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Effects of Once and Twice Daily Dosing Regimen of Ertugliflozin (PF-04971729, MK-8835) In Participants With Type 2 Diabetes (MK-8835-040)

A Phase 1, Randomized, Double-Blind, Placebo-Controlled, 2-Period, Cross-Over Single Day Evaluation Of The Pharmacokinetic-Pharmacodynamic Effect Of Once And Twice Daily Oral Administration Of PF-04971729 In Patients With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01054300
Enrollment
52
Registered
2010-01-22
Start date
2010-02-17
Completion date
2010-04-07
Last updated
2019-11-21

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

Conditions

Adult, Diabetes Mellitus, Type 2

Brief summary

This is a Phase 1 randomized, double-blind, sponsor open, 4 arm, 2 way cross-over study using 2 cohorts. The objective of the study is to evaluate the pharmacodynamics (PD) effects and the pharmacokinetic (PK) of single day dosing of 2 mg and 4 mg doses of ertugliflozin (Ertu, PF-04971729/MK-8835) each administered once vs twice daily (morning \[AM\] and evening \[PM\]) in adults with type 2 diabetes.

Interventions

DRUGErtugliflozin 2 mg single dose

Ertugliflozin 2 mg dose (two 1 mg strength tablets), administered as a single dose

DRUGErtugliflozin 2 mg split into twice daily

Ertugliflozin 1 mg dose (1 mg strength tablet) administered twice daily x 1 day

DRUGErtugliflozin 4 mg single dose

Ertugliflozin 4 mg dose (four 1 mg strength tablets), administered as a single dose

DRUGErtugliflozin 4 mg split into twice daily

Ertugliflozin 2 mg dose (two 1 mg strength tablets) administered twice daily x 1 day

DRUGPlacebo

Placebo to ertugliflozin administered as a single dose

Sponsors

Pfizer
CollaboratorINDUSTRY
Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Participants with type 2 diabetes mellitus, either treatment-naïve or on up to 2 acceptable oral anti-diabetes drugs for at least 8-weeks prior to study.

Exclusion criteria

* Participants with type 1 diabetes mellitus, participants with stroke, unstable angina, heart attack in last 6-months, uncontrolled blood pressure.

Design outcomes

Primary

MeasureTime frameDescription
Cumulative Urinary Glucose Excretion Over 0 to 24 Hours0 to 24 hours after the morning doseUrine for analysis of glucose was collected at prespecified intervals. Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose). The average amount of urinary glucose excreted from 0 to 24 hours after the morning dose is presented in the table below.
Urinary Glucose Excretion by Time PeriodAt 0-4 hrs, 4-8 hrs, 8-12 hrs, and 12-24 hrs after the AM dose (up to 24 hours)Urine for analysis of glucose was collected at prespecified intervals. Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose). The average amount of urinary glucose excreted during the pre-specified time frame is presented in the table below.
24-hour Weighted Mean Plasma GlucoseUp to 24 hoursBlood was collected during each treatment period at pre-dose (fasted) on Day 1 (Hour 0) and post-dose (fed) on Day 1 at 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 12.5, 13, 14, 15, 16, 18, and 24 hours.
Weighted Mean Postprandial Plasma GlucoseAt 0-5 hours, 5-12 hrs, and 12-18 hrs after the morning dose (up to 18 hours)The weighted mean postprandial glucose over the specified intervals were analyzed by cohort.
Fasting Plasma GlucoseUp to 24 hoursBlood samples were to be collected following a fast from all food and drink (except water) for at least 8 hours. Fasting Plasma Glucose was collected as part of the assessment of weighted mean 24-hour plasma glucose. As such, it was not specified as an endpoint in the Statistical Analysis Plan and was not analyzed or summarized separately.
Fasting C-peptideUp to 24 hours (0 and 24 hours)The fasting c-peptide was analyzed by cohort using a mixed-effects model with sequence, period, and treatment as fixed effects and participant within sequence as a random effect.
Number of Participants Experiencing an Adverse EventUp to 16 daysAn adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device. The table below includes all data collected since the first dose of study drug.
Number of Participants Discontinuing Study Drug Due to an Adverse EventUp to 8 days (Day 1 in each dosing period)An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device. The table below includes all data collected since the first dose of study drug. Data include participants discontinued due to adverse events, participants with dose reduced or temporary discontinuation due to adverse events.
Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdosePharmacokinetic (PK) parameter of AUClast for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.
Maximum Plasma Concentration (Cmax) of Ertugliflozin0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdosePK parameter of Cmax for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.
Time Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdosePK parameter of Tmax for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Participant flow

Participants by arm

ArmCount
Cohort 1
Period 1: participants received a total daily dose of ertugliflozin 2 mg for 1 day; Period 2: participants received a total daily dose of ertugliflozin 2 mg for 1 day
26
Cohort 2
Period 1: participants received a total daily dose of ertugliflozin 4 mg; Period 2: participants received a total daily dose of ertugliflozin 4 mg for 1 day
26
Total52

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Period 1Adverse Event1000
Period 2Withdrawal by Subject0010

Baseline characteristics

CharacteristicCohort 1Cohort 2Total
Age, Customized
18 - 44 years
7 Participants7 Participants14 Participants
Age, Customized
45 - 64 years
17 Participants18 Participants35 Participants
Age, Customized
65 years or older
2 Participants1 Participants3 Participants
Sex: Female, Male
Female
4 Participants3 Participants7 Participants
Sex: Female, Male
Male
22 Participants23 Participants45 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 250 / 260 / 260 / 26
other
Total, other adverse events
5 / 258 / 263 / 265 / 26
serious
Total, serious adverse events
0 / 250 / 260 / 260 / 26

Outcome results

Primary

24-hour Weighted Mean Plasma Glucose

Blood was collected during each treatment period at pre-dose (fasted) on Day 1 (Hour 0) and post-dose (fed) on Day 1 at 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 12.5, 13, 14, 15, 16, 18, and 24 hours.

Time frame: Up to 24 hours

Population: Analysis population included randomized participants who received study drug and had mean plasma glucose measurements during all of the specific collection time frames.

ArmMeasureValue (MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice Daily24-hour Weighted Mean Plasma Glucose173.6 mg/dLStandard Deviation 26.94
Cohort 1: Ertugliflozin 2 mg Once Daily24-hour Weighted Mean Plasma Glucose175.7 mg/dLStandard Deviation 29.88
Cohort 2: Ertugliflozin 2 mg Twice Daily24-hour Weighted Mean Plasma Glucose169.1 mg/dLStandard Deviation 35.91
Cohort 2: Ertugliflozin 4 mg Once Daily24-hour Weighted Mean Plasma Glucose170.4 mg/dLStandard Deviation 41.26
Primary

Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin

Pharmacokinetic (PK) parameter of AUClast for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Time frame: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose

Population: All participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice DailyArea Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin131.8 ng*hr/mLGeometric Coefficient of Variation 26
Cohort 1: Ertugliflozin 2 mg Once DailyArea Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin132.7 ng*hr/mLGeometric Coefficient of Variation 28
Cohort 2: Ertugliflozin 2 mg Twice DailyArea Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin272 ng*hr/mLGeometric Coefficient of Variation 19
Cohort 2: Ertugliflozin 4 mg Once DailyArea Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin270.5 ng*hr/mLGeometric Coefficient of Variation 20
Primary

Cumulative Urinary Glucose Excretion Over 0 to 24 Hours

Urine for analysis of glucose was collected at prespecified intervals. Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose). The average amount of urinary glucose excreted from 0 to 24 hours after the morning dose is presented in the table below.

Time frame: 0 to 24 hours after the morning dose

Population: Analysis population included randomized participants who received assigned dose and had urine collection during all of the collection time frames between 0 and 24 hours following the morning dose.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice DailyCumulative Urinary Glucose Excretion Over 0 to 24 Hours69.45 Grams90% Confidence Interval 9.08
Cohort 1: Ertugliflozin 2 mg Once DailyCumulative Urinary Glucose Excretion Over 0 to 24 Hours70.43 Grams90% Confidence Interval 9.08
Cohort 2: Ertugliflozin 2 mg Twice DailyCumulative Urinary Glucose Excretion Over 0 to 24 Hours78.29 Grams90% Confidence Interval 9.77
Cohort 2: Ertugliflozin 4 mg Once DailyCumulative Urinary Glucose Excretion Over 0 to 24 Hours80.54 Grams90% Confidence Interval 9.81
Primary

Fasting C-peptide

The fasting c-peptide was analyzed by cohort using a mixed-effects model with sequence, period, and treatment as fixed effects and participant within sequence as a random effect.

Time frame: Up to 24 hours (0 and 24 hours)

Population: Analysis population included randomized participants who received assigned dose and had fasting c-peptide measurements during the specific time frame.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice DailyFasting C-peptide2.82 ng/mL90% Confidence Interval 1.148
Cohort 1: Ertugliflozin 2 mg Once DailyFasting C-peptide2.76 ng/mL90% Confidence Interval 0.997
Cohort 2: Ertugliflozin 2 mg Twice DailyFasting C-peptide3.00 ng/mL90% Confidence Interval 0.916
Cohort 2: Ertugliflozin 4 mg Once DailyFasting C-peptide2.99 ng/mL90% Confidence Interval 0.973
Primary

Fasting Plasma Glucose

Blood samples were to be collected following a fast from all food and drink (except water) for at least 8 hours. Fasting Plasma Glucose was collected as part of the assessment of weighted mean 24-hour plasma glucose. As such, it was not specified as an endpoint in the Statistical Analysis Plan and was not analyzed or summarized separately.

Time frame: Up to 24 hours

Population: The protocol listed fasting plasma glucose as one of the endpoints of the study. However, given the assessment of weighted mean 24-hour plasma glucose and weighted mean postprandial glucose following the 3 meals on Day 1 of each period, analysis of fasting plasma glucose was not undertaken.

Primary

Maximum Plasma Concentration (Cmax) of Ertugliflozin

PK parameter of Cmax for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Time frame: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose

Population: All participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice DailyMaximum Plasma Concentration (Cmax) of Ertugliflozin19.51 ng/mLGeometric Coefficient of Variation 39
Cohort 1: Ertugliflozin 2 mg Once DailyMaximum Plasma Concentration (Cmax) of Ertugliflozin26.98 ng/mLGeometric Coefficient of Variation 37
Cohort 2: Ertugliflozin 2 mg Twice DailyMaximum Plasma Concentration (Cmax) of Ertugliflozin34.80 ng/mLGeometric Coefficient of Variation 23
Cohort 2: Ertugliflozin 4 mg Once DailyMaximum Plasma Concentration (Cmax) of Ertugliflozin50.83 ng/mLGeometric Coefficient of Variation 25
Primary

Number of Participants Discontinuing Study Drug Due to an Adverse Event

An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device. The table below includes all data collected since the first dose of study drug. Data include participants discontinued due to adverse events, participants with dose reduced or temporary discontinuation due to adverse events.

Time frame: Up to 8 days (Day 1 in each dosing period)

Population: Analysis population includes all treated participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1: Ertugliflozin 1 mg Twice DailyNumber of Participants Discontinuing Study Drug Due to an Adverse Event0 Participants
Cohort 1: Ertugliflozin 2 mg Once DailyNumber of Participants Discontinuing Study Drug Due to an Adverse Event1 Participants
Cohort 2: Ertugliflozin 2 mg Twice DailyNumber of Participants Discontinuing Study Drug Due to an Adverse Event0 Participants
Cohort 2: Ertugliflozin 4 mg Once DailyNumber of Participants Discontinuing Study Drug Due to an Adverse Event0 Participants
Primary

Number of Participants Experiencing an Adverse Event

An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device. The table below includes all data collected since the first dose of study drug.

Time frame: Up to 16 days

Population: Analysis population includes all treated participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1: Ertugliflozin 1 mg Twice DailyNumber of Participants Experiencing an Adverse Event5 Participants
Cohort 1: Ertugliflozin 2 mg Once DailyNumber of Participants Experiencing an Adverse Event8 Participants
Cohort 2: Ertugliflozin 2 mg Twice DailyNumber of Participants Experiencing an Adverse Event3 Participants
Cohort 2: Ertugliflozin 4 mg Once DailyNumber of Participants Experiencing an Adverse Event5 Participants
Primary

Time Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin

PK parameter of Tmax for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Time frame: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose

Population: All participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)
Cohort 1: Ertugliflozin 1 mg Twice DailyTime Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin6.00 hours
Cohort 1: Ertugliflozin 2 mg Once DailyTime Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin1.00 hours
Cohort 2: Ertugliflozin 2 mg Twice DailyTime Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin6.00 hours
Cohort 2: Ertugliflozin 4 mg Once DailyTime Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin1.00 hours
Primary

Urinary Glucose Excretion by Time Period

Urine for analysis of glucose was collected at prespecified intervals. Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose). The average amount of urinary glucose excreted during the pre-specified time frame is presented in the table below.

Time frame: At 0-4 hrs, 4-8 hrs, 8-12 hrs, and 12-24 hrs after the AM dose (up to 24 hours)

Population: Analysis population included randomized participants who received assigned dose and had urine collection during the specific time frame.

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice DailyUrinary Glucose Excretion by Time Period0 to 4 hours post dose12.88 GramsStandard Deviation 14.66
Cohort 1: Ertugliflozin 1 mg Twice DailyUrinary Glucose Excretion by Time Period4 to 8 hours post dose15.42 GramsStandard Deviation 12
Cohort 1: Ertugliflozin 1 mg Twice DailyUrinary Glucose Excretion by Time Period8 to 12 hours post dose14.47 GramsStandard Deviation 8.84
Cohort 1: Ertugliflozin 1 mg Twice DailyUrinary Glucose Excretion by Time Period12 to 24 hours post dose26.76 GramsStandard Deviation 20.1
Cohort 1: Ertugliflozin 2 mg Once DailyUrinary Glucose Excretion by Time Period4 to 8 hours post dose17.87 GramsStandard Deviation 12.6
Cohort 1: Ertugliflozin 2 mg Once DailyUrinary Glucose Excretion by Time Period8 to 12 hours post dose11.99 GramsStandard Deviation 7.7
Cohort 1: Ertugliflozin 2 mg Once DailyUrinary Glucose Excretion by Time Period12 to 24 hours post dose26.31 GramsStandard Deviation 21.11
Cohort 1: Ertugliflozin 2 mg Once DailyUrinary Glucose Excretion by Time Period0 to 4 hours post dose14.03 GramsStandard Deviation 11.63
Cohort 2: Ertugliflozin 2 mg Twice DailyUrinary Glucose Excretion by Time Period8 to 12 hours post dose14.30 GramsStandard Deviation 10.52
Cohort 2: Ertugliflozin 2 mg Twice DailyUrinary Glucose Excretion by Time Period4 to 8 hours post dose16.97 GramsStandard Deviation 11.64
Cohort 2: Ertugliflozin 2 mg Twice DailyUrinary Glucose Excretion by Time Period12 to 24 hours post dose31.47 GramsStandard Deviation 22.71
Cohort 2: Ertugliflozin 2 mg Twice DailyUrinary Glucose Excretion by Time Period0 to 4 hours post dose14.66 GramsStandard Deviation 11.81
Cohort 2: Ertugliflozin 4 mg Once DailyUrinary Glucose Excretion by Time Period12 to 24 hours post dose32.94 GramsStandard Deviation 21.08
Cohort 2: Ertugliflozin 4 mg Once DailyUrinary Glucose Excretion by Time Period4 to 8 hours post dose19.78 GramsStandard Deviation 14.02
Cohort 2: Ertugliflozin 4 mg Once DailyUrinary Glucose Excretion by Time Period0 to 4 hours post dose16.34 GramsStandard Deviation 10.16
Cohort 2: Ertugliflozin 4 mg Once DailyUrinary Glucose Excretion by Time Period8 to 12 hours post dose12.91 GramsStandard Deviation 6.93
Primary

Weighted Mean Postprandial Plasma Glucose

The weighted mean postprandial glucose over the specified intervals were analyzed by cohort.

Time frame: At 0-5 hours, 5-12 hrs, and 12-18 hrs after the morning dose (up to 18 hours)

Population: Analysis population included randomized participants who received assigned dose and had postprandial plasma glucose measurements during the specific time frame.

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1: Ertugliflozin 1 mg Twice DailyWeighted Mean Postprandial Plasma Glucose0 to 5 hours200.1 mg/dLStandard Deviation 38.27
Cohort 1: Ertugliflozin 1 mg Twice DailyWeighted Mean Postprandial Plasma Glucose12 to 18 hours180.7 mg/dLStandard Deviation 35.98
Cohort 1: Ertugliflozin 1 mg Twice DailyWeighted Mean Postprandial Plasma Glucose5 to 12 hours159.4 mg/dLStandard Deviation 25.76
Cohort 1: Ertugliflozin 2 mg Once DailyWeighted Mean Postprandial Plasma Glucose0 to 5 hours187.2 mg/dLStandard Deviation 41.37
Cohort 1: Ertugliflozin 2 mg Once DailyWeighted Mean Postprandial Plasma Glucose12 to 18 hours190.7 mg/dLStandard Deviation 35.38
Cohort 1: Ertugliflozin 2 mg Once DailyWeighted Mean Postprandial Plasma Glucose5 to 12 hours159.8 mg/dLStandard Deviation 28.46
Cohort 2: Ertugliflozin 2 mg Twice DailyWeighted Mean Postprandial Plasma Glucose5 to 12 hours160.5 mg/dLStandard Deviation 42.14
Cohort 2: Ertugliflozin 2 mg Twice DailyWeighted Mean Postprandial Plasma Glucose0 to 5 hours194.1 mg/dLStandard Deviation 46.87
Cohort 2: Ertugliflozin 2 mg Twice DailyWeighted Mean Postprandial Plasma Glucose12 to 18 hours182.6 mg/dLStandard Deviation 40.79
Cohort 2: Ertugliflozin 4 mg Once DailyWeighted Mean Postprandial Plasma Glucose0 to 5 hours189.9 mg/dLStandard Deviation 53.17
Cohort 2: Ertugliflozin 4 mg Once DailyWeighted Mean Postprandial Plasma Glucose12 to 18 hours181.9 mg/dLStandard Deviation 40.79
Cohort 2: Ertugliflozin 4 mg Once DailyWeighted Mean Postprandial Plasma Glucose5 to 12 hours161.5 mg/dLStandard Deviation 40.7

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