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Sitagliptin + metformin + placebo is a combination regimen used as an active comparator arm in clinical trials, specifically the TRIAD Phase 3 trial sponsored by Eurofarma. It consists of sitagliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor that increases incretin levels to stimulate insulin secretion, and metformin, a biguanide that reduces hepatic glucose production and improves insulin sensitivity. The placebo component is used to maintain the double-blind nature of the study, typically substituting for a third active agent like dapagliflozin. This combination is evaluated for the treatment of type 2 diabetes mellitus in patients with inadequate glycemic control on metformin monotherapy.
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