Efficacy and Safety of Sotagliflozin Versus Placebo in Patients With Type 2 Diabetes Mellitus on Background of Metformin

NCT ID: NCT02926950

Last Updated: 2021-05-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

518 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2019-03-22

Brief Summary

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Primary Objective:

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

Secondary Objectives:

* To compare Sotagliflozin versus placebo for.
* 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 of mercury (mmHg).
* Change from baseline in SBP for all participants.
* Change from baseline in body weight.
* Proportion of participants with HbA1c \<6.5% and \<7.0%.
* To evaluate the safety of Sotagliflozin versus placebo.

Detailed Description

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The duration of the study period is up to 87 weeks, including a Screening Period consisting of a Screening phase of up to 2 weeks and a 2 week single blind Run-in phase, a 26 week double-blind Core Treatment Period, a 53-week double-blind Extension Period, a 4 week post treatment Follow-up period 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 + Metformin

Following a 2-week run-in period, sotagliflozin 400 mg was administered as 2 tablets, once daily, before the first meal of the day plus metformin as prescribed by the Principal Investigator for up to 26 weeks in the double-blind Core Treatment Period, and participants continued the same treatment in the double-blind Extension Period for up to 53 weeks.

Group Type EXPERIMENTAL

Sotagliflozin (SAR439954)

Intervention Type DRUG

Pharmaceutical form: tablet. Route of administration: oral.

Metformin

Intervention Type DRUG

Pharmaceutical form: tablet. Route of administration: oral.

Placebo + Metformin

Following a 2-week run-in period, matching placebo was administered as 2 tablets, once daily, before the first meal of the day plus metformin as prescribed by the Principal Investigator for up to 26 weeks in the double-blind Core Treatment Period, and participants continued the same treatment in the double-blind Extension Period for up to 53 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: tablet. Route of administration: oral.

Metformin

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

Metformin

Pharmaceutical form: tablet. Route of administration: oral.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants with Type 2 Diabetes currently treated with diet and exercise and on metformin at a stable dose ≥1500 milligrams per day (mg/day) for at least 12 weeks. However, participants on metformin at a dose \<1500 mg/day at the time of enrollment (stable dose for at least 12 weeks before enrollment) may be eligible for screening if documentation of lack of tolerance of a metformin dose ≥1500 mg/day can be provided.
* 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 kilograms per meter square (kg/m\^2) at Screening
* Hemoglobin A1c \<7% or \>10% via central laboratory test at screening.
* Fasting plasma glucose (FPG) \>15 millimole per liter (mmol/L) (270 milligrams 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 method(s) of birth control or who are unwilling or unable to be tested for pregnancy during the study.
* Treated with an antidiabetic pharmacological regimen other than metformin ≥1500 mg per day (or maximum tolerated dose) within the 12 weeks preceding the Screening Visit.
* Previous use of any types of insulin for \>1 month (at any time, aside from pregnancy for treatment of gestational diabetes).
* History of prior 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 mmHg (SBP) or \>100 mmHg (diastolic blood pressure \[DBP\]).
* History of hypertensive urgency or 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 making 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.
* Pregnant (confirmed by serum pregnancy test at Screening) or breastfeeding women.
* Participants 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.
* Contraindication to metformin as per local labelling.

The above information is not intended to contain all considerations relevant to a participant's 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 8402003

Birmingham, Alabama, United States

Site Status

Investigational Site Number 8402017

Birmingham, Alabama, United States

Site Status

Investigational Site Number 8402052

Phoenix, Arizona, United States

Site Status

Investigational Site Number 8402056

Canoga Park, California, United States

Site Status

Investigational Site Number 8402020

Escondido, California, United States

Site Status

Investigational Site Number 8402028

Gold River, California, United States

Site Status

Investigational Site Number 8402067

Greenbrae, California, United States

Site Status

Investigational Site Number 8402025

Huntington Park, California, United States

Site Status

Investigational Site Number 8402051

La Mirada, California, United States

Site Status

Investigational Site Number 8402042

Lemon Grove, California, United States

Site Status

Investigational Site Number 8402011

Lincoln, California, United States

Site Status

Investigational Site Number 8402014

Long Beach, California, United States

Site Status

Investigational Site Number 8402066

Long Beach, California, United States

Site Status

Investigational Site Number 8402029

Los Angeles, California, United States

Site Status

Investigational Site Number 8402041

Los Angeles, California, United States

Site Status

Investigational Site Number 8402001

Los Angeles, California, United States

Site Status

Investigational Site Number 8402043

San Diego, California, United States

Site Status

Investigational Site Number 8402031

San Ramon, California, United States

Site Status

Investigational Site Number 8402047

Tarzana, California, United States

Site Status

Investigational Site Number 8402009

Boynton Beach, Florida, United States

Site Status

Investigational Site Number 8402016

Daytona Beach, Florida, United States

Site Status

Investigational Site Number 8402006

Hialeah, Florida, United States

Site Status

Investigational Site Number 8402035

Hialeah, Florida, United States

Site Status

Investigational Site Number 8402044

Hialeah, Florida, United States

Site Status

Investigational Site Number 8402045

Jacksonville, Florida, United States

Site Status

Investigational Site Number 8402026

Miami, Florida, United States

Site Status

Investigational Site Number 8402036

Miami, Florida, United States

Site Status

Investigational Site Number 8402064

Miami, Florida, United States

Site Status

Investigational Site Number 8402007

Miami, Florida, United States

Site Status

Investigational Site Number 8402061

Miami, Florida, United States

Site Status

Investigational Site Number 8402060

Miami Beach, Florida, United States

Site Status

Investigational Site Number 8402033

Opa-locka, Florida, United States

Site Status

Investigational Site Number 8402039

Orlando, Florida, United States

Site Status

Investigational Site Number 8402063

West Palm Beach, Florida, United States

Site Status

Investigational Site Number 8402038

Winter Haven, Florida, United States

Site Status

Investigational Site Number 8402008

Macon, Georgia, United States

Site Status

Investigational Site Number 8402054

Chicago, Illinois, United States

Site Status

Investigational Site Number 8402069

Newton, Iowa, United States

Site Status

Investigational Site Number 8402022

West Des Moines, Iowa, United States

Site Status

Investigational Site Number 8402059

Lexington, Kentucky, United States

Site Status

Investigational Site Number 8402068

Baton Rouge, Louisiana, United States

Site Status

Investigational Site Number 8402012

Metairie, Louisiana, United States

Site Status

Investigational Site Number 8402037

New Orleans, Louisiana, United States

Site Status

Investigational Site Number 8402053

New Orleans, Louisiana, United States

Site Status

Investigational Site Number 8402021

Rockville, Maryland, United States

Site Status

Investigational Site Number 8402062

Omaha, Nebraska, United States

Site Status

Investigational Site Number 8402005

Las Vegas, Nevada, United States

Site Status

Investigational Site Number 8402018

Greensboro, North Carolina, United States

Site Status

Investigational Site Number 8402002

Morehead City, North Carolina, United States

Site Status

Investigational Site Number 8402019

Oklahoma City, Oklahoma, United States

Site Status

Investigational Site Number 8402015

Eugene, Oregon, United States

Site Status

Investigational Site Number 8402058

Lansdale, Pennsylvania, United States

Site Status

Investigational Site Number 8402030

Dallas, Texas, United States

Site Status

Investigational Site Number 8402050

DeSoto, Texas, United States

Site Status

Investigational Site Number 8402010

Fort Worth, Texas, United States

Site Status

Investigational Site Number 8402040

Houston, Texas, United States

Site Status

Investigational Site Number 8402065

Houston, Texas, United States

Site Status

Investigational Site Number 8402057

Houston, Texas, United States

Site Status

Investigational Site Number 8402049

Magnolia, Texas, United States

Site Status

Investigational Site Number 8402046

Odessa, Texas, United States

Site Status

Investigational Site Number 8402013

San Antonio, Texas, United States

Site Status

Investigational Site Number 8402004

San Antonio, Texas, United States

Site Status

Investigational Site Number 8402023

Schertz, Texas, United States

Site Status

Investigational Site Number 8402027

Clinton, Utah, United States

Site Status

Investigational Site Number 8402032

Salt Lake City, Utah, United States

Site Status

Investigational Site Number 8402024

Virginia Beach, Virginia, United States

Site Status

Investigational Site Number 8402034

Seattle, Washington, United States

Site Status

Investigational Site Number 1242014

Barrie, , Canada

Site Status

Investigational Site Number 1242004

Brampton, , Canada

Site Status

Investigational Site Number 1242005

Brampton, , Canada

Site Status

Investigational Site Number 1242001

Concord, , Canada

Site Status

Investigational Site Number 1242007

Etobicoke, , Canada

Site Status

Investigational Site Number 1242010

Lévis, , Canada

Site Status

Investigational Site Number 1242012

Newmarket, , Canada

Site Status

Investigational Site Number 1242013

Oakville, , Canada

Site Status

Investigational Site Number 1242006

Pointe-Claire, , Canada

Site Status

Investigational Site Number 1242008

Sherbrooke, , Canada

Site Status

Investigational Site Number 1242015

Toronto, , Canada

Site Status

Investigational Site Number 1242002

Toronto, , Canada

Site Status

Investigational Site Number 1242003

Toronto, , Canada

Site Status

Investigational Site Number 1242011

Vancouver, , Canada

Site Status

Investigational Site Number 3482002

Budapest, , Hungary

Site Status

Investigational Site Number 3482003

Budapest, , Hungary

Site Status

Investigational Site Number 3482006

Budapest, , Hungary

Site Status

Investigational Site Number 3482004

Debrecen, , Hungary

Site Status

Investigational Site Number 3482001

Esztergom, , Hungary

Site Status

Investigational Site Number 3482007

Nyíregyháza, , Hungary

Site Status

Investigational Site Number 7032001

Bratislava, , Slovakia

Site Status

Investigational Site Number 7032005

Bratislava, , Slovakia

Site Status

Investigational Site Number 7032003

Malacky, , Slovakia

Site Status

Investigational Site Number 7032002

Nitra, , Slovakia

Site Status

Investigational Site Number 7032004

Štúrovo, , Slovakia

Site Status

Investigational Site Number 7032006

Trenčín, , Slovakia

Site Status

Countries

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United States Canada Hungary Slovakia

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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2016-001800-49

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1181-6145

Identifier Type: OTHER

Identifier Source: secondary_id

EFC14834

Identifier Type: -

Identifier Source: org_study_id

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