Efficacy and Safety of Sotagliflozin Versus Placebo in Participants With Type 2 Diabetes Mellitus on Background of Sulfonylurea Alone or With Metformin

NCT ID: NCT03066830

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

507 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-24

Study Completion Date

2019-04-30

Brief Summary

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Primary Objective:

To demonstrate the superiority of Sotagliflozin 400 milligrams (mg) versus placebo on Hemoglobin A1c (HbA1c) reduction at Week 26 in participant with type 2 diabetes (T2D) who have inadequate glycemic control with a Sulfonylurea alone or in combination with Metformin.

Secondary Objectives:

* To compare Sotagliflozin 400 mg versus placebo based on:
* 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 (mm Hg).
* Change from baseline in SBP for all participants.
* Change from baseline in body weight.
* Percentage of participants with HbA1c \<6.5% and \<7.0%.
* To evaluate the safety of Sotagliflozin 400 mg versus placebo throughout the 79-week trial.

Detailed Description

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The duration per participants is up to 85 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, and a 2-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

Following a 2-week run-in phase, participants received two Sotagliflozin tablets of 200 mg, orally once daily, before the first meal of the day plus Metformin and Sulfonylurea as prescribed for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 79 weeks.

Group Type EXPERIMENTAL

Sotagliflozin (SAR439954)

Intervention Type DRUG

Pharmaceutical form: tablet

Route of administration: oral

Placebo

Following a 2-week run-in period, participants were randomized to matching placebo administered as 2 tablets, once daily, before the first meal of the day plus Metformin and Sulfonylurea as prescribed for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 79 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

Sulfonylurea

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

Sulfonylurea

Pharmaceutical form: tablet

Route of administration: oral

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants with T2D treated with a Sulfonylurea (≥half the maximum recommended dose as per local label or maximum tolerated dose \[documented\]) as monotherapy or in combination with Metformin (≥1500 mg per day or maximum tolerated dose \[documented\]) each at a stable dose for at least 12 weeks without a dose adjustment before screening.
* Signed written informed consent.

Exclusion Criteria

* At the time of screening, age \<18 years or \< legal age of majority, whichever is greater.
* Body Mass Index (BMI) ≤20 or \>45 kilograms per meter square (kg/m\^2) at Screening.
* Hemoglobin A1c (HbA1c) \<7% or HbA1c \>10% via central lab test at screening.
* Fasting plasma glucose (FPG) \>15 mmol/L (270 mg/dL) measured by the central laboratory at screening (Visit 1), and confirmed (\>15 mmol/L \[270 mg/dL\]) by a repeat test before randomization.
* Women of childbearing potential with no effective contraceptive method.
* Treated with an antidiabetic pharmacological regimen other than a Sulfonylurea at a stable dose with or without Metformin within 12 weeks preceding the screening visit.
* Previous insulin use \>1 month (at any time, aside from treatment of gestational diabetes).
* History of prior gastric surgical procedure including gastric banding or inflammatory bowel disease within 3 years before the Screening Visit.
* History of diabetic ketoacidosis or nonketotic hyperosmolar coma within 12 weeks prior to the Screening Visit.
* History of severe hypoglycemia within 6 months prior to the Screening visit.
* Systolic blood pressure (SBP) \>180 millimeter per mercury (mmHg) or diastolic blood pressure (DBP) \>100 mmHg or history of hypertensive emergency.
* Aspartate aminotransferase and/or alanine aminotransferase: \>3 times the upper limit of the normal laboratory range (ULN).
* Total bilirubin: \>1.5 times ULN (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.
* Pregnancy, breastfeeding.
* Participants is unwilling to perform self-monitoring of blood glucose (SMBG), and complete the participant's diary as required per protocol.

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

Role: STUDY_DIRECTOR

Lexicon Pharmaceuticals, Inc.

Locations

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Investigational Site Number 8403003

Litchfield Park, Arizona, United States

Site Status

Investigational Site Number 8403018

Peoria, Arizona, United States

Site Status

Investigational Site Number 8403009

Greenbrae, California, United States

Site Status

Investigational Site Number 8403012

Huntington Park, California, United States

Site Status

Investigational Site Number 8403019

Los Angeles, California, United States

Site Status

Investigational Site Number 8403034

Montclair, California, United States

Site Status

Investigational Site Number 8403016

Spring Valley, California, United States

Site Status

Investigational Site Number 8403014

Tustin, California, United States

Site Status

Investigational Site Number 8403001

Northglenn, Colorado, United States

Site Status

Investigational Site Number 8403029

Bradenton, Florida, United States

Site Status

Investigational Site Number 8403004

New Port Richey, Florida, United States

Site Status

Investigational Site Number 8403020

North Miami Beach, Florida, United States

Site Status

Investigational Site Number 8403026

Ocoee, Florida, United States

Site Status

Investigational Site Number 8403032

Orlando, Florida, United States

Site Status

Investigational Site Number 8403008

Palm Harbor, Florida, United States

Site Status

Investigational Site Number 8403006

Pembroke Pines, Florida, United States

Site Status

Investigational Site Number 8403013

Port Charlotte, Florida, United States

Site Status

Investigational Site Number 8403007

Nampa, Idaho, United States

Site Status

Investigational Site Number 8403011

Flint, Michigan, United States

Site Status

Investigational Site Number 8403025

Richfield, Minnesota, United States

Site Status

Investigational Site Number 8403021

Henderson, Nevada, United States

Site Status

Investigational Site Number 8403028

Greensboro, North Carolina, United States

Site Status

Investigational Site Number 8403015

Shelby, North Carolina, United States

Site Status

Investigational Site Number 8403033

Hatboro, Pennsylvania, United States

Site Status

Investigational Site Number 8403030

Kingsport, Tennessee, United States

Site Status

Investigational Site Number 8403002

Dallas, Texas, United States

Site Status

Investigational Site Number 8403022

Houston, Texas, United States

Site Status

Investigational Site Number 8403005

Burke, Virginia, United States

Site Status

Investigational Site Number 1003003

Plovdiv, , Bulgaria

Site Status

Investigational Site Number 1003002

Rousse, , Bulgaria

Site Status

Investigational Site Number 1003004

Sofia, , Bulgaria

Site Status

Investigational Site Number 2333003

Pärnu, , Estonia

Site Status

Investigational Site Number 3483001

Balatonfüred, , Hungary

Site Status

Investigational Site Number 3483007

Budapest, , Hungary

Site Status

Investigational Site Number 3483008

Budapest, , Hungary

Site Status

Investigational Site Number 3483010

Budapest, , Hungary

Site Status

Investigational Site Number 3483004

Budapest, , Hungary

Site Status

Investigational Site Number 3483006

Budapest, , Hungary

Site Status

Investigational Site Number 3483011

Gyula, , Hungary

Site Status

Investigational Site Number 3483009

Hatvan, , Hungary

Site Status

Investigational Site Number 3483005

Kecskemét, , Hungary

Site Status

Investigational Site Number 3483003

Pécs, , Hungary

Site Status

Investigational Site Number 3483012

Zalaegerszeg, , Hungary

Site Status

Investigational Site Number 6163005

Gdansk, , Poland

Site Status

Investigational Site Number 6163006

Gdynia, , Poland

Site Status

Investigational Site Number 6163003

Katowice, , Poland

Site Status

Investigational Site Number 6163002

Poznan, , Poland

Site Status

Investigational Site Number 6163001

Warsaw, , Poland

Site Status

Investigational Site Number 6163004

Wroclaw, , Poland

Site Status

Investigational Site Number 6423004

Bucharest, , Romania

Site Status

Investigational Site Number 6423002

Iași, , Romania

Site Status

Investigational Site Number 7033006

Bratislava, , Slovakia

Site Status

Investigational Site Number 7033001

Bratislava, , Slovakia

Site Status

Investigational Site Number 7033002

Bratislava, , Slovakia

Site Status

Investigational Site Number 7033004

Malacky, , Slovakia

Site Status

Investigational Site Number 7033003

Štúrovo, , Slovakia

Site Status

Investigational Site Number 7033007

Trenčín, , Slovakia

Site Status

Investigational Site Number 4103001

Goyang-Si, Gyeonggi-Do, , South Korea

Site Status

Investigational Site Number 4103011

Guri-Si, Gyeonggi-Do, , South Korea

Site Status

Investigational Site Number 4103003

Seongnam-Si, Gyeonggi-Do, , South Korea

Site Status

Investigational Site Number 4103007

Seoul, , South Korea

Site Status

Investigational Site Number 4103006

Seoul, , South Korea

Site Status

Investigational Site Number 4103010

Seoul, , South Korea

Site Status

Investigational Site Number 4103005

Seoul, , South Korea

Site Status

Investigational Site Number 4103009

Wonju-Si, Gangwon-Do, , South Korea

Site Status

Investigational Site Number 8043001

Kyiv, , Ukraine

Site Status

Investigational Site Number 8043003

Kyiv, , Ukraine

Site Status

Investigational Site Number 8043002

Kyiv, , Ukraine

Site Status

Investigational Site Number 8263012

Birmingham, , United Kingdom

Site Status

Investigational Site Number 8263009

Cardiff, , United Kingdom

Site Status

Investigational Site Number 8263007

Glasgow, , United Kingdom

Site Status

Investigational Site Number 8263008

Hexham, , United Kingdom

Site Status

Investigational Site Number 8263003

Inverness, , United Kingdom

Site Status

Investigational Site Number 8263014

Liverpool, , United Kingdom

Site Status

Investigational Site Number 8263011

Manchester, , United Kingdom

Site Status

Investigational Site Number 8263010

Reading, , United Kingdom

Site Status

Countries

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United States Bulgaria Estonia Hungary Poland Romania Slovakia South Korea Ukraine United Kingdom

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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2016-002826-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1186-2612

Identifier Type: OTHER

Identifier Source: secondary_id

EFC14835

Identifier Type: -

Identifier Source: org_study_id

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