Efficacy, Safety, and Tolerability Study of Sotagliflozin as Adjunct Therapy in Adult Patients With Type 1 Diabetes Mellitus Who Have Inadequate Glycemic Control With Insulin Therapy

NCT ID: NCT02421510

Last Updated: 2020-02-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

782 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2017-06-23

Brief Summary

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This Phase 3 study was intended to demonstrate superiority of either Sotagliflozin high dose or low dose versus placebo on glycosylated hemoglobin A1C (A1C) reduction at Week 24 when used as an adjunct in adult participants with type 1 diabetes mellitus (T1D) who have inadequate glycemic control with insulin therapy.

Detailed Description

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Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Two placebo-matching sotagliflozin tablets, once daily, orally, before the first meal of the day for 24 weeks followed by a 28-week extension period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, once daily, before the first meal of the day

Sotagliflozin 200 mg

Sotagliflozin 200 milligram (mg) (one 200 mg tablet and one placebo tablet), once daily, orally, before the first meal of the day for 24 weeks followed by a 28-week extension period.

Group Type EXPERIMENTAL

Sotagliflozin

Intervention Type DRUG

Low dose Sotagliflozin,once daily, before the first meal of the day

Sotagliflozin 400 mg

Sotagliflozin 400 mg (two 200 mg tablets), once daily, orally, before the first meal of the day for 24 weeks followed by a 28-week extension period.

Group Type EXPERIMENTAL

Sotagliflozin

Intervention Type DRUG

High dose Sotagliflozin, once daily, before the first meal of the day

Interventions

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Sotagliflozin

High dose Sotagliflozin, once daily, before the first meal of the day

Intervention Type DRUG

Sotagliflozin

Low dose Sotagliflozin,once daily, before the first meal of the day

Intervention Type DRUG

Placebo

Placebo, once daily, before the first meal of the day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant who gave written informed consent to participate in the study in accordance with local regulations.
* Adult participants 18 years and older with a diagnosis of T1D made at least 1 year prior to informed consent.
* Participants treated with insulin or insulin analog delivered via continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI).
* Willing and were able to perform Self-monitoring of blood glucose (SMBG) and completed the study diary as required per protocol.
* At the Screening Visit, A1C was between 7.0% to 11.0%.
* Females of childbearing potential must use an adequate method of contraception and have a negative pregnancy test.

Exclusion Criteria

* Use of antidiabetic agent other than insulin or insulin analog at the time of screening.
* Use of sodium-glucose cotransporter (SGLT) inhibitors within 8 weeks prior to screening.
* Chronic systemic corticosteroid use.
* Type 2 diabetes mellitus (T2DM), or severely uncontrolled T1D as determined by the Investigator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Lexicon Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sangeeta Sawhney, M.D.

Role: STUDY_DIRECTOR

Lexicon Pharmaceuticals, Inc.

Locations

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Lexicon Investigational Site

Linz, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Antwerp, , Belgium

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Brussels, , Belgium

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Edegem, , Belgium

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Leuven, , Belgium

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Sint-Niklaas, , Belgium

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Lovech, , Bulgaria

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Plovdiv, , Bulgaria

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Rousse, , Bulgaria

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Smolyan, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Béziers, , France

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Dijon, , France

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Nantes, , France

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Nantes, , France

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Nîmes, , France

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Düsseldorf, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hanover, , Germany

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Mainz, , Germany

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Münster, , Germany

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Neuwied, , Germany

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Gyula, , Hungary

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Hódmezővásárhely, , Hungary

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Zalaegerszeg, , Hungary

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Haifa, , Israel

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Holon, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Tel Aviv, , Israel

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Tel Litwinsky, , Israel

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Ẕerifin, , Israel

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Catania, , Italy

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Milan, , Italy

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Palermo, , Italy

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Perugia, , Italy

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Pisa, , Italy

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Roma, , Italy

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Jonava, , Lithuania

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Kaunas, , Lithuania

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Kaunas, , Lithuania

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Dordrecht, , Netherlands

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Katowice, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Szczecin, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Bacau, , Romania

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Bucharest, , Romania

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Bucharest, , Romania

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Buzău, , Romania

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Galati, , Romania

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Oradea, , Romania

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Sibiu, , Romania

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Târgu Mureş, , Romania

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Bratislava, , Slovakia

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Bratislava, , Slovakia

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Košice, , Slovakia

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Nové Zámky, , Slovakia

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Štúrovo, , Slovakia

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Vrútky, , Slovakia

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Barcelona, , Spain

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Barcelona, , Spain

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Granada, , Spain

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Málaga, , Spain

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Seville, , Spain

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Seville, , Spain

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Seville, , Spain

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Seville, , Spain

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Valencia, , Spain

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Härnösand, , Sweden

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Kristianstad, , Sweden

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Stockholm, , Sweden

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Sankt Gallen, , Switzerland

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Birmingham, , United Kingdom

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Blackburn, , United Kingdom

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Bristol, , United Kingdom

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Glasgow, , United Kingdom

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Leeds, , United Kingdom

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Leicester, , United Kingdom

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Lexicon Investigational Site

Sheffield, , United Kingdom

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Countries

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Austria Belgium Bulgaria France Germany Hungary Israel Italy Lithuania Netherlands Poland Romania Slovakia Spain Sweden Switzerland United Kingdom

References

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Peters AL, McGuire DK, Danne T, Kushner JA, Rodbard HW, Dhatariya K, Sawhney S, Banks P, Jiang W, Davies MJ, Lapuerta P. Diabetic Ketoacidosis and Related Events With Sotagliflozin Added to Insulin in Adults With Type 1 Diabetes: A Pooled Analysis of the inTandem 1 and 2 Studies. Diabetes Care. 2020 Nov;43(11):2713-2720. doi: 10.2337/dc20-0924. Epub 2020 Sep 14.

Reference Type DERIVED
PMID: 32928957 (View on PubMed)

Danne T, Joish VN, Afonso M, Banks P, Sawhney S, Lapuerta P, Davies MJ, Buse JB, Lin D, Reaney M, Guillonneau S, Snoek FJ, Bailey TS, Polonsky WH. Improvement in Patient-Reported Outcomes in Adults with Type 1 Diabetes Treated with Sotagliflozin plus Insulin Versus Insulin Alone. Diabetes Technol Ther. 2021 Jan;23(1):70-77. doi: 10.1089/dia.2020.0068.

Reference Type DERIVED
PMID: 32721228 (View on PubMed)

Ervin C, Joish VN, Evans E, DiBenedetti D, Reaney M, Preblick R, Castro R, Danne T, Buse JB, Lapuerta P. Insights Into Patients' Experience With Type 1 Diabetes: Exit Interviews From Phase III Studies of Sotagliflozin. Clin Ther. 2019 Nov;41(11):2219-2230.e6. doi: 10.1016/j.clinthera.2019.09.003. Epub 2019 Oct 3.

Reference Type DERIVED
PMID: 31587812 (View on PubMed)

Danne T, Cariou B, Buse JB, Garg SK, Rosenstock J, Banks P, Kushner JA, McGuire DK, Peters AL, Sawhney S, Strumph P. Improved Time in Range and Glycemic Variability With Sotagliflozin in Combination With Insulin in Adults With Type 1 Diabetes: A Pooled Analysis of 24-Week Continuous Glucose Monitoring Data From the inTandem Program. Diabetes Care. 2019 May;42(5):919-930. doi: 10.2337/dc18-2149. Epub 2019 Mar 4.

Reference Type DERIVED
PMID: 30833371 (View on PubMed)

Danne T, Cariou B, Banks P, Brandle M, Brath H, Franek E, Kushner JA, Lapuerta P, McGuire DK, Peters AL, Sawhney S, Strumph P. HbA1c and Hypoglycemia Reductions at 24 and 52 Weeks With Sotagliflozin in Combination With Insulin in Adults With Type 1 Diabetes: The European inTandem2 Study. Diabetes Care. 2018 Sep;41(9):1981-1990. doi: 10.2337/dc18-0342. Epub 2018 Jun 24.

Reference Type DERIVED
PMID: 29937431 (View on PubMed)

Other Identifiers

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LX4211.310

Identifier Type: OTHER

Identifier Source: secondary_id

2014-005153-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LX4211.1-310-T1DM

Identifier Type: -

Identifier Source: org_study_id

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