PLUTO - Prevention of CKD progression in type 1 diabetes with Long term Use of SGLTi avoiding kidney hypOxia

2023-509450-55-01 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Apr 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 69
Countries 1
Sites 1

Type 1 Diabetes Mellitus with chronic kidney complications

The primary aim is to estimate the effect of three months treatment with sotagliflozin on renal oxygenation (MRI) in people with T1D and chronic kidney disease

Key facts

Sponsor
Steno Diabetes Center Copenhagen
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hormonal diseases [C19], Diseases [C] - Nutritional and Metabolic Diseases [C18], Phenomena and Processes [G] - Metabolism [G03]
Trial duration
1 Apr 2025 → ongoing
Decision date (initial)
2024-08-08
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
JDRF · Lexicon Pharmaceuticals, Inc.

External identifiers

EU CT number
2023-509450-55-01
ClinicalTrials.gov
NCT06147232

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Therapy

The primary aim is to estimate the effect of three months treatment with sotagliflozin on renal oxygenation (MRI) in people with T1D and chronic kidney disease

Conditions and MedDRA coding

Type 1 Diabetes Mellitus with chronic kidney complications

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2023-509450-55-00 Prevention of CKD progression in type 1 diabetes with Long term Use of SGLTi avoiding kidney hypOxia (PLUTO) Steno Diabetes Center Copenhagen

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Adults with type 1 diabetes mellitus
  2. Chronic Kidney Disease and albuminuria

Exclusion criteria 4

  1. Non-diabetic Kidney Disease
  2. eGFR<25mL/min/1.73m^2, dialysis or kidney transplantation
  3. Previous diabetic ketoacidosis, except at debut
  4. Receiving therapy with an SGLT inhibitor within 8 weeks prior to enrolment or previous intolerence of an SGLT inhibitor.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from 0 to 12 weeks in dynamic R2*-weighted signal (BOLD) as an indirect measure of renal blood oxygenation after treatment with sotagliflozin compared with placebo.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Sotagliflozin

SUB179285 · Substance

Active substance
Sotagliflozin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
200 mg milligram(s)
Max total dose
16800 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo Product [Placebo Matching Sotagliflozin 200 MG Film-Coated Tablets]

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Steno Diabetes Center Copenhagen

Sponsor organisation
Steno Diabetes Center Copenhagen
Address
Borgmester Ib Juuls Vej 83
City
Herlev
Postcode
2730
Country
Denmark

Scientific contact point

Organisation
Steno Diabetes Center Copenhagen
Contact name
Mette Brouw Iversen

Public contact point

Organisation
Steno Diabetes Center Copenhagen
Contact name
Mette Brouw Iversen

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 39 1
Rest of world
United Kingdom
30

Investigational sites

Denmark

1 site · Ongoing, recruiting
Steno Diabetes Center Copenhagen
Clinical and Translational Research, Complications Research, Borgmester Ib Juuls Vej 83, 2730, Herlev

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2025-04-01 2025-04-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 16 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_APPENDIX A 2023-509450-55 1
Protocol (for publication) D1_protocol_2023-509450-55 5
Protocol (for publication) D4 Ketone diary 1
Protocol (for publication) D4 questionnaire EQ-5D-5L DA 1
Protocol (for publication) D4 questionnarie EQ-5D-5L ENG 1
Protocol (for publication) D4_Participation Card 2
Protocol (for publication) D4_questionnarie 1
Recruitment arrangements (for publication) K1_Front page 5
Recruitment arrangements (for publication) K1_Recruitment arrangements 4
Recruitment arrangements (for publication) K2_ Recruitment material for other websites 1
Recruitment arrangements (for publication) K2_ Recruitment material for website steno 1
Recruitment arrangements (for publication) K2_ Recruitment material poster 1
Subject information and informed consent form (for publication) L1_ICF DA 2
Subject information and informed consent form (for publication) L1_SIS DA 4
Subject information and informed consent form (for publication) L2 Dine rettigheder 1
Synopsis of the protocol (for publication) D1_protocol synopsis_DK 2023-509450-55 4

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-13 Denmark Acceptable
2024-08-08
2024-08-08
2 SUBSTANTIAL MODIFICATION SM-1 2025-09-05 Denmark Acceptable
2025-10-09
2025-10-17