Last reviewed · How we verify

NCT00509236

Sitagliptin Versus Glipizide in Participants With Type 2 Diabetes Mellitus and End-Stage Renal Disease (MK-0431-073 AM1)

Completed Phase 3 Results posted Last updated 12 May 2017
What this trial tests

Phase 3 trial testing Sitagliptin in Diabetes Mellitus, Type 2 in 129 participants. Completed in 14 March 2011.

Timeline
19 October 2007
Primary endpoint
14 March 2011
14 March 2011

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment129
Start date19 October 2007
Primary completion14 March 2011
Estimated completion14 March 2011

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

30 and older, any sex, with Diabetes Mellitus, Type 2 or End-Stage Kidney Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Hemoglobin A1c After Sitagliptin Treatment Primary · Baseline / Week 54

Change from baseline in mean hemoglobin A1c after treatment with sitagliptin for 54 weeks. Hemoglobin A1c is the percent of hemoglobin that is glycated. Results for the glipizide arm are not reported in this table because the primary outcome measure is for the sitagliptin arm only.

Baseline
GroupValue95% CI
Sitagliptin 25 mg7.89± 0.74
Week 54
GroupValue95% CI
Sitagliptin 25 mg7.15± 0.98
Change from Baseline at Week 54
GroupValue95% CI
Sitagliptin 25 mg-0.74± 0.95
Number of Participants With Symptomatic Hypoglycemic Adverse Events Secondary · 54 Week Treatment Period + 28 days

A symptomatic hypoglycemic adverse event is an episode with clinical symptoms attributed to hypoglycemia, without regard to fingerstick glucose level.

GroupValue95% CI
Sitagliptin 25 mg4
Glipizide 2.5 mg - 20 mg7
Number of Participants With Clinical Adverse Events Primary · 54 Week Treatment Period + 28 days

Reported experiences assessed by investigators as adverse events, excluding data after initiation of glycemic rescue therapy.

GroupValue95% CI
Sitagliptin 25 mg53
Glipizide 2.5 mg - 20 mg52
Change From Baseline in Fasting Plasma Glucose (FPG) Secondary · Baseline / Week 54

Change from baseline in mean Fasting Plasma Glucose after treatment with sitagliptin versus glipizide for 54 weeks.

Baseline
GroupValue95% CI
Sitagliptin 25 mg160.3± 48.5
Glipizide 2.5 mg - 20 mg167.0± 56.2
Week 54
GroupValue95% CI
Sitagliptin 25 mg135.8± 40.4
Glipizide 2.5 mg - 20 mg134.0± 58.2
Change from Baseline to Week 54
GroupValue95% CI
Sitagliptin 25 mg-24.5± 47.5
Glipizide 2.5 mg - 20 mg-33.0± 55.9
Change From Baseline in Hemoglobin A1c for Sitagliptin Versus Glipizide Treatment Secondary · Baseline / Week 54

Change from baseline in least square means hemoglobin A1c after treatment with sitagliptin versus glipizide for 54 weeks. Hemoglobin A1c is the percent of hemoglobin that is glycated.

GroupValue95% CI
Sitagliptin 25 mg-0.72-0.95 – -0.48
Glipizide 2.5 mg - 20 mg-0.87-1.11 – -0.63

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Sitagliptin 25 mg
Serious: 23/64 (36%)
Deaths:
Glipizide 2.5 mg - 20 mg
Serious: 22/65 (34%)
Deaths:

Serious adverse events (62 terms)

ReactionSystemSitagliptin 25 mgGlipizide 2.5 mg - 20 mg
Catheter site infectionInfections and infestations
Cardiac failure congestiveCardiac disorders
PeritonitisGastrointestinal disorders
Device malfunctionGeneral disorders
Device related infectionInfections and infestations
GastroenteritisInfections and infestations
Septic shockInfections and infestations
Streptococcal bacteraemiaInfections and infestations
Urinary tract infectionInfections and infestations
Subdural haematomaInjury, poisoning and procedural complications
Fluid overloadMetabolism and nutrition disorders
Acute pulmonary oedemaRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Acute myocardial infarctionCardiac disorders
Angina pectorisCardiac disorders
BradycardiaCardiac disorders
Cardiac arrestCardiac disorders
Cardio-respiratory arrestCardiac disorders
Coronary artery stenosisCardiac disorders
Left ventricular dysfunstionCardiac disorders
Myocardial infarctionCardiac disorders
Ventricular fibrillationCardiac disorders
Abdominal adhesionsGastrointestinal disorders
Duodenal ulcerGastrointestinal disorders
EnteritisGastrointestinal disorders
Other adverse events (12 terms — click to expand)

ReactionSystemSitagliptin 25 mgGlipizide 2.5 mg - 20 mg
Blood glucose decreasedInvestigations
Upper respiratory tract infectionInfections and infestations
HypoglycaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
DiarrhoeaGastrointestinal disorders
Oedema peripheralGeneral disorders
Urinary tract infectionInfections and infestations
Blood glucose increasedInvestigations
VomitingGastrointestinal disorders
HeadacheNervous system disorders
HypotensionVascular disorders

Most-reported serious reactions: Catheter site infection, Cardiac failure congestive, Peritonitis, Device malfunction, Device related infection, Gastroenteritis, Septic shock, Streptococcal bacteraemia.

Data from ClinicalTrials.gov NCT00509236 adverse events section.

Sponsor's own description

The purpose of the study is to compare sitagliptin and glipizide in lowering blood sugar in participants with type-2 diabetes mellitus (T2DM) and end-stage renal disease on dialysis who do not have adequate glycemic control.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Dipeptidyl peptidase-4 inhibitors and cancer risk in patients with type 2 diabetes: a meta-analysis of randomized clinical trials.
    Zhao M, Chen J, Yuan Y, Zou Z, et al · · 2017 · cited 50× · PMID 28811622 · DOI 10.1038/s41598-017-07921-2
  2. Dipeptidyl peptidase-4 inhibitors and fracture risk: an updated meta-analysis of randomized clinical trials.
    Fu J, Zhu J, Hao Y, Guo C, et al · · 2016 · cited 41× · PMID 27384445 · DOI 10.1038/srep29104
  3. Risk of Fractures Associated with Dipeptidyl Peptidase-4 Inhibitor Treatment: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    Chen Q, Liu T, Zhou H, Peng H, et al · · 2019 · cited 16× · PMID 31347093 · DOI 10.1007/s13300-019-0668-5
  4. Vildagliptin has the same safety profile as a sulfonylurea on bone metabolism and bone mineral density in post-menopausal women with type 2 diabetes: a randomized controlled trial.
    Vianna AGD, de Lacerda CS, Pechmann LM, Polesel MG, et al · · 2017 · cited 16× · PMID 28515791 · DOI 10.1186/s13098-017-0232-2
  5. Effect of Long-term Incretin-Based Therapies on Ischemic Heart Diseases in Patients with Type 2 Diabetes Mellitus: A Network Meta-analysis.
    Chou CY, Chang YT, Yang JL, Wang JY, et al · · 2017 · cited 11× · PMID 29150631 · DOI 10.1038/s41598-017-16101-1
  6. Risk of diarrhea in patients with type 2 diabetes mellitus treated with sitagliptin: a meta-analysis of 30 randomized clinical trials.
    Zhao Q, Hong D, Zheng D, Xiao Y, et al · · 2014 · cited 3× · PMID 25419118 · DOI 10.2147/dddt.s70945
  7. Comparison of efficacy and safety of three novel hypoglycemic agents in patients with severe diabetic kidney disease: A systematic review and network meta-analysis of randomized controlled trials.
    Li Y, Hu Y, Huyan X, Chen K, et al · · 2022 · cited 2× · PMID 36353233 · DOI 10.3389/fendo.2022.1003263

Verify or expand the search:

Other trials of Sitagliptin

Trials testing the same drug.

Other recruiting trials for Diabetes Mellitus, Type 2

Currently open trials in the same condition.

Other Merck Sharp & Dohme LLC trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00509236.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing