This Phase 3 study was designed to demonstrate the net benefit of sotagliflozin versus placebo in patients with Type 1 Diabetes (T1D).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
1,405
Sotagliflozin, once daily, before the first meal of the day
Placebo, once daily, before the first meal of the day
Percentage of Participants With A1C <7.0% at Week 24 and No Episode of Severe Hypoglycemia and No Episode of Diabetic Ketoacidosis (DKA) After Randomization
The primary composite endpoint included blood samples for the assessment of Hemoglobin A1C to determine the participants with a value \<7.0%. A central blinded adjudication process determined whether participants experienced either DKA or Severe Hypoglycemia.
Time frame: Week 24
Change From Baseline in A1C
Baseline value was defined as the last value collected prior to the first dose of double-blind study medication. Least Squares (LS) means were obtained from a mixed-effects model for repeated measures (MMRM) model including all available post baseline data. A negative change from Baseline (a lower AIC value at Week 24) indicates an improvement.
Time frame: Baseline to Week 24
Absolute Change From Baseline in Body Weight
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.
Time frame: Baseline to Week 24
Change From Baseline in Systolic Blood Pressure (SBP) in the Subset of Participants With Baseline SBP >=130 Millimeter of Mercury (mmHg)
An automatic sphygmomanometer was used with instructions on blood pressure measurements to allow for standardization. Week 16 was used because the protocol required Investigators to keep participant's hypertensive medications stable between Baseline and Week 16, unless a change was required for safety reasons. Baseline was defined as the last value collected prior to the first does of double-blind study medication. LS means were obtained from MMRM model including all available post baseline values. A negative change indicates a decrease in SBP between Baseline and Week 16.
Time frame: Baseline to Week 16
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Lexicon Investigational Site
Concord, California, United States
Lexicon Investigational Site
Escondido, California, United States
Lexicon Investigational Site
La Jolla, California, United States
Lexicon Investigational Site
San Marcos, California, United States
Lexicon Investigational Site
Ventura, California, United States
Lexicon Investigational Site
Walnut Creek, California, United States
Lexicon Investigational Site
Aurora, Colorado, United States
Lexicon Investigational Site
New Haven, Connecticut, United States
Lexicon Investigational Site
Orlando, Florida, United States
Lexicon Investigational Site
West Palm Beach, Florida, United States
...and 125 more locations
Percent Change From Baseline in Mean Daily Bolus Insulin Dose
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 percent change from Baseline indicated a reduction in the amount of bolus insulin used and a positive percent change from Baseline indicated an increase in the amount of bolus insulin used between Baseline and Week 24.
Time frame: Baseline to Week 24