A Drug to Drug Interaction Study of Sotagliflozin With Midazolam and Metoprolol
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ClinicalTrials.gov Identifier: NCT02940379 |
Recruitment Status :
Completed
First Posted : October 20, 2016
Last Update Posted : January 18, 2017
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Primary Objective:
To assess the effect of repeated once-daily oral doses of sotagliflozin on CYP2D6 and CYP3A activities using a CYP probe cocktail of metoprolol and midazolam.
Secondary Objective:
To assess the clinical and laboratory safety of sotagliflozin coadministered with the cocktail probes as compared to that of cocktail probes alone.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Type 2 Diabetes Mellitus | Drug: sotagliflozin (SAR439954) Drug: midazolam Drug: metoprolol | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 24 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Two-cohort, Open-label, Fixed-sequence, Two-period, Two-treatment Pharmacokinetic Interaction Study of Repeated Oral Doses of Sotagliflozin on a Single Dose Cocktail of Metoprolol and Midazolam Used as Probe Substrates for CYP2D6 and CYP3A Activities, Respectively, in Healthy Subjects |
Study Start Date : | October 2016 |
Actual Primary Completion Date : | December 2016 |
Actual Study Completion Date : | December 2016 |

Arm | Intervention/treatment |
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Experimental: Cohort 1
Participants will initially be given with treatment A (cocktail of metoprolol and midazolam) and then will start with treatment B (Dose 1 of Sotagliflozin plus cocktail) after 3 days
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Drug: sotagliflozin (SAR439954)
Pharmaceutical form: tablet Route of administration: oral Drug: midazolam Pharmaceutical form: HCl syrup Route of administration: oral Drug: metoprolol Pharmaceutical form: tablet Route of administration: oral |
Experimental: Cohort 2
Participants will initially be given with treatment A (cocktail of metoprolol and midazolam) and then will start with treatment B (Dose 2 of Sotagliflozin plus cocktail) after 3 days
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Drug: sotagliflozin (SAR439954)
Pharmaceutical form: tablet Route of administration: oral Drug: midazolam Pharmaceutical form: HCl syrup Route of administration: oral Drug: metoprolol Pharmaceutical form: tablet Route of administration: oral |
- Assessment of midazolam pharmacokinetic (PK) parameter: Area under the curve (AUC) [ Time Frame: Day 1 to Day 2 of Treatment A Period ]
- Assessment of midazolam PK parameter: AUC [ Time Frame: Day 11 to Day 12 of Treatment B Period ]
- Assessment of metoprolol PK parameter: AUC [ Time Frame: Day 1 to Day 3 of Treatment A Period ]
- Assessment of metoprolol PK parameter: AUC [ Time Frame: Day 11 to Day 13 of Treatment B Period ]
- Assessment of PK parameter: maximum plasma concentration (Cmax) [ Time Frame: Day 1 to Day 2 of Treatment A Period (midazolam) ]
- Assessment of PK parameter: Cmax [ Time Frame: Day 11 to Day 12 of Treatment B Period (midazolam) ]
- Assessment of PK parameter: Cmax [ Time Frame: Day 1 to Day 3 of Treatment A Period (metoprolol) ]
- Assessment of PK parameter: Cmax [ Time Frame: Day 11 to Day 13 of Treatment B Period (metoprolol) ]
- Assessment of PK parameter: time to reach Cmax (Tmax) [ Time Frame: Day 1 to Day 2 of Treatment A Period (midazolam) ]
- Assessment of PK parameter: Tmax [ Time Frame: Day 11 to Day 12 of Treatment B Period (midazolam) ]
- Assessment of PK parameter: Tmax [ Time Frame: Day 1 to Day 3 of Treatment A Period (metoprolol) ]
- Assessment of PK parameter: Tmax [ Time Frame: Day 11 to Day 13 of Treatment B Period (metoprolol) ]
- Assessment of PK parameter: terminal-half life (t1/2z) [ Time Frame: Day 1 to Day 2 of Treatment A Period (midazolam) ]
- Assessment of PK parameter: t1/2z [ Time Frame: Day 11 to Day 12 of Treatment B Period (midazolam) ]
- Assessment of PK parameter: t1/2z [ Time Frame: Day 1 to Day 3 of Treatment A Period (metoprolol) ]
- Assessment of PK parameter: t1/2z [ Time Frame: Day 11 to Day 13 of Treatment B Period (metoprolol) ]

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Ages Eligible for Study: | 18 Years to 55 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion criteria :
- Male or female healthy 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/m^2, inclusive.
- Normal vital signs, electrocardiogram (ECG), and laboratory parameters
- Female subjects must use a double contraception method during the study, except if she has undergone sterilization at least 3 months earlier or is postmenopausal. The accepted double contraception methods include the use of one of the following contraceptive options: (1) condom; (2) diaphragm or cervical/vault cap; (3) spermicide in addition to the use of one of the following: a) Intrauterine device (IUD); b) Vasectomized partner; c) Sexual abstinence. Hormonal contraception is NOT acceptable in this study.
Exclusion criteria:
Any history or presence of clinically relevant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, hematological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, or infectious disease, or signs of acute illness.
Frequent headaches and/or migraine, recurrent nausea and/or vomiting.
- Blood donation, any volume, within 2 months before inclusion.
- Symptomatic postural hypotension.
- Presence or history of drug hypersensitivity, allergic disease or asthma diagnosed and treated by a physician.
- History or presence of drug or alcohol abuse.
- If female, pregnancy or breast-feeding.
- Any medication (including St John's Wort) within 14 days before inclusion or within 5 times the elimination half-life or pharmacodynamic half-life of the medication; any vaccination within the last 28 days and any biologics (antibody or its derivatives) given within 4 months before inclusion. Any oral contraceptives during the screening period or for at least 15 days prior to the first dose of Period 1; any injectable contraceptives or hormonal intrauterine devices within 12 months prior to the first dose of Period 1; or topical controlled delivery contraceptives (patch) for 3 months prior to the first dose of Period 1.
- Any contra-indications to metoprolol, according to the applicable labeling.
- Any contra-indications to midazolam, according to the applicable labeling.
- 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 embolism or a recurrent or frequent appearance of deep leg vein thrombosis in first degree relatives (parents, siblings or children).
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02940379
United States, Tennessee | |
Investigational Site Number 840001 | |
Knoxville, Tennessee, United States, 37920 |
Study Director: | Clinical Sciences & Operations | Sanofi |
Responsible Party: | Sanofi |
ClinicalTrials.gov Identifier: | NCT02940379 History of Changes |
Other Study ID Numbers: |
INT14972 U1111-1184-8677 ( Other Identifier: UTN ) |
First Posted: | October 20, 2016 Key Record Dates |
Last Update Posted: | January 18, 2017 |
Last Verified: | January 2017 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Individual participant data (IPD) and supporting clinical documents are available for request at clinicalstudydatarequest.com. While making information available we continue to protect the privacy of the participants in our clinical trials and to remove commercially confidential information (CCI). Details on Data Sharing criteria and process for requesting access can be found at this web address: clinicalstudydatarequest.com |
Additional relevant MeSH terms:
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Midazolam Metoprolol Adjuvants, Anesthesia Hypnotics and Sedatives Central Nervous System Depressants Physiological Effects of Drugs Anti-Anxiety Agents Tranquilizing Agents Psychotropic Drugs Anesthetics, Intravenous |
Anesthetics, General Anesthetics GABA Modulators GABA Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Anti-Arrhythmia Agents Antihypertensive Agents Sympatholytics Autonomic Agents Peripheral Nervous System Agents Adrenergic beta-1 Receptor Antagonists Adrenergic beta-Antagonists Adrenergic Antagonists Adrenergic Agents |