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

Type 1 Diabetes Clinical Trial

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

Clinical Trial 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.

Clinical Trial Description

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. Up to 22 adult participants with type 1 diabetes (T1D) will be enrolled with at least 16 participants completing the study in full. After screening, baseline data (A1c, CGM, ambulatory insulin dosing, ambulatory ketones [fasting and after infusion set change], and psychosocial questionnaires) will be collected and participants will complete an insulin withdrawal test (IWT) and a hyperinsulinemic-euglycemic clamp (HEC) with indirect calorimetry (IDC). Participants will then receive 12-week insulin-adjunctive treatments with both: (1) SGLTi (sotagliflozin 200 mg daily) + Placebo and (2) SGLTi + GRA (volagidemab 35 mg weekly), in a random-order, cross-over design with a 14-week washout period between treatment periods. Throughout the treatment periods subjects will be seen weekly in clinic for medication dosing (GRA or placebo) and download/review of CGM, insulin, and ketone data. At the end of each treatment period, the baseline studies will be repeated. Subjects will return for a safety follow up visit 6 weeks after the final GRA or placebo dose. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05696366
Study type Interventional
Source University of California, San Diego
Contact Schafer Boeder
Phone 858-246-2161
Email sboeder@health.ucsd.edu
Status Not yet recruiting
Phase Phase 1/Phase 2
Start date February 2023
Completion date January 2026
View Details
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