Efficacy and Safety of Sotagliflozin Versus Placebo in Patients With Type 2 Diabetes Mellitus on Background of Metformin
Type 2 Diabetes Mellitus

About this trial
This is an interventional treatment trial for Type 2 Diabetes Mellitus
Eligibility Criteria
Inclusion criteria :
- Participants with Type 2 Diabetes currently treated with diet and exercise and on metformin at a stable dose ≥1500 milligrams per day (mg/day) for at least 12 weeks. However, participants on metformin at a dose <1500 mg/day at the time of enrollment (stable dose for at least 12 weeks before enrollment) may be eligible for screening if documentation of lack of tolerance of a metformin dose ≥1500 mg/day can be provided.
- Signed written informed consent.
Exclusion criteria:
- Age <18 years at Screening or < legal age of majority, whichever is greater.
- Type 1 diabetes mellitus.
- Body Mass Index (BMI) ≤20 or >45 kilograms per meter square (kg/m^2) at Screening
- Hemoglobin A1c <7% or >10% via central laboratory test at screening.
- Fasting plasma glucose (FPG) >15 millimole per liter (mmol/L) (270 milligrams per deciliter [mg/dL]) measured by the central laboratory at screening (Visit 1) and confirmed by a repeat test (>15 mmol/L [270 mg/dL]) before randomization.
- Women of childbearing potential not willing to use highly effective method(s) of birth control or who are unwilling or unable to be tested for pregnancy during the study.
- Treated with an antidiabetic pharmacological regimen other than metformin ≥1500 mg per day (or maximum tolerated dose) within the 12 weeks preceding the Screening Visit.
- Previous use of any types of insulin for >1 month (at any time, aside from pregnancy for treatment of gestational diabetes).
- History of prior gastric surgical procedure, including gastric banding, within 3 years before the Screening Visit.
- History of diabetic ketoacidosis or nonketotic hyperosmolar coma within 12 weeks prior to the Screening Visit.
- Mean of 3 separate blood pressure measurements >180 mmHg (SBP) or >100 mmHg (diastolic blood pressure [DBP]).
- History of hypertensive urgency or emergency within 12 weeks prior to Screening.
- Participants with severe anemia, severe cardiovascular (including congestive heart failure New York Heart Association [NYHA] IV), respiratory, hepatic, neurological, psychiatric, or active malignant tumor or other major systemic disease or participants with short life expectancy making implementation of the protocol or interpretation of the study results difficult.
- Aspartate aminotransferase and/or alanine aminotransferase: >3 times the upper limit of the normal laboratory range.
- Total bilirubin: >1.5 times the upper limit of the normal laboratory range (except in case of Gilbert's syndrome).
- Use of systemic glucocorticoids (excluding topical or ophthalmic application or inhaled forms) for more than 10 consecutive days within 90 days prior to the Screening Visit.
- Participants who has taken other investigational drugs or prohibited therapy for this study within 12 weeks or 5 half-lives from screening or randomization, whichever is longer.
- Pregnant (confirmed by serum pregnancy test at Screening) or breastfeeding women.
- Participants is unwilling or unable to perform self-monitoring of blood glucose (SMBG), complete the participants diary, or comply with study visits and other study procedures as required per protocol.
- Contraindication to metformin as per local labelling.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Sites / Locations
- Investigational Site Number 8402003
- Investigational Site Number 8402017
- Investigational Site Number 8402052
- Investigational Site Number 8402056
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- Investigational Site Number 1242014
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- Investigational Site Number 1242013
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- Investigational Site Number 1242015
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- Investigational Site Number 1242003
- Investigational Site Number 1242011
- Investigational Site Number 3482002
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- Investigational Site Number 3482006
- Investigational Site Number 3482004
- Investigational Site Number 3482001
- Investigational Site Number 3482007
- Investigational Site Number 7032001
- Investigational Site Number 7032005
- Investigational Site Number 7032003
- Investigational Site Number 7032002
- Investigational Site Number 7032004
- Investigational Site Number 7032006
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Sotagliflozin 400 mg + Metformin
Placebo + Metformin
Following a 2-week run-in period, sotagliflozin 400 mg was administered as 2 tablets, once daily, before the first meal of the day plus metformin as prescribed by the Principal Investigator for up to 26 weeks in the double-blind Core Treatment Period, and participants continued the same treatment in the double-blind Extension Period for up to 53 weeks.
Following a 2-week run-in period, matching placebo was administered as 2 tablets, once daily, before the first meal of the day plus metformin as prescribed by the Principal Investigator for up to 26 weeks in the double-blind Core Treatment Period, and participants continued the same treatment in the double-blind Extension Period for up to 53 weeks.