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Comparison of the Effect of Exenatide Versus Sitagliptin on 24-hour Average Glucose in Patients With Type 2 Diabetes on Metformin or a Thiazolidinedione

Comparison of the Effect of Exenatide vs. Sitagliptin on 24-hour Average Glucose in Patients With Type 2 Diabetes on Metformin or a Thiazolidinedione

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00729326
Enrollment
83
Registered
2008-08-07
Start date
2008-08-31
Completion date
2009-10-31
Last updated
2015-04-09

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

Conditions

Type 2 Diabetes Mellitus

Keywords

diabetes, exenatide, sitagliptin, Amylin, Lilly, metformin, thiazolidinedione

Brief summary

This study is designed to compare the short-term effects and mechanisms of action of exenatide with those of sitagliptin when either is added to an oral agent(metformin or a thiazolidinedione \[TZD\]) in adult patients with type 2 diabetes mellitus(T2DM) with inadequate glycemic control.

Interventions

DRUGexenatide

subcutaneous injection (5mcg or 10mcg), twice a day

DRUGsitagliptin

oral administration (100mg), once a day in the morning

DRUGplacebo

subcutaneous injection (5mcg or 10mcg), twice a day

Sponsors

Eli Lilly and Company
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Have type 2 diabetes * Has HbA1c 7.0% to 11.0%, at or within 4 weeks prior to Visit 1. * Have a fasting glucose concentration \<280 mg/dL at Visit 1 * Have been treated with a stable dose of immediate or extended release metformin for at least 60 days prior to screening OR TZD (rosiglitazone or pioglitazone) for at least 120 days prior to screening. * Are between 18 and 70 years of age, inclusive. * Have body mass index ≥25 kg/m2 and ≤45 kg/m2. * Have a history of stable body weight (not varying by \>10% for at least 3 months prior to screening). * Can swallow oral study drug capsule, without splitting or crushing.

Exclusion criteria

* Female patients of childbearing potential (not surgically sterilized and between menarche and 1 year postmenopause) who meet any of the following criteria: * Are breastfeeding. * Test positive for pregnancy at the time of screening. * Intend to become pregnant during the study. * Have not practiced a reliable method of birth control (for example, use of oral contraceptives or Norplant®; diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam; intrauterine devices; partner with vasectomy; or abstinence) for 3 months prior to screening. * Treated with any of the following medications: * Insulin, exenatide, pramlintide, sulfonylureas or meglitinides within 3 months of screening * Alpha-glucosidase inhibitor within 2 months of screening. * Drugs that directly affect gastrointestinal motility, including, but not limited to metoclopramide, cisapride, and chronic macrolide antibiotics. * Use of a drug for weight loss (for example, prescription drugs such as orlistat, sibutramine, phentermine, or similar over-the-counter medications) within 3 months prior to Visit 1. * Systemic corticosteroids by oral, intravenous, or intramuscular route within 2 months of screening. * Have a history of renal transplantation or are currently receiving renal dialysis. * Have obvious clinical signs or symptoms of liver disease or acute or chronic hepatitis. * Have known active proliferative retinopathy or macular edema expected to need treatment with focal photocoagulation within 3 months. * Have an active or untreated malignancy, or have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years. * Have had organ transplantation. * Have received GLP-1 analogs other than exenatide or DPP-4 inhibitors within the previous 3 months. * Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.

Design outcomes

Primary

MeasureTime frameDescription
Change in Time-averaged Glucose During a 24 Hour Periodbaseline and 8 WeeksChange in time-averaged glucose during a 24-hour period from baseline to endpoint (i.e., time-averaged glucose over 24 hours at endpoint minus time-averaged glucose over 24 hours at baseline).

Secondary

MeasureTime frameDescription
Change in Fasting Blood Glucose After the Morning Mealbaseline and 8 WeeksChange in fasting blood glucose after the morning meal from baseline to endpoint (i.e., fasting blood glucose after the morning meal at baseline minus fasting blood glucose after the morning meal at endpoint)
Change in Postprandial Glucagon Area Under the Concentration-time Curve (AUC) After the Morning Mealbaseline and 8 WeeksChange in Postprandial Glucagon AUC after the morning meal (t=0 to 4 hours) (i.e., Glucagon AUC over the first 4 hours following the morning meal at baseline minus glucagon AUC over the first 4 hours following the morning meal at endpoint)
Change in Postprandial Glucagon AUC Excursion After the Morning Mealbaseline and 8 WeeksChange in postprandial glucagon AUC excursion after the morning meal (t=0 to 4 hours) (i.e., glucagon AUC excursion for 4 hours following the morning meal at baseline minus glucagon AUC excursion for 4 hours following the morning meal at endpoint)
Change in Postprandial Triglyceride AUC After the Morning Mealbaseline and 8 WeeksChange in postprandial triglyceride AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC after the morning meal at baseline minus postprandial triglyceride AUC after the morning meal at endpoint)
Change in Postprandial Triglyceride AUC Excursion After the Morning Mealbaseline and 8 WeeksChange in postprandial triglyceride AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC excursion after the morning meal at baseline minus postprandial triglyceride AUC excursion after the morning meal at endpoint)
Change in Postprandial C-peptide AUC After the Morning Mealbaseline and 8 WeeksChange in postprandial C-peptide AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC after the morning meal at baseline minus postprandial C-peptide AUC after the morning meal at endpoint)
Change in Postprandial C-peptide AUC Excursion After the Morning Mealbaseline and 8 WeeksChange in Postprandial C-peptide AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC excursion after the morning meal at baseline minus postprandial C-peptide AUC excursion after the morning meal at endpoint)
Change in Postprandial Insulin AUC After the Morning Mealbaseline and 8 WeeksChange in postprandial insulin AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC after the morning meal at baseline minus postprandial insulin AUC after the morning meal at endpoint)
Change in Two-hour Postprandial Glucose After the Morning Mealbaseline and 8 WeeksChange in 2 hour post-prandial glucose after the morning meal from baseline to endpoint (i.e., glucose level 2 hours after the morning meal at baseline minus glucose level 2 hours after the morning meal at endpoint)
Change in Postprandial Active GLP-1 AUC After the Morning Mealbaseline and 8 WeeksChange in Postprandial active GLP-1 AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC after the morning meal at baseline minus postprandial active GLP-1 AUC after the morning meal at endpoint)
Change in Postprandial Active GLP-1 AUC Excursion After the Monrning Mealbaseline and 8 WeeksChange in Postprandial active GLP-1 AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC excursion after the morning meal at baseline minus postprandial active GLP-1 AUC excursion after the morning meals at endpoint)
Percentage of Patients Experiencing Hypoglycemia (Baseline to Week 4)4 WeeksPercentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
Episodes of Hypoglycemia (Baseline to Week 4)4 weeksNumber of episodes of hypoglycemia experienced during the first 4 weeks of the study
Percentage of Patients Experiencing Hypoglycemia (Week 4 to Week 8)8 weeksPercentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
Episodes of Hypoglycemia (Week 4 to Week 8)8 weeksNumber of episodes of hypoglycemia experienced between week 4 and week 8 of the study
Percentage of Patients Experiencing Hypoglycemia (Overall)4 weeks and 8 weeksPercentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL
Episodes of Hypoglycemia (Overall)4 weeks and 8 weeksNumber of episodes of hypoglycemia experienced overall during the study
Change in Postprandial Insulin AUC Excursion After the Morning Mealbaseline and 8 WeeksChange in Postprandial insulin AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC excursion after the morning meal at baseline minus postprandial insulin AUC excursion after the morning meal at endpoint)

Countries

United States

Participant flow

Participants by arm

ArmCount
Exenatide Followed By Sitagliptin
Exenatide 5mcg plus sitagliptin placebo for 1 week, then exenatide 10mcg plus sitagliptin placebo for 3 weeks. Followed by exenatide placebo plus sitagliptin 100mg for 1 week, then exenatide placebo plus sitagliptin 100mg for 3 weeks.
41
Sitagliptin Followed By Exenatide
Exenatide placebo plus sitagliptin 100mg for 1 week, then exenatide placebo plus sitagliptin 100mg for 3 weeks. Followed by exenatide 5mcg plus sitagliptin placebo for 1 week, then exenatide 10mcg plus sitagliptin placebo for 3 weeks.
42
Total83

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up20
Overall StudyPhysician Decision01
Overall StudyProtocol Violation32
Overall StudySponsor Decision12
Overall StudySubject Decision44

Baseline characteristics

CharacteristicExenatide Followed By SitagliptinSitagliptin Followed By ExenatideTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
7 Participants5 Participants12 Participants
Age, Categorical
Between 18 and 65 years
34 Participants37 Participants71 Participants
Age, Continuous54.7 years
STANDARD_DEVIATION 10.1
53.5 years
STANDARD_DEVIATION 9.49
54.1 years
STANDARD_DEVIATION 9.75
Sex: Female, Male
Female
19 Participants29 Participants48 Participants
Sex: Female, Male
Male
22 Participants13 Participants35 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
43 / 7337 / 73
serious
Total, serious adverse events
2 / 730 / 73

Outcome results

Primary

Change in Time-averaged Glucose During a 24 Hour Period

Change in time-averaged glucose during a 24-hour period from baseline to endpoint (i.e., time-averaged glucose over 24 hours at endpoint minus time-averaged glucose over 24 hours at baseline).

Time frame: baseline and 8 Weeks

Population: The number of patients was determined based on 90% powering of the study. Analyses were based on data from all randomized patients receiving at least one dose of the study drug and completing at least one treatment period. For each patient, the missing data for some time points were imputed by linear interpolation.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Time-averaged Glucose During a 24 Hour Period-41.65 mg/dLStandard Error 2.55
SitagliptinChange in Time-averaged Glucose During a 24 Hour Period-29.56 mg/dLStandard Error 2.58
Comparison: Null hypothesis: The 24-hour average glucose for exenatide was greater than or equal to that for sitagliptin after 4 weeks of treatment. The primary objective was to compare exenatide with sitagliptin on the time-averaged glucose during the 24-hour inpatient periods after 4 weeks of treatment.p-value: <0.001ANCOVA
Secondary

Change in Fasting Blood Glucose After the Morning Meal

Change in fasting blood glucose after the morning meal from baseline to endpoint (i.e., fasting blood glucose after the morning meal at baseline minus fasting blood glucose after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in FAS who have both baseline and endpoint measurement; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Fasting Blood Glucose After the Morning Meal-28.93 mg/dLStandard Error 2.7
SitagliptinChange in Fasting Blood Glucose After the Morning Meal-28.22 mg/dLStandard Error 2.71
p-value: 0.766ANCOVA
Secondary

Change in Postprandial Active GLP-1 AUC After the Morning Meal

Change in Postprandial active GLP-1 AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC after the morning meal at baseline minus postprandial active GLP-1 AUC after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Active GLP-1 AUC After the Morning Meal-14.28 pmol*hours/LStandard Error 3.12
SitagliptinChange in Postprandial Active GLP-1 AUC After the Morning Meal47.37 pmol*hours/LStandard Error 3.15
p-value: <0.001ANCOVA
Secondary

Change in Postprandial Active GLP-1 AUC Excursion After the Monrning Meal

Change in Postprandial active GLP-1 AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial active GLP-1 AUC excursion after the morning meal at baseline minus postprandial active GLP-1 AUC excursion after the morning meals at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Active GLP-1 AUC Excursion After the Monrning Meal-14.04 pmol*hours/LStandard Error 3.28
SitagliptinChange in Postprandial Active GLP-1 AUC Excursion After the Monrning Meal23.53 pmol*hours/LStandard Error 3.31
p-value: <0.001ANCOVA
Secondary

Change in Postprandial C-peptide AUC After the Morning Meal

Change in postprandial C-peptide AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC after the morning meal at baseline minus postprandial C-peptide AUC after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial C-peptide AUC After the Morning Meal-1.78 nmol*hours/LStandard Error 0.28
SitagliptinChange in Postprandial C-peptide AUC After the Morning Meal0.25 nmol*hours/LStandard Error 0.28
p-value: <0.001ANCOVA
Secondary

Change in Postprandial C-peptide AUC Excursion After the Morning Meal

Change in Postprandial C-peptide AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial C-peptide AUC excursion after the morning meal at baseline minus postprandial C-peptide AUC excursion after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial C-peptide AUC Excursion After the Morning Meal-2.83 nmol*hours/LStandard Error 0.29
SitagliptinChange in Postprandial C-peptide AUC Excursion After the Morning Meal0.14 nmol*hours/LStandard Error 0.29
p-value: <0.001ANCOVA
Secondary

Change in Postprandial Glucagon Area Under the Concentration-time Curve (AUC) After the Morning Meal

Change in Postprandial Glucagon AUC after the morning meal (t=0 to 4 hours) (i.e., Glucagon AUC over the first 4 hours following the morning meal at baseline minus glucagon AUC over the first 4 hours following the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Glucagon Area Under the Concentration-time Curve (AUC) After the Morning Meal-29.60 pmol*hours/LStandard Error 2.91
SitagliptinChange in Postprandial Glucagon Area Under the Concentration-time Curve (AUC) After the Morning Meal-16.91 pmol*hours/LStandard Error 2.93
p-value: <0.001ANCOVA
Secondary

Change in Postprandial Glucagon AUC Excursion After the Morning Meal

Change in postprandial glucagon AUC excursion after the morning meal (t=0 to 4 hours) (i.e., glucagon AUC excursion for 4 hours following the morning meal at baseline minus glucagon AUC excursion for 4 hours following the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Glucagon AUC Excursion After the Morning Meal-30.94 pmol*hours/LStandard Error 2.12
SitagliptinChange in Postprandial Glucagon AUC Excursion After the Morning Meal-14.93 pmol*hours/LStandard Error 2.13
p-value: <0.001ANCOVA
Secondary

Change in Postprandial Insulin AUC After the Morning Meal

Change in postprandial insulin AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC after the morning meal at baseline minus postprandial insulin AUC after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Insulin AUC After the Morning Meal-396.12 pmol*hours/LStandard Error 56.79
SitagliptinChange in Postprandial Insulin AUC After the Morning Meal-8.79 pmol*hours/LStandard Error 57.32
p-value: <0.001ANCOVA
Secondary

Change in Postprandial Insulin AUC Excursion After the Morning Meal

Change in Postprandial insulin AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial insulin AUC excursion after the morning meal at baseline minus postprandial insulin AUC excursion after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Insulin AUC Excursion After the Morning Meal-525.01 pmol*hours/LStandard Error 58.77
SitagliptinChange in Postprandial Insulin AUC Excursion After the Morning Meal-34.83 pmol*hours/LStandard Error 59.4
p-value: <0.001ANCOVA
Secondary

Change in Postprandial Triglyceride AUC After the Morning Meal

Change in postprandial triglyceride AUC after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC after the morning meal at baseline minus postprandial triglyceride AUC after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Triglyceride AUC After the Morning Meal0.83 mg*hours/dLStandard Error 0.03
SitagliptinChange in Postprandial Triglyceride AUC After the Morning Meal0.87 mg*hours/dLStandard Error 0.03
p-value: 0.117ANCOVA
Secondary

Change in Postprandial Triglyceride AUC Excursion After the Morning Meal

Change in postprandial triglyceride AUC excursion after the morning meal (t=0 to 4 hours) (i.e., postprandial triglyceride AUC excursion after the morning meal at baseline minus postprandial triglyceride AUC excursion after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in the FAS who have both baseline and endpoint measurements; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Postprandial Triglyceride AUC Excursion After the Morning Meal-108.16 mg*hours/dLStandard Error 8.38
SitagliptinChange in Postprandial Triglyceride AUC Excursion After the Morning Meal-41.39 mg*hours/dLStandard Error 8.45
p-value: <0.001ANCOVA
Secondary

Change in Two-hour Postprandial Glucose After the Morning Meal

Change in 2 hour post-prandial glucose after the morning meal from baseline to endpoint (i.e., glucose level 2 hours after the morning meal at baseline minus glucose level 2 hours after the morning meal at endpoint)

Time frame: baseline and 8 Weeks

Population: All patients in FAS who have both baseline and endpoint measurement; Last Observation Carried Forward

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ExenatideChange in Two-hour Postprandial Glucose After the Morning Meal-108.35 mg/dLStandard Error 4.36
SitagliptinChange in Two-hour Postprandial Glucose After the Morning Meal-44.43 mg/dLStandard Error 4.4
p-value: <0.001ANCOVA
Secondary

Episodes of Hypoglycemia (Baseline to Week 4)

Number of episodes of hypoglycemia experienced during the first 4 weeks of the study

Time frame: 4 weeks

Population: Full analysis set

ArmMeasureValue (NUMBER)
ExenatideEpisodes of Hypoglycemia (Baseline to Week 4)1 episodes of hypoglycemia
SitagliptinEpisodes of Hypoglycemia (Baseline to Week 4)1 episodes of hypoglycemia
Secondary

Episodes of Hypoglycemia (Overall)

Number of episodes of hypoglycemia experienced overall during the study

Time frame: 4 weeks and 8 weeks

Population: All patients in FAS

ArmMeasureValue (NUMBER)
ExenatideEpisodes of Hypoglycemia (Overall)3 episodes of hypoglycemia
SitagliptinEpisodes of Hypoglycemia (Overall)1 episodes of hypoglycemia
Secondary

Episodes of Hypoglycemia (Week 4 to Week 8)

Number of episodes of hypoglycemia experienced between week 4 and week 8 of the study

Time frame: 8 weeks

Population: All patients in FAS

ArmMeasureValue (NUMBER)
ExenatideEpisodes of Hypoglycemia (Week 4 to Week 8)2 episodes of hypoglycemia
SitagliptinEpisodes of Hypoglycemia (Week 4 to Week 8)0 episodes of hypoglycemia
Secondary

Percentage of Patients Experiencing Hypoglycemia (Baseline to Week 4)

Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL

Time frame: 4 Weeks

Population: All patients in FAS

ArmMeasureValue (NUMBER)
ExenatidePercentage of Patients Experiencing Hypoglycemia (Baseline to Week 4)2.9 Percentage of patients
SitagliptinPercentage of Patients Experiencing Hypoglycemia (Baseline to Week 4)2.7 Percentage of patients
Secondary

Percentage of Patients Experiencing Hypoglycemia (Overall)

Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL

Time frame: 4 weeks and 8 weeks

Population: All patients in FAS

ArmMeasureValue (NUMBER)
ExenatidePercentage of Patients Experiencing Hypoglycemia (Overall)4.3 Percentage of patients
SitagliptinPercentage of Patients Experiencing Hypoglycemia (Overall)1.4 Percentage of patients
Secondary

Percentage of Patients Experiencing Hypoglycemia (Week 4 to Week 8)

Percentage of patients experiencing minor hypoglycemia with a confirmed glucose \<54mg/dL

Time frame: 8 weeks

Population: All patients in FAS

ArmMeasureValue (NUMBER)
ExenatidePercentage of Patients Experiencing Hypoglycemia (Week 4 to Week 8)5.7 Percentage of patients
SitagliptinPercentage of Patients Experiencing Hypoglycemia (Week 4 to Week 8)0.0 Percentage of patients

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026