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Efficacy and Bone Safety of Sotagliflozin 400 and 200 mg Versus Placebo in Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control (SOTA-BONE)

Primary Purpose

Type 2 Diabetes Mellitus

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Sotagliflozin
Placebo
Sponsored by
Lexicon Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria :

  • Participants with T2D managed with diet and exercise only or with a stable antidiabetes regimen (in monotherapy or combination therapy that can include oral antidiabetes medications, insulin, or glucagon-like peptide-1 agonists) for more than 12 weeks.
  • Participants has given written informed consent to participate in the study in accordance with local regulations.

Exclusion criteria:

  • Age <55 years.
  • Women who have been postmenopausal (or undergone bilateral oophorectomy) for less than 5 years.
  • Type 1 diabetes mellitus.
  • Body mass index (BMI) ≤20 or >45 kilogram per meter square kg/m^2 or bodyweight that exceeds the weight limits of the DXA scanner.
  • Hemoglobin A1C (HbA1c) <7.0% or HbA1c >11.0%.
  • Use of a selective sodium-glucose cotransporter type 2 (SGLT2) inhibitor or thiazolidinedione within 24 months.
  • Bone mineral density (BMD) T- score <-2.0 at any site (ie, lumbar spine, total hip, or femoral neck).
  • History of fracture within 12 months (except for fractures of the hand/fingers, foot/toes, facial bones, and skull).
  • Treatment with medications known to affect bone mass or modify the risk of fractures within 36 months (eg, bisphosphonates, selective estrogen receptor modulators, calcitonin, teriparatide, denosumab, strontium ranelate, growth hormone, aromatase inhibitors, androgen deprivation therapy, carbamazepine, phenytoin, and phenobarbital). Use of hormonal replacement that includes systemic or transdermal estrogen or testosterone is excluded unless is stable for at least 24 months prior to Screening.
  • Lower extremity complications (such as skin ulcers, infection, osteomyelitis and gangrene) identified during the Screening period, and still requiring treatment at randomization.
  • Uncontrolled high blood pressure, severe anemia, severe cardiovascular problems, such as heart failure, active cancer, or other conditions that the Investigator believes with result in a short life expectancy.
  • Renal disease as defined by an estimated glomerular filtration rate (eGFR) <30 milliliter per minute (mL/min)/1.73 meter square (m^2) at the Screening Visit by the 4 variable Modification of Diet in Renal Disease equation.

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 8409009
  • Investigational Site Number 8409010
  • Investigational Site Number 8409005
  • Investigational Site Number 8409012
  • Investigational Site Number 8409011
  • Investigational Site Number 8409014
  • Investigational Site Number 8409015
  • Investigational Site Number 8409002
  • Investigational Site Number 8409001
  • Investigational Site Number 8409008
  • Investigational Site Number 8409004
  • Investigational Site Number 8409013
  • Investigational Site Number 8409003
  • Investigational Site Number 8409007
  • Investigational Site Number 0369003
  • Investigational Site Number 0369002
  • Investigational Site Number 0369004
  • Investigational Site Number 1249003
  • Investigational Site Number 1249008
  • Investigational Site Number 1249005
  • Investigational Site Number 1249006
  • Investigational Site Number 1249004
  • Investigational Site Number 1249007
  • Investigational Site Number 1249002
  • Investigational Site Number 4109006
  • Investigational Site Number 4109005
  • Investigational Site Number 4109003
  • Investigational Site Number 4109004
  • Investigational Site Number 4109001
  • Investigational Site Number 4849006
  • Investigational Site Number 4849001
  • Investigational Site Number 4849003
  • Investigational Site Number 4849002
  • Investigational Site Number 4849004
  • Investigational Site Number 4849005
  • Investigational Site Number 5549004
  • Investigational Site Number 5549003
  • Investigational Site Number 5549001
  • Investigational Site Number 5549002
  • Investigational Site Number 6439007
  • Investigational Site Number 6439005
  • Investigational Site Number 6439002
  • Investigational Site Number 6439003
  • Investigational Site Number 6439001
  • Investigational Site Number 6439006
  • Investigational Site Number 1589005
  • Investigational Site Number 1589008
  • Investigational Site Number 1589006
  • Investigational Site Number 1589007
  • Investigational Site Number 1589001
  • Investigational Site Number 1589002
  • Investigational Site Number 1589004
  • Investigational Site Number 1589003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Placebo

Sotagliflozin 200 mg

Sotagliflozin 400 mg

Arm Description

Following a 2 week run-in period, participants were randomized to matching placebo to sotagliflozin administered as 2 tablets, once daily, before the first meal of the day, for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 106 weeks.

Following a 2 week run-in period, participants were randomized to Sotagliflozin 200 mg administered as 1 sotagliflozin tablet and 1 matching placebo tablet, once daily, before the first meal of the day, for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 104 weeks.

Following a 2 week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg sotagliflozin tablets, once daily, before the first meal of the day, for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 104 weeks.

Outcomes

Primary Outcome Measures

Change From Baseline in Hemoglobin A1c (HbA1c) at Week 26
An analysis of covariance (ANCOVA) model is used for analysis.

Secondary Outcome Measures

Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at Week 26
An ANCOVA model is used for analysis.
Percent Change From Baseline in Bone Mineral Density (BMD) of Total Hip at Week 26
An ANCOVA model is used for analysis.
Percent Change From Baseline in Bone Mineral Density (BMD) of Femoral Neck at Week 26
An ANCOVA model is used for analysis.
Change From Baseline in Body Weight at Week 26
An ANCOVA model is used for analysis.
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
An ANCOVA model is used for analysis.
Change From Baseline in Systolic Blood Pressure (SBP) at Week 12
An ANCOVA model is used for analysis.
Percentage of Participants With Hemoglobin A1c (HbA1c) <7.0% at Week 26
Percentage of Participants With Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.

Full Information

First Posted
December 21, 2017
Last Updated
June 3, 2021
Sponsor
Lexicon Pharmaceuticals
Collaborators
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT03386344
Brief Title
Efficacy and Bone Safety of Sotagliflozin 400 and 200 mg Versus Placebo in Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control
Acronym
SOTA-BONE
Official Title
A 26-week Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter, Phase 3 Study With a 78-week Extension Period to Evaluate the Efficacy and Bone Safety of Sotagliflozin in Patients 55 Years or Older With Type 2 Diabetes Mellitus and Inadequate Glycemic Control
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Terminated
Why Stopped
Study terminated prematurely for financial reasons and Covid-19 pandemic.
Study Start Date
February 19, 2018 (Actual)
Primary Completion Date
May 22, 2019 (Actual)
Study Completion Date
May 30, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lexicon Pharmaceuticals
Collaborators
Sanofi

4. Oversight

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

5. Study Description

Brief Summary
The primary objective is to demonstrate the superiority of Sotagliflozin 400 milligrams (mg) versus placebo with respect to hemoglobin A1c (Hb1Ac) reduction in participants with type 2 diabetes (T2D) who have inadequate glycemic control on diet and exercise only or with a stable antidiabetes regimen.
Detailed Description
Study duration per participant is approximately 110 weeks (Screening period of up to 2 weeks, 2 week single-blind run-in period), a 26-week double-blind core treatment period, a 78-week double-blind extension period, and a 2- week post treatment follow up period. Dual-energy X-ray absorptiometry (DXA) scans will be performed to assess Bone Mineral Density and Fat vs. Lean body mass at baseline and Weeks 26, 52, and 104.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
376 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Following a 2 week run-in period, participants were randomized to matching placebo to sotagliflozin administered as 2 tablets, once daily, before the first meal of the day, for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 106 weeks.
Arm Title
Sotagliflozin 200 mg
Arm Type
Experimental
Arm Description
Following a 2 week run-in period, participants were randomized to Sotagliflozin 200 mg administered as 1 sotagliflozin tablet and 1 matching placebo tablet, once daily, before the first meal of the day, for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 104 weeks.
Arm Title
Sotagliflozin 400 mg
Arm Type
Experimental
Arm Description
Following a 2 week run-in period, participants were randomized to Sotagliflozin 400 mg administered as two 200 mg sotagliflozin tablets, once daily, before the first meal of the day, for up to 26 weeks in the Core Treatment Period. Participants were eligible to continue treatment in the Extension Period. The total treatment duration was planned for up to 104 weeks.
Intervention Type
Drug
Intervention Name(s)
Sotagliflozin
Other Intervention Name(s)
SAR439954
Intervention Description
Pharmaceutical form: Tablet; Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Pharmaceutical form: Tablet; Route of administration: Oral
Primary Outcome Measure Information:
Title
Change From Baseline in Hemoglobin A1c (HbA1c) at Week 26
Description
An analysis of covariance (ANCOVA) model is used for analysis.
Time Frame
Baseline to Week 26
Secondary Outcome Measure Information:
Title
Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at Week 26
Description
An ANCOVA model is used for analysis.
Time Frame
Baseline to Week 26
Title
Percent Change From Baseline in Bone Mineral Density (BMD) of Total Hip at Week 26
Description
An ANCOVA model is used for analysis.
Time Frame
Baseline to Week 26
Title
Percent Change From Baseline in Bone Mineral Density (BMD) of Femoral Neck at Week 26
Description
An ANCOVA model is used for analysis.
Time Frame
Baseline to Week 26
Title
Change From Baseline in Body Weight at Week 26
Description
An ANCOVA model is used for analysis.
Time Frame
Baseline to Week 26
Title
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
Description
An ANCOVA model is used for analysis.
Time Frame
Baseline to Week 26
Title
Change From Baseline in Systolic Blood Pressure (SBP) at Week 12
Description
An ANCOVA model is used for analysis.
Time Frame
Baseline to Week 12
Title
Percentage of Participants With Hemoglobin A1c (HbA1c) <7.0% at Week 26
Time Frame
Week 26
Title
Percentage of Participants With Adverse Events (AEs)
Description
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.
Time Frame
up to 106 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria : Participants with T2D managed with diet and exercise only or with a stable antidiabetes regimen (in monotherapy or combination therapy that can include oral antidiabetes medications, insulin, or glucagon-like peptide-1 agonists) for more than 12 weeks. Participants has given written informed consent to participate in the study in accordance with local regulations. Exclusion criteria: Age <55 years. Women who have been postmenopausal (or undergone bilateral oophorectomy) for less than 5 years. Type 1 diabetes mellitus. Body mass index (BMI) ≤20 or >45 kilogram per meter square kg/m^2 or bodyweight that exceeds the weight limits of the DXA scanner. Hemoglobin A1C (HbA1c) <7.0% or HbA1c >11.0%. Use of a selective sodium-glucose cotransporter type 2 (SGLT2) inhibitor or thiazolidinedione within 24 months. Bone mineral density (BMD) T- score <-2.0 at any site (ie, lumbar spine, total hip, or femoral neck). History of fracture within 12 months (except for fractures of the hand/fingers, foot/toes, facial bones, and skull). Treatment with medications known to affect bone mass or modify the risk of fractures within 36 months (eg, bisphosphonates, selective estrogen receptor modulators, calcitonin, teriparatide, denosumab, strontium ranelate, growth hormone, aromatase inhibitors, androgen deprivation therapy, carbamazepine, phenytoin, and phenobarbital). Use of hormonal replacement that includes systemic or transdermal estrogen or testosterone is excluded unless is stable for at least 24 months prior to Screening. Lower extremity complications (such as skin ulcers, infection, osteomyelitis and gangrene) identified during the Screening period, and still requiring treatment at randomization. Uncontrolled high blood pressure, severe anemia, severe cardiovascular problems, such as heart failure, active cancer, or other conditions that the Investigator believes with result in a short life expectancy. Renal disease as defined by an estimated glomerular filtration rate (eGFR) <30 milliliter per minute (mL/min)/1.73 meter square (m^2) at the Screening Visit by the 4 variable Modification of Diet in Renal Disease equation. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Suman Wason, MD
Organizational Affiliation
Lexicon Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 8409009
City
Escondido
State/Province
California
ZIP/Postal Code
92025
Country
United States
Facility Name
Investigational Site Number 8409010
City
Greenbrae
State/Province
California
ZIP/Postal Code
94904
Country
United States
Facility Name
Investigational Site Number 8409005
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
Investigational Site Number 8409012
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Investigational Site Number 8409011
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47714-8011
Country
United States
Facility Name
Investigational Site Number 8409014
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67205-1138
Country
United States
Facility Name
Investigational Site Number 8409015
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Facility Name
Investigational Site Number 8409002
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27517
Country
United States
Facility Name
Investigational Site Number 8409001
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401-6638
Country
United States
Facility Name
Investigational Site Number 8409008
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45419-4336
Country
United States
Facility Name
Investigational Site Number 8409004
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37404
Country
United States
Facility Name
Investigational Site Number 8409013
City
Austin
State/Province
Texas
ZIP/Postal Code
78749
Country
United States
Facility Name
Investigational Site Number 8409003
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Investigational Site Number 8409007
City
Katy
State/Province
Texas
ZIP/Postal Code
77450
Country
United States
Facility Name
Investigational Site Number 0369003
City
Fremantle
ZIP/Postal Code
6160
Country
Australia
Facility Name
Investigational Site Number 0369002
City
Merewether
ZIP/Postal Code
2291
Country
Australia
Facility Name
Investigational Site Number 0369004
City
Parkville
ZIP/Postal Code
3050
Country
Australia
Facility Name
Investigational Site Number 1249003
City
Brampton
ZIP/Postal Code
L6S 0C6
Country
Canada
Facility Name
Investigational Site Number 1249008
City
Etobicoke
ZIP/Postal Code
M9R 4E1
Country
Canada
Facility Name
Investigational Site Number 1249005
City
Pointe-Claire
ZIP/Postal Code
H9R 4S3
Country
Canada
Facility Name
Investigational Site Number 1249006
City
Thornhill
ZIP/Postal Code
L4J 1W3
Country
Canada
Facility Name
Investigational Site Number 1249004
City
Thornhill
ZIP/Postal Code
L4J 8L7
Country
Canada
Facility Name
Investigational Site Number 1249007
City
Vancouver
ZIP/Postal Code
V5Y 3W2
Country
Canada
Facility Name
Investigational Site Number 1249002
City
Victoriaville
ZIP/Postal Code
G6P 6P6
Country
Canada
Facility Name
Investigational Site Number 4109006
City
Daejeon
ZIP/Postal Code
35233
Country
Korea, Republic of
Facility Name
Investigational Site Number 4109005
City
Guri-Si, Gyeonggi-Do
ZIP/Postal Code
11923
Country
Korea, Republic of
Facility Name
Investigational Site Number 4109003
City
Gyeonggi-Do
ZIP/Postal Code
13620
Country
Korea, Republic of
Facility Name
Investigational Site Number 4109004
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Facility Name
Investigational Site Number 4109001
City
Seoul
ZIP/Postal Code
1830
Country
Korea, Republic of
Facility Name
Investigational Site Number 4849006
City
Aguascalientes, Aguascalientes
ZIP/Postal Code
20230
Country
Mexico
Facility Name
Investigational Site Number 4849001
City
Aguascalientes
ZIP/Postal Code
20129
Country
Mexico
Facility Name
Investigational Site Number 4849003
City
Cuernavaca
ZIP/Postal Code
62250
Country
Mexico
Facility Name
Investigational Site Number 4849002
City
Guadalajara Jalisco
ZIP/Postal Code
44130
Country
Mexico
Facility Name
Investigational Site Number 4849004
City
Monterrey
ZIP/Postal Code
64460
Country
Mexico
Facility Name
Investigational Site Number 4849005
City
Xalapa
ZIP/Postal Code
91020
Country
Mexico
Facility Name
Investigational Site Number 5549004
City
Auckland
ZIP/Postal Code
1309
Country
New Zealand
Facility Name
Investigational Site Number 5549003
City
Christchurch
ZIP/Postal Code
8011
Country
New Zealand
Facility Name
Investigational Site Number 5549001
City
Rotorua
ZIP/Postal Code
3010
Country
New Zealand
Facility Name
Investigational Site Number 5549002
City
Wellington
ZIP/Postal Code
6021
Country
New Zealand
Facility Name
Investigational Site Number 6439007
City
Kemerovo
ZIP/Postal Code
650002
Country
Russian Federation
Facility Name
Investigational Site Number 6439005
City
Novosibirsk
ZIP/Postal Code
630091
Country
Russian Federation
Facility Name
Investigational Site Number 6439002
City
Saint-Petersburg
ZIP/Postal Code
195213
Country
Russian Federation
Facility Name
Investigational Site Number 6439003
City
Saint-Petersburg
ZIP/Postal Code
196601
Country
Russian Federation
Facility Name
Investigational Site Number 6439001
City
St. Petersburg
ZIP/Postal Code
194358
Country
Russian Federation
Facility Name
Investigational Site Number 6439006
City
Yaroslavl
ZIP/Postal Code
150003
Country
Russian Federation
Facility Name
Investigational Site Number 1589005
City
Changhua
ZIP/Postal Code
500
Country
Taiwan
Facility Name
Investigational Site Number 1589008
City
New Taipei City
ZIP/Postal Code
220
Country
Taiwan
Facility Name
Investigational Site Number 1589006
City
Taichung
ZIP/Postal Code
402
Country
Taiwan
Facility Name
Investigational Site Number 1589007
City
Taichung
ZIP/Postal Code
43303
Country
Taiwan
Facility Name
Investigational Site Number 1589001
City
Tainan
ZIP/Postal Code
710
Country
Taiwan
Facility Name
Investigational Site Number 1589002
City
Tainan
Country
Taiwan
Facility Name
Investigational Site Number 1589004
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Facility Name
Investigational Site Number 1589003
City
Taipei
ZIP/Postal Code
11217
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Efficacy and Bone Safety of Sotagliflozin 400 and 200 mg Versus Placebo in Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control

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