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Cadisegliatin

Phase 3

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |vTv Therapeutics Inc.|Last Updated: Jun 2, 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
RECRUITING150 Analytics
PHASE3RECRUITING
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 Sites61

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)
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