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Cadisegliatin

Phase 3

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |vTv Therapeutics Inc.|Last Updated: Jul 28, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment150

FDA Designations

BREAKTHROUGH_THERAPY

Clinical trial landscape

Cadisegliatin · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT06334133Cadisegliatin as Adjunctive Therapy to Insulin in Participants With Type 1 DiabetesDiabetes Mellitus, Type 1
ACTIVE NOT_RECRUITING150 Analytics
PHASE3ACTIVE NOT_RECRUITING
Cadisegliatin as Adjunctive Therapy to Insulin in Participants With Type 1 Diabetes
Diabetes Mellitus, Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Change in incidence of Level 2 or Level 3 hypoglycemia
26 weeks

Number of events of Level 2 or Level 3 hypoglycemia in participants on cadisegliatin vs placebo.

To assess the change in Time in Range (TIR)
last 2 weeks of the two 6-week treatment periods

Time in Range (TIR) based on study CGM in participants with T1D who are using hybrid closed loop systems on cadisegliatin vs placebo

Secondary Endpoints

To assess the change in HbA1c
26 weeks
To assess the effects of treatment on CGM-based metrics for glycemic control
26 weeks
To assess the effects of treatment on the incidence of diabetic ketoacidosis
26 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cadisegliatin: 26 Week Double Blind Treatment Period - 800 mg QDEXPERIMENTALThe main study uses a randomized, double-blind, placebo-controlled design with parallel assignment among 3 treatment arms. The trial begins with a screening period of up to 14 days, followed by a 28-day device training and insulin adjustment period leading into a 28-day baseline period before entering the 26-week treatment period. Insulin is adjunctive therapy.
Cadisegliatin: 26 Week Double Blind Treatment Period - 800 mg BIDEXPERIMENTALThe main study uses a randomized, double-blind, placebo-controlled design with parallel assignment among 3 treatment arms. The trial begins with a screening period of up to 14 days, followed by a 28-day device training and insulin adjustment period leading into a 28-day baseline period before entering the 26-week treatment period. Insulin is adjunctive therapy.
Placebo: 26 Week Double Blind Treatment PeriodPLACEBO_COMPARATORThe main study uses a randomized, double-blind, placebo-controlled design with parallel assignment among 3 treatment arms. The trial begins with a screening period of up to 14 days, followed by a 28-day device training and insulin adjustment period leading into a 28-day baseline period before entering the 26-week treatment period. Insulin is adjunctive therapy.
Cadisegliatin 800 mg QD: Double Blind, Randomized Crossover Trial DesignEXPERIMENTALIf a patient is randomized to receive cadisegliatin 800 mg QD as an adjunctive therapy to their insulin treatment in the first double-blind treatment period of 6 weeks, there will then be a washout period of 1-2 weeks followed by the second double-blind treatment period of 6 weeks where the patient will cross-over to the placebo QD along with their insulin treatment arm
Placebo: Double Blind, Randomized Crossover Trial DesignPLACEBO_COMPARATORIf a patient is randomized to receive placebo QD along with their insulin treatment in the first double-blind treatment period of 6 weeks, there will then be a washout period of 1-2 weeks followed by the second double-blind treatment period of 6 weeks where the patient will cross-over to the cadisegliatin 800 mg QD as an adjunctive therapy to their insulin treatment arm

Interventions

NameTypeDescription
Cadisegliatin 800 mg QDDRUGCadisegliatin is an orally bioavailable small-molecule glucokinase activator; adjunctive therapy to insulin.
Cadisegliatin 800 mg BIDDRUGCadisegliatin is an orally bioavailable small-molecule glucokinase activator; adjunctive therapy to insulin.
PlaceboDRUGPlacebo (insulin alone)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites52

Inclusion Criteria: * Individuals ≥18 years * Diagnosed T1DM with a minimum of 3 years since diagnosis * Has had at least 1 hypoglycemic event of Level 2 (glucose level \<54 mg/dL or \<3 mmol/L, \[CGM or SMBG confirmed\]) or Level 3 (defined as a severe hypoglycemia with altered mental state and/or...

Countries:United StatesPuerto Rico
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Recent Changes (Last 90 Days)

MEDIUMJul 28, 2026NCT06334133Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 28, 2026NCT06334133Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJun 2, 2026NCT06334133lastUpdatePostDate: changed
LOWJun 2, 2026NCT07616206NEW_TRIAL: changed
LOWJun 2, 2026NCT06334133lastUpdatePostDate: changed
LOWJun 2, 2026NCT07616206NEW_TRIAL: changed
LOWJun 2, 2026NCT06334133lastUpdatePostDate: changed
LOWJun 2, 2026NCT07616206NEW_TRIAL: changed
LOWMay 26, 2026NCT06334133primaryCompletionDate: changed
LOWMay 24, 2026NCT06334133studyFirstPostDate: changed

Frequently asked questions about Cadisegliatin

What is Cadisegliatin used for?

Cadisegliatin is an investigational small molecule being developed as an adjunctive therapy to insulin for the treatment of Type 1 Diabetes (T1D). It is currently in Phase 3 clinical development and has been granted Breakthrough Therapy designation by the FDA.

What does Cadisegliatin target?

Cadisegliatin is a small molecule designed to work as an adjunctive therapy to insulin in Type 1 Diabetes. Its specific molecular target has not been disclosed, but it is being studied for its potential to improve glycemic control when added to insulin therapy.

Who is developing Cadisegliatin?

Cadisegliatin is being developed by vTv Therapeutics Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol VTVT. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with Type 1 Diabetes.

What phase is Cadisegliatin in?

Cadisegliatin is currently in Phase 3 clinical development. It has received Breakthrough Therapy designation from the FDA. The drug is investigational and has not yet been approved for commercial use.

What clinical trials is Cadisegliatin in?

Cadisegliatin is being studied in two clinical trials. The Phase 3 trial (NCT06334133) is active but not recruiting, with 150 participants in the United States and Puerto Rico. A Phase 2 trial (NCT07616206) is planned for patients using hybrid closed loop systems, with 40 participants in the United States.

Is Cadisegliatin the same as Cadisegliatin 800 mg QD?

Cadisegliatin 800 mg QD refers to the once-daily 800 mg dosing regimen of Cadisegliatin. It is the same drug, with the name indicating the specific dose and frequency being studied in clinical trials.