Phase 3
Completed N=506
A Study to Evaluate the Efficacy and Safety of Ertugliflozin in Asian Participants With Type 2 Diabetes and Inadequate Glycemic Control on Metformin Monotherapy (MK-8835-012)
Source: ClinicalTrials.gov NCT02630706 ↗Enrolled (actual)
506
Serious AEs
4.2%
Results posted
Dec 2018
Primary outcomePrimary: Change From Baseline in A1C (%) at Week 26 (Excluding Rescue Approach) — -1.00; -0.89; -0.20 Percentage A1C — p=<0.001
◆ Published Evidence
Established
52citations · ~7 / year
Safety and efficacy of ertugliflozin in Asian patients with type 2 diabetes mellitus inadequately controlled with metformin monotherapy: VERTIS Asia.
Summary
This is a study to evaluate the efficacy and safety of the addition of ertugliflozin to metformin monotherapy in Asian participants with Type 2 diabetes mellitis (T2DM) who have inadequate glycemic control on metformin monotherapy. The primary hypothesis is that the mean reduction from baseline in HbA1C for 15 mg and 5 mg ertugliflozin (tested sequentially) is greater than for placebo.
Linked Publications (4)
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Safety and efficacy of ertugliflozin in Asian patients with type 2 diabetes mellitus inadequately controlled with metformin monotherapy: VERTIS Asia.
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Phase 1 Study Evaluating the Effects of the Proton Pump Inhibitor Rabeprazole and Food on the Pharmacokinetics of Lorlatinib in Healthy Participants.
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Efficacy and Safety of Ertugliflozin Added to Metformin: A Pooled Population from Asia with Type 2 Diabetes and Overweight or Obesity.
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Population Pharmacokinetic Analyses of Ertugliflozin in Select Ethnic Populations.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in A1C (%) at Week 26 (Excluding Rescue Approach) |
-1.00; -0.89; -0.20 | <0.001 sig |
| PRIMARY Change From Baseline in A1C (%) at Week 26 (Excluding Rescue Approach) (China Subpopulation) |
-1.01; -0.92; -0.24 | <0.001 sig |
| PRIMARY Percentage of Participants Experiencing An Adverse Event (AE) (Including Rescue Approach) |
56.5; 53.3; 59.3 | — |
| PRIMARY Percentage of Participants Experiencing An Adverse Event (AE) (Including Rescue Approach) (China Subpopulation) |
54.4; 50.4; 59.3 | — |
| PRIMARY Percentage of Participants Discontinuing Study Treatment Due to an AE (Including Rescue Approach) |
1.2; 0.6; 1.8 | — |
| PRIMARY Percentage of Participants Discontinuing Study Treatment Due to an AE (Including Rescue Approach) (China Subpopulation) |
0.7; 0.7; 2.2 | — |
| SECONDARY Change From Baseline in Fasting Plasma Glucose at Week 26 (Excluding Rescue Approach) |
-37.09; -34.47; -6.69 | <0.001 sig |
| SECONDARY Change From Baseline in Fasting Plasma Glucose at Week 26 (Excluding Rescue Approach) (China Subpopulation) |
-39.01; -36.67; -10.46 | <0.001 sig |
| SECONDARY Change From Baseline in Body Weight at Week 26 (Excluding Rescue Approach) |
-2.95; -3.18; -1.17 | <0.001 sig |
| SECONDARY Change From Baseline in Body Weight at Week 26 (Excluding Rescue Approach) (China Subpopulation) |
-3.11; -3.38; -1.33 | <0.001 sig |
| SECONDARY Percentage of Participants With HbA1c of <7.0% (53 mmol/Mol) (Logistic Regression Using Multiple Imputation Based on cLDA Model: Excluding Rescue Approach) |
38.2; 40.8; 16.2 | <0.001 sig |
| SECONDARY Percentage of Participants With HbA1c of <7.0% (53 mmol/Mol) (Logistic Regression Using Multiple Imputation Based on cLDA Model: Excluding Rescue Approach) (China Subpopulation) |
35.3; 42.2; 18.5 | <0.001 sig |
| SECONDARY Change From Baseline in Sitting Systolic Blood Pressure at Week 26 (Excluding Rescue Approach) |
-5.09; -3.87; 0.22 | <0.001 sig |
| SECONDARY Change From Baseline in Sitting Systolic Blood Pressure at Week 26 (Excluding Rescue Approach) (China Subpopulation) |
-5.64; -4.19; -1.56 | 0.058 |
| SECONDARY Change From Baseline in Sitting Diastolic Blood Pressure at Week 26 (Excluding Rescue Approach) |
-2.38; -2.36; -0.96 | 0.086 |
| SECONDARY Change From Baseline in Sitting Diastolic Blood Pressure at Week 26 (Excluding Rescue Approach) (China Subpopulation) |
-2.82; -2.77; -1.82 | 0.315 |
| SECONDARY Percentage of Participants With HbA1c of <6.5% (48 mmol/Mol) at Week 26 (Logistic Regression Using Multiple Imputation: Excluding Rescue Approach) |
14.7; 15.4; 2.4 | 0.001 sig |
| SECONDARY Percentage of Participants With HbA1c of <6.5% (48 mmol/Mol) at Week 26 (Logistic Regression Using Multiple Imputation: Excluding Rescue Approach) (China Subpopulation) |
14.7; 17.0; 3.0 | <0.001 sig |
| SECONDARY Percentage of Participants Requiring Glycemic Rescue Therapy Through Week 26. |
1.2; 0.6; 9.6 | <0.001 sig |
| SECONDARY Percentage of Participants Requiring Glycemic Rescue Therapy Through Week 26 (China Subpopulation) |
0.0; 0.7; 9.6 | 0.001 sig |
| SECONDARY Time to Glycemic Rescue Therapy |
NA; NA; NA | — |
| SECONDARY Time to Glycemic Rescue Therapy (China Subpopulation) |
NA; NA | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach |
7.34; 26.66 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach |
7.34; 26.66 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach |
7.34; 26.66 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach |
7.34; 26.66 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach |
7.34; 26.66 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach |
7.34; 26.66 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach (China Subpopulation) |
7.26; 24.91 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach (China Subpopulation) |
7.26; 24.91 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach (China Subpopulation) |
7.26; 24.91 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach (China Subpopulation) |
7.26; 24.91 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach (China Subpopulation) |
7.26; 24.91 | — |
| SECONDARY Ertugliflozin Plasma Concentrations Summary Statistics Over Time: Including Rescue Approach (China Subpopulation) |
7.26; 24.91 | — |
Eligibility Criteria
Inclusion Criteria
- Asian participants ≥18 years of age at the time of initial Screening.
- Type 2 diabetes mellitus as per American Diabetes Association guidelines.
- Metformin monotherapy (≥1500 mg/day) with an initial Screening A1C of 7.0-10.5% (53-91 mmol/mol) OR metformin monotherapy ( 160 mm Hg and/or diastolic blood pressure >90 mm Hg after at least a 5-minute seated rest at screening
- Active, obstructive uropathy or indwelling urinary catheter.
- History of malignancy ≤5 years prior to study start, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer.
- Routinely consumes >2 alcoholic drinks per day or >14 alcoholic drinks per week or engages in binge drinking.
- Any clinically significant malabsorption condition.
- Is on a weight-loss program or weight-loss medication or other medication associated with 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 not weight stable prior to study start.
- A known hypersensitivity or intolerance to any sodium glucose co-transporter (SGLT2) inhibitor.
- On a previous clinical study with ertugliflozin.
- Is taking blood pressure or lipid altering medications that have not been on a stable dose for at least 4 weeks prior to study start.
- Current treatment for hyperthyroidism.
- Male participants with a serum creatinine >=1.3 mg/dL (>=115 mol/L) or female participants with a serum creatinine >=1.2 mg/dL (>=106 mol/L) or participants with an estimated glomerular filtration rate (eGFR) 2X the upper limit of normal (ULN) range at screening, or a total bilirubin >1.5 X the ULN unless the participant has a history of Gilbert's.
- On thyroid replacement therapy and has not been on a stable dose for at least 6 weeks prior to study start.
- A medical history of active liver disease (other than non-alcoholic hepatic steatosis), including chronic active hepatitis B or C, primary biliary cirrhosis, or symptomatic gallbladder disease.
- Has been treated with any of the following agents within 12 weeks of study start or during the pre-randomization period: Insulin of any type (except for short-term use during concomitant illness or other stress), other injectable anti-hyperglycemic agents (e.g., pramlintide, exenatide, liraglutide), another SGLT2 inhibitor, bromocriptine, colesevelam, rosiglitazone or pioglitazone, or any other AHA with the exception of the protocol-approved agents.
- Is on or likely to require treatment ≥14 consecutive days or repeated courses of pharmacologic doses of corticosteroids.
- Has undergone a surgical procedure within 6 weeks prior to study start or has planned major surgery during the study.
- Pregnant or breast-feeding, or planning to conceive during the trial, including 14 days 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.
- Donated blood or blood products within 6 weeks of study start.
- Has Human Immunodeficiency Virus (HIV).
- Has blood dyscrasias or any disorders causing hemolysis or unstable red blood cells.
- Has clinically important hematological disorders (such as aplastic anemia, myeloproliferative or myelodyplastic syndromes, thrombocytopenia.)
Data sourced from ClinicalTrials.gov (NCT02630706) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.