Type 2 Diabetes MellitusPhase 3SOTA-GLIMNCT03332771
Efficacy and Safety of Sotagliflozin Versus Glimepiride and Placebo in Participants With Type 2 Diabetes Mellitus That Are Taking Metformin Monotherapy
A Phase 3 study testing Sotagliflozin (SAR439954), Glimepiride and Metformin in people with Type 2 Diabetes Mellitus, run by Lexicon Pharmaceuticals at 142 sites in 4 countries.
Trial summary
Primary Objective: To demonstrate the non-inferiority of Sotagliflozin 400 milligrams (mg) compared to Glimepiride on hemoglobin A1c (HbA1c) reduction at Week 52 in participants with Type 2 Diabetes (T2D) who have inadequate glycemic control with metformin. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Sotagliflozin (SAR439954), Glimepiride and Metformin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 954 participants
- Where
- 142 sitesin 4 countries
- Study dates
- 1 Dec 2017to 6 Sep 2019
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants with Type 2 Diabetes (T2D) treated with metformin at a stable dose ≥1500 milligrams per day (mg/day) or maximum tolerated dose (documented) for at least 12 weeks prior to Screening Visit; in case of documented lack of tolerance, metformin dose <1500 mg/day is acceptable, and the dose should be stable for at least 12 weeks prior to Screening Visit.
- Participants has given written informed consent to participate in the study in accordance with local regulations.
Who cannot join
- Age <18 years at the Screening Visit or <legal age of majority, whichever is greater.
- Type 1 diabetes mellitus.
- HbA1c, HbA1c <7.0% or HbA1c >10% at Screening.
- Fasting Plasma Glucose (FPG) >15 millimoles 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.
- Body mass index ≤20 or >45 kilogram per meter square (kg/m^2) at Screening.
- Pregnant (confirmed by pregnancy test at the Screening) or breast-feeding women.
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- Women of childbearing potential (WOCBP) not willing to use highly effective 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 (see Appendix A) during the study.
- Previous use of any antidiabetic drug other than Metformin within 12 weeks preceding the Screening Visit.
- Use of a selective Sodium-glucose co-transporter-2 (SGLT2) inhibitor (e.g., Canagliflozin, Dapagliflozin, or Empagliflozin) within 3 months prior to the Screening visit.
- Use of systemic glucocorticoids (excluding topical, or ophthalmic application, intra-articular, nasal spray or inhaled forms) for more than 10 consecutive days within 90 days prior to the Screening Visit.
- Previous insulin use >1 month (at any time, except for treatment of gestational diabetes).
- History of prior gastric surgical procedure, including gastric banding, or inflammatory bowel disease within 3 years prior to the Screening Visit.
- Difficulty swallowing such that the participants cannot take the investigational medicinal product (IMP).
- 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) (SBP) or >100 mmHg (DBP).
- History of hypertensive emergency within 12 weeks prior to Screening.
- Participants who have previously been randomized in any clinical trial of Sotagliflozin/LX4211.
- Participants with severe renal disease as defined by an estimated glomerular filtration rate (eGFR) of <30 milliliter per minute per meter square (mL/min/1.73 m^2) at Screening, based on the 4 variable Modification of Diet in Renal Disease (MDRD) equation (or according to the renal function restrictions of metformin use defined in the local approved label).
- Participants with severe anemia, severe cardiovascular (including congestive heart failure New York Heart Association IV), respiratory, hepatic, neurological, psychiatric, or active malignant tumor or other major systemic disease that, according to 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 (ULN).
- Total bilirubin: >1.5 times ULN (except in case of Gilbert's syndrome).
- Participants who have taken other investigational drugs within 12 weeks or 5 half-lives from Screening whichever is longer.
- Participants unwilling or unable to perform self-monitoring blood glucose (SMBG), complete the participant diary, or comply with study visits and other study procedures as required per protocol.
- Participants with contraindication to glimepiride as per local labelling.
- Participants with contraindication to metformin as per local labelling.
- The above information is not intended to contain all considerations relevant to a Participants potential participation in a clinical trial.
Trial locations and contacts
142 sites in 4 countries.
142 sites in 4 countries
United States115 sites
Investigational Site Number 8407050
Albuquerque, New Mexico, 87106
Investigational Site Number 8407051
Anaheim, California, 92801-2417
Investigational Site Number 8407026
Austin, Texas, 78735-8982
Investigational Site Number 8407085
Baltimore, Maryland, 21237
Investigational Site Number 8407029
Beaumont, Texas, 77702
Investigational Site Number 8407104
Beaver, Pennsylvania, 15009-1957
Investigational Site Number 8407040
Birmingham, Alabama, 35205
Investigational Site Number 8407048
Birmingham, Alabama, 35233-2110
Investigational Site Number 8407074
Bradenton, Florida, 34201
Investigational Site Number 8407054
Bridgeton, Missouri, 63044
Investigational Site Number 8407065
Canoga Park, California, 91301
Investigational Site Number 8407078
Carmichael, California, 95608
Investigational Site Number 8407070
Carrollton, Texas, 75010
Investigational Site Number 8407016
Charleston, South Carolina, 29407
Investigational Site Number 8407017
Chicago, Illinois, 60607
Investigational Site Number 8407099
Cincinnati, Ohio, 45245
Investigational Site Number 8407027
Clearwater, Florida, 33761
Investigational Site Number 8407063
Clinton, Utah, 84015
Investigational Site Number 8407045
Colorado Springs, Colorado, 80920-8075
Investigational Site Number 8407103
Cooper City, Florida, 33024
Investigational Site Number 8407021
Coral Gables, Florida, 33134
Investigational Site Number 8407102
Corpus Christi, Texas, 78414-4173
Investigational Site Number 8407023
Dallas, Texas, 75230
Investigational Site Number 8407111
Dallas, Texas, 75231
Investigational Site Number 8407089
Downey, California, 90242
Investigational Site Number 8407018
Elgin, Illinois, 60124
Investigational Site Number 8407068
Eugene, Oregon, 97404
Investigational Site Number 8407013
Fort Worth, Texas, 76164
Investigational Site Number 8407011
Gold River, California, 95670
Investigational Site Number 8407044
Greenbrae, California, 94904
Investigational Site Number 8407020
Greensboro, North Carolina, 27408
Investigational Site Number 8407071
Greer, South Carolina, 29651-1817
Investigational Site Number 8407046
Gurnee, Illinois, 60031
Investigational Site Number 8407025
Hatboro, Pennsylvania, 19040-2045
Investigational Site Number 8407055
Holladay, Utah, 84117-7054
Investigational Site Number 8407080
Houston, Texas, 77040
Investigational Site Number 8407088
Houston, Texas, 77095-2856
Investigational Site Number 8407006
Huntington Park, California, 90255-2911
Investigational Site Number 8407014
Jefferson City, Tennessee, 37760
Investigational Site Number 8407090
Katy, Texas, 77450
Investigational Site Number 8407002
Knoxville, Tennessee, 37938
Investigational Site Number 8407060
Lake Charles, Louisiana, 70601
Investigational Site Number 8407062
Lake Worth, Florida, 33467
Investigational Site Number 8407042
Lampasas, Texas, 76550-1820
Investigational Site Number 8407053
Lansdale, Pennsylvania, 19446-1002
Investigational Site Number 8407108
Las Vegas, Nevada, 89106-4132
Investigational Site Number 8407037
Lemon Grove, California, 91945
Investigational Site Number 8407114
Lenoir, North Carolina, 28645-8981
Investigational Site Number 8407043
Lexington, Kentucky, 40503-2517
Investigational Site Number 8407087
Lexington, Kentucky, 40503
Investigational Site Number 8407035
Little Rock, Arkansas, 72211
Investigational Site Number 8407100
Lomita, California, 90717
Investigational Site Number 8407033
Long Beach, California, 90806
Investigational Site Number 8407019
Los Angeles, California, 90057-3507
Investigational Site Number 8407067
Lufkin, Texas, 75904
Investigational Site Number 8407118
Lufkin, Texas, 75904
Investigational Site Number 8407081
Lyndhurst, Ohio, 44124-2467
Investigational Site Number 8407124
Manassas, Virginia, 20110-4421
Investigational Site Number 8407059
McAllen, Texas, 78504
Investigational Site Number 8407056
Memphis, Tennessee, 38163
Investigational Site Number 8407012
Mesquite, Texas, 75149
Investigational Site Number 8407015
Morehead City, North Carolina, 28557
Investigational Site Number 8407022
Mt. Pleasant, South Carolina, 29464
Investigational Site Number 8407031
Mt. Pleasant, South Carolina, 29464
Investigational Site Number 8407058
New Orleans, Louisiana, 70119
Investigational Site Number 8407009
New Orleans, Louisiana, 70124
Investigational Site Number 8407116
New York, New York, 10016-6402
Investigational Site Number 8407086
New York, New York, 10029
Investigational Site Number 8407122
New York, New York, 10036
Investigational Site Number 8407049
Norfolk, Nebraska, 68701
Investigational Site Number 8407057
Norman, Oklahoma, 73069
Investigational Site Number 8407098
Northridge, California, 91325-5409
Investigational Site Number 8407094
Norwalk, California, 90650
Investigational Site Number 8407121
Ocoee, Florida, 34761
Investigational Site Number 8407097
Ogden, Utah, 84405
Investigational Site Number 8407073
Oklahoma City, Oklahoma, 73104-3252
Investigational Site Number 8407110
Olive Branch, Mississippi, 38654
Investigational Site Number 8407039
Omaha, Nebraska, 68114
Investigational Site Number 8407024
Orlando, Florida, 32825-4454
Investigational Site Number 8407038
Palmetto Bay, Florida, 33157-5503
Investigational Site Number 8407061
Papillion, Nebraska, 68046-3136
Investigational Site Number 8407093
Pembroke Pines, Florida, 33026-3924
Investigational Site Number 8407007
Plano, Texas, 75075
Investigational Site Number 8407106
Pomona, California, 91766
Investigational Site Number 8407096
Rancho Cucamonga, California, 91730
Investigational Site Number 8407028
Renton, Washington, 98055
Investigational Site Number 8407105
Richmond, Virginia, 23249-0001
Investigational Site Number 8407001
Rockville, Maryland, 20852
Investigational Site Number 8407036
Sacramento, California, 95821
Investigational Site Number 8407030
Salisbury, North Carolina, 28144-2742
Investigational Site Number 8407072
Salt Lake City, Utah, 84102-1553
Investigational Site Number 8407005
San Antonio, Texas, 78218
Investigational Site Number 8407064
San Antonio, Texas, 78229-3818
Investigational Site Number 8407010
Schertz, Texas, 78154
Investigational Site Number 8407076
Splendora, Texas, 77372
Investigational Site Number 8407107
Spring Hill, Florida, 34609
Investigational Site Number 8407119
Springfield, Illinois, 62711
Investigational Site Number 8407091
Tampa, Florida, 33619
Investigational Site Number 8407113
Tampa, Florida, 33634
Investigational Site Number 8407084
Tarzana, California, 91356-3551
Investigational Site Number 8407095
Topeka, Kansas, 66606-2806
Investigational Site Number 8407069
Troy, Michigan, 48098-6334
Investigational Site Number 8407034
Upland, California, 91786-4070
Investigational Site Number 8407032
Van Nuys, California, 91405
Investigational Site Number 8407004
Walnut Creek, California, 94598
Investigational Site Number 8407075
Waterloo, Iowa, 50702
Investigational Site Number 8407120
West Des Moines, Iowa, 50265
Investigational Site Number 8407092
West Palm Beach, Florida, 33401
Investigational Site Number 8407123
West Seneca, New York, 14224
Investigational Site Number 8407083
Wichita, Kansas, 67205-1138
Investigational Site Number 8407117
Wildomar, California, 92595
Investigational Site Number 8407041
Wilmington, North Carolina, 28401-6638
Investigational Site Number 8407101
Winston-Salem, North Carolina, 27103
Investigational Site Number 8407115
Winter Haven, Florida, 33880
Investigational Site Number 8407079
Zachary, Louisiana, 70791-4010
Slovakia10 sites
Investigational Site Number 7037004
Bardejov, 085 01
Investigational Site Number 7037008
Bratislava, 831 06
Investigational Site Number 7037007
Bratislava, 85101
Investigational Site Number 7037005
Košice, 4014
Investigational Site Number 7037002
Levice, 934 01
Investigational Site Number 7037010
Nitra, 94901
Investigational Site Number 7037009
Rožňava, 048 01
Investigational Site Number 7037001
Sabinov, 08301
Investigational Site Number 7037003
Trnava, 91701
Investigational Site Number 7037006
Vrútky, 038 61
Bulgaria9 sites
Investigational Site Number 1007002
Gabrovo, 5300
Investigational Site Number 1007008
Plovdiv, 4000
Investigational Site Number 1007003
Plovdiv, 4002
Investigational Site Number 1007001
Rousse, 7003
Investigational Site Number 1007004
Smolyan, 4700
Investigational Site Number 1007009
Sofia, 1632
Investigational Site Number 1007005
Stara Zagora, 6000
Investigational Site Number 1007006
Stara Zagora, 6000
Investigational Site Number 1007007
Varna, 9000
Hungary8 sites
Investigational Site Number 3487005
Balatonfüred, 8230
Investigational Site Number 3487001
Budapest, 1033
Investigational Site Number 3487010
Budapest, 1134
Investigational Site Number 3487006
Debrecen, 4025
Investigational Site Number 3487008
Debrecen, 4032
Investigational Site Number 3487002
Kecskemét, 6000
Investigational Site Number 3487004
Nyíregyháza, 4400
Investigational Site Number 3487007
Nyíregyháza, 4405
About this study
Official title: A 52-week Randomized, Double-blind, Double-dummy, Active and Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy and Safety of Sotagliflozin Compared to Glimepiride or Placebo Added to Metformin in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control With Metformin Monotherapy
Primary Objective:
To demonstrate the non-inferiority of Sotagliflozin 400 milligrams (mg) compared to Glimepiride on hemoglobin A1c (HbA1c) reduction at Week 52 in participants with Type 2 Diabetes (T2D) who have inadequate glycemic control with metformin.
Read more
Secondary Objectives:
To demonstrate the superiority of Sotagliflozin 400 mg compared to Glimepiride on change in body weight, systolic blood pressure (SBP) in participants with baseline SBP ≥130 millimeter of mercury (mmHg), SBP in all participants, and proportion of participants with at least 1 documented symptomatic hypoglycemic event (≤70 milligrams per deciliter [mg/dL]).
- To demonstrate the superiority of Sotagliflozin 400 mg compared to placebo on change in HbA1c, body weight, SBP in participants with baseline SBP ≥130 mmHg, SBP in all participants.
- To demonstrate the superiority of Sotagliflozin 200 mg compared to placebo on change in HbA1c.
- To demonstrate the non-inferiority of Sotagliflozin 400 mg compared to Glimepiride on change in HbA1c.
- To demonstrate the superiority of Sotagliflozin 400 mg compared to Glimepiride on change in HbA1c.
- To evaluate the safety and tolerability of Sotagliflozin compared to Glimepiride and placebo.
Read the detailed description
Up to 58 weeks, including a Screening Period consisting of a Screening phase of up to 2 weeks, a 2-week single-blind placebo Run-in phase, a 52-week double-blind Treatment Period, and a 2-week post-treatment Follow-up period to collect safety information.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Sotagliflozin (SAR439954), Glimepiride, Metformin, Placebo
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sotagliflozin (SAR439954)Drug
Pharmaceutical form: tablet
Route of administration: oral
GlimepirideDrug
Pharmaceutical form: capsule
Route of administration: oral
MetforminDrug
Pharmaceutical form: tablet
Route of administration: oral
PlaceboDrug
Pharmaceutical form: tablet
Route of administration: oral
PlaceboDrug
Pharmaceutical form: capsule
Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Sotagliflozin 400 mg | Experimental | Following a 2-week run-in period, two Sotagliflozin 200 mg, tablets, and two Glimepiride-matching placebo capsules, taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. Receives: Drug: Sotagliflozin (SAR439954); Drug: Metformin; Drug: Placebo |
| Sotagliflozin 200 mg | Experimental | Following a 2-week run-in period, one Sotagliflozin 200 mg, tablet and one Sotagliflozin-matching placebo tablet, and two Glimepiride-matching placebo capsules, taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. Receives: Drug: Sotagliflozin (SAR439954); Drug: Metformin; Drug: Placebo |
| Glimepiride | Active comparator | Following a 2-week run-in period, two Sotagliflozin-matching placebo tablets, and combination of two Glimepiride capsules with adequate dose strengths per dose titration (titrated up to 6mg), taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. Receives: Drug: Glimepiride; Drug: Metformin; Drug: Placebo |
| Placebo | Placebo comparator | Following a 2-week run-in period, two Sotagliflozin-matching placebo tablets and two Glimepiride-matching placebo capsules, taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. Receives: Drug: Metformin; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Hemoglobin A1c at Week 52
An analysis of covariance (ANCOVA) model was used for the analysis.
Measured: Baseline, Week 52
Secondary outcomes (6)
Change From Baseline in Hemoglobin A1c at Week 26
An ANCOVA model was used for the analysis.
Measured: Baseline, Week 26
Change From Baseline in Body Weight at Week 26 and 52
An ANCOVA model was used for the analysis.
Measured: Baseline, Week 26, Week 52
Change From Baseline in Systolic Blood Pressure (SBP) for Participants With SBP ≥130 mmHg at Week 12
An ANCOVA model was used for the analysis.
Measured: Baseline, Week 12
Change From Baseline in Systolic Blood Pressure (SBP) for All Participants at Week 12
An ANCOVA model was used for the analysis.
Measured: Baseline, Week 12
Percentage of Participants With At Least One Documented Symptomatic Hypoglycemic Event
Documented symptomatic hypoglycemia includes the 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).
Measured: Up to Week 52
Percentage of Participants With Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.
Measured: Up to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2017
- Study start1 Dec 2017
- Primary completion6 Aug 2019
- Study completion6 Sep 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 954 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lexicon Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Sanofi
- Responsible party
- Sponsor
- Investigators
- Suman Wason, MD, Study director, Lexicon Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03332771
- Sponsor's protocol ID
- EFC14838
- Other IDs
- 2016-001801-17, U1111-1190-7596, 2016
- Acronym
- SOTA-GLIM
- Status last verified
- Apr 2021
- First submitted
- 2 Nov 2017
- Last updated
- 11 May 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Individual participant data (IPD) and supporting clinical documents are available for request at clinicalstudydatarequest.com. While making information available Sanofi continues to protect the privacy of the participants in clinical trials and to remove commercially confidential information (CCI). Details on Data Sharing criteria and process for requesting access can be found at this web address: clinicalstudydatarequest.com
Study at a glance
From the registry record, last updated by the sponsor on 11 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 52-week Randomized, Double-blind, Double-dummy, Active and Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy and Safety of Sotagliflozin Compared to Glimepiride or Placebo Added to Metformin in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control With Metformin Monotherapy
- ClinicalTrials.gov ID
- NCT03332771
- Acronym / sponsor ID
- SOTA-GLIM / EFC14838
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 954 participants (actual)
- Lead sponsor
- Lexicon PharmaceuticalsIndustry (pharma, biotech, devices)
- Collaborators
- Sanofi
- Study start
- 1 Dec 2017 (actual)
- Primary completion
- 6 Aug 2019 (actual)
- Study completion
- 6 Sep 2019 (actual)
- First posted
- 6 Nov 2017 (actual)
- Results
- Posted 11 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To demonstrate the non-inferiority of Sotagliflozin 400 milligrams (mg) compared to Glimepiride on hemoglobin A1c (HbA1c) reduction at Week 52 in participants with Type 2 Diabetes (T2D) who have inadequate glycemic control with metformin.
Secondary Objectives:
To demonstrate the superiority of Sotagliflozin 400 mg compared to Glimepiride on change in body weight, systolic blood pressure (SBP) in participants with baseline SBP ≥130 millimeter of mercury (mmHg), SBP in all participants, and proportion of participants with at least 1 documented symptomatic hypoglycemic event (≤70 milligrams per deciliter [mg/dL]).
- To demonstrate the superiority of Sotagliflozin 400 mg compared to placebo on change in HbA1c, body weight, SBP in participants with baseline SBP ≥130 mmHg, SBP in all participants.
- To demonstrate the superiority of Sotagliflozin 200 mg compared to placebo on change in HbA1c.
- To demonstrate the non-inferiority of Sotagliflozin 400 mg compared to Glimepiride on change in HbA1c.
- To demonstrate the superiority of Sotagliflozin 400 mg compared to Glimepiride on change in HbA1c.
- To evaluate the safety and tolerability of Sotagliflozin compared to Glimepiride and placebo.
Detailed description
Up to 58 weeks, including a Screening Period consisting of a Screening phase of up to 2 weeks, a 2-week single-blind placebo Run-in phase, a 52-week double-blind Treatment Period, and a 2-week post-treatment Follow-up period to collect safety information.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Sotagliflozin 400 mg | Experimental | Drug: Sotagliflozin (SAR439954), Drug: Metformin, Drug: PlaceboFollowing a 2-week run-in period, two Sotagliflozin 200 mg, tablets, and two Glimepiride-matching placebo capsules, taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. |
| Sotagliflozin 200 mg | Experimental | Drug: Sotagliflozin (SAR439954), Drug: Metformin, Drug: PlaceboFollowing a 2-week run-in period, one Sotagliflozin 200 mg, tablet and one Sotagliflozin-matching placebo tablet, and two Glimepiride-matching placebo capsules, taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. |
| Glimepiride | Active comparator | Drug: Glimepiride, Drug: Metformin, Drug: PlaceboFollowing a 2-week run-in period, two Sotagliflozin-matching placebo tablets, and combination of two Glimepiride capsules with adequate dose strengths per dose titration (titrated up to 6mg), taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. |
| Placebo | Placebo comparator | Drug: Metformin, Drug: PlaceboFollowing a 2-week run-in period, two Sotagliflozin-matching placebo tablets and two Glimepiride-matching placebo capsules, taken orally once daily before the first meal of the day in the double-blind treatment period up to 52 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Participants with Type 2 Diabetes (T2D) treated with metformin at a stable dose ≥1500 milligrams per day (mg/day) or maximum tolerated dose (documented) for at least 12 weeks prior to Screening Visit; in case of documented lack of tolerance, metformin dose <1500 mg/day is acceptable, and the dose should be stable for at least 12 weeks prior to Screening Visit.
- Participants has given written informed consent to participate in the study in accordance with local regulations.
Key exclusion criteria (26 listed)
- Age <18 years at the Screening Visit or <legal age of majority, whichever is greater.
- Type 1 diabetes mellitus.
- HbA1c, HbA1c <7.0% or HbA1c >10% at Screening.
- Fasting Plasma Glucose (FPG) >15 millimoles 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.
- Body mass index ≤20 or >45 kilogram per meter square (kg/m^2) at Screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sotagliflozin (SAR439954)Pharmaceutical form: tablet Route of administration: oral | Drug | Sotagliflozin 200 mg, Sotagliflozin 400 mg |
| GlimepiridePharmaceutical form: capsule Route of administration: oral | Drug | Glimepiride |
| MetforminPharmaceutical form: tablet Route of administration: oral | Drug | Glimepiride, Placebo, Sotagliflozin 200 mg, Sotagliflozin 400 mg |
| PlaceboPharmaceutical form: tablet Route of administration: oral | Drug | Glimepiride, Placebo, Sotagliflozin 200 mg |
| PlaceboPharmaceutical form: capsule Route of administration: oral | Drug | Placebo, Sotagliflozin 200 mg, Sotagliflozin 400 mg |
Primary outcome
Change From Baseline in Hemoglobin A1c at Week 52
Time frame: Baseline, Week 52
An analysis of covariance (ANCOVA) model was used for the analysis.
6 secondary outcomes
Change From Baseline in Hemoglobin A1c at Week 26
Time frame: Baseline, Week 26
Change From Baseline in Body Weight at Week 26 and 52
Time frame: Baseline, Week 26, Week 52
Change From Baseline in Systolic Blood Pressure (SBP) for Participants With SBP ≥130 mmHg at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Systolic Blood Pressure (SBP) for All Participants at Week 12
Time frame: Baseline, Week 12
Percentage of Participants With At Least One Documented Symptomatic Hypoglycemic Event
Time frame: Up to Week 52
Percentage of Participants With Adverse Events (AEs)
Time frame: Up to Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 May 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Individual participant data (IPD) and supporting clinical documents are available for request at clinicalstudydatarequest.com. While making information available Sanofi continues to protect the privacy of the participants in clinical trials and to remove commercially confidential information (CCI). Details on Data Sharing criteria and process for requesting access can be found at this web address: clinicalstudydatarequest.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Suman Wason, MD study director
Lexicon Pharmaceuticals, Inc.
142 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sotagliflozin (SAR439954), Glimepiride and Metformin in people with Type 2 Diabetes Mellitus, run by Lexicon Pharmaceuticals at 142 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 142 sites in United States, Slovakia, Bulgaria, Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Hemoglobin A1c at Week 52 (time frame: Baseline, Week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2021.