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Trial · NCT01488279

Effect of Sitagliptin on Short-Term Metabolic Dysregulation of Oral Glucocorticoid Therapy

NCT01488279, Not applicable, Completed, University of Vermont; results first posted 2018-02-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Effect of Sitagliptin on Short-Term Metabolic Dysregulation of Oral Glucocorticoid Therapy. Trials, record NCT01488279. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01488279

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Effect of Sitagliptin on Short-Term Metabolic Dysregulation of Oral Glucocorticoid Therapy
NCT number
NCT01488279
Status
Completed
Phases
Not applicable
Enrollment
10 participants, actual
Lead sponsor
University of Vermont
Conditions
Pre-diabetes, Impaired Fasting Glucose, Impaired Glucose Tolerance
Interventions
Dexamethasone 2.5 mg and Sitagliptin 100 mg, Dexamethasone 2.5 mg and placebo tablet
First posted
2011-12-08
Last updated
2018-03-12
Results first posted
2018-02-09
Limitations and caveats
Sample size or length of study drug may have been too small

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryInsulin SensitivityMeasured on day #8 (after 8 days of sitagliptin or placebo) followed by a 4 week washout then measured again on day #8 (after 8 days of crossover treatment).
Insulin Sensitivity measured at the end of each treatment period. The primary outcome variable was the difference in the disposition index (DI) determined as the product of the acute insulin response to glucose (AIRg) x the insulin sensitivity index (SI) in subjects during IVGTT on the 8th day (after 7 days) of on dex + placebo, then a after a washout of approximately 4 weeks, participants crossed over to dex + sitagliptin 100 mg x 7 days. Subjects were randomized to order of medication. The primary analyses will be an ANCOVA, including baseline responses as a covariate.
SecondaryChange in Active GIPActive GIP would have been measured during MTT after 1 week of dex + sitagliptin and again after 1 week of dex + placebo, but we did not measure active GIP
We had planned to measure the difference or change in active GIP in response to the MTT between the 2 study drug periods: on sitagliptin versus on placebo. However, when other measures were negative, we opted not to pursue this lab assay for cost and time. We did not perform measures of GIP.
SecondaryChange in Active GLP-1Active GLP-1 would have been measured during MTT after 1 week of dex + sitagliptin and again after 1 week of dex + placebo, but we did not measure active GLP-1
As with GIP, we had planned to measure the difference or change in active GLP-1 in response to the MTT between the 2 study drug periods: on sitagliptin versus on placebo. We had hypothesized that GIP and GLP-1 would be elevated while on the DPP4 inhibitor compared to placebo as this is the mechanism of action of the drug sitagliptin. When other measures were negative, we elected not to pursue this due to time and cost.
SecondaryChange in Glucose Response
measured on day #9 (after 7 days of study drug and 1 day of IVGTT) of sitagliptin during MTT, then after 4 week washout, measured again on day #9 (after 7 days of study drug + 1 day of IVGTT) of dex + placebo during MTT
Change in glucose response during the MTT. This was the Si (insulin sensitivity). We sought to determine whether there was an improvement in the glucose response after a meal on the DPP4i compared to placebo in the face of steroid (dexamethasone).
SecondaryChange in Insulin Secretion (AIRg or Acute Insulinogenic Response to Glucose)
measured twice: on day #8 (after 7 days of study drug and 1 day of IVGTT) of sitagliptin during MTT, then after 4 week washout, measured again on day #8 (after 7 days of study drug + 1 day of IVGTT) of dex + placebo during MTT
We measured the change in insulin secretion (AIRg or acute insulinogenic response to glucose) during the MTT and compared the insulin secretion on the DPP4 inhibitor (sitagliptin) compared to placebo. We had expected the AIRg to be greater with DPP4i compared to placebo.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYInsulin SensitivityMeasured on day #8 (after 8 days of sitagliptin or placebo) followed by a 4 week washout then measured again on day #8 (after 8 days of crossover treatment).Subjects were randomized to the order to study medication (dex + sitagliptin vs dex + placebo) by the pharmacy in order to keep double blindingratio without unitsMEAN
SECONDARYChange in Active GIPActive GIP would have been measured during MTT after 1 week of dex + sitagliptin and again after 1 week of dex + placebo, but we did not measure active GIPWe did not measure GIP
SECONDARYChange in Active GLP-1Active GLP-1 would have been measured during MTT after 1 week of dex + sitagliptin and again after 1 week of dex + placebo, but we did not measure active GLP-1We did not measure GLP-1
SECONDARYChange in Glucose Response
measured on day #9 (after 7 days of study drug and 1 day of IVGTT) of sitagliptin during MTT, then after 4 week washout, measured again on day #9 (after 7 days of study drug + 1 day of IVGTT) of dex + placebo during MTT
response x 10000 / minute / microUnit/mlLEAST_SQUARES_MEAN
SECONDARYChange in Insulin Secretion (AIRg or Acute Insulinogenic Response to Glucose)
measured twice: on day #8 (after 7 days of study drug and 1 day of IVGTT) of sitagliptin during MTT, then after 4 week washout, measured again on day #8 (after 7 days of study drug + 1 day of IVGTT) of dex + placebo during MTT
pmol/lLEAST_SQUARES_MEAN

Results by group6

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Insulin SensitivitySitagliptin1835.4Standard Error 340.0ratio without units
Insulin SensitivityPlacebo1846.0Standard Error 340.0ratio without units
Change in Glucose ResponseSitagliptin4.219Standard Error 1.368response x 10000 / minute / microUnit/ml
Change in Glucose ResponsePlacebo4.228Standard Error 1.368response x 10000 / minute / microUnit/ml
Change in Insulin Secretion (AIRg or Acute Insulinogenic Response to Glucose)Sitagliptin519.6Standard Error 0.460pmol/l
Change in Insulin Secretion (AIRg or Acute Insulinogenic Response to Glucose)Placebo558.6Standard Error 35.3pmol/l

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSitagliptin, Then Placebo5
Overall StudySTARTEDPlacebo, Then Sitaglipton5
Overall StudyCOMPLETEDSitagliptin, Then Placebo5
Overall StudyCOMPLETEDPlacebo, Then Sitaglipton5
Overall StudyNOT COMPLETEDSitagliptin, Then Placebo0
Overall StudyNOT COMPLETEDPlacebo, Then Sitaglipton0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySitagliptin, Then Placebo
Total, all-cause mortalityPlacebo, Then Sitagliptin
Total, other adverse eventsSitagliptin, Then Placebo05
Total, other adverse eventsPlacebo, Then Sitagliptin05
Total, serious adverse eventsSitagliptin, Then Placebo05
Total, serious adverse eventsPlacebo, Then Sitagliptin05

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Sitagliptin, Then Placebo vs Placebo, Then Sitagliptin: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01488279

GET https://conductscience.org/api/trials/v1/NCT01488279/registered