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Sotagliflozin

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment150
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06217302Sotagliflozin to Slow Kidney Function Decline in Persons With Type 1 Diabetes and Diabetic Kidney DiseasePHASE3 RECRUITING 150Oct 31, 2024May 1, 2029Mar 24, 202619 United States, Canada
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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 — 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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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06217302primaryCompletionDate: changed
LOWMay 24, 2026NCT06217302studyFirstPostDate: changed