Ertugliflozin for Pediatric Type 2 Diabetes

Recruiting in Palo Alto (17 mi)

+112 other locations

Age: < 18

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Phase 3

Waitlist Available

Sponsor: Merck Sharp & Dohme Corp.

Pivotal Trial (Near Approval)

Prior Safety Data

Trial Summary

What is the purpose of this trial?

This study will evaluate the safety and efficacy of ertugliflozin (MK-8835) in pediatric participants with T2DM on metformin with/without insulin. The primary hypothesis of the study is that the addition of ertugliflozin reduces hemoglobin A1C (HbA1C) more than the addition of placebo after 24 weeks of treatment.

Research Team

Medical Director

Principal Investigator

Merck Sharp & Dohme LLC

Eligibility Criteria

This trial is for children with Type 2 diabetes who are overweight or have been diagnosed for at least 2 years. They must be on a stable dose of metformin, possibly with insulin, and agree to use contraception if sexually active. It's not for those with Type 1 diabetes, known sensitivity to SGLT2 inhibitors, severe hypoglycemia history on insulin, pregnant or breastfeeding females, or anyone needing immediate hyperglycemia treatment.

Inclusion Criteria

I have had type 2 diabetes for 2 or more years, or if less, my C-peptide level is above 0.6 ng/mL.

I have been on a stable dose of metformin (≥1500 mg/day) for at least 8 weeks, with or without insulin.

Contraceptive use by male participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

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Exclusion Criteria

I have a genetic form of diabetes or diabetes caused by another condition.

I have taken medication like canagliflozin or been in a study for it.

I need immediate treatment for high blood sugar or ketones in my urine.

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Treatment Details

Interventions

Ertugliflozin (Sodium-glucose cotransporter 2 (SGLT2) inhibitor)
Insulin (Drug)
Metformin (Drug)
Placebo (Drug)

Trial OverviewThe study tests whether adding Ertugliflozin (5 mg or 15 mg) to the current treatment of metformin with/without insulin in kids helps control blood sugar better than a placebo after six months. The main goal is seeing if it lowers hemoglobin A1C levels more effectively.

Participant Groups

3Treatment groups

Experimental Treatment

Placebo Group

Group I: Ertugliflozin 5 mg/5 mgExperimental Treatment4 Interventions

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.

Group II: Ertugliflozin 5 mg/15 mgExperimental Treatment6 Interventions

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.

Group III: PlaceboPlacebo Group2 Interventions

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.

Insulin is already approved in European Union, United States, Canada for the following indications:

🇪🇺 Approved in European Union as Insulin for: