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New monitor could prevent dangerous side effect of diabetes drug

NCT ID NCT07211802

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

About 52 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Jul 2026

An estimate. Start dates often move.

Expected to finish

Dec 2030

An estimate. End dates often move.

Lead sponsor

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

18 years and older

Sex

Anyone

Healthy volunteers

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

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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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.

  1. The study's own enquiry address

    This study publishes an address for enquiries. See it below .

  2. The places running it

    1 site. The list below names each one and where it is.

  3. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  4. A doctor treating you

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Contacts and locations

Study contacts

  • Contact

    Email: •••••@•••••

Locations

  • UCSD - Altman Clinical & Translational Research Institute

    La Jolla, California, 92037, United States

    Contact Email: •••••@•••••

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