Ertugliflozin and Sitagliptin Co-administration Factorial Study (VERTIS FACTORAL, MK-8835-005)

Last updated: August 14, 2018
Sponsor: Merck Sharp & Dohme Corp.
Overall Status: Completed

Phase

3

Condition

Diabetes Prevention

Diabetes And Hypertension

Hypertriglyceridemia

Treatment

N/A

Clinical Study ID

NCT02099110
8835-005
2013-003698-82
MK-8835-005
B1521019
  • Ages > 18
  • All Genders

Study Summary

This is a study of co-administration of ertugliflozin (MK-8835/PF-04971729) and sitagliptin given together or alone along with metformin in participants with Type 2 diabetes mellitus (T2DM) and inadequate glycemic control on metformin monotherapy. The primary hypothesis of this study is that ertugliflozin 15 mg daily plus sitagliptin 100 mg daily provides greater hemoglobin A1C (A1C)-lowering compared with sitagliptin 100 mg daily alone.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Type 2 diabetes mellitus as per American Diabetes Association guidelines

  • On metformin monotherapy (>=1500 mg/day) for >=8 weeks with a Visit 1/Screening A1C >=7.5% and <=11.0% (>=58 mmol/mol and <=97 mmol/mol) OR On metformin monotherapy (>=1500 mg/day) for <8 weeks with a Visit 1/Screening A1C >=7.5% and <=11.0% (>=58mmol/mol and <=97 mmol/mol) OR On metformin monotherapy <1500 mg/day with a Visit 1/Screening A1C >=8.0% and <=11.5% (>=64 mmol/mol and <=102 mmol/mol)

  • Body mass index (BMI) >=18.0 kg/m^2

  • Male or female not of reproductive potential

  • Female of reproductive potential who agrees to remain abstinent from heterosexualactivity or to use 2 acceptable combinations of contraception

Exclusion

Exclusion Criteria:

  • History of type 1 diabetes mellitus or ketoacidosis

  • History of other specific types of diabetes (e.g., genetic syndromes, secondarypancreatic diabetes, diabetes due to endocrinopathies, drug- or chemical-induced, andpost-organ transplant

  • A known hypersensitivity or intolerance to any sodium glucose co-transporter 2 (SGLT2)inhibitor or sitagliptin

  • Has been treated with any of the following agents within 12 weeks of study start orduring the pre-randomization period: Insulin of any type (except for short-term use [i.e., <=7 days] during concomitant illness or other stress), other injectableanti-hyperglycemic agents (e.g., pramlintide, exenatide, liraglutide), pioglitazone orrosiglitazone, other SGLT2 inhibitors, alpha glucosidase inhibitors or meglitinides,dipeptidyl-peptidase 4 inhibitor (DPP-4 inhibitor), sulfonylureas (SUs), bromocriptine (Cycloset™), colesevelam (Welchol™), any other antihyperglycemic agents (AHA) with theexception of the protocol-approved agents

  • Is on a weight-loss program or weight-loss medication or other medication associatedwith weight changes and is not weight stable prior to study start

  • Has undergone bariatric surgery within the past 12 months or >12 months and is notweight stable prior to study start

  • A history of myocardial infarction, unstable angina, arterial revascularization,stroke, transient ischemic attack, or New York Heart Association (NYHA) functionalclass III-IV heart failure within 3 months of study start

  • Active, obstructive uropathy or indwelling urinary catheter

  • History of malignancy <=5 years prior to study start, except for adequately treatedbasal cell or squamous cell skin cancer or in situ cervical cancer

  • A known history of human immunodeficiency virus (HIV)

  • A blood dyscrasia or any disorder causing hemolysis or unstable red blood cells, or aclinically important hematological disorder (e.g. aplastic anemia, myeloproliferativeor myelodysplastic syndromes, thrombocytopenia)

  • A medical history of active liver disease (other than non-alcoholic hepaticsteatosis), including chronic active hepatitis B or C, primary biliary cirrhosis, orsymptomatic gallbladder disease

  • Any clinically significant malabsorption condition

  • Current treatment for hyperthyroidism

  • On thyroid replacement therapy and not on a stable dose for at least 6 weeks priorstudy start

  • On a previous clinical study with ertugliflozin

  • Estimated glomerular filtration rate (eGFR) (using the 4-variable Modification of Dietin Renal Disease Study Equation (MDRD) equation) <60 mL/min/1.73 m^2

  • Serum creatinine >= 1.3 mg/dL (115 µmol/L) for males and >= 1.2 mg/dL (106 µmol/L) forfemales

  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 times upperlimit of normal

  • Hemoglobin <12 g/dL (120 g/L) for males and <11 g/dL (110 g/L) for females.

  • Participated in other studies involving investigational drug(s) 30 days prior to studystart

  • Surgical procedure within 6 weeks prior to study start or major surgery planned duringthe trial

  • Positive urine pregnancy test

  • Pregnant or breast-feeding, or planning to conceive during the trial, including 14days following the last dose of study medication

  • Planning to undergo hormonal therapy in preparation for egg donation during the trial,including 14 days following the last dose of study medication

  • Routinely consumes >2 alcoholic drinks per day or >14 alcoholic drinks per week orengages in binge drinking

  • Donated blood or blood products within 6 weeks of study start

Study Design

Total Participants: 1233
Study Start date:
April 22, 2014
Estimated Completion Date:
May 26, 2016

Study Description

This study will include a 1-week screening period; an up to 12-week metformin titration/dose stabilization period; a 2-week single-blind placebo run-in period; a 52-week (26-week Phase A and 26-week Phase B) double-blind treatment period and a post-treatment telephone contact 14 days after the last dose of study medication.