Sitagliptin (Januvia)

DPP-4 inhibitor · DPP-4 class · oral smd · Merck

Top dose
100 mg
HbA1c reduction
-0.79%
at week 24 · efficacy
AE discontinuation
2.5%
Status
approved

Pivotal trial

Trial
Monotherapy (HbA1c)
Indication
type 2 diabetes
Duration
24 weeks
ClinicalTrials.gov
NCT00094770
Sponsor
Merck

Notes

Januvia: the flagship and best-selling DPP-4 inhibitor. Weight-neutral, well-tolerated, modest HbA1c effect (~-0.8%). Cardiovascular-neutral (TECOS). Off-patent; the class is in structural decline as incretins take share.

Publication

Diabetologia 2006