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Cadisegliatin

Phase 3

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |vTv Therapeutics Inc.|Last Updated: Jun 2, 2026

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 Trials1
Total Enrollment150
FDA Designations
BREAKTHROUGH_THERAPY
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06334133Cadisegliatin as Adjunctive Therapy to Insulin in Participants With Type 1 DiabetesPHASE3 RECRUITING 150Jun 14, 2024Oct 1, 2026Jun 2, 202661 United States, Puerto Rico
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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.

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.
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 — 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, 2026NCT06334133lastUpdatePostDate: changed
LOWJun 2, 2026NCT06334133lastUpdatePostDate: changed
LOWMay 26, 2026NCT06334133primaryCompletionDate: changed
LOWMay 24, 2026NCT06334133studyFirstPostDate: changed