PMID- 21472661 OWN - NLM STAT- MEDLINE DCOM- 20111109 LR - 20141120 IS - 1439-3646 (Electronic) IS - 0947-7349 (Linking) VI - 119 IP - 7 DP - 2011 Jul TI - A Dose-Ranging Study of the DPP-IV Inhibitor PF-734200 Added to Metformin in Subjects With Type 2 Diabetes*. PG - 401-7 LID - 10.1055/s-0031-1273737 [doi] AB - The purpose of this phase 2, multicentre, randomized, double-blind, placebo-controlled, 12-week dose-ranging study was to assess the efficacy, safety, and tolerability of the dipeptidyl peptidase-IV (DPP-IV) inhibitor PF-734200 in adult subjects with type 2 diabetes who were on a stable dose of metformin. Men and women with inadequate glycaemic control with metformin as their sole diabetes medication were randomized to placebo or PF-734200 2 mg, 5 mg, 10 mg, or 20 mg every day. A population subset underwent mixed meal tolerance tests (MMTT) at baseline and week 12. A total of 301 subjects were treated. At week 12, PF-734200 doses of >/=5 mg produced a statistically significant reduction in haemoglobin A (1C) (HbA (1c)) compared with placebo. The mean (95% confidence interval) placebo-adjusted changes in HbA (1c) were -0.31% (-0.70 to 0.08), -0.74% (-1.12 to -0.36), -0.70% (-1.02 to -0.38), and -0.75% (-1.07 to -0.43) for the 2 mg, 5 mg, 10 mg, and 20 mg doses, respectively. PF-734200 20 mg significantly reduced glucose area under the curve following MMTT (-12.8% [-22.9 to -2.7]; p=0.003) compared with placebo. The reductions observed with other doses were not statistically significant. PF-734200 was safe and well tolerated at all doses tested when added to metformin. PF-734200 safely and effectively lowered HbA (1c) in subjects receiving metformin. The 20 mg dose provided the greatest improvements in post-prandial glucose. CI - (c) J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart . New York. FAU - Terra, S G AU - Terra SG AD - Pfizer Global Research and Development, New London, Connecticut, USA. steven.g.terra@pfizer.com FAU - Somayaji, V AU - Somayaji V FAU - Schwartz, S AU - Schwartz S FAU - Lewin, A J AU - Lewin AJ FAU - Teeter, J G AU - Teeter JG FAU - Dai, H AU - Dai H FAU - Nguyen, T T AU - Nguyen TT FAU - Calle, R A AU - Calle RA LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110406 PL - Germany TA - Exp Clin Endocrinol Diabetes JT - Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association JID - 9505926 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Protease Inhibitors) RN - 0 (Pyrimidines) RN - 0 (Pyrrolidines) RN - 9100L32L2N (Metformin) RN - EC 3.4.14.5 (DPP4 protein, human) RN - EC 3.4.14.5 (Dipeptidyl Peptidase 4) RN - GI718UO477 (gosogliptin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Blood Glucose/metabolism MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - *Dipeptidyl Peptidase 4 MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Humans MH - Hypoglycemic Agents/*administration & dosage/adverse effects MH - Male MH - Metformin/*administration & dosage/adverse effects MH - Middle Aged MH - Protease Inhibitors/*administration & dosage/adverse effects MH - Pyrimidines/*administration & dosage/adverse effects MH - Pyrrolidines/*administration & dosage/adverse effects EDAT- 2011/04/08 06:00 MHDA- 2011/11/10 06:00 CRDT- 2011/04/08 06:00 PHST- 2011/04/08 06:00 [entrez] PHST- 2011/04/08 06:00 [pubmed] PHST- 2011/11/10 06:00 [medline] AID - 10.1055/s-0031-1273737 [doi] PST - ppublish SO - Exp Clin Endocrinol Diabetes. 2011 Jul;119(7):401-7. doi: 10.1055/s-0031-1273737. Epub 2011 Apr 6.