Randomized Sitagliptin Withdrawal Study (MK-0431-845)

Inclusion Criteria:

- Have T2DM based on American Diabetes Association guidelines

- Be on one of the following treatment regimens:

1. Stable dose of sitagliptin (100 mg/day) and metformin IR or XR (metformin) (≥1500
mg/day) either co-administered or as a fixed dose combination (FDC) for ≥12 weeks
with A1C between 7.5% and 11.0%, inclusive.

OR

2. Stable dose of metformin (≥1500 mg/day) and another dipeptidyl peptidase-4
(DPP-4) inhibitor (at maximum labeled dose, other than sitagliptin, either
co-administered or as a FDC, for ≥12 weeks with A1C between 7.5% and 11.0%,
inclusive.

OR

3. Stable dose of sitagliptin (100 mg/day) and metformin (≥1500 mg/day) either
co-administered or as a FDC, and a sulfonylurea for ≥12 weeks OR stable dose of
metformin (≥1500 mg/day) and a sulfonylurea administered as a FDC and sitagliptin
(100 mg/day) with A1C between 7.0% and 10.0%, inclusive.

OR

4. Stable dose of metformin (≥1500 mg/day) and another DPP-4 inhibitor (at maximum
labeled dose), other than sitagliptin, either co-administered or as a FDC, and a
sulfonylurea for ≥12 weeks OR stable dose of metformin (≥1500 mg/day) and a
sulfonylurea administered as a FDC and another DPP-4 inhibitor other than
sitagliptin with A1C between 7.0% and 10.0%, inclusive OR

5. Stable dose of metformin (≥1500 mg/day) and a sulfonylurea either co-administered
or as a FDC for ≥12 weeks with A1C between 7.5% and 11.0%, inclusive.

- Meet one of the following categories:

1. The participant is a male

2. The participant is a female who is not of reproductive potential

3. The participant is a female who is of reproductive potential and agrees to avoid
becoming pregnant while receiving study drug and for 14 days after the last dose
of study drug by practicing abstinence from heterosexual activity OR use (or have
her partner use) acceptable contraception during heterosexual activity

Exclusion Criteria:

- Has been treated with any anti-hyperglycemic agent (AHA) other than protocol-specified
agents (i.e., other than metformin, DPP-4 inhibitor, or sulfonylurea agent) within the
prior 12 weeks.

- Has a history of 2 or more episodes of hypoglycemia resulting in seizure, coma, or
loss of consciousness, OR has had recurrent (≥3 times per week) episodes of
hypoglycemia over the past 8 weeks.

- Has a history of type 1 diabetes mellitus (T1DM) or ketoacidosis, or has a history of
latent autoimmune diabetes of adults (LADA), is assessed by the investigator as
possibly having T1DM or LADA confirmed with a C-peptide <0.7 ng/mL (<0.23 nmol/L), or
has a history of other specific types of diabetes (e.g., genetic syndromes, secondary
pancreatic diabetes, diabetes due to endocrinopathies, drug- or chemical-induced, or
post-organ transplant).

- Is assessed by the investigator to be not appropriate for, or does not agree to
target, a fasting glucose of 72-100 mg/dL (4.0-5.6 mmol/L).