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Sotagliflozin

Phase 3

Type 1 Diabetes Mellitus | Small molecule | Metabolic |Lexicon Pharmaceuticals, Inc.|Last Updated: Feb 12, 2020

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 Trials5
Total Enrollment1,839
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02421510Efficacy, Safety, and Tolerability Study of Sotagliflozin as Adjunct Therapy in Adult Patients With Type 1 Diabetes Mellitus Who Have Inadequate Glycemic Control With Insulin TherapyPHASE3 COMPLETED 782May 1, 2015Jun 23, 2017Feb 12, 202096 Austria, Belgium +15
NCT02384941Efficacy, Safety, and Tolerability Study of Sotagliflozin as Adjunct Therapy in Adult Patients With Type 1 Diabetes Mellitus Who Have Inadequate Glycemic Control With Insulin TherapyPHASE3 COMPLETED 793Mar 1, 2015Feb 1, 2017Feb 12, 202075 United States, Canada
NCT02459899Dose-ranging Study in Patients With Type 1 Diabetes MellitusPHASE2 COMPLETED 141Jul 1, 2015Aug 1, 2016Feb 12, 202017 United States
NCT02383940Efficacy and Safety of Sotagliflozin in Young Adult Patients With Type 1 Diabetes Mellitus and Elevated Hemoglobin A1CPHASE2 COMPLETED 87Apr 1, 2015Sep 1, 2016Feb 12, 202015 United States
NCT01742208Safety and Efficacy of Sotagliflozin (LX4211) in Patients With Inadequately Controlled Type 1 Diabetes MellitusPHASE2 COMPLETED 36Feb 1, 2013Jan 1, 2014Feb 12, 20207 United States
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Study Endpoints
Primary Endpoints
Change From Baseline in A1C at Week 24
Baseline to Week 24

Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. Least square (LS) means were obtained from a mixed-effects model for repeated measures (MMRM) that included fixed, categorical effects of treatment, randomization strata of insulin delivery method (MDI, CSII), randomization strata of Week -2 A1C (\<= 8.5%, \>8.5%), time (study week), a treatment-by-time interaction, and baseline A1C-by-time interaction as a covariate. A negative change from baseline (a reduction of A1C value at Week 24) indicates an improvement.

Change From Baseline in Hemoglobin A1C (A1C) at Week 12
Baseline to Week 12

Baseline was defined as the last value collected prior to the first dose of double-blind study medication. Post-baseline Least Square (LS) mean values were obtained from mixed-effects model repeated measures (MMRM) model with treatment, randomization strata of insulin delivery method (continuous subcutaneous insulin infusion \[CSII\] or multiple daily injection \[MDI\]), time (study week), and a treatment-by-time interaction as fixed categorical effects, and baseline A1C-by-time interaction as a covariate.

Percent Change From Baseline in Total Daily Bolus Amount of Exogenous Insulin Required Calculated Over Days 3 to 27 (Treatment Outpatient Period)
Baseline, Day 3 to Day 27

Baseline was calculated as the mean value from Day -6 to -2 for Expansion groups and from Day -6 to Day -3 for Pioneer Group. Percent mean change from baseline was calculated as 100\*(sum \[each daily value - baseline\]/number of assessments)/baseline over Days 3 to 27. Least squares (LS) Means and confidence interval (CI) for the Expansion groups were based on an analysis of covariance (ANCOVA) model with covariates of baseline mean total bolus insulin, treatment group, factor used to stratify the randomization (screening A1C \<= 8%, \> 8%), and random effect of participant\*treatment group. LS Means and CI for the Pioneer Group were based on the arithmetic treatment mean.

Secondary Endpoints
Percentage of Participants With A1C <7.0% at Week 24 and no Episode of Severe Hypoglycemia, and no Episode of Diabetic Ketoacidosis (DKA) From Baseline to Week 24
Baseline to Week 24
Change From Baseline in Body Weight at Week 24
Baseline to Week 24
Change From Baseline in Mean Daily Bolus Insulin Dose at Week 24
Baseline to Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORTwo placebo-matching sotagliflozin tablets, once daily, orally, before the first meal of the day for 24 weeks followed by a 28-week extension period.
Sotagliflozin 200 mgEXPERIMENTALSotagliflozin 200 milligram (mg) (one 200 mg tablet and one placebo tablet), once daily, orally, before the first meal of the day for 24 weeks followed by a 28-week extension period.
Sotagliflozin 400 mgEXPERIMENTALSotagliflozin 400 mg (two 200 mg tablets), once daily, orally, before the first meal of the day for 24 weeks followed by a 28-week extension period.
Sotagliflozin 200 milligrams (mg)EXPERIMENTALSotagliflozin 200 mg (one 200 mg tablet and one placebo tablet), orally, for 24 weeks followed by a 28 week extension period.
Sotagliflozin 75 mgEXPERIMENTALSotagliflozin 75 mg (one 75 mg tablet and one placebo tablet), once daily, orally for 12 weeks.
Sotagliflozin 400 mg - Pioneer GroupEXPERIMENTALSotagliflozin 400 milligram (mg) (two 200 mg tablets), once daily, orally, before breakfast for 29 days; open label administration.
Placebo - Expansion GroupPLACEBO_COMPARATORTwo placebo-matching sotagliflozin tablets, once daily, orally, before breakfast for 29 days; double-blind administration.
Sotagliflozin 400 mg - Expansion GroupEXPERIMENTALSotagliflozin 400 mg (two 200 mg tablets), once daily, orally, before breakfast for 29 days; double-blind administration.
Interventions
NameTypeDescription
SotagliflozinDRUGHigh dose Sotagliflozin, once daily, before the first meal of the day
PlaceboDRUGPlacebo, once daily, before the first meal of the day
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites96

Inclusion Criteria: * Participant who gave written informed consent to participate in the study in accordance with local regulations. * Adult participants 18 years and older with a diagnosis of T1D made at least 1 year prior to informed consent. * Participants treated with insulin or insulin analog...

Countries:AustriaBelgiumBulgariaFranceGermanyHungaryIsraelItalyLithuaniaNetherlandsPolandRomaniaSlovakiaSpainSwedenSwitzerlandUnited KingdomUnited StatesCanada
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