About this trial
This is a Phase 3 trial of cadisegliatin as adjunctive therapy to insulin in participants with Type 1 Diabetes Mellitus.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals ≥18 years
Diagnosed T1DM with a minimum of 3 years since diagnosis
Has had at least 1 hypoglycemic event of Level 2 (glucose level <54 mg/dL or <3 mmol/L, [CGM or SMBG confirmed]) or Level 3 (defined as a severe hypoglycemia with altered mental state and/or physical status requiring assistance) in the last 2 months prior to Screening
HbA1c value of <9.5% at Screening
Disqualifiers
Has T2DM, monogenic diabetes, maturity-onset diabetes of the young, other unusual or rare forms of diabetes mellitus, or diabetes resulting from a secondary disease
Has been hospitalized for DKA within 3 months prior to Screening
Has uncontrolled hypothyroidism or hyperthyroidism
History of eating disorder within the last 2 years such as anorexia, bulimia, diabulimia or neglecting to give insulin to manipulate weight
Trial design
Parallel
Treatments tested in this trial
Cadisegliatin 800 mg QD
DrugCadisegliatin is an orally bioavailable small-molecule glucokinase activator; adjunctive therapy to insulin.
Cadisegliatin 800 mg BID
DrugCadisegliatin is an orally bioavailable small-molecule glucokinase activator; adjunctive therapy to insulin.
Placebo
DrugPlacebo (insulin alone)
Treatment groups
Trial outcomes
Primary outcomes
Change in incidence of Level 2 or Level 3 hypoglycemia
Number of events of Level 2 or Level 3 hypoglycemia in participants on cadisegliatin vs placebo.
Secondary outcomes
To assess the change in HbA1c
Change from baseline in HbA1c in participants on cadisegliatin vs placebo.
To assess the effects of treatment on CGM-based metrics for glycemic control
Change from baseline for time in, above or below target range of participants on cadisegliatin vs placebo
To assess the effects of treatment on the incidence of diabetic ketoacidosis
Number of events of diabetic ketoacidosis participants on cadisegliatin vs placebo
To assess the effects of treatment on insulin dosing
Change from baseline in average daily total insulin on cadisegliatin vs placebo
Sponsors and contacts
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