- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06217302
Sotagliflozin to Slow Kidney Function Decline in Persons With Type 1 Diabetes and Diabetic Kidney Disease (SUGARNSALT)
March 20, 2026 updated by: Alessandro Doria
Effectiveness and Safety of Sotagliflozin in Slowing Kidney Function Decline in Persons With Type 1 Diabetes and Moderate to Severe Diabetic Kidney Disease
Powerful new drugs that can prevent or delay end stage kidney disease (ESKD) - so called sodium-glucose cotransporter-2 inhibitors (SGLT2i) - are now available for patients with type 2 diabetes.
Whether these drugs have similar effects in patients with type 1 diabetes (T1D) remains unknown because of the few studies in this population, due to concerns about the increase in risk of diabetic ketoacidosis (DKA, a serious, potentially fatal acute complication of diabetes due to the accumulation of substances called ketone bodies) observed with SGLT2i therapy in T1D.
One of the few T1D studies conducted to date showed that implementing an enhanced DKA prevention plan can reduce the risk of DKA associated with the SGLT2i sotagliflozin (SOTA) to very low levels.
In the present study, a similar DKA prevention program will be used to carry-out a 3-year trial to test the kidney benefit of SOTA in 150 persons with T1D and moderate to advanced DKD.
After a 2-month period, during which diabetes care will be standardized and education on monitoring and minimizing DKA implemented, eligible study subjects will be randomly assigned (50/50) to take one tablet of SOTA (200 mg) or a similarly looking inactive tablet (placebo) every day for 3 years followed by 2-months without treatment.
Neither the participants nor the study staff will know whether a person was assigned to taking SOTA or the inactive tablet.
Kidney function at the end of the study will be compared between the two treatment groups to see whether SOTA prevented kidney function loss in those treated with this drug as compared to those who took the inactive tablet.
The DKA prevention program will include participant education, close follow-up with study staff, continuous glucose monitoring, and systematic ketone body self-monitoring with a meter provided by the study.
If successful, this study will provide efficacy and safety data that could be used to seek FDA approval of SOTA for the prevention of kidney function decline in patients with T1D and DKD.
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
Despite improvements in glycemia management and the use of renin-angiotensin system blockade (RASB), the overall incidence of ESKD incidence in the US T1D population is not decreasing.
For patients with type 2 diabetes (T2D), powerful new drugs that can prevent or delay ESKD, sodium-glucose cotransporter-2 inhibitors (SGLT2i), are now available.
Whether similar results can be achieved in T1D remains unknown because of the paucity of studies in this population, due to concerns about the 2- to 3-fold increase in risk of diabetic ketoacidosis (DKA) associated with SGLT2i therapy in T1D.
One of the few T1D studies conducted to date (inTandem, a sotagliflozin [SOTA] trial), showed that implementation of an enhanced DKA risk monitoring and mitigation strategy can reduce DKA incidence to <1%/year in subjects on 200 mg/day of this dual SGLT1 and SGLT2 inhibitor.
The goals of the present study are to evaluate the renal effectiveness of SGLT2i in T1D and to better understand the benefit/risk ratio of SOTA in T1D persons with moderate to advanced diabetic kidney disease (DKD) - two goals that are warranted and critical given the high risk of death and ESKD in this population.
The study, carried out by the Preventing Early Renal Loss (PERL) and the Canadian Institute of Health Research (CIHR)-funded SUGARNSALT (S&S) consortia, is a multi-center, double-blind, placebo-controlled, parallel-group randomized clinical trial in 150 patients with T1D and moderate to advanced diabetic kidney disease (estimated glomerular filtration rate [eGFR] 20-60 ml/min/1.73
m2 and ACR>200 mg/g).
After a 2-month run-in period, during which diabetes care is standardized and education on monitoring and minimizing DKA implemented, eligible study subjects are randomized in a 1:1 ratio to receive placebo or once daily 200 mg SOTA for 3 years followed by a 2-month wash-out period.
The eGFR at the end of the wash-out adjusted by its baseline value will be used as the primary outcome on which SOTA efficacy on DKD progression will be evaluated.
An intensive DKA risk mitigation plan will be implemented based on the inTandem enhanced protocol as well as on the STICH (Stop SGLT2i, Insulin administration, Carbohydrate intake, Hydration) and STOP-DKA protocols.
Cornerstones of this plan will be enhanced participant education, close follow-up with study staff, continuous glucose monitoring, and systematic ketone body (beta-hydroxybutyrate [BHB]) self-monitoring.
If successful, the present study will provide efficacy and safety data that could be used to seek FDA and Health Canada approval of SOTA for a T1D DKD indication.
Based on the available data in T1D, it can be conservatively postulated that SOTA may reduce eGFR loss by 2 ml/min/1.73
m2 per year.
Depending on the baseline eGFR, this would translate to a 5-10 year delay of ESKD.
The reduction in morbidity and mortality resulting from the prevention or delay of ESKD due to the use of SOTA would have a major impact on the lives of T1D patients with significant DKD as well as on society at large, substantially reducing the human and financial costs associated with this condition.
Study Type
Interventional
Enrollment (Estimated)
150
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Christine Mendonca
- Phone Number: 617-334-2257
- Email: christine.mendonca@joslin.harvard.edu
Study Contact Backup
- Name: Alexis Puthussery
- Phone Number: 617-975-8235
- Email: aputhuss@joslin.harvard.edu
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T2T 5C7
- Recruiting
- Unversity of Calgary
-
Principal Investigator:
- Ronald Sigal, MD MPH
-
Contact:
- Michelle Smith, RN
- Email: mahunter@ucalgary.ca
-
Contact:
- Jenny Schulz
- Email: jennifer.schulz@ucalgary.ca
-
Edmonton, Alberta, Canada, T6G 2E1
- Recruiting
- Alberta Diabetes Institute
-
Principal Investigator:
- Peter Senior, MD
-
Contact:
- Dominique Forrest
- Email: dforres1@ualberta.ca
-
Contact:
- Jyoti Singh
- Email: jyoti1@ualberta.ca
-
Sub-Investigator:
- Anna Lam, MD
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V6Z 1Y6
- Recruiting
- St. Paul's Hospital
-
Principal Investigator:
- Adeera Levin, MD
-
Sub-Investigator:
- Sean Barbour, MD
-
Contact:
- Paula Macleod
- Email: pmacleod@providencehealth.bc.ca
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2N2
- Recruiting
- Toronto General Hospital
-
Principal Investigator:
- David Cherney, MD
-
Contact:
- Vesta Lai, RN
- Phone Number: 7625 416-586-4800
- Email: Vesta.Lai@uhn.ca
-
Contact:
- Cheng Xu
- Phone Number: 7187 416-586-4800
- Email: Cheng.Xu@uhn.ca
-
Sub-Investigator:
- Bruce Perkins, MD MPH
-
Sub-Investigator:
- Vikas S. Sridhar, MD
-
Sub-Investigator:
- Ayodele Odutayo, MD
-
Sub-Investigator:
- Huajing Ni, MD
-
Sub-Investigator:
- Taewon Yi, MD
-
Toronto, Ontario, Canada, M4G 3E8
- Recruiting
- LMC Diabetes and Endocrinology
-
Principal Investigator:
- Ronnie Aronson, MD
-
Contact:
- Lydia Beaudette
- Email: Lydia.Beaudette@clinsurge.ca
-
Contact:
- Arlene Vinas
- Email: Arlene.Vinas@ElevateResearch.ca
-
-
Quebec
-
Montreal, Quebec, Canada, H2W 1R7
- Recruiting
- Institut de recherches cliniques de Montreal
-
Principal Investigator:
- Remi Rabasa-Lhoret, MD
-
Contact:
- Marie Raffray
- Email: marie.Raffray@ircm.qc.ca
-
Sub-Investigator:
- Nadine Taleb, MD
-
Contact:
- Roxane St Amand
- Email: roxane.st-amand@ircm.qc.ca
-
-
-
-
California
-
Stanford, California, United States, 94305
- Recruiting
- Stanford University Medical Center
-
Principal Investigator:
- Marina Basina, MD
-
Sub-Investigator:
- David Maahs, MD
-
Contact:
- Grace Deala
- Email: gdeala@stanford.edu
-
Contact:
- Arati Nagarkar, MD
- Email: arati.nagarkar@stanford.edu
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Recruiting
- Barbara Davis Center / University of Colorado Denver
-
Principal Investigator:
- Sarit Polsky, MD
-
Contact:
- Matthew Klein, BA
- Email: Matthew.P.Klein@cuanschutz.edu
-
Contact:
- Scott Maclean
- Email: Scott.2.maclean@cuanschutz.edu
-
Sub-Investigator:
- Halis Akturk, MD
-
-
Florida
-
Orlando, Florida, United States, 32803
- Recruiting
- AdventHealth
-
Principal Investigator:
- Tina Thethi
-
Contact:
- Ivette Moreno
- Email: Ivette.Moreno@AdventHealth.com
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Recruiting
- Northwestern University Feinberg School of Medicine
-
Principal Investigator:
- Amisha Wallia, MD
-
Contact:
- Marianna Colucci
- Email: marianna.colucci@northwestern.edu
-
Contact:
- Christina Coventry, MSN RN
- Email: christina.coventry@northwestern.edu
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02215
- Recruiting
- Joslin Diabetes Center
-
Principal Investigator:
- Alessandro Doria, MD PhD MPH
-
Sub-Investigator:
- Sylvia Rosas, MD
-
Sub-Investigator:
- Elena Toschi, MD
-
Contact:
- Christine Mendonca
- Phone Number: 617-334-2257
- Email: christine.mendonca@joslin.harvard.edu
-
-
Missouri
-
St Louis, Missouri, United States, 63110
- Recruiting
- Washington University
-
Principal Investigator:
- Janet McGill, MD
-
Sub-Investigator:
- Kai Jones, MD
-
Sub-Investigator:
- Maamoun Salam, MD
-
Sub-Investigator:
- Huda Al-Bahadili, MD
-
Contact:
- Heather Schaefer
- Email: hschaefer@wustl.edu
-
-
New York
-
Syracuse, New York, United States, 13210
- Recruiting
- SUNY Upstate Medical University
-
Principal Investigator:
- Ruth Weinstock, MD
-
Contact:
- Susan Bzdick
- Email: bzdicks@upstate.edu
-
Contact:
- Jane Bulger, MS, CCRC
- Phone Number: 315-464-9008
- Email: BulgerJ@upstate.edu
-
Sub-Investigator:
- Malek El Muayed, MD, MSCI
-
Sub-Investigator:
- Katherine McPhee, MSN, FNP-C, RN
-
The Bronx, New York, United States, 10461
- Recruiting
- Albert Einstein College of Medicine / Montefiore Medical Center
-
Principal Investigator:
- Matthew Abramowitz, MD
-
Sub-Investigator:
- Jill Crandall, MD
-
Contact:
- Cynthia Rivera, BS
- Email: cynthia.rivera@einsteinmed.edu
-
Contact:
- Sally Duran, BA
- Email: sally.duran@einsteinmed.edu
-
Sub-Investigator:
- Justin Mathew, MD
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic Foundation
-
Principal Investigator:
- Luiza Caramori, MD PhD
-
Contact:
- Kelly Paulus
- Email: PAULUSK2@ccf.org
-
Contact:
- Maya Boyd
- Email: BOYDA5@ccf.org
-
Sub-Investigator:
- Keren Zhou, MD
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Recruiting
- Oregon Health and Science University
-
Principal Investigator:
- Rodica Busui, MD, PhD
-
Contact:
- Krista Metas, RN
- Email: metas@ohsu.edu
-
Sub-Investigator:
- Andrew Ahmann, MD
-
Contact:
- Alyssa Carlson
- Email: carlsaly@ohsu.edu
-
-
Texas
-
Dallas, Texas, United States, 75390
- Recruiting
- University of Texas Southwestern
-
Principal Investigator:
- Ildiko Lingvay, MD
-
Contact:
- Lina Gonzalez Duarte
- Email: Lina.GonzalezDuarte@UTSouthwestern.edu
-
Contact:
- Jovana Valdez
- Email: Jovana.Valdez@UTSouthwestern.edu
-
Sub-Investigator:
- Amy Shah, MD
-
Sub-Investigator:
- Oksana Hamidi, DO
-
-
Washington
-
Seattle, Washington, United States, 98105
- Recruiting
- University of Washington
-
Principal Investigator:
- Petter Bjornstad, MD
-
Sub-Investigator:
- Irl Hirsch, MD
-
Contact:
- Bri Hihara
- Email: bhihara@uw.edu
-
Sub-Investigator:
- Ian de Boer, MD
-
Sub-Investigator:
- Kalie Tommerdahl, MD
-
Contact:
- Anjali Kumari
- Email: anjalikr@uw.edu
-
Spokane, Washington, United States, 99204
- Recruiting
- Providence Sacred Heart Medical Center
-
Principal Investigator:
- Katherine R. Tuttle, MD
-
Contact:
- Nicole Maser
- Email: Nicole.maser@providence.org
-
Sub-Investigator:
- Radica Alicic, MD
-
Sub-Investigator:
- Michael Ryan, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Type1 diabetes (T1D) continuously treated with insulin within one year from diagnosis.
- Duration of T1D ≥ 8 years;
- eGFR based on serum creatinine and cystatin c (2021 serum creatinine-cystatin C CKD-EPI equation) between 20 and 60 ml/min/1.73 m2 at screening (with the option of a second eGFR measurement within 4 weeks from the first one if the eGFR was in the range of >60 to ≤65 or ≥16 to <20 ml/min/1.73 m2);
- a. First morning void urinary albumin creatinine ratio (UACR) ≥200 mg/g at Screening or on repeat measurement within 4 weeks from the first one, or b. First morning void urinary UACR ≥100 mg/g at Screening or on repeat measurement within 4 weeks and at least one uACR >=30 in the previous 2 years while treated with RASB at a stable dose;
- HbA1c at screening <10% (with the option of a second HbA1c measurement within 4 weeks from the first one if the HbA1c was ≤10.2%);
- Receiving standard of care, including renin angiotensin system blockers (RASB) at a clinically appropriate dose, unless contraindicated or not tolerated.
- Willing and able to comply with schedule of events and protocol requirements, including written informed consent, and willing to wear a continuous glucose monitoring (CGM) device for the entire duration of the study.
- a. Blood pressure ≤155/95 mmHg at screening, or b. BP ≤155/95 mmHg at the end of the run-in period, or c. consistent BP ≤155/95 mmHg on home monitoring during the run-in period, as determined by study site investigator, despite BP values >155/95 mmHg in clinic.
Exclusion Criteria:
- Type 2 diabetes or monogenic forms of diabetes or diabetes secondary to pancreatic disease;
- Use of automated insulin delivery devices that are not approved by health regulatory agencies, or used in ways that do not align with manufacturer recommendations;
- Use of any SGLT inhibitor in the previous 2 months;
- Use of dual medication RASB therapy (spironolactone, eplerenone, finerenone are allowed in combination with RASB therapy);
- Use of GLP-1 receptor agonists and other non-insulin glucose-lowering agents if not on stable dose for > 2 months at screening (patients can be rescreened after being on stable dose for > 2 months);
- Use of anti tumor necrosis factor (TNF) alpha biologic medications at screening;
- Known allergies, hypersensitivity, or intolerance to SOTA;
- History of ≥3 severe hypoglycemic events (requiring third-party assistance for correction) within 3 months of screening;
- History of diabetic ketoacidosis (DKA) or non-ketotic hyperosmolar state within 3 months of screening OR >1 episode of DKA or non-ketotic hyperosmolar state within 12 months of screening;
- Blood beta-hydroxybutyrate (BHB) >0.6 mmol/L for >2 hours on >2 occasions during the Run-in period;
- Inadequate beta hydroxybutyrate (BHB) testing (<50% of the prescribed measurements) during Run-in;
- History of primary renal glycosuria;
- History of biopsy-proven non-diabetic chronic kidney disease (CKD);
- History of kidney transplant or currently on chronic dialysis;
- Current or past history of decompensated cirrhosis (defined as variceal bleeding, ascites or hepatic encephalopathy), and/or known diagnosis of cirrhosis based on liver biopsy, imaging, or elastography, and/or aspartate aminotransferase (AST) or alanine transaminase (ALT) at screening >2 times upper limit of normal, and/or total bilirubin at screening >1.3 times upper limit of normal).
- History of severe acquired immune deficiency syndrome or human immunodeficiency virus (HIV) infection or severely immunocompromised status;
- Cancer treatment (excluding non-melanoma skin cancer treated by excision, carcinoma in situ of the cervix or uterus, ductal breast cancer in situ, resected non-metastatic breast or prostate cancer) within one year of screening.
- Illicit drug abuse within 6 months of screening;
- Heavy alcohol use (for men, 5 drinks or more on any day or 15 drinks or more per week; for women, 4 drinks or more on any day or 8 drinks or more per week);
- Participation in another interventional clinical research study within 30 days of screening;
- Breastfeeding, pregnancy, or unwillingness to be on contraception during the trial;
- Presence of a clinically significant medical history, physical examination, or laboratory finding that may interfere with any aspect of study conduct or interpretation of results;
- Any condition that may render the patient unable to comply with study requirements and/or complete the study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Sotagliflozin
Oral sotagliflozin at a dose of 200 mg (one tablet) per day for three years followed by a 2-month wash-out period.
|
Oral sotagliflozin (200 mg per day)
Other Names:
|
|
Placebo Comparator: Placebo
Oral tablets similar to sotagliflozin tablets but containing no active drug (one tablet per day for three years followed by a 2-month wash-out period).
|
Inactive tablets identical to sotagliflozin tablets
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
eGFR at the end of the wash-out period following the treatment period
Time Frame: End of the 2-month wash-out period following the 3-year treatment period (weeks 162 and 164)
|
eGFR at the end of the 8-week drug washout period following the 3-year treatment period, estimated from Central Lab serum creatinine and cystatin C using the 2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation and adjusted by its baseline value.
Baseline and end-of-washout eGFRs will be considered as the average of two eGFR values taken on two separate days before randomization (V2 and V4) and after the washout (V18 and V19), respectively.
|
End of the 2-month wash-out period following the 3-year treatment period (weeks 162 and 164)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to ≥40% eGFR decline from baseline, kidney failure , or death from renal causes
Time Frame: Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
Time from randomization to 1. sustained ≥40% eGFR decline (based on eGFR estimated from serum creatinine and cystatin C using the 2021 CKD-EPI equation) confirmed after 30 days; 2. kidney failure, defined by eGFR ≤10ml/min/ 1.73m2 confirmed after 30 days or occurring within 30 days prior to death, or initiation of maintenance kidney replacement therapy; or 3. death from kidney-related causes.
If an eGFR value meeting the above criteria is observed at the last study visit or immediately before a participant is lost to follow-up or withdraws from the study, no confirmation of this value will be necessary.
|
Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
eGFR at the end of the 3-yr treatment period
Time Frame: End of the 3-year treatment period (week 156)
|
eGFR at the end of the 3-yr treatment period (before the washout period) adjusted for the baseline value
|
End of the 3-year treatment period (week 156)
|
|
Time to fatal or non-fatal cardiovascular disease (CVD) events
Time Frame: Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
Time to fatal or non-fatal CVD events (CV death, non-fatal myocardial infarction, non-fatal stroke, or coronary, carotid, or peripheral revascularization procedures)
|
Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
|
Time to hospitalization or urgent visit for heart failure or CV death
Time Frame: Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
Time to hospitalization or urgent visit for heart failure or death for cardiovascular causes
|
Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
|
Time to hospitalization for heart failure
Time Frame: Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
Time to hospitalization for heart failure
|
Up to the end of the 2-month wash-out period following the 3-year treatment period (week 0 to 164)
|
|
B-type natriuretic peptide (NTproBNP) serum levels at the end of the drug washout
Time Frame: End of the 2-month wash-out period following the 3-year treatment period (week 164)
|
Serum levels of NTproBNP at the end of the 8-week drug washout, adjusted for its baseline value
|
End of the 2-month wash-out period following the 3-year treatment period (week 164)
|
|
High-sensitivity cardiac troponin (hs-cTnT) serum levels at the end of the drug washout
Time Frame: End of the 2-month wash-out period following the 3-year treatment period (week 164)
|
Serum levels of hs-cTnT at the end of the 8-week drug washout, adjusted for its baseline value
|
End of the 2-month wash-out period following the 3-year treatment period (week 164)
|
|
NTproBNP serum levels at the end of the treatment period
Time Frame: End of the 3-year treatment period (week 156)
|
Serum levels of B-type natriuretic peptide (NTproBNP) at the end of the 3-year treatment period, adjusted for its baseline value
|
End of the 3-year treatment period (week 156)
|
|
hs-cTnT serum levels at the end of the treatment period
Time Frame: End of the 3-year treatment period (week 156)
|
Serum levels of high-sensitivity cardiac troponin (hs-cTnT ) at the end of the 3-year treatment period, adjusted for its baseline value
|
End of the 3-year treatment period (week 156)
|
|
Mean blood HbA1c levels during the treatment period
Time Frame: Weeks 0, 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean HbA1c during the 3-year treatment period
|
Weeks 0, 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean blood glucose levels during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean blood glucose from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean GMI during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean glucose management indicator (GMI) from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean time in range (TIR) during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean time with blood glucose in the 70 to 180 mg /dl range from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean time below range 70 (TBR70) during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean time with blood glucose below 70 mg/dl from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean time below range 54 (TBR54) during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean time with blood glucose below 54 mg/dl from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean time above range 180 (TAR180) during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean time with blood glucose above 180 mg/dl from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean time above range 250 (TAR250) during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean time with blood glucose above 250 mg/dl from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean Glucose CV during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean blood glucose coefficient of variation (CV) from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean MAGE during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean amplitude of glycemic excursions (MAGE) from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean GRI during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean glycemic risk index (GRI) from continuous glucose monitoring during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Mean total daily insulin dose during the treatment period
Time Frame: Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Mean total daily insulin dose (TDD, units/kg) during the 3-year treatment period
|
Weeks 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
|
Urinary albumin excretion rate change from baseline equal to or more negative than -30% at the end of treatment
Time Frame: End of treatment period (Week 156).
|
Urinary albumin excretion rate (UAER, timed overnight collection) reduction from baseline ≥30% at the end of treatment;
|
End of treatment period (Week 156).
|
|
Urinary albumin excretion rate change from baseline equal to or more negative than -30% at the end of the washout period
Time Frame: End of the 2-month wash-out period following the 3-year treatment period (week 164)
|
Urinary albumin excretion rate (UAER) reduction from baseline ≥30% at the end of the 8-week washout period following the 3-year treatment period;
|
End of the 2-month wash-out period following the 3-year treatment period (week 164)
|
|
eGFR slope during the treatment period
Time Frame: Weeks 0, 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
eGFR slope from baseline to the end of the 3-yr treatment period (before the washout period), kidney failure, death, or study discontinuation, whichever occurs first
|
Weeks 0, 2, 8, 16, 28, 44, 60, 76, 92, 108, 124, 140 156 (from baseline to the end of the treatment period)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Alessandro Doria, MD PhD MPH, Joslin Diabetes Center
- Principal Investigator: Michael Mauer, MD, University of Minnesota
- Principal Investigator: David Cherney, MD PhD, University of Toronto
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bhatt DL, Szarek M, Steg PG, Cannon CP, Leiter LA, McGuire DK, Lewis JB, Riddle MC, Voors AA, Metra M, Lund LH, Komajda M, Testani JM, Wilcox CS, Ponikowski P, Lopes RD, Verma S, Lapuerta P, Pitt B; SOLOIST-WHF Trial Investigators. Sotagliflozin in Patients with Diabetes and Recent Worsening Heart Failure. N Engl J Med. 2021 Jan 14;384(2):117-128. doi: 10.1056/NEJMoa2030183. Epub 2020 Nov 16.
- Bhatt DL, Szarek M, Pitt B, Cannon CP, Leiter LA, McGuire DK, Lewis JB, Riddle MC, Inzucchi SE, Kosiborod MN, Cherney DZI, Dwyer JP, Scirica BM, Bailey CJ, Diaz R, Ray KK, Udell JA, Lopes RD, Lapuerta P, Steg PG; SCORED Investigators. Sotagliflozin in Patients with Diabetes and Chronic Kidney Disease. N Engl J Med. 2021 Jan 14;384(2):129-139. doi: 10.1056/NEJMoa2030186. Epub 2020 Nov 16.
- van Raalte DH, Bjornstad P, Persson F, Powell DR, de Cassia Castro R, Wang PS, Liu M, Heerspink HJL, Cherney D. The Impact of Sotagliflozin on Renal Function, Albuminuria, Blood Pressure, and Hematocrit in Adults With Type 1 Diabetes. Diabetes Care. 2019 Oct;42(10):1921-1929. doi: 10.2337/dc19-0937. Epub 2019 Aug 1.
- Markham A, Keam SJ. Sotagliflozin: First Global Approval. Drugs. 2019 Jun;79(9):1023-1029. doi: 10.1007/s40265-019-01146-5.
- Nardone M, Kugathasan L, Sridhar VS, Dutta P, Campbell DJT, Layton AT, Perkins BA, Barbour S, Lam TKT, Levin A, Lovblom LE, Mucsi I, Rabasa-Lhoret R, Rac VE, Senior P, Sigal RJ, Stanimirovic A, Persson F, Stougaard EB, Doria A, Cherney DZI. Modeling Cardiorenal Protection with Sodium-Glucose Cotransporter 2 Inhibition in Type 1 Diabetes: An Analysis of DEPICT-1 and DEPICT-2. Clin J Am Soc Nephrol. 2025 Apr 1;20(4):529-538. doi: 10.2215/CJN.0000000641. Epub 2025 Feb 7.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 31, 2024
Primary Completion (Estimated)
December 1, 2028
Study Completion (Estimated)
May 1, 2029
Study Registration Dates
First Submitted
January 9, 2024
First Submitted That Met QC Criteria
January 18, 2024
First Posted (Actual)
January 22, 2024
Study Record Updates
Last Update Posted (Actual)
March 24, 2026
Last Update Submitted That Met QC Criteria
March 20, 2026
Last Verified
March 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Endocrine System Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Heart Diseases
- Chronic Disease
- Disease Attributes
- Metabolic Diseases
- Autoimmune Diseases
- Immune System Diseases
- Glucose Metabolism Disorders
- Diabetes Mellitus
- Diabetes Complications
- Renal Insufficiency
- Renal Insufficiency, Chronic
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Heart Failure
- Cardiovascular Diseases
- Diabetes Mellitus, Type 1
- Kidney Failure, Chronic
- Diabetic Nephropathies
- Substandard Drugs
- Pharmaceutical Preparations
- (2S,3R,4R,5S,6R)-2-(4-chloro-3-(4-ethoxybenzyl)phenyl)-6-(methylthio)tetrahydro-2H-pyran-3,4,5-triol
Other Study ID Numbers
- STUDY00000249
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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