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Sitagliptin Cardiovascular Outcome Study (TECOS)
This study is currently recruiting participants.
Verified by Merck, January 2010
First Received: November 11, 2008   Last Updated: January 27, 2010   History of Changes
Sponsor: Merck
Collaborator: Duke Clinical Research Institute, Oxford Diabetes Trials Unit
Information provided by: Merck
ClinicalTrials.gov Identifier: NCT00790205
  Purpose

Large, simple trial designed to assess cardiovascular outcome of long-term treatment with sitagliptin used as part of usual care compared to usual care without sitagliptin in patients with Type 2 Diabetes Mellitus and a history of cardiovascular disease with an HbA1c of 6.5 - 8.0% on single agent or dual combination antihyperglycemic therapy.


Condition Intervention Phase
Type 2 Diabetes Mellitus
Drug: Sitagliptin phosphate
Drug: Comparator: Placebo
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety Study
Official Title: A Randomized, Placebo Controlled Clinical Trial to Evaluate Cardiovascular Outcomes After Treatment With Sitagliptin in Patients With Type 2 Diabetes Mellitus and Inadequate Glycemic Control on Mono- or Dual Combination Oral Antihyperglycemic Therapy

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • Assess the impact of sitagliptin as part of usual care vs usual care without sitagliptin on primary composite cardiovascular (CV) endpoint (CV-related death, non-fatal myocardial infarction, non-fatal stroke, or unstable angina requiring hospitalization) [ Time Frame: Approximately 4-5 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Assess the impact of sitagliptin as part of usual care vs usual care without sitagliptin on secondary composite cardiovascular endpoint (CV-related death, non-fatal myocardial infarction, or non-fatal stroke or each of the primary endpoint components) [ Time Frame: Approximately 4-5 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 14000
Study Start Date: December 2008
Estimated Study Completion Date: December 2014
Estimated Primary Completion Date: December 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Sitagliptin phosphate
Drug: Sitagliptin phosphate
Sitagliptin phosphate (one 100 mg tablet once daily for patients with normal or mildly impaired renal function as defined by estimated glomerular filtration rate [eGFR] or one 50 mg tablet once daily for patients with moderately impaired renal function as defined by eGFR). Treatment period of approximately 4-5 years.
2: Placebo Comparator
Placebo Comparator
Drug: Comparator: Placebo
Sitagliptin phosphate placebo (one 100 mg placebo tablet once daily for patients with normal or mildly impaired renal function as defined by estimated glomerular filtration rate [eGFR] or one 50 mg placebo tablet once daily for patients with moderately impaired renal function as defined by eGFR). Treatment period of approximately 4-5 years.

  Eligibility

Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient has type 2 diabetes mellitus
  • Patient's HbA1c is between 6.5 - 8.0% on stable dose(s) of oral antihyperglycemic therapy
  • Patient has preexisting cardiovascular disease

Exclusion Criteria:

  • Patient has a history of type 1 diabetes mellitus, ketoacidosis or is currently taking insulin
  • Patient is not able to take sitagliptin
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00790205

Contacts
Contact: Toll Free Number 1-888-577-8839

  Show 50 Study Locations
Sponsors and Collaborators
Merck
Duke Clinical Research Institute, Oxford Diabetes Trials Unit
Investigators
Study Director: Medical Monitor Merck
  More Information

Additional Information:
No publications provided

Responsible Party: Merck Sharp & Dohme Corp ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2008_523, MK0431-082
Study First Received: November 11, 2008
Last Updated: January 27, 2010
ClinicalTrials.gov Identifier: NCT00790205     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Dipeptidyl-Peptidase IV Inhibitors
Metabolic Diseases
Molecular Mechanisms of Pharmacological Action
Diabetes Mellitus, Type 2
Diabetes Mellitus
Endocrine System Diseases
Enzyme Inhibitors
Glucose Metabolism Disorders
Pharmacologic Actions
Protease Inhibitors
Sitagliptin

ClinicalTrials.gov processed this record on February 08, 2010