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An Investigational Study of MK0941 in Patients With Type 2 Diabetes on Basal Insulin
This study is currently recruiting participants.
Verified by Merck, January 2009
Sponsored by: Merck
Information provided by: Merck
ClinicalTrials.gov Identifier: NCT00511472
  Purpose

A study to assess safety, Pharmacokinetic (PK) and Pharmacodynamic (PD) of an MK0941 in Type 2 Diabetics being treated with basal insulin.


Condition Intervention Phase
Type 2 Diabetes Mellitus
Drug: MK0941
Drug: LANTUS® insulin
Drug: Comparator: Placebo (unspecified)
Phase I

MedlinePlus related topics: Diabetes
Drug Information available for: Insulin Insulin glargine Dextrose
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Single Group Assignment, Safety Study
Official Title: Multicenter, 2-Part, Randomized, Double-Blind, Placebo-Controlled, Multiple-Dose Study to Assess the Safety, Tolerability, PK and PD of MK0941 on Postprandial Plasma Glucose Concentrations After Daily Administration MK0941 Before Each Meal in Subjects With T2D Being Treated With Basal Insulin

Further study details as provided by Merck:

Primary Outcome Measures:
  • Safety in Type 2 Diabetics on Basal insulin. [ Time Frame: 3 Months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Safety in Type 2 Diabetics on Basal Insulin on an outpatient basis. [ Time Frame: 3 Months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 66
Study Start Date: August 2007
Estimated Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Part I-Phase 1
Phase 1: All patients will receive LANTUS® insulin (dose will be similar to patient's previous dose of immediate or long-acting insulin).
Drug: MK0941
MK0941 10 mg, 20 mg, 30 mg or 40 mg q.a.c.
Drug: LANTUS® insulin
LANTUS® insulin (dose will be similar to patient's previous dose of immediate or long-acting insulin)
Part I-Phase 2
Phase 2: Patients will continue to receive individualized dose of LANTUS® insulin for 1 week.
Drug: MK0941
MK0941 10 mg, 20 mg, 30 mg or 40 mg q.a.c.
Drug: LANTUS® insulin
LANTUS® insulin (dose will be similar to patient's previous dose of immediate or long-acting insulin)
Part I-Phase 3
Phase 3: Patients will continue with previously established dose of LANTUS® insulin and will be randomized into 1 of 2 titration schemes of MK0941 or Pbo. Titration Scheme 1: 4 day, fixed dose titration with q.a.c. administration of MK0941/Pbo. Day 1: 10 mg q.a.c. dose of MK0941/Pbo. Dose will be increased daily in 10 mg q.a.c. increments on days 2, 3, and 4. Titration Scheme 2: 4-day flexible dose titration with MK0941/Pbo given q.a.c. Day 1, study drug will be administered with each dose selected based on the pre-prandial plasma glucose concentrations according to sliding scale of 10 mg, 20 mg, 30 mg or 40 mg. Days 2-4, dose of MK0941/Pbo determined from the post-prandial plasma glucose concentration from previous day meal.
Drug: MK0941
MK0941 10 mg, 20 mg, 30 mg or 40 mg q.a.c.
Drug: LANTUS® insulin
LANTUS® insulin (dose will be similar to patient's previous dose of immediate or long-acting insulin)
Drug: Comparator: Placebo (unspecified)
MK0941 10 mg Pbo, 20 mg Pbo, 30 mg Pbo or 40 mg Pbo q.a.c.
Part I-Phase 4
Phase 4: All patients will continue to receive previously established individualized dose of LANTUS® insulin and MK0941/Pbo for an additional week while in-house during Multiple-Dose Administration.
Drug: MK0941
MK0941 10 mg, 20 mg, 30 mg or 40 mg q.a.c.
Drug: LANTUS® insulin
LANTUS® insulin (dose will be similar to patient's previous dose of immediate or long-acting insulin)
Drug: Comparator: Placebo (unspecified)
MK0941 10 mg Pbo, 20 mg Pbo, 30 mg Pbo or 40 mg Pbo q.a.c.
Part II
Part II: Patients will continue their individualized doses of LANTUS® insulin and MK0941/Pbo established in Part I for an additional 2 weeks while at home.
Drug: MK0941
MK0941 10 mg, 20 mg, 30 mg or 40 mg q.a.c.
Drug: LANTUS® insulin
LANTUS® insulin (dose will be similar to patient's previous dose of immediate or long-acting insulin)
Drug: Comparator: Placebo (unspecified)
MK0941 10 mg Pbo, 20 mg Pbo, 30 mg Pbo or 40 mg Pbo q.a.c.

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subject is nonsmoking Male or Female (of non-child bearing potential)
  • Subject is Diagnosed with Type 2 Diabetes and currently being treated with basal insulin

Exclusion Criteria:

  • Subject treated with PPAR agonists within 12 weeks prior to study start
  • Subject has a history of type 1 diabetes
  • History of severe hypoglycemia
  • Allergic to insulin
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00511472

Contacts
Contact: Toll Free Number 1-888-577-8839

Locations
United States, Alabama
Call for Information Recruiting
Anniston, Alabama, United States, 36207
United States, Arkansas
Call for Information Recruiting
Little Rock, Arkansas, United States, 72202
United States, California
Call for Information Recruiting
Chula Vista, California, United States, 91911
United States, Florida
Call for Information Recruiting
Miramar, Florida, United States, 33025
Call for Information Recruiting
Fort Myers, Florida, United States, 33901
United States, Louisiana
Call for Information Recruiting
Baton Rouge, Louisiana, United States, 70809
United States, Texas
Call for Information Recruiting
San Antonio, Texas, United States, 78229-0000
Sponsors and Collaborators
Merck
Investigators
Study Director: Medical Monitor Merck
  More Information

Responsible Party: Merck & Co., Inc. ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2007_596, MK0941-006
Study First Received: August 2, 2007
Last Updated: January 8, 2009
ClinicalTrials.gov Identifier: NCT00511472  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Insulin, Long-Acting
Metabolic Diseases
Diabetes Mellitus, Type 2
Glargine
Diabetes Mellitus
Endocrine System Diseases
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders
Insulin

Additional relevant MeSH terms:
Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009