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A Study of the Effects of Co-Administration of Sitagliptin (MK0431) and Metformin on Incretin Hormone Concentrations
This study has been completed.
First Received: January 26, 2009   Last Updated: June 12, 2009   History of Changes
Sponsored by: Merck
Information provided by: Merck
ClinicalTrials.gov Identifier: NCT00830076
  Purpose

This study will assess the effects of sitagliptin and metformin alone and after co-administration on incretin hormone concentrations in patients with Type 2 diabetes.


Condition Intervention Phase
Type 2 Diabetes
Drug: sitagliptin phosphate
Drug: metformin
Drug: Comparator: placebo
Phase I

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Crossover Assignment, Pharmacodynamics Study
Official Title: A Study to Assess the Effects of Co-Administration of Sitagliptin and Metformin on Incretin Hormone Concentrations

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • Post-prandial glucagon-like peptide-1 (GLP-1) concentrations [ Time Frame: 6 hours postdose ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Post-prandial C-peptide and insulin concentrations [ Time Frame: 6 hours postdose ] [ Designated as safety issue: No ]

Enrollment: 16
Study Start Date: January 2009
Study Completion Date: June 2009
Primary Completion Date: May 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
Sitagliptin
Drug: sitagliptin phosphate
100 mg sitagliptin on Day 1 and 100 mg sitagliptin on Day 2. There will be a 7-day washout between treatment periods.
B: Experimental
Metformin
Drug: metformin
Two 500 mg doses of metformin on Day 1 and one 1000 mg dose metformin on Day 2. There will be a 7-day washout between treatment periods.
C: Experimental
Sitagliptin + metformin
Drug: sitagliptin phosphate
100 mg sitagliptin on Day 1 and 100 mg sitagliptin on Day 2. There will be a 7-day washout between treatment periods.
Drug: metformin
Two 500 mg doses of metformin on Day 1 and one 1000 mg dose metformin on Day 2. There will be a 7-day washout between treatment periods.
D: Placebo Comparator
Placebo
Drug: Comparator: placebo
placebo to sitagliptin and metformin for 2 days. There will be a 7-day washout between treatment periods.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Female subjects must have a negative pregnancy test
  • Subject has type 2 diabetes and is not currently receiving treatment with an oral AHA agent, has not received such treatment for 3 months prior to study, and/or has not received more than 4 total weeks treatment with an oral AHA agent for 12 to 18 months prior to the study
  • Subject is a nonsmoker or has not smoked and/or used nicotine for at least 6 months

Exclusion Criteria:

  • Subject has a history of stroke, seizures, or major neurological disorders
  • Female subject is breastfeeding
  • Subject cannot refrain from use of any prescription or non-prescription drugs beginning 2 weeks prior to first dose of study drug
  • Subject consumes more than 3 alcoholic beverages per day
  • Subject consumes more than 6 caffeinated beverages per day
  • Subject has had major surgery, or has donated or lost 1 unit of blood within 4 weeks of screening
  • Subject has a history of cancer, except certain skin or cervical cancer or other cancers treated more than 10 years prior to screening
  • Subject has a history of multiple and/or severe allergies or intolerance to drugs or food
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00830076

Sponsors and Collaborators
Merck
Investigators
Study Director: Medical Monitor Merck
  More Information

Additional Information:
No publications provided

Responsible Party: Merck & Co., Inc. ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2009_521, MK0431-110
Study First Received: January 26, 2009
Last Updated: June 12, 2009
ClinicalTrials.gov Identifier: NCT00830076     History of Changes
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Metabolic Diseases
Metformin
Diabetes Mellitus
Endocrine System Diseases
Hormones
Protease Inhibitors
Sitagliptin
Dipeptidyl-Peptidase IV Inhibitors
Hypoglycemic Agents
Diabetes Mellitus, Type 2
Incretins
Endocrinopathy
Glucose Metabolism Disorders
Metabolic Disorder

Additional relevant MeSH terms:
Metabolic Diseases
Molecular Mechanisms of Pharmacological Action
Metformin
Physiological Effects of Drugs
Diabetes Mellitus
Endocrine System Diseases
Enzyme Inhibitors
Pharmacologic Actions
Sitagliptin
Protease Inhibitors
Dipeptidyl-Peptidase IV Inhibitors
Hypoglycemic Agents
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders

ClinicalTrials.gov processed this record on September 03, 2009