Primary Objective: To compare the metabolic and gastrointestinal pharmacodynamic (PD) effects of an 8 weeks treatment with sotagliflozin once daily (QD) to an 8 weeks treatment to empagliflozin QD in mild or moderate hypertensive T2DM patients on a stable treatment regimen with metformin and an angiotensin converting enzyme (ACE) inhibitor or Angiotensin Receptor Blocker (ARB) under standardized diet conditions. Secondary Objectives: * To compare the renal and cardiovascular PD effects of an 8 weeks treatment with sotagliflozin QD to an 8 weeks treatment to empagliflozin QD in mild or moderate hypertensive T2DM patients on a stable treatment regimen with metformin and an ACE inhibitor or ARB. * To evaluate the safety and tolerability of an 8 weeks QD treatment with sotagliflozin or empagliflozin in mild to moderate hypertensive T2DM patients on a stable treatment with metformin and an ACE inhibitor or ARB. * To evaluate the pharmacokinetic (PK) profile of sotagliflozin in steady state conditions.
The total study duration per patient is 70-105 days (for patients without drug washout/switch period), and up to 175 days (for patients with drug washout/switch period), including 2-30 days of screening, 5 days of run-in period, 56 days of treatment period, and a 7-14 days of follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
41
Pharmaceutical form: tablet Route of administration: oral
Pharmaceutical form: tablet Route of administration: oral
Pharmaceutical form: capsule Route of administration: oral
Pharmaceutical form: capsule Route of administration: oral
Investigational Site Number 2760001
Berlin, Germany
Assessment of pharmacodynamic (PD) parameters in feces
Change from baseline in fecal sodium excretion
Time frame: Baseline and on Day 55 and 56 (over 48 hours)
Assessment of pharmacodynamic (PD) parameters in feces
Change from baseline in fecal short-chain fatty acids (SCFA)
Time frame: Baseline and on Day 55 and 56 (over 48 hours)
Assessment of pharmacodynamic (PD) parameters in feces
Change from baseline in fecal pH
Time frame: Baseline and on Day 55 and 56 (over 48 hours)
Assessment of PD parameters in urine
Change from baseline in 24-hour urinary glucose excretion
Time frame: Baseline and on Day 56 (over 24 hours)
Assessment of PD parameters in urine
Change from baseline in 24-hour sodium excretion
Time frame: Baseline and on Day 56 (over 24 hours)
Assessment of PD parameters in blood
14 hour plasma glucose profile after standardized meals
Time frame: Baseline and on Day 56
Assessment of PD parameters in blood
14 hour plasma glucagon-like peptide 1 (GLP-1) profile after standardized meals
Time frame: Baseline and on Day 56
Fasting metabolic laboratory panel
Change from baseline in fasting plasma glucose
Time frame: Baseline and on Day 56
Ambulatory Blood Pressure Measurement (ABPM)
Change from baseline in average 24h systolic arterial pressure
Time frame: Baseline and on days 54 until Day 56
Cardiovascular parameters
Change from baseline in plasma aldosterone
Time frame: Baseline and on Day 56
Pulse wave velocity
Change from baseline in carotid-femoral pulse wave velocity
Time frame: Baseline and on Day 55
Continuous Glucose Monitoring (CGM)
Change from baseline in average diurnal glucose
Time frame: Baseline, last 3 days of treatment
Echocardiography
Change from baseline in left ventricular ejection fraction (LVEF)
Time frame: Baseline and on Day 54
Echocardiography
Change from baseline in left ventricular end-diastolic diameter
Time frame: Baseline and on Day 54
Plasma Volume Measurement
Change from baseline in plasma volume
Time frame: Baseline and on Day 54
Adverse events
Number of patients with reported adverse events
Time frame: Over 15 weeks
Assessment of pharmacokinetic (PK) parameters: Cmax
Sotagliflozin: maximum plasma concentration observed (Cmax)
Time frame: 24 hours after last investigational medicinal product (IMP) administration
Assessment of pharmacokinetic (PK) parameters: Ctrough
Sotagliflozin: plasma concentration observed before administration during repeated dosing (Ctrough)
Time frame: 24 hours after last IMP administration
Assessment of pharmacokinetic (PK) parameters: AUCtau
Sotagliflozin: Area under the plasma concentration versus time curve calculated using the trapezoidal method over the dosing interval (AUCtau)
Time frame: 24 hours after last IMP administration
Assessment of pharmacokinetic (PK) parameters: tmax
Sotagliflozin: First time to reach Cmax (tmax)
Time frame: 24 hours after last IMP administration
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