Clinical trial • Phase II • Endocrinology|Nephrology

DAPAGLIFLOZIN for Type 1 diabetes mellitus | Chronic kidney disease

Phase II trial of DAPAGLIFLOZIN for Type 1 diabetes mellitus | Chronic kidney disease.

Overview

Trial Therapeutic Area
Endocrinology|Nephrology
Trial Disease
Type 1 diabetes mellitus | Chronic kidney disease
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
01-10-2025
First CTIS Authorization Date
02-02-2026

Trial design

Randomised, open-label, sc0062 alone (oral sc0062/diosuxentan; sponsor product code aabb240925; maximum daily dose listed 20 mg) versus combination of dapagliflozin (forxiga 5 mg film-coated tablets, oral) + sc0062 (oral).-controlled, crossover Phase II trial in Denmark, Finland, Netherlands.

Randomised
Yes
Open Label
Yes
Comparator
SC0062 alone (oral SC0062/Diosuxentan; sponsor product code AABB240925; maximum daily dose listed 20 mg) versus combination of dapagliflozin (Forxiga 5 mg film-coated tablets, oral) + SC0062 (oral).
Crossover
Yes
Target Sample Size
36

Eligibility

Recruits 36 No vulnerable population selected. Participants must be adults (Age ≥ 18 and <65 years) and "Willing and able to sign informed consent". Informed consent documents for adults are provided (subject information and ICF documents available for DK, FI, NL, EN). No assent for minors is applicable..

Pregnancy Exclusion
Women of Childbearing Potential (WOCBP) must have a negative pregnancy test at screening and must not be lactating.
Vulnerable Population
No vulnerable population selected. Participants must be adults (Age ≥ 18 and <65 years) and "Willing and able to sign informed consent". Informed consent documents for adults are provided (subject information and ICF documents available for DK, FI, NL, EN). No assent for minors is applicable.

Inclusion criteria

  • {"criterion_text":"- Willing and able to sign informed consent\n- Stable RAAS inhibition medication for at least 4 weeks prior to screening\n- HbA1c ≥6.5 and ≤10.5%\n- Based on the Investigator’s judgment participant must have a good understanding of his/her disease and how to manage it, and be willing and capable of performing the following study assessments (assessed before randomization): patient-led management and adjustment of insulin therapy; reliable approach to insulin dose adjustment for meals, such as carbohydrate counting; reliable and regular home-based blood glucose monitoring; established “sick day” management regimen\n- Male or female individuals diagnosed with type 1 diabetes at least 6 months prior to informed consent\n- Women of Childbearing Potential (WOCBP) must have a negative pregnancy test at screening and must not be lactating.\n- Male individuals must use highly effective method of contraception for the duration of the study (from the time they sign consent) and for 4 weeks after the last dose of study medication, or be able to provide proof of vasectomy.\n- Female individuals must use highly effective method of contraception for the duration of the study (from the time they sign consent) and for 4 weeks after the last dose of study medication, provide proof of hysterectomy or sterilization, or be deemed menopausal based on a FSH-test.\n- Age ≥18 and <65years, at the time of signing consent.\n- Body Mass Index ≥ 21 kg/m2\n- Urinary albumin:creatinine ratio ≥ 50 mg/g and <3000 mg/g\n- eGFR ≥ 30 and <90 ml/min/1.73m2"}

Exclusion criteria

  • {"criterion_text":"- Diagnosis of type 2 diabetes, or other types of diabetes (e.g. LADA)\n- Any other clinical condition that, based on Investigator’s judgement, would jeopardize patient safety during trial participation or would affect the study outcome (e.g., immunocompromised patients, patients who might be at higher risk of developing urinary, genital or mycotic infections, patients with chronic viral infections, etc.)\n- Treatment with an SGLT2i within 30 days of Visit 1\n- NT-proBNP > 600 pg/mL\n- Strong CYP3A4 inducers or strong CYP3A4 inhibitors\n- Hemoglobin < 90 g/L\n- Diagnosis of severe edema (per investigator judgment) within 3 months of screening\n- Diagnosis of heart failure (NYHC stage III or IV)\n- Treatment with an anti-hyperglycaemic agent (e.g., metformin, alpha-glucosidase inhibitors, pramlintide, glucagon-like peptide receptor agonist, etc.) within 3 months\n- Occurrence of severe hypoglycaemia involving coma/unconsciousness and/or seizure that required hospitalisation or hypoglycaemia-related treatment by an emergency physician or paramedic within 3 months\n- Hypoglycaemia unawareness based on Investigator judgement or frequent episodes of unexplained hypoglycaemia (2 or more unexplained episodes within 3 months)\n- Occurrence of diabetic ketoacidosis within 6 months prior to study enrolment\n- Acute coronary syndrome (non-STEMI, STEMI and unstable angina pectoris), stroke or transient ischemic attack within 6 months"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change from baseline in Urine Albumin-Creatinine Ratio (UACR) when treated with SC0062 alone versus combination of dapagliflozin and SC0062.","definition_or_measurement_approach":"Change from baseline in Urine Albumin-Creatinine Ratio (UACR) (comparison of SC0062 alone versus combination of dapagliflozin and SC0062)."}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in markers of fluid retention (body weight, hemoglobin, N-terminal prohormone of Brain Natriuretic Peptide (NT-proBNP)), Extracellular Volume (ECV), blood pressure, and estimated glomerular filtration rate (eGFR)when treated with SC0062 or dapagliflozin alone versus combination of dapagliflozin and SC0062. Safety: To assess the incidence, severity and seriousness of adverse events during treatment with SC0062 and/or dapagliflozin.","definition_or_measurement_approach":"Change from baseline in specified markers (body weight, hemoglobin, NT-proBNP, ECV, blood pressure, eGFR) and assessment of incidence/severity/seriousness of adverse events during treatment with SC0062 and/or dapagliflozin."}

Recruitment

Planned Sample Size
36
Recruitment Window Months
19
Consent Approach
Informed consent must be provided by the adult participant ("Willing and able to sign informed consent"). Participants are adults (Age ≥18 and <65). Subject information and informed consent form documents are provided for adults in country-specific versions (documents present for Denmark, Finland, Netherlands and English translations). No assent (no minors included).

Methods

  • Site-based recruitment at participating hospital clinics (diabetes/endocrinology and nephrology clinics) in Denmark, Finland and the Netherlands (sites listed in Part II submissions).
  • Printed recruitment materials / ASPIRE flyer (country-specific recruitment material documents present for DK, FI, NL).
  • Country-specific recruitment arrangements documents (K1_Recruitment arrangements for DK, FI, NL) as submitted in Part II.

Geography

Total Number Of Sites
7
Total Number Of Participants
36

Denmark

Earliest CTIS Part Ii Submission Date
12-01-2026
Latest Decision Or Authorization Date
03-02-2026
Processing Time Days
22
Number Of Sites
3
Number Of Participants
15

Sites

Site Name
Steno Diabetes Center Copenhagen
Department Name
Diabetes Complications
Contact Person Name
Tine Willum Hansen
Contact Person Email
tine.willum.hansen@regionh.dk
Site Name
Steno Diabetes Center Aarhus
Department Name
Internal Medicine-, Diabetes-, and Endocrinology specialist
Contact Person Name
Søren Tang Knudsen
Contact Person Email
soerknud@rm.dk
Site Name
Regionshospitalet Gødstrup
Department Name
Department of Medicine, Nephrology Sct.
Contact Person Name
Jesper Nørgaard Bech

Finland

Earliest CTIS Part Ii Submission Date
12-01-2026
Latest Decision Or Authorization Date
09-02-2026
Processing Time Days
28
Number Of Sites
2
Number Of Participants
10

Sites

Site Name
University Of Helsinki
Department Name
Nephrology
Contact Person Name
Daniel Gordin
Contact Person Email
daniel.gordin@hus.fi
Site Name
Turku University Hospital
Department Name
Kidney Center
Contact Person Name
Tapio August Hellman
Contact Person Email
tapio.hellman@varha.fi

Netherlands

Earliest CTIS Part Ii Submission Date
12-01-2026
Latest Decision Or Authorization Date
02-02-2026
Processing Time Days
21
Number Of Sites
2
Number Of Participants
11

Sites

Site Name
Amsterdam UMC
Department Name
Endocrinology
Contact Person Name
Daniel van Raalte
Contact Person Email
d.vanraalte@amsterdamumc.nl
Site Name
Universitair Medisch Centrum Groningen
Department Name
Endocrinology
Contact Person Name
Helen Lutgers
Contact Person Email
h.l.lutgers@umcg.nl

Sponsor

Primary sponsor

Full Name
University Medical Center Groningen
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Third parties

  • {"country":"","full_name":"Juvenile Diabetes Research Foundation","duties_or_roles":"Monetary support / Funder","organisation_type":""}
  • {"country":"","full_name":"Biocity Biopharmaceutics Co., Ltd.","duties_or_roles":"Monetary support / Funder","organisation_type":""}

Investigational products

Investigational Product Name
Forxiga 5 mg film-coated tablets
Active Substance
DAPAGLIFLOZIN
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (EU marketing authorisation EU/1/12/795/004)
Maximum Dose
5 mg
Investigational Product Name
SC0062 (Diosuxentan)
Active Substance
N-[5-(2H-1,3-BENZODIOXOL-5-YL)-6-{2-[(5-BROMOPYRIMIDIN-2-YL)OXY]ETHOXY}PYRIMIDIN-4-YL]-N'-(2-METHOXYETHYL)SULFURIC DIAMIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
20 mg
Combination Treatment
Yes

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