Ertugliflozin Type 2 Diabetes Mellitus (T2DM) Pediatric Study (MK-8835/PF-04971729) (MK-8835-059)
Type 2 Diabetes Mellitus
About this trial
This is an interventional treatment trial for Type 2 Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria:
- Has diabetes diagnosed by one of the American Diabetes Association (ADA) criteria.
- Has body mass index (BMI) ≥85th percentile at screening OR participant has a history of being overweight or obese at time of diagnosis of Type 2 diabetes mellitus (T2DM).
- T2DM for ≥2 years, OR T2DM for <2 years and a fasting C-peptide value >0.6 ng/mL at Screening.
- On stable metformin monotherapy (≥1500 mg/day, for ≥8 weeks prior to Screening, OR on a stable metformin dose (≥1500 mg/day, for ≥8 weeks prior to Screening and a stable dose of insulin for ≥8 weeks prior to Screening.
- Contraceptive use by male participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Is a non-sterilized female who is currently not sexually active OR who agrees to abstain from heterosexual activity OR who agrees to start contraception prior to initiating sexual activity and who agrees to use an adequate method of contraception. Contraceptive use by females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Have a family member or adult who, along with the participant, will be closely involved in the participant's daily activities (in the opinion of the investigator) and in the participant's treatment and study procedures.
Exclusion Criteria:
- Has known type 1 diabetes mellitus or documented evidence of positive diabetes autoantibodies performed when participant was diagnosed with diabetes.
- Has known monogenic diabetes, or secondary diabetes.
- Has symptomatic hyperglycemia and/or moderate to large ketonuria requiring immediate initiation of another antihyperglycemic agent, including insulin.
- Has a known hypersensitivity or intolerance to any sodium glucose co-transporter 2 (SGLT2) inhibitor.
- Is pregnant, or breast feeding or is expecting to conceive or donate eggs during the study, including 14 days following the last dose of study medication.
- Has previously taken an SGLT2 inhibitor (such as canagliflozin, dapagliflozin, empagliflozin, or ertugliflozin) or was enrolled in a study for these agents.
- Has a history of idiopathic acute pancreatitis or chronic pancreatitis.
- Has a history of severe hypoglycemia while on insulin.
Sites / Locations
- The University of Alabama at Birmingham ( Site 2207)
- Children's Hospital - Los Angeles ( Site 2201)Recruiting
- Center of Excellence in Diabetes and Endocrinology ( Site 2203)
- Memorial Regional Hospital-Joe DiMaggio Children's Hospital Division of Pediatric Endocrinology ( Si
- ICCT Research International, Inc. ( Site 2211)
- Barry J. Reiner MD LLC ( Site 2204)Recruiting
- William Beaumont Hospital ( Site 2219)Recruiting
- CHEAR Center LLC ( Site 2200)
- Coastal Children''s Services ( Site 2202)
- The Children's Hospital of Philadelphia ( Site 2205)Recruiting
- Southern Endocrinology and Associates PA ( Site 2218)
- Cliniques Universitaires Saint-Luc ( Site 2300)
- London Health Sciences Centre ( Site 0002)
- Hopital Maisonneuve-Rosemont CIUSSS de l Est de L Ile de Montreal ( Site 0001)
- Centro De Diabetes Cardiovascular IPS Ltda ( Site 0101)
- MedPlus Medicina Prepagada S.A. ( Site 0102)
- Clinica Los Yoses ( Site 0200)Recruiting
- Hospital Infantil Dr. Robert Reid Cabral ( Site 0300)Recruiting
- CHU du BOCAGE ( Site 0407)
- CHU Amiens Hopital Sud ( Site 0413)
- Consultorio Privado Dr. Geraldine Utrilla ( Site 0501)
- Private Practice - Dr. Flor de Maria Ranchos Monterroso ( Site 0502)Recruiting
- Endopedia ( Site 0503)Recruiting
- Pecsi Tudomanyegyetem Klinikai Kozpont Gyermekgyogyaszati Klinika ( Site 0708)Recruiting
- Békés Megyei Központi Kórház Dr. Réthy Pál Tagkórház-Gyermekosztály ( Site 0705)Recruiting
- Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi OktatoKorhaz ( Site 0701)Recruiting
- Vita Verum Medical Egeszsegugyi Szolgaltato Bt ( Site 0706)Recruiting
- Petz Aladar Megyei Oktato Korhaz ( Site 0709)Recruiting
- Szabolcs Szatmar Bereg Megyei Korhazak es Egyetemi Oktato korhaz ( Site 0704)Recruiting
- Heim Pal Orszagos Gyermekgyogyaszati Intezet ( Site 0702)Recruiting
- Semmelweis Egyetem II. sz. Gyermekgyogyaszati Klinika ( Site 0703)Recruiting
- Soroka University Medical Center ( Site 0802)Recruiting
- Armon M.C ( Site 0803)Recruiting
- Rambam Medical Center ( Site 0801)Recruiting
- Hadassah Mount Scopus ( Site 0800)Recruiting
- The Edmond and Lily Safra Children s Hospital ( Site 0804)Recruiting
- A.O.Universitaria Meyer ( Site 0901)Recruiting
- U.O. di Diabetologia dell'Eta Evolutiva - AUSL 2 ( Site 0904)Recruiting
- IRCCS G. Gaslini ( Site 0900)Recruiting
- AOU Federico II di Napoli ( Site 0902)Recruiting
- IRCCS Ospedale Pediatrico Bambino Gesu ( Site 0903)Recruiting
- Hospital Universiti Sains Malaysia ( Site 1102)Recruiting
- Hospital Taiping ( Site 1104)Recruiting
- Hospital Pulau Pinang. ( Site 1101)Recruiting
- Hospital Putrajaya ( Site 1103)Recruiting
- University Malaya Medical Centre ( Site 1100)Recruiting
- Wellkin Hospital ( Site 1200)Recruiting
- Bio Investigación AMARC, S.C. ( Site 1006)Recruiting
- CAIMED Investigación en Salud S.A de C.V ( Site 1008)Recruiting
- Unidad de Investigacion Clinica Cardiometabolica de Occidente ( Site 1007)Recruiting
- Centro de Investigacion Medica de Occidente S.C. ( Site 1001)Recruiting
- Unidad Biomedica Avanzada Monterrey S. A. ( Site 1005)Recruiting
- Unidad de Medicina Especializada SMA ( Site 1004)Recruiting
- Consultorio Medico de Endocrinologia Pediatrica ( Site 1002)Recruiting
- Centro de Estudios de Investigacion Metabolicos y Cardiovasculares ( Site 1003)Recruiting
- Centro de Investigacion Medica Aguascalientes ( Site 1000)Recruiting
- Centro de Atencion e Investigacion Clinica SC ( Site 1009)Recruiting
- Davao Doctors Hospital ( Site 1400)Recruiting
- Institute for Studies on Diabetes Foundation Inc. ( Site 1402)Recruiting
- West Visayas State University Medical Center ( Site 1401)Recruiting
- IN VIVO ( Site 1501)
- Poradnia Chorob Metabolicznych. Centrum Zdrowia Tuchow ( Site 1500)
- Instytut Diabetologii Sp z o o ( Site 1512)
- Clinical Medical Research Sp. z o.o. ( Site 1511)
- Bashkir State Medical University Hospital ( Site 1603)
- Federal State Budget Institution Endocrinological Research Center ( Site 1611)
- Children's City Clinical Hospital #1 ( Site 1604)
- Rostov Scientific Research Institution of Obstetrics and Pediatry ( Site 1606)
- Samara City Pediatric Clinical Hospital n.a. N.N. Ivanova ( Site 1610)
- St.Petersburg State Pediatric Medical University ( Site 1600)
- Kazan State Medical University ( Site 1601)
- Siberian State Medical University ( Site 1602)
- Voronezh State Medical University named after N.N.Burdenko ( Site 1608)
- Hera General Hospital ( Site 1725)Recruiting
- King Abdulaziz Medical City - Al Ahsa ( Site 1730)Recruiting
- King Abdul Aziz Medical City - AlRiyadh ( Site 1700)Recruiting
- King Abdul Aziz Medical City - AlRiyadh ( Site 1705)Recruiting
- King Salman bin Abdulaziz hospital - Al Riyadh ( Site 1720)Recruiting
- King Salman bin Abdulaziz hospital Al Riyadh ( Site 1710)Recruiting
- King Abdul Aziz Medical City. National Guard Health Affairs ( Site 1715)Recruiting
- I. U. Cerrahpasa Tip Fakultesi ( Site 2406)Recruiting
- Cukurova Uni. Tip Fakultesi ( Site 2403)Recruiting
- Ankara Bilkent Şehir Hastanesi-Çocuk Hastanesi, Çocuk Endokrinoloji ( Site 2407)Recruiting
- Marmara Üniversitesi Prof. Dr. Asaf Ataseven Hospital ( Site 2400)Recruiting
- Chernivtsi Regional Children Clinical Hospital No. 1-Department of Pediatrics and Medical Genetics (
- SI Dnipropetrovsk Regional Children Clinical Hospital DOR ( Site 1914)
- MHI Regional Childrens Clinical Hospital ( Site 1908)
- Institute of Children and Adolescents Health Care of the Academy of Medical Sciences ( Site 1915)
- Ukr Center of Endocrine Surgery and Transplatation MOH Ukraine ( Site 1903)
- Medical Center Verum ( Site 1913)
- Institute of Endocrinology and Metabolism n.a. Komissarenko ( Site 1905)
- Odessa Regional Children Clinical Hospital ( Site 1912)
- Vinnitsa Regional Endocrinology Dispensary, VNMU n.a. M.I.Pyrogov ( Site 1901)
- Dubai Diabetes Center ( Site 2002)
- Mustafa Al Qaysi Medical Centre ( Site 2010)Recruiting
- Mediclinic City Hospital ( Site 2005)
- Al Jalila Children s Specialty Hospital ( Site 2004)Recruiting
- Thumbay University Hospital ( Site 2001)Recruiting
- Rashid Center For Diabetes and Research ( Site 2006)Recruiting
- Royal London Hospital (Whitechapel) ( Site 2100)
- Chelsea and Westminster Hospital ( Site 2103)
- West Middlesex University Hospital ( Site 2104)
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Ertugliflozin 5 mg/5 mg
Ertugliflozin 5 mg/15 mg
Placebo
All participants will initially receive ertugliflozin (ERTU) 5 mg once daily (QD) and placebo to ERTU 15 mg QD for 12 weeks. At the second randomization at Week 12 (WK12), all participants that do not meet the up-titration criteria will remain on ERTU 5 mg and placebo to ERTU 15 mg from WK12 to WK54. Approximately half the participants who meet the up-titration criteria at the second randomization at WK12 will also remain on ERTU 5 mg and placebo to ERTU 15 mg from WK12 to WK54. Note: For participants not on insulin, the up-titration criterion at the second randomization at WK12 is HbA1C ≥7.0% (53 mmol/mol) and for participants on insulin, a fasting fingerstick glucose (FFSG) of ≥110 mg/dL (6.1 mmol/L) will be required in addition to HbA1C ≥7.0% (53 mmol/mol). Participants will remain on their background metformin with/without insulin treatment throughout the study.
All participants will initially receive ERTU 5 mg QD and placebo to ERTU 15 mg QD for 12 weeks. At the second randomization at WK12, approximately half the participants who meet the up-titration criteria at the second randomization will up-titrate to ERTU 15 mg and placebo to ERTU 5 mg from WK12 to WK54. Note: For participants not on insulin, the up-titration criterion at the second randomization at WK12 is HbA1C ≥7.0% (53 mmol/mol) and for participants on insulin, a FFSG of ≥110 mg/dL (6.1 mmol/L) will be required in addition to HbA1C ≥7.0% (53 mmol/mol). Participants will remain on their background metformin with/without insulin treatment throughout the study.
At the first randomization, participants receive placebo to ERTU 5 mg and placebo to ERTU 15 mg QD for 12 weeks. Participants in the placebo group with HbA1C ≥7.0% (53 mmol/mol) at WK12 will be mock titrated. Note: The up-titration criteria for participants on insulin will include a FFSG of ≥110 mg/dL (6.1 mmol/L) in addition to HbA1C ≥7.0% (53 mmol/mol) at WK12. Participants will continue to receive placebo to ERTU 5 mg and placebo to ERTU 15 mg QD from WK24 to WK54. Participants will remain on their background metformin with/without insulin treatment throughout the study.