IV
- Metformina
- Fosfato de sitagliptina
- Ertugliflozina
Otros números de identificación del estudio
- 8835-016
- B1521006 (Otro identificador: Pfizer protocol number)
- 2009-017131-18 (Número EudraCT)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
SÍ
Descripción del plan IPD
https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Sí
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .