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ALPHA Sitagliptin Add on to Metformin (0431-103)

A 24 Week, Multicenter, Open-label Study to Evaluate the Efficacy and Safety of Adding Sitagliptin 100 mg Once Daily in Patients With T2DM Who Have Inadequate Glycemic Control on Metformin Therapy

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00833027
Enrollment
608
Registered
2009-01-30
Start date
2008-03-01
Completion date
2009-10-30
Last updated
2017-05-15

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

Conditions

Diabetes Mellitus

Brief summary

Canadian physicians to experience in real life clinical practice the efficacy and tolerability of adding sitagliptin to their patients who have their glycemic levels inadequately controlled while on metformin

Interventions

DRUGsitagliptin phosphate

Sitagliptin 100 mg/day - tablet for 24 weeks

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Patient Is Currently On Monotherapy With Metformin For At Least 10 Weeks Prior To Study Entry

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in HbA1c at Week 24Baseline and Week 24HbA1c is measured as percent. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the Week 0 HbA1c percent

Secondary

MeasureTime frameDescription
Change From Baseline in HbA1c at Week 12Baseline and Week 12HbA1c is measured as percent. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the Week 0 HbA1c percent

Participant flow

Recruitment details

First patient in: 11-MAR-2008 Last patient out: 30-OCT-2009 Total number of sites: 110

Participants by arm

ArmCount
Sitagliptin 100mg608
Total608

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event33
Overall StudyDeath1
Overall StudyLack of Efficacy12
Overall StudyLost to Follow-up24
Overall StudyMissing10
Overall StudyProtocol Violation115
Overall StudyWithdrawal by Subject16

Baseline characteristics

CharacteristicSitagliptin 100mg
Age, Continuous58.0 years
STANDARD_DEVIATION 11.23
Fasting plasma glucose9.3 mmol/L
STANDARD_DEVIATION 2.87
Hemoglobin A1c (HbA1c)7.73 percent
STANDARD_DEVIATION 1.11
Race/Ethnicity, Customized
Asian
73 participants
Race/Ethnicity, Customized
Black
16 participants
Race/Ethnicity, Customized
Caucasian
491 participants
Race/Ethnicity, Customized
Hispanic
6 participants
Race/Ethnicity, Customized
Native Indian
6 participants
Race/Ethnicity, Customized
Other
16 participants
Sex: Female, Male
Female
258 Participants
Sex: Female, Male
Male
350 Participants
Weight92.6 Kilograms
STANDARD_DEVIATION 24.42

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
0 / 608
serious
Total, serious adverse events
17 / 608

Outcome results

Primary

Change From Baseline in HbA1c at Week 24

HbA1c is measured as percent. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the Week 0 HbA1c percent

Time frame: Baseline and Week 24

Population: Includes all patients who received at least one dose of study medication and have a Week 24 measure.

ArmMeasureValue (MEAN)Dispersion
Sitagliptin 100mgChange From Baseline in HbA1c at Week 24-0.6 PercentStandard Deviation 0.95
p-value: <0.001Student's T-test
Secondary

Change From Baseline in HbA1c at Week 12

HbA1c is measured as percent. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the Week 0 HbA1c percent

Time frame: Baseline and Week 12

Population: Includes all patients who received at least one dose of study medication and have a Week 12 measure.

ArmMeasureValue (MEAN)Dispersion
Sitagliptin 100mgChange From Baseline in HbA1c at Week 12-0.6 PercentStandard Deviation 0.85

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026