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MK-0431A XR in Pediatric Patients with Type 2 Diabetes Mellitus and Inadequate Glycemic Control on Metformin

A Phase III Multicenter, Double-Blind, Randomized, Placebo-Controlled Clinical Trial to Evaluate the Safety and Efficacy of MK-0431A XR (a Fixed-Dose Combination Tablet of Sitagliptin and Extended-Release Metformin) in Pediatric Subjects with Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin Monotherapy - MK-0431A XR in Pediatric Patients with T2DM and Inadequate Glycemic Control on Metformin

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2012-004035-23-CZ
Enrollment
240
Registered
2012-12-19
Start date
2013-03-20
Completion date
Unknown
Last updated
2020-02-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus MedDRA version: 14.1 Level: PT Classification code 10067585 Term: Type 2 diabetes mellitus System Organ Class: 10027433 - Metabolism and nutrition disorders

Interventions

Product Name: MK0431A XR Product Code: MK0431A XR Pharmaceutical Form: Tablet INN or Proposed INN: sitagliptin phosphate CAS Number: 654671-78-0 Other descriptive name: SITAGLIPTIN PHOSPHATE Concentra

Sponsors

Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Subject has type 2 diabetes mellitus 2. Subject has an A1C =7.0% and =10.0% on a stable dose of metformin IR or XR (=1500 mg/day) for =12 weeks before Visit 1 3. Subject is between 10 and 17 years of age (inclusive) on day of signing informed consent with randomization to occur prior to the subject’s 18th birthday 4. Subject has not received treatment with insulin for at least 6 months prior to the Screening Visit/Visit 1 5. Patient is either a male, or patient is a female who is unlikely to conceive as indicated by at least one “yes” response to the following which will remain consistent for the projected duration of the study and for 14 days after the last dose of study medication: (a) Patient is a non-sterilized female who is currently not sexually active and agrees to follow statement "c" if heterosexual activity is initiated or (b) Patient agrees to abstain from heterosexual activity or (c) Patient agrees to use an adequate method of contraception. Are the trial subjects under 18? yes Number of subjects for this age range: 72 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Subject has known type 1 diabetes mellitus or documented evidence of positive diabetes auto-antibodies, or known monogenic diabetes, secondary diabetes, or a genetic syndrome or disorder known to affect glucose tolerance other than diabetes. 2. Subject has previously taken a DPP-4 inhibitor (such as sitagliptin, vildagliptin, alogliptin, saxagliptin, or linagliptin) or GLP-1 receptor agonist (such as exenatide or liraglutide) 3. Subject has symptomatic hyperglycemia and/or moderate ketonuria requiring immediate initiation of another antihyperglycemic agent.

Design outcomes

Primary

MeasureTime frame
Main Objective: In pediatric subjects with inadequate control on metformin therapy, after 20 weeks: 1. To assess the effect of the addition of sitagliptin (MK-0431A XR) compared with the addition of placebo on A1C 2. To assess the safety and tolerability of the addition of sitagliptin (MK-0431A XR) ;Secondary Objective: In pediatric subjects with inadequate control on metformin therapy, after 20 weeks: 1. To assess the effect of the addition of sitagliptin (MK-0431A XR) compared with the addition of placebo on FPG, proportion of subjects initiating rescue, proportion of subjects with A1C at goal. ;Primary end point(s): A1C;Timepoint(s) of evaluation of this end point: 20 Weeks

Secondary

MeasureTime frame
Secondary end point(s): Fasting plasma glucose, proportion of subjects initiating glycemic rescue, proportion of subjects with A1C at goal;Timepoint(s) of evaluation of this end point: 20 Weeks

Countries

Brazil, Bulgaria, Canada, Chile, Colombia, Czech Republic, Denmark, Greece, Hungary, India, Israel, Italy, Russian Federation, South Africa

Contacts

Public ContactRavi Shankar

Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.

ravi.shankar3@merck.com732594-3046

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026