Trial Outcomes & Findings for Efficacy and Safety of Sotagliflozin Versus Placebo in Patients With Type 2 Diabetes Mellitus Not Currently Treated With Antidiabetic Therapy (NCT NCT02926937)

NCT ID: NCT02926937

Last Updated: 2021-06-21

Results Overview

An analysis of covariance (ANCOVA) model was used for the analysis.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

399 participants

Primary outcome timeframe

Baseline to Week 26

Results posted on

2021-06-21

Participant Flow

Participants took part in the study at 70 investigative sites in the United States, Canada, Mexico, from 11 November 2016 to 17 May 2019.

Participants with a diagnosis of Type 2 Diabetes Mellitus were enrolled in 1 of 3 treatment groups: Placebo, Sotagliflozin 400 milligrams (mg) or Sotagliflozin 200 mg.

Participant milestones

Participant milestones
Measure
Placebo
Following a 2-week run-in period, participants were randomized to matching placebo to sotagliflozin administered as 2 tablets, once daily (QD), before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Sotagliflozin 400 mg
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
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.
Overall Study
STARTED
150
142
107
Overall Study
COMPLETED
131
127
96
Overall Study
NOT COMPLETED
19
15
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Following a 2-week run-in period, participants were randomized to matching placebo to sotagliflozin administered as 2 tablets, once daily (QD), before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Sotagliflozin 400 mg
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
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.
Overall Study
Adverse Event
0
1
1
Overall Study
Poor Compliance to Protocol
1
0
0
Overall Study
Lost to Follow-up
4
5
0
Overall Study
At the Participant's own Request
11
5
8
Overall Study
Reason not Specified
3
4
2

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Sotagliflozin 200 mg
n=107 Participants
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.
Total
n=399 Participants
Total of all reporting groups
Age, Continuous
55.3 years
STANDARD_DEVIATION 11.2 • n=5 Participants
54.7 years
STANDARD_DEVIATION 11.2 • n=7 Participants
52.3 years
STANDARD_DEVIATION 11.4 • n=5 Participants
54.3 years
STANDARD_DEVIATION 11.3 • n=4 Participants
Sex: Female, Male
Female
72 Participants
n=5 Participants
68 Participants
n=7 Participants
53 Participants
n=5 Participants
193 Participants
n=4 Participants
Sex: Female, Male
Male
78 Participants
n=5 Participants
74 Participants
n=7 Participants
54 Participants
n=5 Participants
206 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
99 Participants
n=5 Participants
85 Participants
n=7 Participants
69 Participants
n=5 Participants
253 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
51 Participants
n=5 Participants
57 Participants
n=7 Participants
36 Participants
n=5 Participants
144 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
12 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
18 Participants
n=4 Participants
Race (NIH/OMB)
Asian
9 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
24 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
17 Participants
n=5 Participants
18 Participants
n=7 Participants
12 Participants
n=5 Participants
47 Participants
n=4 Participants
Race (NIH/OMB)
White
112 Participants
n=5 Participants
117 Participants
n=7 Participants
77 Participants
n=5 Participants
306 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
Canada
11 participants
n=5 Participants
13 participants
n=7 Participants
7 participants
n=5 Participants
31 participants
n=4 Participants
Region of Enrollment
United States
96 participants
n=5 Participants
100 participants
n=7 Participants
63 participants
n=5 Participants
259 participants
n=4 Participants
Region of Enrollment
Mexico
43 participants
n=5 Participants
29 participants
n=7 Participants
37 participants
n=5 Participants
109 participants
n=4 Participants
Hemoglobin A1c (HbA1c)
8.11 percentage of HbA1c
STANDARD_DEVIATION 0.88 • n=5 Participants
8.14 percentage of HbA1c
STANDARD_DEVIATION 0.92 • n=7 Participants
8.00 percentage of HbA1c
STANDARD_DEVIATION 0.81 • n=5 Participants
8.09 percentage of HbA1c
STANDARD_DEVIATION 0.87 • n=4 Participants
Systolic Blood Pressure (SBP)
127.27 millimeter of mercury (mmHg)
STANDARD_DEVIATION 13.08 • n=5 Participants
128.70 millimeter of mercury (mmHg)
STANDARD_DEVIATION 4.80 • n=7 Participants
128.08 millimeter of mercury (mmHg)
STANDARD_DEVIATION 13.08 • n=5 Participants
128.00 millimeter of mercury (mmHg)
STANDARD_DEVIATION 13.70 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the Intent-to-treat (ITT) population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An analysis of covariance (ANCOVA) model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in Hemoglobin A1c (HbA1c) at Week 26 (Sotagliflozin 400 mg Versus Placebo)
-0.34 percentage of HbA1c
Standard Error 0.120
-1.03 percentage of HbA1c
Standard Error 0.122

SECONDARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in 2-hour Postprandial Plasma Glucose (PPG) Following a Mixed Meal at Week 26 (Sotagliflozin 400 mg Versus Placebo)
-0.591 millimole per liter (mmol/L)
Standard Error 0.1943
-1.156 millimole per liter (mmol/L)
Standard Error 0.1964

SECONDARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 200 mg and Placebo under Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=110 Participants
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.
Sotagliflozin 400 mg
n=107 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in 2-hour Postprandial Plasma Glucose (PPG) Following a Mixed Meal at Week 26 (Sotagliflozin 200 mg Versus Placebo)
-0.500 mmol/L
Standard Error 0.2443
-0.847 mmol/L
Standard Error 0.2477

SECONDARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1.Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26 (Sotagliflozin 400 mg Versus Placebo)
-0.201 mmol/L
Standard Error 0.2739
-1.756 mmol/L
Standard Error 0.2719

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: Analysis was performed on participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1 with Baseline SBP ≥130 mmHg. Missing data are imputed using washout imputation method under the missing not at random framework. This Outcome Measure was pre-specified in the protocol to be assessed in the Placebo and Sotagliflozin 400 mg arms.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=55 Participants
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.
Sotagliflozin 400 mg
n=48 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in Systolic Blood Pressure (SBP) at Week 12 in Participants With Baseline SBP ≥130 Millimeter of Mercury (mmHg) (Sotagliflozin 400 mg Versus Placebo)
-4.45 mmHg
Standard Error 2.419
-7.96 mmHg
Standard Error 2.282

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in SBP at Week 12 for All Participants (Sotagliflozin 400 mg Versus Placebo)
-0.57 mmHg
Standard Error 1.088
-1.35 mmHg
Standard Error 1.116

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: Participants in the ITT population who were randomized to Sotagliflozin 200 mg and Placebo under Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=110 Participants
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.
Sotagliflozin 400 mg
n=107 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in SBP at Week 12 for All Participants (Sotagliflozin 200 mg Versus Placebo)
-1.62 mmHg
Standard Error 1.215
-4.82 mmHg
Standard Error 1.211

SECONDARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in Body Weight at Week 26 (Sotagliflozin 400 mg Versus Placebo)
-0.79 kilogram (Kg)
Standard Error 0.373
-2.33 kilogram (Kg)
Standard Error 0.379

SECONDARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 200 mg and Placebo under Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=110 Participants
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.
Sotagliflozin 400 mg
n=107 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in Body Weight at Week 26 (Sotagliflozin 200 mg Versus Placebo)
-0.52 kg
Standard Error 0.509
-1.69 kg
Standard Error 0.518

SECONDARY outcome

Timeframe: Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1. This Outcome Measure was pre-specified in the protocol to be assessed in the Placebo and Sotagliflozin 400 mg arms.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Percentage of Participants With HbA1c <6.5% at Week 26 (Sotagliflozin 400 mg Versus Placebo)
10.7 percentage of participants
23.2 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1. This Outcome Measure was pre-specified in the protocol to be assessed in the Placebo and Sotagliflozin 400 mg arms.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Percentage of Participants With HbA1c <7.0% at Week 26 (Sotagliflozin 400 mg Versus Placebo)
28.0 percentage of participants
47.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 200 mg and Placebo under Protocol Amendment 1. Missing data are imputed using washout imputation method under the missing not at random framework.

An ANCOVA model was used for the analysis.

Outcome measures

Outcome measures
Measure
Placebo
n=110 Participants
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.
Sotagliflozin 400 mg
n=107 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Change From Baseline in HbA1c at Week 26 (Sotagliflozin 200 mg Versus Placebo)
-0.26 percentage of HbA1c
Standard Error 0.143
-0.93 percentage of HbA1c
Standard Error 0.148

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 400 mg and Placebo under original Protocol and Protocol Amendment 1.

Percentage of participants with hypoglycemic events are reported for the following 3 categories: Any hypoglycemia (as reported in the Electronic Case Report Form); Documented symptomatic hypoglycemia \[typical symptoms of hypoglycemia (increased sweating, nervousness, asthenia/weakness, tremor, dizziness, increased appetite, palpitations, headache, sleep disorder, confusion, seizures, unconsciousness, and/or coma) and plasma glucose ≤70 mg/dL (3.9 mmol/L)\]; Severe \[an event requiring assistance of another person to actively administer carbohydrate, glucagon, intravenous glucose or other resuscitative actions\] or documented symptomatic hypoglycemia \[typical symptoms of hypoglycemia and plasma glucose ≤70 mg/dL\]. Participants may be reported in more than one category.

Outcome measures

Outcome measures
Measure
Placebo
n=150 Participants
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.
Sotagliflozin 400 mg
n=142 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Percentage of Participants With Hypoglycemic Events (Sotagliflozin 400 mg Versus Placebo)
Any hypoglycemia
2.7 percentage of participants
2.1 percentage of participants
Percentage of Participants With Hypoglycemic Events (Sotagliflozin 400 mg Versus Placebo)
Documented symptomatic hypoglycemia
1.3 percentage of participants
0.7 percentage of participants
Percentage of Participants With Hypoglycemic Events (Sotagliflozin 400 mg Versus Placebo)
Severe or documented symptomatic hypoglycemia
1.3 percentage of participants
0.7 percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 26

Population: Participants in the ITT population who were randomized to Sotagliflozin 200 mg and Placebo under Protocol Amendment 1.

Percentage of participants with hypoglycemic events are reported for the following 3 categories: Any hypoglycemia (as reported in the Electronic Case Report Form); Documented symptomatic hypoglycemia \[typical symptoms of hypoglycemia (increased sweating, nervousness, asthenia/weakness, tremor, dizziness, increased appetite, palpitations, headache, sleep disorder, confusion, seizures, unconsciousness, and/or coma) and plasma glucose ≤70 mg/dL (3.9 mmol/L)\]; Severe \[an event requiring assistance of another person to actively administer carbohydrate, glucagon, intravenous glucose or other resuscitative actions\] or documented symptomatic hypoglycemia \[typical symptoms of hypoglycemia and plasma glucose ≤70 mg/dL\]. Participants may be reported in more than one category.

Outcome measures

Outcome measures
Measure
Placebo
n=110 Participants
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.
Sotagliflozin 400 mg
n=107 Participants
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Percentage of Participants With Hypoglycemic Events (Sotagliflozin 200 mg Versus Placebo)
Any hypoglycemia
2.7 percentage of participants
1.9 percentage of participants
Percentage of Participants With Hypoglycemic Events (Sotagliflozin 200 mg Versus Placebo)
Documented symptomatic hypoglycemia
0.9 percentage of participants
0.9 percentage of participants
Percentage of Participants With Hypoglycemic Events (Sotagliflozin 200 mg Versus Placebo)
Severe or documented symptomatic hypoglycemia
0.9 percentage of participants
0.9 percentage of participants

Adverse Events

Placebo

Serious events: 3 serious events
Other events: 20 other events
Deaths: 0 deaths

Sotagliflozin 400 mg

Serious events: 3 serious events
Other events: 17 other events
Deaths: 0 deaths

Sotagliflozin 200 mg

Serious events: 2 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=150 participants at risk
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.
Sotagliflozin 400 mg
n=142 participants at risk
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Sotagliflozin 200 mg
n=107 participants at risk
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.
Eye disorders
Retinal detachment
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.70%
1/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Gastrointestinal disorders
Colitis
0.67%
1/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.67%
1/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
0.67%
1/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Injury, poisoning and procedural complications
Multiple fractures
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.93%
1/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.93%
1/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Injury, poisoning and procedural complications
Traumatic haemothorax
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.93%
1/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Injury, poisoning and procedural complications
Traumatic lung injury
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.93%
1/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Psychiatric disorders
Depression
0.67%
1/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Psychiatric disorders
Suicide attempt
0.67%
1/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Renal and urinary disorders
Chronic kidney disease
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.70%
1/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.93%
1/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Vascular disorders
Peripheral artery thrombosis
0.00%
0/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.70%
1/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
0.00%
0/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).

Other adverse events

Other adverse events
Measure
Placebo
n=150 participants at risk
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.
Sotagliflozin 400 mg
n=142 participants at risk
Following a 2-week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg tablets, QD, before the first meal of the day in the double-blind treatment period for up to 26 weeks.
Sotagliflozin 200 mg
n=107 participants at risk
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.
Gastrointestinal disorders
Diarrhoea
3.3%
5/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
6.3%
9/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
4.7%
5/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Infections and infestations
Urinary tract infection
4.7%
7/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
5.6%
8/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
2.8%
3/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
Nervous system disorders
Headache
6.0%
9/150 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
2.8%
4/142 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).
6.5%
7/107 • First dose of study drug to last dose of study drug (up to 26 weeks) + 4 weeks
Safety population included all randomized participants who had received at least one dose of double-blind investigational medicinal product (IMP).

Additional Information

Medical Affairs

Lexicon Pharmaceuticals, Inc,

Phone: 338-6064

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution must provide any proposed publication or presentation to Sponsor for Sponsor's review, comment and approval at least thirty (30) days prior to the proposed submission for publication date or the proposed presentation date. Sponsor shall have the right to have deleted from the final version of the publication any confidential information, proprietary information, or patentable subject matter.
  • Publication restrictions are in place

Restriction type: OTHER