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LX4211

Phase 2

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Lexicon Pharmaceuticals, Inc.|Last Updated: Oct 2, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials6
Total Enrollment417

FDA Designations

No designations recorded

Clinical trial landscape

LX4211 · 11 trials · 4 indications

Phase 2 2Phase 1 9
NCT01376557Safety and Efficacy of LX4211 With Metformin in Type 2 Diabetes Patients With Inadequate Glycemic Control on MetforminType 2 Diabetes Mellitus
COMPLETED299 Analytics
NCT00962065Study of LX4211 in Subjects With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED36 Analytics
PHASE2COMPLETED
Safety and Efficacy of LX4211 With Metformin in Type 2 Diabetes Patients With Inadequate Glycemic Control on Metformin
Type 2 Diabetes MellitusUnlock trial analytics
PHASE2COMPLETED
Study of LX4211 in Subjects With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in HbA1c to Week 12
12 weeks
Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion
Baseline to Day 28

To assess 24-hour urinary glucose excretion, urine was collected over a 24-hour period and evaluated for glucose concentration.

AUC
Days 1 to 5, Days 9 to 13
Urinary Glucose Excretion (UGE)
Day 1, Day 9
Number of Participants with Adverse Events
Up to Day 10
Change from baseline in rate of glucose appearance after meal (RaO)
Days 1, 8, 15
Change from baseline in QTc intervals
Day -1, Day 1 of each period (2, 3, 4)
Area Under Curve (AUC)
Day 1: predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose
Change from baseline in postprandial glucose
baseline to 7 days
Change from baseline in gut hormones
Days 1, 8, and 15
Plasma concentration of LX4211 and metformin after concurrent single-dose administration
Up to 43 days, including screening
Maximum observed plasma concentration
Pharmacokinetics samples collected on day of dosing and 24 and 48 hours post-dose (Follow-up).
Time at which maximum observed plasma concentration occurs
Pharmacokinetics samples collected on day of dosing and 24 and 48 hours post-dose (Follow-up).
Half-life of the drug in plasma
Pharmacokinetics samples collected on day of dosing and 24 and 48 hours post-dose (Follow-up).

Secondary Endpoints

Number of Participants Achieving a HbA1c Value of <7% at Week 12
12 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 12
12 weeks
Change From Baseline in Body Weight at Week 12
12 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment AEXPERIMENTAL -
Treatment BEXPERIMENTAL -
Treatment CEXPERIMENTAL -
Treatment DEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Low DoseEXPERIMENTALA low dose of LX4211; daily oral intake for 28 days
High DoseEXPERIMENTALA high dose of LX4211; daily oral intake for 28 days
LX4211 Low DoseEXPERIMENTAL400 mg of LX4211 administered once daily for 10 consecutive days
LX4211 High DoseEXPERIMENTAL800 mg of LX4211 administered once daily for 10 consecutive days
LX4211EXPERIMENTAL400 mg of LX4211
CanagliflozinACTIVE_COMPARATOR300 mg canagliflozin
[14C]-LX4211EXPERIMENTAL400 mg LX4211 administered orally
LX4211 PlaceboPLACEBO_COMPARATOR -
Solid Oral Dose - 150 mg tabletsEXPERIMENTAL -
Solid Oral Dose - 50 mg tabletsEXPERIMENTAL -
Liquid Oral DoseEXPERIMENTAL -

Interventions

NameTypeDescription
75 mg LX4211DRUGSubjects will receive 75 mg LX4211 once daily
200 mg LX4211DRUGSubjects will receive 200 mg LX4211 once daily.
400 mg LX4211DRUGSubjects will receive 400 mg LX4211 once daily.
PlaceboDRUGSubjects will receive placebo once daily.
LX4211 Low DoseDRUGA low dose of LX4211; daily oral intake for 28 days
LX4211 High DoseDRUGA high dose of LX4211; daily oral intake for 28 days
LX4211DRUGSingle dose of LX4211 400 mg as 1 × 400-mg tablet Day 1 or Day 9
LX4211 400 mgDRUG -
LX4211 800 mgDRUG -
LX4211 PlaceboDRUG -
canagliflozin 300 mgDRUG -
LX4211 2000 mgDRUG -
moxifloxacin 400 mgDRUG -
[14C]-LX4211DRUG -
Januvia®DRUG100 mg Januvia® (sitagliptin) administered as one 100 mg sitagliptin tablet
1000 mg metforminDRUG1000 mg metformin given as a solid oral dose form
300 mg LX4211 (150 mg tablets)DRUGSingle oral dose of two 150 mg tablets LX4211
300 mg LX4211 (50 mg tablets)DRUGSingle oral dose of six 50 mg tablets LX4211
300 mg LX4211 (liquid)DRUGSingle 30 mL dose of liquid oral solution LX4211 (10 mg/mL)
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites56

Inclusion Criteria: * Adult subjects between the ages of 18 to 75 years, inclusive * Confirmed diagnosis of Type 2 diabetes mellitus * Meet required laboratory values at screening, including fasting plasma glucose less than 270 mg/dL * Stable dose of metformin monotherapy greater than 1500 mg/day f...

Countries:United States
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Frequently asked questions about LX4211

What is LX4211 used for?

LX4211 is an investigational small molecule being studied for use in Type 2 Diabetes Mellitus and in healthy subjects. It has been evaluated in Phase 1 clinical trials, including studies of its interaction with metformin, its co-administration with Januvia, and its effects in patients with renal impairment.

Who makes LX4211?

LX4211 is being developed by Lexicon Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol LXRX. The company has sponsored multiple Phase 1 clinical trials of the drug in the United States.

What phase is LX4211 in?

LX4211 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. All six clinical trials listed for LX4211 are Phase 1 studies, and all have been completed.

What clinical trials is LX4211 in?

LX4211 has been studied in several completed Phase 1 trials, including NCT01292993 (interaction with metformin in Type 2 Diabetes), NCT01441232 (co-administration with Januvia), NCT01555008 (effects in Type 2 Diabetes with renal impairment), and NCT01916863 (comparison with canagliflozin on intestinal glucose absorption in healthy subjects).

Is LX4211 the same as sotagliflozin?

LX4211 is also known by the name sotagliflozin. It is an investigational small molecule being developed by Lexicon Pharmaceuticals for Type 2 Diabetes Mellitus. The drug has been evaluated in Phase 1 trials, but it is not yet approved.