Sitagliptin Response Study

(PRS Trial)

AL
KW
Overseen ByKamah Woelfel
Age: 18+
Sex: Any
Trial Phase: Phase 4
Sponsor: University of Maryland, Baltimore
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand how healthy, non-diabetic people respond to sitagliptin, a medication used to treat diabetes. Participants will take either sitagliptin or a placebo and undergo tests to measure how their bodies process sugar. The study involves two clinic visits, each lasting about 5 hours, where an oral glucose tolerance test will be conducted. This trial seeks healthy members of the Old Order Amish community in Lancaster, PA, who do not have diabetes or significant health issues.

As a Phase 4 trial, this research helps determine how an already FDA-approved and effective treatment benefits more patients.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it excludes drugs that might alter the response to sitagliptin. It's best to discuss your current medications with the trial physician.

What is the safety track record for sitagliptin?

Research has shown that sitagliptin is generally safe for people. In studies involving over 14,000 patients with type 2 diabetes, taking 100 mg of sitagliptin daily proved to be safe, with most participants experiencing no serious side effects. One study found that sitagliptin did not increase the risk of heart problems compared to a placebo. Since the FDA has already approved sitagliptin for treating diabetes, its safety for that use is well-established. In this trial, researchers will examine how healthy individuals without diabetes respond to the medication.12345

Why are researchers enthusiastic about this study treatment?

Sitagliptin is unique because it enhances the body's natural ability to regulate blood sugar by inhibiting the enzyme DPP-4, which increases levels of incretin hormones. Unlike many standard treatments for type 2 diabetes that directly stimulate insulin production or increase insulin sensitivity, Sitagliptin provides a different approach by helping the pancreas release the right amount of insulin when blood sugar levels are high. Researchers are excited about Sitagliptin because it offers a more targeted mechanism of action, potentially leading to fewer side effects and improved blood sugar control, especially when administered just hours before a glucose challenge.

What is the effectiveness track record for sitagliptin in treating diabetes?

Research has shown that sitagliptin, which participants in this trial may receive, effectively controls blood sugar levels. Studies have found that it significantly lowers sugar levels during the oral glucose tolerance test (OGTT), which checks how well the body handles sugar. Specifically, one study found that sitagliptin reduced the rise in blood sugar during this test, helping to prevent spikes. Additionally, sitagliptin has been shown to lower A1C levels, which measure average blood sugar over time, by up to 0.94%. This indicates that sitagliptin can help keep blood sugar levels stable, which is important for managing diabetes.678910

Who Is on the Research Team?

AL

Amber L Beitelshees, PharmD, MPH

Principal Investigator

University of Maryland, Baltimore

SI

Simeon I Taylor, MD, PhD

Principal Investigator

University of Maryland, Baltimore

Are You a Good Fit for This Trial?

This study is seeking healthy, non-diabetic volunteers to understand how different people react to the diabetes medication sitagliptin. Participants will be involved in two clinic visits for testing over a span of 7 weeks.

Inclusion Criteria

I am older than 18.
Members of Old Order Amish community in Lancaster, PA

Exclusion Criteria

I am not on medications that would affect sitagliptin treatment.
I am not pregnant or will be tested for pregnancy before treatment.
Anemia: hematocrit < 35%
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive sitagliptin or placebo 2 hours prior to the oral glucose tolerance test

6 weeks
2 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • Oral Glucose Tolerance Test
Trial Overview The trial is examining how individuals process sugar after taking sitagliptin by using an Oral Glucose Tolerance Test (OGTT), where participants drink glucose and have their blood tested at intervals to measure sugar and insulin levels.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: SitagliptinExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Maryland, Baltimore

Lead Sponsor

Trials
729
Recruited
540,000+

Citations

Sitagliptin improves glycaemic excursion after a meal or after ...Treatment with sitagliptin significantly reduced glucose excursions during both an MTT and an OGTT; this effect was associated with an increase in early insulin ...
Effect of the Dipeptidyl Peptidase-4 Inhibitor Sitagliptin as ...RESULTS—Sitagliptin 100 and 200 mg produced significant (P < 0.001) placebo-subtracted reductions in A1C (−0.79 and −0.94%, respectively) and ...
Efficacy and safety of sitagliptin treatment in older adults ...In the study, HbA1c levels decreased by 0.56–0.67% at 3 months after sitagliptin add-on to the other oral anti-diabetic drugs. Therefore, ...
Drug-induced increase in early insulin secretion in oral ...This pilot study confirmed that sitagliptin (100 mg) decreased the area under the curve for glucose during an OGTT (p=0.0003).
Effects of Sitagliptin on Insulin and Glucagon Levels in ...A subset of study on Asian type 2 diabetic patients showed that the treatment with sitagliptin for 18 weeks significantly reduced HbA1c by 1.4% ...
Safety and Tolerability of Sitagliptin in Type 2 DiabetesIn this updated pooled safety analysis of data from 14,611 patients with T2DM, sitagliptin 100 mg/day was generally well tolerated in clinical trials of up to 2 ...
Safety and tolerability of sitagliptin in clinical studies: a pooled ...In this updated pooled safety analysis of data from 10,246 patients with type 2 diabetes, sitagliptin 100 mg/day was generally well tolerated in clinical trials ...
Safety, feasibility and efficacy of metformin and sitagliptin in ...Metformin and sitagliptin were both effective in reducing fasting glucose and HbA1c levels in patients with recent TIA or minor ischaemic stroke and IGT.
Assessing Glucose Effects of Sitagliptin (Januvia) in Adult ...Also called a data safety and monitoring board, or DSMB. Early Phase 1 (formerly listed as Phase 0). A phase of research used to describe exploratory trials ...
Effect of Sitagliptin on Cardiovascular Outcomes in Type 2 ...Sitagliptin was noninferior to placebo for the primary composite cardiovascular outcome (hazard ratio, 0.98; 95% CI, 0.88 to 1.09; P<0.001).
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