Sotagliflozin as Prevention of Anthracycline-Related Cardiotoxicity (SPARTACUS)
SPARTACUS Trial (Sotagliflozin as Prevention of Antracycline-Related Toxicity in Adipose, Cardiac and mUskuloSkeletal Tissues)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Carlos G Santos-Gallego, MD
- Telefonnummer: 212-241-8484
- E-mail: carlos.santos-gallego@mssm.edu
Undersøgelse Kontakt Backup
- Navn: Juan Antonio Requena-Ibanez
- Telefonnummer: 212-241-8484
- E-mail: juanantonio.requenaibanez@mssm.edu
Studiesteder
-
-
New York
-
New York, New York, Forenede Stater, 10029
- Icahn School of Medicine at Mount Sinai
-
Ledende efterforsker:
- Carlos G Santos-Gallego
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria
- Patients ≥ 18 years
- Newly diagnosed lymphoma
- Scheduled to receive high-dose anthracycline (cumulative dose ≥ 300 mg/m2)
- Eastern Cooperative Oncology Group (ECOG) performance status 0-3
Exclusion Criteria
- Prior anthracycline treatment
- Previous malignancy requiring any chemotherapy or radiotherapy
- Previous treatment with SGLT2i (eg due to T2DM) or SGLT1/2i
- Previous heart failure (HF patients should already be on SGLT2i as per guidelines)
- LVEF<40% (even in the absence of HF):
- Pregnancy or breastfeeding
- Standard contraindication to MRI (claustrophobia, non-MRI compatible devices)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Placebo komparator: Placebo
Matchende placebo
|
Placebo starting prior to the first scheduled anthracycline infusion
|
|
Aktiv komparator: Sotagliflozin
Sotagliflozin 400mg per day orally
|
Sotagliflozin 400mg starting prior to the first scheduled anthracycline infusion
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Left Ventricular Ejection Fraction (LVEF) by Cardiac MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LVEF is a measure of contractility of the heart (strength of contraction).
Normal values are between 55-65%.
It is the most widely used parameter by physicians worldwide to measure cardiac contractility.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Longitudinal Strain of Left Ventricle (LV)
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Longitudinal strain is the deformation of a material per unit length, defined as the ratio of change in length to the original length in the direction of an applied load.
It measures how much an object stretches (tensile) or compresses (compressive) along its axis Longitudinal strain is an echocardiographic technique that quantifies the percentage of systolic shortening of the heart muscle from base to apex.
It is a highly sensitive indicator of left ventricular function, detecting subclinical, early myocardial dysfunction (e.g., in cardio-oncology) often before the ejection fraction (LVEF) drops.
Normal GLS values are typically >18%.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LVEF by 3D-Echocardiography
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LVEF is a measure of contractility of the heart (strength of contraction).
Normal values are between 55-65%.
It is the most widely used parameter by physicians worldwide to measure cardiac contractility.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LV Volumes by MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LV volumes measure how enlarged the heart is.
Chemotherapy destroys cardiac muscle and enlarges the heart (ie.
increases LV volumes).
The higher the LV volumes, the more damage by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LV Mass by MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LV mass measures the amount of cardiac muscle.
Chemotherapy destroys cardiac muscle.
The lower the LV mass, the more damage by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LV Longitudinal Strains by MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Longitudinal strain is the deformation of a material per unit length, defined as the ratio of change in length to the original length in the direction of an applied load.
It measures how much an object stretches (tensile) or compresses (compressive) along its axis Longitudinal strain is an echocardiographic technique that quantifies the percentage of systolic shortening of the heart muscle from base to apex.
It is a highly sensitive indicator of left ventricular function, detecting subclinical, early myocardial dysfunction (e.g., in cardio-oncology) often before the ejection fraction (LVEF) drops.
Normal GLS values are typically >18%.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
6-Minute Walk Test (6MWT)
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
The 6MWT assesses endurance and ability to walk over longer distances.
The 6MWT was first described as a field test for physical fitness in 1963 and then as a 12-minute walk test in people with chronic bronchitis.
The 6MWT was found to perform as well as the 12-minute walk, and is now used to assess the submaximal level of functional performance at a similar level required for daily physical activities.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
NT-ProBNP
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
NT-ProBNP is a plasma biomarker of cardiac stress, cardiac tension and severity of heart failure.
The higher the NT-ProBNP level, the more severe the heart failure induced by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
Troponin I
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Troponin I is a plasma biomarker of cardiac injury and cardiac damage.
The higher the troponin levels, the more cardiac damage induced by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Carlos G Santos-Gallego, MD, Icahn School of Medicine at Mount Sinai
- Ledende efterforsker: Santos-Gallego, MD, Icahn School of Medicine at Mount Sinai
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Hjerte-kar-sygdomme
- Sår og skader
- Patologiske processer
- Neoplasmer
- Hjertesygdomme
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Kemisk inducerede lidelser
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lægemiddelrelaterede bivirkninger og uønskede reaktioner
- Strålingsskader
- Ventrikulær dysfunktion
- Patologiske tilstande, tegn og symptomer
- Hemiske og lymfatiske sygdomme
- Lymfom
- Ventrikulær dysfunktion, venstre
- Kardiotoksicitet
- (2S,3R,4R,5S,6R)-2-(4-chlor-3-(4-ethoxybenzyl)phenyl)-6-(methylthio)tetrahydro-2H-pyran-3,4,5-triol
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- GCO 25-0408
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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