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Sotagliflozin Low Dose

Phase 3

Type 1 Diabetes (T1D) | Small molecule | Metabolic |Lexicon Pharmaceuticals, Inc.|Last Updated: Oct 8, 2025

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-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment52
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07211802CKM For Safe Use of SGLT2i in Type 1 DiabetesPHASE3 NOT YET_RECRUITING 52Jul 1, 2026Dec 31, 2030Oct 8, 20251 United States
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Study Endpoints
Primary Endpoints
BHB Time Above 0.6mmol/L - 200mg
6 weeks

Beta hydroxybutyrate (BHB) time \> 0.6 millimole per liter (mmol/L) as measured by the DGK during the 200mg dosing period in the MDI vs. HCL groups.

BHB Time Above 0.6mmol/L - 400mg
6 weeks

Beta hydroxybutyrate (BHB) time \> 0.6 mmol/L as measured by the DGK during the 400mg dosing period in the MDI vs. HCL groups.

Secondary Endpoints
BHB Time Above 0.6mmol/L - 200mg vs. 400mg
6 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment Group AEXPERIMENTAL200mg sotagliflozin for 6 weeks, washout for 2 weeks, then receive 400mg sotagliflozin for 6 weeks
Treatment Group BEXPERIMENTAL400mg sotagliflozin for 6 weeks, washout for 2 weeks, then receive 200mg sotagliflozin for 6 weeks
Interventions
NameTypeDescription
Sotagliflozin Low DoseDRUG200 mg Sotagliflozin, once daily for 6 weeks
Sotagliflozin High DoseDRUG400 mg Sotagliflozin, once daily for 6 weeks
Dual Continuous Glucose and Ketone MonitorDEVICEAbbott Libre X dual continuous glucose and ketone monitor (DGK) device.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. All individuals between the ages of \>18 years old, inclusive, at the time of screening; 2. Individuals able to become pregnant must: 1. be ≥1 year post-menopausal or documented as being surgically sterile, or 2. agree to use two methods of contraception during the ent...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT07211802studyFirstPostDate: changed