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Phase 3 Completed N=506 Randomized Double-blind Treatment

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.
Diabetes, obesity & metabolism · 2019 · Open access · Likely link

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)

  • Safety and efficacy of ertugliflozin in Asian patients with type 2 diabetes mellitus inadequately controlled with metformin monotherapy: VERTIS Asia.
    Diabetes, obesity & metabolism · 2019 · 52 citations · Open access · Likely link
  • Phase 1 Study Evaluating the Effects of the Proton Pump Inhibitor Rabeprazole and Food on the Pharmacokinetics of Lorlatinib in Healthy Participants.
    Clinical pharmacology in drug development · 2021 · 6 citations · Open access · Likely link
  • Efficacy and Safety of Ertugliflozin Added to Metformin: A Pooled Population from Asia with Type 2 Diabetes and Overweight or Obesity.
    Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023 · 2 citations · Open access · Likely link
  • Population Pharmacokinetic Analyses of Ertugliflozin in Select Ethnic Populations.
    Clinical pharmacology in drug development · 2021 · 0 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-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.)
View full record on ClinicalTrials.gov →

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.

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