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Sotagliflozin

Phase 3

Diabetic Nephropathies | Small molecule | Cardiovascular |DexCom, Inc.|Last Updated: Mar 24, 2026

Target and mechanism

Molecular targetSLC5A1, SLC5A2
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment150

FDA Designations

No designations recorded

Clinical trial landscape

Sotagliflozin · 1 trial · 4 indications

Phase 3 1
NCT06217302Sotagliflozin to Slow Kidney Function Decline in Persons With Type 1 Diabetes and Diabetic Kidney DiseaseDiabetic Nephropathies
RECRUITING150 Analytics
PHASE3RECRUITING
Sotagliflozin to Slow Kidney Function Decline in Persons With Type 1 Diabetes and Diabetic Kidney Disease
Diabetic NephropathiesUnlock trial analytics

Study Endpoints

Primary Endpoints

eGFR at the end of the wash-out period following the treatment period
End of the 2-month wash-out period following the 3-year treatment period (weeks 162 and 164)

eGFR at the end of the 8-week drug washout period following the 3-year treatment period, estimated from Central Lab serum creatinine and cystatin C using the 2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation and adjusted by its baseline value. Baseline and end-of-washout eGFRs will be considered as the average of two eGFR values taken on two separate days before randomization (V2 and V4) and after the washout (V18 and V19), respectively.

Secondary Endpoints

Time to ≥40% eGFR decline from baseline, kidney failure , or death from renal causes
Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
SotagliflozinACTIVE_COMPARATOROral sotagliflozin at a dose of 200 mg (one tablet) per day for three years followed by a 2-month wash-out period.
PlaceboPLACEBO_COMPARATOROral tablets similar to sotagliflozin tablets but containing no active drug (one tablet per day for three years followed by a 2-month wash-out period).

Interventions

NameTypeDescription
SotagliflozinDRUGOral sotagliflozin (200 mg per day)
PlaceboDRUGInactive tablets identical to sotagliflozin tablets
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Type1 diabetes (T1D) continuously treated with insulin within one year from diagnosis. * Duration of T1D ≥ 8 years; * eGFR based on serum creatinine and cystatin c (2021 serum creatinine-cystatin C CKD-EPI equation) between 20 and 60 ml/min/1.73 m2 at screening (with the optio...

Countries:United StatesCanada
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Frequently asked questions about Sotagliflozin

What is Sotagliflozin used for in diabetic nephropathies?

Sotagliflozin is an investigational small molecule being studied to slow kidney function decline in persons with type 1 diabetes and diabetic kidney disease. It is in Phase 3 clinical development for diabetic nephropathies, a condition under the cardiovascular therapeutic area.

What does Sotagliflozin target?

Sotagliflozin targets and inhibits SLC5A1 and SLC5A2, which are sodium-glucose cotransporters. By inhibiting these targets, the drug is being evaluated for its effects on kidney function in patients with diabetic kidney disease.

Who is developing Sotagliflozin?

Sotagliflozin is being developed by DexCom, Inc., a company traded under the ticker DXCM. The drug is currently in Phase 3 clinical development for diabetic nephropathies.

What phase is Sotagliflozin in?

Sotagliflozin is in Phase 3 clinical development. It is an investigational drug, not yet approved, and is being studied in a randomized, double-blind, placebo-controlled trial for diabetic kidney disease.

What clinical trials is Sotagliflozin in?

Sotagliflozin is being evaluated in clinical trial NCT06217302, titled "Sotagliflozin to Slow Kidney Function Decline in Persons With Type 1 Diabetes and Diabetic Kidney Disease." This Phase 3 trial is recruiting 150 participants in the United States and Canada.

Is Sotagliflozin the same as any other drug?

Sotagliflozin is also known by the ChEMBL identifier CHEMBL3039507. It is a distinct small molecule inhibitor of SLC5A1 and SLC5A2, and no other alternative names are documented for this drug.