Efficacy and Safety of Sotagliflozin Versus Placebo in Patients With Type 2 Diabetes Mellitus Not Currently Treated With Antidiabetic Therapy

NCT ID: NCT02926937

Last Updated: 2021-06-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

399 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-11

Study Completion Date

2019-05-17

Brief Summary

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Primary Objective:

To demonstrate the superiority of Sotagliflozin 400 milligrams (mg) versus placebo on hemoglobin A1c (HbA1c) reduction in participants with type 2 diabetes (T2D) who have inadequate glycemic control on diet and exercise.

Secondary Objectives:

* To compare Sotagliflozin 400 mg versus placebo based on:
* Change from baseline in 2-hour postprandial glucose (PPG) following a mixed meal.
* Change from baseline in fasting plasma glucose (FPG).
* Change from baseline in systolic blood pressure (SBP) for participants with baseline SBP ≥130 millimeter per mercury (mmHg).
* Change from baseline in SBP for all participants.
* Change from baseline in body weight.
* Proportion of participants with HbA1c \<6.5%, \<7.0%.
* To compare Sotagliflozin 200 mg versus placebo based on:
* Change from baseline in HbA1c.
* Change from baseline in 2-hour postprandial glucose (PPG) following a mixed meal.
* Change from baseline in body weight.
* Change from baseline in SBP for all participants.
* To evaluate the safety of Sotagliflozin 400 and 200 mg versus placebo.

Detailed Description

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Up to 34 weeks, including a Screening Period consisting of a Screening Phase of up to 2 weeks and a 2-week single-blind placebo Run-in Phase, a 26-week double-blind Treatment Period, and a 4-week post-treatment Follow-up visit to collect safety information.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sotagliflozin 400 mg

Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 milligrams (mg) administered as two 200 mg tablets, once daily (QD), before the first meal of the day in the double-blind treatment period for up to 26 weeks.

Group Type EXPERIMENTAL

Sotagliflozin (SAR439954)

Intervention Type DRUG

Pharmaceutical form: tablet;

Route of administration: oral

Sotagliflozin 200 mg

Following a 2-week run-in period, participants were randomized to Sotagliflozin 200 mg administered as 1 Sotagliflozin tablet and 1 matching placebo tablet, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.

Group Type EXPERIMENTAL

Sotagliflozin (SAR439954)

Intervention Type DRUG

Pharmaceutical form: tablet;

Route of administration: oral

Placebo

Intervention Type DRUG

Pharmaceutical form: tablet;

Route of administration: oral

Placebo

Following a 2-week run-in period, participants were randomized to matching placebo to sotagliflozin administered as 2 tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: tablet;

Route of administration: oral

Interventions

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Sotagliflozin (SAR439954)

Pharmaceutical form: tablet;

Route of administration: oral

Intervention Type DRUG

Placebo

Pharmaceutical form: tablet;

Route of administration: oral

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants (male and female) with T2D, who are treated with diet and exercise only during the 12 weeks prior to screening.
* Signed written informed consent.

Exclusion Criteria

* Age \<18 years at Screening or \< legal age of majority, whichever is greater.
* Type 1 diabetes mellitus.
* Body Mass Index (BMI) ≤20 or \>45 kilogram per meter square (kg/m\^2) at Screening.
* Hemoglobin A1c (HbA1c) \<7% or \>10% via central laboratory test at Screening.
* Fasting plasma glucose (FPG) \>15 millimole per liter (mmol/L) (270 milligram per deciliter \[mg/dL\]) measured by the central laboratory at screening (Visit 1) and confirmed by a repeat test (\>15 mmol/L \[270 mg/dL\]) before randomization.
* Women of childbearing potential not willing to use highly effective contraceptive method(s) of birth control during the study treatment period and the follow up period or who are unwilling or unable to be tested for pregnancy during the study.
* Treated with an antidiabetic pharmacological agent within the 12 weeks prior to the Screening Visit.
* Previous use of any types of insulin for \>1 month (at any time, except for treatment of gestational diabetes).
* History of gastric surgical procedure including gastric banding within 3 years before the Screening Visit.
* History of diabetic ketoacidosis or nonketotic hyperosmolar coma within 12 weeks prior to the Screening Visit.
* Mean of 3 separate blood pressure measurements \>180 millimeter of mercury (mmHg) (systolic) or \>100 mmHg (diastolic).
* History of hypertensive emergency within 12 weeks prior to Screening.
* Participants with severe anemia, severe cardiovascular (including congestive heart failure New York Heart Association \[NYHA\] IV), respiratory, hepatic, neurological, psychiatric, or active malignant tumor or other major systemic disease or participants with short life expectancy that, according to the Investigator, will preclude their safe participation in this study, or will make implementation of the protocol or interpretation of the study results difficult.
* Aspartate aminotransferase and/or alanine aminotransferase: \>3 times the upper limit of the normal laboratory range.
* Total bilirubin: \>1.5 times the upper limit of the normal laboratory range (except in case of Gilbert's syndrome).
* Use of systemic glucocorticoids (excluding topical or ophthalmic application or inhaled forms) for more than 10 consecutive days within 90 days prior to the Screening Visit.
* Participants who has taken other investigational drugs or prohibited therapy for this study within 12 weeks or 5 half-lives from screening or randomization, whichever is longer. Current enrollment in any other clinical study involving an investigational study treatment or any other type of medical research.
* Pregnant (confirmed by serum pregnancy test at Screening) or breastfeeding women.
* Severe renal disease as defined by estimated glomerular filtration rate (eGFR) of \<30 millimeter per minute (mL/min)/1.73 meter square (m\^2)² at screening by the 4 variable Modification of Diet in Renal Disease (MDRD) equation.
* Participant is unwilling or unable to perform self-monitoring of blood glucose (SMBG), complete the participants diary, or comply with study visits and other study procedures as required per protocol.
* Lower extremity complications (such as skin ulcers, infection, osteomyelitis and gangrene) identified during the Screening period, and still requiring treatment at Randomization.

The above information is not intended to contain all considerations relevant to a Participant potential participation in a clinical trial.
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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Suman Wason, MD

Role: STUDY_DIRECTOR

Lexicon Pharmaceuticals, Inc.

Locations

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Investigational Site Number 8401049

Tucson, Arizona, United States

Site Status

Investigational Site Number 8401026

Tucson, Arizona, United States

Site Status

Investigational Site Number 8401028

Anaheim, California, United States

Site Status

Investigational Site Number 8401057

Canoga Park, California, United States

Site Status

Investigational Site Number 8401058

Garden Grove, California, United States

Site Status

Investigational Site Number 8401029

Hawaiian Gardens, California, United States

Site Status

Investigational Site Number 8401017

Huntington Park, California, United States

Site Status

Investigational Site Number 8401056

Long Beach, California, United States

Site Status

Investigational Site Number 8401013

Long Beach, California, United States

Site Status

Investigational Site Number 8401063

Los Angeles, California, United States

Site Status

Investigational Site Number 8401011

Los Angeles, California, United States

Site Status

Investigational Site Number 8401022

Montclair, California, United States

Site Status

Investigational Site Number 8401039

Norwalk, California, United States

Site Status

Investigational Site Number 8401035

San Dimas, California, United States

Site Status

Investigational Site Number 8401025

Tustin, California, United States

Site Status

Investigational Site Number 8401015

Van Nuys, California, United States

Site Status

Investigational Site Number 8401031

Denver, Colorado, United States

Site Status

Investigational Site Number 8401060

Northglenn, Colorado, United States

Site Status

Investigational Site Number 8401024

Bradenton, Florida, United States

Site Status

Investigational Site Number 8401040

Clearwater, Florida, United States

Site Status

Investigational Site Number 8401014

Daytona Beach, Florida, United States

Site Status

Investigational Site Number 8401007

Hialeah, Florida, United States

Site Status

Investigational Site Number 8401046

Homestead, Florida, United States

Site Status

Investigational Site Number 8401018

Miami, Florida, United States

Site Status

Investigational Site Number 8401008

Miami, Florida, United States

Site Status

Investigational Site Number 8401053

Orlando, Florida, United States

Site Status

Investigational Site Number 8401062

Palm Harbor, Florida, United States

Site Status

Investigational Site Number 8401061

West Palm Beach, Florida, United States

Site Status

Investigational Site Number 8401033

Atlanta, Georgia, United States

Site Status

Investigational Site Number 8401044

Chicago, Illinois, United States

Site Status

Investigational Site Number 8401052

Newton, Iowa, United States

Site Status

Investigational Site Number 8401016

West Des Moines, Iowa, United States

Site Status

Investigational Site Number 8401034

Wichita, Kansas, United States

Site Status

Investigational Site Number 8401038

Lake Charles, Louisiana, United States

Site Status

Investigational Site Number 8401042

Fayetteville, North Carolina, United States

Site Status

Investigational Site Number 8401012

Greensboro, North Carolina, United States

Site Status

Investigational Site Number 8401048

Akron, Ohio, United States

Site Status

Investigational Site Number 8401003

Marion, Ohio, United States

Site Status

Investigational Site Number 8401020

Corvallis, Oregon, United States

Site Status

Investigational Site Number 8401006

Eugene, Oregon, United States

Site Status

Investigational Site Number 8401041

Levittown, Pennsylvania, United States

Site Status

Investigational Site Number 8401051

Anderson, South Carolina, United States

Site Status

Investigational Site Number 8401002

Greer, South Carolina, United States

Site Status

Investigational Site Number 8401005

Fort Worth, Texas, United States

Site Status

Investigational Site Number 8401019

Houston, Texas, United States

Site Status

Investigational Site Number 8401050

Houston, Texas, United States

Site Status

Investigational Site Number 8401037

Katy, Texas, United States

Site Status

Investigational Site Number 8401043

McAllen, Texas, United States

Site Status

Investigational Site Number 8401059

North Richland Hills, Texas, United States

Site Status

Investigational Site Number 8401004

San Antonio, Texas, United States

Site Status

Investigational Site Number 8401054

San Antonio, Texas, United States

Site Status

Investigational Site Number 8401001

San Antonio, Texas, United States

Site Status

Investigational Site Number 8401055

Schertz, Texas, United States

Site Status

Investigational Site Number 8401023

Sugar Land, Texas, United States

Site Status

Investigational Site Number 8401032

Chesapeake, Virginia, United States

Site Status

Investigational Site Number 8401010

Suffolk, Virginia, United States

Site Status

Investigational Site Number 1241002

Sherbrooke, , Canada

Site Status

Investigational Site Number 1241005

Toronto, , Canada

Site Status

Investigational Site Number 1241001

Toronto, , Canada

Site Status

Investigational Site Number 1241006

Vancouver, , Canada

Site Status

Investigational Site Number 4841006

Aguascalientes, , Mexico

Site Status

Investigational Site Number 4841010

Aguascalientes, , Mexico

Site Status

Investigational Site Number 4841003

Cd. México, México, , Mexico

Site Status

Investigational Site Number 4841004

Chihuahua City, , Mexico

Site Status

Investigational Site Number 4841001

Culiacán, , Mexico

Site Status

Investigational Site Number 4841005

Durango, Durango, , Mexico

Site Status

Investigational Site Number 4841009

Guadalajara, , Mexico

Site Status

Investigational Site Number 4841007

México, , Mexico

Site Status

Investigational Site Number 4841008

Monterrey, , Mexico

Site Status

Investigational Site Number 4841002

Monterrey, Nuevo León, , Mexico

Site Status

Countries

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United States Canada Mexico

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-001799-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1180-6169

Identifier Type: OTHER

Identifier Source: secondary_id

EFC14833

Identifier Type: -

Identifier Source: org_study_id

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