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Use of Sitagliptin for Stress Hyperglycemia or Mild Diabetes Following Cardiac Surgery

This study has been terminated.
Information provided by (Responsible Party):
Kathleen Dungan, The Ohio State University Identifier:
First received: October 22, 2013
Last updated: September 26, 2016
Last verified: September 2016
This is a randomized controlled trial to determine the safety and efficacy of Sitagliptin in patients with stress hyperglycemia or mild diabetes following cardiac surgery. Patients will receive Sitagliptin or placebo. Sitagliptin may be of particular use in this patient population due to the effects on hepatic glucose production (a major feature of SH), safety (lack of contra-indications for heart failure or renal failure and no hypoglycemia), and tolerability. The secondary objective of this study is to determine whether the management of patients with persistent insulin requirements following cardiac surgery differs among patients with stress hyperglycemia or mild diabetes.

Condition Intervention Phase
Diabetes Mellitus, Type 2
Drug: Sitagliptin
Drug: Placebo
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Use of Sitagliptin for Stress Hyperglycemia or Mild Diabetes Following Cardiac Surgery

Resource links provided by NLM:

Further study details as provided by Ohio State University:

Primary Outcome Measures:
  • Difference in Fasting Glucose [ Time Frame: 6 weeks ]

Other Outcome Measures:
  • Self Monitored Blood Glucose [ Time Frame: 2 and 6 weeks ]
  • Adherence [ Time Frame: 2 and 6 weeks ]
  • Hypoglycemia [ Time Frame: 2 and 6 weeks ]

Enrollment: 8
Study Start Date: January 2014
Study Completion Date: August 2016
Primary Completion Date: August 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Sitagliptin
Patients will receive Sitagliptin (renally dosed) prior to hospital discharge and 6 weeks following discharge
Drug: Sitagliptin
Sitagliptin prior to hospital discharge and 6 weeks following discharge.
Other Name: Januvia
Placebo Comparator: Placebo
Patients will receive placebo prior to discharge and 6 weeks after discharge.
Drug: Placebo
Patients are reandomized to Sitagliptin or placebo for 6 weeks post-operatively


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Either of the following: Mild Diabetes Mellitus or Stress Hyperglycemia
  • AND:
  • Cardiac Surgery
  • Insulin Requirement between 8-30 units subcutaneous on post-op day 3 or later off pressors, off enteral feeding, extubated OR glucose >150 mg/dL at least twice in a 24 hour period (>4 hours apart) and otherwise not requiring basal insulin

Exclusion Criteria:

  • use of pressors, mechanical ventilation, or enteral or parenteral feeding within previous 12 hours
  • glucocorticoids in doses exceeding the equivalent of Prednisone 10 mg/day within the previous 48 hours
  • left ventricular assist device
  • percutaneous or laparoscopic surgery
  • end stage renal disease
  • end stage liver disease
  • history of pancreatitis
  • type 1 diabetes
  • pregnancy
  • unable to give consent in english
  • no phone
  • prisoners
  • less than 18 years of age
  Contacts and Locations
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Please refer to this study by its identifier: NCT01970462

United States, Ohio
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States, 43203
Sponsors and Collaborators
Kathleen Dungan
Principal Investigator: Kathleen M Dungan, MD, MPH Ohio State University
  More Information

Responsible Party: Kathleen Dungan, Associate Professor, The Ohio State University Identifier: NCT01970462     History of Changes
Other Study ID Numbers: 2013H0328
Study First Received: October 22, 2013
Last Updated: September 26, 2016

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Polystyrene sulfonic acid
Sitagliptin Phosphate
Chelating Agents
Sequestering Agents
Molecular Mechanisms of Pharmacological Action
Hypoglycemic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Dipeptidyl-Peptidase IV Inhibitors
Protease Inhibitors
Enzyme Inhibitors processed this record on April 28, 2017