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Sitagliptin Versus Glipizide in Participants With Type 2 Diabetes Mellitus and Chronic Renal Insufficiency (MK-0431-063 AM1)
This study has been completed.

First Received on July 27, 2007.   Last Updated on April 27, 2011   History of Changes
Sponsor: Merck
Information provided by: Merck
ClinicalTrials.gov Identifier: NCT00509262
  Purpose

The purpose of the study is to compare how sitagliptin and glipizide lower blood glucose levels in participants with moderate and severe renal insufficiency.


Condition Intervention Phase
Diabetes Mellitus, Type 2
Renal Insufficiency, Chronic
Drug: Sitagliptin
Drug: Glipizide
Drug: Placebo for Sitagliptin
Drug: Placebo for Glipizide
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Sitagliptin Versus Glipizidein Patients With Type 2 Diabetes Mellitus and Chronic Renal Insufficiency Who Have Inadequate Glycemic Control

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • Change in Hemoglobin A1c (HbA1c) Levels [ Time Frame: Baseline and Week 54 ] [ Designated as safety issue: No ]
  • Number of Hypoglycemic Events [ Time Frame: Baseline up to 54 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change in Weight [ Time Frame: Baseline and Week 54 ] [ Designated as safety issue: No ]

Enrollment: 430
Study Start Date: October 2007
Study Completion Date: March 2011
Primary Completion Date: March 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Sitagliptin 25 mg
Sitagliptin + Placebo for Glipizide
Drug: Sitagliptin
Participants with moderate renal insufficiency will receive two 25 mg tablets per day; Participants with severe renal insufficiency will receive one 25 mg tablet daily
Other Name: MK-0431
Drug: Placebo for Glipizide
2.5 mg (1/2 tablet) up to 20 mg (8 tablets) once daily
Active Comparator: Glipizide 2.5 mg - 20 mg
Glipizide + Placebo for Sitagliptin
Drug: Glipizide
2.5 mg (1/2 tablet) up to 20 mg (8 tablets) once daily
Other Name: Glucotrol
Drug: Placebo for Sitagliptin
Participants with moderate renal insufficiency will receive 2 tablets per day; Participants with severe renal insufficiency will receive 1 tablet daily

  Eligibility

Ages Eligible for Study:   30 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Has type 2 diabetes mellitus
  • Has moderate or severe renal insufficiency

Exclusion Criteria:

  • Has type 1 diabetes mellitus or a history of ketoacidosis
  • Is on a new weight loss program
  • Has active liver disease
  • Is on dialysis or is likely to need dialysis during the study
  Contacts and Locations
No Contacts or Locations Provided
  More Information

Additional Information:
No publications provided

Responsible Party: Vice President, Late Stage Development Group Leader, Merck Sharp & Dohme Corp
ClinicalTrials.gov Identifier: NCT00509262     History of Changes
Other Study ID Numbers: MK-0431-063, 2007_549
Study First Received: July 27, 2007
Last Updated: April 27, 2011
Health Authority: United States: Food and Drug Administration

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

ClinicalTrials.gov processed this record on February 12, 2012