Combination Adjunctive Therapy to Address Multiple Metabolic Imbalances in Type 1 Diabetes

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a single site, double-blind, placebo-controlled, crossover trial to quantify the effects of combination adjunctive therapy on glycemic control, ketogenesis during insulinopenia, insulin resistance, and diabetes burden and quality of life.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
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• Men and women between the ages of 18 and 70 years old, inclusive, at the time of screening;

• Females of non-childbearing potential must be ≥ 1 year post-menopausal or documented as being surgically sterile. Females of childbearing potential must agree to use two methods of contraception during the entire study and for an additional 3 months after the end of dosing with the investigational product;

• Male subjects must be willing to use clinically acceptable method of contraception during the entire study and for an additional 6 months after the end of the treatment period;

• Diagnosed with Type 1 diabetes based on clinical history or as defined by the current American Diabetes Association (ADA) criteria;

• Treatment with a stable insulin regimen for at least 8 weeks before screening with continuous subcutaneous insulin infusion (CSII) via an insulin pump or hybrid closed loop system;

• Currently using a Continuous Glucose Monitoring (CGM) system;

• A1c \> 7% and ≤ 10%

• eGFR ≥ 60 mL/min/1.73m²;

• Able to provide written informed consent approved by an Institutional Review Board (IRB).

Locations
United States
California
UC San Diego Altman Clinical & Translational Research Institute
RECRUITING
La Jolla
Contact Information
Primary
Schafer Boeder
sboeder@health.ucsd.edu
858-246-2161
Backup
Todd May
tmay@health.ucsd.edu
858-246-2169
Time Frame
Start Date: 2024-09-09
Estimated Completion Date: 2028-01
Participants
Target number of participants: 24
Treatments
Active_comparator: sotagliflozin 200 mg
Each participant will receive 12-week insulin-adjunctive treatment with both: (1) SGLTi (sotagliflozin 200 mg PO each day) + Placebo and (2) SGLTi + GRA (volagidemab 35 mg subcutaneously each week), in a random-order, cross-over design with a 14-week washout period between treatment periods.~Sotagliflozin is a dual sodium-glucose co-transporter-1 and sodium-glucose co-transporter-2 (SGLT1/2) inhibitor.
Active_comparator: volagidemab 35 mg
Each participant will receive 12-week insulin-adjunctive treatment with both: (1) SGLTi (sotagliflozin 200 mg PO each day) + Placebo and (2) SGLTi + GRA (volagidemab 35 mg subcutaneously each week), in a random-order, cross-over design with a 14-week washout period between treatment periods.~Volagidemab is a human monoclonal antibody glucagon receptor antagonist (GRA).
Placebo_comparator: Placebo
Each participant will receive 12-week insulin-adjunctive treatment with both: (1) SGLTi (sotagliflozin 200 mg PO each day) + Placebo and (2) SGLTi + GRA (volagidemab 35 mg subcutaneously each week), in a random-order, cross-over design with a 14-week washout period between treatment periods.
Related Therapeutic Areas
Sponsors
Collaborators: Breakthrough T1D, Lexicon Pharmaceuticals
Leads: University of California, San Diego

This content was sourced from clinicaltrials.gov