ClinicalTrials.gg
RecruitingNCT06995651Updated Aug 31, 2026

Dorzagliatin in Pancreatic Insufficient Cystic Fibrosis

A Phase 1 interventional study of Dorzagliatin and Placebo in Pancreatic Insufficiency and Cystic Fibrosis-related Diabetes, sponsored by Michael R. Rickels, MD, MS. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-31.

Sponsored by Michael R. Rickels, MD, MS · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is designed to determine the pharmacokinetic and pharmacodynamic response of dorzagliatin 50 mg twice daily following 7-day administration in individuals with pancreatic insufficient cystic fibrosis and abnormal glucose tolerance when compared to randomized, double-blind 7-day administration of placebo in a cross-over fashion. We hypothesize that dorzagliatin administration will result in significant drug concentrations and improved glucose tolerance, early-phase insulin secretion, glucagon suppression, and hepatic glycogen storage assessed during a standardized mixed-meal tolerance test.

02

Conditions studied

  • Pancreatic Insufficiency
  • Cystic Fibrosis-related Diabetes
03

In context

Exocrine Pancreatic Insufficiency

136 studies on the registry are indexed under Exocrine Pancreatic Insufficiency; 26 are open to participants now.

This study's planned enrollment of 15 is below the median of 40 across 94 interventional studies indexed under Exocrine Pancreatic Insufficiency.

Browse Exocrine Pancreatic Insufficiency studies →

Lead sponsor

This is the only study on the registry with Michael R. Rickels, MD, MS as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Provision of signed and dated form.
  2. Stated willingness to comply with all study procedures and availability for the duration of the study.
  3. Male or female, aged ≥18 years on date of consent.
  4. Confirmed diagnosis of CF, defined by positive sweat test or CFTR mutation analysis according to CFF diagnostic criteria.
  5. Pancreatic insufficiency defined by clinical requirement for pancreatic enzyme replacement.
  6. Abnormal glucose tolerance defined by OGTT criteria for EGI, IGT, or CFRD, or diagnosed CFRD.
  7. There will be no restriction on enrollment of individuals with CFRD but without fasting hyperglycemia (fasting hyperglycemia is defined as fasting glucose ≥126 mg/dL)

    a. Individuals with CFRD and fasting hyperglycemia (defined as above or by the use of basal insulin therapy) must also have a ≤8% and a random (non-fasting) C- peptide ≥1.2 ng/mL [15].

  8. For females of : use of highly effective method for the during of study participation; oral contraceptives, intra-uterine devices, Norplant®, Depo- Provera®, and barrier devices with spermicide are acceptable contraceptive methods; condoms used alone are not acceptable.

Exclusion criteria

Exclusion Criteria:

  1. Established diagnosis of non-CF diabetes (e.g. type 1 diabetes).
  2. Pregnancy or lactation; a negative urine pregnancy test will be required at enrollment.
  3. Pulmonary exacerbation requiring IV antibiotics or systemic within 4 weeks prior to randomization.
  4. Treatment with either inhibitors (e.g. ketoconazole, itraconazole, voriconazole, posaconazole, clarithromycin, indinavir, ritonavir, saquinavir, telithromycin, boceprevir, nelfinavir, telaprevir, conivaptan, nefazodone, etc.) or inducers (e.g. phenobarbital, other barbiturates, carbamazepine, phenytoin, rifampicin, dexamethasone, etc.).
  5. Use of herbal remedies, including St. John's Wort within 14 days prior to dosing.
  6. Change in CFTR modulator therapy in the previous 3 months.
  7. History of clinically symptomatic pancreatitis within the last year.
  8. Prior lung, liver or another solid organ transplant.
  9. Abnormal kidney function: creatinine >2x (ULN) or potassium >5.5mEq/L on non-hemolyzed specimen.
  10. Abnormal liver function: persistent elevation of liver function tests >2.0 times ULN.
  11. Uncontrolled hyperlipidemia: triglycerides >500 or cholesterol >250 mg/dl.
  12. Hyperuricemia: serum uric acid >1.5 times ULN.
  13. Anemia: \<10 g/dL.
  14. History of any illness or condition that, in the opinion of the investigator might confound the results of the study or pose an additional risk to the subject.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Dorzagliatin

    Dorzagliatin 50 mg orally twice daily for 7 days

    Drug: Dorzagliatin · Drug: Placebo

  • Placebo comparator
    Placebo

    matched-placebo orally twice daily for 7 days

    Drug: Dorzagliatin · Drug: Placebo

Interventions

  • Randomized, double-blind, cross-over study of Dorzagliatin 50 mg orally twice daily for 7 days compared to matched-placebo orally twice daily for 7 days.

  • DrugPlacebo

    Randomized, double-blind, cross-over study of Dorzagliatin 50 mg orally twice daily for 7 days compared to matched-placebo orally twice daily for 7 days.

06

What researchers measure

Primary outcomes

  1. Drug concentrations (PK; Cmax)

    Assessed by the peak glucose during a standardized mixed-meal tolerance test following 7-day administration of study drug

    Time frame: 2 months

  2. Glucose tolerance (PD)

    Time frame: 2 months

Secondary outcomes

  1. Early-phase insulin secretion

    Assessed by insulin secretory rate and

    Time frame: 2 months

  2. Glucagon suppression

    Glucagon incremental area-under-the-curve (iAUC) analyses during the mixed-meal tolerance test following 7-day administration of study drug. iAUC analyses for GLP-1 and GIP will be assessed as potential effect modifiers.

    Time frame: 2 months

07

Study locations

2 of 2 sites recruiting
  • Hospital of University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • University of Pennsylvania Center for Human Phenomic Science (CHPS)
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06995651
Lead sponsor
Michael R. Rickels, MD, MS
Responsible party
Michael R. Rickels, MD, MS (Willard and Rhoda Ware Professor in Diabetes and Metabolic Diseases, University of Pennsylvania) — Sponsor-investigator
First posted
May 29, 2025
Start date
Oct 21, 2025
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Aug 31, 2026

Study contacts

Paola Alvarado, MSCR
Contact
Paola.Alvarado@Pennmedicine.upenn.edu
215-746-2081
Michael R Rickels, MD, MS
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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