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Study of Safety and Efficacy Of Ertugliflozin (PF-04971729, MK-8835) In Participants With Type 2 Diabetes And Hypertension (MK-8835-042)

A 4-Week, Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Parallel Group Study To Evaluate The Safety, Tolerability And Efficacy Of Once Daily PF-04971729 And Hydrochlorothiazide In Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic And Blood Pressure Control

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01096667
Enrollment
194
Registered
2010-03-31
Start date
2010-05-17
Completion date
2011-02-25
Last updated
2018-09-13

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

Conditions

Diabetes Mellitus, Type 2, Hypertension

Keywords

type 2 diabetes, hypertension, ambulatory blood pressure monitoring

Brief summary

MK-8835-042 (B1521004) is designed to assess the safety and efficacy of an investigational drug, ertugliflozin (MK-8835, PF-04971729), in participants with type 2 diabetes and hypertension. Participants in the study will receive 1 of 5 treatments for 28 days (either placebo, 1 of 3 doses of ertugliflozin \[1, 5, or 25 mg\], or the approved drug hydrochlorothiazide \[HCTZ\]). The primary hypothesis of the study was that ertugliflozin was superior to placebo on the change from baseline in average, 24-hour systolic blood pressure (SBP) on Day 28.

Interventions

DRUGPlacebo to Ertuglilflozin 1 or 5 mg

Placebo to ertuglilflozin tablet 1 or 5 mg once daily for 28 days

Ertugliflozin tablet 1 mg once daily for 28 days

Ertugliflozin tablet 5 mg once daily for 28 days

Ertugliflozin tablet 25 mg once daily for 28 days

DRUGHCTZ 12.5mg

Hydrocholorthiazide (HCTZ) 12.5 mg capsule once daily for 28 days

Placebo to HCTZ 12.5 mg capsule once daily for 28 days

DRUGPlacebo to ertuglilflozin 25 mg

Placebo to ertuglilflozin tablet 25 mg once daily for 28 days

Sponsors

Pfizer
CollaboratorINDUSTRY
Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Participants with type 2 diabetes and hypertension * Medically stable * On at least 1 (and up to 2) oral diabetes drugs * And up to 2 medicines for blood pressure control

Exclusion criteria

* Participants with type 1 diabetes * Heart attack * Stroke * Uncontrolled blood pressure * Significant kidney disease

Design outcomes

Primary

MeasureTime frameDescription
Baseline 24-hour Average Systolic Blood Pressure (SBP)24 hoursBaseline 24-hour average SBP was assessed using 24-hour ambulatory blood pressure monitoring (ABPM).
Change From Baseline on 24-hour Average SBP at Week 4Baseline and Week 4Change from baseline on 24-hour average SBP at Week 4 assessed using 24-hour ABPM. In the case of missing data, last observation carried forward (LOCF).

Secondary

MeasureTime frameDescription
Baseline Average Daytime and Nighttime SBPDaytime: 16 hours; Nighttime: 8 hoursDaytime was defined as 0600 to 2159 hours, inclusive, local time. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.
Change From Baseline on Daytime Average SBP at Week 4Baseline and Week 4Change from baseline on daytime average SBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Daytime was defined as 0600 to 2159 hours, inclusive, local time.
Change From Baseline on Nighttime Average SBP at Week 4Baseline and Week 4Change from baseline on nighttime average SBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.
Baseline Seated, Triplicate Trough SBPBaselineTrough SBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. Baseline trough SBP is calculated as the mean of triplicate (3) trough SBP measures.
Change From Baseline in Seated, Triplicate Trough SBP at Week 4Baseline and Week 4Trough SBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. The change from baseline at Week 4 is the difference between the baseline and Week 4 assessments.
Baseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)up to 24 hoursBaseline 24-hour average DBP was assessed using 24-hour ABPM. Daytime was defined as 0600 to 2159 hours, inclusive, local time. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.
Change From Baseline on 24-hour Average DBP at Week 4Baseline and Week 4Change from baseline on 24-hour average DBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF.
Change From Baseline on Daytime Average DBP at Week 4Baseline and Week 4Change from baseline on daytime average DBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Daytime was defined as 0600 to 2159 hours, inclusive, local time.
Change From Baseline on Nighttime Average DBP at Week 4Baseline and Week 4Change from baseline on nighttime average DBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.
Baseline Seated, Triplicate Trough DBPBaselineTrough DBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. Baseline trough DBP is calculated as the mean of triplicate (3) trough DBP measures.
Change From Baseline in Seated, Triplicate Trough DBP at Week 4Baseline and Week 4Trough DBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. The change from baseline at Week 4 is the difference between the baseline and Week 4 assessments.
Baseline 24-hour, Daytime and Nightime Average Heart Rateup to 24 hoursBaseline 24-hour average heart rate was assessed using 24-hour ABPM. Daytime was defined as 0600 to 2159 hours, inclusive, local time. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.
Change From Baseline on 24-hour Average Heart Rate at Week 4Baseline and Week 4Change from baseline in 24-hour average heart rate at Week 4 using 24 hour ABPM.
Change From Baseline on Daytime Average Heart Rate at Week 4Baseline and Week 4Change from baseline in daytime average heart rate at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Daytime was defined as 0600 to 2159 hours, inclusive, local time.
Change From Baseline on Nighttime Average Heart Rate at Week 4Baseline and Week 4Change from baseline in 24-hour nighttime average heart rate at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.
Baseline Seated, Triplicate Trough Heart RateBaselineTrough heart rate was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the heart rate measure was obtained. Three measurements of heart rate were taken at least 2-minutes apart. Baseline trough heart rate is calculated as the mean of triplicate (3) trough heart rate measures.
Change From Baseline in Seated, Triplicate Trough Heart Rate at Week 4Baseline and Week 4Trough heart rate was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the heart rate measure was obtained. Three measurements of heart rate were taken at least 2-minutes apart. The change from baseline at Week 4 is the difference between the baseline and Week 4 assessments.
Baseline 24-hour Average Urinary Glucose Excretion24 hoursUrinary glucose excetion was corrected for a duration of 24 hours (with appropriate duration of collection defined as \>20 hours and \<28 hours).
Change From Baseline on 24-hour Urinary Glucose Excretion at Week 4Baseline and Week 4Urinary glucose excetion was corrected for a duration of 24 hours (with appropriate duration of collection defined as \>20 hours and \<28 hours). In the case of missing data, LOCF.
Baseline Fasting Plasma Glucose (FPG)BaselineFor FPG, blood was drawn after an overnight fast of at least 8 hours (except water).
Change From Baseline in FPG at Week 4Baseline and Week 4For FPG, blood was drawn after an overnight fast of at least 8 hours (except water).
Change From Baseline in FPG at Week 2Baseline and Week 2For FPG, blood was drawn after an overnight fast of at least 8 hours (except water).
Number of Participants Who Experienced an Adverse Event (AE)Up to 63 days (including run-in, treatment period, and follow-up)An adverse event is defined as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. The table below includes all data collected since first dose of study drug.
Number of Participants Who Discontinued Study Drug Due to an AEUp to 28 days (treatment period)An adverse event is defined as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. The table below includes all data collected since first dose of study drug. Discontinuation of study drug due to an AE includes temporary and permanent discontinuation of study drug due to an AE.

Participant flow

Pre-assignment details

Prior to randomization, 194 participants received placebo for at least 3 weeks (completed the run-in period). Treated participants included all randomized participants who received at least one dose of study drug.

Participants by arm

ArmCount
Placebo
Placebo for Ertugliflozin (1 mg or 5 mg and 25 mg) and placebo to HCTZ, once daily for 28 days.
38
Ertugliflozin 1 mg
Ertugliflozin 1 mg, placebo to ertugliflozin (25 mg), and placebo to HCTZ, once daily for 28 days
39
Ertugliflozin 5 mg
Ertugliflozin 5 mg, placebo to ertugliflozin (25 mg), and placebo to HCTZ, once daily for 28 days
38
Ertugliflozin 25 mg
Ertugliflozin 25 mg, placebo to ertugliflozin (1 mg or 5 mg), and placebo to HCTZ, once daily for 28 days
39
HCTZ 12.5mg
HCTZ 12.5 mg, placebo to ertugliflozin (1 mg or 5 mg and 25 mg), once daily for 28 days
39
Total193

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyLost to Follow-up11100
Overall StudyNot treated10000
Overall StudyProtocol Violation00010
Overall StudyReason not available01110
Overall StudyWithdrawal by Subject10010

Baseline characteristics

CharacteristicPlaceboErtugliflozin 1 mgErtugliflozin 5 mgErtugliflozin 25 mgHCTZ 12.5mgTotal
Age, Customized
<18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
65 years and older
1 Participants1 Participants3 Participants0 Participants4 Participants9 Participants
Age, Customized
Between 18 and 44 years
3 Participants4 Participants3 Participants5 Participants1 Participants16 Participants
Age, Customized
Between 45 and 64 years
34 Participants34 Participants32 Participants34 Participants34 Participants168 Participants
Sex: Female, Male
Female
14 Participants12 Participants13 Participants12 Participants11 Participants62 Participants
Sex: Female, Male
Male
24 Participants27 Participants25 Participants27 Participants28 Participants131 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
3 / 384 / 398 / 386 / 396 / 3910 / 193
serious
Total, serious adverse events
1 / 380 / 390 / 380 / 390 / 391 / 194

Outcome results

Primary

Baseline 24-hour Average Systolic Blood Pressure (SBP)

Baseline 24-hour average SBP was assessed using 24-hour ambulatory blood pressure monitoring (ABPM).

Time frame: 24 hours

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for average 24-hour SBP.

ArmMeasureValue (MEAN)Dispersion
PlaceboBaseline 24-hour Average Systolic Blood Pressure (SBP)136.11 mmHgStandard Deviation 15.298
Ertugliflozin 1 mgBaseline 24-hour Average Systolic Blood Pressure (SBP)133.13 mmHgStandard Deviation 10.868
Ertugliflozin 5 mgBaseline 24-hour Average Systolic Blood Pressure (SBP)135.08 mmHgStandard Deviation 12.073
Ertugliflozin 25 mgBaseline 24-hour Average Systolic Blood Pressure (SBP)135.59 mmHgStandard Deviation 11.929
HCTZ 12.5mgBaseline 24-hour Average Systolic Blood Pressure (SBP)139.55 mmHgStandard Deviation 11.941
Primary

Change From Baseline on 24-hour Average SBP at Week 4

Change from baseline on 24-hour average SBP at Week 4 assessed using 24-hour ABPM. In the case of missing data, last observation carried forward (LOCF).

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on 24-hour Average SBP at Week 40.26 mmHg
Ertugliflozin 1 mgChange From Baseline on 24-hour Average SBP at Week 4-2.71 mmHg
Ertugliflozin 5 mgChange From Baseline on 24-hour Average SBP at Week 4-3.73 mmHg
Ertugliflozin 25 mgChange From Baseline on 24-hour Average SBP at Week 4-3.42 mmHg
HCTZ 12.5mgChange From Baseline on 24-hour Average SBP at Week 4-2.95 mmHg
p-value: 0.03480% CI: [-5.05, -0.89]ANCOVA
p-value: 0.0180% CI: [-6.17, -1.82]ANCOVA
p-value: 0.01280% CI: [-5.78, -1.6]ANCOVA
p-value: 0.02480% CI: [-5.3, -1.13]ANCOVA
Secondary

Baseline 24-hour Average Urinary Glucose Excretion

Urinary glucose excetion was corrected for a duration of 24 hours (with appropriate duration of collection defined as \>20 hours and \<28 hours).

Time frame: 24 hours

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for average urinary glucose excretion

ArmMeasureValue (MEAN)Dispersion
PlaceboBaseline 24-hour Average Urinary Glucose Excretion13.35 grams/dayStandard Deviation 22.913
Ertugliflozin 1 mgBaseline 24-hour Average Urinary Glucose Excretion9.97 grams/dayStandard Deviation 20.085
Ertugliflozin 5 mgBaseline 24-hour Average Urinary Glucose Excretion8.04 grams/dayStandard Deviation 13.135
Ertugliflozin 25 mgBaseline 24-hour Average Urinary Glucose Excretion17.56 grams/dayStandard Deviation 29.101
HCTZ 12.5mgBaseline 24-hour Average Urinary Glucose Excretion6.96 grams/dayStandard Deviation 8.562
Secondary

Baseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)

Baseline 24-hour average DBP was assessed using 24-hour ABPM. Daytime was defined as 0600 to 2159 hours, inclusive, local time. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.

Time frame: up to 24 hours

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for average 24-hour, daytime and nighttime DBP.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Daytime85.32 mmHgStandard Deviation 10.127
PlaceboBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)24-hr81.89 mmHgStandard Deviation 9.655
PlaceboBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Nighttime74.24 mmHgStandard Deviation 9.717
Ertugliflozin 1 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Daytime81.77 mmHgStandard Deviation 8.925
Ertugliflozin 1 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)24-hr78.67 mmHgStandard Deviation 8.6
Ertugliflozin 1 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Nighttime72.05 mmHgStandard Deviation 9.33
Ertugliflozin 5 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Nighttime73.05 mmHgStandard Deviation 9.034
Ertugliflozin 5 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)24-hr80.18 mmHgStandard Deviation 8.655
Ertugliflozin 5 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Daytime83.47 mmHgStandard Deviation 9.164
Ertugliflozin 25 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Daytime83.59 mmHgStandard Deviation 9.295
Ertugliflozin 25 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)24-hr80.36 mmHgStandard Deviation 8.65
Ertugliflozin 25 mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Nighttime73.28 mmHgStandard Deviation 8.76
HCTZ 12.5mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Daytime85.87 mmHgStandard Deviation 9.884
HCTZ 12.5mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)24-hr82.66 mmHgStandard Deviation 9.459
HCTZ 12.5mgBaseline 24-hour, Daytime and Nightime Average Diastolic Blood Pressure (DBP)Nighttime75.76 mmHgStandard Deviation 10.042
Secondary

Baseline 24-hour, Daytime and Nightime Average Heart Rate

Baseline 24-hour average heart rate was assessed using 24-hour ABPM. Daytime was defined as 0600 to 2159 hours, inclusive, local time. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.

Time frame: up to 24 hours

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for average 24-hour, daytime and nighttime heart rate.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboBaseline 24-hour, Daytime and Nightime Average Heart RateDaytime84.43 beats per minuteStandard Deviation 9.743
PlaceboBaseline 24-hour, Daytime and Nightime Average Heart Rate24-hr81.11 beats per minuteStandard Deviation 9.486
PlaceboBaseline 24-hour, Daytime and Nightime Average Heart RateNighttime74.05 beats per minuteStandard Deviation 9.871
Ertugliflozin 1 mgBaseline 24-hour, Daytime and Nightime Average Heart RateNighttime74.44 beats per minuteStandard Deviation 8.133
Ertugliflozin 1 mgBaseline 24-hour, Daytime and Nightime Average Heart Rate24-hr80.74 beats per minuteStandard Deviation 6.95
Ertugliflozin 1 mgBaseline 24-hour, Daytime and Nightime Average Heart RateDaytime83.74 beats per minuteStandard Deviation 7.044
Ertugliflozin 5 mgBaseline 24-hour, Daytime and Nightime Average Heart Rate24-hr79.68 beats per minuteStandard Deviation 10.081
Ertugliflozin 5 mgBaseline 24-hour, Daytime and Nightime Average Heart RateNighttime73.16 beats per minuteStandard Deviation 10.205
Ertugliflozin 5 mgBaseline 24-hour, Daytime and Nightime Average Heart RateDaytime82.71 beats per minuteStandard Deviation 10.405
Ertugliflozin 25 mgBaseline 24-hour, Daytime and Nightime Average Heart RateDaytime82.18 beats per minuteStandard Deviation 9.136
Ertugliflozin 25 mgBaseline 24-hour, Daytime and Nightime Average Heart RateNighttime73.49 beats per minuteStandard Deviation 10.034
Ertugliflozin 25 mgBaseline 24-hour, Daytime and Nightime Average Heart Rate24-hr79.41 beats per minuteStandard Deviation 9.063
HCTZ 12.5mgBaseline 24-hour, Daytime and Nightime Average Heart RateNighttime73.03 beats per minuteStandard Deviation 9.736
HCTZ 12.5mgBaseline 24-hour, Daytime and Nightime Average Heart Rate24-hr79.08 beats per minuteStandard Deviation 9.216
HCTZ 12.5mgBaseline 24-hour, Daytime and Nightime Average Heart RateDaytime81.95 beats per minuteStandard Deviation 9.47
Secondary

Baseline Average Daytime and Nighttime SBP

Daytime was defined as 0600 to 2159 hours, inclusive, local time. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.

Time frame: Daytime: 16 hours; Nighttime: 8 hours

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for daytime and nighttime SBP.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboBaseline Average Daytime and Nighttime SBPNighttime127.54 mmHgStandard Deviation 16.858
PlaceboBaseline Average Daytime and Nighttime SBPDaytime139.95 mmHgStandard Deviation 15.107
Ertugliflozin 1 mgBaseline Average Daytime and Nighttime SBPNighttime125.15 mmHgStandard Deviation 12.18
Ertugliflozin 1 mgBaseline Average Daytime and Nighttime SBPDaytime136.85 mmHgStandard Deviation 11.361
Ertugliflozin 5 mgBaseline Average Daytime and Nighttime SBPDaytime138.89 mmHgStandard Deviation 11.724
Ertugliflozin 5 mgBaseline Average Daytime and Nighttime SBPNighttime126.37 mmHgStandard Deviation 13.956
Ertugliflozin 25 mgBaseline Average Daytime and Nighttime SBPDaytime139.56 mmHgStandard Deviation 12.343
Ertugliflozin 25 mgBaseline Average Daytime and Nighttime SBPNighttime127.13 mmHgStandard Deviation 13.553
HCTZ 12.5mgBaseline Average Daytime and Nighttime SBPNighttime131.68 mmHgStandard Deviation 12.912
HCTZ 12.5mgBaseline Average Daytime and Nighttime SBPDaytime143.32 mmHgStandard Deviation 12.637
Secondary

Baseline Fasting Plasma Glucose (FPG)

For FPG, blood was drawn after an overnight fast of at least 8 hours (except water).

Time frame: Baseline

Population: All randomized participants.

ArmMeasureValue (MEAN)Dispersion
PlaceboBaseline Fasting Plasma Glucose (FPG)169.47 mg/dLStandard Deviation 51.073
Ertugliflozin 1 mgBaseline Fasting Plasma Glucose (FPG)158.38 mg/dLStandard Deviation 40.806
Ertugliflozin 5 mgBaseline Fasting Plasma Glucose (FPG)158.29 mg/dLStandard Deviation 42.465
Ertugliflozin 25 mgBaseline Fasting Plasma Glucose (FPG)172.03 mg/dLStandard Deviation 55.878
HCTZ 12.5mgBaseline Fasting Plasma Glucose (FPG)156.87 mg/dLStandard Deviation 36.541
Secondary

Baseline Seated, Triplicate Trough DBP

Trough DBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. Baseline trough DBP is calculated as the mean of triplicate (3) trough DBP measures.

Time frame: Baseline

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for seated, triplicate, trough DBP.

ArmMeasureValue (MEAN)Dispersion
PlaceboBaseline Seated, Triplicate Trough DBP84.89 mmHgStandard Deviation 9.462
Ertugliflozin 1 mgBaseline Seated, Triplicate Trough DBP83.08 mmHgStandard Deviation 7.557
Ertugliflozin 5 mgBaseline Seated, Triplicate Trough DBP83.79 mmHgStandard Deviation 7.904
Ertugliflozin 25 mgBaseline Seated, Triplicate Trough DBP83.89 mmHgStandard Deviation 8.29
HCTZ 12.5mgBaseline Seated, Triplicate Trough DBP84.72 mmHgStandard Deviation 8.043
Secondary

Baseline Seated, Triplicate Trough Heart Rate

Trough heart rate was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the heart rate measure was obtained. Three measurements of heart rate were taken at least 2-minutes apart. Baseline trough heart rate is calculated as the mean of triplicate (3) trough heart rate measures.

Time frame: Baseline

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for seated, triplicate, trough heart rate.

ArmMeasureValue (MEAN)Dispersion
PlaceboBaseline Seated, Triplicate Trough Heart Rate77.07 beats per minuteStandard Deviation 9.713
Ertugliflozin 1 mgBaseline Seated, Triplicate Trough Heart Rate78.73 beats per minuteStandard Deviation 8.446
Ertugliflozin 5 mgBaseline Seated, Triplicate Trough Heart Rate77.30 beats per minuteStandard Deviation 11.749
Ertugliflozin 25 mgBaseline Seated, Triplicate Trough Heart Rate75.63 beats per minuteStandard Deviation 9.55
HCTZ 12.5mgBaseline Seated, Triplicate Trough Heart Rate77.97 beats per minuteStandard Deviation 11.462
Secondary

Baseline Seated, Triplicate Trough SBP

Trough SBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. Baseline trough SBP is calculated as the mean of triplicate (3) trough SBP measures.

Time frame: Baseline

Population: All randomized participants who received at least one dose of study drug and had a baseline measurement for seated, triplicate, trough SBP.

ArmMeasureValue (MEAN)Dispersion
PlaceboBaseline Seated, Triplicate Trough SBP135.17 mmHgStandard Deviation 14.183
Ertugliflozin 1 mgBaseline Seated, Triplicate Trough SBP134.23 mmHgStandard Deviation 13.631
Ertugliflozin 5 mgBaseline Seated, Triplicate Trough SBP137.31 mmHgStandard Deviation 14.834
Ertugliflozin 25 mgBaseline Seated, Triplicate Trough SBP135.25 mmHgStandard Deviation 13.452
HCTZ 12.5mgBaseline Seated, Triplicate Trough SBP138.07 mmHgStandard Deviation 12.958
Secondary

Change From Baseline in FPG at Week 2

For FPG, blood was drawn after an overnight fast of at least 8 hours (except water).

Time frame: Baseline and Week 2

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and post-randomization measurement at Week 2 for FPG (observed cases).

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline in FPG at Week 2-5.44 mg/dL
Ertugliflozin 1 mgChange From Baseline in FPG at Week 2-10.98 mg/dL
Ertugliflozin 5 mgChange From Baseline in FPG at Week 2-22.45 mg/dL
Ertugliflozin 25 mgChange From Baseline in FPG at Week 2-32.03 mg/dL
HCTZ 12.5mgChange From Baseline in FPG at Week 23.21 mg/dL
p-value: 0.22480% CI: [-14.89, 3.82]Mixed Model for Repeated Measures
p-value: 0.01180% CI: [-26.39, -7.61]Mixed Model for Repeated Measures
p-value: 080% CI: [-35.84, -17.33]Mixed Model for Repeated Measures
p-value: 0.88680% CI: [-0.56, 17.87]Mixed Model for Repeated Measures
Secondary

Change From Baseline in FPG at Week 4

For FPG, blood was drawn after an overnight fast of at least 8 hours (except water).

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and post-randomization measurement at Week 4 for FPG (observed cases).

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline in FPG at Week 44.39 mg/dL
Ertugliflozin 1 mgChange From Baseline in FPG at Week 4-13.70 mg/dL
Ertugliflozin 5 mgChange From Baseline in FPG at Week 4-30.41 mg/dL
Ertugliflozin 25 mgChange From Baseline in FPG at Week 4-31.03 mg/dL
HCTZ 12.5mgChange From Baseline in FPG at Week 43.79 mg/dL
p-value: 0.00780% CI: [-27.45, -8.75]Mixed Model for Repeated Measures
p-value: 080% CI: [-44.19, -25.43]Mixed Model for Repeated Measures
p-value: 080% CI: [-44.78, -26.07]Mixed Model for Repeated Measures
p-value: 0.46780% CI: [-9.86, 8.65]Mixed Model for Repeated Measures
Secondary

Change From Baseline in Seated, Triplicate Trough DBP at Week 4

Trough DBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. The change from baseline at Week 4 is the difference between the baseline and Week 4 assessments.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and post-randomization measurement for sitting, triplicate trough DBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline in Seated, Triplicate Trough DBP at Week 40.30 mmHg
Ertugliflozin 1 mgChange From Baseline in Seated, Triplicate Trough DBP at Week 4-0.90 mmHg
Ertugliflozin 5 mgChange From Baseline in Seated, Triplicate Trough DBP at Week 4-0.75 mmHg
Ertugliflozin 25 mgChange From Baseline in Seated, Triplicate Trough DBP at Week 4-2.71 mmHg
HCTZ 12.5mgChange From Baseline in Seated, Triplicate Trough DBP at Week 4-2.54 mmHg
p-value: 0.19680% CI: [-3.01, 0.6]Mixed Measures Repeated Model
p-value: 0.22980% CI: [-2.86, 0.77]Mixed Measures Repeated Model
p-value: 0.01780% CI: [-4.83, -1.2]Mixed Measures Repeated Model
p-value: 0.02180% CI: [-4.63, -1.06]Mixed Measures Repeated Model
Secondary

Change From Baseline in Seated, Triplicate Trough Heart Rate at Week 4

Trough heart rate was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the heart rate measure was obtained. Three measurements of heart rate were taken at least 2-minutes apart. The change from baseline at Week 4 is the difference between the baseline and Week 4 assessments.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and post-randomization measurement for sitting, triplicate trough heart rate.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline in Seated, Triplicate Trough Heart Rate at Week 42.34 beats per minute
Ertugliflozin 1 mgChange From Baseline in Seated, Triplicate Trough Heart Rate at Week 4-1.86 beats per minute
Ertugliflozin 5 mgChange From Baseline in Seated, Triplicate Trough Heart Rate at Week 41.22 beats per minute
Ertugliflozin 25 mgChange From Baseline in Seated, Triplicate Trough Heart Rate at Week 4-1.51 beats per minute
HCTZ 12.5mgChange From Baseline in Seated, Triplicate Trough Heart Rate at Week 4-0.99 beats per minute
p-value: 0.00580% CI: [-6.3, -2.1]Mixed Model for Repeated Measures
p-value: 0.24880% CI: [-3.23, 0.99]Mixed Model for Repeated Measures
p-value: 0.0180% CI: [-5.95, -1.73]Mixed Model for Repeated Measures
p-value: 0.0280% CI: [-5.4, -1.25]Mixed Model for Repeated Measures
Secondary

Change From Baseline in Seated, Triplicate Trough SBP at Week 4

Trough SBP was measured using an automated blood pressure device with the participant in a seated position for at least 5 minutes before and while the blood pressure measure is obtained. Three measurements of blood pressure were taken at least 2-minutes apart. The change from baseline at Week 4 is the difference between the baseline and Week 4 assessments.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and post-randomization measurement for sitting, triplicate trough SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline in Seated, Triplicate Trough SBP at Week 41.24 mmHg
Ertugliflozin 1 mgChange From Baseline in Seated, Triplicate Trough SBP at Week 4-2.77 mmHg
Ertugliflozin 5 mgChange From Baseline in Seated, Triplicate Trough SBP at Week 4-5.92 mmHg
Ertugliflozin 25 mgChange From Baseline in Seated, Triplicate Trough SBP at Week 4-4.96 mmHg
HCTZ 12.5mgChange From Baseline in Seated, Triplicate Trough SBP at Week 4-3.13 mmHg
p-value: 0.04780% CI: [-7.09, -0.94]Mixed Model for Repeated Measures
p-value: 0.00280% CI: [-10.25, -4.07]Mixed Model for Repeated Measures
p-value: 0.00580% CI: [-9.28, -3.11]Mixed Model for Repeated Measures
p-value: 0.03380% CI: [-7.41, -1.33]Mixed Model for Repeated Measures
Secondary

Change From Baseline on 24-hour Average DBP at Week 4

Change from baseline on 24-hour average DBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on 24-hour Average DBP at Week 40.77 mmHg
Ertugliflozin 1 mgChange From Baseline on 24-hour Average DBP at Week 4-1.89 mmHg
Ertugliflozin 5 mgChange From Baseline on 24-hour Average DBP at Week 4-2.34 mmHg
Ertugliflozin 25 mgChange From Baseline on 24-hour Average DBP at Week 4-1.50 mmHg
HCTZ 12.5mgChange From Baseline on 24-hour Average DBP at Week 4-1.42 mmHg
p-value: 0.00780% CI: [-4.03, -1.29]ANCOVA
p-value: 0.00380% CI: [-4.55, -1.67]ANCOVA
p-value: 0.01880% CI: [-3.65, -0.88]ANCOVA
p-value: 0.02180% CI: [-3.56, -0.82]ANCOVA
Secondary

Change From Baseline on 24-hour Average Heart Rate at Week 4

Change from baseline in 24-hour average heart rate at Week 4 using 24 hour ABPM.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on 24-hour Average Heart Rate at Week 41.00 Beats per minute
Ertugliflozin 1 mgChange From Baseline on 24-hour Average Heart Rate at Week 4-1.22 Beats per minute
Ertugliflozin 5 mgChange From Baseline on 24-hour Average Heart Rate at Week 41.07 Beats per minute
Ertugliflozin 25 mgChange From Baseline on 24-hour Average Heart Rate at Week 4-1.39 Beats per minute
HCTZ 12.5mgChange From Baseline on 24-hour Average Heart Rate at Week 4-0.56 Beats per minute
p-value: 0.03980% CI: [-3.83, -0.61]ANCOVA
p-value: 0.52180% CI: [-1.63, 1.77]ANCOVA
p-value: 0.03180% CI: [-4.02, -0.75]ANCOVA
p-value: 0.1180% CI: [-3.19, 0.07]ANCOVA
Secondary

Change From Baseline on 24-hour Urinary Glucose Excretion at Week 4

Urinary glucose excetion was corrected for a duration of 24 hours (with appropriate duration of collection defined as \>20 hours and \<28 hours). In the case of missing data, LOCF.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and post-randomization measurement for 24-hour urinary glucose excretion.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on 24-hour Urinary Glucose Excretion at Week 44.15 grams/day
Ertugliflozin 1 mgChange From Baseline on 24-hour Urinary Glucose Excretion at Week 446.33 grams/day
Ertugliflozin 5 mgChange From Baseline on 24-hour Urinary Glucose Excretion at Week 464.54 grams/day
Ertugliflozin 25 mgChange From Baseline on 24-hour Urinary Glucose Excretion at Week 474.49 grams/day
HCTZ 12.5mgChange From Baseline on 24-hour Urinary Glucose Excretion at Week 4-0.48 grams/day
p-value: 080% CI: [31.42, 52.94]ANCOVA
p-value: 080% CI: [49.47, 71.31]ANCOVA
p-value: 080% CI: [59.58, 81.1]ANCOVA
p-value: 0.71380% CI: [-15.22, 5.96]ANCOVA
Secondary

Change From Baseline on Daytime Average DBP at Week 4

Change from baseline on daytime average DBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Daytime was defined as 0600 to 2159 hours, inclusive, local time.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on Daytime Average DBP at Week 40.87 mmHg
Ertugliflozin 1 mgChange From Baseline on Daytime Average DBP at Week 4-2.12 mmHg
Ertugliflozin 5 mgChange From Baseline on Daytime Average DBP at Week 4-1.88 mmHg
Ertugliflozin 25 mgChange From Baseline on Daytime Average DBP at Week 4-1.77 mmHg
HCTZ 12.5mgChange From Baseline on Daytime Average DBP at Week 4-1.69 mmHg
p-value: 0.00480% CI: [-4.43, -1.55]ANCOVA
p-value: 0.0180% CI: [-4.26, -1.24]ANCOVA
p-value: 0.0180% CI: [-4.09, -1.19]ANCOVA
p-value: 0.01180% CI: [-4, -1.13]ANCOVA
Secondary

Change From Baseline on Daytime Average Heart Rate at Week 4

Change from baseline in daytime average heart rate at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Daytime was defined as 0600 to 2159 hours, inclusive, local time.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on Daytime Average Heart Rate at Week 41.58 Beats per minute
Ertugliflozin 1 mgChange From Baseline on Daytime Average Heart Rate at Week 4-1.80 Beats per minute
Ertugliflozin 5 mgChange From Baseline on Daytime Average Heart Rate at Week 41.10 Beats per minute
Ertugliflozin 25 mgChange From Baseline on Daytime Average Heart Rate at Week 4-1.07 Beats per minute
HCTZ 12.5mgChange From Baseline on Daytime Average Heart Rate at Week 4-0.06 Beats per minute
p-value: 0.00780% CI: [-5.13, -1.63]ANCOVA
p-value: 0.3780% CI: [-2.33, 1.38]ANCOVA
p-value: 0.02980% CI: [-4.43, -0.87]ANCOVA
p-value: 0.11880% CI: [-3.42, 0.13]ANCOVA
Secondary

Change From Baseline on Daytime Average SBP at Week 4

Change from baseline on daytime average SBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Daytime was defined as 0600 to 2159 hours, inclusive, local time.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on Daytime Average SBP at Week 40.82 mmHg
Ertugliflozin 1 mgChange From Baseline on Daytime Average SBP at Week 4-2.88 mmHg
Ertugliflozin 5 mgChange From Baseline on Daytime Average SBP at Week 4-3.61 mmHg
Ertugliflozin 25 mgChange From Baseline on Daytime Average SBP at Week 4-4.17 mmHg
HCTZ 12.5mgChange From Baseline on Daytime Average SBP at Week 4-3.10 mmHg
p-value: 0.01880% CI: [-5.94, -1.46]ANCOVA
p-value: 0.00880% CI: [-6.78, -2.09]ANCOVA
p-value: 0.00280% CI: [-7.24, -2.74]ANCOVA
p-value: 0.01380% CI: [-6.16, -1.67]ANCOVA
Secondary

Change From Baseline on Nighttime Average DBP at Week 4

Change from baseline on nighttime average DBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on Nighttime Average DBP at Week 41.02 mmHg
Ertugliflozin 1 mgChange From Baseline on Nighttime Average DBP at Week 4-1.48 mmHg
Ertugliflozin 5 mgChange From Baseline on Nighttime Average DBP at Week 4-2.52 mmHg
Ertugliflozin 25 mgChange From Baseline on Nighttime Average DBP at Week 4-0.84 mmHg
HCTZ 12.5mgChange From Baseline on Nighttime Average DBP at Week 4-0.55 mmHg
p-value: 0.04880% CI: [-4.43, -0.57]ANCOVA
p-value: 0.01380% CI: [-5.58, -1.51]ANCOVA
p-value: 0.11180% CI: [-3.82, 0.09]ANCOVA
p-value: 0.14880% CI: [-3.51, 0.36]ANCOVA
Secondary

Change From Baseline on Nighttime Average Heart Rate at Week 4

Change from baseline in 24-hour nighttime average heart rate at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on Nighttime Average Heart Rate at Week 4-0.18 Beats per minute
Ertugliflozin 1 mgChange From Baseline on Nighttime Average Heart Rate at Week 4-0.15 Beats per minute
Ertugliflozin 5 mgChange From Baseline on Nighttime Average Heart Rate at Week 41.43 Beats per minute
Ertugliflozin 25 mgChange From Baseline on Nighttime Average Heart Rate at Week 4-1.99 Beats per minute
HCTZ 12.5mgChange From Baseline on Nighttime Average Heart Rate at Week 4-1.24 Beats per minute
p-value: 0.50680% CI: [-1.96, 2]ANCOVA
p-value: 0.83880% CI: [-0.49, 3.71]ANCOVA
p-value: 0.12380% CI: [-3.82, 0.19]ANCOVA
p-value: 0.24680% CI: [-3.06, 0.93]ANCOVA
Secondary

Change From Baseline on Nighttime Average SBP at Week 4

Change from baseline on nighttime average SBP at Week 4 using 24 hour ABPM. In the case of missing data, LOCF. Nighttime was defined as 2200 to 0559 hours, inclusive, local time.

Time frame: Baseline and Week 4

Population: Analysis population consisted of all randomized participants who received at least 1 dose of blinded treatment and had baseline measurement and a post-randomization measurement for average, 24-hour SBP.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboChange From Baseline on Nighttime Average SBP at Week 4-0.29 mmHg
Ertugliflozin 1 mgChange From Baseline on Nighttime Average SBP at Week 4-2.48 mmHg
Ertugliflozin 5 mgChange From Baseline on Nighttime Average SBP at Week 4-3.47 mmHg
Ertugliflozin 25 mgChange From Baseline on Nighttime Average SBP at Week 4-2.31 mmHg
HCTZ 12.5mgChange From Baseline on Nighttime Average SBP at Week 4-2.30 mmHg
p-value: 0.15280% CI: [-4.93, 0.54]ANCOVA
p-value: 0.07880% CI: [-6.06, -0.3]ANCOVA
p-value: 0.17480% CI: [-4.79, 0.74]ANCOVA
p-value: 0.17480% CI: [-4.77, 0.74]ANCOVA
Secondary

Number of Participants Who Discontinued Study Drug Due to an AE

An adverse event is defined as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. The table below includes all data collected since first dose of study drug. Discontinuation of study drug due to an AE includes temporary and permanent discontinuation of study drug due to an AE.

Time frame: Up to 28 days (treatment period)

Population: Analysis population consisted of all randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
PlaceboNumber of Participants Who Discontinued Study Drug Due to an AE0 Participants
Ertugliflozin 1 mgNumber of Participants Who Discontinued Study Drug Due to an AE0 Participants
Ertugliflozin 5 mgNumber of Participants Who Discontinued Study Drug Due to an AE0 Participants
Ertugliflozin 25 mgNumber of Participants Who Discontinued Study Drug Due to an AE1 Participants
HCTZ 12.5mgNumber of Participants Who Discontinued Study Drug Due to an AE0 Participants
Secondary

Number of Participants Who Experienced an Adverse Event (AE)

An adverse event is defined as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. The table below includes all data collected since first dose of study drug.

Time frame: Up to 63 days (including run-in, treatment period, and follow-up)

Population: Analysis population consisted of all randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
PlaceboNumber of Participants Who Experienced an Adverse Event (AE)9 Participants
Ertugliflozin 1 mgNumber of Participants Who Experienced an Adverse Event (AE)8 Participants
Ertugliflozin 5 mgNumber of Participants Who Experienced an Adverse Event (AE)15 Participants
Ertugliflozin 25 mgNumber of Participants Who Experienced an Adverse Event (AE)12 Participants
HCTZ 12.5mgNumber of Participants Who Experienced an Adverse Event (AE)10 Participants

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