Trial Against INtractable Type 2 Diabetes (CAPTAIN-T2D)
Sparrow Pharmaceuticals · NCT07296484
Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.
Key facts
- Compensation
- Not posted. Ask the study team before screening.
- Who can join
- Ages 18+ · All sexes
- Healthy volunteers
- Not accepted (a condition is required)
- Study type
- Interventional · Phase 2
- Target enrollment
- 1500
- US sites recruiting
- 61
- Study start
- November 29, 2025
- Record last updated
- October 6, 2026
Status re-checked against ClinicalTrials.gov within the last 12 hours.
What the study is about
CAPTAIN-T2D will take place in two parts. Part 1 (Screening) will evaluate patients with type 2 diabetes and elevated cortisol risk factors for trial eligibility and the presence of elevated cortisol. Participants deemed eligible from Part 1 will be randomized to either clofutriben or placebo in the double-blind (participant and investigator), dose-ranging, interventional Part 2 (Treatment).
Being studied: clofutriben; Placebo
Conditions: Type 2 Diabetes; Cortisol Excess
Eligibility criteria
Copied from the official record. The study team makes the final decision at screening.
Show full criteria
Inclusion Criteria
- From Screening 1
- Age at least 18 years.
- HbA1c ≥7.5% documented within 3 months prior to Screening 1. (The historical HbA1c value must have been obtained after at least 2 months on the current [as of Screening 1] regimen).
- Treatment with stable and adequate doses of ≥2 injectable or oral ADMs. (An ADM will be deemed stable if the dose has been the same for at least 3 months prior to Screening 1 and without change between Screening 1 and Day 1) (An ADM dose will be deemed adequate if it is at or above the maximal labelled dose, or a sub-maximal, but not starting, dose if limited by tolerability (confer with MM if less than half-maximal dose).
- Adequate total daily insulin is defined as at least 0.3 units/kg/day. Insulin dose will be deemed stable with adjustments of up to 20% total daily dose during the 3 months prior to Screening 1 or between Screening 1 and Day 1.
- Use of insulin pumps or insulin brand changes (e.g., due to insurance change or shortage) are to be discussed with the MM.
- At least one of the following
- ≥3 stable and adequate ADMs;
- diabetes complication (retinopathy, nephropathy, neuropathy, atherosclerotic heart disease);
- hypertension requiring ≥2 adequately dosed AHMs;
- adequately dosed basal or basal plus prandial insulin in addition to at least 1 other ADM; and
- adequately dosed incretin agonist (a single or combination agent counts as one ADM) in addition to at least 1 other ADM;
- evidence or history of osteoporosis or non-traumatic fracture (e.g., vertebral body compression);
- or established diagnosis of a neoplastic (non-malignant) source of hypercortisolism and have failed, are ineligible for, or declined surgery.
At DST • Post-DST cortisol level >1.8 µg/dL and serum dexamethasone ≥140 ng/dL. Patients with an established diagnosis of neoplastic hypercortisolism do not require a DST.
At Screening 2
- HbA1c ≥7.5% at Screening 2. At Day 1
- No change in, or initiation of, medications for hypertension within 1 month prior to Day 1.
Exclusion Criteria
- New-onset diabetes (onset \<1 year in the past).
- Unwillingness to maintain with current glucose-lowering regimen during the trial.
- Unwillingness to adjust, add, replace, or discontinue current or other glucose-lowering medications during the trial as directed by the investigator.
- Unwillingness to comply with CGM or other trial procedures.
- Investigator considers the patient will otherwise be unwilling or unable to complete the trial.
- Night-shift worker or otherwise habitually awake from 23:00 to 07:00 h.
- Evidence for significant hypoglycemia while on their current diabetic treatment regimen(This includes episodes of symptomatic Level 3 hypoglycemia requiring external assistance for recovery, or CGM-documented prolonged [>15 min] or repeated episodes of either Level 2 hypoglycemia leading to >1%, or Level 1 hypoglycemia leading to >4%, in "time below range" within 3 months prior to Screening 1 or between Screening 1 and Day 1).
- Any of the following in medical history:
- Type 1 diabetes mellitus (T1D), latent autoimmune diabetes in adults (LADA), or familial forms of maturity-onset diabetes of the young (MODY);
- A hemoglobinopathy or other condition which may interfere with measurement of HbA1c (e.g., sickle cell disease HbSS or other variants HbEE thalassemia, hemolytic anemia, recent blood transfusion);
- Hypersensitivity or severe reaction to dexamethasone;
- Pheochromocytoma, or suspicion thereof;
- Anorexia, or other eating disorder;
- Glucocorticoid resistance;
- Multiple sclerosis;
- Significant hepatic impairment (e.g., Child-Pugh Class B or C);
- Idiopathic thrombocytopenic purpura;
- Untreated or inadequately controlled moderate-to-severe sleep apnea (apnea-hypopnea index ≥15). (Patients whose condition has been well controlled with Continuous Positive Airway Pressure (CPAP) use for at least 3 months prior to Screening 1 are not excluded. Patients with a STOP-BANG score 5-8 should be referred for a sleep study outside the trial and may rescreen if found not to have moderate-to-severe sleep apnea);
- Current alcohol consumption >14 units/week or >4 units in a single day for males, or >7 units/week or >3 units in a single day for females. (Patients with a CAGE score 2-4 should be evaluated further outside the trial and may be rescreened if found not to have an alcohol [or other substance] use disorder);
- Untreated or inadequately controlled major depressive disorder, generalized anxiety disorder, bipolar disorder, post-traumatic stress disorder, or schizophrenia.(Patients whose condition has been well controlled with stable medical therapy, or has been asymptomatic, for at least 3 months prior to Screening 1 are not excluded); or
- Any other medical condition (including malignancy) that is likely to interfere with trial assessments or the patient's ability to complete the trial.
- Any of the following in medication history:
- Any of the excluded medications listed in Section 6.9;
- Any investigational drug within 4 weeks or within less than five times the drug's half-life, whichever is longer, prior to Screening 1 or between Screening 1 and Day 1;
- Woman of childbearing potential (WOCBP) not willing to adhere to highly effective contraception or strict abstinence for the duration of the trial and for 90 days post completion/discontinuation; and
- Pregnancy (including a positive urine test) or current breast feeding.
From Screening 2
- Prior probability of undiagnosed endogenous Cushing syndrome based on either of:
- wo morning serum cortisol values after dexamethasone suppression >5.0 mcg/dL together with plasma dexamethasone >140 ng/mL; or
- a morning serum cortisol value after dexamethasone suppression >1.8 mcg/dL, together with plasma dexamethasone >140 ng/mL and any one of the following that is not attributable to an etiology other than endogenous Cushing's syndrome:
- supraclavicular/dorsocervical fat accumulation;
- irounding of the face (especially compared with prior photos);
- skin changes (violaceous striae, skin thinning, or excessive bruising);
- proximal muscle weakness on exam; or
- history of deep vein thrombosis/pulmonary embolism.
- Plans for, or medically unable to forego, treatment for endogenous Cushing syndrome or ACS within the next 8 months. (For clarity, patients with EnCS or ACS, not having such treatment plans, and medically able to forego treatment for 8 months may enroll if otherwise eligible).
- Severe, poorly controlled hypertension (mean systolic BP >160 mmHg or mean diastolic BP >100 mmHg) at Screening 2 or between Screening 2 and Day 1, including by at-home monitoring. (Such patients will be eligible to rescreen for Part 2 when they restore BP \<160/100 mmHg for 1 month on a new stable medication regimen).
- Positive urine screen for recreational drugs (except tetrahydrocannabinol (THC)).
- Glomerular filtration rate (GFR) (determined using Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) \<45 mL/min/1.73 m².
- Poorly controlled hyperthyroidism/hypothyroidism (confirmed by TSH or Free thyroxine [fT4]).
- Liver enzymes >3 × upper limit of normal (ULN) (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or bilirubin >1.5 × ULN.(excepting benign conditions such as Gilbert's)
- Known hypersensitivity to clofutriben or to any of the product
Recruiting US locations
Arizona Clinical Trials - Pecos
Chandler, AZ 85225
Site contact: Kamila Manager · 480-470-4000 · kojeda@azclinicaltrials.com
Arizona Clinical Trials - Broadway
Tucson, AZ 85711
Site contact: Leanne Manager · 480-470-4000 · lbuchenholz@azclinicaltrials.com
Ark Clinical Research - Fountain Valley
Fountain Valley, CA 92708
Site contact: Lizeth Manager · 323-588-1990 · lsuncin@velocityclinical.com
Velocity Clinical Research, Huntington Park
Huntington Park, CA 90255
Site contact: Tim Manager · 5135799911 · tpeterson@velocityclinical.com
Velocity Clinical Research - Gardena
La Mesa, CA 91942
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Ark Clinical Research - Long Beach
Long Beach, CA 90815
Site contact: Mike Manager · 562-997-1000 · mdelgado@arkclinicalresearch.com
Los Angeles Institute for Metabolic Research
Los Angeles, CA 90015
Site contact: Lourdes Manager · (213) 373-8380 · lgaribay@metabolic.la
Velocity Clinical Research, Los Angeles
Los Angeles, CA 90057
Site contact: Tim Manager · 5135799911 · tpeterson@velocityclinical.com
Amicis Research Center- Nordhoff
Northridge, CA 98433
Site contact: Veronica Clinical Research Manager · (818) 929-7774 · veronica.macias@amicisresearch.com
Alliance Clinical San Diego
San Diego, CA 92120
Site contact: Sandra Manager · (858) 299-0009 · SMisic@allianceclinicalnetwork.com
Velocity Clinical Research, New Smyrna Beach
Edgewater, FL 32132
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
The Center for Diabetes and Endocrine Care
Fort Lauderdale, FL 33312
Site contact: Marie Study Coordinator · 954-963-7191 · mmartin@diabetes-endocare.com
Admed Research LLC
Miami, FL 33173
Site contact: Indiana Manager · 786-687-2882 · igonzalez@admedresearch.com
Suncoast Clinical Research, Inc
New Port Richey, FL 34652
Site contact: Cathy Manager · 727-849-4131 · cbarnes@suncoastclinicalresearch.com
Innovative Research Institute
Port Charlotte, FL 33952
Site contact: Lauren Manager · (+1) 2832276233 · l.ellis@medpace.com
Progressive Medical Research
Port Orange, FL 32127
Site contact: Nora Clinical Research Manager · 386-304-7070 · norab@progressivemedicalresearch.com
Conquest Research
Winter Park, FL 32789
Site contact: Malisa Manager · 407-916-0060 · malisa.agard@conquestresearch.com
Emory University School of Medicine
Atlanta, GA 30303
Site contact: Rohit Manager · 404-778-1695 · rohit.parab@emory.edu
IACT Health-Brookstone Centre Pkwy
Columbus, GA 31904
Site contact: kristina Manager · 706.321.0495 · kristina.erb@centricityresearch.com
Paradigm Clinical Research - Boise, ID
Boise, ID 83709
Site contact: Janaie Manager · 208-801-7440 · jbounsana@paradigm-research.com
Chicago Clinical Research Institute
Chicago, IL 60607
Site contact: Manognya Clinical Research Manager · 3127913241 · manognya@ccrii.us
Iowa Diabetes and Endocrinology Research Center
West Des Moines, IA 50226
Site contact: Crystal Manager · 515-207-7486 · choffman@iderc.com
Alliance for Multispecialty Research - Wichita East
Wichita, KS 67226
Site contact: Terry Manager · 316-689-6635 · terry.klein@amr-clinical.com
St. Elizabeth Healthcare
Edgewood, KY 41017
Site contact: Amber Manager · 859-655-1567 · amber.avery@stelizabeth.com
Velocity Clinical Research, Lafayette
Lafayette, LA 70508
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
NOLA Care Clinical Research
Metairie, LA 70006
Site contact: Rosina Manager · 504-427-6324 · rosinaducote@gmail.com
Tulane University School of Medicine
New Orleans, LA 70112
Site contact: Neha Manager · 5049889803 · nupadhyay@tulane.edu
Velocity Clinical Research, Rockville
Rockville, MD 20854
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Elixia SISU BHR - Springfield
Springfield, MA 011030
Site contact: Darlene Manager · 5617970336 · darlene.djaba@empathxresearch.com
Oakland Medical Research Center
Troy, MI 48085
Site contact: Juliejo (Julie) Clinical Research Manager · 248-687-7412 · juliejolafave@msn.com
Velocity Clinical Research, Lincoln
Lincoln, NE 68510
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Velocity Clinical Research, Omaha
Omaha, NE 68134
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Alliance Clinical - Las Vegas
Las Vegas, NV 89108
Site contact: Stephanie Manager · (702) 680-1500 · sruvalcaba@allianceclinicalnetwork.com
Palm Research Center, Inc.
Las Vegas, NV 89148
Site contact: Raffaela Manager · 702-736-5161 · raffaela@palmresearchcenter.com
Albany Medical College
Albany, NY 12203
Site contact: Mohammed Manager · 518-264-4462 · ismailmoh@amc.edu
University of North Carolina at Chapel Hill
Chapel Hill, NC 27514
Site contact: Jessica Manager · 984-974-3004 · jessica_caffey@med.unc.edu
Physicians East
Greenville, NC 27834
Site contact: Kristen Manager · 252-413-6392 · ktaylor@physicianseast.com
Lucas Research Inc
Morehead City, NC 28557
Site contact: Christina Manager · 252-222-5700 · christina.tornes@centricityresearch.com
PMG Research of Wilmington, LLC
Wilmington, NC 28401
Site contact: Kevin Manager · 910.815.6108 · cannon1099@me.com
Velocity Clinical Research, Cincinnati, Mt. Auburn
Cincinnati, OH 45219
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Velocity Clinical Research - Cincinnati, Blue Ash
Cincinnati, OH 45242
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Endocrinology Associates, Inc
Columbus, OH 43201
Site contact: Edward Clinical Research Manager · 614-453-9999 · ek@endocrinology-associates.com
Remington Davis, Inc
Columbus, OH 43215
Site contact: Tsunami Clinical Research Manager · 614-487-2560 · Tbrisco@remdavis.com
Willamette Valley Clinical Studies
Eugene, OR 97404
Site contact: Patricia Manager · 541-461-0132 · drpatb@aol.com
Suburban Research Associates
West Chester, PA 19380
Site contact: Tom Manager · 610-891-9024 · tfrancis@suburbanresearch.com
Velocity Clinical Research, Anderson
Anderson, SC 29621
Site contact: Tim Manager · (864) 965-0190 · tpeterson@velocityclinical.com
Accellacare Charleston
Mt. Pleasant, SC 29464
Site contact: Dhruva Manager · (843) 849-1880 · dhruva.patel@accellacare.com
Velocity Clinical Research, Austin
Austin, TX 78759
Site contact: Tim Manager · 513-673-4057 · tpeterson@velocityclinical.com
Velocity Clinical Research - Dallas
Dallas, TX 75230
Site contact: Tim Manager · (972) 566-8631 · tpeterson@velocityclinical.com
Juno Research, LLC
Houston, TX 77040
Site contact: Lian manager · 713-779-5494 · lian_ramos@junoresearch.us
Radiance Clinical Research
Lampasas, TX 76550
Site contact: Lauren Clinical Research Manager · 512-556-4130 · lgarner@radianceclinical.com
Alliance Clinical - Lewisville (Epic Clinical Research)
Lewisville, TX 75057
Site contact: Jessica Manager · (469) 361-8007 · jpowell@allianceclinicalnetwork.com
Texas Valley Clinical Research - Mission, TX
Mission, TX 78572
Site contact: Omar Manager · 9568887400 · gonzalez.md@tvcrmission.com
Texas Diabetes & Endocrinology, P.A. - Round Rock
Round Rock, TX 78681
Site contact: Olivia Clinical Research Manager · 512-334-3505 · knutty@tderesearch.com
Diabetes & Glandular Disease Clinic, P.A.
San Antonio, TX 78229
Site contact: Myriam Manager · 210-614-8612 · myriam.turner@dgdclinic.com
Texas Valley Clinical Research - San Antonio TX
San Antonio, TX 78251
Site contact: Diana Manager · 2105431990 · diana@tvcrtrials.com
Elevate Clinical Research
Seabrook, TX 77586
Site contact: Olga Clinical Research Manager · 832-271-1598 · olga.konshina@elevateclinical.com
Texas Valley Clinical Research, LLC
Weslaco, TX 78596
Site contact: Czarina Manager · 956-431-8090 · czarina@tvcrtrials.com
Velocity Clinical Research, Salt Lake City
West Jordan, UT 84088
Site contact: Tim Clinical Research Manager · 5135799911 · tpeterson@velocityclinical.com
Velocity Clinical Research, Suffolk
Suffolk, VA 23435
Site contact: Tim Manager · (757) 996-4200 · tpeterson@velocityclinical.com
+ 1 more on the official record.
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