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vTv Therapeutics Announces Cadisegliatin Program for Type 1 Diabetes Placed on Clinical Hold

Key Takeaway: vTv Therapeutics has announced that the FDA placed a clinical hold on its cadisegliatin program, impacting the ongoing CATT1 Phase 3 trial for type 1 diabetes. This hold stems from a chromatographic signal discovered in a recent ADME study that requires further characterization. Although cadisegliatin has shown a favorable safety profile in prior studies, the FDA needs additional data before the program can resume. The company is working with the agency to resolve the issue swiftly and is optimistic about cadisegliatin's potential as an oral therapy for type 1 diabetes.
Price reaction · baseline $21.01 (2024-07-25 close) · hit after-hours · clean, no other VTVT news in the window
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Market Sentiment Analysis

POSITIVE FACTORS

  • Cadisegliatin has been well-tolerated in over 500 subjects.
  • Demonstrated compelling efficacy and a favorable safety profile.
  • Potential to improve glycemic control for type 1 diabetes patients.

CONCERNS & RISKS

  • The clinical program is on hold due to unresolved chromatographic signals.
  • An in vitro study is required by the FDA before resuming the program.
  • No patients had been dosed in the ongoing clinical trial at the time of the hold.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Cash runway
~22 mo
Low dilution risk
Lead asset
Cadisegliatin
Phase 3 · Diabetes Mellitus, Type 1

Full Press Release Details

HIGH POINT, N.C., July 26, 2024 (GLOBE NEWSWIRE) -- vTv Therapeutics Inc. (Nasdaq: VTVT), a late stage biopharmaceutical company with an innovative clinical portfolio of small molecules and lead program in diabetes, today announced that the United States Food and Drug Administration (FDA) has placed a clinical hold on the cadisegliatin clinical program which includes the ongoing CATT1 Phase 3 trial in type 1 diabetes. Cadisegliatin is an oral, liver selective, glucokinase activator that has been well-tolerated in over 500 subjects to date with up to six months of treatment.
The clinical hold was based on the discovery of a chromatographic signal in a recent human absorption, distribution, metabolism, and excretion (ADME) study of cadisegliatin that could not be resolved by standard mass spectroscopy. The Agency requires a single in vitro study to characterize this signal before the cadisegliatin program can resume. No patient had been dosed in CATT1 at the time of the clinical hold, and past clinical studies did not reveal any clinically concerning safety issues.
“Patient safety is our top priority, and we appreciate the thoroughness of the FDA to better understand this signal. We are working diligently with the Agency to resolve the clinical hold and resume enrollment as quickly as possible,” said Paul Sekhri, Chairman, President and Chief Executive Officer of vTv Therapeutics. “Cadisegliatin demonstrated compelling efficacy and a favorable safety profile in over 500 subjects dosed to date, and we are highly encouraged at the potential of cadisegliatin to improve glycemic control and be a much-needed oral therapy for type 1 diabetes.”
Cadisegliatin (TTP399) is a novel, oral small molecule, liver selective glucokinase activator with first-in- class potential as an adjunct treatment for type 1 diabetes (T1D). Selectively acting on the liver, cadisegliatin increases the activity of glucokinase independently from insulin to improve glycemic control through hepatic glucose uptake and glycogen storage.
About vTv Therapeutics
vTv Therapeutics Inc. is a late stage biopharmaceutical company focused on developing novel oral, small molecule drug candidates to help treat millions with chronic diseases. vTv’s clinical pipeline is led by cadisegliatin, a potential first-in-class adjunctive therapy to insulin for the treatment of type 1 diabetes.
Forward-Looking Statement
This release contains forward-looking statements, which involve risks and uncertainties. These forward- looking statements can be identified by the use of forward-looking terminology, including the terms “anticipate,” “believe,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would” and, in each case, their negative or other various or comparable terminology. All statements other than statements of historical facts contained in this release, including statements regarding the timing of our clinical trials, our strategy, future operations, future financial position, future revenue, projected costs, prospects, plans, objectives of management and expected market growth are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance, or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Important factors that could cause our results to vary from expectations include those described under the heading “Risk Factors” in our Annual Report on Form 10-K and our other filings with the SEC. These forward-looking statements reflect our views with respect to future events as of the date of this release and are based on assumptions and subject to risks and uncertainties. Given these uncertainties, you should not place undue reliance on these forward-looking statements. These forward-looking statements represent our estimates and assumptions only as of the date of this release and, except as required by law, we undertake no obligation to update or review publicly any forward-looking statements, whether as a result of new information, future events or otherwise after the date of this release. We anticipate that subsequent events and developments will cause our views to change. Our forward-looking statements do not reflect the potential impact of any future acquisitions, merger, dispositions, joint ventures, or investments we may undertake. We qualify all of our forward-looking statements by these cautionary statements.

Frequently Asked Questions

What is cadisegliatin used for?

Cadisegliatin is an oral glucokinase activator aimed at improving glycemic control in type 1 diabetes.

Why did the FDA place a hold on the cadisegliatin program?

The FDA issued a clinical hold due to an unresolved signal in a recent ADME study of cadisegliatin.

How many subjects have been treated with cadisegliatin?

Cadisegliatin has been well-tolerated in over 500 subjects to date.

What is vTv Therapeutics focusing on?

vTv Therapeutics focuses on developing novel oral, small molecule therapies for chronic diseases.

What are the characteristics of cadisegliatin?

Cadisegliatin is a liver-selective, first-in-class glucokinase activator for type 1 diabetes.

Last updated: Jul 26, 2024