A Bioequivalence Study Testing Two Formulations of Sotagliflozin in Healthy Male and Female Subjects Under Fasted Conditions

Study Overview
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Brief Summary
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Primary Objective: To determine the bioequivalence of a single dose of one tablet of sotagliflozin (test) compared to two tablets of sotagliflozin (reference) under fasting conditions in healthy male and female subjects Secondary Objectives: To evaluate the single-dose pharmacokinetics of sotagliflozin following administration of one tablet sotagliflozin (test) compared to two tablets of sotagliflozin (reference) in healthy male and female subjects under fasting conditions To evaluate safety and tolerability of one tablet sotagliflozin (test) compared to two tablets of sotagliflozin (reference) administered under fasted conditions in healthy male and female subjects

Detailed Description
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Study duration per participant is approximately 103 days including a screening period up to 21 days before first dose, 4 periods of dosing and pharmacokinetic (PK) sampling each lasting 7 days, a washout period of 8-21 days between dosing, and an end of study visit 10-15 days after the last dose.

Official Title
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A Bioequivalence Study Testing Two Formulations of Sotagliflozin in Healthy Male and Female Subjects Under Fasted Conditions

Conditions
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Type 2 Diabetes Mellitus, Healthy Subjects

Intervention / Treatment
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* Drug: sotagliflozin (SAR439954)


Participation Criteria
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Eligibility Criteria
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Inclusion criteria : Healthy male or female subjects, between 18 and 55 years of age, inclusive. Body weight between 50.0 and 100.0 kg, inclusive, if male, and between 40.0 and 90.0 kg, inclusive, if female. Body mass index between 18.0 and 30.0 kg/m2, inclusive. Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination). Normal vital signs after 10 minutes resting in supine position and after 3 minutes in standing position: 95 mmHg < systolic blood pressure (SBP) <140 mmHg 45 mmHg < diastolic blood pressure (DBP) <90 mmHg 40 bpm < heart rate (HR) <100 bpm Standard 12-lead electrocardiogram (ECG) parameters after 10 minutes resting in supine position in the following ranges; 120 ms<PR<220 ms, QRS<120 ms, QTc≤430 ms if male, ≤450 ms if female and normal ECG tracing unless the Investigator considers an ECG tracing abnormality to be not clinically relevant. Laboratory parameters within the normal range, unless the Investigator considers an abnormality to be clinically irrelevant for healthy subjects; however serum creatinine, alkaline phosphatase, hepatic enzymes (aspartate aminotransferase, alanine aminotransferase), and total bilirubin (unless the subject has documented Gilbert syndrome) should not exceed the upper laboratory norm. Female subject must use a double contraception method including a highly effective method of birth control, except if she has undergone sterilization at least 3 months earlier or is postmenopausal. The accepted double contraception methods include the use of 2 of the following 3 contraceptive options: (1) intrauterine device; (2) hormonal contraception; (3) condom or diaphragm or cervical/vault cap, in addition to spermicide. Menopause is defined as being amenorrheic for at least 2 years with plasma follicule-stimulating hormone (FSH) level >30 UI/L. Hormonal contraception is acceptable in this study (contraceptive guidance will be described in the study protocol). Having given written informed consent prior to undertaking any study-related procedure. Not under any administrative or legal supervision. Male subject, whose partners are of childbearing potential (including lactating women), must accept to use, during sexual intercourse, a double contraception method according to the following algorithm: (condom) plus (intra-uterine device or hormonal contraceptive) from the inclusion up to 3 months after the last dosing. Male subject, whose partners are pregnant, must use, during sexual intercourse, a condom from the inclusion up to 3 months after the last dosing. Male subject has agreed not to donate sperm from the inclusion up to 3 months after the last dosing. Exclusion criteria: Any history or presence of clinically relevant cardiovascular, pulmonary, gastrointestinal (especially pancreatitis), hepatic (especially biliary disease, including cholecystectomy), renal, metabolic, hematological, neurological, musculoskeletal, articular, psychiatric, systemic, ocular, gynecologic (if female), or infectious disease, or signs of acute illness. History of renal disease, or significantly abnormal kidney function test (glomerular filtration rate (GFR) <90 mL/min as calculated using the Cockcroft-Gault equation (7) at screening. Frequent headaches and/or migraine, recurrent nausea and/or vomiting (more than twice a month). Blood donation of a pint or more within 2 months before inclusion. Symptomatic postural hypotension, irrespective of the decrease in blood pressure, or asymptomatic postural hypotension defined as a decrease in systolic blood pressure ≥20 mmHg within 3 minutes when changing from supine to standing position. Presence or history of drug hypersensitivity, or allergic disease diagnosed and treated by a physician. History or presence of drug or alcohol abuse (alcohol consumption more than 40 g per day on a regular basis). Smoking more than 5 cigarettes or equivalent per day and/or unable to stop smoking during the study. Excessive consumption of beverages containing xanthine bases (more than 4 cups or glasses per day). If female, pregnancy (defined as positive human chorionic gonadotropin (β-HCG blood test), breast-feeding. Any medication (over-the counter or prescription medications, including St John's Wort), or any herbal supplements or supra-therapeutic vitamins within 14 days before inclusion or within 5 times the elimination half-life or pharmacodynamic half-life of the substance; any vaccination within the last 28 days, and any biologics (antibody or its derivatives) given within 4 months before inclusion. Any subject who, in the judgment of the Investigator, is likely to be noncompliant during the study, or unable to cooperate because of a language problem or poor mental development. Any subject in the exclusion period of a previous study according to applicable regulations. Any subject who cannot be contacted in case of emergency. Any subject who is the Investigator or any sub-investigator, research assistant, pharmacist, study coordinator, or other staff thereof, directly involved in conducting the study. Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, anti hepatitis C virus antibodies, anti-human immunodeficiency virus 1 and 2 antibodies (anti HIV1 and anti HIV2 Ab). Positive result on urine drug screen (amphetamines/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates). Positive alcohol test. Any consumption of citrus (grapefruit, orange, etc) or their juices within 5 days before inclusion. Any history or presence of deep leg vein thrombosis or pulmonary embolism or a recurrent or frequent history of deep vein thrombosis in first degree relatives (parents, siblings or children). Any presence or history of urinary tract infection or genital mycotic infection in the last 4 weeks before screening. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sotagliflozin Test<br>One tablet of sotagliflozin administered orally under fasting conditions | Drug: sotagliflozin (SAR439954)<br>* Pharmaceutical form: tablet Route of administration: oral<br>|
| Active Comparator: Sotagliflozin Reference<br>Two tablets of sotagliflozin administered orally under fasting conditions | Drug: sotagliflozin (SAR439954)<br>* Pharmaceutical form: tablet Route of administration: oral<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cmax | Maximum plasma concentration observed | Day 1 of each period | 
| AUC 0-72h (area under the curve) | Truncated AUC 0-72h | Day 1 to Day 3 of each period | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to reach Cmax (tmax) | Time to reach Cmax | Day 1 of each period | 
| Terminal half-life (t1/2z) | Terminal half-life associated with the terminal slope (λz) | Day 1 to Day 7 of each period | 
| Area under the plasma concentration versus time curve (AUClast) | Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast | Day 1 to Day 7 of each period | 
| Adverse events | Number of participants with adverse events | Day 1 to Day 7 of each period | 
| Electrocardiograms (ECGs) | Number of patients with clinically significant changes in electrocardiograms (ECGs) | Day 1 to Day 7 of each period | 
| Vital signs | Number of patients with clinically significant changes in vital signs | Day 1 to Day 7 of each period | 
| Clinical laboratory tests | Number of patients with clinically significant changes in clinical laboratory tests | Day 1 to Day 7 of each period | 
| Area under the curve (AUC) | Area under the plasma concentration versus time curve extrapolated to infinity | Day 1 to Day 7 of each period |