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Trial ยท NCT02421510

Efficacy, Safety, and Tolerability Study of Sotagliflozin as Adjunct Therapy in Adult Patients With Type 1 Diabetes Mellitus Who Have Inadequate Glycemic Control With Insulin Therapy

NCT02421510, Phase 3, Completed, Lexicon Pharmaceuticals; results first posted 2019-10-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy, Safety, and Tolerability Study of Sotagliflozin as Adjunct Therapy in Adult Patients With Type 1 Diabetes Mellitus Who Have Inadequate Glycemic Control With Insulin Therapy. Trials, record NCT02421510. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02421510

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy, Safety, and Tolerability Study of Sotagliflozin as Adjunct Therapy in Adult Patients With Type 1 Diabetes Mellitus Who Have Inadequate Glycemic Control With Insulin Therapy
NCT number
NCT02421510
Status
Completed
Phases
Phase 3
Enrollment
782 participants, actual
Lead sponsor
Lexicon Pharmaceuticals
Conditions
Type 1 Diabetes Mellitus
Interventions
Sotagliflozin, Sotagliflozin, Placebo
First posted
2015-04-20
Last updated
2020-02-12
Other registries' IDs
eudract:2014-005153-39
Results first posted
2019-10-30

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in A1C at Week 24Baseline to Week 24
Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. Least square (LS) means were obtained from a mixed-effects model for repeated measures (MMRM) that included fixed, categorical effects of treatment, randomization strata of insulin delivery method (MDI, CSII), randomization strata of Week -2 A1C (\<= 8.5%, \>8.5%), time (study week), a treatment-by-time interaction, and baseline A1C-by-time interaction as a covariate. A negative change from baseline (a reduction of A1C value at Week 24) indicates an improvement.
SecondaryPercentage of Participants With A1C <7.0% at Week 24 and no Episode of Severe Hypoglycemia, and no Episode of Diabetic Ketoacidosis (DKA) From Baseline to Week 24Baseline to Week 24
The composite endpoint included blood samples for the assessment of Hemoglobin A1C to determine the participants with a value \<7.0% and a central blinded adjudication process to determine whether participants experienced either DKA or severe hypoglycemia. Only positively adjudicated severe hypoglycemia and diabetic ketoacidosis were included in the analysis.
SecondaryChange From Baseline in Body Weight at Week 24Baseline to Week 24
Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. LS means were obtained from MMRM model. A negative change from baseline indicates a loss in body weight from baseline to Week 24.
SecondaryChange From Baseline in Mean Daily Bolus Insulin Dose at Week 24Baseline to Week 24
The mean bolus insulin dose in international units/day (IU/day) for Week 24 was the average over the 3 to 5 days prior to the Week 24 visit. The Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. LS means were obtained from MMRM model including all available post baseline values. A negative change from baseline indicated a reduction in the amount of bolus insulin used and a positive change from baseline indicated an increase in the amount of bolus insulin used between baseline and Week 24.
SecondaryChange From Baseline in Fasting Plasma Glucose (FPG) at Week 24Baseline to Week 24
The Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. LS means were obtained from MMRM model including all available post baseline values. A negative change from baseline indicates a lower glucose level at Week 24 compared to baseline and a positive change from baseline indicates an increase in glucose level at Week 24 compared to baseline.
SecondaryChange From Baseline in Diabetes Treatment Satisfaction Questionnaire (DTSQ) Score at Week 24Baseline to Week 24
The DTSQ instrument contains 8 items assessing overall treatment satisfaction, treatment convenience and flexibility, satisfaction with understanding of diabetes, willingness to continue present treatment and to recommend it to others, and frequency of unacceptably high and unacceptably low blood glucose levels. 6 items (1, 4, 5, 6, 7 and 8) (excluding perceived hyperglycemia and hypoglycemia items) were scored using a 7- point scale where 0=very dissatisfied to 6= very satisfied for a total possible score of 0 (very dissatisfied) to 36 (very satisfied), where higher scores indicate higher satisfaction from treatment. Two items (Q2 and 3), which were not included, measured perceived hyperglycemia and hypoglycemia, respectively. The baseline value was defined as the last value collected prior to the first dose of double-blind study medication. LS means were obtained from MMRM model including all available post baseline values. A positive change from baseline indicates improvement.
SecondaryChange From Baseline in 2-Item Diabetes Distress Screen 2 (DDS2) Score at Week 24Baseline to Week 24
DDS2 is a 2-item diabetes distress screening instrument where participants rated the degree to which the following items caused distress: (1) feeling overwhelmed by the demands of living with diabetes, and (2) feeling that I am often failing with my diabetes regimen using a 6-point scale: where 1=no distress to 6=severe distress for a total possible score of 2 to 12. LS means were obtained from MMRM model including all available post baseline values. A negative change from baseline indicates improvement.
SecondaryPercent Change From Baseline in Body Weight at Week 24Baseline to Week 24
Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. LS means were obtained from MMRM model. A negative percent change from baseline indicates a loss in body weight from baseline to Week 24.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in A1C at Week 24Baseline to Week 24Analysis included participants from the modified intent to treat (mITT) population. Here, overall number of participants analyzed = participants with available data for this outcome measure.Percentage of A1CLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants With A1C <7.0% at Week 24 and no Episode of Severe Hypoglycemia, and no Episode of Diabetic Ketoacidosis (DKA) From Baseline to Week 24Baseline to Week 24Analysis included participants from the mITT population.Percentage of participantsNUMBER
SECONDARYChange From Baseline in Body Weight at Week 24Baseline to Week 24Analysis included participants from the mITT population. Here, overall number of participants analyzed = participants with available data for this outcome measure.Kilograms (kg)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Mean Daily Bolus Insulin Dose at Week 24Baseline to Week 24Analysis included participants from the mITT population. Here, overall number of participants analyzed = participants with available data for this outcome measure.IU/dayLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Fasting Plasma Glucose (FPG) at Week 24Baseline to Week 24Analysis included participants from the mITT population. Here, overall number of participants analyzed = participants with available data for this outcome measure.Milligram per deciliter (mg/dL)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Diabetes Treatment Satisfaction Questionnaire (DTSQ) Score at Week 24Baseline to Week 24Analysis included participants from the mITT population. Here, overall number of participants analyzed = participants with available data for this outcome measure.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 2-Item Diabetes Distress Screen 2 (DDS2) Score at Week 24Baseline to Week 24Analysis included participants from the mITT population. Here, overall number of participants analyzed = participants with available data for this outcome measure.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline in Body Weight at Week 24Baseline to Week 24
Analysis included participants from the mITT population, including all available post baseline values. Here, overall number of participants analyzed = participants with available data for this outcome measure.
Percent changeLEAST_SQUARES_MEAN

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in A1C at Week 24Placebo-0.02Standard Error 0.044Percentage of A1C
Change From Baseline in A1C at Week 24Sotagliflozin 200 mg-0.39Standard Error 0.044Percentage of A1C
Change From Baseline in A1C at Week 24Sotagliflozin 400 mg-0.37Standard Error 0.043Percentage of A1C
Percentage of Participants With A1C <7.0% at Week 24 and no Episode of Severe Hypoglycemia, and no Episode of Diabetic Ketoacidosis (DKA) From Baseline to Week 24Placebo15.1Percentage of participants
Percentage of Participants With A1C <7.0% at Week 24 and no Episode of Severe Hypoglycemia, and no Episode of Diabetic Ketoacidosis (DKA) From Baseline to Week 24Sotagliflozin 200 mg31.4Percentage of participants
Percentage of Participants With A1C <7.0% at Week 24 and no Episode of Severe Hypoglycemia, and no Episode of Diabetic Ketoacidosis (DKA) From Baseline to Week 24Sotagliflozin 400 mg32.3Percentage of participants
Change From Baseline in Body Weight at Week 24Placebo0.11Standard Error 0.201Kilograms (kg)
Change From Baseline in Body Weight at Week 24Sotagliflozin 200 mg-1.88Standard Error 0.200Kilograms (kg)
Change From Baseline in Body Weight at Week 24Sotagliflozin 400 mg-2.47Standard Error 0.199Kilograms (kg)
Change From Baseline in Mean Daily Bolus Insulin Dose at Week 24Placebo-1.19Standard Error 0.635IU/day

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo258
Overall StudySTARTEDSotagliflozin 200 mg261
Overall StudySTARTEDSotagliflozin 400 mg263
Overall StudyCompleted the 24 Week Treatment PeriodPlacebo236
Overall StudyCompleted the 24 Week Treatment PeriodSotagliflozin 200 mg239
Overall StudyCompleted the 24 Week Treatment PeriodSotagliflozin 400 mg240
Overall StudyCOMPLETEDPlacebo225
Overall StudyCOMPLETEDSotagliflozin 200 mg226
Overall StudyCOMPLETEDSotagliflozin 400 mg227
Overall StudyNOT COMPLETEDPlacebo33

Adverse events174

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersPlacebo1025813
otherDiarrhoeaGastrointestinal disordersSotagliflozin 200 mg1226118
otherDiarrhoeaGastrointestinal disordersSotagliflozin 400 mg2026329
otherViral upper respiratory tract infectionRespiratory, thoracic and mediastinal disordersPlacebo4025858
otherViral upper respiratory tract infectionRespiratory, thoracic and mediastinal disordersSotagliflozin 200 mg4426160
otherViral upper respiratory tract infectionRespiratory, thoracic and mediastinal disordersSotagliflozin 400 mg4926370
seriousUterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)Placebo12581
seriousUterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)Sotagliflozin 200 mg12611
seriousUterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)Sotagliflozin 400 mg02630
seriousBreast cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)Placebo12581

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo2258
Total, all-cause mortalitySotagliflozin 200 mg0261
Total, all-cause mortalitySotagliflozin 400 mg0263
Total, other adverse eventsPlacebo46258
Total, other adverse eventsSotagliflozin 200 mg52261
Total, other adverse eventsSotagliflozin 400 mg64263
Total, serious adverse eventsPlacebo17258
Total, serious adverse eventsSotagliflozin 200 mg26261
Total, serious adverse eventsSotagliflozin 400 mg21263

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29937431DERIVEDPubMed
30833371DERIVEDPubMed
31587812DERIVEDPubMed
32721228DERIVEDPubMed
32928957DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02421510

GET https://conductscience.org/api/trials/v1/NCT02421510/results?page=2