New monitor could prevent dangerous side effect of diabetes drug
NCT ID NCT07211802
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether wearing a continuous ketone monitor alongside a glucose monitor can reduce the risk of diabetic ketoacidosis (a serious side effect) when taking the drug sotagliflozin. About 52 adults with type 1 diabetes will take low and high doses of sotagliflozin while using the monitor. The goal is to see if the monitor helps keep ketone levels safe, potentially allowing more people to benefit from this drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sotagliflozin (low and high dose) and a dual continuous glucose/ketone monitor
- What this could lead to
- If successful, this could make SGLT inhibitors safer for people with type 1 diabetes, reducing the risk of diabetic ketoacidosis and improving blood sugar management.
- What could go wrong
- This is a small phase 3 trial with only 52 participants, so results may not apply to everyone. The ketone monitor's accuracy and the drug's side effects still pose risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 52 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. All individuals between the ages of \>18 years old, inclusive, at the time of screening; 2. Individuals able to become pregnant must: 1. be ≥1 year post-menopausal or documented as being surgically sterile, or 2. agree to use two methods of contraception during the entire study and for an additional 2 weeks after the end of dosing with the investigational product; 3. Individuals able to cause a pregnancy must be willing to use clinically acceptable method of contraception during the entire study and for an additional 2 weeks after the end of the treatment period; 4. Diagnosed with Type 1 diabetes ≥ 1 year prior to screening, based on clinical history or as defined by the current American Diabetes Association (ADA) criteria; 5. Treatment with a stable insulin regimen for at least 8 weeks before screening with: 1. a continuous subcutaneous insulin infusion (CSII) via a hybrid closed loop system, or 2. multiple daily insulin injections; 6. Currently using a Continuous Glucose Monitoring (CGM) system; 7. Hemoglobin A1c ≤10% at the time of screening; 8. Estimated glomerular filtration rate (eGFR) ≥60 mL/min/1.73m2; 9. Agrees and is able to wear the investigational device; 10. Able to provide written informed consent approved by an Institutional Review Board (IRB). Exclusion Criteria: 1. Individuals who are currently pregnant or lactating/breastfeeding, or planning to become pregnant within 10 months after screening; 2. Any concurrent diagnosis of diabetes other than type 1 diabetes; 3. History or evidence of clinically significant disorder or condition that, in the opinion of the Investigator, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion; 4. Hypotension at screening as defined as, systolic blood pressure \< 90 and diastolic blood pressure \< 60 with symptoms of low blood pressure (confusion, dizziness, lightheadedness, fainting, heart palpitations); 5. Current or recent (within 1 month prior to screening) use of diabetes medications other than insulin; (examples include, Sodium-Glucose Cotransporter 2 (SGLT-2i), Pramlintide, Metformin); 6. Use of glucagon-like-peptide 1 (GLP-1) analogues if not on a stable dose for \> 2 months at screening (participants can be rescreened after being on stable dose for \> 2 months). Participants on a stable dose of GLP-1 receptor antagonist (RA) and not experiencing frequent vomiting may be included. 7. Chronic systemic corticosteroids use ( \> 4 consecutive weeks) within 6 months prior to screening; 8. History of diabetic ketoacidosis within 3 months prior screening; 9. History of a level 3 hypoglycemic event (as defined by ADA criteria) within 3 months of screening. * ADA Level 3 Definition - A severe hypoglycemic event characterized by altered mental or physical status requiring the assistance for treatment of hypoglycemia, irrespective of glucose level; 10. History of multiple (≥3 infections) genital mycotic infections within 6 months of screening; 11. Unable or unwilling to follow the study protocol or who are non-compliant with screening appointments or study visits; 12. Any other condition(s) that might reduce the chance of obtaining study data, or that might cause safety concerns, or that might compromise the ability to give truly informed consent.
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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UCSD - Altman Clinical & Translational Research Institute
La Jolla, California, 92037, United States
Contact Email: •••••@•••••
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