NCT01697592

Brief Summary

This study will examine the safety and efficacy of the addition of omarigliptin in Japanese participants with type 2 diabetes mellitus who have inadequate glycemic control on diet/exercise therapy and oral antihyperglycemic agent monotherapy.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
585

participants targeted

Target at P75+ for phase_3 type-2-diabetes-mellitus

Timeline
Completed

Started Oct 2012

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 28, 2012

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 2, 2012

Completed
22 days until next milestone

Study Start

First participant enrolled

October 24, 2012

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 8, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 8, 2014

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

October 29, 2015

Completed
Last Updated

September 10, 2018

Status Verified

August 1, 2018

Enrollment Period

1.5 years

First QC Date

September 28, 2012

Results QC Date

September 29, 2015

Last Update Submit

August 8, 2018

Conditions

Outcome Measures

Primary Outcomes (4)

  • Percentage of Participants Who Experienced at Least One Adverse Event Excluding Data After Glycemic Rescue During Phase A

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure. Glycemic rescue criteria were: fasting plasma glucose (FPG) of \>240 mg/dL, 2 times, (Week 4 to Week 24) and after Week 24, FPG \>200 mg/dL, 2 times. Glycemic rescue was achieved through up-titration of basal medication (1st rescue) and through the use of metformin or glimepiride (2nd rescue).

    Up to 24 weeks

  • Percentage of Participants Who Experienced at Least One Adverse Event Excluding Data After Glycemic Rescue During the Overall Study

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure. Glycemic rescue criteria were: fasting plasma glucose (FPG) of \>240 mg/dL, 2 times, (Week 4 to Week 24) and after Week 24, FPG \>200 mg/dL, 2 times. Glycemic rescue was achieved through up-titration of basal medication (1st rescue) and through the use of metformin or glimepiride (2nd rescue). These results represent the accrual of events over different treatment intervals: 52 weeks, Omarigliptin (Phase A+B) group, defined as the double-blind period and open-label extension period versus 28 weeks for the placebo switching to Omarigliptin group defined as the open-label extension period only.

    Up to 52 weeks

  • Percentage of Participants Who Discontinued From the Study Due to an Adverse Event During Phase A

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study.

    Up to 24 weeks

  • Percentage of Participants Who Discontinued From the Study Due to an Adverse Event During the Overall Study

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure. Glycemic rescue criteria were: fasting plasma glucose (FPG) of \>240 mg/dL, 2 times, (Week 4 to Week 24) and after Week 24, FPG \>200 mg/dL, 2 times. Glycemic rescue was achieved through up-titration of basal medication (1st rescue) and through the use of metformin or glimepiride (2nd rescue). These results represent the accrual of events over different treatment intervals: 52 weeks, Omarigliptin (Phase A+B) group, defined as the double-blind period and open-label extension period versus 28 weeks for the placebo switching to Omarigliptin group defined as the open-label extension period only.

    Up to 52 weeks

Secondary Outcomes (1)

  • Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24

    Baseline and Week 24

Study Arms (10)

Omarigliptin 25 mg/Sulfonylureas (SUs) (Phase A+B)

EXPERIMENTAL

Omarigliptin 25 mg administered orally once weekly for 52 weeks (24 weeks during Phase A and 28 weeks during Phase B). Participants continued pre-study basal medication of SUs throughout the duration of the study.

Drug: Omarigliptin

Omarigliptin 25 mg/Glinides (Phase A+B)

EXPERIMENTAL

Omarigliptin 25 mg administered orally once weekly for 52 weeks (24 weeks during Phase A and 28 weeks during Phase B). Participants continued pre-study basal medication of glinides throughout the duration of the study.

Drug: Omarigliptin

Omarigliptin 25 mg/biguanides (BGs) (Phase A+B)

EXPERIMENTAL

Omarigliptin 25 mg administered orally once weekly for 52 weeks (24 weeks during Phase A and 28 weeks during Phase B). Participants continued pre-study basal medication of BGs throughout the duration of the study.

Drug: Omarigliptin

Omarigliptin 25 mg/Thiazolidinediones (TZDs) (Phase A+B)

EXPERIMENTAL

Omarigliptin 25 mg administered orally once weekly for 52 weeks (24 weeks during Phase A and 28 weeks during Phase B). Participants continued pre-study basal medication of TZDs throughout the duration of the study.

Drug: Omarigliptin

Omarigliptin 25 mg/α-GIs (Phase A+B)

EXPERIMENTAL

Omarigliptin 25 mg administered orally once weekly for 52 weeks (24 weeks during Phase A and 28 weeks during Phase B). Participants continued pre-study basal medication of α-glucosidase (α-GIs) inhibitors throughout the duration of the study.

Drug: Omarigliptin

Placebo/SUs (Phase A) → Omarigliptin 25 mg/SUs (Phase B)

PLACEBO COMPARATOR

Placebo matching omarigliptin administered orally once weekly for 24 weeks during Phase A. Omarigliptin 25 mg is administered once weekly for 28 weeks during Phase B. Participants continued pre-study basal medication of SUs throughout the duration of the study.

Drug: OmarigliptinDrug: Matching placebo to omarigliptin

Placebo/Glinides (Phase A) → Omarigliptin 25 mg/Gln. (Phase B)

PLACEBO COMPARATOR

Placebo matching omarigliptin administered orally once weekly for 24 weeks during Phase A. Omarigliptin 25 mg is administered once weekly for 28 weeks during Phase B. Participants continued pre-study basal medication of glinides throughout the duration of the study.

Drug: OmarigliptinDrug: Matching placebo to omarigliptin

Placebo/BGs (Phase A) → Omarigliptin 25 mg/BGs (Phase B)

PLACEBO COMPARATOR

Placebo matching omarigliptin administered orally once weekly for 24 weeks during Phase A. Omarigliptin 25 mg is administered once weekly for 28 weeks during Phase B. Participants continued pre-study basal medication of BGs throughout the duration of the study.

Drug: OmarigliptinDrug: Matching placebo to omarigliptin

Placebo/TZDs (Phase A) → Omarigliptin 25 mg/TZDs (Phase B)

PLACEBO COMPARATOR

Placebo matching omarigliptin administered orally once weekly for 24 weeks during Phase A. Omarigliptin 25 mg is administered once weekly for 28 weeks during Phase B. Participants continued pre-study basal medication of TZDs throughout the duration of the study.

Drug: OmarigliptinDrug: Matching placebo to omarigliptin

Placebo/α-GIs (Phase A) → Omarigliptin 25 mg/α-GIs (Phase B)

PLACEBO COMPARATOR

Placebo matching omarigliptin administered orally once weekly for 24 weeks during Phase A. Omarigliptin 25 mg is administered once weekly for 28 weeks during Phase B. Participants continued pre-study basal medication of α-GIs inhibitors throughout the duration of the study.

Drug: OmarigliptinDrug: Matching placebo to omarigliptin

Interventions

Omarigliptin (MK-3102) 25 mg capsule administered orally once weekly. Pre-study basal medications include: SUs (gliclazide, glibenclamide, or glimepiride); Glinides (nateglinide , mitiglinide, or repaglinide); BGs (metformin); TZDs (pioglitazone); and α-GIs (acarbose, voglibose, or miglitol).

Omarigliptin 25 mg/Glinides (Phase A+B)Omarigliptin 25 mg/Sulfonylureas (SUs) (Phase A+B)Omarigliptin 25 mg/Thiazolidinediones (TZDs) (Phase A+B)Omarigliptin 25 mg/biguanides (BGs) (Phase A+B)Omarigliptin 25 mg/α-GIs (Phase A+B)Placebo/BGs (Phase A) → Omarigliptin 25 mg/BGs (Phase B)Placebo/Glinides (Phase A) → Omarigliptin 25 mg/Gln. (Phase B)Placebo/SUs (Phase A) → Omarigliptin 25 mg/SUs (Phase B)Placebo/TZDs (Phase A) → Omarigliptin 25 mg/TZDs (Phase B)Placebo/α-GIs (Phase A) → Omarigliptin 25 mg/α-GIs (Phase B)

Matching placebo to omarigliptin 25 mg capsule administered orally once weekly. Pre-study basal medications include: SUs (gliclazide, glibenclamide, or glimepiride); Glinides (nateglinide , mitiglinide, or repaglinide); BGs (metformin); TZDs (pioglitazone); and α-GIs (acarbose, voglibose, or miglitol).

Placebo/BGs (Phase A) → Omarigliptin 25 mg/BGs (Phase B)Placebo/Glinides (Phase A) → Omarigliptin 25 mg/Gln. (Phase B)Placebo/SUs (Phase A) → Omarigliptin 25 mg/SUs (Phase B)Placebo/TZDs (Phase A) → Omarigliptin 25 mg/TZDs (Phase B)Placebo/α-GIs (Phase A) → Omarigliptin 25 mg/α-GIs (Phase B)

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has type 2 diabetes mellitus
  • Has inadequate glycemic control on diet/exercise therapy and oral antihyperglycemic agent monotherapy

You may not qualify if:

  • History of type 1 diabetes mellitus or a history of ketoacidosis
  • History of any of the following medications: Thiazolidinediones (TZD) (for participants whose basal medication is not TZD) and/or insulin within 12 weeks prior to study participation, omarigliptin anytime

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Gantz I, Okamoto T, Ito Y, Sato A, Okuyama K, O'Neill EA, Engel SS, Lai E; Omarigliptin Study 015 Group. A Randomized, Placebo-Controlled Trial Evaluating the Safety and Efficacy of Adding Omarigliptin to Antihyperglycemic Therapies in Japanese Patients with Type 2 Diabetes and Inadequate Glycemic Control. Diabetes Ther. 2017 Aug;8(4):793-810. doi: 10.1007/s13300-017-0270-7. Epub 2017 Jun 6.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

2-(2,5-difluorophenyl)-5-(2-(methylsulfonyl)-2,6-dihydropyrrolo(3,4-c)pyrazol-5(4H)-yl)tetrahydro-2H-pyran-3-amine

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme Corp.

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 28, 2012

First Posted

October 2, 2012

Study Start

October 24, 2012

Primary Completion

May 8, 2014

Study Completion

May 8, 2014

Last Updated

September 10, 2018

Results First Posted

October 29, 2015

Record last verified: 2018-08

Data Sharing

IPD Sharing
Will share

https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

More information

Available IPD Datasets

CSR Snyopsis Access