Continuous Ketone Monitoring for Type 1 Diabetes and Kidney Disease

This study is for people aged 18-75 with type 1 diabetes and chronic kidney disease. It aims to reduce the risk of diabetic ketoacidosis (DKA), a serious complication, when using the medication sotagliflozin. All participants will start on 200mg/day of sotagliflozin. After three months, some may increase to 400mg/day if their blood sugar control isn't optimal and their kidney function is moderate or better. Researchers will measure how often ketones are elevated and the number of DKA episodes to see if this approach is successful. The study's status is unclear, and it plans to enroll 80 people.

Study design
This is an interventional study planning to enroll 80 participants. All participants will receive the drug sotagliflozin.
What's involved
Participants will start on sotagliflozin and may have their dose adjusted after three months. The study measures changes in ketone levels and DKA episodes over three months.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoints are measured at three months following sotagliflozin initiation.

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NCT07325201

Mitigating DKA in Type 1 Diabetes for Safe Use of SGLT Inhibitors Using Dual Continuous Ketone and Glucose Monitoring.

Not Yet Recruiting
PHASE2Ages 18–75InterventionalTreatment
HealthPartners Institute
~80 participants
Updated 2026-08-27 on ClinicalTrials.gov
What's tested:Sotagliflozin initiation

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in time in ketone range >1.5/mmol/L
Measured over 3 months, 6 months, 9 months
+1 more outcome measured
Type 1 Diabetes Mellitus
Chronic Kidney Disease (CKD) With Diabetes Mellitus (DM)
Chronic Kidney Disease
Diabetic Ketoacidosis
Ketones
1 sites across 1 states
Minnesota1
  • Richard Bergenstal, MD · PRINCIPAL_INVESTIGATOR · HealthPartners/Park Nicollet International Diabetes Center

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  • Change in time in ketone range >1.5/mmol/L3 months, 6 months, 9 months
  • Number of episodes of diabetic ketoacidosis (DKA)6 months, 9 months