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Sotagliflozin

Phase 2

Diabetes Mellitus | Small molecule | Metabolic |Sanofi|Last Updated: Apr 25, 2022

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-BlindCONTROLLEDBiomarker
Total Trials6
Total Enrollment127
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03462069Comparison of Pharmacodynamic Effects of Sotagliflozin and Empagliflozin in T2DM Patients With Mild to Moderate HypertensionPHASE2 COMPLETED 41Mar 12, 2018Apr 18, 2019Apr 25, 20221 Germany
NCT03909451Sotagliflozin Multiple-dose Study in Healthy Chinese SubjectsPHASE1 COMPLETED 24Apr 28, 2019Aug 19, 2019Apr 25, 20221 China
NCT03414723A Drug-Drug Interaction Study Between Sotagliflozin and RamiprilPHASE1 COMPLETED 16Jan 15, 2018Mar 10, 2018Apr 25, 20221 Germany
NCT03174548A Study to Evaluate the Effect of Food on the Pharmacokinetics of Sotagliflozin and to Explore the Relative Bioavailability in Healthy SubjectsPHASE1 COMPLETED 14Jun 12, 2017Sep 15, 2017Apr 25, 20221 United Kingdom
NCT03070678Interaction Study to Evaluate the Effects of Mefenamic Acid on the Pharmacokinetics and Pharmacodynamics of Sotagliflozin in Healthy Male and Female SubjectsPHASE1 COMPLETED 16Mar 14, 2017Apr 18, 2017Apr 25, 20221 France
NCT03063580Effect of Rifampicin on the Pharmacokinetics and Pharmacodynamics of SotagliflozinPHASE1 COMPLETED 16Feb 27, 2017May 12, 2017Apr 25, 20221 France
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Study Endpoints
Primary Endpoints
Assessment of pharmacodynamic (PD) parameters in feces
Baseline and on Day 55 and 56 (over 48 hours)

Change from baseline in fecal sodium excretion

Assessment of PD parameters in urine
Baseline and on Day 56 (over 24 hours)

Change from baseline in 24-hour urinary glucose excretion

Assessment of PD parameters in blood
Baseline and on Day 56

14 hour plasma glucose profile after standardized meals

Adverse events (AEs)
Up to 41 days

Proportion of patients who experienced adverse events/treatment-emergent AEs (TEAE)

Assessment of PK parameter: AUCtau
On Day 10 (Period 2)

Sotagliflozin with ramipril: Area under the curve (AUC) to the end of the dosing period (AUCtau)

Maximum plasma drug concentration (Cmax) of sotagliflozin
From 0 to 120 hours after sotagliflozin intake
Area under curve (AUC) of sotagliflozin
From 0 to 120 hours after sotagliflozin intake
Maximum plasma concentration (Cmax)
Up to 144 hours after each SAR439954 intake
Area under the concentration-time curve from 0 to the last quantifiable concentration (AUClast)
Up to 144 hours after each SAR439954 intake
Area under the concentration-time curve from 0 to infinity (AUC0 ∞)
Up to 144 hours after each SAR439954 intake
Area under the concentration-time curve from 0 to the last quantifiable concentration (AUC0-tlast)
Up to 96 hours post SAR439954 dosing
Secondary Endpoints
Fasting metabolic laboratory panel
Baseline and on Day 56
Ambulatory Blood Pressure Measurement (ABPM)
Baseline and on days 54 until Day 56
Cardiovascular parameters
Baseline and on Day 56
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment A (Test)EXPERIMENTALSotagliflozin 2 tablets administered once daily with 1 empagliflozin placebo capsule prior to the first meal of the day
Treatment B (Reference)ACTIVE_COMPARATOREmpagliflozin 1 capsule administered once daily with 2 sotagliflozin placebo tablets prior to the first meal of the day
Dose 1EXPERIMENTALSotagliflozin dose 1, once daily for 8 days
Dose 2EXPERIMENTALSotagliflozin dose 2, once daily for 8 days
PlaceboPLACEBO_COMPARATORPlacebo, once daily for 8 days
SAR439954 with or without ramiprilEXPERIMENTAL* On Period 1, following an overnight fast, subjects will receive once daily single morning oral intake of sotagliflozin from Day 1 to Day 5 followed by the first meal that has to be started within 10 min after dosing. * On Day 1 of the Period 2, study subjects will begin a 10-day ramipril regimen following an overnight fast. From Day 6 to Day 10, subjects will receive once daily single morning oral intake of ramipril concomitantly to the sotagliflozin dosing.
Fed Tablet period (Test, T)EXPERIMENTALSotagliflozin oral in fed conditions
Fasted Tablet period (Reference, R)EXPERIMENTALSotagliflozin oral in fasting conditions
Oral Solution period (S)EXPERIMENTALSotagliflozin oral solution in fasting conditions
SAR439954 with or without mefenamic acidEXPERIMENTALPeriod 1: single oral dose of 400 mg sotagliflozin Period 2: initial loading dose of 500 mg in the morning of Day 1, followed by 250 mg from Day 1 H6 to Day 7 of mefenamic acid and a single oral dose of sotagliflozin on Day 2
SAR439954 with or without rifampicinEXPERIMENTALPeriod 1: single oral dose of 400 mg sotagliflozinon Day 1 morning Period 2: once-daily oral doses of 600 mg rifampicin from Days 1 to 10 and a single oral dose of 400 mg sotagliflozin
Interventions
NameTypeDescription
Sotagliflozin (SAR439954)DRUGPharmaceutical form: tablet Route of administration: oral
PlaceboDRUGPharmaceutical form: tablet Route of administration: oral
EmpagliflozinDRUGPharmaceutical form: capsule Route of administration: oral
RamiprilDRUGPharmaceutical form: tablets Route of administration: oral
Mefenamic acidDRUGPharmaceutical form: capsule Route of administration: oral
RifampicinDRUGPharmaceutical form: capsules Route of administration: oral
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Eligibility Criteria
Age Range18 Years — 74 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion criteria : * Male or female patients with Type 2 Diabetes Mellitus (T2DM) (diagnosed at least 1 year before screening visit), between 18 and 74 years of age, inclusive, with: * Hypertension grades 1 or 2 as defined by the European Society of Hypertension (ESH)/European Society of Cardi...

Countries:GermanyChinaUnited KingdomFrance
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