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
- Contact Person Email
- jesper.noergaard.bech@goedstrup.rm.dk
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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