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Comparison of Sotagliflozin Prototype Tablets With Reference Tablet in Healthy Subjects

Primary Purpose

Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
sotagliflozin (SAR439954)
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Type 1 Diabetes Mellitus

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria :

  • Healthy male or female subjects, between 18 and 55 years of age, inclusive.
  • Body weight between 50.0 and 100.0 kg, inclusive, if male, and between 40.0 and 90.0 kg, inclusive, if female, body mass index between 18.0 and 32.0 kg/m², inclusive.
  • Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination).
  • Normal vital signs after 10 minutes resting in supine position:
  • 95 mmHg <systolic blood pressure (SBP) <140 mmHg,
  • 45 mmHg <diastolic blood pressure (DBP) <90 mmHg,
  • 40 bpm <heart rate (HR) <100 bpm.
  • Standard 12-lead electrocardiogram parameters after 10 minutes resting in supine position in the following ranges; 120 ms<PR<220 ms, QRS<120 ms, QTc≤430 ms if male and QTc≤450 ms if female with normal electrocardiogram (ECG) tracing unless the Investigator considers an ECG tracing abnormality to be not clinically relevant.
  • Laboratory parameters within the normal range, unless the Investigator considers an abnormality to be clinically irrelevant for healthy subjects; however serum creatinine, alkaline phosphatase, hepatic enzymes (aspartate aminotransferase, alanine aminotransferase), and international normalized ratio (INR) should not exceed the upper laboratory norm. Activated partial thromboplastin time (aPTT) should not exceed normal control more than 10 seconds. Total bilirubin out of normal range can be acceptable if total bilirubin should not exceed 1.5 the upper limit with normal conjugated bilirubin values (unless the subject has documented Gilbert syndrome).
  • Female subject must use a double contraception method including a highly effective method of birth control except if she has undergone sterilization at least 3 months earlier or is postmenopausal. The accepted double contraception methods include the use of 1 of the following contraceptive options: (1) intrauterine device; (2) condom or diaphragm or cervical/vault cap, in addition to spermicide. Menopause is defined as being amenorrheic for at least 2 years with plasma follicle-stimulating hormone (FSH) level >30 IU/L. Hormonal contraception is NOT acceptable in this study due to drug interaction.
  • Having given written informed consent prior to undertaking any study-related procedure.
  • Covered by a health insurance system where applicable, and/or in compliance with the recommendations of the national laws in force relating to biomedical research.
  • Not under any administrative or legal supervision.
  • Male subject, whose partners are of childbearing potential (including lactating women), must accept to use, during sexual intercourse, a double contraception method according to the following algorithm: (condom) plus (spermicide or intra-uterine device or hormonal contraceptive) from the inclusion up to 4 months after the last dosing.
  • Male subject, whose partners are pregnant, must use, during sexual intercourse, a condom from the inclusion up to 4 months after the last dosing.
  • Male subject has agreed not to donate sperm from the inclusion up to 4 months after the last dosing.

Exclusion criteria:

  • Any history or presence of clinically relevant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, hematological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, or infectious disease, or signs of acute illness.
  • History of renal disease, or significant abnormal kidney function test with glomerular filtration rate (GFR) <90 mL/min as calculated using the Cockcroft-Gault equation.
  • Frequent headaches and/or migraine, recurrent nausea and/or vomiting (more than twice a month).
  • Blood donation, any volume, within 2 months before inclusion.
  • History or presence of drug or alcohol abuse (alcohol consumption more than 40 g per day on a regular basis).
  • Smoking more than 5 cigarettes or equivalent per day, unable to stop smoking during the study.
  • Excessive consumption of beverages containing xanthine bases (more than 4 cups or glasses per day)
  • If female, pregnancy (defined as positive β-HCG blood test if applicable), breast-feeding.
  • Any medication (including St John's Wort) within 14 days before inclusion; any vaccination within the last 28 days and any biologics (antibody or its derivatives) given within 4 months before inclusion.

Any oral contraceptives during the screening period or for at least 15 days prior to inclusion; any injectable contraceptives or hormonal intrauterine devices within 12 months prior to inclusion; or topical controlled delivery contraceptives (patch) for 3 months prior to inclusion.

  • Any subject in the exclusion period of a previous study according to applicable regulations.
  • Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, anti-hepatitis C virus (anti-HCV) antibodies, anti-human immunodeficiency Virus 1 and 2 antibodies (anti-HIV1 and anti HIV2 Ab).
  • Positive result on urine drug screen (amphetamines/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates).
  • Positive alcohol test.
  • Any consumption of citrus (grapefruit, orange, etc) or their juices within 5 days before inclusion.
  • Any history or presence of deep leg vein thrombosis or embolism or a recurrent or frequent appearance of deep leg vein thrombosis in first degree relatives (parents, siblings or children).
  • Any presence or history of urinary tract infection or genital mycotic infection in the last 4 weeks before screening.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 276001

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Sotagliflozin dose 1 (reference formulation)

Sotagliflozin dose 2 (prototype p1 formulation)

Sotagliflozin dose 3 (prototype p2 formulation)

Sotagliflozin dose 4 (prototype p3 formulation)

Arm Description

Single oral dose on Day 1 of one of the four period in fasting condition

Single oral dose on Day 1 of one of the four period in fasting condition

Single oral dose on Day 1 of one of the four period in fasting condition

Single oral dose on Day 1 of one of the four period in fasting condition

Outcomes

Primary Outcome Measures

Assessment of Pharmacokinetic (PK) Parameter: AUC
Sotagliflozin: Area under the concentration-time curve from 0 to infinity (AUC) for reference, p1, p2, and p3 formulations
Assessment of PK Parameter: Area under the concentration-time curve from 0 to last quantifiable concentration (AUClast)
Sotagliflozin: Area under the concentration-time curve from 0 to last quantifiable concentration for reference, p1, p2, and p3 formulations
Assessment of PK Parameter: Maximum plasma concentration (Cmax)
Sotagliflozin: Maximum plasma concentration (Cmax) for reference, p1, p2, and p3 formulations

Secondary Outcome Measures

Assessment of PK Parameter: Tmax
Sotagliflozin: Time to reach maximum plasma concentration (Tmax)
Assessment of PK Parameter: Time to reach AUClast (Tlast)
Sotagliflozin: Time to reach AUClast
Assessment of PK Parameter: Terminal elimination half-life (t1/2)
Sotagliflozin: Terminal elimination half-life (t1/2)
Assessment of PK Parameter: Tmax
Sotagliflozin 3-O-glucuronide: Tmax
Assessment of PK Parameter: Tlast
Sotagliflozin 3-O-glucuronide: Time to reach AUClast
Assessment of PK Parameter: t1/2
Sotagliflozin 3-O-glucuronide: t1/2
Assessment of PK Parameter: Cmax
Sotagliflozin 3-O-glucuronide: Cmax
Assessment of PK Parameter: AUC
Sotagliflozin 3-O-glucuronide: AUC
Assessment of PK Parameter: AUClast
Sotagliflozin 3-O-glucuronide: AUClast
Adverse Events
Number of patients with treatment emergent adverse events (serious and non-serious)

Full Information

First Posted
October 11, 2017
Last Updated
April 5, 2022
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT03310944
Brief Title
Comparison of Sotagliflozin Prototype Tablets With Reference Tablet in Healthy Subjects
Official Title
An Open-label, Randomized, Single-dose, 4-period, 4-sequence Crossover Relative Bioavailability Study Comparing Sotagliflozin Prototypes Tablets With Reference Tablet in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
October 18, 2017 (Actual)
Primary Completion Date
December 8, 2017 (Actual)
Study Completion Date
December 8, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: To assess the relative bioavailability of sotagliflozin following single doses of 3 sotagliflozin prototype tablet formulations p1, p2 and p3 versus the reference tablet formulation in fasted conditions in healthy subjects. Secondary Objectives: To assess the pharmacokinetic characteristics of sotagliflozin and its 3-O-glucuronide following single doses of 3 sotagliflozin prototype tablet formulations p1, p2 and p3 and of the reference formulation in fasted conditions in healthy subjects. To assess the clinical and laboratory safety of single oral doses of 3 sotagliflozin prototype tablet formulations p1, p2 and p3 and the reference tablet formulation in fasted conditions in healthy subjects.
Detailed Description
Total duration is 37 to 75 days for each subject, with 2 to 21 days screening period; 4 dosing days, i.e. one in each of the 4 treatment periods. Observation period in each treatment period is 6 days. Washout between dosing days is 7 to 10 days. Follow-up visit is 14-21 days after last dosing.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sotagliflozin dose 1 (reference formulation)
Arm Type
Active Comparator
Arm Description
Single oral dose on Day 1 of one of the four period in fasting condition
Arm Title
Sotagliflozin dose 2 (prototype p1 formulation)
Arm Type
Experimental
Arm Description
Single oral dose on Day 1 of one of the four period in fasting condition
Arm Title
Sotagliflozin dose 3 (prototype p2 formulation)
Arm Type
Experimental
Arm Description
Single oral dose on Day 1 of one of the four period in fasting condition
Arm Title
Sotagliflozin dose 4 (prototype p3 formulation)
Arm Type
Experimental
Arm Description
Single oral dose on Day 1 of one of the four period in fasting condition
Intervention Type
Drug
Intervention Name(s)
sotagliflozin (SAR439954)
Intervention Description
Pharmaceutical form: tablets Route of administration: oral
Primary Outcome Measure Information:
Title
Assessment of Pharmacokinetic (PK) Parameter: AUC
Description
Sotagliflozin: Area under the concentration-time curve from 0 to infinity (AUC) for reference, p1, p2, and p3 formulations
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: Area under the concentration-time curve from 0 to last quantifiable concentration (AUClast)
Description
Sotagliflozin: Area under the concentration-time curve from 0 to last quantifiable concentration for reference, p1, p2, and p3 formulations
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: Maximum plasma concentration (Cmax)
Description
Sotagliflozin: Maximum plasma concentration (Cmax) for reference, p1, p2, and p3 formulations
Time Frame
From 0 to 144 hours after IMP intake
Secondary Outcome Measure Information:
Title
Assessment of PK Parameter: Tmax
Description
Sotagliflozin: Time to reach maximum plasma concentration (Tmax)
Time Frame
From 0 to 144 hours after investigational medicinal product (IMP) intake
Title
Assessment of PK Parameter: Time to reach AUClast (Tlast)
Description
Sotagliflozin: Time to reach AUClast
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: Terminal elimination half-life (t1/2)
Description
Sotagliflozin: Terminal elimination half-life (t1/2)
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: Tmax
Description
Sotagliflozin 3-O-glucuronide: Tmax
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: Tlast
Description
Sotagliflozin 3-O-glucuronide: Time to reach AUClast
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: t1/2
Description
Sotagliflozin 3-O-glucuronide: t1/2
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: Cmax
Description
Sotagliflozin 3-O-glucuronide: Cmax
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: AUC
Description
Sotagliflozin 3-O-glucuronide: AUC
Time Frame
From 0 to 144 hours after IMP intake
Title
Assessment of PK Parameter: AUClast
Description
Sotagliflozin 3-O-glucuronide: AUClast
Time Frame
From 0 to 144 hours after IMP intake
Title
Adverse Events
Description
Number of patients with treatment emergent adverse events (serious and non-serious)
Time Frame
Up to 75 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria : Healthy male or female subjects, between 18 and 55 years of age, inclusive. Body weight between 50.0 and 100.0 kg, inclusive, if male, and between 40.0 and 90.0 kg, inclusive, if female, body mass index between 18.0 and 32.0 kg/m², inclusive. Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination). Normal vital signs after 10 minutes resting in supine position: 95 mmHg <systolic blood pressure (SBP) <140 mmHg, 45 mmHg <diastolic blood pressure (DBP) <90 mmHg, 40 bpm <heart rate (HR) <100 bpm. Standard 12-lead electrocardiogram parameters after 10 minutes resting in supine position in the following ranges; 120 ms<PR<220 ms, QRS<120 ms, QTc≤430 ms if male and QTc≤450 ms if female with normal electrocardiogram (ECG) tracing unless the Investigator considers an ECG tracing abnormality to be not clinically relevant. Laboratory parameters within the normal range, unless the Investigator considers an abnormality to be clinically irrelevant for healthy subjects; however serum creatinine, alkaline phosphatase, hepatic enzymes (aspartate aminotransferase, alanine aminotransferase), and international normalized ratio (INR) should not exceed the upper laboratory norm. Activated partial thromboplastin time (aPTT) should not exceed normal control more than 10 seconds. Total bilirubin out of normal range can be acceptable if total bilirubin should not exceed 1.5 the upper limit with normal conjugated bilirubin values (unless the subject has documented Gilbert syndrome). Female subject must use a double contraception method including a highly effective method of birth control except if she has undergone sterilization at least 3 months earlier or is postmenopausal. The accepted double contraception methods include the use of 1 of the following contraceptive options: (1) intrauterine device; (2) condom or diaphragm or cervical/vault cap, in addition to spermicide. Menopause is defined as being amenorrheic for at least 2 years with plasma follicle-stimulating hormone (FSH) level >30 IU/L. Hormonal contraception is NOT acceptable in this study due to drug interaction. Having given written informed consent prior to undertaking any study-related procedure. Covered by a health insurance system where applicable, and/or in compliance with the recommendations of the national laws in force relating to biomedical research. Not under any administrative or legal supervision. Male subject, whose partners are of childbearing potential (including lactating women), must accept to use, during sexual intercourse, a double contraception method according to the following algorithm: (condom) plus (spermicide or intra-uterine device or hormonal contraceptive) from the inclusion up to 4 months after the last dosing. Male subject, whose partners are pregnant, must use, during sexual intercourse, a condom from the inclusion up to 4 months after the last dosing. Male subject has agreed not to donate sperm from the inclusion up to 4 months after the last dosing. Exclusion criteria: Any history or presence of clinically relevant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, hematological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, or infectious disease, or signs of acute illness. History of renal disease, or significant abnormal kidney function test with glomerular filtration rate (GFR) <90 mL/min as calculated using the Cockcroft-Gault equation. Frequent headaches and/or migraine, recurrent nausea and/or vomiting (more than twice a month). Blood donation, any volume, within 2 months before inclusion. History or presence of drug or alcohol abuse (alcohol consumption more than 40 g per day on a regular basis). Smoking more than 5 cigarettes or equivalent per day, unable to stop smoking during the study. Excessive consumption of beverages containing xanthine bases (more than 4 cups or glasses per day) If female, pregnancy (defined as positive β-HCG blood test if applicable), breast-feeding. Any medication (including St John's Wort) within 14 days before inclusion; any vaccination within the last 28 days and any biologics (antibody or its derivatives) given within 4 months before inclusion. Any oral contraceptives during the screening period or for at least 15 days prior to inclusion; any injectable contraceptives or hormonal intrauterine devices within 12 months prior to inclusion; or topical controlled delivery contraceptives (patch) for 3 months prior to inclusion. Any subject in the exclusion period of a previous study according to applicable regulations. Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, anti-hepatitis C virus (anti-HCV) antibodies, anti-human immunodeficiency Virus 1 and 2 antibodies (anti-HIV1 and anti HIV2 Ab). Positive result on urine drug screen (amphetamines/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates). Positive alcohol test. Any consumption of citrus (grapefruit, orange, etc) or their juices within 5 days before inclusion. Any history or presence of deep leg vein thrombosis or embolism or a recurrent or frequent appearance of deep leg vein thrombosis in first degree relatives (parents, siblings or children). Any presence or history of urinary tract infection or genital mycotic infection in the last 4 weeks before screening. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 276001
City
Neuss
ZIP/Postal Code
41460
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Comparison of Sotagliflozin Prototype Tablets With Reference Tablet in Healthy Subjects

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